CPT 97158
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Grp adapt bhv tx by phy/qhp
Low
$13
Average
$1.2k
Median
$49
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
31 payers; the 90th percentile is 7.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · percent of total billed charges · outpatientfrom % of charges · +7 other terms | 27 | $45 | $48 | $29 | 59% | — | $7 – $158 |
| 2 | Cigna facility · percent of total billed charges · outpatientfrom % of charges · +7 other terms | 26 | $66 | $64 | $28 | 43% | — | $15 – $201 |
| 3 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +7 other terms | 22 | $215 | $192 | $121 | 63% | — | $34 – $808 |
| 4 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges · +7 other terms | 20 | $147 | $97 | $67 | 69% | — | $20 – $202 |
| 5 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Blue Cross Blue Shield professional · percent of total billed charges · outpatientfrom % of charges · +7 other terms | 8 | $20 | $19 | $4 | 22% | — | $13 – $30 |
| 7 | Humana facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms | 7 | $50 | $57 | $25 | 44% | — | $34 – $116 |
| 8 | Anthem facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 6 | $78 | $4.4k | $9.7k | 219% | — | $43 – $26.3k |
| 9 | First Health percent of total billed charges · outpatientfrom % of charges · +4 other terms | 6 | $74 | $261 | $344 | 132% | — | $29 – $884 |
| 10 | Oscar percent of total billed charges · bothfrom % of charges · +4 other terms | 5 | $97 | $83 | $21 | 25% | — | $45 – $97 |
← Hospitals reporting CPT 97158 · Snapshot 20261113T090226Z-3ce6c0b8