Stomach electrical activity mapping during surgery

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fee Schedule

Payers reporting HCPCS C9787

Payer pricing summary

Low

$15

Average

$665

Median

$418

High

$3.0k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	51	$2.1k	$3.2k	$2.7k	85%	—	$362 – $18.0k
2	Molina facility · case rate · outpatient · +2 other terms	26	$260	$279	$81	29%	—	$190 – $511
3	UnitedHealthcare facility · case rate · outpatient · +3 other terms	17	$276	$312	$103	33%	—	$190 – $608
4	Anthem facility · case rate · outpatient · +2 other terms	15	$271	$297	$70	23%	—	$184 – $460
5	Caresource facility · case rate · outpatient	15	$276	$297	$68	23%	—	$184 – $469
6	MultiPlan fee schedule · outpatient	14	$859	$859	—	—	—	$859 – $859
7	Optum facility · case rate · outpatient	13	$245	$266	$68	26%	—	$181 – $416
8	Ucare fee schedule · outpatient · +3 other terms	12	$537	$546	$15	3%	—	$537 – $584
9	WellCare facility · fee schedule · outpatient · +1 other terms	9	$657	$657	—	—	—	$657 – $657
10	Kaiser fee schedule · outpatient · +1 other terms	8	$2.2k	$2.3k	$635	28%	—	$1.3k – $3.8k
11	Premera fee schedule · outpatient	8	$906	$896	$18	2%	—	$855 – $906
12	Aetna Better Health facility · case rate · outpatient	6	$229	$229	—	—	—	$229 – $229
13	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$210	$210	—	—	—	$210 – $210
14	Aetna facility · case rate · outpatient · +3 other terms	5	$229	$287	$113	39%	—	$191 – $511
15	Humana facility · case rate · outpatient · +3 other terms	5	$191	$198	$9	5%	—	$191 – $210
16	Regence fee schedule · outpatient · +1 other terms	5	$832	$832	$136	16%	—	$636 – $989
17	Bcbs Mn fee schedule · outpatient	4	$798	$783	$528	67%	—	$238 – $1.9k
18	Medicaid facility · case rate · outpatient	2	$191	$191	—	—	—	$191 – $191
19	Wellmark facility · case rate · outpatient	2	$655	$655	$302	46%	—	$353 – $956
20	Bcbs Ca facility · fee schedule · outpatient	1	$15	$15	$1	9%	—	$13 – $16
21	Beechstreet professional · fee schedule · outpatient	1	$450	$450	—	—	—	$450 – $450