HCPCS M0064
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
Fee Schedule
Low
$4
Average
$118
Median
$112
High
$312
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 4.1× 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 | Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms | 15 | $78 | $107 | $65 | 61% | — | $71 – $270 |
| 2 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 14 | $116 | $116 | — | — | — | $116 – $116 |
| 3 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $66 | $58 | $15 | 26% | — | $21 – $71 |
| 4 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $28 | $29 | $9 | 31% | — | $18 – $52 |
| 5 | MultiPlan facility · percent of total billed charges · bothfrom % of charges · +2 other terms | 5 | $230 | $230 | — | — | — | $230 – $230 |
| 6 | Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $180 | $180 | — | — | — | $180 – $180 |
| 8 | Phcs professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $198 | $198 | — | — | — | $198 – $198 |
| 9 | Aetna professional · fee schedule · both · +7 other terms | 2 | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Excellus fee schedule · outpatient | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 11 | Kaiser fee schedule · both | 2 | $48 | $48 | — | — | — | $48 – $48 |
| 12 | Molina fee schedule · outpatient | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 13 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 14 | Anthem facility · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 15 | Bcbs Ca facility · fee schedule · outpatient | 1 | $4 | $4 | $0 | 9% | — | $3 – $4 |
| 16 | Cigna fee schedule · both · +5 other terms | 1 | $19 | $19 | $2 | 9% | — | $18 – $21 |
| 17 | Healthpartners facility · fee schedule · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 18 | Humana fee schedule · outpatient · +3 other terms | 1 | $29 | $29 | $5 | 16% | — | $25 – $34 |
| 19 | Tricare facility · fee schedule · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
← Hospitals reporting HCPCS M0064 · Snapshot 20261113T090226Z-3ce6c0b8