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
Path clin consltj mod 21-40
Calhoun, GA
See all hospitals reporting CPT 80504 →Price type
Adventhealth Gordon’s median price of $178 is 2% above the median hospital's median price ($175), higher than 53% of the 1,490 hospitals reporting CPT 80504. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna medicare managed care plan fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 3 | Blue Cross Blue Shield medicare managed care plan fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 4 | Blue Cross Blue Shield hmo fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 6 | Oscar individual plan hmo exchange fee schedule · outpatient | $343 | $343 | — | — | — | $343 – $343 |
Last updated: Apr 1, 2026
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