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
NFCT AGT STI MULT AMP PRB UR
Summit, WI
See all hospitals reporting CPT 0455U →Price type
Aurora Medical Center Summit’s median price of $462 is 216% above the median hospital's median price ($146), higher than 97% of the 1,220 hospitals reporting CPT 0455U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 4 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 | Aetna hmo fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
| 2 | Healthpartners employee trust fund fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 3 | Molina commercial fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
| 4 | Healthpartners robin fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
Last updated: Nov 21, 2025
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