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
Transperineal Plmt Biodegradable Matrl 1/Mlt Njx
Falls, MT
See all hospitals reporting CPT 55874 →Price type
Benefis Hospitals Inc’s median price of $3.5k is 38% below the median hospital's median price ($5.6k), higher than 18% of the 1,805 hospitals reporting CPT 55874. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 27 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 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 2 | Cigna bhs hb allegiance fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 3 | Healthpartners bhs hb allegiance fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 4 | Kaiser bhs hb allegiance fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 5 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 6 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | $3.4k | 93% | — | $245 – $7.0k |
| 7 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | $3.6k | 93% | — | $259 – $7.4k |
| 8 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $4.2k | $4.2k | $3.9k | 93% | — | $283 – $8.1k |
| 9 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $4.5k | $4.5k | $4.2k | 93% | — | $302 – $8.6k |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $4.5k | $4.5k | $4.2k | 93% | — | $307 – $8.8k |
| 11 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $4.7k | $4.7k | $4.4k | 93% | — | $320 – $9.2k |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $4.7k | $4.7k | $4.4k | 93% | — | $320 – $9.2k |
| 13 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $4.8k | $4.8k | $4.5k | 93% | — | $324 – $9.3k |
| 14 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $5.0k | $5.0k | $4.7k | 93% | — | $339 – $9.7k |
| 15 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $5.0k | $5.0k | $4.7k | 93% | — | $339 – $9.7k |
| 16 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $5.0k | $5.0k | $4.7k | 93% | — | $339 – $9.7k |
| 17 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $5.0k | $5.0k | $4.7k | 93% | — | $339 – $9.7k |
| 18 | Tricare bhs hb tricare other · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 19 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $5.1k | $5.1k | $4.8k | 93% | — | $347 – $9.9k |
| 20 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $5.1k | $5.1k | $4.8k | 93% | — | $347 – $9.9k |
| 21 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $5.3k | $5.3k | $4.9k | 93% | — | $358 – $10.2k |
| 22 | Aetna bhs hb medicare other · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 23 | Anthem bhs hb medicare other · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 24 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $5.5k | $5.5k | — | — | 2–20 | $5.5k – $5.5k |
| 25 | Kaiser bhs hb medicare other · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
Last updated: Mar 26, 2026
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