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
QUAN US TIS CHARAC W/O DX US
Boulder, CO
See all hospitals reporting CPT 0689T →Price type
Boulder Community Health’s median price of $208 is 89% above the median hospital's median price ($110), higher than 88% of the 1,252 hospitals reporting CPT 0689T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 medicare advantage facility · case rate · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 2 | Anthem medicare advantage facility · case rate · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Humana medicare advantage facility · case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 5 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 6 | Kaiser medicare advantage facility · case rate · outpatient | $95 | $95 | $0 | 0% | — | $95 – $96 |
| 7 | Devoted medicare advantage facility · case rate · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 8 | Kaiser commercial facility · case rate · outpatient | $203 | $203 | $25 | 12% | — | $178 – $227 |
| 9 | Kaiser managed care facility · case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 10 | Anthem commercial facility · case rate · outpatient | $208 | $236 | $57 | 24% | — | $180 – $329 |
| 11 | Anthem commercial professional · fee schedule · both | $251 | $263 | $120 | 46% | — | $108 – $483 |
| 12 | Anthem managed care professional · fee schedule · both | $338 | $322 | $138 | 43% | — | $145 – $483 |
| 13 | Anthem managed care facility · case rate · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 14 | Aetna medicare advantage professional · fee schedule · both | $1.5k | $1.5k | $1.5k | 94% | — | $93 – $3k |
| 15 | Aetna commercial professional · fee schedule · both | $1.6k | $2.2k | $2.3k | 103% | — | $93 – $5.6k |
Last updated: Sep 16, 2026
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