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
PLACE RT DEVICE/MARKER PROS
Boulder, CO
See all hospitals reporting CPT 55876 →Price type
Boulder Community Health’s median price of $199 is 88% below the median hospital's median price ($1.6k), higher than 10% of the 1,866 hospitals reporting CPT 55876. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Aetna medicare advantage professional · case rate · both | $92 | $92 | — | — | — | $92 – $92 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $92 | $92 | — | — | — | $92 – $92 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $92 | $92 | — | — | — | $92 – $92 |
| 4 | Humana medicare advantage professional · fee schedule · both | $92 | $92 | — | — | — | $92 – $92 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 6 | Anthem commercial professional · fee schedule · both | $125 | $137 | $20 | 14% | — | $125 – $168 |
| 7 | Kaiser commercial professional · fee schedule · both | $145 | $145 | — | — | — | $145 – $145 |
| 8 | MultiPlan commercial professional · fee schedule · both | $158 | $158 | — | — | — | $158 – $158 |
| 9 | Phcs commercial professional · fee schedule · both | $158 | $158 | — | — | — | $158 – $158 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 11 | Anthem managed care professional · fee schedule · both | $168 | $168 | — | — | — | $168 – $168 |
| 12 | Cigna commercial professional · fee schedule · both | $172 | $172 | — | — | — | $172 – $172 |
| 13 | Aetna commercial professional · fee schedule · both | $199 | $199 | — | — | — | $199 – $199 |
| 14 | Aetna ppo professional · fee schedule · both | $199 | $199 | — | — | — | $199 – $199 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $202 | $202 | — | — | — | $202 – $202 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $784 | $784 | $692 | 88% | — | $92 – $1.5k |
| 17 | Aetna medicare advantage facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Anthem medicare advantage facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Humana medicare advantage facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Kaiser medicare advantage facility · case rate · outpatient | $1.5k | $1.5k | $7 | 0% | — | $1.5k – $1.5k |
| 22 | Devoted medicare advantage facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Kaiser commercial facility · case rate · outpatient | $3.2k | $3.2k | $390 | 12% | — | $2.8k – $3.6k |
| 24 | Kaiser managed care facility · case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 25 | Anthem commercial facility · case rate · outpatient | $3.3k | $3.7k | $910 | 24% | — | $2.9k – $5.2k |
Last updated: Sep 16, 2026
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