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
PDT DSTR PRMLG LES PHYS/QHP
Boulder, CO
See all hospitals reporting CPT 96573 →Price type
Boulder Community Health’s median price of $334 is 43% above the median hospital's median price ($234), higher than 68% of the 1,398 hospitals reporting CPT 96573. 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 facility · case rate · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 2 | Anthem medicare advantage facility · case rate · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 3 | Humana medicare advantage facility · case rate · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 4 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 5 | Kaiser medicare advantage facility · case rate · outpatient | $219 | $219 | $1 | 0% | — | $218 – $220 |
| 6 | Devoted medicare advantage facility · case rate · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $222 | $222 | $8 | 4% | — | $214 – $230 |
| 8 | Aetna medicare advantage professional · case rate · both | $230 | $230 | — | — | — | $230 – $230 |
| 9 | Anthem medicare advantage professional · fee schedule · both | $230 | $230 | — | — | — | $230 – $230 |
| 10 | Devoted medicare advantage professional · fee schedule · both | $230 | $230 | — | — | — | $230 – $230 |
| 11 | Humana medicare advantage professional · fee schedule · both | $230 | $230 | — | — | — | $230 – $230 |
| 12 | Kaiser medicare advantage professional · fee schedule · both | $286 | $286 | — | — | — | $286 – $286 |
| 13 | Anthem commercial professional · fee schedule · both | $299 | $328 | $47 | 14% | — | $299 – $402 |
| 14 | UnitedHealthcare commercial professional · fee schedule · both | $346 | $346 | — | — | — | $346 – $346 |
| 15 | MultiPlan commercial professional · fee schedule · both | $351 | $351 | — | — | — | $351 – $351 |
| 16 | Phcs commercial professional · fee schedule · both | $351 | $351 | — | — | — | $351 – $351 |
| 17 | Kaiser commercial professional · fee schedule · both | $364 | $364 | — | — | — | $364 – $364 |
| 18 | Cigna commercial facility · fee schedule · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 19 | Cigna commercial professional · fee schedule · both | $397 | $397 | — | — | — | $397 – $397 |
| 20 | Anthem managed care professional · fee schedule · both | $402 | $402 | — | — | — | $402 – $402 |
| 21 | Aetna commercial professional · fee schedule · both | $421 | $421 | — | — | — | $421 – $421 |
| 22 | Aetna ppo professional · fee schedule · both | $421 | $421 | — | — | — | $421 – $421 |
| 23 | Kaiser commercial facility · case rate · outpatient | $467 | $467 | $57 | 12% | — | $410 – $523 |
| 24 | Kaiser managed care facility · case rate · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 25 | Anthem commercial facility · case rate · outpatient | $479 | $543 | $132 | 24% | — | $415 – $759 |
Last updated: Sep 16, 2026
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