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
DBRDMT PRMLG LES W/PDT
Boulder, CO
See all hospitals reporting CPT 96574 →Price type
Boulder Community Health’s median price of $409 is 44% above the median hospital's median price ($283), higher than 68% of the 1,368 hospitals reporting CPT 96574. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 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 | $248 | $248 | $34 | 14% | — | $214 – $282 |
| 8 | Aetna medicare advantage professional · case rate · both | $282 | $282 | — | — | — | $282 – $282 |
| 9 | Anthem medicare advantage professional · fee schedule · both | $282 | $282 | — | — | — | $282 – $282 |
| 10 | Devoted medicare advantage professional · fee schedule · both | $282 | $282 | — | — | — | $282 – $282 |
| 11 | Humana medicare advantage professional · fee schedule · both | $282 | $282 | — | — | — | $282 – $282 |
| 12 | Kaiser medicare advantage professional · fee schedule · both | $350 | $350 | — | — | — | $350 – $350 |
| 13 | Anthem commercial professional · fee schedule · both | $364 | $400 | $57 | 14% | — | $364 – $490 |
| 14 | MultiPlan commercial professional · fee schedule · both | $430 | $430 | — | — | — | $430 – $430 |
| 15 | Phcs commercial professional · fee schedule · both | $430 | $430 | — | — | — | $430 – $430 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $435 | $435 | — | — | — | $435 – $435 |
| 17 | Kaiser commercial professional · fee schedule · both | $445 | $445 | — | — | — | $445 – $445 |
| 18 | Cigna commercial facility · fee schedule · outpatient | $464 | $464 | — | — | — | $464 – $464 |
| 19 | Kaiser commercial facility · case rate · outpatient | $467 | $467 | $57 | 12% | — | $410 – $523 |
| 20 | Cigna commercial professional · fee schedule · both | $484 | $484 | — | — | — | $484 – $484 |
| 21 | Anthem managed care professional · fee schedule · both | $490 | $490 | — | — | — | $490 – $490 |
| 22 | Kaiser managed care facility · case rate · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 23 | Aetna commercial professional · fee schedule · both | $529 | $529 | — | — | — | $529 – $529 |
| 24 | Aetna ppo professional · fee schedule · both | $529 | $529 | — | — | — | $529 – $529 |
| 25 | Anthem commercial facility · case rate · outpatient | $479 | $543 | $132 | 24% | — | $415 – $759 |
Last updated: Sep 16, 2026
See Photodynamic light therapy after scraping precancerous skin lesions pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.