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
DIPH,PERTUS(ACEL),TET PED (PF) 15-10-5 LF-MCG-LF/0.5ML IM SUSP
Monroe, LA
See all hospitals reporting CPT 90700 →Price type
Brfhh Monroe, Llc’s median price of $32 is 42% below the median hospital's median price ($56), higher than 16% of the 1,947 hospitals reporting CPT 90700. 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, 13 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 Better Health all payor other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Amerihealth Caritas all payor other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Humana all payor other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | UnitedHealthcare all payor other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $31 | $31 | $3 | 9% | — | $28 – $34 |
| 6 | Bcbs La all payor fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 7 | Cigna all payor other · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 8 | Cigna all payor other · inpatient | $49 | $49 | — | — | — | $49 – $49 |
| 9 | Aetna all payor other · inpatient | $63 | $63 | — | — | — | $63 – $63 |
| 10 | Aetna all payor other · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 11 | First Health all payor other · inpatient | $63 | $63 | — | — | — | $63 – $63 |
| 12 | First Health all payor other · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 13 | MultiPlan all payor other · outpatient | $68 | $68 | — | — | — | $68 – $68 |
Last updated: Apr 1, 2026
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