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
PR EXPLORATION EPIDIDYMIS W/WO BIOPSY
Kalamazoo, MI
See all hospitals reporting CPT 54865 →Price type
Bronson Methodist Hospital’s median price of $353 is 90% below the median hospital's median price ($3.6k), higher than 6% of the 1,468 hospitals reporting CPT 54865. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 11 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 | UnitedHealthcare medicaid professional · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 2 | Blue Cross Blue Shield complete professional · fee schedule · both | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Blue Cross Blue Shield mappo professional · fee schedule · both | $328 | $328 | — | — | — | $328 – $328 |
| 4 | UnitedHealthcare dual complete dsnp/medicare advantage professional · fee schedule · both | $328 | $328 | — | — | — | $328 – $328 |
| 5 | Aetna medicare professional · fee schedule · both | $341 | $341 | — | — | — | $341 – $341 |
| 6 | Molina medicare/medicaid professional · fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 7 | Aetna commercial professional · fee schedule · both | $440 | $440 | — | — | — | $440 – $440 |
| 8 | Aetna new business (mi preferred) professional · fee schedule · both | $456 | $456 | $16 | 4% | — | $440 – $473 |
| 9 | UnitedHealthcare all payor (choice/ppo) professional · fee schedule · both | $628 | $628 | — | — | — | $628 – $628 |
| 10 | UnitedHealthcare core professional · fee schedule · both | $628 | $628 | — | — | — | $628 – $628 |
| 11 | UnitedHealthcare exchange professional · fee schedule · both | $628 | $628 | — | — | — | $628 – $628 |
Last updated: Aug 3, 2026
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