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  3. /Christus Health Southeast Texas
  4. /CPT 875T
CPT 875T

Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional at Christus Health Southeast Texas

Beaumont, TX

Pricing by billing methodology

Price type

All methodologies

$146

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$146

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

—

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jan 13, 2026

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