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
HC COMP-ASST MSK SURG NAVIGATIONAL ORTHO PX W/ IMG BASED ON CT/MRI IMG (AD)
Menomonee Falls, WI
See all hospitals reporting CPT 0055T →Price type
Community Memorial Hospital of Menomonee Falls Inc’s median price of $218 is 86% below the median hospital's median price ($1.6k), higher than 15% of the 1,101 hospitals reporting CPT 0055T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 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 all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $175.00 | $175.00 | $175.00 – $175.00 |
| 2 | Aetna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $175.00 | $175.00 | $175.00 – $175.00 |
| 3 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $212.50 | $212.50 | $212.50 – $212.50 |
| 4 | MultiPlan all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $217.50 | $217.50 | $217.50 – $217.50 |
| 5 | MultiPlan all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $217.50 | $217.50 | $217.50 – $217.50 |
| 6 | Cigna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $220.00 | $220.00 | $220.00 – $220.00 |
| 7 | First Health all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $220.00 | $220.00 | $220.00 – $220.00 |
| 8 | First Health all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $220.00 | $220.00 | $220.00 – $220.00 |
| 9 | UnitedHealthcare nexus case rate · outpatient | $993.00 | $993.00 | $993.00 – $993.00 |
| 10 | UnitedHealthcare choice plus/navigate case rate · outpatient | $1,209 | $1,209 | $1,209 – $1,209 |
| 11 | UnitedHealthcare options ppo case rate · outpatient | $1,449 | $1,449 | $1,449 – $1,449 |
| 12 | Anthem hmo case rate · outpatient | $8,060 | $8,060 | $8,060 – $8,060 |
Last updated: Dec 31, 2025
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