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
Xcapsl ctrc rmvl w/o ecp
Canandaigua, NY
See all hospitals reporting CPT 66984 →Price type
F.F. Thompson Hospital’s median price of $3.0k is 8% above the median hospital's median price ($2.8k), higher than 56% of the 1,862 hospitals reporting CPT 66984. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 9 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 aetna medicare 130001 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 2 | Highmark highmark bcbs medicare 130101 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 3 | Humana humana medicare 131201 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 4 | UnitedHealthcare united healthcare medicare 130901 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 5 | WellCare wellcare medicare 131001 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 6 | UnitedHealthcare united healthcare 515803 percent of total billed charges · outpatientfrom % of charges | $3,659 | $3,659 | $3,659 – $3,659 |
| 7 | Excellus excellus metal tiers 220102 fee schedule · outpatient | $5,146 | $5,146 | $5,146 – $5,146 |
| 8 | Cigna mvp commercial ppo fully insured 290006, cigna healthcare (pob 182223) 514405 fee schedule · outpatient | $6,735 | $6,735 | $6,735 – $6,735 |
| 9 | Excellus excellus 220101, excellus simply blue 220106, excellus blue choice 220107 fee schedule · outpatient | $7,955 | $7,955 | $7,955 – $7,955 |
Last updated: Jan 1, 2026
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