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
Path clin consltj mod 21-40
Hamilton, OH
See all hospitals reporting CPT 80504 →Price type
Fort Hamilton Hospital’s median price of $177 is 2% above the median hospital's median price ($175), higher than 52% of the 1,490 hospitals reporting CPT 80504. 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, 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 | Blue Cross Blue Shield anthem traditional fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Cigna all commercial plans fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Aetna all commercial plans fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 4 | Aetna new business/oh ky preferred other commercial plan fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 5 | UnitedHealthcare all commercial plans fee schedule · outpatient | $118 | $118 | $65 | 55% | — | $53 – $183 |
| 6 | UnitedHealthcare employee fee schedule · outpatient | $118 | $118 | $65 | 55% | — | $53 – $183 |
| 7 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $151 | $151 | $104 | 69% | — | $47 – $255 |
| 8 | Aetna medicare managed care plan fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 9 | Molina medicare managed care plan fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 10 | Caresource marketplace exchange fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 11 | UnitedHealthcare exchange fee schedule · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 12 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $317 | $317 | $270 | 85% | — | $47 – $587 |
| 13 | Molina exchange fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
Last updated: Apr 1, 2026
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