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
ESW MUSCSKEL SYS NOS
West Bloomfield, MI
See all hospitals reporting CPT 0101T →Price type
Henry Ford Health System’s median price of $246 is 34% below the median hospital's median price ($372), higher than 22% of the 1,279 hospitals reporting CPT 0101T. 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, 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 | Amerihealth Caritas dual products facility · fee schedule · outpatient | $240.86 | $240.86 | $240.86 – $240.86 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $245.78 | $245.78 | $245.78 – $245.78 |
| 3 | Blue Cross Blue Shield bcn advantage facility · fee schedule · outpatient | $245.78 | $245.78 | $245.78 – $245.78 |
| 4 | Blue Cross Blue Shield medicare plus blue facility · fee schedule · outpatient | $245.78 | $245.78 | $245.78 – $245.78 |
| 5 | Molina dual mi coordinated health facility · fee schedule · outpatient | $245.78 | $245.78 | $245.78 – $245.78 |
| 6 | UnitedHealthcare erickson advantage facility · fee schedule · outpatient | $245.78 | $245.78 | $245.78 – $245.78 |
| 7 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $245.78 | $245.78 | $245.78 – $245.78 |
| 8 | WellCare medicare advantage facility · fee schedule · outpatient | $245.78 | $245.78 | $245.78 – $245.78 |
| 9 | WellCare wellcare meridian dual align (hmo d-snp) facility · fee schedule · outpatient | $245.78 | $245.78 | $245.78 – $245.78 |
| 10 | Humana medicare advantage facility · fee schedule · outpatient | $248.24 | $248.24 | $248.24 – $248.24 |
| 11 | Aetna dual products facility · fee schedule · outpatient | $270.36 | $270.36 | $270.36 – $270.36 |
| 12 | Humana tricare facility · fee schedule · outpatient | $1,388 | $1,388 | $1,388 – $1,388 |
Last updated: Jun 28, 2026
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