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
PR Ins/Repl Spn Nstim Pg/Rec Req Pckt Creation Btw Eltrd Array & Pg/Rec|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
Silver Spring, MD
See all hospitals reporting CPT 63685 →Price type
Holy Cross Hospital-Silver Spring’s median price of $746 is 97% below the median hospital's median price ($23.7k), higher than 14% of the 1,849 hospitals reporting CPT 63685. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 111 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 advantage professional · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Aetna aetna professional · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Humana tricare professional · fee schedule · outpatient | $29 | $79 | $71 | 90% | — | $29 – $179 |
| 4 | Tricare tricare professional · fee schedule · outpatient | $29 | $79 | $71 | 90% | — | $29 – $179 |
| 5 | Humana tricare professional · fee schedule · inpatient | $152 | $117 | $69 | 59% | — | $21 – $179 |
| 6 | Tricare tricare professional · fee schedule · inpatient | $152 | $117 | $69 | 59% | — | $21 – $179 |
| 7 | Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 8 | Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 9 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 10 | Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 12 | Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 13 | Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 14 | Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 15 | Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 16 | Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 17 | Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 18 | First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 19 | Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 20 | Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 21 | Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 22 | Magellan pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 23 | Medcost pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 24 | Medica pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 25 | Medicaid pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
Last updated: Mar 31, 2026
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