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
XERS TST BRNCSPSM PRE&POST SPMTRY&PLS OX W/ECG
Vero Beach, FL
See all hospitals reporting CPT 94617 →Price type
Indian River Memorial Hospital Inc’s median price of $103 is 35% below the median hospital's median price ($158), higher than 13% of the 1,599 hospitals reporting CPT 94617. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 62 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 | Optum managed medicaid facility · case rate · outpatient | $38.83 | $38.83 | $38.83 – $38.83 |
| 2 | Medicaid managed medicaid facility · case rate · outpatient | $40.87 | $40.87 | $40.87 – $40.87 |
| 3 | Molina florida kidcare facility · case rate · outpatient | $40.87 | $40.87 | $40.87 – $40.87 |
| 4 | Molina florida kidcare professional · case rate · outpatient | $40.87 | $40.87 | $40.87 – $40.87 |
| 5 | WellCare managed medicaid facility · case rate · outpatient | $40.87 | $40.87 | $40.87 – $40.87 |
| 6 | Molina managed medicaid facility · case rate · outpatient | $42.91 | $42.91 | $42.91 – $42.91 |
| 7 | Aetna managed medicaid/chip facility · case rate · outpatient | $44.96 | $44.96 | $44.96 – $44.96 |
| 8 | Blue Cross Blue Shield health options professional · fee schedule · outpatient | $57.70 | $57.70 | $40.78 – $74.61 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $57.24 | $58.37 | $30.32 – $87.56 |
| 10 | Blue Cross Blue Shield network blue professional · fee schedule · outpatient | $59.19 | $59.19 | $41.83 – $76.54 |
| 11 | Blue Cross Blue Shield perferred patient care professional · fee schedule · outpatient | $60.68 | $60.68 | $42.89 – $78.47 |
| 12 | Blue Cross Blue Shield traditional (pps) professional · fee schedule · outpatient | $60.68 | $60.68 | $42.89 – $78.47 |
| 13 | Aetna all products behavioral health professional · fee schedule · outpatient | $63.47 | $63.47 | $63.47 – $63.47 |
| 14 | Blue Cross Blue Shield medicare advantage hmo professional · fee schedule · outpatient | $63.71 | $63.76 | $31.93 – $95.64 |
| 15 | Blue Cross Blue Shield medicare advantage ppo professional · fee schedule · outpatient | $63.71 | $63.76 | $31.93 – $95.64 |
| 16 | Magellan medicare advantage professional · fee schedule · outpatient | $63.71 | $63.76 | $31.93 – $95.64 |
| 17 | WellCare medicare advantage professional · fee schedule · outpatient | $63.71 | $63.76 | $31.93 – $95.64 |
| 18 | Medicaid managed medicaid professional · fee schedule · outpatient | $68.43 | $68.43 | $68.43 – $68.43 |
| 19 | Molina managed medicaid professional · fee schedule · outpatient | $68.43 | $68.43 | $68.43 – $68.43 |
| 20 | WellCare managed medicaid professional · fee schedule · outpatient | $68.43 | $68.43 | $68.43 – $68.43 |
| 21 | Optum managed medicaid professional · fee schedule · outpatient | $69.26 | $69.26 | $69.26 – $69.26 |
| 22 | Aetna all products anesthesia professional · fee schedule · outpatient | $75.15 | $75.15 | $65.58 – $84.71 |
| 23 | Aetna medicare advantage behavioral health professional · fee schedule · outpatient | $76.45 | $76.51 | $38.32 – $114.77 |
| 24 | Aetna medicare advantage pcp professional · fee schedule · outpatient | $79.00 | $79.06 | $39.59 – $118.59 |
| 25 | Aetna medicare advantage specialist professional · fee schedule · outpatient | $80.27 | $80.34 | $40.23 – $120.51 |
Last updated: Jun 15, 2026
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