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
DBRDMT PRMLG LES W/PDT
Key West, FL
See all hospitals reporting CPT 96574 →Price type
Key West HMA LLC’s median price of $224 is 21% below the median hospital's median price ($283), higher than 31% of the 1,362 hospitals reporting CPT 96574. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 23 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 | UnitedHealthcare uhc medicaid fl facility · per diem · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 2 | UnitedHealthcare uhc kids medicaid fl facility · per diem · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 3 | Humana humana medicaid fl facility · fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 4 | WellCare healthease medicaid fl facility · fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 5 | WellCare wellcare kids medicaid fl facility · fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 6 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 7 | Molina molina medicaid fl facility · other · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 8 | Magellan magellan medicaid fl facility · fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 9 | Tricare node tricare facility · fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 10 | Bcbs Fl node bcbs fl mcr adv facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 11 | Humana node humana mcr adv facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 12 | Optum node united optum va ccn facility · fee schedule · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 13 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $952 | $952 | — | — | — | $952 – $952 |
| 14 | Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Bcbs Fl bcbs fl bsl facility · case rate · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 18 | Bcbs Fl bcbs fl mbn facility · case rate · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 19 | Bcbs Fl bcbs fl hmo facility · case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 20 | Blue Cross Blue Shield bcbs fl sbn facility · case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 21 | Bcbs Fl bcbs fl nwb facility · case rate · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 22 | Bcbs Fl bcbs fl ppo facility · case rate · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 23 | Bcbs Fl bcbs fl phs facility · case rate · outpatient | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
Last updated: Apr 1, 2026
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