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
Winder, GA
See all hospitals reporting CPT 80504 →Price type
NGMC Barrow, LLC’s median price of $78 is 55% below the median hospital's median price ($175), higher than 15% 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: 5 payers, 8 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 | Caresource medicaid managed care plan fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Cigna local plus other commercial plan fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Cigna connect hix ifp exchange fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 4 | Cigna all commercial plans fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 5 | Blue Cross Blue Shield state health benefit plan medicare managed care plan fee schedule · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 6 | Aetna medicare managed care plan fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 7 | Cigna healthspring medicare managed care plan fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 8 | Humana medicare managed care plan fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
Last updated: Apr 1, 2026
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