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
Xcapsl ctrc rmvl w/o ecp
Dansville, NY
See all hospitals reporting CPT 66984 →Price type
Nicholas H. Noyes Memorial Hospital’s median price of $3.1k is 13% above the median hospital's median price ($2.8k), higher than 58% of the 1,862 hospitals reporting CPT 66984. 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, 11 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 270002 case rate · outpatient | $1,578 | $1,578 | $1,578 – $1,578 |
| 2 | Highmark highmark bcbs medicare 130101 percent of total billed charges · outpatientfrom % of charges | $2,743 | $2,743 | $2,743 – $2,743 |
| 3 | Aetna aetna medicare 130001 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 4 | Humana humana medicare 131201 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 5 | UnitedHealthcare united healthcare medicare 130901 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 6 | WellCare wellcare medicare 131001 fee schedule · outpatient | $2,881 | $2,881 | $2,881 – $2,881 |
| 7 | Highmark highmark bcbs 514301 percent of total billed charges · outpatientfrom % of charges | $3,251 | $3,251 | $3,251 – $3,251 |
| 8 | Excellus excellus 220101, excellus simply blue 220106, excellus blue choice 220107 fee schedule · outpatient | $4,986 | $4,986 | $4,986 – $4,986 |
| 9 | Excellus excellus metal tiers 220102 fee schedule · outpatient | $4,986 | $4,986 | $4,986 – $4,986 |
| 10 | UnitedHealthcare united healthcare 515803 fee schedule · outpatient | $5,664 | $5,664 | $5,664 – $5,664 |
| 11 | Cigna mvp commercial ppo fully insured 290006, cigna healthcare (pob 182223) 514405 fee schedule · outpatient | $6,851 | $6,851 | $6,851 – $6,851 |
Last updated: Jan 1, 2026
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