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
GRFG AUTOL SOFT TISS DIR EXC
Duluth, GA
See all hospitals reporting CPT 15769 →Price type
Northside Hospital, Inc.’s median price of $952 is 75% below the median hospital's median price ($3.8k), higher than 14% of the 1,683 hospitals reporting CPT 15769. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 193 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 | Blue Cross Blue Shield bcbs_pathway other · outpatient | $409 | $409 | — | — | — | $409 – $409 |
| 2 | Blue Cross Blue Shield bcbs_pathway-l other · outpatient | $409 | $409 | — | — | — | $409 – $409 |
| 3 | Caresource caresource other · inpatient | $423 | $423 | — | — | — | $423 – $423 |
| 4 | UnitedHealthcare uhc medicare other · inpatient | $467 | $467 | — | — | — | $467 – $467 |
| 5 | UnitedHealthcare uhc medicare other · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 6 | Aetna aetna medicare other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 7 | Aetna aetna medicare other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 8 | Blue Cross Blue Shield bcbs medicare advantage other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 9 | Blue Cross Blue Shield bcbs medicare advantage other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 10 | Blue Cross Blue Shield bcbs medicare advantage-p other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 11 | Blue Cross Blue Shield bcbs medicare advantage-p other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 12 | Caresource caresource marketplace other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 13 | Caresource caresource marketplace other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 14 | Humana humana medicare advantage hmo other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 15 | Humana humana medicare advantage hmo other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 16 | Humana humana medicare advantage ppo other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 17 | Humana humana medicare advantage ppo other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 18 | Kaiser kaiser medicare advantage other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 19 | Kaiser kaiser medicare advantage other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 20 | Medicare medicare other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 21 | Medicare medicare other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 22 | WellCare wellcare medicare advantage other · inpatient | $468 | $468 | — | — | — | $468 – $468 |
| 23 | WellCare wellcare medicare advantage other · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 24 | Tricare tricare other · inpatient | $476 | $476 | — | — | — | $476 – $476 |
| 25 | Tricare tricare other · outpatient | $476 | $476 | — | — | — | $476 – $476 |
Last updated: Feb 14, 2026
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