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 cplx w/ecp
Saint Petersburg, FL
See all hospitals reporting CPT 66987 →Price type
OHI West, Inc.’s median price of $10.1k is 119% above the median hospital's median price ($4.6k), higher than 90% of the 1,378 hospitals reporting CPT 66987. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 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 florida blue medicare managed care plan fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 3 | Devoted medicare managed care plan fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 4 | Ambetter sunshine exchange fee schedule · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 5 | Aetna qhp exchange fee schedule · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 6 | Oscar all commercial plans fee schedule · outpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 7 | Blue Cross Blue Shield truli for health other commercial plan fee schedule · outpatient | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 8 | Blue Cross Blue Shield my blue exchange fee schedule · outpatient | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 9 | UnitedHealthcare neighborhood health partnership other commercial plan fee schedule · outpatient | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 10 | Blue Cross Blue Shield blue select exchange fee schedule · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 11 | Blue Cross Blue Shield simply blue other commercial plan fee schedule · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 12 | UnitedHealthcare options ppo fee schedule · outpatient | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 13 | UnitedHealthcare choice select all commercial plans fee schedule · outpatient | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 14 | Blue Cross Blue Shield blue care hmo fee schedule · outpatient | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 15 | Blue Cross Blue Shield network blue other commercial plan fee schedule · outpatient | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 16 | Blue Cross Blue Shield ppo/phs/ppc fee schedule · outpatient | $24.3k | $24.3k | — | — | — | $24.3k – $24.3k |
Last updated: Apr 1, 2026
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