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
Anesthesia Radical Perineal Procedure
Summit, NJ
See all hospitals reporting CPT 00904 →Price type
Overlook Medical Center’s median price of $1.2k is 1396% above the median hospital's median price ($79), higher than 70% of the 287 hospitals reporting CPT 00904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 14 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 | Tricare omc tricare-east (humana military) fee schedule · outpatient | $967 | $967 | — | — | — | $967 – $967 |
| 2 | Tricare omc tricare contract fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Aetna omc aetna nnj prime fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Aetna omc aetna ahs employee fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Aetna omc aetna medicare fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Anthem omc horizon braven fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Blue Cross Blue Shield omc horizon braven fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Cigna omc cigna medicare fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Highmark omc horizon braven fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Amerihealth Caritas omc amerihealth caritas fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | WellCare omc wellcare phw fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | WellCare omc wellcare/fedelis medicare fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Highmark omc highmark wholecare / gateway health plan inc fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Aetna omc aetna htc fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Apr 1, 2026
See Anesthesia for perineal surgery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.