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
PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP
Meridian, MS
See all hospitals reporting CPT 96573 →Price type
Rush Medical Foundation’s median price of $188 is 20% below the median hospital's median price ($234), higher than 8% of the 1,398 hospitals reporting CPT 96573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Molina all payor fee schedule · outpatient | $166 | $166 | $18 | 11% | — | $148 – $184 |
| 2 | Humana all payor other · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 3 | Cigna Healthspring all payor fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 4 | Humana all payor fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 5 | Optum all payor fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 6 | UnitedHealthcare all payor fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 7 | WellCare all payor fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 8 | Ambetter all payor fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 9 | Bcbs Ms all payor fee schedule · outpatient | $375 | $375 | $57 | 15% | — | $319 – $432 |
| 10 | UnitedHealthcare all payor case rate · outpatient | $474 | $474 | — | — | — | $474 – $474 |
| 11 | Cigna all payor case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Apr 1, 2026
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