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
AUGMNT ALYS CH CT ILD W/O CT
Murfreesboro, TN
See all hospitals reporting CPT 0877T →Price type
Saint Thomas Rutherford Hospital’s median price of $623 is 5% below the median hospital's median price ($657), higher than 17% of the 614 hospitals reporting CPT 0877T. 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, 24 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 | Clover 2943_medicare advantage clover outpatient 20250101 other · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 2 | Clover 3227_medicare advantage clover inpatient 20251001 other · inpatient | $623 | $623 | — | — | — | $623 – $623 |
| 3 | Humana 2945_medicare advantage humana outpatient 20250101 other · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 4 | Humana 3222_mttn sttn medicare advantage humana inpatient 20251001 other · inpatient | $623 | $623 | — | — | — | $623 – $623 |
| 5 | Optum 2935_medicare advantage optum va outpatient 20250101 other · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 6 | Optum 3205_medicare advantage optum va inpatient 20251001 other · inpatient | $623 | $623 | — | — | — | $623 – $623 |
| 7 | UnitedHealthcare 2951_mttn sttn rptn medicare advantage uhc outpatient 20250101 other · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 8 | UnitedHealthcare 3226_medicare advantage uhc inpatient 20251001 other · inpatient | $623 | $623 | — | — | — | $623 – $623 |
| 9 | Aetna 2956_rhtn rptn sdtn thtn mttn sttn medicare advantage aetna outpatient 20250101 other · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 10 | Aetna 3214_rptn rhtn sdtn thtn mttn sttn medicare advantage aetna inpatient 20251001 other · inpatient | $635 | $635 | — | — | — | $635 – $635 |
| 11 | Blue Cross Blue Shield 2949_mttn sttn medicare advantage blue cross blue shield bluecare plus outpatient 20250101 other · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 12 | Blue Cross Blue Shield 3223_mttn sttn medicare advantage blue cross blue shield bluecare plus inpatient 20251001 other · inpatient | $648 | $648 | — | — | — | $648 – $648 |
| 13 | Blue Cross Blue Shield 2941_medicare advantage blue cross blue shield blue advantage outpatient 20250101 other · outpatient | $654 | $654 | — | — | — | $654 – $654 |
| 14 | Blue Cross Blue Shield 3238_thtn medicare advantage blue cross blue shield inpatient 20251001 other · inpatient | $654 | $654 | — | — | — | $654 – $654 |
| 15 | Ambetter 2933_ambetter of tn outpatient 20250101 other · outpatient | $810 | $810 | — | — | — | $810 – $810 |
| 16 | Ambetter 3236_ambetter of tn inpatient 20251001 other · inpatient | $810 | $810 | — | — | — | $810 – $810 |
| 17 | Oscar 502_oscar health (rutherford) op 20180101 other · outpatient | $872 | $872 | — | — | — | $872 – $872 |
| 18 | Blue Cross Blue Shield 3151_mttn blue cross blue shield network l 20250401 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Blue Cross Blue Shield 3178_mttn blue cross blue shield select 20250701 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Blue Cross Blue Shield 3149_blue cross blue shield network e regional 20250401 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Blue Cross Blue Shield 3177_mttn blue cross blue shield preferred 20250701 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | Blue Cross Blue Shield 3150_blue cross blue shield network l regional 20250401 fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | Blue Cross Blue Shield 3182_blue cross blue shield select regional 20250701 fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 24 | Blue Cross Blue Shield 3181_blue cross blue shield preferred regional 20250701 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Jan 1, 2026
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