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
PR XERS TST BRNCSPSM PRE&POST SPMTRY&PLS OX W/ECG
Rochester, NY
See all hospitals reporting CPT 94617 →Price type
Strong Memorial Hospital’s median price of $135 is 15% below the median hospital's median price ($158), higher than 31% of the 1,599 hospitals reporting CPT 94617. 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, 35 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 amerigroup (bswny alternate) [172001] fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 2 | Excellus blue choice option medicaid [170601], fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 3 | Excellus excellus child health plus [220108], excellus ess q 1 2 [220109],excellus hlthy ny [220110], excellus essential pa 3 and 4 [170604] fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 4 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 5 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 6 | Molina molina essential pq 1 and 2 [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 7 | Molina molina healthcare [172301], molina child health plus [518901] fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 8 | UnitedHealthcare united healthcare essential pq 1 and 2 [515812] fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 9 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $21.17 | $21.17 | $21.17 – $21.17 |
| 10 | Highmark highmark bc/bs of western ny medicaid [170201], amerigroup (bswny alternate) [172001], community blue child health plus [514306], bc/bs of wny essential (no medicaid) [514307] fee schedule · both | $68.55 | $68.55 | $62.99 – $74.10 |
| 11 | Excellus blue choice option medicaid [170601], excellus child health plus [220108],excellus healthy ny [220110], excellus essential (no medicaid) [220109], excellus essential (w/ medicaid) [170604], univera healthy ny [220112], univera essential (no medicaid) [22 fee schedule · both | $66.81 | $69.25 | $62.47 – $78.48 |
| 12 | Molina molina medicaid [172301], molina essential (w/medicaid) [172302], molina child health plus [518901], molina essential (no medicaid) [518902] fee schedule · both | $78.98 | $78.98 | $78.98 – $78.98 |
| 13 | Aetna aetna medicare [130001] fee schedule · both | $82.63 | $82.63 | $75.93 – $89.33 |
| 14 | Highmark highmark bc/bs medicare [130101] fee schedule · both | $83.14 | $83.14 | $83.14 – $83.14 |
| 15 | UnitedHealthcare united healthcare medicare [130901], securehorizons direct [130902], united healthcare dual complete [130904], uhc medicare complete [130905] fee schedule · both | $89.33 | $89.33 | $89.33 – $89.33 |
| 16 | Humana humana medicare [131201] fee schedule · both | $96.92 | $96.92 | $90.22 – $103.62 |
| 17 | UnitedHealthcare united healthcare medicaid [171601], united healthcare essential (w/ medicaid [171602], united healthcare essential (no medicaid [515812], united healthcare child health plus [515813] fee schedule · both | $105.72 | $105.72 | $93.71 – $117.72 |
| 18 | Excellus excellus metal tiers [220102],univera metal tiers individual [220113],univera metal tiers small group [220114] fee schedule · both | $110.60 | $113.07 | $75.93 – $155.14 |
| 19 | Highmark bc/bs of western ny [514301], community blue (buffalo ny) [514302], bc/bs of western ny healthy ny [514305], highmark bc/bs of northeastern ny [514308], highmark bc/bs of northeastern pa [514309], highmark bc/bs of pennsylvania [514311], highmark bc/bs o fee schedule · both | $122.50 | $122.50 | $116.30 – $128.69 |
| 20 | Blue Cross Blue Shield medicare blue choice [130601] fee schedule · outpatient | $137.90 | $137.90 | $137.90 – $137.90 |
| 21 | UnitedHealthcare empire plan uhc [518001] fee schedule · both | $138.97 | $138.97 | $127.70 – $150.23 |
| 22 | Highmark highmark bcbs medicare [130101] fee schedule · outpatient | $159.31 | $159.31 | $152.54 – $166.08 |
| 23 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $169.66 | $169.66 | $167.79 – $171.52 |
| 24 | Aetna aetna medicare [130001] fee schedule · outpatient | $180.01 | $180.01 | $176.96 – $183.05 |
| 25 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $187.89 | $187.89 | $152.54 – $223.23 |
Last updated: Jul 1, 2026
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