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
Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated peritoneal catheter, associated bladder catheter), including imaging and programming, whe
HOUSTON, TX
See all hospitals reporting CPT 0873T →Price type
Texas Orthopedic Hospital’s median price of $8.8k is 92% above the median hospital's median price ($4.6k), higher than 81% of the 799 hospitals reporting CPT 0873T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 13 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 | Aetna qhpexchange case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | Aetna newbusiness case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 3 | Aetna comm case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 4 | Aetna oon case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 5 | Aetna asa case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 6 | UnitedHealthcare smallgroup case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 7 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 8 | UnitedHealthcare allpayerappendix case rate · outpatient | $9k | $9k | — | — | — | $9k – $9k |
| 9 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $33.4k | $33.4k | — | — | — | $33.4k – $33.4k |
| 10 | Blue Cross Blue Shield bav fee schedule · outpatient | $36.7k | $36.7k | — | — | — | $36.7k – $36.7k |
| 11 | Blue Cross Blue Shield hmo fee schedule · outpatient | $42.8k | $42.8k | — | — | — | $42.8k – $42.8k |
| 12 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $53.2k | $53.2k | — | — | — | $53.2k – $53.2k |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $63.5k | $63.5k | — | — | — | $63.5k – $63.5k |
Last updated: May 14, 2026
See Revision of implanted abdominal fluid drainage pump pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.