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
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Gary, IN
See all hospitals reporting CPT 55877 →Price type
The Methodist Hospitals, Inc.’s median price of $16.8k is 47% above the median hospital's median price ($11.4k), higher than 90% of the 749 hospitals reporting CPT 55877. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | UnitedHealthcare navigate and core payer facility · case rate · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 3 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · case rate · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 6 | Humana medicare advantage facility · fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 7 | Medicare medicare facility · fee schedule · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 8 | Anthem pathway essentials facility · fee schedule · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 9 | Caresource caresource facility · fee schedule · outpatient | $18.5k | $18.5k | — | — | — | $18.5k – $18.5k |
| 10 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $22.4k | $22.4k | — | — | — | $22.4k – $22.4k |
| 11 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 12 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 13 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 14 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 15 | Anthem individual on exchange facility · fee schedule · outpatient | $29.8k | $29.8k | — | — | — | $29.8k – $29.8k |
| 16 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $37.2k | $37.2k | — | — | — | $37.2k – $37.2k |
Last updated: Aug 18, 2026
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