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
DEBRDMT PRMLG HYPERK LES W/PDT
Pittsburgh, PA
See all hospitals reporting CPT 96574 →Price type
UPMC Presbyterian’s median price of $990 is 250% above the median hospital's median price ($283), higher than 83% of the 1,368 hospitals reporting CPT 96574. 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, 22 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 | Highmark medicare advantage facility · fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 2 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 3 | Cigna medicare transplant facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 4 | Highmark medicare facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 7 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 8 | Aetna chip/medicaid facility · fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 10 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $298 | $298 | — | — | — | $298 – $298 |
| 11 | Highmark managed care - social mission facility · fee schedule · outpatient | $373 | $373 | — | — | — | $373 – $373 |
| 12 | MultiPlan worker's compensation facility · fee schedule · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 13 | Highmark managed care facility · fee schedule · outpatient | $500 | $500 | — | — | — | $500 – $500 |
| 14 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $702 | $702 | — | — | — | $702 – $702 |
| 15 | Highmark commercial - indemnity facility · fee schedule · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 16 | Highmark upmc emergent facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Mar 6, 2026
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