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
ABLTJ IRE PRST8 1+ TUM PERQ
Valhalla, NY
See all hospitals reporting CPT 55877 →Price type
Westchester Medical Center’s median price of $13.3k is 17% above the median hospital's median price ($11.4k), higher than 69% 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, 7 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 blue cross medicare facility · fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 2 | Medicare medicare facility · fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 3 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 4 | Oscar oscar medicare facility · fee schedule · outpatient | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 5 | Molina affinity by molina mcr facility · fee schedule · outpatient | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 6 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $24.4k | $24.4k | — | — | — | $24.4k – $24.4k |
| 7 | Tricare tricare facility · fee schedule · outpatient | $50k | $50k | — | — | — | $50k – $50k |
Last updated: Jul 28, 2026
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