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
WM TBS DXA CAL W/I&R FX RISK
Haven, FL
See all hospitals reporting CPT 77089 →Price type
Winter Haven Hospital’s median price of $644 is 687% above the median hospital's median price ($82), higher than 99% of the 1,028 hospitals reporting CPT 77089. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 36 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 | Humana commercial other facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 2 | UnitedHealthcare medicaid hmo facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Humana medicaid hmo facility · case rate · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Molina medicaid hmo facility · case rate · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 5 | Aetna medicaid hmo facility · case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Aetna commercial other facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Aetna commercial hmo facility · fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 8 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 9 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 10 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 11 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 12 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | — | — | — | $511 – $511 |
| 13 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $534 | $534 | — | — | — | $534 – $534 |
| 14 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 15 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $582 | $582 | — | — | — | $582 – $582 |
| 16 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $587 | $587 | — | — | — | $587 – $587 |
| 17 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $593 | $593 | — | — | — | $593 – $593 |
| 18 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $622 | $622 | — | — | — | $622 – $622 |
| 19 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $636 | $636 | — | — | — | $636 – $636 |
| 20 | Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges | $652 | $652 | — | — | — | $652 – $652 |
| 21 | UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $864 | $864 | — | — | — | $864 – $864 |
| 22 | UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $864 | $864 | — | — | — | $864 – $864 |
| 23 | MultiPlan commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $883 | $883 | — | — | — | $883 – $883 |
| 24 | MultiPlan commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $883 | $883 | — | — | — | $883 – $883 |
| 25 | Aetna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $900 | $900 | — | — | — | $900 – $900 |
Last updated: Jan 1, 2026
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