10091 — CPT 10091
Cite this view
HANK Price Transparency. (n.d.). CPT 10091 (CPT 10091) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10091?code_type=CPT
“CPT 10091 (CPT 10091) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10091?code_type=CPT. Accessed .
“CPT 10091 (CPT 10091) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10091?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $185–$185 (25th–75th percentile) across 2 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 10091 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| HEALTHSOURCE SAGINAW | United Healthcare Imbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Aetna Reimbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Blue Cross Inpatient Reimbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Hap Reimbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Molina Reimbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Optum Reimbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare Reimbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare-Humana Reimbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare-Champus Imbursement | — | $185.00 | $185.00 | $185.00 | 2026-07-18 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $4,344.00 | — | — | 2026-04-30 | MRF ↗ |