63025 — CPT 63025
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CPT 63025 (CPT 63025) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/63025?code_type=CPT
MLA (9th ed.)
“CPT 63025 (CPT 63025) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/63025?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CPT 63025 (CPT 63025) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/63025?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,658–$12,058 (25th–75th percentile) across 14 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 63025 — 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 |
|---|---|---|---|---|---|---|---|
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $238.35 | $119.18 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $238.35 | $119.18 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $238.35 | $119.18 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $238.35 | $119.18 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $238.35 | $119.18 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $238.35 | $119.18 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Uhc | Hmo Ppo | — | $238.35 | $119.18 | 2026-05-13 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $1,335.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | DHHS | Medicaid Membership | $2,729.00 | $5,685.00 | $4,548.00 | 2025-07-03 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $2,899.00 | $5,685.00 | $4,548.00 | 2025-07-03 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | Molina | Commercial | $3,127.00 | $5,685.00 | $4,548.00 | 2025-07-03 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | United Healthcare | Midlands Choice | $3,354.00 | $5,685.00 | $4,548.00 | 2025-07-03 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | HMO/POS/PPO | $4,344.00 | — | — | 2026-04-30 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $5,173.00 | $5,685.00 | $4,548.00 | 2025-07-03 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $5,344.00 | $5,685.00 | $4,548.00 | 2025-07-03 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | BCBS | PPO | $5,458.00 | $5,685.00 | $4,548.00 | 2025-07-03 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $5,778.00 | — | — | 2025-08-08 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Regence Uniform | Commercial | $6,110.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Cigna Individual | Commercial | $7,594.00 | — | — | 2025-12-23 | MRF ↗ |
| HOLY CROSS HOSPITAL - SALT LAKE OutpatientFacility | Cigna Healthcare | Commercial Local Plus | $7,679.22 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial Local Plus | $7,679.22 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS OutpatientFacility | Cigna Healthcare | Commercial Local Plus | $7,679.22 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial Local Plus | $7,679.22 | — | — | 2024-12-02 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Midlands Choice | Commercial | $7,844.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Ambetter | Commercial | $7,844.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Cigna | Commercial | $7,844.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Medica | Commercial | $7,928.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Blue Cross Blue Shield | Commercial | $7,928.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Aetna | Commercial | $8,011.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Coventry | Commercial | $8,011.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Meritain | Commercial | $8,011.00 | $8,345.00 | $8,345.00 | 2025-11-07 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Anthem Pathway | Commercial | $8,154.00 | — | — | 2026-04-01 | MRF ↗ |
| WATERBURY HOSPITAL OutpatientFacility | Anthem Pathway | Commercial | $8,407.00 | — | — | 2026-05-13 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Cigna | Commercial | $8,636.92 | — | — | 2025-12-23 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Community Health Plan of Washington | Commercial | $8,744.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial HMO/NBP/OAP | $9,386.18 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS OutpatientFacility | Cigna Healthcare | Commercial HMO/NBP/OAP | $9,386.18 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial HMO/NBP/OAP | $9,386.18 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL - SALT LAKE OutpatientFacility | Cigna Healthcare | Commercial HMO/NBP/OAP | $9,386.18 | — | — | 2024-12-02 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Ambetter | Cascade Care Select | $9,837.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Anthem | Commercial | $10,192.00 | — | — | 2026-04-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $10,260.00 | $13,680.00 | $9,576.00 | 2025-10-24 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Ambetter | Commercial | $10,384.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| WATERBURY HOSPITAL OutpatientFacility | Anthem | Commercial | $10,509.00 | — | — | 2026-05-13 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Cigna | Commercial | $10,646.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | United Healthcare | Commercial | $10,930.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Premera | Commercial | $10,930.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Regence | Commercial | $10,930.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | HMA | Commercial | $10,930.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Lifewise | Commercial | $10,930.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | First Choice Network | Commercial | $10,930.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | GMR/Caldera Care | Commercial | $10,930.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Aetna | Commercial | $10,930.00 | $10,930.00 | $8,744.00 | 2025-07-11 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $11,382.00 | $13,680.00 | $9,576.00 | 2025-10-24 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Midwest Network Alliance | Owner | $11,599.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $11,628.00 | $13,680.00 | $9,576.00 | 2025-10-24 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Midwest Network Alliance | Non-Owner | $12,012.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Blue Cross and Blue Shield of Nebraska | Commercial | $12,195.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $12,312.00 | $13,680.00 | $9,576.00 | 2025-10-24 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Medica | Commercial | $12,678.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Ambetter | Commercial | $12,678.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Midlands Choice | Commercial | $12,815.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Oscar Health | Midlands Premier | $12,815.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Coventry | HMO | $12,953.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | GEHA | Commercial | $12,953.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | United Health Care | Commercial | $13,091.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Mutual of Omaha | Commercial | $13,091.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Outpatient | Coventry | PPO | $13,091.00 | $13,780.00 | $8,268.00 | 2026-01-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | ChoiceCare | Commercial | $13,680.00 | $13,680.00 | $9,576.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $13,954.00 | $13,680.00 | $9,576.00 | 2025-10-24 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial Other | $15,716.63 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL - SALT LAKE OutpatientFacility | Cigna Healthcare | Commercial Other | $15,716.63 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-DAVIS OutpatientFacility | Cigna Healthcare | Commercial Other | $15,716.63 | — | — | 2024-12-02 | MRF ↗ |
| HOLY CROSS HOSPITAL-JORDAN VALLEY OutpatientFacility | Cigna Healthcare | Commercial Other | $15,716.63 | — | — | 2024-12-02 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Aetna Exchange Colorado | PPO | $17,917.18 | — | — | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Aetna | Commercial | $18,470.94 | — | — | 2025-12-23 | MRF ↗ |