CPT 0058T
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
Fee Schedule
Low
$9
Average
$64
Median
$56
High
$162
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 7.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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44 hospital rates
iThe hospitals that file a UnitedHealthcare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $9 | $9 | $1 | 7% | — | $8 – $10 |
| 3 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | $1 | 7% | — | $8 – $10 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $9 | $9 | $1 | 7% | — | $8 – $10 |
| 5 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | $1 | 7% | — | $8 – $10 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $9 | $9 | $1 | 7% | — | $8 – $10 |
| 7 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | $1 | 7% | — | $8 – $10 |
| 8 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 9 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 14 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 17 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 18 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 20 | GLENS FALLS HOSPITAL INC Falls, NY facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 21 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 22 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 24 | LaSalle Parish Hospital Service District No. 1 Olla, LA facility · fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 25 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
← Payers reporting CPT 0058T · Snapshot 20261113T090226Z-3ce6c0b8