CPT 0126T
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
$77
Average
$951
Median
$148
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 6.7× 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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18 hospital rates
iThe hospitals that file a Aetna 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 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 3 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $551 | $551 | — | — | — | $551 – $551 |
| 4 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 5 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 6 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 7 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 8 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $551 | $551 | — | — | — | $551 – $551 |
| 9 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $77 | $77 | $7 | 9% | — | $70 – $84 |
| 10 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 11 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $148 | $148 | — | — | — | $148 – $148 |
| 12 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 13 | Providence Health And Services - Washington Spokane, WA fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 14 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 15 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 16 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 17 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 18 | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY Richmond, VA case rate · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
← Payers reporting CPT 0126T · Snapshot 20261113T090226Z-3ce6c0b8