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
$105
Average
$3.9k
Median
$4.7k
High
$8.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 56.2× 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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20 hospital rates
iThe hospitals that file a Cigna 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 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 2 | Hendrick Medical Center Abilene, TX facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 3 | Hendrick Medical Center Abilene, TX facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 4 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 5 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 1 | $468 | $468 | — | — | — | $468 – $468 |
| 6 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 7 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 8 | Northside Hospital, Inc. Cumming, GA other · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 9 | Northside Hospital, Inc. Duluth, GA other · outpatient | 1 | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 10 | Northside Hospital, Inc. Canton, GA other · outpatient | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 11 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $4.2k | $4.2k | $174 | 4% | — | $4.0k – $4.3k |
| 12 | Sentara Hospitals Norfolk, VA facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 13 | Sentara Hospitals Suffolk, VA facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 14 | Sentara Hospitals Norfolk, VA facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 15 | Sentara Hospitals Virginia Beach, VA facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 16 | Sentara Martha Jefferson Hospital Charlottesville, VA facility · fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 17 | Sentara Princess Anne Hospital Virginia Beach, VA facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 18 | Stanford Health Care Tri-Valley Livermore, CA fee schedule · outpatient | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 19 | The University of Tennessee Medical Center Knoxville, TN facility · case rate · outpatient | 3 | $108 | $140 | $47 | 34% | — | $105 – $206 |
| 20 | University Hospitals Health System Parma, OH facility · case rate · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
← Payers reporting CPT 0126T · Snapshot 20261113T090226Z-3ce6c0b8