CPT 0128U
Low
$28
Average
$76
Median
$59
High
$150
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 4.3× 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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23 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 3 | $142 | $113 | $41 | 36% | — | $56 – $142 |
| 2 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Billings Clinic Billings, MT fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Grand Lake Health System Saint Marys, OH facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Kettering Medical Center Troy, OH fee schedule · outpatient | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 9 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 10 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 11 | Saint Thomas Hickman Hospital Centerville, TN fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 12 | Saint Thomas Regional Hospitals McMinnville, TN fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 13 | Saint Thomas Regional Hospitals Smithville, TN fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 14 | Saint Thomas Regional Hospitals Sparta, TN fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 15 | Saint Thomas Regional Hospitals Woodbury, TN fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 16 | Saint Thomas Rutherford Hospital Murfreesboro, TN fee schedule · outpatient | 2 | $118 | $118 | — | — | — | $118 – $118 |
| 17 | Saint Thomas West Hospital Nashville, TN fee schedule · outpatient | 2 | $109 | $109 | $10 | 9% | — | $99 – $118 |
| 18 | Saint Thomas West Hospital Nashville, TN fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 19 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 20 | Saratoga Hospital Saratoga Springs, NY facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 21 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 4 | $101 | $103 | $4 | 4% | — | $101 – $111 |
| 22 | WakeMed Cary Hospital Cary, NC professional · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 23 | Wakemed Raleigh Campus Raleigh, NC professional · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
← Payers reporting CPT 0128U · Snapshot 20261113T090226Z-3ce6c0b8