CPT 0139U
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
$58
Average
$1.2k
Median
$1.1k
High
$3.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 8.7× 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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47 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 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $451 | $451 | $32 | 7% | — | $420 – $483 |
| 2 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $451 | $451 | $32 | 7% | — | $420 – $483 |
| 3 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 3 | $336 | $336 | — | — | — | $336 – $336 |
| 4 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $528 | $517 | $25 | 5% | — | $475 – $535 |
| 5 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 3 | $336 | $336 | — | — | — | $336 – $336 |
| 6 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 7 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 8 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 3 | $336 | $336 | — | — | — | $336 – $336 |
| 9 | Grand Lake Health System Saint Marys, OH facility · fee schedule · outpatient | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 10 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 3 | $336 | $336 | — | — | — | $336 – $336 |
| 11 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 2 | $1.9k | $1.9k | $36 | 2% | — | $1.9k – $2.0k |
| 13 | Kettering Medical Center Troy, OH fee schedule · outpatient | 3 | $336 | $336 | — | — | — | $336 – $336 |
| 14 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 3 | $336 | $336 | — | — | — | $336 – $336 |
| 15 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 3 | $336 | $336 | — | — | — | $336 – $336 |
| 16 | LaSalle Parish Hospital Service District No. 1 Olla, LA facility · fee schedule · outpatient | 1 | $750 | $750 | — | — | — | $750 – $750 |
| 17 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 4 | $528 | $517 | $25 | 5% | — | $475 – $535 |
| 18 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $336 | $336 | — | — | — | $336 – $336 |
| 19 | Methodist Children's Hospital Lubbock, TX fee schedule · outpatient | 4 | $528 | $517 | $25 | 5% | — | $475 – $535 |
| 20 | Methodist Hospital Levelland Levelland, TX fee schedule · outpatient | 4 | $440 | $451 | $38 | 8% | — | $415 – $507 |
| 21 | Methodist Hospital Plainview Plainview, TX fee schedule · outpatient | 4 | $413 | $423 | $24 | 6% | — | $403 – $463 |
| 22 | Mission Hospital Regional Med Center Laguna Beach, CA fee schedule · outpatient | 2 | $3.3k | $3.3k | $297 | 9% | — | $3.0k – $3.6k |
| 23 | NorCal HealthConnect LLC Petaluma, CA fee schedule · outpatient | 3 | $2.2k | $2.2k | $331 | 15% | — | $1.8k – $2.7k |
| 24 | NorCal HealthConnect LLC Healdsburg, CA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Providence Health System - Southern California Santa Monica, CA fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Payers reporting CPT 0139U · Snapshot 20261113T090226Z-3ce6c0b8