CPT 0143U
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
$114
Average
$391
Median
$492
High
$610
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 3.3× 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.
Filter by billing methodology
Filter by billing class
66 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 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 2 | Alexian Brothers Behavioral Health Hospital Estates, IL fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 3 | Alexian Brothers Medical Center Village, IL fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 4 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 5 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $610 | $610 | — | — | — | $610 – $610 |
| 6 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $148 | $148 | $13 | 9% | — | $135 – $161 |
| 7 | Gottlieb Memorial Hospital Melrose Park, IL facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 8 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 9 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 10 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 11 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 12 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 13 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 14 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 15 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 16 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 17 | HCA HOUSTON MAINLAND Texas City, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 18 | HCA Houston Healthcare North Cypress CYPRESS, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 19 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX fee schedule · outpatient | 3 | $510 | $530 | $57 | 11% | — | $471 – $607 |
| 20 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT professional · fee schedule · outpatient | 4 | $166 | $166 | — | — | — | $166 – $166 |
| 21 | Holy Redeemer Health System Meadowbrook, PA facility · fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 22 | Long Beach Memorial Medical Center Long Beach, CA fee schedule · outpatient | 3 | $200 | $213 | $37 | 17% | — | $176 – $263 |
| 23 | Loyola University Medical Center Maywood, IL facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 24 | MED CITY HEART HOSPITAL Dallas, TX fee schedule · outpatient | 6 | $487 | $492 | $60 | 12% | — | $436 – $617 |
| 25 | MED CITY SPINE HOSPITAL DALLAS, TX fee schedule · outpatient | 6 | $487 | $492 | $60 | 12% | — | $436 – $617 |
← Payers reporting CPT 0143U · Snapshot 20261113T090226Z-3ce6c0b8