CPT 0195T
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
Prescrl fuse w/o instr l5/s1
Low
$8
Average
$8.9k
Median
$7.8k
High
$25.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 437.8× 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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40 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 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 4 | $7 | $8 | $2 | 23% | — | $7 – $12 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 4 | $7 | $8 | $2 | 23% | — | $7 – $12 |
| 3 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 4 | $7 | $8 | $2 | 23% | — | $7 – $12 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 4 | $7 | $8 | $2 | 23% | — | $7 – $12 |
| 5 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 4 | $7 | $8 | $2 | 23% | — | $7 – $12 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 4 | $7 | $8 | $2 | 23% | — | $7 – $12 |
| 7 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $5.9k | $5.8k | $718 | 12% | — | $4.8k – $6.6k |
| 8 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 1 | $935 | $935 | — | — | — | $935 – $935 |
| 9 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $476 | $476 | — | — | — | $476 – $476 |
| 10 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $476 | $476 | — | — | — | $476 – $476 |
| 11 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Jane Phillips Memorial Medical Center Bartlesville, OK fee schedule · both | 5 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 13 | Jane Phillips Nowata Hospital, Inc. Nowata, OK fee schedule · both | 5 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 14 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 4 | $5.9k | $5.8k | $718 | 12% | — | $4.8k – $6.6k |
| 15 | Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake, IL fee schedule · outpatient | 2 | $8.9k | $8.9k | $1.5k | 17% | — | $7.3k – $10.4k |
| 16 | Mercyhealth Hospital & Medical Center - Harvard Harvard, IL fee schedule · outpatient | 2 | $9.1k | $9.1k | $1.6k | 17% | — | $7.5k – $10.7k |
| 17 | Mercyhealth Hospital & Medical Center - Walworth Lake Geneva, WI fee schedule · outpatient | 2 | $9.2k | $9.2k | $1.6k | 17% | — | $7.6k – $10.8k |
| 18 | Methodist Children's Hospital Lubbock, TX fee schedule · outpatient | 4 | $6.6k | $6.9k | $525 | 8% | — | $6.6k – $7.8k |
| 19 | Methodist Hospital Levelland Levelland, TX fee schedule · outpatient | 4 | $12.1k | $13.1k | $2.4k | 18% | — | $11.1k – $17.2k |
| 20 | Methodist Hospital Plainview Plainview, TX fee schedule · outpatient | 4 | $8.6k | $8.1k | $1.1k | 14% | — | $6.3k – $9.0k |
| 21 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 8 | $24.8k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
| 22 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 23 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 8 | $24.8k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
| 24 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 25 | Northside Hospital, Inc. Cumming, GA other · outpatient | 8 | $24.8k | $24.2k | $7.2k | 30% | — | $14.0k – $33.3k |
← Payers reporting CPT 0195T · Snapshot 20261113T090226Z-3ce6c0b8