CPT 0249T
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
$0
Average
$1.9k
Median
$1.2k
High
$5.3k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 19.9× 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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15 hospital rates
iThe hospitals that file a Molina 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 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $662 | $662 | — | — | — | $662 – $662 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · fee schedule · outpatient | 1 | $662 | $662 | — | — | — | $662 – $662 |
| 4 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC case rate · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 5 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC case rate · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 6 | HCA Healthcare Trident Hospital SUMMERVILLE, SC case rate · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 7 | Henry Ford Health Novi, MI fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Henry Ford Health Southfield, MI fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Sarasota Memorial Hospital - Venice North Venice, FL case rate · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | University of Iowa Health Care Medical Center Iowa City, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | University of Iowa Health Care Medical Center Downtown Iowa City, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 0249T · Snapshot 20261113T090226Z-3ce6c0b8