CPT 0305T
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
ICAR ISCHM MNTRNG PRGRM EVAL
Low
$16
Average
$79
Median
$83
High
$120
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6 hospital rates
iThe hospitals that file a Anthem 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 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Memorial Hospital of Boscobel Boscobel, WI facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 3 | Moundview Memorial Hospital and Clinics, Inc. Friendship, WI facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 5 | St Joseph’s Health Services Inc Hillsboro, WI facility · fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 6 | Tri-County Memorial Hospital Inc Whitehall, WI facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
← Payers reporting CPT 0305T · Snapshot 20261113T090226Z-3ce6c0b8