CPT 0389T
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
$26
Average
$122
Median
$67
High
$526
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 9.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient | 32 | $435 | $526 | $78 | 15% | — | $435 – $592 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 29 | $183 | $230 | $131 | 57% | — | $68 – $470 |
| 3 | Tricare fee schedule · outpatient | 10 | $32 | $32 | — | — | — | $32 – $32 |
| 4 | MultiPlan fee schedule · inpatient · +1 other terms | 7 | $56 | $58 | $4 | 7% | — | $56 – $68 |
| 5 | Anthem facility · fee schedule · outpatient | 6 | $132 | $127 | $51 | 41% | — | $25 – $193 |
| 6 | Medica fee schedule · outpatient · +1 other terms | 6 | $34 | $38 | $8 | 21% | — | $34 – $56 |
| 7 | Phcs fee schedule · inpatient · +1 other terms | 6 | $47 | $47 | — | — | — | $47 – $47 |
| 8 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 6 | $11 | $14 | $7 | 52% | — | $9 – $30 |
| 9 | Molina facility · fee schedule · outpatient · +1 other terms | 3 | $25 | $34 | $13 | 38% | — | $25 – $52 |
| 10 | Aetna facility · fee schedule · outpatient · +1 other terms | 2 | $59 | $59 | $25 | 42% | — | $34 – $84 |
← Hospitals reporting CPT 0389T · Snapshot 20261113T090226Z-3ce6c0b8