CPT 0390T
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
Prices here combine facility and professional fees. See them separately →Experimental
Low
$16
Average
$155
Median
$130
High
$350
Showing only prices reported under the fee schedule methodology. Choose another in the filter below to change the chart. 104 hospitals; the 90th percentile is 11.4× 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.
Click a bar to filter the hospitals table to that price range.
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $29 | $31 | $3 | 11% | — | $27 – $37 |
| 2 | William Beaumont Hospital Grosse Pointe, MI | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Gundersen Luthern Medical Center Inc La Crosse, WI | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Fairview Health Services Minneapolis, MN | $29 | $30 | $3 | 10% | — | $27 – $37 |
| 5 | Keck Hospital of USC Los Angeles, CA | $87 | $87 | $2 | 2% | — | $85 – $88 |
| 6 | Advocate South Suburban Hospital Hazel Crest, IL | $220 | $218 | $11 | 5% | — | $203 – $231 |
| 7 | Med City Spine Hospital DALLAS, TX | $257 | $257 | — | — | — | $257 – $257 |
| 8 | Nationwide Children's Hospital Columbus, OH | $95 | $95 | — | — | — | $95 – $95 |
| 9 | Grand Itasca Clinic and Hospital Grand Rapids, MN | $29 | $31 | $3 | 11% | — | $27 – $37 |
| 10 | Rady Children's Hospital - San Diego San Diego, CA | $85 | $85 | $3 | 4% | — | $82 – $88 |
Ask Claude or any MCP client for CPT 0390T pricing at a specific hospital — see how to connect.