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
Low
$34
Average
$2.3k
Median
$201
High
$10.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 101.1× 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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28 hospital rates
iThe hospitals that file a Cigna 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 | Alexian Brothers Behavioral Health Hospital Estates, IL other · both | 3 | $142 | $142 | — | — | — | $142 – $142 |
| 2 | Alexian Brothers Medical Center Village, IL other · both | 4 | $142 | $140 | $2 | 2% | — | $136 – $142 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 4 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO case rate · outpatient | 2 | $6.5k | $6.5k | $236 | 4% | — | $6.3k – $6.7k |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO case rate · outpatient | 2 | $6.5k | $6.5k | $236 | 4% | — | $6.3k – $6.7k |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 8 | Childrens Hospital of Orange County - Profit Orange, CA facility · case rate · outpatient | 2 | $21.2k | $21.2k | — | — | — | $21.2k – $21.2k |
| 9 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $117 | $117 | — | — | — | $117 – $117 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $34 | $34 | $3 | 9% | — | $31 – $37 |
| 11 | Henry Ford Health Twp, MI other · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 12 | LONGMONT UNITED HOSPITAL Longmont, CO case rate · outpatient | 2 | $6.5k | $6.5k | $236 | 4% | — | $6.3k – $6.7k |
| 13 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 14 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $160 | $160 | $3 | 2% | — | $158 – $163 |
| 15 | ORTHOCOLORADO, LLC Lakewood, CO case rate · outpatient | 2 | $6.5k | $6.5k | $236 | 4% | — | $6.3k – $6.7k |
| 16 | St Francis Hospital Colorado Springs, CO case rate · outpatient | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 17 | St. Alexius Medical Center Estates, IL other · both | 4 | $142 | $140 | $2 | 2% | — | $136 – $142 |
| 18 | ThedaCare Regional Medical Center-Berlin Inc WI 54971-9286; N2930 State Rd 22 Wautoma, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 19 | Thedacare Regional Medical Center-Appleton Inc WI 54911; W5282 Amy Ave. Appleton WI 54911-7233; 2500 E Capital Dr. Appleton, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 20 | Thedacare Regional Medical Center-Appleton Inc Fond Du Lac, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 21 | Thedacare Regional Medical Center-Appleton Inc Oshkosh, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 22 | Thedacare Regional Medical Center-Appleton Inc. Appleton, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 23 | Thedacare Regional Medical Center-Neenah Inc WI 54904-6926; 2400 Witzel Ave. Suite C Oshkosh, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 24 | Thedacare Regional Medical Center-New London Inc WI 54961; 370 S. Main St. Clintonville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 25 | Thedacare Regional Medical Center-Shawano Inc Shawano, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $210 | $210 | — | — | — | $210 – $210 |
← Payers reporting CPT 0390T · Snapshot 20261113T090226Z-3ce6c0b8