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
$28
Average
$95
Median
$74
High
$310
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 3.0× 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 | $257 | $310 | $46 | 15% | — | $257 – $350 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 24 | $130 | $147 | $58 | 40% | — | $47 – $232 |
| 3 | Anthem facility · fee schedule · outpatient | 6 | $83 | $75 | $28 | 37% | — | $16 – $98 |
| 4 | Molina facility · fee schedule · outpatient | 3 | $16 | $28 | $17 | 62% | — | $16 – $52 |
| 5 | Aetna facility · fee schedule · outpatient | 2 | $59 | $59 | $25 | 42% | — | $34 – $84 |
| 6 | Aetna Better Health fee schedule · inpatient | 2 | $144 | $144 | — | — | — | $144 – $144 |
| 7 | UnitedHealthcare facility · fee schedule · outpatient | 2 | $57 | $57 | $42 | 73% | — | $16 – $99 |
| 8 | Cigna fee schedule · both · +1 other terms | 1 | $34 | $34 | $3 | 9% | — | $31 – $37 |
| 9 | Excellus facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 10 | Healthpartners facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
← Hospitals reporting CPT 0390T · Snapshot 20261113T090226Z-3ce6c0b8