CPT 0391T
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
HC Ntergt Eval Inper Leadls Pm
Low
$58
Average
$1.3k
Median
$909
High
$2.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 45.3× 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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18 hospital rates
iThe hospitals that file a Aetna 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 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
| 5 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | — | — | — | $66 – $66 |
| 6 | HealthAlliance Hospital Kingston, NY facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | HealthAlliance Hospital Kingston, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $70 | $70 | $3 | 5% | — | $67 – $73 |
| 8 | LONGMONT UNITED HOSPITAL Longmont, CO case rate · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 9 | LONGMONT UNITED HOSPITAL Longmont, CO percent of total billed charges · inpatientfrom % of charges | 1 | $990 | $990 | — | — | — | $990 – $990 |
| 10 | LONGMONT UNITED HOSPITAL Longmont, CO percent of total billed charges · outpatientfrom % of charges | 1 | $990 | $990 | — | — | — | $990 – $990 |
| 11 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 12 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 13 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 14 | Margaretville Memorial Hospital Margaretville, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $70 | $70 | $3 | 5% | — | $67 – $73 |
| 15 | ORTHOCOLORADO, LLC Lakewood, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
| 16 | Providence Health And Services - Washington Spokane, WA fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 17 | St Francis Hospital Colorado Springs, CO case rate · outpatient | 2 | $2.6k | $2.7k | $281 | 10% | — | $2.5k – $3.1k |
| 18 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
← Payers reporting CPT 0391T · Snapshot 20261113T090226Z-3ce6c0b8