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
$32
Average
$131
Median
$118
High
$261
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 5.3× 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 | $169 | $204 | $30 | 15% | — | $169 – $229 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 29 | $168 | $227 | $136 | 60% | — | $63 – $478 |
| 3 | Tricare fee schedule · outpatient | 10 | $32 | $32 | — | — | — | $32 – $32 |
| 4 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 9 | $12 | $126 | $91 | 73% | — | $9 – $200 |
| 5 | MultiPlan fee schedule · inpatient · +1 other terms | 7 | $56 | $58 | $4 | 7% | — | $56 – $68 |
| 6 | Anthem facility · fee schedule · outpatient · +1 other terms | 6 | $132 | $119 | $44 | 37% | — | $25 – $156 |
| 7 | Medica fee schedule · outpatient · +1 other terms | 6 | $34 | $38 | $8 | 21% | — | $34 – $56 |
| 8 | Phcs fee schedule · inpatient · +1 other terms | 6 | $47 | $47 | — | — | — | $47 – $47 |
| 9 | Medicaid fee schedule · outpatient | 3 | $200 | $200 | — | — | — | $200 – $200 |
| 10 | Molina fee schedule · outpatient · +2 other terms | 3 | $260 | $260 | $107 | 41% | — | $196 – $450 |
← Hospitals reporting CPT 0391T · Snapshot 20261113T090226Z-3ce6c0b8