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
$9
Average
$2.2k
Median
$116
High
$9.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 855.1× 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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35 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 6 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO case rate · outpatient | 3 | $9.5k | $9.7k | $1.0k | 11% | — | $8.6k – $11.0k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 3 | $9.5k | $9.7k | $1.0k | 11% | — | $8.6k – $11.0k |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO case rate · outpatient | 3 | $9.5k | $9.7k | $1.0k | 11% | — | $8.6k – $11.0k |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 3 | $9.5k | $9.7k | $1.0k | 11% | — | $8.6k – $11.0k |
| 11 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | HealthAlliance Hospital Kingston, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $79 | $79 | — | — | — | $79 – $79 |
| 13 | LONGMONT UNITED HOSPITAL Longmont, CO case rate · outpatient | 3 | $9.5k | $9.7k | $1.0k | 11% | — | $8.6k – $11.0k |
| 14 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 15 | Margaretville Memorial Hospital Margaretville, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 3 | $200 | $200 | — | — | — | $200 – $200 |
| 17 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 3 | $75 | $71 | $6 | 8% | — | $63 – $75 |
| 18 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 3 | $200 | $200 | — | — | — | $200 – $200 |
| 19 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 3 | $200 | $200 | — | — | — | $200 – $200 |
| 20 | ORTHOCOLORADO, LLC Lakewood, CO case rate · outpatient | 3 | $9.5k | $9.7k | $1.0k | 10% | — | $8.5k – $11k |
| 21 | St Francis Hospital Colorado Springs, CO case rate · outpatient | 3 | $9.5k | $9.7k | $1.0k | 11% | — | $8.6k – $11.0k |
| 22 | 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 | $48 | $48 | — | — | — | $48 – $48 |
| 23 | 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 | $116 | $116 | — | — | — | $116 – $116 |
| 24 | Thedacare Regional Medical Center-Appleton Inc Fond Du Lac, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 25 | Thedacare Regional Medical Center-Appleton Inc Oshkosh, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
← Payers reporting CPT 0391T · Snapshot 20261113T090226Z-3ce6c0b8