CPT 0403T
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
Diabetes prev standard curr
Low
$18
Average
$53
Median
$63
High
$85
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95 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 10 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 11 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 12 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 13 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | Columbia Lutheran Charities Astoria, OR professional · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 2 | $70 | $70 | — | — | — | $70 – $70 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 2 | $70 | $70 | — | — | — | $70 – $70 |
| 18 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · case rate · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 21 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 22 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $80 | $80 | $3 | 3% | — | $77 – $83 |
| 23 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $37 | $54 | $24 | 44% | — | $33 – $83 |
| 24 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 25 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
← Payers reporting CPT 0403T · Snapshot 20261113T090226Z-3ce6c0b8