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
$26
Average
$81
Median
$54
High
$258
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7 hospital rates
iThe hospitals that file a Tricare 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 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 2 | Dardanelle Regional LLC dba Dardanelle Regional Medical Center Dardanelle, AR facility · fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 3 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 4 | 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 | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 5 | 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 | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 7 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $258 | $258 | — | — | — | $258 – $258 |
← Payers reporting CPT 0403T · Snapshot 20261113T090226Z-3ce6c0b8