CPT 0423T
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
Fee Schedule
Low
$16
Average
$184
Median
$259
High
$343
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 15.9× 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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29 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 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $328 | $261 | $116 | 45% | — | $97 – $358 |
| 2 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $343 | $343 | $15 | 4% | — | $328 – $358 |
| 3 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 4 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 5 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $343 | $343 | $15 | 4% | — | $328 – $358 |
| 6 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $328 | $259 | $119 | 46% | — | $91 – $358 |
| 7 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $343 | $343 | $15 | 4% | — | $328 – $358 |
| 8 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 9 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $343 | $343 | $15 | 4% | — | $328 – $358 |
| 10 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $343 | $343 | $15 | 4% | — | $328 – $358 |
| 11 | Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $343 | $343 | $15 | 4% | — | $328 – $358 |
| 12 | Baylor Scott & White The Heart Hospital - Denton Denton, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 13 | Baylor Scott & White The Heart Hospital - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 14 | Baylor Scott & White The Heart Hospital - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $343 | $343 | $15 | 4% | — | $328 – $358 |
| 15 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $343 | $343 | $15 | 4% | — | $328 – $358 |
| 16 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 18 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 19 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 20 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 21 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 22 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 23 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $16 | $16 | $1 | 9% | — | $14 – $17 |
| 24 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 25 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
← Payers reporting CPT 0423T · Snapshot 20261113T090226Z-3ce6c0b8