CPT 0474T
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
Insj aqueous drg dev io rsvr
Low
$1
Average
$2.4k
Median
$901
High
$6.8k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 8.9× 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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32 hospital rates
iThe hospitals that file a MultiPlan 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 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 3 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 5 | Lakewood Medical Center Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5.8k | $6.8k | $1.4k | 20% | — | $5.8k – $8.7k |
| 6 | Lakewood Medical Center Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $6.8k | $1.4k | 20% | — | $5.8k – $8.7k |
| 7 | MaineHealth Brunswick, ME fee schedule · both | 1 | $770 | $770 | — | — | — | $770 – $770 |
| 8 | MaineHealth Rockport, ME fee schedule · both | 1 | $770 | $770 | — | — | — | $770 – $770 |
| 9 | MaineHealth Damariscotta, ME fee schedule · both | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 10 | MaineHealth North Conway, NH fee schedule · both | 1 | $795 | $795 | — | — | — | $795 – $795 |
| 11 | MaineHealth Belfast, ME fee schedule · both | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 12 | MaineHealth Farmington, ME fee schedule · both | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 13 | MaineHealth Portland, ME fee schedule · both | 1 | $770 | $770 | — | — | — | $770 – $770 |
| 14 | MaineHealth Biddeford, ME fee schedule · both | 1 | $770 | $770 | — | — | — | $770 – $770 |
| 15 | MaineHealth Norway, ME fee schedule · both | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 16 | Montefiore Medical Center Bronx, NY fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 18 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 19 | Sanford Hillsboro Medical Center Hillsboro, ND percent of total billed charges · inpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 20 | Sanford Hillsboro Medical Center Hillsboro, ND percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 21 | Sanford Mayville Medical Center Mayville, ND percent of total billed charges · inpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 22 | Sanford Mayville Medical Center Mayville, ND percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 23 | THE UNION HOSPITAL ASSOCIATION Dover, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 24 | The Cleveland Clinic Foundation Brunswick, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 25 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
← Payers reporting CPT 0474T · Snapshot 20261113T090226Z-3ce6c0b8