CPT 0493T
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
$0
Average
$682
Median
$640
High
$1.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 28.3× 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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47 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 2 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient | 4 | $140 | $142 | $12 | 9% | — | $127 – $160 |
| 3 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 2 | $381 | $381 | $71 | 19% | — | $309 – $452 |
| 6 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 7 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · fee schedule · outpatient | 1 | $771 | $771 | — | — | — | $771 – $771 |
| 8 | Keck Hospital of USC Los Angeles, CA facility · fee schedule · outpatient | 2 | $1.1k | $1.1k | $20 | 2% | — | $1.1k – $1.1k |
| 9 | LaSalle Parish Hospital Service District No. 1 Olla, LA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Mission Hospital Regional Med Center Laguna Beach, CA fee schedule · outpatient | 2 | $1.9k | $1.9k | $170 | 9% | — | $1.7k – $2.0k |
| 11 | NorCal HealthConnect LLC Petaluma, CA fee schedule · outpatient | 3 | $1.3k | $1.3k | $189 | 15% | — | $1.1k – $1.5k |
| 12 | NorCal HealthConnect LLC Healdsburg, CA fee schedule · outpatient | 1 | $605 | $605 | — | — | — | $605 – $605 |
| 13 | Providence Health System - Southern California Santa Monica, CA fee schedule · outpatient | 1 | $831 | $831 | — | — | — | $831 – $831 |
| 14 | Providence Health System - Southern California Burbank, CA fee schedule · outpatient | 1 | $816 | $816 | — | — | — | $816 – $816 |
| 15 | Providence Health System - Southern California Mission Hills, CA fee schedule · outpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 16 | Providence Health System - Southern California Torrance, CA fee schedule · outpatient | 1 | $640 | $640 | — | — | — | $640 – $640 |
| 17 | Providence Health System - Southern California San Pedro, CA fee schedule · outpatient | 1 | $666 | $666 | — | — | — | $666 – $666 |
| 18 | RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Rady Children's Hospital - San Diego Murrieta, CA facility · fee schedule · outpatient | 2 | $1.1k | $1.1k | $42 | 4% | — | $1.0k – $1.1k |
| 20 | Roswell Park Cancer Institute Buffalo, NY fee schedule · outpatient | 5 | $79 | $75 | $16 | 22% | — | $56 – $96 |
| 21 | Saint Thomas Hickman Hospital Centerville, TN fee schedule · both | 2 | $64 | $64 | $1 | 1% | — | $63 – $64 |
| 22 | Saint Thomas Hickman Hospital Centerville, TN fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 23 | Saint Thomas Regional Hospitals McMinnville, TN fee schedule · both | 2 | $64 | $64 | $1 | 1% | — | $63 – $64 |
| 24 | Saint Thomas Regional Hospitals McMinnville, TN fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 25 | Saint Thomas Regional Hospitals Smithville, TN fee schedule · both | 2 | $64 | $64 | $1 | 1% | — | $63 – $64 |
← Payers reporting CPT 0493T · Snapshot 20261113T090226Z-3ce6c0b8