CPT 0612T
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
Mrs discogenic pain i&r
Low
$0
Average
$692
Median
$93
High
$4.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
196 hospitals; the 90th percentile is 65.0× 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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204 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 3 | $140 | $124 | $60 | 48% | — | $44 – $187 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 5 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO per diem · outpatient | 3 | $1.5k | $1.5k | $291 | 19% | — | $1.1k – $1.8k |
| 7 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 8 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $93 | $93 | $1 | 1% | — | $92 – $94 |
| 9 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 10 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 3 | $52 | $48 | $7 | 14% | — | $36 – $52 |
| 11 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 13 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO case rate · outpatient | 3 | $1.9k | $1.9k | $328 | 17% | — | $1.6k – $2.4k |
| 14 | CENTERPOINT MEDICAL CENTER Independence, MO other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | CENTERPOINT MEDICAL CENTER Independence, MO per diem · outpatient | 3 | $1.5k | $1.5k | $291 | 19% | — | $1.1k – $1.8k |
| 16 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 18 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 1 | $729 | $729 | — | — | — | $729 – $729 |
| 20 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 3 | $677 | $634 | $100 | 16% | — | $496 – $729 |
| 21 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 22 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 2 | $84 | $84 | — | — | — | $84 – $84 |
| 24 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 25 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
← Payers reporting CPT 0612T · Snapshot 20261113T090226Z-3ce6c0b8