CPT 0613T
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
Perq tcat intratrl septl sht
Low
$1.2k
Average
$16.9k
Median
$13.7k
High
$53.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
262 hospitals; the 90th percentile is 11.0× 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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308 hospital rates
iThe hospitals that file a Cigna 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 | "Savoy Medical Management Group, Inc." Mamou, LA facility · case rate · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 2 | $3.4k | $3.4k | $122 | 4% | — | $3.2k – $3.5k |
| 4 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 2 | $3.4k | $3.4k | $122 | 4% | — | $3.2k – $3.5k |
| 5 | Adventhealth South Overland Park Overland Park, KS fee schedule · outpatient | 2 | $3.4k | $3.4k | $122 | 4% | — | $3.2k – $3.5k |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Amisub of South Carolina, Inc. Fort Mill, SC per diem · outpatient | 2 | $53.3k | $53.3k | $2.2k | 4% | — | $51.0k – $55.5k |
| 8 | Ascension Via Christi Hospital St. Teresa, Inc. Wichita, KS per diem · outpatient | 1 | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 9 | Ascension Via Christi Hospitals Wichita, Inc. Wichita, KS per diem · outpatient | 1 | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 10 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS per diem · outpatient | 2 | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 11 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX case rate · outpatient | 1 | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 13 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Banner Desert Medical Center Mesa, AZ facility · case rate · outpatient | 2 | $13.1k | $13.1k | $689 | 5% | — | $12.4k – $13.8k |
| 16 | Barnes Jewish Hospital St. Louis, MO case rate · both | 3 | $9.4k | $8.2k | $2.2k | 27% | — | $5.1k – $10.0k |
| 17 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $19.3k | $19.3k | $3.9k | 20% | — | $15.4k – $23.1k |
| 18 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO case rate · outpatient | 4 | $3.5k | $4.1k | $2.8k | 68% | — | $1.3k – $8.1k |
| 19 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX case rate · outpatient | 3 | $3.6k | $5.4k | $2.7k | 50% | — | $3.3k – $9.2k |
| 20 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
| 21 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $21.4k | $21.4k | $1.6k | 8% | — | $19.8k – $23.1k |
| 22 | CHIPPENHAM HOSPITAL RICHMOND, VA case rate · outpatient | 3 | $29.1k | $25.8k | $4.6k | 18% | — | $19.3k – $29.1k |
| 23 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 2 | $21.4k | $21.4k | $8.0k | 37% | — | $13.5k – $29.4k |
| 24 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $18.5k | $18.5k | — | — | — | $18.5k – $18.5k |
| 25 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 2 | $18.2k | $18.2k | $2.3k | 13% | — | $15.9k – $20.6k |
← Payers reporting CPT 0613T · Snapshot 20261113T090226Z-3ce6c0b8