CPT 0626T

Automated quantitative plaque analysis with interpretation and report

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Auto Quan&Charac Coronary Plaq Rev Cptr Alys I&R

Aetna pricing summary

Low

Average

$295

Median

$139

High

$2.7k

Aetna rate distribution

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122 hospital rates

#		Plans
1	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
2	Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient	2	$183	$183	$0	0%	—	$182 – $183
3	Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS fee schedule · outpatient	1	$171	$171	—	—	—	$171 – $171
4	Berger Hospital Circleville, OH fee schedule · outpatient	1	$183	$183	—	—	—	$183 – $183
5	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
6	Boulder Community Health Lafayette, CO professional · fee schedule · both	3	$104	$96	$14	14%	—	$73 – $104
7	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$145	$145	—	—	—	$145 – $145
8	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges	3	$78	$78	$15	19%	—	$60 – $96
9	CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient	1	$71	$71	—	—	—	$71 – $71
10	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
11	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
12	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
13	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	2	$78	$78	—	—	—	$78 – $78
14	Clara Maass Medical Center Belleville, NJ fee schedule · outpatient	2	$223	$223	—	—	—	$223 – $223
15	Clarion Hospital Clarion, PA facility · fee schedule · outpatient	1	$147	$147	—	—	—	$147 – $147
16	Community Medical Center Toms River, NJ fee schedule · outpatient	2	$201	$201	—	—	—	$201 – $201
17	Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient	1	$107	$107	—	—	—	$107 – $107
18	Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient	2	$223	$223	—	—	—	$223 – $223
19	Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
20	Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient	1	$310	$310	—	—	—	$310 – $310
21	East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient	1	$69	$69	—	—	—	$69 – $69
22	Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
23	Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient	2	$75	$75	—	—	—	$75 – $75
24	FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
25	FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118