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

Anthem pricing summary

Low

$53

Average

$112

Median

$88

High

$336

Anthem rate distribution

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55 hospital rates

#		Plans
1	AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient	1	$76	$76	—	—	—	$76 – $76
2	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
3	Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient	8	$88	$88	—	—	—	$88 – $88
4	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	2	$91	$91	—	—	—	$91 – $91
5	CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient	1	$74	$74	—	—	—	$74 – $74
6	CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient	1	$133	$133	—	—	—	$133 – $133
7	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient	1	$82	$82	—	—	—	$82 – $82
8	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient	1	$84	$84	—	—	—	$84 – $84
9	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient	1	$87	$87	—	—	—	$87 – $87
10	Carmel AmbSurg Carmel, IN fee schedule · outpatient	8	$88	$88	—	—	—	$88 – $88
11	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	2	$91	$91	—	—	—	$91 – $91
12	Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient	1	$74	$74	—	—	—	$74 – $74
13	Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient	2	$91	$91	—	—	—	$91 – $91
14	Endo Surgery Center Carmel, IN fee schedule · outpatient	8	$88	$88	—	—	—	$88 – $88
15	Fairview Hospital Cleveland, OH facility · case rate · outpatient	1	$79	$79	—	—	—	$79 – $79
16	Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient	1	$53	$53	—	—	—	$53 – $53
17	Jennie Stuart Medical Center Hopkinsville, KY professional · fee schedule · both	1	$80	$80	—	—	—	$80 – $80
18	LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient	1	$128	$128	—	—	—	$128 – $128
19	LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient	1	$75	$75	—	—	—	$75 – $75
20	MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient	1	$74	$74	—	—	—	$74 – $74
21	MEDINA HOSPITAL Medina, OH facility · case rate · outpatient	1	$77	$77	—	—	—	$77 – $77
22	Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient	2	$91	$91	—	—	—	$91 – $91
23	MaineHealth Brunswick, ME fee schedule · both	1	$113	$113	—	—	—	$113 – $113
24	MaineHealth Rockport, ME fee schedule · both	1	$124	$124	—	—	—	$124 – $124
25	MaineHealth Westbrook, ME fee schedule · both	1	$147	$147	—	—	—	$147 – $147