CPT 0626T
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
Auto Quan&Charac Coronary Plaq Rev Cptr Alys I&R
Low
$0
Average
$197
Median
$227
High
$973
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42 hospital rates
iThe hospitals that file a Humana 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 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 2 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 6 | Columbia St. Mary's Hospital Milwaukee, Inc. Milwaukee, WI fee schedule · outpatient | 3 | $274 | $274 | — | — | — | $274 – $274 |
| 7 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI fee schedule · outpatient | 3 | $274 | $274 | — | — | — | $274 – $274 |
| 8 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 2 | $227 | $229 | $32 | 14% | — | $189 – $271 |
| 9 | HCA FLORIDA OSCEOLA HOSPITAL ORLANDO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $973 | $973 | — | — | — | $973 – $973 |
| 10 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $233 | $227 | $38 | 17% | — | $156 – $262 |
| 11 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $233 | $227 | $38 | 17% | — | $156 – $262 |
| 12 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $233 | $227 | $38 | 17% | — | $156 – $262 |
| 13 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $233 | $227 | $38 | 17% | — | $156 – $262 |
| 14 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $233 | $227 | $38 | 17% | — | $156 – $262 |
| 15 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $233 | $227 | $38 | 17% | — | $156 – $262 |
| 16 | Jennie Stuart Medical Center Hopkinsville, KY professional · fee schedule · both | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 17 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 19 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 20 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA other · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 21 | OVIEDO MEDICAL CENTER ORLANDO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $606 | $606 | — | — | — | $606 – $606 |
| 22 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 23 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 24 | SMSJ Tucson Holdings LLC Tucson, AZ fee schedule · outpatient | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 25 | Sacred Heart Rehabilitation Institute, Inc. Mequon, WI fee schedule · outpatient | 3 | $274 | $274 | — | — | — | $274 – $274 |
← Payers reporting CPT 0626T · Snapshot 20261113T090226Z-3ce6c0b8