CPT 0628T
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 njx algc fluor lmbr ea
Low
$2.0k
Average
$3.2k
Median
$4.1k
High
$5.5k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 2.2× 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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25 hospital rates
iThe hospitals that file a Ambetter 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.3k | $4.3k | $272 | 6% | — | $4.0k – $4.5k |
| 2 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $4.4k | $4.4k | $231 | 5% | — | $4.2k – $4.6k |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.4k | $4.4k | $280 | 6% | — | $4.1k – $4.6k |
| 4 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $4.3k | $4.3k | $327 | 8% | — | $4.0k – $4.6k |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.2k | $4.2k | $412 | 10% | — | $3.8k – $4.6k |
| 6 | CLAIBORNE MEDICAL CENTER Tazewell, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $4.1k | $452 | 11% | — | $3.6k – $4.5k |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $5.6k | $5.6k | $292 | 5% | — | $5.3k – $5.9k |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $5.4k | $5.4k | $448 | 8% | — | $5.0k – $5.9k |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $4.1k | $452 | 11% | — | $3.6k – $4.5k |
| 12 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | LECONTE MEDICAL CENTER Sevierville, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | PARKWEST MEDICAL CENTER Knoxville, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | PARKWEST MEDICAL CENTER Louisville, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | ROANE COUNTY MEDICAL CENTER Harriman, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $4.1k | $452 | 11% | — | $3.6k – $4.5k |
| 21 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $4.1k | $452 | 11% | — | $3.6k – $4.5k |
| 22 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $4.1k | $404 | 10% | — | $3.7k – $4.5k |
| 23 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $4.1k | $428 | 10% | — | $3.7k – $4.5k |
| 24 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · inpatientfrom % of charges | 2 | $4.4k | $4.4k | $216 | 5% | — | $4.2k – $4.6k |
| 25 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · outpatientfrom % of charges | 2 | $4.2k | $4.2k | $412 | 10% | — | $3.8k – $4.6k |
← Payers reporting CPT 0628T · Snapshot 20261113T090226Z-3ce6c0b8