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
$98
Average
$3.6k
Median
$3.2k
High
$15.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
90 hospitals; the 90th percentile is 78.7× 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.
Filter by billing methodology
Filter by billing class
108 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $203 | $203 | $87 | 43% | — | $116 – $290 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Aurora Medical Center Fond du Lac Fond Du Lac, WI case rate · outpatient | 2 | $20.8k | $20.8k | $2.6k | 13% | — | $18.2k – $23.5k |
| 5 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 6 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 7 | Aurora Medical Center Oshkosh Oshkosh, WI case rate · outpatient | 2 | $20.8k | $20.8k | $2.6k | 13% | — | $18.2k – $23.5k |
| 8 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 9 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 10 | Banner Fort Collins Medical Center Fort Collins, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 12 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $254 | $254 | — | — | — | $254 – $254 |
| 14 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $94 | $106 | $16 | 15% | — | $94 – $126 |
| 15 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO case rate · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 16 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 17 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO case rate · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO case rate · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
← Payers reporting CPT 0628T · Snapshot 20261113T090226Z-3ce6c0b8