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
$549
Average
$6.5k
Median
$3.5k
High
$21.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 16.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana other · outpatient · +1 other terms | 27 | $2.8k | $2.8k | $1.0k | 38% | — | $477 – $7.0k |
| 2 | Carefirst other · both | 5 | $15.6k | $15.6k | $415 | 3% | — | $15.2k – $16.1k |
| 3 | Cigna other · both · +1 other terms | 5 | $16.0k | $16.0k | $2.6k | 16% | — | $12.3k – $17.9k |
| 4 | Kaiser other · both | 5 | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 5 | First Health other · outpatient | 4 | $1.3k | $1.5k | $511 | 34% | — | $1.1k – $2.4k |
| 6 | UnitedHealthcare other · outpatient · +1 other terms | 3 | $588 | $587 | $89 | 15% | — | $477 – $695 |
| 7 | Aetna Better Health other · outpatient | 2 | $549 | $549 | $57 | 10% | — | $491 – $606 |
| 8 | Amerihealth Caritas other · outpatient | 2 | $549 | $549 | $57 | 10% | — | $491 – $606 |
| 9 | Anthem facility · other · outpatient | 2 | $5.1k | $5.1k | $752 | 15% | — | $4.4k – $5.9k |
| 10 | Molina facility · other · outpatient | 2 | $5.1k | $5.1k | $773 | 15% | — | $4.3k – $5.9k |
← Hospitals reporting CPT 0628T · Snapshot 20261113T090226Z-3ce6c0b8