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
$113
Average
$4.3k
Median
$113
High
$12.8k
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3 hospital rates
iThe hospitals that file a Regence 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 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 2 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 3 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID professional · case rate · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
← Payers reporting CPT 0628T · Snapshot 20261113T090226Z-3ce6c0b8