CPT 0630T
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 ct lmbr ea
Low
$98
Average
$3.2k
Median
$1.6k
High
$15.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
82 hospitals; the 90th percentile is 75.0× 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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91 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 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 16 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 20 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 21 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 8 | $98 | $98 | — | — | — | $98 – $98 |
| 22 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $254 | $254 | — | — | — | $254 – $254 |
| 23 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 24 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 25 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $254 | $254 | — | — | — | $254 – $254 |
← Payers reporting CPT 0630T · Snapshot 20261113T090226Z-3ce6c0b8