CPT 0631T
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
Tc vis lit hyperspectral img
Prices here combine facility and professional fees. See them separately →Experimental
Low
$19
Average
$87
Median
$29
High
$4.1k
Showing only prices reported under the case rate methodology. Choose another in the filter below to change the chart. 158 hospitals; the 90th percentile is 3.2× 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.
Click a bar to filter the hospitals table to that price range.
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mayo Regional Hospital Dover Foxcroft, ME | $123 | $123 | $10 | 8% | — | $113 – $133 |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $29 | $40 | $16 | 39% | — | $28 – $70 |
| 3 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Mahnomen Health Center Mahnomen, MN | $26 | $25 | $1 | 2% | — | $24 – $26 |
| 5 | Sanford USD Medical Center Sioux Falls, SD | $25 | $25 | $1 | 3% | — | $23 – $26 |
| 6 | Sauk Prairie Healthcare Prairie du Sac, WI | $24 | $45 | $36 | 81% | — | $24 – $133 |
| 7 | Shannon Medical Center Big Spring Big Spring, TX | $37 | $39 | $12 | 30% | — | $23 – $57 |
| 8 | Essentia Health Ada 201 9th St W Ada, MN | $27 | $27 | $2 | 8% | — | $24 – $29 |
| 9 | Essentia Health Holy Trinity Hospital Graceville, MN | $27 | $27 | $2 | 8% | — | $24 – $29 |
| 10 | Fairview Hospital Cleveland, OH | $79 | $78 | $3 | 4% | — | $71 – $82 |
Ask Claude or any MCP client for CPT 0631T pricing at a specific hospital — see how to connect.