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
Low
$23
Average
$26
Median
$27
High
$30
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39 hospital rates
iThe hospitals that file a Clover 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 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 5 | Conway Hospital, Inc. Conway, SC facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 11 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 12 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 13 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 14 | Jersey City Medical Center Jersey City, NJ fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 15 | Monmouth Medical Center Long Branch, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 16 | Monmouth Medical Center Southern Campus Lakewood, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | Newark Beth Israel Medical Center Newark, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 19 | Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 20 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | Robert Wood Johnson University Hospital Rahway Rahway, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 22 | Robert Wood Johnson University Hospital Somerset Somerville, NJ fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 23 | Saint Thomas Regional Hospitals McMinnville, TN other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Saint Thomas Regional Hospitals McMinnville, TN other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 25 | Saint Thomas Regional Hospitals Smithville, TN other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting CPT 0631T · Snapshot 20261113T090226Z-3ce6c0b8