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
$24
Average
$60
Median
$25
High
$196
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30 hospital rates
iThe hospitals that file a Kaiser 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 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 2 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | KAISER FOUNDATION HOSPITAL - WESTSIDE HILLSBORO, OR fee schedule · both | 3 | $82 | $133 | $78 | 58% | — | $75 – $243 |
| 7 | KAISER SUNNYSIDE MEDICAL CENTER CLACKAMAS, OR fee schedule · both | 3 | $82 | $133 | $78 | 58% | — | $75 – $243 |
| 8 | KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Honolulu, HI facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Longs Peak Hospital Longmont, CO fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 11 | Medical Center of the Rockies Loveland, CO fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 13 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 14 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 15 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 16 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 17 | Parkview Medical Center, Inc Pueblo West, CO fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 18 | Poudre Valley Health Care, Inc Fort Collins, CO fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 19 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 20 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 21 | UCHMHS Colorado Springs, CO fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 22 | UCHMHS Colorado Springs, CO fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 23 | UCHealth Broomfield Hospital Broomfield, CO fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 24 | UCHealth Grandview Hospital Colorado Springs, CO fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 25 | UCHealth Greeley Hospital Greeley, CO fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting CPT 0631T · Snapshot 20261113T090226Z-3ce6c0b8