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
$22
Average
$34
Median
$25
High
$121
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52 hospital rates
iThe hospitals that file a Optum 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 | $69 | $69 | — | — | — | $69 – $69 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $25 | $25 | $0 | 1% | — | $24 – $25 |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 2 | $25 | $25 | $1 | 4% | — | $24 – $26 |
| 14 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 15 | Fairview Hospital Cleveland, OH facility · fee schedule · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · fee schedule · outpatient | 2 | $26 | $26 | $3 | 11% | — | $23 – $29 |
| 18 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 19 | Jane Phillips Memorial Medical Center Bartlesville, OK other · inpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 20 | Jane Phillips Memorial Medical Center Bartlesville, OK other · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 21 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 22 | LODI COMMUNITY HOSPITAL Lodi, OH facility · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 24 | LUTHERAN HOSPITAL Cleveland, OH facility · fee schedule · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 25 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
← Payers reporting CPT 0631T · Snapshot 20261113T090226Z-3ce6c0b8