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
Ncntc Nr Ifr Spectrsc Flap/Wnd Img Acquisj I&R
Low
$20
Average
$55
Median
$40
High
$855
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
251 hospitals; the 90th percentile is 1.4× 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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274 hospital rates
iThe hospitals that file a WellCare 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 | "Savoy Medical Management Group, Inc." Mamou, LA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $40 | $40 | $1 | 2% | — | $39 – $41 |
| 3 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 4 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 7 | Ascension NE Wisconsin, Inc. Appleton, WI other · inpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | Ascension NE Wisconsin, Inc. Appleton, WI other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 9 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · inpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 10 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Ascension Providence Waco, TX other · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 12 | Ascension Providence Waco, TX other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 13 | Ascension Seton Austin, TX other · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 14 | Ascension Seton Austin, TX other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | Ascension Seton Austin, TX other · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 16 | Ascension Seton Austin, TX other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 17 | Ascension Seton Bastrop, TX other · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 18 | Ascension Seton Bastrop, TX other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | Ascension Seton Austin, TX other · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 20 | Ascension Seton Austin, TX other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 22 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 23 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 24 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 25 | Benefis Senior Services Great Falls, MT other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
← Payers reporting CPT 0640T · Snapshot 20261113T090226Z-3ce6c0b8