CPT 0641T
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 SPCTRSC WND IMG
Low
$7
Average
$153
Median
$78
High
$604
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 15.0× 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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46 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 2 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 3 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 4 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 5 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 6 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $140 | $140 | $10 | 7% | — | $130 – $150 |
| 7 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $140 | $140 | $10 | 7% | — | $130 – $150 |
| 8 | Ascension Providence Waco, TX fee schedule · outpatient | 3 | $75 | $72 | $11 | 15% | — | $57 – $83 |
| 9 | Ascension Providence Waco, TX other · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 10 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 11 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 12 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 13 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $17 | $62 | $64 | 104% | — | $17 – $153 |
| 14 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 15 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 16 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 2 | $369 | $369 | $69 | 19% | — | $300 – $438 |
| 17 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 18 | LaSalle Parish Hospital Service District No. 1 Olla, LA facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 19 | Legacy Emanuel Medical Center Portland, OR fee schedule · outpatient | 3 | $134 | $123 | $20 | 16% | — | $95 – $140 |
| 20 | Legacy Good Samaritan Medical Center Portland, OR fee schedule · outpatient | 3 | $134 | $123 | $20 | 16% | — | $95 – $140 |
| 21 | Legacy Meridian Park Medical Center Tualatin, OR fee schedule · outpatient | 3 | $134 | $123 | $20 | 16% | — | $95 – $140 |
| 22 | Legacy Mount Hood Medical Center Gresham, OR fee schedule · outpatient | 3 | $134 | $123 | $20 | 16% | — | $95 – $140 |
| 23 | Legacy Salmon Creek Medical Center Vancouver, WA fee schedule · outpatient | 3 | $134 | $123 | $20 | 16% | — | $95 – $140 |
| 24 | Legacy Silverton Medical Center Silverton, OR fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 25 | Overlake Medical Center & Clinics Bellevue, WA fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
← Payers reporting CPT 0641T · Snapshot 20261113T090226Z-3ce6c0b8