CPT 0642T
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 I&R
Low
$3
Average
$131
Median
$36
High
$402
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +4 other terms | 17 | $159 | $159 | — | — | — | $159 – $159 |
| 2 | Caresource facility · case rate · outpatient | 15 | $374 | $402 | $92 | 23% | — | $250 – $635 |
| 3 | Molina facility · case rate · outpatient | 15 | $367 | $402 | $93 | 23% | — | $257 – $623 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $374 | $407 | $95 | 23% | — | $257 – $635 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 12 | $33 | $174 | $248 | 143% | — | $13 – $604 |
| 6 | Humana fee schedule · outpatient · +1 other terms | 11 | $27 | $15 | $9 | 59% | — | $8 – $29 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 11 | $346 | $380 | $85 | 22% | — | $312 – $564 |
| 8 | Aetna fee schedule · outpatient · +2 other terms | 5 | $13 | $11 | $4 | 37% | — | $3 – $13 |
| 9 | Bcbs Tx facility · fee schedule · outpatient · +1 other terms | 5 | $24 | $26 | $3 | 11% | — | $23 – $31 |
| 10 | Bcbs Nv fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
← Hospitals reporting CPT 0642T · Snapshot 20261113T090226Z-3ce6c0b8