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
$31
Median
$13
High
$222
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10 hospital rates
iThe hospitals that file a Aetna 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 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 3 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 10 | The Carle Foundation Hospital Urbana, IL fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting CPT 0642T · Snapshot 20261115T194459Z-975ba28a