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
$159
Average
$381
Median
$301
High
$2.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 3.9× 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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52 hospital rates
iThe hospitals that file a Anthem 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 | $356 | $356 | — | — | — | $356 – $356 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $159 | $159 | — | — | — | $159 – $159 |
| 4 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · fee schedule · outpatient | 4 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $623 | $623 | — | — | — | $623 – $623 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $407 | $407 | — | — | — | $407 – $407 |
| 10 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 8 | $159 | $159 | — | — | — | $159 – $159 |
| 11 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 12 | Endo Surgery Center Carmel, IN fee schedule · outpatient | 8 | $159 | $159 | — | — | — | $159 – $159 |
| 13 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 15 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · fee schedule · outpatient | 3 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · fee schedule · outpatient | 4 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $597 | $597 | — | — | — | $597 – $597 |
| 18 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 19 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 20 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $358 | $358 | — | — | — | $358 – $358 |
| 21 | MaineHealth Brunswick, ME fee schedule · both | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 22 | MaineHealth Rockport, ME fee schedule · both | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 23 | MaineHealth Westbrook, ME fee schedule · both | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 24 | MaineHealth Damariscotta, ME fee schedule · both | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 25 | MaineHealth North Conway, NH fee schedule · both | 1 | $280 | $280 | — | — | — | $280 – $280 |
← Payers reporting CPT 0642T · Snapshot 20261115T194459Z-975ba28a