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
$5
Average
$209
Median
$34
High
$604
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 51.4× 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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21 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 | $30 | $30 | $2 | 7% | — | $28 – $32 |
| 7 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $30 | $30 | $2 | 7% | — | $28 – $32 |
| 8 | Ascension Providence Waco, TX fee schedule · outpatient | 3 | $29 | $25 | $8 | 33% | — | $13 – $32 |
| 9 | Ascension Providence Waco, TX other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 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 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 2 | $369 | $369 | $69 | 19% | — | $300 – $438 |
| 13 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 14 | Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake, IL fee schedule · outpatient | 2 | $33 | $33 | $4 | 12% | — | $29 – $36 |
| 15 | Mercyhealth Hospital & Medical Center - Harvard Harvard, IL fee schedule · outpatient | 2 | $33 | $33 | $4 | 12% | — | $29 – $36 |
| 16 | Mercyhealth Hospital & Medical Center - Walworth Lake Geneva, WI fee schedule · outpatient | 2 | $33 | $33 | $4 | 12% | — | $29 – $36 |
| 17 | Rockford Memorial Hospital Rockford, IL fee schedule · outpatient | 2 | $33 | $33 | $4 | 12% | — | $29 – $36 |
| 18 | SID Peterson Memorial Hospital Kerrville, TX facility · fee schedule · outpatient | 4 | $7 | $7 | — | — | — | $7 – $7 |
| 19 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 1 | $5 | $5 | $1 | 25% | — | $3 – $6 |
| 20 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 21 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
← Payers reporting CPT 0642T · Snapshot 20261115T194459Z-975ba28a