CPT 0684T
Low
$29
Average
$74
Median
$80
High
$105
Filter by billing methodology
Filter by billing class
30 hospital rates
iThe hospitals that file a Bcbs Tx 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 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 5 | $115 | $105 | $37 | 35% | — | $32 – $136 |
| 2 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 5 | $96 | $99 | $9 | 9% | — | $87 – $112 |
| 3 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 5 | $82 | $85 | $8 | 10% | — | $73 – $96 |
| 4 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 5 | $82 | $85 | $8 | 10% | — | $73 – $96 |
| 5 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 5 | $82 | $85 | $8 | 10% | — | $73 – $96 |
| 6 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 5 | $82 | $85 | $8 | 10% | — | $73 – $96 |
| 7 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 5 | $115 | $105 | $37 | 35% | — | $32 – $136 |
| 8 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 5 | $115 | $105 | $37 | 35% | — | $32 – $136 |
| 9 | Mother Frances Hospital - Jacksonville Jacksonville, TX fee schedule · outpatient | 5 | $79 | $80 | $9 | 12% | — | $65 – $93 |
| 10 | Mother Frances Hospital - South Tyler Tyler, TX fee schedule · outpatient | 5 | $79 | $80 | $9 | 12% | — | $65 – $93 |
| 11 | Mother Frances Hospital - Sulphur Springs Sulphur Springs, TX fee schedule · outpatient | 5 | $29 | $29 | $3 | 12% | — | $24 – $34 |
| 12 | Mother Frances Hospital - Tyler Tyler, TX fee schedule · outpatient | 5 | $79 | $80 | $9 | 12% | — | $65 – $93 |
| 13 | Mother Frances Hospital - Tyler Tyler, TX fee schedule · outpatient | 5 | $79 | $80 | $9 | 12% | — | $65 – $93 |
| 14 | Mother Frances Hospital - Winnsboro Winnsboro, TX fee schedule · outpatient | 5 | $79 | $80 | $9 | 12% | — | $65 – $93 |
| 15 | Santa Rosa Emergency Center - Alon San Antonio, TX fee schedule · outpatient | 5 | $61 | $62 | $8 | 12% | — | $49 – $71 |
| 16 | Santa Rosa Emergency Center - Creekside New Braunfels, TX fee schedule · outpatient | 5 | $54 | $56 | $5 | 9% | — | $48 – $63 |
| 17 | Santa Rosa Hospital - Alamo Heights San Antonio, TX fee schedule · outpatient | 5 | $61 | $62 | $8 | 12% | — | $49 – $71 |
| 18 | Santa Rosa Hospital - New Braunfels New Braunfels, TX fee schedule · outpatient | 5 | $54 | $56 | $5 | 9% | — | $48 – $63 |
| 19 | Santa Rosa Hospital - San Marcos San Marcos, TX fee schedule · outpatient | 4 | $66 | $67 | $15 | 22% | — | $49 – $85 |
| 20 | Santa Rosa Hospital - Westover Hills San Antonio, TX fee schedule · outpatient | 5 | $61 | $62 | $8 | 12% | — | $49 – $71 |
| 21 | Southeast Texas - Jasper Memorial Jasper, TX fee schedule · outpatient | 5 | $98 | $102 | $10 | 10% | — | $89 – $115 |
| 22 | Southeast Texas Orthopedic Specialty Center Port Arthur, TX fee schedule · outpatient | 5 | $82 | $85 | $8 | 10% | — | $73 – $96 |
| 23 | Spohn Hospital Alice Alice, TX fee schedule · outpatient | 5 | $65 | $63 | $9 | 14% | — | $47 – $72 |
| 24 | Spohn Hospital Beeville Beeville, TX fee schedule · outpatient | 5 | $61 | $61 | $5 | 9% | — | $53 – $68 |
| 25 | Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX fee schedule · outpatient | 5 | $30 | $29 | $3 | 9% | — | $26 – $34 |
← Payers reporting CPT 0684T · Snapshot 20261113T090226Z-3ce6c0b8