CPT 0684T
Low
$22
Average
$63
Median
$90
High
$90
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5 hospital rates
iThe hospitals that file a Medicaid 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 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
← Payers reporting CPT 0684T · Snapshot 20261113T090226Z-3ce6c0b8