CPT 0691T
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
Auto alys xst ct std vrt fx
Low
$5
Average
$205
Median
$26
High
$2.2k
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174 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 3 | $35 | $31 | $15 | 48% | — | $11 – $47 |
| 2 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 2 | $19 | $19 | $1 | 3% | — | $18 – $20 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $22 | $22 | $0 | 0% | — | $22 – $22 |
| 5 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 6 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $22 | $22 | $0 | 1% | — | $22 – $22 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $9 | $11 | $4 | 32% | — | $9 – $17 |
| 9 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 11 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 12 | CHRISTUS Hospital - Orange Orange, TX per diem · outpatient | 5 | $940 | $921 | $37 | 4% | — | $847 – $940 |
| 13 | CHRISTUS West Beaumont Beaumont, TX per diem · outpatient | 5 | $940 | $921 | $37 | 4% | — | $847 – $940 |
| 14 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 15 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 16 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 17 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Christus Health Southeast Texas Beaumont, TX per diem · outpatient | 5 | $940 | $921 | $37 | 4% | — | $847 – $940 |
| 19 | Christus Health Southeast Texas Port Arthur, TX per diem · outpatient | 5 | $940 | $921 | $37 | 4% | — | $847 – $940 |
| 20 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 2 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 23 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $22 | $22 | $0 | 1% | — | $22 – $22 |
| 25 | Community Medical Center Toms River, NJ fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting CPT 0691T · Snapshot 20261113T090226Z-3ce6c0b8