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
$10
Average
$779
Median
$925
High
$8.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 116.5× 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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55 hospital rates
iThe hospitals that file a Cigna 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 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 2 | $978 | $978 | $120 | 12% | — | $858 – $1.1k |
| 4 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 2 | $978 | $978 | $120 | 12% | — | $858 – $1.1k |
| 5 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Central Louisiana Surgical Hospital Alexandria, LA fee schedule · outpatient | 1 | $867 | $867 | — | — | — | $867 – $867 |
| 8 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 2 | $978 | $978 | $120 | 12% | — | $858 – $1.1k |
| 9 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 2 | $978 | $978 | $120 | 12% | — | $858 – $1.1k |
| 10 | East Cooper Medical Center LLC Mt Pleasant, SC other · outpatient | 2 | $278 | $278 | — | — | — | $278 – $278 |
| 11 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 12 | Geisinger Community Medical Center Scranton, PA percent of total billed charges · outpatientfrom % of charges | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 13 | Geisinger Jersey Shore Hospital Jersey Shore, PA other · outpatient | 1 | $952 | $952 | — | — | — | $952 – $952 |
| 14 | Geisinger Lewistown Hospital Lewistown, PA case rate · inpatient | 1 | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 15 | Geisinger Lewistown Hospital Lewistown, PA percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 16 | Geisinger Medical Center Muncy, PA percent of total billed charges · outpatientfrom % of charges | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 17 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 18 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Highland Medical Center - Shreveport Shreveport, LA fee schedule · outpatient | 1 | $898 | $898 | — | — | — | $898 – $898 |
| 20 | MED CITY HEART HOSPITAL Dallas, TX percent of total billed charges · outpatientfrom % of charges | 2 | $234 | $234 | $4 | 2% | — | $230 – $239 |
| 21 | MED CITY SPINE HOSPITAL DALLAS, TX percent of total billed charges · outpatientfrom % of charges | 2 | $234 | $234 | $4 | 2% | — | $230 – $239 |
| 22 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 3 | $239 | $469 | $332 | 71% | — | $230 – $938 |
| 23 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 24 | Nazareth Hospital Philadelphia, PA facility · per diem · both | 1 | $474 | $474 | — | — | — | $474 – $474 |
| 25 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting CPT 0691T · Snapshot 20261113T090226Z-3ce6c0b8