CPT 0694T
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
3d vol img&rcnstj brst/ax
Low
$0
Average
$2.9k
Median
$34
High
$11.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 410.2× 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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29 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 3 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 4 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 5 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 6 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 7 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 8 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 9 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 10 | Kettering Medical Center Troy, OH fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 11 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 12 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 13 | Memorial Hospital Miramar Miramar, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.2k | $424 | 37% | — | $558 – $1.5k |
| 14 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.2k | $424 | 37% | — | $558 – $1.5k |
| 15 | Memorial Hospital West Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.2k | $424 | 37% | — | $558 – $1.5k |
| 16 | Memorial Regional Hospital Hollywood, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.2k | $424 | 37% | — | $558 – $1.5k |
| 17 | New Liberty Hospital Corporation Liberty, MO facility · fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 19 | Ohio State University Hospitals Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 21 | The Finley Hospital Dubuque, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 22 | Trinity Medical Center Rock Island, IL fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 23 | Trinity Medical Center Bettendorf, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 24 | Trinity Regional Medical Center Fort Dodge, IA fee schedule · both | 1 | $40 | $34 | $17 | 49% | — | $11 – $51 |
| 25 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
← Payers reporting CPT 0694T · Snapshot 20261113T090226Z-3ce6c0b8