CPT 0695T
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
Bdy srf mpg pm/cvdfb tm impl
Low
$0
Average
$581
Median
$340
High
$4.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
40 payers; the 90th percentile is 67.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +13 other terms | 120 | $2.2k | $2.1k | $1.5k | 71% | — | $0 – $8.9k |
| 2 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $4.4k | $4.5k | $1.3k | 29% | — | $1.6k – $8.5k |
| 3 | Molina facility · case rate · outpatient · +6 other terms | 29 | $20 | $22 | $5 | 24% | — | $15 – $37 |
| 4 | UnitedHealthcare fee schedule · both · +19 other terms | 26 | $420 | $399 | $56 | 14% | — | $160 – $493 |
| 5 | Humana fee schedule · outpatient · +12 other terms | 23 | $394 | $398 | $191 | 48% | — | $37 – $611 |
| 6 | Aetna fee schedule · outpatient · +13 other terms | 21 | $148 | $217 | $243 | 112% | — | $35 – $1.2k |
| 7 | Anthem fee schedule · outpatient · +8 other terms | 21 | $87 | $85 | $9 | 10% | — | $35 – $87 |
| 8 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $22 | $23 | $5 | 23% | — | $14 – $37 |
| 9 | Cigna fee schedule · both · +13 other terms | 13 | $186 | $186 | — | — | — | $186 – $186 |
| 10 | Optum facility · case rate · outpatient · +3 other terms | 13 | $19 | $21 | $5 | 24% | — | $16 – $33 |
← Hospitals reporting CPT 0695T · Snapshot 20261113T090226Z-3ce6c0b8