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
$14
Average
$295
Median
$153
High
$1.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
112 hospitals; the 90th percentile is 21.0× 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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120 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 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $66 | $70 | $9 | 13% | — | $62 – $82 |
| 2 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 4 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $367 | $367 | $0 | 0% | — | $367 – $367 |
| 5 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $382 | $382 | — | — | — | $382 – $382 |
| 6 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $412 | $412 | $4 | 1% | — | $408 – $416 |
| 7 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $32 | 2% | — | $1.4k – $1.5k |
| 8 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 9 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $157 | $203 | $65 | 32% | — | $157 – $296 |
| 10 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 12 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 13 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 14 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 15 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 2 | $324 | $324 | — | — | — | $324 – $324 |
| 16 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $158 | $158 | — | — | — | $158 – $158 |
| 17 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 18 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $66 | $70 | $9 | 13% | — | $62 – $82 |
| 19 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 21 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $412 | $412 | $4 | 1% | — | $408 – $416 |
| 22 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 23 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 24 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 25 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
← Payers reporting CPT 0695T · Snapshot 20261113T090226Z-3ce6c0b8