CPT 0696T
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 surf mapg pm/cvdfb f/up
Low
$35
Average
$87
Median
$67
High
$338
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37 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $45 | $51 | $18 | 36% | — | $23 – $79 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 3 | $61 | $60 | $18 | 31% | — | $35 – $84 |
| 3 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $44 | $50 | $17 | 34% | — | $23 – $75 |
| 4 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 2 | $48 | $53 | $19 | 35% | — | $36 – $81 |
| 5 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 6 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $53 | $75 | $31 | 42% | — | $53 – $119 |
| 7 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 8 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 2 | $76 | $76 | $29 | 39% | — | $47 – $106 |
| 9 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 17 | $42 | $50 | $18 | 35% | — | $25 – $74 |
| 10 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 11 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $39 | $41 | $11 | 26% | — | $17 – $59 |
| 13 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 14 | Lancaster General Health Lancaster, PA facility · other · outpatient | 5 | $287 | $307 | $80 | 26% | — | $203 – $443 |
| 15 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 5 | $429 | $429 | $11 | 2% | — | $418 – $439 |
| 16 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 3 | $80 | $77 | $21 | 27% | — | $50 – $101 |
| 17 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 18 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 19 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 20 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 21 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 22 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $42 | $44 | $11 | 24% | — | $18 – $59 |
| 23 | ST. CLAIR MEMORIAL HOSPITAL PITTSBURGH, PA fee schedule · both | 23 | $81 | $67 | $21 | 32% | — | $32 – $81 |
| 24 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $80 | $80 | $30 | 37% | — | $50 – $109 |
| 25 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
← Payers reporting CPT 0696T · Snapshot 20261113T090226Z-3ce6c0b8