CPT 0701T
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
Molec fluor img sus nev ea
Low
$12
Average
$1.9k
Median
$12
High
$7.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 436.3× 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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25 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 | "Savoy Medical Management Group, Inc." Mamou, LA facility · case rate · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 3 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX case rate · outpatient | 2 | $3.1k | $3.1k | $1.0k | 33% | — | $2.1k – $4.1k |
| 4 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 5 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 6 | Central Louisiana Surgical Hospital Alexandria, LA case rate · outpatient | 1 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 7 | Good Shepherd Medical Center - Longview Longview, TX case rate · outpatient | 2 | $3.1k | $3.1k | $1.0k | 33% | — | $2.1k – $4.1k |
| 8 | Good Shepherd Medical Center - Marshall Marshall, TX case rate · outpatient | 2 | $3.1k | $3.1k | $1.0k | 33% | — | $2.1k – $4.1k |
| 9 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 10 | Mother Frances Hospital - Jacksonville Jacksonville, TX case rate · outpatient | 2 | $5.1k | $5.1k | $3.1k | 60% | — | $2.0k – $8.2k |
| 11 | Mother Frances Hospital - South Tyler Tyler, TX case rate · outpatient | 2 | $5.1k | $5.1k | $3.1k | 60% | — | $2.0k – $8.2k |
| 12 | Mother Frances Hospital - Tyler Tyler, TX case rate · outpatient | 2 | $5.1k | $5.1k | $3.1k | 60% | — | $2.0k – $8.2k |
| 13 | Mother Frances Hospital - Tyler Tyler, TX case rate · outpatient | 2 | $5.1k | $5.1k | $3.1k | 60% | — | $2.0k – $8.2k |
| 14 | Mother Frances Hospital - Winnsboro Winnsboro, TX case rate · outpatient | 2 | $5.1k | $5.1k | $3.1k | 60% | — | $2.0k – $8.2k |
| 15 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 16 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 17 | The Finley Hospital Dubuque, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 18 | Trinity Medical Center Rock Island, IL fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 19 | Trinity Medical Center Bettendorf, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 20 | Trinity Regional Medical Center Fort Dodge, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 21 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 23 | Unity Healthcare Muscatine, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 24 | UnityPoint Health - Jones Regional Medical Center Anamosa, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
| 25 | UnityPoint Health Marshalltown Marshalltown, IA fee schedule · both | 1 | $13 | $12 | $5 | 46% | — | $5 – $18 |
← Payers reporting CPT 0701T · Snapshot 20261113T090226Z-3ce6c0b8