CPT 0749T
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
HC B1 Str&Fx Rsk Assmt Dxr-Bmd
Low
$33
Average
$153
Median
$110
High
$308
Each hospital's average Molina rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 6.2× 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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43 hospital rates
iThe hospitals that file a Molina 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 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 2 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 3 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 4 | Aurora Medical Center Burlington Burlington, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 5 | Aurora Medical Center Fond du Lac Fond Du Lac, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 6 | Aurora Medical Center Grafton Grafton, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 7 | Aurora Medical Center Kenosha Kenosha, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 8 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 9 | Aurora Medical Center Oshkosh Oshkosh, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 10 | Aurora Medical Center Summit Summit, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 11 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 12 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 13 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 14 | Aurora West Allis Medical Center West Allis, WI case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 15 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 16 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 17 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 18 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 19 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $208 | $295 | $123 | 42% | — | $208 – $468 |
| 20 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 21 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · case rate · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 22 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 23 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 24 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 25 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
← Payers reporting CPT 0749T · Snapshot 20261113T090226Z-3ce6c0b8