CPT 2023F
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
Dilat rta xm w/o rtnopthy
Low
$0
Average
$187
Median
$0
High
$13.9k
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79 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Conway Hospital, Inc. Conway, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Conway Hospital, Inc. Conway, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 18 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 2023F · Snapshot 20261113T090226Z-3ce6c0b8