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
CT LIMITED/FOLLOWUP
Low
$1
Average
$463
Median
$272
High
$6.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1869 hospitals; the 90th percentile is 12.0× 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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3,364 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $134 | $134 | — | — | 707 | $134 – $134 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $134 | $134 | — | — | 650 | $134 – $134 |
| 3 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 18 | $1.6k – $1.6k |
| 4 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 18 | $1.6k – $1.6k |
| 5 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · outpatientfrom % of charges | 3 | $629 | $640 | $207 | 32% | 6–60 | $419 – $861 |
| 6 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $99 | $99 | — | — | 3–30 | $99 – $99 |
| 7 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $86 | $86 | — | — | 2–20 | $86 – $86 |
| 8 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $86 | $86 | — | — | 2–20 | $86 – $86 |
| 9 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $219 | $219 | $126 | 58% | 2–20 | $92 – $345 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 2 | $144 | $144 | $63 | 44% | 2–20 | $81 – $207 |
| 11 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $118 | $118 | — | — | 2–20 | $118 – $118 |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 6 | $1.0k | $768 | $334 | 43% | 2–20 | $360 – $1.2k |
| 13 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 4 | $114 | $81 | $43 | 53% | 2–20 | $28 – $118 |
| 14 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $88 | $66 | $38 | 58% | 2–20 | $0 – $90 |
| 15 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $410 | $410 | — | — | 1–10 | $410 – $410 |
| 16 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 17 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 18 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 19 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 20 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 21 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 22 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 25 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $87 | $87 | — | — | 1–10 | $87 – $87 |
← Payers reporting CPT 76380 · Snapshot 20261113T090226Z-3ce6c0b8