CPT 76642-LT
Low
$31
Average
$116
Median
$126
High
$183
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5 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 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Samaritan Medical Center Watertown, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 3 | Stonewall Memorial Hospital Aspermont, TX percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | $10 | 12% | — | $76 – $96 |
| 4 | UPMC Cole Coudersport, PA facility · fee schedule · outpatient | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 5 | UPMC Cole Coudersport, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
← Payers reporting CPT 76642-LT · Snapshot 20261113T090226Z-3ce6c0b8