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
Cone beam ct capt & interp
Low
$58
Average
$176
Median
$115
High
$2.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
296 hospitals; the 90th percentile is 2.8× 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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314 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $394 | $509 | $188 | 37% | — | $328 – $738 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 3 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 4 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 5 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 6 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 7 | AdventHealth New Smyrna Beach New Smyrna Beach, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 8 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $111 | $111 | $2 | 1% | — | $109 – $112 |
| 9 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 10 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 11 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 12 | Adventhealth Dade City Dade City, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 13 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 14 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 15 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 16 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 17 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 18 | Adventhealth Murray Chatsworth, GA fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 19 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 21 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 22 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 23 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 24 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 25 | Adventhealth Sebring Sebring, FL fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
← Payers reporting HCPCS D0364 · Snapshot 20261112T124536Z-e251e855