HCPCS E0628
Low
$778
Average
$934
Median
$934
High
$1.1k
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2 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 | Providence Health System - Southern California Santa Monica, CA fee schedule · outpatient | 1 | $778 | $778 | — | — | — | $778 – $778 |
| 2 | Stanford Health Care Tri-Valley Livermore, CA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
← Payers reporting HCPCS E0628 · Snapshot 20261113T090226Z-3ce6c0b8