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
Quan mr alys tiss w/o mri
Fond Du Lac, WI
See all hospitals reporting CPT 0648T →Price type
Agnesian Healthcare Inc.’s median price of $690 is 30% below the median hospital's median price ($991), higher than 17% of the 1,101 hospitals reporting CPT 0648T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 6 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos fee schedule · outpatient | $328.24 | $328.24 | $328.24 – $328.24 |
| 2 | Blue Cross Blue Shield blue access ppo fee schedule · outpatient | $354.64 | $354.64 | $354.64 – $354.64 |
| 3 | Blue Cross Blue Shield blue traditional traditional fee schedule · outpatient | $354.64 | $354.64 | $354.64 – $354.64 |
| 4 | Molina medicare managed care plan fee schedule · outpatient | $690.16 | $690.16 | $690.16 – $690.16 |
| 5 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $920.22 | $920.22 | $920.22 – $920.22 |
| 6 | WellCare medicare managed care plan fee schedule · outpatient | $938.62 | $938.62 | $938.62 – $938.62 |
Last updated: Apr 1, 2026
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