What does code 0628T cost?

Across the published hospital price files, the disclosed cash price for 0628T ranges from $5,685 to $35,622. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

0628T is the billing code hospitals use to identify "Perq njx algc fluor lmbr ea" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

0628T

HCPCS

Perq njx algc fluor lmbr ea

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 0628T (Perq njx algc fluor lmbr ea) appears at 11 hospitals with disclosed cash prices from $5,685 to $35,622. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 0628T prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 0628T vary by about 6.3× across the 3 hospitals with disclosed prices here — from $5,685 to $35,622. Shopping around can matter.

Hospitals

Prices shown

$5,685

Lowest cash

$35,622

Highest cash

code 0628T cash price3 disclosed · 3 hospitals

$5,685median ~$6,232$35,622

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$5,685 – $35,622

Fond Du Lac · 1 hospital$5,685
Lincolnton · 1 hospital$6,232
Los Angeles · 1 hospital$35,622

16 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Perq njx algc fluor lmbr ea Outpatient	Endeavor Health Edward Hospital	0628T HCPCS	—	—	$319 – $322	—
Perq njx algc fluor lmbr ea Outpatient	University of Chicago Medical Center	0628T HCPCS	—	—	—	—
PERC INJ ALLOGENEIC FLUOR LMBR EA Inpatient	Aurora Medical Center Fond du Lac	0628T CPT	$11,370	$5,685	$6,822 – $9,665	—
Outpatient Surgical Group 0 Outpatient	Cedars-Sinai Medical Center	0628T CPT	$54,803	$35,622	$2,807 – $9,828	—
0-PERQ NJX ALGC CELL PRDCT UNI BI FLUOR LMBR EA Outpatient	Jefferson Abington Hospital	0628T CPT	—	—	$139 – $2,667	—
0-PERQ NJX ALGC CELL PRDCT UNI BI FLUOR LMBR EA Outpatient	Jefferson Bucks Hospital	0628T CPT	—	—	$1,181 – $2,422	—
1-Percutaneous injection of allogeneic cellular and or tissue-based product intervertebral disc unilateral or bilateral injection with fluoroscopic Outpatient	Jefferson Bucks Hospital	0628T CPT	—	—	$1,181 – $2,422	—
0-PERQ NJX ALGC CELL PRDCT UNI BI FLUOR LMBR EA Outpatient	Jefferson Cherry Hill Hospital	0628T CPT	—	—	$5,646 – $6,648	—
0--PERQ NJX ALGC CELL --PRDCT UNI-BI FLUOR LMBR EA Outpatient	Jefferson Cherry Hill Hospital	0628T CPT	—	—	$5,646 – $6,648	—
1-Percutaneous injection of allogeneic cellular and or tissue-based product intervertebral disc unilateral or bilateral injection with fluoroscopic Outpatient	Jefferson Cherry Hill Hospital	0628T CPT	—	—	$5,646 – $6,648	—
0-PERQ NJX ALGC CELL PRDCT UNI BI FLUOR LMBR EA Outpatient	Jefferson Frankford Hospital	0628T CPT	—	—	$1,181 – $2,422	—
1-Percutaneous injection of allogeneic cellular and or tissue-based product intervertebral disc unilateral or bilateral injection with fluoroscopic Outpatient	Jefferson Frankford Hospital	0628T CPT	—	—	$1,181 – $2,422	—
1-Percutaneous injection of allogeneic cellular and or tissue-based product intervertebral disc unilateral or bilateral injection with fluoroscopic Outpatient	Jefferson Lansdale Hospital	0628T CPT	—	—	$139 – $2,667	—
0-PERQ NJX ALGC CELL PRDCT UNI BI FLUOR LMBR EA Outpatient	Jefferson Lansdale Hospital	0628T CPT	—	—	$139 – $2,667	—
1-Percutaneous injection of allogeneic cellular and or tissue-based product intervertebral disc unilateral or bilateral injection with fluoroscopic Outpatient	Jefferson Methodist Hospital	0628T CPT	—	—	$2,422 – $5,750	—
HC PERC INJECT LUMBAR DISC EA ADDTL LEVL ALGC CELL PRODUCT Inpatient	Atrium Health Lincoln	0628T CPT	$12,465	$6,232	$3,574 – $11,842	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 0628T prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Aurora Medical Center Fond du Lac Cedars-Sinai Medical Center Jefferson Abington Hospital Jefferson Bucks Hospital Jefferson Cherry Hill Hospital Jefferson Frankford Hospital Jefferson Lansdale Hospital Jefferson Methodist Hospital Atrium Health Lincoln

Code 0628T: frequently asked

What does code 0628T cost?: Across the published hospital price files, the disclosed cash price for 0628T ranges from $5,685 to $35,622. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 0628T?: 0628T is the billing code hospitals use to identify "Perq njx algc fluor lmbr ea" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 0628T by state

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