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
ANESTH RADICAL MAST MOD
Prices here combine facility and professional fees. See them separately →Experimental
Low
$18
Average
$1.8k
Median
$70
High
$20.8k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 52 hospitals; the 90th percentile is 320.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northern Itasca Hospital District Bigfork, MN | $56 | $45 | $16 | 37% | — | $21 – $56 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $75 | $70 | $9 | 12% | — | $60 – $79 |
| 3 | Northside Hospital, Inc. Lawrenceville, GA | $69 | $60 | $30 | 50% | — | $19 – $129 |
| 4 | Northside Hospital, Inc. Atlanta, GA | $79 | $82 | $13 | 16% | — | $66 – $103 |
| 5 | University Medical Center of Southern Nevada Las Vegas, NV | $60 | $42 | $20 | 47% | — | $20 – $63 |
| 6 | Fairfield Medical Center Lancaster, OH | $372 | $372 | — | — | — | $372 – $372 |
| 7 | Nationwide Children's Hospital Columbus, OH | $308 | $308 | — | — | — | $308 – $308 |
| 8 | University of Texas MD Anderson Cancer Center Houston, TX | $38 | $47 | $29 | 61% | — | $18 – $106 |
| 9 | CentraState Medical Center Freehold Township, NJ | $7.6k | $7.7k | $529 | 7% | — | $7.2k – $10.6k |
| 10 | Jewish Hospital Llc Cincinnati, OH | $6.5k | $6.5k | $65 | 1% | — | $6.5k – $6.6k |
Ask Claude or any MCP client for CPT 00404 pricing at a specific hospital — see how to connect.