CPT 0104A
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
Fee Schedule
Prices here combine facility and professional fees. See them separately →Experimental
Low
$19
Average
$67
Median
$47
High
$187
Showing only prices reported under the fee schedule methodology. Choose another in the filter below to change the chart. 99 hospitals; the 90th percentile is 3.7× 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.
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $41 | $43 | $4 | 10% | — | $40 – $51 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Westfield Memorial Hospital Inc WESTFIELD, NY | $44 | $44 | — | — | — | $44 – $44 |
| 4 | Sanford USD Medical Center Sioux Falls, SD | $40 | $40 | — | — | — | $40 – $40 |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Fairview Health Services Minneapolis, MN | $41 | $43 | $4 | 9% | — | $40 – $51 |
| 7 | Davis Medical Center Elkins, WV | $42 | $42 | — | — | — | $42 – $42 |
| 8 | Albany General Hospital Albany, OR | $165 | $165 | — | — | — | $165 – $165 |
| 9 | Catholic Health Initiatives Colorado West Valley City, UT | $71 | $69 | $11 | 16% | — | $53 – $82 |
| 10 | Garnet Health Medical Center Middletown, NY | $146 | $146 | — | — | — | $146 – $146 |
Ask Claude or any MCP client for CPT 0104A pricing at a specific hospital — see how to connect.