CPT 01904
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-SKULL X-RAY INJECT
Prices here combine facility and professional fees. See them separately →Experimental
Low
$20
Average
$771
Median
$21
High
$30.8k
Showing prices across every billing methodology. Pick one in the filter below to narrow the chart. 42 hospitals; the 90th percentile is 3.4× 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.
Filter by billing methodology
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mayo Regional Hospital Dover Foxcroft, ME | $75 | $70 | $9 | 12% | — | $60 – $79 |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $81 | $76 | $18 | 24% | — | $53 – $93 |
| 3 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Fairfield Medical Center Lancaster, OH | $25k | $30.8k | $13.9k | 45% | — | $17.5k – $50k |
| 5 | IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT | $21 | $21 | — | — | — | $21 – $21 |
| 6 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Maine Coast Regional Health Facilities Ellsworth, ME | $75 | $70 | $9 | 12% | — | $60 – $79 |
| 8 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Deaconess Illinois Crossroads Inc Mount Vernon, IL | $40 | $40 | — | — | — | $40 – $40 |
| 10 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT | $21 | $21 | — | — | — | $21 – $21 |
Ask Claude or any MCP client for CPT 01904 pricing at a specific hospital — see how to connect.