CPT 0258U
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
AI PSOR MRNA 50-100 GEN ALG
Prices here combine facility and professional fees. See them separately →Experimental
Low
$29
Average
$6.5k
Median
$4.7k
High
$14.2k
Showing only prices reported under the other methodology. Choose another in the filter below to change the chart. 24 hospitals; the 90th percentile is 282.0× 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 a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Henry Ford Health Novi, MI | $4.0k | $4.3k | $341 | 8% | — | $4.0k – $4.8k |
| 2 | Sacred Heart Health System, Inc. Joe, FL | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 3 | Nationwide Children's Hospital Columbus, OH | $129 | $129 | — | — | — | $129 – $129 |
| 4 | Henry Ford Health Southfield, MI | $4.0k | $4.3k | $341 | 8% | — | $4.0k – $4.8k |
| 5 | University of Florida Health Gainesville, FL | $30 | $30 | — | — | — | $30 – $30 |
| 6 | Sacred Heart Health System, Inc. City, FL | $3.7k | $7.1k | $4.8k | 68% | — | $3.7k – $13.8k |
| 7 | Sacred Heart Health System, Inc. Beach, FL | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 8 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI | $4.6k | $4.7k | $354 | 8% | — | $4.3k – $5.2k |
| 9 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI | $4.6k | $4.7k | $354 | 8% | — | $4.3k – $5.2k |
| 10 | Ascension NE Wisconsin, Inc. Appleton, WI | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
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