CPT 0404T
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
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Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$8.5k
Median
$6.1k
High
$54.5k
Showing only prices reported under the fee schedule methodology. Choose another in the filter below to change the chart. 322 hospitals; the 90th percentile is 27.9× 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
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Kadlec Regional Medical Center Richland, WA | $24.9k | $24.9k | — | — | — | $24.9k – $24.9k |
| 2 | St. Mary's Health, Inc. Evansville, IN | $461 | $554 | $236 | 43% | — | $461 – $1.2k |
| 3 | William Beaumont Hospital Grosse Pointe, MI | $870 | $870 | — | — | — | $870 – $870 |
| 4 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $940 | $940 | — | — | — | $940 – $940 |
| 5 | Henry Ford Health Novi, MI | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | Westfield Memorial Hospital Inc WESTFIELD, NY | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 8 | Sanford USD Medical Center Sioux Falls, SD | $6.1k | $4.9k | $1.9k | 39% | — | $2.2k – $6.3k |
| 9 | MemorialCare Saddleback Medical Center Laguna Hills, CA | $4.9k | $5.3k | $1.0k | 20% | — | $4.3k – $6.8k |
| 10 | Gundersen Luthern Medical Center Inc La Crosse, WI | $2.7k | $3.8k | $3.6k | 93% | — | $2.7k – $15.1k |
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