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
NFCT AGT STI MULT AMP PRB UR
Prices here combine facility and professional fees. See them separately →Experimental
Low
$4
Average
$130
Median
$146
High
$392
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 130 hospitals; the 90th percentile is 34.8× 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 | USA Health University Hospital Mobile, AL | $143 | $150 | $15 | 10% | — | $140 – $193 |
| 2 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX | $150 | $150 | $6 | 4% | — | $143 – $161 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $5 | $5 | $0 | 7% | — | $4 – $5 |
| 4 | Mahnomen Health Center Mahnomen, MN | $150 | $147 | $3 | 2% | — | $143 – $150 |
| 5 | Sanford USD Medical Center Sioux Falls, SD | $147 | $146 | $4 | 3% | — | $136 – $150 |
| 6 | Clovis Community Medical Center Clovis, CA | $143 | $153 | $34 | 22% | — | $143 – $307 |
| 7 | Sauk Prairie Healthcare Prairie du Sac, WI | $143 | $292 | $224 | 77% | — | $143 – $802 |
| 8 | Methodist Medical Center of Illinois Peoria, IL | $143 | $145 | $8 | 5% | — | $143 – $165 |
| 9 | Shannon Medical Center Big Spring Big Spring, TX | $232 | $240 | $72 | 30% | — | $143 – $357 |
| 10 | Davis Medical Center Elkins, WV | $143 | $145 | $3 | 2% | — | $141 – $150 |
Ask Claude or any MCP client for CPT 0455U pricing at a specific hospital — see how to connect.