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 CT, Ng, Tv Multi Amp Prb
Low
$1
Average
$183
Median
$224
High
$292
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 4.9× 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.
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7 hospital rates
iThe hospitals that file a MultiPlan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 3 | Jennie Stuart Medical Center Hopkinsville, KY facility · fee schedule · outpatient | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 4 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 5 | SoutheastHEALTH Center of Stoddard County LLC dba Mercy Hospital Stoddard Dexter, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 6 | The George Washington University Hospital Washington, DC percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
← Payers reporting CPT 0455U · Snapshot 20261113T090226Z-3ce6c0b8