CPT 0504T
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
Fee Schedule
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$608
Median
$191
High
$13.1k
Showing only prices reported under the fee schedule methodology. Choose another in the filter below to change the chart. 239 hospitals; the 90th percentile is 13.9× 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.
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $43 | $44 | $5 | 11% | — | $39 – $53 |
| 2 | St. Mary's Health, Inc. Evansville, IN | $88 | $104 | $41 | 39% | — | $88 – $209 |
| 3 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $180 | $180 | — | — | — | $180 – $180 |
| 4 | William Beaumont Hospital Grosse Pointe, MI | $68 | $68 | — | — | — | $68 – $68 |
| 5 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $64 | $64 | — | — | — | $64 – $64 |
| 6 | Fairview Health Services Minneapolis, MN | $43 | $44 | $5 | 10% | — | $39 – $53 |
| 7 | Keck Hospital of USC Los Angeles, CA | $575 | $575 | $11 | 2% | — | $564 – $585 |
| 8 | Vanderbilt Bedford Hospital Shelbyville, TN | $33 | $92 | $168 | 183% | — | $0 – $501 |
| 9 | Vanderbilt University Medical Center Nashville, TN | $33 | $92 | $168 | 183% | — | $0 – $501 |
| 10 | OSF Saint Francis Medical Center Peoria, IL | $100 | $100 | — | — | — | $100 – $100 |
Ask Claude or any MCP client for CPT 0504T pricing at a specific hospital — see how to connect.