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
Ncntc Nr Ifr Spectrsc Flap/Wnd Img Acquisj I&R
Prices here combine facility and professional fees. See them separately →Experimental
Low
$38
Average
$482
Median
$49
High
$3.5k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 91 hospitals; the 90th percentile is 57.8× 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 | Mercy Hospital Springfield Ozark, MO | $37 | $39 | $8 | 20% | 2–20 | $37 – $71 |
| 2 | Mercy Hospital Springfield Springfield, MO | $37 | $39 | $8 | 20% | 2–20 | $37 – $71 |
| 3 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $38 | $53 | $22 | 40% | — | $38 – $84 |
| 4 | Henry Ford Health Novi, MI | $38 | $41 | $20 | 49% | — | $22 – $114 |
| 5 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $767 | $767 | $118 | 15% | — | $607 – $926 |
| 6 | Claiborne Medical Center Tazewell, TN | $422 | $432 | $64 | 15% | — | $358 – $515 |
| 7 | Sacred Heart Health System, Inc. Joe, FL | $43 | $52 | $15 | 28% | — | $42 – $95 |
| 8 | St. Vincent's Medical Center-Clay County, Inc. Middleburg, FL | $40 | $52 | $15 | 29% | — | $38 – $89 |
| 9 | Mercy Hospital South Louis, MO | $37 | $40 | $9 | 23% | — | $37 – $84 |
| 10 | St. Luke's-St. Vincent's Healthcare, Inc. Jacksonville, FL | $40 | $51 | $15 | 29% | — | $38 – $89 |
Ask Claude or any MCP client for CPT 0640T pricing at a specific hospital — see how to connect.