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
PR PRGRMG EVL LDLS PM 2CHMBR IP
Prices here combine facility and professional fees. See them separately →Experimental
Low
$15
Average
$289
Median
$107
High
$22.1k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 211 hospitals; the 90th percentile is 12.3× 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 | Mayo Clinic Rochester, MN | $211 | $237 | $61 | 26% | 3–30 | $23 – $345 |
| 2 | Mayo Clinic Arizona Phoenix, AZ | $251 | $266 | $33 | 12% | 3–30 | $17 – $334 |
| 3 | Mayo Clinic Health System Owatonna 55060-5503 | $156 | $238 | $96 | 40% | 1–10 | $16 – $355 |
| 4 | Eisenhower Medical Center Rancho Mirage, CA | $88 | $103 | $60 | 58% | 1–10 | $35 – $230 |
| 5 | Mayo Clinic Health System Red Wing 55066-2848 | $161 | $240 | $92 | 38% | 1–10 | $40 – $355 |
| 6 | Piedmont Augusta Augusta, GA | $118 | $135 | $63 | 47% | 1–10 | $43 – $241 |
| 7 | University of Virginia Haymarket Medical Center Haymarket, VA | $61 | $62 | $11 | 18% | — | $44 – $83 |
| 8 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX | $40 | $41 | $7 | 17% | — | $19 – $52 |
| 9 | St Joseph Regional Health Network Reading, PA | $126 | $136 | $40 | 29% | — | $62 – $194 |
| 10 | Deaconess Hospital, Inc Newburgh, IN | $119 | $120 | $32 | 27% | — | $40 – $174 |
Ask Claude or any MCP client for CPT 0804T pricing at a specific hospital — see how to connect.