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
facility
Low
$30
Average
$1.4k
Median
$673
High
$9.8k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 148 hospitals; the 90th percentile is 16.2× 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 | Eskenazi Health Indianapolis, IN | $648 | $648 | — | — | 50–302 | $120 – $3.2k |
| 2 | Prisma Health Greenville Memorial Hospital GREENVILLE, SC | $2.0k | $2.0k | — | — | 2–20 | $128 – $2.0k |
| 3 | Prisma Health Baptist Easley Hospital EASLEY, SC | $2.0k | $2.0k | — | — | 2–20 | $128 – $2.0k |
| 4 | MVHS, Inc. Utica, NY | $86 | $86 | — | — | 2–20 | $37 – $1.5k |
| 5 | Piedmont Newnan Newnan, GA | $2.2k | $2.2k | $407 | 18% | 1–10 | $322 – $3.4k |
| 6 | Piedmont Rockdale Conyers, GA | $2.2k | $2.2k | $407 | 18% | 1–10 | $412 – $3.4k |
| 7 | Meriter Hospital, Inc Madison, WI | $3.3k | $3.2k | $723 | 22% | — | $1.8k – $3.9k |
| 8 | Tristar Centennial Medical Center SPRING HILL, TN | $805 | $846 | $105 | 12% | — | $291 – $3.4k |
| 9 | Tristar Summit Medical Center MT JULIET, TN | $832 | $863 | $93 | 11% | — | $224 – $3.4k |
| 10 | Tristar Ashland City Medical Center Ashland City, TN | $537 | $674 | $224 | 33% | — | $495 – $3.4k |
Ask Claude or any MCP client for CPT 11104 pricing at a specific hospital — see how to connect.