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
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm
Low
$0
Average
$1.2k
Median
$775
High
$11.7k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
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. 247 hospitals; the 90th percentile is 6.5× 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $1.6k | $1.6k | — | — | 5–50 | $1.6k – $1.6k |
| 2 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $721 | $806 | $238 | 30% | — | $707 – $1.5k |
| 3 | San Joaquin Community Hospital Bakersfield, CA | $951 | $951 | — | — | — | $951 – $951 |
| 4 | Laird Hospital, Inc. Union, MS | $567 | $578 | $26 | 4% | — | $561 – $646 |
| 5 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $596 | $834 | $337 | 40% | — | $596 – $1.3k |
| 6 | Henry Ford Health Novi, MI | $600 | $558 | $144 | 26% | — | $348 – $828 |
| 7 | The Queens Medical Center Ewa Beach, HI | $869 | $1.2k | $565 | 47% | — | $869 – $2.4k |
| 8 | Mayo Clinic Health System Mankato 56001-4752 | $900 | $901 | $47 | 5% | — | $857 – $1.0k |
| 9 | Northside Hospital, Inc. Lawrenceville, GA | $9.0k | $11.4k | $11.4k | 101% | — | $1.4k – $50k |
| 10 | Gundersen Luthern Medical Center Inc La Crosse, WI | $177 | $177 | — | — | — | $177 – $177 |
Ask Claude or any MCP client for CPT 12046 pricing at a specific hospital — see how to connect.