Low
$2
Average
$12
Median
$12
High
$21
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Rates differ by insurer. See what each payer pays for this code →Experimental
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hill Regional Hospital Hillsboro, TX | $2 | $2 | $0 | 20% | — | $2 – $3 |
| 2 | McCamey County Hospital District McCamey, TX | $16 | $21 | $17 | 80% | — | $3 – $43 |
Ask Claude or any MCP client for CPT 12104 pricing at a specific hospital — see how to connect.