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
FTH/GFT FR TRNK EACH ADDL
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$1.7k
Median
$985
High
$17.3k
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. 133 hospitals; the 90th percentile is 40.9× 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 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $63 | $70 | $21 | 30% | — | $62 – $129 |
| 2 | Henry Ford Health Novi, MI | $174 | $184 | $15 | 8% | — | $174 – $205 |
| 3 | Mayo Clinic Health System Mankato 56001-4752 | $2.5k | $2.5k | $132 | 5% | — | $2.4k – $2.9k |
| 4 | Northside Hospital, Inc. Lawrenceville, GA | $11.2k | $16.8k | $11.9k | 71% | — | $86 – $50k |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $868 | $868 | — | — | — | $868 – $868 |
| 6 | City Hospital, Inc. Martinsburg, WV | $70 | $79 | $16 | 20% | — | $66 – $116 |
| 7 | Spohn Hospital Beeville Beeville, TX | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Northside Hospital, Inc. Atlanta, GA | $12k | $17.3k | $12.0k | 69% | — | $86 – $50k |
| 9 | Spohn Hospital Alice Alice, TX | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | St. Frances Cabrini Hospital Alexandria, LA | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Ask Claude or any MCP client for CPT 15201 pricing at a specific hospital — see how to connect.