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
HC FORM PEDCL FACE/NK/AX/EXG/EXT
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$2.8k
Median
$2.2k
High
$35k
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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. 166 hospitals; the 90th percentile is 6.0× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN | $4.8k | $4.9k | $2.4k | 49% | 4–40 | $2.4k – $7.9k |
| 2 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $2.3k | $2.3k | $324 | 14% | 1–10 | $1.1k – $2.5k |
| 3 | Brigham and Women's Hospital Boston, MA | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 4 | Northwest Hospital LLC Tucson, AZ | $2.9k | $3.1k | $1.9k | 62% | 1–10 | $1.2k – $6.5k |
| 5 | Wheeling Hospital, Inc. Wheeling, WV | $2.1k | $2.6k | $1.7k | 65% | 1–10 | $913 – $8.4k |
| 6 | Boston Medical Center South Brockton, MA | $2.5k | $2.6k | $275 | 11% | 1–10 | $2.5k – $3.7k |
| 7 | Inova Fairfax Hospital Falls Church, VA | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 8 | University of Virginia Haymarket Medical Center Haymarket, VA | $6.0k | $5.6k | $713 | 13% | — | $4.2k – $6.0k |
| 9 | San Joaquin Community Hospital Bakersfield, CA | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 10 | Henry Ford Health Novi, MI | $1.1k | $1.1k | $90 | 8% | — | $1.1k – $1.3k |
Ask Claude or any MCP client for CPT 15574 pricing at a specific hospital — see how to connect.