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
Dstrctn Premalg 15+ Lsns
Based on 2,207–5,195 billing samples across every hospital reporting.
Low
$16
Average
$1.1k
Median
$671
High
$9.0k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 1784 hospitals; the 90th percentile is 10.2× 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 | The Carle Foundation Hospital Urbana, IL | $436 | $580 | $375 | 65% | 479–497 | $83 – $1.2k |
| 2 | Brigham and Women's Hospital Boston, MA | $440 | $448 | $184 | 41% | 273–543 | $178 – $961 |
| 3 | Samaritan Medical Center Watertown, NY | $506 | $462 | $490 | 106% | 176–284 | $76 – $3.1k |
| 4 | Jennie Stuart Medical Center Hopkinsville, KY | $356 | $296 | $139 | 47% | 154–217 | $90 – $627 |
| 5 | Robert Packer Hospital Sayre, PA | $439 | $401 | $225 | 56% | 150 | $76 – $1.3k |
| 6 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $410 | $523 | $446 | 85% | 137–200 | $69 – $1.8k |
| 7 | Eisenhower Medical Center Rancho Mirage, CA | $161 | $240 | $178 | 74% | 110–119 | $101 – $1.1k |
| 8 | Mercy Health Hackley Campus Muskegon, MI | $187 | $184 | $70 | 38% | 86–275 | $87 – $672 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA | $107 | $204 | $164 | 80% | 82–136 | $63 – $881 |
| 10 | Mayo Clinic Health System Eau Claire 54703-5270 | $887 | $812 | $207 | 25% | 58–85 | $90 – $934 |
Ask Claude or any MCP client for CPT 17004 pricing at a specific hospital — see how to connect.