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
Low
$6
Average
$964
Median
$452
High
$37.0k
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 534 hospitals; the 90th percentile is 4.8× 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 | $900 | $781 | $365 | 47% | 477 | $142 – $1.2k |
| 2 | Martha's Vineyard Hospital Bluffs, MA | $651 | $714 | $268 | 38% | 53–125 | $386 – $1.2k |
| 3 | Mayo Clinic Rochester, MN | $639 | $620 | $81 | 13% | 35–179 | $140 – $812 |
| 4 | Monument Health Rapid City Hospital Inc City, SD | $515 | $471 | $110 | 23% | 32–104 | $146 – $571 |
| 5 | St Luke's Wood River Medical Center, LTD Ketchum, ID | $966 | $869 | $188 | 22% | 31–58 | $637 – $1.1k |
| 6 | Robert Packer Hospital Sayre, PA | $277 | $259 | $136 | 53% | 25 | $76 – $404 |
| 7 | Curators of the University of Missouri Columbia, MO | $343 | $326 | $89 | 27% | 21–210 | $143 – $464 |
| 8 | The Cleveland Clinic Foundation Cleveland, OH | $600 | $635 | $254 | 40% | 20–47 | $153 – $1.2k |
| 9 | Mayo Clinic Health System Mankato 56001-4752 | $945 | $934 | $58 | 6% | 19–46 | $207 – $995 |
| 10 | Sonora Community Hospital Sonora, CA | $513 | $469 | $102 | 22% | 19–190 | $299 – $609 |
Ask Claude or any MCP client for CPT 17004 pricing at a specific hospital — see how to connect.