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
DESTRUCTION LESION 3.1 TO 4.0
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$1.0k
Median
$667
High
$8.2k
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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 8.3× 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 | Samaritan Medical Center Watertown, NY | $561 | $561 | — | — | 4–40 | $561 – $561 |
| 2 | Mayo Clinic Rochester, MN | $895 | $904 | $39 | 4% | 2–20 | $853 – $981 |
| 3 | Stonewall Memorial Hospital 79502, TX | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $596 | $834 | $337 | 40% | — | $596 – $1.3k |
| 5 | Henry Ford Health Novi, MI | $600 | $542 | $155 | 29% | — | $321 – $828 |
| 6 | Evergreen Medical Center Evergreen, AL | $496 | $496 | $126 | 25% | — | $370 – $621 |
| 7 | Northside Hospital, Inc. Lawrenceville, GA | $9.0k | $7.5k | $3.4k | 45% | — | $166 – $12k |
| 8 | Gundersen Luthern Medical Center Inc La Crosse, WI | $72 | $72 | — | — | — | $72 – $72 |
| 9 | Spohn Hospital Beeville Beeville, TX | $469 | $469 | — | — | — | $469 – $469 |
| 10 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $825 | $838 | $23 | 3% | — | $825 – $908 |
Ask Claude or any MCP client for CPT 17284 pricing at a specific hospital — see how to connect.