CPT 19103
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
BX BRST-PERC VAC/ROTAT DEV W/G
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$6.4k
Median
$822
High
$37.0k
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 48 hospitals; the 90th percentile is 113.6× 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.
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Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | UPMC Washington Washington, PA | $457 | $490 | $175 | 36% | — | $223 – $820 |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $678 | $684 | $182 | 27% | — | $226 – $994 |
| 3 | Baptist Memorial Hospital-North Mississippi Oxford, MS | $1.5k | $1.5k | $448 | 30% | — | $542 – $2.2k |
| 4 | Northside Hospital, Inc. Lawrenceville, GA | $35k | $37.0k | $10.5k | 28% | — | $18.6k – $50k |
| 5 | Northside Hospital, Inc. Atlanta, GA | $32.4k | $30.6k | $6.3k | 21% | — | $18.6k – $37.5k |
| 6 | AnMed Health Cannon Pickens, SC | $366 | $512 | $572 | 112% | — | $7 – $2.1k |
| 7 | University of Iowa Health Care Medical Center Iowa City, IA | $1 | $1 | $0 | 26% | — | $0 – $1 |
| 8 | Fairfield Medical Center Lancaster, OH | $26.1k | $27.9k | $3.2k | 12% | — | $25.9k – $33.5k |
| 9 | Baptist Memorial Hospital-DeSoto Southaven, MS | $1.2k | $1.3k | $352 | 28% | — | $489 – $2.0k |
| 10 | Deaconess Health System Gibson General Hospital Princeton, IN | $678 | $684 | $211 | 31% | — | $226 – $1.0k |
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