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
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Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$3.8k
Median
$3.0k
High
$35k
Filter by billing methodology
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. 138 hospitals; the 90th percentile is 7.6× 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.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Inova Fairfax Hospital Falls Church, VA | $7.0k | $7.5k | $763 | 10% | 3–30 | $6.9k – $8.5k |
| 2 | Methodist Lebonheur Germantown Hosp GERMANTOWN, TN | $2.6k | $2.6k | $93 | 4% | 1–10 | $2.2k – $2.7k |
| 3 | Inova Alexandria Hospital Alexandria, VA | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 4 | St Luke's Regional Medical Center, LTD Boise, ID | $3.1k | $3.2k | $88 | 3% | 1–10 | $3.1k – $3.5k |
| 5 | The Charlotte Hungerford Hospital TORRINGTON, CT | $1.2k | $1.2k | $12 | 1% | 1–10 | $1.2k – $1.2k |
| 6 | Banner University Medical Center Tucson Tucson, AZ | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 7 | University of Virginia Haymarket Medical Center Haymarket, VA | $8.4k | $7.9k | $1.0k | 13% | — | $5.9k – $8.4k |
| 8 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $2.8k | $3.2k | $936 | 30% | — | $2.8k – $5.8k |
| 9 | San Joaquin Community Hospital Bakersfield, CA | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 10 | Henry Ford Health Novi, MI | $1.6k | $1.7k | $136 | 8% | — | $1.6k – $1.9k |
Ask Claude or any MCP client for CPT 21558 pricing at a specific hospital — see how to connect.