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
Peritoneal Lavage W/WO Imaging Guidance|DISTINCT PROCEDURAL SERVICE
Low
$7
Average
$1.4k
Median
$1.0k
High
$20.8k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1544 hospitals; the 90th percentile is 13.5× 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 | John Muir Health Walnut Creek, CA | $14.3k | $13.2k | $7.1k | 54% | 1–10 | $82 – $21.4k |
| 2 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $1.1k | $1.4k | $965 | 71% | — | $162 – $4.1k |
| 3 | Beth Israel Deaconess Hospital - Needham Needham, MA | $1.8k | $1.8k | $367 | 20% | — | $1.5k – $2.2k |
| 4 | Ingalls Memorial Hospital Harvey, IL | $2.5k | $2.7k | $1.8k | 64% | — | $972 – $5.0k |
| 5 | USA Health University Hospital Mobile, AL | $672 | $688 | $29 | 4% | — | $672 – $739 |
| 6 | Fairview Health Services Edina, MN | $314 | $540 | $751 | 139% | — | $68 – $4.0k |
| 7 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX | $957 | $1.0k | $326 | 32% | — | $335 – $2.0k |
| 8 | Hca Florida West Hospital PENSACOLA, FL | $3.0k | $3.0k | $2.2k | 72% | — | $827 – $5.3k |
| 9 | Mayo Regional Hospital Dover Foxcroft, ME | $134 | $523 | $1.3k | 242% | — | $97 – $5.1k |
| 10 | Corewell Health Ludington Hospital Ludington, MI | $949 | $1.2k | $331 | 29% | — | $904 – $1.6k |
Ask Claude or any MCP client for CPT 49084 pricing at a specific hospital — see how to connect.