CPT 49204
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
EXC ABD TUM OVER 5 CM
Prices here combine facility and professional fees. See them separately →Experimental
Low
$402
Average
$5.2k
Median
$2.9k
High
$17.5k
Showing only prices reported under the per diem methodology. Choose another in the filter below to change the chart. 10 hospitals; the 90th percentile is 19.1× 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 per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Sauk Prairie Healthcare Prairie du Sac, WI | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 2 | MercyOne Genesis DeWitt Medical Center DeWitt, IA | $2.7k | $2.1k | $825 | 39% | — | $928 – $2.7k |
| 3 | Fairfield Medical Center Lancaster, OH | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 4 | Memorial Hospital Miramar Miramar, FL | $718 | $718 | — | — | — | $718 – $718 |
| 5 | Dukes Health System LLC Peru, IN | $885 | $885 | $105 | 12% | — | $780 – $990 |
| 6 | Dupont Hospital LLC Wayne, IN | $2.9k | $2.9k | $342 | 12% | — | $2.5k – $3.2k |
| 7 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $2.9k | $2.9k | $342 | 12% | — | $2.5k – $3.2k |
| 8 | MercyOne Genesis Aledo Medical Center Aledo, IL | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 9 | Meriter Hospital, Inc Madison, WI | $9.1k | $9.0k | $1.9k | 21% | — | $7.0k – $10.9k |
| 10 | Columbus Regional Hospital Columbus, IN | $402 | $402 | — | — | — | $402 – $402 |
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