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
Rpr 1st Ingun Hrna Preterm Inft Incarcerated|LEFT SIDE
Low
$838
Average
$905
Median
$916
High
$950
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4 hospital rates
iThe hospitals that file a Carefirst rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $929 | $950 | $44 | 5% | — | $910 – $1.0k |
| 2 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $838 | $838 | $60 | 7% | — | $778 – $897 |
| 3 | RESTON HOSPITAL CENTER Reston, VA case rate · outpatient | 2 | $916 | $916 | — | — | — | $916 – $916 |
| 4 | STONESPRINGS HOSPITAL CENTER Dulles, VA case rate · outpatient | 2 | $916 | $916 | — | — | — | $916 – $916 |
← Payers reporting CPT 49492 · Snapshot 20261112T181611Z-3fa9fb76