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
Intro Any Hemostatic Agent/Pack Vag Hemrrg Spx
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$767
Median
$270
High
$11.7k
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. 222 hospitals; the 90th percentile is 7.8× 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 | Northwestern Memorial Hospital Chicago, IL | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 2 | PeaceHealth Southwest Medical Center Vancouver, WA | $240 | $296 | $154 | 52% | 1–10 | $90 – $727 |
| 3 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $197 | $221 | $65 | 30% | — | $193 – $404 |
| 4 | San Joaquin Community Hospital Bakersfield, CA | $260 | $260 | — | — | — | $260 – $260 |
| 5 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $196 | $274 | $111 | 40% | — | $196 – $431 |
| 6 | Henry Ford Health Novi, MI | $197 | $183 | $47 | 26% | — | $114 – $272 |
| 7 | The Queens Medical Center Ewa Beach, HI | $238 | $328 | $155 | 47% | — | $238 – $665 |
| 8 | Northside Hospital, Inc. Lawrenceville, GA | $9.0k | $11.3k | $11.5k | 102% | — | $407 – $50k |
| 9 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $226 | $229 | $6 | 3% | — | $226 – $248 |
| 10 | Northside Hospital, Inc. Atlanta, GA | $9.1k | $11.7k | $11.9k | 102% | — | $407 – $50k |
Ask Claude or any MCP client for CPT 57180 pricing at a specific hospital — see how to connect.