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
XR MYELOGRAM LUMBAR S&I
Low
$1
Average
$1.8k
Median
$1.5k
High
$12.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1819 hospitals; the 90th percentile is 6.3× 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.
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3,358 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $116 | $116 | — | — | 189 | $116 – $116 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $116 | $116 | — | — | 148 | $116 – $116 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $7.7k | $10.2k | $6.5k | 64% | 81–90 | $749 – $19.2k |
| 4 | Palos Community Hospital Palos Heights, IL per diem · outpatient | 2 | $232 | $232 | $12 | 5% | 24 | $220 – $244 |
| 5 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $8.1k | $8.1k | $4.0k | 49% | 24 | $4.1k – $12.1k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 23 | $1.0k – $1.0k |
| 7 | Northwestern Medicine Central DuPage Hospital Winfield, IL per diem · outpatient | 2 | $215 | $215 | $31 | 14% | 22 | $184 – $245 |
| 8 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $1.9k | $1.9k | $1.1k | 57% | 15–24 | $830 – $3.0k |
| 9 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient | 3 | $1.2k | $1.3k | $462 | 36% | 13 | $770 – $1.9k |
| 10 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $12.7k | $12.7k | $5.0k | 39% | 11 | $7.7k – $17.7k |
| 11 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 13 | $508 | $1.4k | $1.0k | 75% | 6–60 | $406 – $2.7k |
| 12 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $2.3k | $2.4k | $1.4k | 59% | 3–30 | $786 – $4.8k |
| 13 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 4 | $2.3k | $2.4k | $1.4k | 59% | 3–30 | $786 – $4.8k |
| 14 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $642 | $642 | — | — | 2–20 | $642 – $642 |
| 15 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 2 | $833 | $833 | $116 | 14% | 2–20 | $717 – $949 |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $546 | $546 | $257 | 47% | 2–20 | $288 – $803 |
| 17 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $741 | $741 | — | — | 2–20 | $741 – $741 |
| 18 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $2.3k | $2.3k | — | — | 2–20 | $2.3k – $2.3k |
| 19 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | $5 | 0% | 2–20 | $2.2k – $2.2k |
| 20 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 3 | $770 | $1.4k | $834 | 61% | 2–20 | $770 – $2.5k |
| 21 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 3 | $770 | $1.4k | $834 | 61% | 2–20 | $770 – $2.5k |
| 22 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL per diem · outpatient | 2 | $232 | $232 | $12 | 5% | 2–20 | $220 – $244 |
| 23 | Northwestern Lake Forest Hospital Grayslake, IL per diem · outpatient | 2 | $232 | $232 | $12 | 5% | 2–20 | $220 – $244 |
| 24 | Northwestern Medicine Delnor Hospital Geneva, IL per diem · outpatient | 2 | $232 | $232 | $12 | 5% | 2–20 | $220 – $244 |
| 25 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL per diem · outpatient | 2 | $215 | $215 | $31 | 14% | 2–20 | $184 – $245 |
← Payers reporting CPT 62304 · Snapshot 20261112T181611Z-3fa9fb76