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
TRML DSTRJ IOS BVN 1ST 2 L/S
Prices here combine facility and professional fees. See them separately →Experimental
Low
$365
Average
$7.4k
Median
$2.4k
High
$37.3k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 31 hospitals; the 90th percentile is 56.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Deaconess Hospital, Inc Newburgh, IN | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
| 2 | Methodist Hospital Hill Country Fredericksburg, TX | $365 | $365 | — | — | — | $365 – $365 |
| 3 | Tristar Centennial Medical Center SPRING HILL, TN | $2.4k | $2.4k | $154 | 7% | — | $2.2k – $2.6k |
| 4 | Tristar Southern Hills Medical Center ANTIOCH, TN | $2.7k | $2.6k | $312 | 12% | — | $2.2k – $2.9k |
| 5 | Tristar Skyline Medical Center NASHVILLE, TN | $2.3k | $2.3k | $121 | 5% | — | $2.2k – $2.5k |
| 6 | Methodist Specialty And Transplant SAN ANTONIO, TX | $365 | $365 | — | — | — | $365 – $365 |
| 7 | Methodist Hospital SAN ANTONIO, TX | $365 | $365 | — | — | — | $365 – $365 |
| 8 | Kaweah Health Medical Center Visalia, CA | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 9 | Methodist Texsan Hospital SAN ANTONIO, TX | $365 | $365 | — | — | — | $365 – $365 |
| 10 | Glenwood Regional Medical Center - HSA West Monroe, LA | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
Ask Claude or any MCP client for CPT 64628 pricing at a specific hospital — see how to connect.