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
RMV NTR OI IMP SK TC>=100
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$4.1k
Median
$3.0k
High
$35k
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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. 86 hospitals; the 90th percentile is 6.4× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hartford Hospital HARTFORD, CT | $1.3k | $1.3k | $13 | 1% | 2–20 | $1.3k – $1.4k |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $9.0k | $7.8k | $3.0k | 39% | — | $495 – $12k |
| 3 | Spohn Hospital Beeville Beeville, TX | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 4 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $3.7k | $3.7k | $103 | 3% | — | $3.7k – $4.0k |
| 5 | Northside Hospital, Inc. Atlanta, GA | $9.1k | $7.9k | $3.2k | 40% | — | $495 – $12k |
| 6 | Spohn Hospital Alice Alice, TX | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 7 | St. Frances Cabrini Hospital Alexandria, LA | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 8 | University Medical Center of Southern Nevada Las Vegas, NV | $4.3k | $3.1k | $1.8k | 57% | — | $590 – $4.3k |
| 9 | Fairfield Medical Center Lancaster, OH | $8.6k | $8.6k | $2.1k | 25% | — | $6.5k – $10.7k |
| 10 | Nationwide Children's Hospital Columbus, OH | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Ask Claude or any MCP client for CPT 69728 pricing at a specific hospital — see how to connect.