CPT 83904
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
SEQUENCE SEG 3
Prices here combine facility and professional fees. See them separately →Experimental
Low
$18
Average
$967
Median
$42
High
$27.9k
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 31 hospitals; the 90th percentile is 5.5× 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.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | El Paso Children's Hospital El Paso, TX | $97 | $92 | $46 | 50% | 217 | $22 – $284 |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $40 | $41 | $11 | 27% | — | $13 – $59 |
| 3 | Seattle Children's Hospital Seattle, WA | $32 | $31 | $4 | 15% | — | $15 – $36 |
| 4 | Fairfield Medical Center Lancaster, OH | $26.1k | $27.9k | $3.2k | 12% | — | $25.9k – $33.5k |
| 5 | Deaconess Health System Gibson General Hospital Princeton, IN | $40 | $41 | $13 | 31% | — | $13 – $60 |
| 6 | Deaconess Illinois Crossroads Inc Mount Vernon, IL | $53 | $46 | $15 | 32% | — | $13 – $59 |
| 7 | Boone Memorial Hospital Madison, WV | $124 | $110 | $45 | 41% | — | $50 – $158 |
| 8 | Doylestown Hospital Doylestown, PA | $75 | $95 | $68 | 72% | — | $20 – $225 |
| 9 | Albany Medical Center Hospital Albany, NY | $24 | $22 | $5 | 23% | — | $14 – $26 |
| 10 | Westchester Medical Center Valhalla, NY | $134 | $135 | $36 | 27% | — | $59 – $198 |
Ask Claude or any MCP client for CPT 83904 pricing at a specific hospital — see how to connect.