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
HC SUGARS MULTI QUAL EA SPEC 4901UA
Based on 222–654 billing samples across every hospital reporting.
Low
$3
Average
$50
Median
$10
High
$11.7k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 1681 hospitals; the 90th percentile is 17.6× 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 | Boston Children's Hospital Boston, MA | $45 | $69 | $50 | 73% | 174 | $22 – $192 |
| 2 | St Louis Childrens Hospital Saint Louis, MO | $258 | $218 | $108 | 50% | 10–100 | $6 – $325 |
| 3 | Mayo Clinic Rochester, MN | $111 | $117 | $28 | 24% | 6–60 | $5 – $146 |
| 4 | Norton Hospitals INC Louisville, KY | $67 | $123 | $119 | 97% | 6–60 | $6 – $372 |
| 5 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $11 | $12 | $7 | 58% | 5–50 | $5 – $27 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA | $42 | $38 | $17 | 44% | 4–40 | $8 – $61 |
| 7 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV | $240 | $182 | $83 | 46% | 3–30 | $64 – $240 |
| 8 | Children's Healthcare of Atlanta Atlanta, GA | $42 | $38 | $17 | 44% | 2–20 | $8 – $61 |
| 9 | Fairview Health Services Minneapolis, MN | $11 | $58 | $89 | 155% | 2–20 | $5 – $336 |
| 10 | Vanderbilt University Medical Center Nashville, TN | $10 | $125 | $212 | 170% | 2–20 | $0 – $862 |
Ask Claude or any MCP client for CPT 84377 pricing at a specific hospital — see how to connect.