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 AUTOMATED DIFFERENTIAL
Low
$3
Average
$15
Median
$10
High
$1.5k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1657 hospitals; the 90th percentile is 3.0× 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 | Alegent Health Bergan Mercy Health System Omaha, NE | $26 | $42 | $39 | 93% | 30 | $6 – $128 |
| 2 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $27 | $43 | $39 | 92% | 14–23 | $6 – $128 |
| 3 | Unity Family Healthcare Little Falls, MN | $34 | $34 | $18 | 52% | 4–40 | $6 – $57 |
| 4 | Avera McKennan Hospital Sioux Falls, SD | $10 | $9 | $2 | 27% | 2–20 | $6 – $13 |
| 5 | Brookings Health System Brookings, SD | $6 | $13 | $12 | 89% | 1–10 | $6 – $34 |
| 6 | Barnes Jewish Hospital St. Louis, MO | $14 | $15 | $4 | 30% | 1–10 | $7 – $21 |
| 7 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $10 | $166 | $241 | 145% | 1–10 | $7 – $549 |
| 8 | St. Alexius Medical Center Bismarck, ND | $18 | $27 | $20 | 74% | 1–10 | $6 – $57 |
| 9 | Avera Marshall Hospital Marshall, MN | $8 | $9 | $3 | 31% | 1–10 | $6 – $13 |
| 10 | Alegent Health Immanuel Medical Center Omaha, NE | $23 | $42 | $39 | 94% | 1–10 | $6 – $128 |
Ask Claude or any MCP client for CPT 85004 pricing at a specific hospital — see how to connect.