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
Auto Diff WBC Count MCD
Low
$0
Average
$35
Median
$9
High
$1.5k
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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. 177 hospitals; the 90th percentile is 8.0× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Pella Regional Health Center Pella, IA | $49 | $49 | $26 | 54% | 24–42 | $21 – $75 |
| 2 | Fairview Health Services Edina, MN | $49 | $47 | $17 | 36% | 6–60 | $25 – $66 |
| 3 | Allina Health Systems Cambridge, MN | $17 | $17 | $7 | 40% | 5–50 | $6 – $35 |
| 4 | Allina Health Systems Buffalo, MN | $17 | $17 | $7 | 40% | 5–50 | $6 – $35 |
| 5 | Allina Health Systems Owatonna, MN | $17 | $17 | $7 | 43% | 4–40 | $6 – $35 |
| 6 | Allina Health Systems Faribault, MN | $17 | $17 | $7 | 43% | 4–40 | $6 – $35 |
| 7 | Allina Health Systems Shakopee, MN | $17 | $16 | $6 | 37% | 3–30 | $6 – $27 |
| 8 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $6 | $9 | $4 | 40% | 3–30 | $6 – $16 |
| 9 | Grand Itasca Clinic and Hospital Grand Rapids, MN | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 10 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI | $6 | $6 | — | — | 2–20 | $6 – $6 |
Ask Claude or any MCP client for CPT 85004 pricing at a specific hospital — see how to connect.