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
LE LATEX
Low
$5
Average
$152
Median
$85
High
$27.9k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 1215 hospitals; the 90th percentile is 7.0× 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 | ARH Mary Breckinridge Health Services, Inc Martin, KY | $30 | $59 | $43 | 72% | 83–110 | $30 – $130 |
| 2 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY | $24 | $53 | $42 | 79% | 43 | $24 – $124 |
| 3 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ | $194 | $190 | $95 | 50% | 35–71 | $33 – $341 |
| 4 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ | $194 | $190 | $95 | 50% | 35–71 | $33 – $341 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA | $141 | $175 | $89 | 51% | 27–270 | $107 – $540 |
| 6 | Covenant Medical Center Inc Saginaw, MI | $13 | $18 | $14 | 77% | 23–230 | $5 – $71 |
| 7 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $79 | $94 | $75 | 80% | 18–180 | $8 – $319 |
| 8 | Valley Regional Hospital CLAREMONT, NH | $74 | $71 | $18 | 25% | 14–140 | $26 – $93 |
| 9 | Capital Health System Inc Pennington, NJ | $108 | $360 | $617 | 172% | 12–120 | $6 – $2.6k |
| 10 | Norton Hospitals INC Louisville, KY | $234 | $206 | $88 | 43% | 10–100 | $60 – $337 |
Ask Claude or any MCP client for CPT 86403 pricing at a specific hospital — see how to connect.