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
RESPIR SYNCYTIAL VRS AB - DFA
Low
$0
Average
$50
Median
$22
High
$605
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Prices here combine facility and professional fees. See them separately →Experimental
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. 146 hospitals; the 90th percentile is 7.3× 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 | USC Arcadia Hospital Arcadia, CA | $121 | $100 | $60 | 60% | 54 | $18 – $161 |
| 2 | Bullhead City Hospital Corporation City, AZ | $16 | $104 | $333 | 321% | 50–77 | $9 – $1.4k |
| 3 | Piney Woods Healthcare System LP Lufkin, TX | $29 | $30 | $10 | 34% | 4–40 | $12 – $40 |
| 4 | Oktibbeha County Hospital STARKVILLE, MS | $16 | $16 | $8 | 51% | 4–40 | $7 – $33 |
| 5 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $16 | $22 | $9 | 40% | — | $16 – $35 |
| 6 | Henry Ford Health Novi, MI | $16 | $15 | $4 | 25% | — | $9 – $23 |
| 7 | The Queens Medical Center Ewa Beach, HI | $16 | $22 | $10 | 47% | — | $16 – $44 |
| 8 | Northside Hospital, Inc. Lawrenceville, GA | $19 | $39 | $27 | 69% | — | $17 – $74 |
| 9 | Metro Knoxville HMA LLC Powell, TN | $20 | $20 | $3 | 16% | — | $16 – $24 |
| 10 | Northside Hospital, Inc. Atlanta, GA | $19 | $39 | $27 | 68% | — | $17 – $74 |
Ask Claude or any MCP client for CPT 86756 pricing at a specific hospital — see how to connect.