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
ANRCT MANO RCT SNSATN&BALO
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$997
Median
$505
High
$5.1k
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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. 75 hospitals; the 90th percentile is 11.1× 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 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $357 | $378 | $130 | 34% | 6–60 | $166 – $746 |
| 2 | University of Virginia Medical Center Charlottesville, VA | $374 | $509 | $282 | 55% | 4–40 | $337 – $1.1k |
| 3 | Prisma Health Baptist Easley Hospital EASLEY, SC | $361 | $370 | $43 | 12% | 3–30 | $354 – $651 |
| 4 | Prisma Health Greenville Memorial Hospital GREENVILLE, SC | $361 | $370 | $43 | 12% | 3–30 | $354 – $651 |
| 5 | Saint Alphonsus Regional Medical Center - Boise Boise, ID | $407 | $536 | $236 | 44% | 2–20 | $395 – $1.1k |
| 6 | Arkansas Childrens Hospital Little Rock, AR | $349 | $576 | $393 | 68% | 1–10 | $349 – $1.3k |
| 7 | Childrens Hospital of Los Angeles Angeles, CA | $8 | $8 | $2 | 23% | 1–10 | $3 – $12 |
| 8 | University of Virginia Haymarket Medical Center Haymarket, VA | $386 | $553 | $284 | 51% | — | $386 – $1.1k |
| 9 | Gulf Coast Medical Center FORT MYERS, FL | $683 | $683 | — | — | — | $683 – $683 |
| 10 | Benefis Hospitals Inc Falls, MT | $381 | $479 | $241 | 50% | — | $381 – $1.1k |
Ask Claude or any MCP client for CPT 91125 pricing at a specific hospital — see how to connect.