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 Anrct Mano Rct Sensation&Rct Balo Expulsion Test
Prices here combine facility and professional fees. See them separately →Experimental
Low
$10
Average
$1.7k
Median
$634
High
$28.5k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 31 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Prisma Health Baptist Easley Hospital EASLEY, SC | $768 | $1.2k | $547 | 47% | 2–20 | $656 – $1.8k |
| 2 | Prisma Health Greenville Memorial Hospital GREENVILLE, SC | $768 | $1.2k | $547 | 47% | 2–20 | $656 – $1.8k |
| 3 | Mercy Hospital Oklahoma City Inc City, OK | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN | $153 | $159 | $11 | 7% | — | $153 – $184 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN | $153 | $158 | $10 | 7% | — | $153 – $184 |
| 6 | Kaweah Health Medical Center Visalia, CA | $597 | $597 | — | — | — | $597 – $597 |
| 7 | Prisma Health Tuomey Hospital SUMTER, SC | $566 | $558 | $13 | 2% | — | $539 – $577 |
| 8 | Affinity Hospital LLC Birmingham, AL | $336 | $423 | $123 | 29% | — | $336 – $597 |
| 9 | Prisma Health Richland Hospital COLUMBIA, SC | $752 | $762 | $41 | 5% | — | $693 – $827 |
| 10 | Munson Medical Center Traverse City, MI | $1.1k | $1.1k | $249 | 23% | — | $852 – $1.4k |
Ask Claude or any MCP client for CPT 91125 pricing at a specific hospital — see how to connect.