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
Demo&/Eval of Pt Utiliz Aersl Gen/Neb/Inhlr/IP
Low
$1
Average
$332
Median
$231
High
$20.5k
Filter by billing methodology
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. 551 hospitals; the 90th percentile is 5.1× 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 | Covenant Medical Center Inc Saginaw, MI | $57 | $110 | $92 | 84% | 634–643 | $56 – $269 |
| 2 | Baystate Franklin Medical Center Greenfield, MA | $600 | $600 | — | — | 430 | $600 – $600 |
| 3 | Delta County Memorial Hospital DELTA, CO | $231 | $199 | $67 | 33% | 369–450 | $66 – $243 |
| 4 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $359 | $330 | $132 | 40% | 241–295 | $125 – $494 |
| 5 | Self Regional Healthcare Greenwood, SC | $135 | $842 | $1.7k | 207% | 139–184 | $93 – $5.1k |
| 6 | Prisma Health Baptist Easley Hospital EASLEY, SC | $208 | $174 | $100 | 57% | 121–175 | $83 – $685 |
| 7 | Prisma Health Greenville Memorial Hospital GREENVILLE, SC | $208 | $174 | $100 | 57% | 121–175 | $83 – $685 |
| 8 | Catholic Health Iniatives Colorado Westminster, CO | $100 | $142 | $106 | 75% | 108–171 | $35 – $419 |
| 9 | Oktibbeha County Hospital STARKVILLE, MS | $184 | $155 | $117 | 75% | 91–127 | $33 – $451 |
| 10 | Key West HMA LLC Key West, FL | $343 | $291 | $103 | 35% | 77–95 | $70 – $379 |
Ask Claude or any MCP client for CPT 94664 pricing at a specific hospital — see how to connect.