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
UNLISTED ALL/IMMLG SVC/PX
Prices here combine facility and professional fees. See them separately →Experimental
Low
$22
Average
$284
Median
$32
High
$8.1k
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. 86 hospitals; the 90th percentile is 19.0× 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 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $24 | $33 | $13 | 40% | — | $24 – $52 |
| 2 | Henry Ford Health Novi, MI | $24 | $22 | $6 | 26% | — | $14 – $33 |
| 3 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $472 | $472 | $74 | 16% | — | $372 – $572 |
| 4 | Claiborne Medical Center Tazewell, TN | $200 | $205 | $31 | 15% | — | $170 – $246 |
| 5 | Sacred Heart Health System, Inc. Joe, FL | $27 | $32 | $9 | 28% | — | $26 – $59 |
| 6 | St. Vincent's Medical Center-Clay County, Inc. Middleburg, FL | $25 | $32 | $9 | 29% | — | $24 – $55 |
| 7 | St. Luke's-St. Vincent's Healthcare, Inc. Jacksonville, FL | $25 | $32 | $9 | 29% | — | $24 – $55 |
| 8 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL | $159 | $159 | $5 | 3% | — | $154 – $164 |
| 9 | Monmouth Medical Center Southern Campus Lakewood, NJ | $468 | $468 | $38 | 8% | — | $430 – $506 |
| 10 | Robert Wood Johnson University Hospital Rahway Rahway, NJ | $468 | $468 | $38 | 8% | — | $430 – $506 |
Ask Claude or any MCP client for CPT 95199 pricing at a specific hospital — see how to connect.