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
Pdt Dstr Prmlg Les Skn Illum/Activj by Phys/Qhp
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$983
Median
$237
High
$17.1k
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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. 144 hospitals; the 90th percentile is 7.6× 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 | Massachusetts Eye and Ear Boston, MA | $236 | $227 | $15 | 7% | 19–46 | $202 – $236 |
| 2 | Samaritan Medical Center Watertown, NY | $252 | $227 | $34 | 15% | 7–70 | $172 – $259 |
| 3 | Brigham and Women's Hospital Boston, MA | $236 | $236 | — | — | 3–30 | $236 – $236 |
| 4 | The Carle Foundation Hospital Urbana, IL | $193 | $193 | — | — | 1–10 | $193 – $193 |
| 5 | University of Virginia Haymarket Medical Center Haymarket, VA | $208 | $297 | $153 | 51% | — | $208 – $580 |
| 6 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $196 | $219 | $65 | 30% | — | $192 – $401 |
| 7 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $193 | $271 | $109 | 40% | — | $193 – $426 |
| 8 | Henry Ford Health Novi, MI | $195 | $180 | $49 | 28% | — | $113 – $269 |
| 9 | Northside Hospital, Inc. Lawrenceville, GA | $12k | $16.7k | $11.0k | 66% | — | $180 – $33.3k |
| 10 | Gundersen Luthern Medical Center Inc La Crosse, WI | $72 | $72 | — | — | — | $72 – $72 |
Ask Claude or any MCP client for CPT 96573 pricing at a specific hospital — see how to connect.