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 Special Service or Report
Low
$1
Average
$648
Median
$25
High
$25k
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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. 65 hospitals; the 90th percentile is 275.4× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Guthrie Cortland Medical Center Cortland, NY | $23 | $26 | $15 | 55% | 25–34 | $5 – $73 |
| 2 | Range Regional Health Services Hibbing, MN | $3.1k | $3.1k | $3.0k | 96% | 20–200 | $131 – $6.1k |
| 3 | Grand Itasca Clinic and Hospital Grand Rapids, MN | $3.1k | $3.1k | $3.0k | 96% | 14–140 | $131 – $6.1k |
| 4 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX | $1 | $1 | — | — | 9–90 | $1 – $1 |
| 5 | Corning Hospital Corning, NY | $19 | $19 | — | — | 7–70 | $19 – $19 |
| 6 | Robert Packer Hospital Sayre, PA | $12 | $102 | $181 | 177% | 6–60 | $12 – $476 |
| 7 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY | $12 | $11 | $2 | 20% | 3–30 | $6 – $12 |
| 8 | MultiCare Auburn Medical Center Auburn, WA | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 9 | MultiCare Capital Medical Center Olympia, WA | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 10 | Good Samaritan Hospital Puyallup, WA | $25 | $25 | — | — | 1–10 | $25 – $25 |
Ask Claude or any MCP client for CPT 99199 pricing at a specific hospital — see how to connect.