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
PREV VISIT EST AGE 5-11
Low
$0
Average
$667
Median
$119
High
$33.8k
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. 145 hospitals; the 90th percentile is 7.2× 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 | Stony Brook University Hospital Stony Brook, NY | $223 | $194 | $60 | 31% | 858–966 | $55 – $4.3k |
| 2 | Baystate Franklin Medical Center Greenfield, MA | $183 | $183 | — | — | 665 | $183 – $183 |
| 3 | Wheeling Hospital, Inc. Wheeling, WV | $40 | $55 | $24 | 44% | 632–731 | $39 – $103 |
| 4 | Herbert J Thomas Memorial Hospital Association South Charleston, WV | $86 | $85 | $30 | 35% | 255–273 | $55 – $116 |
| 5 | Self Regional Healthcare Greenwood, SC | $130 | $108 | $44 | 41% | 253 | $20 – $368 |
| 6 | Samaritan Medical Center Watertown, NY | $118 | $119 | $32 | 27% | 198–450 | $69 – $763 |
| 7 | Tacoma General Allenmore Hospital Tacoma, WA | $196 | $196 | $12 | 6% | 118 | $114 – $208 |
| 8 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $32 | $32 | $31 | 98% | 110–173 | $0 – $448 |
| 9 | Oneida Health ONEIDA, NY | $123 | $131 | $41 | 31% | 84–102 | $51 – $230 |
| 10 | Good Samaritan Hospital Puyallup, WA | $196 | $196 | $12 | 6% | 71 | $184 – $208 |
Ask Claude or any MCP client for CPT 99393 pricing at a specific hospital — see how to connect.