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 Med Cnsl&/Rsk Fctr Rdctj Indv Approx 60 Min
Low
$68
Average
$295
Median
$408
High
$408
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4 hospital rates
iThe hospitals that file a Carefirst rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Children's National Hospital Washington, DC professional · fee schedule · both | 2 | $68 | $68 | $2 | 3% | — | $67 – $70 |
| 2 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $430 | $408 | $37 | 9% | — | $344 – $430 |
| 3 | Samaritan Hospital Troy, NY facility · fee schedule · outpatient | 2 | $430 | $408 | $37 | 9% | — | $344 – $430 |
| 4 | St Peters Hospital Albany, NY facility · fee schedule · both | 2 | $430 | $408 | $37 | 9% | — | $344 – $430 |
← Payers reporting CPT 99404 · Snapshot 20261112T181611Z-3fa9fb76