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
WORK RELATED DISABILITY EXAM
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$1.5k
Median
$116
High
$25k
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. 36 hospitals; the 90th percentile is 51.2× 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 | Henry Ford Health Novi, MI | $73 | $86 | $19 | 22% | — | $73 – $125 |
| 2 | Izard Regional Hospital Calico Rock, AR | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 3 | Fairfield Medical Center Lancaster, OH | $25k | $25k | — | — | — | $25k – $25k |
| 4 | Nationwide Children's Hospital Columbus, OH | $106 | $106 | — | — | — | $106 – $106 |
| 5 | Northeastern Vermont Regional Hospital, Inc. St. Johnsbury, VT | $42 | $42 | — | — | — | $42 – $42 |
| 6 | St. Alexius Medical Center Estates, IL | $106 | $293 | $323 | 110% | — | $106 – $852 |
| 7 | Henry Ford Health Township, MI | $106 | $102 | $9 | 9% | — | $84 – $106 |
| 8 | White Memorial Medical Center Angeles, CA | $124 | $153 | $123 | 81% | — | $30 – $335 |
| 9 | Henry Ford Health Southfield, MI | $287 | $229 | $82 | 36% | — | $106 – $287 |
| 10 | Dukes Health System LLC Peru, IN | $48 | $56 | $27 | 49% | — | $16 – $95 |
Ask Claude or any MCP client for CPT 99455 pricing at a specific hospital — see how to connect.