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
HC XRAY EXAM OF ELBOW MIN 3 VIEWS
Low
$0
Average
$14
Median
$8
High
$57
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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. 16 hospitals; the 90th percentile is 9.0× 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 | MaineHealth Rockport, ME | $8 | $8 | — | — | 3–30 | $6 – $23 |
| 2 | La Porte Hospital Company LLC La Porte, IN | $0 | $0 | — | — | — | $0 – $1 |
| 3 | The Cleveland Clinic Foundation Cleveland, OH | $1 | $1 | — | — | — | $1 – $79 |
| 4 | Ochsner Clinic Foundation Orleans, LA | $3 | $7 | $5 | 71% | — | $0 – $37 |
| 5 | East Baton Rouge Medical Center, Llc Baton Rouge, LA | $4 | $9 | $6 | 69% | — | $0 – $37 |
| 6 | University Health Shreveport, Llc Shreveport, LA | $2 | $4 | $2 | 55% | — | $0 – $35 |
| 7 | Brfhh Monroe, Llc Monroe, LA | $2 | $5 | $3 | 67% | — | $0 – $35 |
| 8 | Ochsner Bayou Llc Raceland, LA | $6 | $8 | $4 | 54% | — | $0 – $19 |
| 9 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc Shreveport, LA | $2 | $4 | $2 | 53% | — | $0 – $35 |
| 10 | Ochsner Medical Center � Hancock Llc Bay St. Louis, MS | $18 | $18 | $5 | 28% | — | $14 – $28 |
Ask Claude or any MCP client for HCPCS A4627 pricing at a specific hospital — see how to connect.