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
DELFEX 2.5 3000ML
Low
$19
Average
$67
Median
$82
High
$90
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. 7 hospitals; the 90th percentile is 3.8× 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 | Northside Hospital, Inc. Duluth, GA | $59 | $82 | $63 | 77% | 1–10 | $33 – $53.2k |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $60 | $87 | $61 | 70% | — | $39 – $53.2k |
| 3 | Northside Hospital, Inc. Canton, GA | $59 | $82 | $66 | 80% | — | $29 – $323 |
| 4 | Northside Hospital, Inc. Atlanta, GA | $60 | $90 | $61 | 69% | — | $42 – $323 |
| 5 | Northside Hospital, Inc. Cumming, GA | $59 | $83 | $65 | 79% | — | $31 – $323 |
| 6 | Nationwide Children's Hospital Columbus, OH | $26 | $26 | — | — | — | $26 – $26 |
| 7 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $19 | $19 | $0 | 0% | — | $19 – $19 |
Ask Claude or any MCP client for HCPCS A4722 pricing at a specific hospital — see how to connect.