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
DIANEAL LC 1.5%DEX 6LINJ
Prices here combine facility and professional fees. See them separately →Experimental
Low
$13
Average
$219
Median
$123
High
$1.1k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 73 hospitals; the 90th percentile is 18.4× 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 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $71 | $62 | $21 | 34% | — | $14 – $87 |
| 2 | The Medical Center of Central Georgia Inc Macon, GA | $20 | $19 | $5 | 27% | — | $9 – $28 |
| 3 | Reston Hospital Center VIENNA, VA | $272 | $315 | $137 | 43% | — | $90 – $557 |
| 4 | Tristar Centennial Medical Center SPRING HILL, TN | $191 | $197 | $100 | 51% | — | $55 – $411 |
| 5 | Navicent Health Baldwin Inc Milledgeville, GA | $23 | $21 | $5 | 24% | — | $9 – $26 |
| 6 | Tristar Greenview Regional Hospital BOWLING GREEN, KY | $115 | $123 | $82 | 66% | — | $18 – $235 |
| 7 | Tristar Southern Hills Medical Center ANTIOCH, TN | $242 | $285 | $159 | 56% | — | $97 – $590 |
| 8 | Med City Spine Hospital DALLAS, TX | $137 | $167 | $95 | 57% | — | $30 – $428 |
| 9 | Tristar Skyline Medical Center NASHVILLE, TN | $52 | $57 | $32 | 57% | — | $18 – $121 |
| 10 | Transylvania Regional Hospital Brevard, NC | $83 | $97 | $54 | 56% | — | $39 – $196 |
Ask Claude or any MCP client for HCPCS A4726 pricing at a specific hospital — see how to connect.