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
BAND SCLR 100MM SI TY 42 BCMPT NTOX FXTN SLV 4X1.25MM STER
Based on 798–6,828 billing samples across every hospital reporting.
Low
$0
Average
$2.5k
Median
$663
High
$70.7k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 610 hospitals; the 90th percentile is 214.2× 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 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX | $61 | $276 | $563 | 204% | 224–2,240 | $5 – $3.2k |
| 2 | Samaritan Hospital Troy, NY | $50 | $112 | $137 | 122% | 182–1,820 | $9 – $815 |
| 3 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $74 | $295 | $916 | 310% | 78–780 | $1 – $8.0k |
| 4 | Massachusetts Eye and Ear Boston, MA | $64 | $79 | $49 | 61% | 64–460 | $29 – $941 |
| 5 | Boston Children's Hospital Boston, MA | $379 | $464 | $592 | 128% | 64 | $248 – $4.2k |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC | $276 | $327 | $253 | 77% | 42–420 | $3 – $933 |
| 7 | Kaiser Foundation Hospital - Walnut Creek WALNUT CREEK, CA | $11 | $17 | $10 | 55% | 33–42 | $10 – $31 |
| 8 | Kaiser Foundation Hospital - Santa Clara SANTA CLARA, CA | $11 | $17 | $10 | 55% | 14–32 | $10 – $31 |
| 9 | North Carolina Baptist Hospital Winston Salem, NC | $62 | $225 | $253 | 112% | 12–120 | $13 – $882 |
| 10 | Eskenazi Health Indianapolis, IN | $100 | $428 | $833 | 195% | 12–120 | $39 – $5.6k |
Ask Claude or any MCP client for HCPCS C1784 pricing at a specific hospital — see how to connect.