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
Fee Schedule
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$1.7k
Median
$727
High
$9.9k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 135 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 | Fairview Health Services Edina, MN | $297 | $241 | $82 | 34% | — | $125 – $302 |
| 2 | Landmark Medical Center Woonsocket, RI | $314 | $329 | $50 | 15% | — | $279 – $495 |
| 3 | Baptist Memorial Hospital-North Mississippi Oxford, MS | $1.2k | $1.2k | $159 | 13% | — | $1.1k – $1.4k |
| 4 | Wellstar Kennestone Hospital Marietta, GA | $490 | $490 | — | — | — | $490 – $490 |
| 5 | Sanford USD Medical Center Sioux Falls, SD | $112 | $89 | $34 | 39% | — | $40 – $114 |
| 6 | MemorialCare Saddleback Medical Center Laguna Hills, CA | $2.5k | $2.3k | $439 | 19% | — | $1.7k – $2.7k |
| 7 | Gundersen Luthern Medical Center Inc La Crosse, WI | $107 | $107 | — | — | — | $107 – $107 |
| 8 | Fairview Health Services Minneapolis, MN | $297 | $255 | $75 | 29% | — | $125 – $302 |
| 9 | Keck Hospital of USC Los Angeles, CA | $5.9k | $5.9k | $109 | 2% | — | $5.8k – $6.0k |
| 10 | The Medical Center of Central Georgia Inc Macon, GA | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Ask Claude or any MCP client for HCPCS C8904 pricing at a specific hospital — see how to connect.