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
Peri medicament w/seal, max
Low
$45
Average
$6.7k
Median
$3.3k
High
$50k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
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. 271 hospitals; the 90th percentile is 186.2× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $646 | $646 | $543 | 84% | — | $104 – $1.2k |
| 2 | Ingalls Memorial Hospital Harvey, IL | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 3 | Mayo Regional Hospital Dover Foxcroft, ME | $59 | $65 | $28 | 43% | — | $32 – $109 |
| 4 | Kettering Medical Center Miamisburg, OH | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 5 | Houston Methodist Baytown Hospital Baytown, TX | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 6 | Orlando Health, Inc. Saint Cloud, FL | $23.4k | $23.4k | $43 | 0% | — | $23.3k – $23.4k |
| 7 | Wellstar Kennestone Hospital Marietta, GA | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 8 | Baptist Medical Center of the Beaches, INC Beach, FL | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Westfield Memorial Hospital Inc WESTFIELD, NY | $65 | $93 | $37 | 40% | — | $56 – $138 |
| 10 | MemorialCare Saddleback Medical Center Laguna Hills, CA | $4.0k | $3.5k | $768 | 22% | — | $2.4k – $4.0k |
Ask Claude or any MCP client for HCPCS D5995 pricing at a specific hospital — see how to connect.