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
Frame depth 22 to 25 in
Low
$758
Average
$790
Median
$790
High
$822
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2 hospital rates
iThe hospitals that file a Phcs rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $758 | $758 | $620 | 82% | — | $138 – $1.4k |
| 2 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $822 | $822 | — | — | — | $822 – $822 |
← Payers reporting HCPCS E2204 · Snapshot 20261112T181611Z-3fa9fb76