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
Opps service,sched team conf
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$383
Median
$312
High
$1.4k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 27 hospitals; the 90th percentile is 63095.8× 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 | Nationwide Children's Hospital Columbus, OH | $34 | $34 | — | — | — | $34 – $34 |
| 2 | Methodist Hospitals of Dallas Coppell, TX | $447 | $595 | $212 | 36% | — | $407 – $1.1k |
| 3 | Methodist Hospitals of Dallas Mansfield, TX | $449 | $605 | $213 | 35% | — | $420 – $1.1k |
| 4 | St Clare Memorial Hospital Inc OCONTO FALLS, WI | $284 | $284 | $27 | 10% | — | $260 – $331 |
| 5 | St Marys Hospital Medical Center Of Green Bay Inc Hospital Sisters GREEN BAY, WI | $284 | $284 | $27 | 10% | — | $260 – $331 |
| 6 | St Vincent Hospital Of The Hospital Sisters Of The Third Order Of St Francis Green Bay, WI | $267 | $278 | $29 | 10% | — | $260 – $331 |
| 7 | The Methodist Hospitals, Inc. Gary, IN | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Wellington Regional Medical Center Wellington, FL | $277 | $312 | $66 | 21% | — | $238 – $414 |
| 9 | Methodist Hospitals of Dallas Celina, TX | $444 | $560 | $186 | 33% | — | $410 – $1.0k |
| 10 | Southcoast Hospitals Group, Inc. Bedford, MA | $0 | $0 | — | — | — | $0 – $0 |
Ask Claude or any MCP client for HCPCS G0175 pricing at a specific hospital — see how to connect.