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
PR Provision Test Material(S) and Equipment Home Inr
Low
$22
Average
$203
Median
$170
High
$2.5k
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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. 1047 hospitals; the 90th percentile is 4.5× 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA | $103 | $93 | $28 | 30% | 1,864–1,954 | $42 – $305 |
| 2 | Mayo Clinic Rochester, MN | $67 | $72 | $14 | 19% | 433–442 | $55 – $330 |
| 3 | Mayo Clinic Health System Owatonna 55060-5503 | $63 | $63 | $15 | 24% | 142–169 | $41 – $330 |
| 4 | Mercy Medical Center-Clinton Inc Clinton, IA | $95 | $85 | $26 | 31% | 35–71 | $34 – $285 |
| 5 | Mayo Clinic Health System Cannon Falls 55009-5003 | $67 | $76 | $21 | 28% | 24 | $55 – $330 |
| 6 | Mayo Clinic Health System Mankato 56001-4752 | $67 | $75 | $22 | 29% | 2–20 | $51 – $330 |
| 7 | Mayo Clinic Health System Lake City 55041-1143 | $67 | $77 | $22 | 28% | 2–20 | $55 – $330 |
| 8 | Mayo Clinic Health System Red Wing 55066-2848 | $67 | $68 | $1 | 2% | 1–10 | $67 – $330 |
| 9 | The Finley Hospital Dubuque, IA | $104 | $137 | $89 | 65% | — | $32 – $298 |
| 10 | Northwest Iowa Hospital Corporation Sioux City, IA | $88 | $144 | $103 | 72% | — | $32 – $344 |
Ask Claude or any MCP client for HCPCS G0249 pricing at a specific hospital — see how to connect.