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
PRE-OP SERVICE LVRS 10-15DOS
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$1.2k
Median
$552
High
$4.7k
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. 36 hospitals; the 90th percentile is 14.6× 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 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $554 | $554 | $87 | 16% | — | $436 – $672 |
| 2 | Claiborne Medical Center Tazewell, TN | $314 | $321 | $47 | 15% | — | $268 – $382 |
| 3 | Monmouth Medical Center Southern Campus Lakewood, NJ | $552 | $552 | $45 | 8% | — | $507 – $596 |
| 4 | Robert Wood Johnson University Hospital Rahway Rahway, NJ | $552 | $552 | $45 | 8% | — | $507 – $596 |
| 5 | Nationwide Children's Hospital Columbus, OH | $623 | $623 | — | — | — | $623 – $623 |
| 6 | Jersey City Medical Center Jersey City, NJ | $552 | $552 | $45 | 8% | — | $507 – $596 |
| 7 | Inova Alexandria Hospital Alexandria, VA | $4.8k | $4.7k | $836 | 18% | — | $3.3k – $5.8k |
| 8 | South Carolina Coastal Medical Center LLC Hardeeville, SC | $1.9k | $1.7k | $594 | 35% | — | $927 – $2.4k |
| 9 | Morristown Hamblen Hospital Association Morristown, TN | $314 | $322 | $48 | 15% | — | $268 – $385 |
| 10 | Leconte Medical Center Sevierville, TN | $314 | $322 | $48 | 15% | — | $268 – $385 |
Ask Claude or any MCP client for HCPCS G0303 pricing at a specific hospital — see how to connect.