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 1-9 dos
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$703
Median
$557
High
$6.9k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 171 hospitals; the 90th percentile is 3.0× 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 | Deaconess Hospital, Inc Newburgh, IN | $526 | $748 | $285 | 38% | — | $500 – $1.3k |
| 2 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX | $394 | $396 | $16 | 4% | — | $375 – $424 |
| 3 | Mahnomen Health Center Mahnomen, MN | $557 | $548 | $13 | 2% | — | $531 – $557 |
| 4 | Sanford USD Medical Center Sioux Falls, SD | $547 | $542 | $15 | 3% | — | $504 – $557 |
| 5 | Kaiser Foundation Hospital & Rehab Center - Vallejo VALLEJO, CA | $674 | $1.1k | $637 | 57% | — | $641 – $2.0k |
| 6 | Sanford Thief River Falls Medical Center Thief River Falls, MN | $557 | $557 | — | — | — | $557 – $557 |
| 7 | Clovis Community Medical Center Clovis, CA | $480 | $516 | $115 | 22% | — | $480 – $1.0k |
| 8 | Methodist Medical Center of Illinois Peoria, IL | $400 | $408 | $21 | 5% | — | $400 – $464 |
| 9 | Shannon Medical Center Big Spring Big Spring, TX | $812 | $845 | $260 | 31% | — | $498 – $1.2k |
| 10 | Davis Medical Center Elkins, WV | $358 | $363 | $8 | 2% | — | $354 – $376 |
Ask Claude or any MCP client for HCPCS G0304 pricing at a specific hospital — see how to connect.