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
MD document visit by NPP
Low
$0
Average
$20
Median
$12
High
$306
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
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. 509 hospitals; the 90th percentile is 5.1× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $14 | $14 | $0 | 1% | — | $13 – $14 |
| 2 | Fairview Health Services Edina, MN | $21 | $24 | $17 | 69% | — | $8 – $72 |
| 3 | Hca Florida West Hospital PENSACOLA, FL | $10 | $10 | $0 | 2% | — | $10 – $10 |
| 4 | Mayo Regional Hospital Dover Foxcroft, ME | $8 | $11 | $4 | 36% | — | $8 – $19 |
| 5 | Hoopeston Community Memorial Hospital Hoopeston, IL | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Deaconess Hospital, Inc Newburgh, IN | $8 | $7 | $5 | 74% | — | $0 – $17 |
| 7 | Newark-Wayne Community Hospital Newark, NY | $12 | $12 | $4 | 35% | — | $8 – $16 |
| 8 | Kadlec Regional Medical Center Richland, WA | $15 | $15 | — | — | — | $15 – $15 |
| 9 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $9 | $9 | $2 | 24% | — | $9 – $21 |
| 10 | William Beaumont Hospital Grosse Pointe, MI | $10 | $10 | $10 | 98% | — | $0 – $26 |
Ask Claude or any MCP client for HCPCS G0454 pricing at a specific hospital — see how to connect.