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 MD DOCUMENT VISIT BY NPP
Low
$6
Average
$25
Median
$25
High
$71
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 36 hospitals; the 90th percentile is 3.9× 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 | $14 | $13 | $4 | 32% | — | $7 – $18 |
| 2 | Vanderbilt Bedford Hospital Shelbyville, TN | $29 | $30 | $5 | 15% | — | $14 – $39 |
| 3 | Vanderbilt University Medical Center Nashville, TN | $29 | $30 | $5 | 15% | — | $14 – $39 |
| 4 | Thedacare Regional Medical Center-Appleton Inc. Appleton, WI | $38 | $35 | $7 | 19% | — | $18 – $43 |
| 5 | AnMed Health Cannon Pickens, SC | $8 | $11 | $4 | 39% | — | $8 – $22 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN | $13 | $14 | $5 | 34% | — | $7 – $19 |
| 7 | Thedacare Regional Medical Center-Appleton Inc Appleton, WI | $38 | $35 | $7 | 19% | — | $18 – $43 |
| 8 | Deaconess Illinois Crossroads Inc Mount Vernon, IL | $18 | $16 | $4 | 24% | — | $7 – $18 |
| 9 | Thedacare Regional Medical Center-Appleton Inc Fond Du Lac, WI | $38 | $35 | $7 | 19% | — | $18 – $43 |
| 10 | Thedacare Regional Medical Center-New London Inc London, WI | $32 | $32 | $10 | 32% | — | $19 – $47 |
Ask Claude or any MCP client for HCPCS G0454 pricing at a specific hospital — see how to connect.