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/oth eval acut kid no esrd
Prices here combine facility and professional fees. See them separately →Experimental
Low
$425
Average
$860
Median
$625
High
$3.1k
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. 13 hospitals; the 90th percentile is 2.2× 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 | Nationwide Children's Hospital Columbus, OH | $573 | $573 | — | — | — | $573 – $573 |
| 2 | St Marys Hospital Medical Center Of Green Bay Inc Hospital Sisters GREEN BAY, WI | $425 | $425 | — | — | — | $425 – $425 |
| 3 | St Vincent Hospital Of The Hospital Sisters Of The Third Order Of St Francis Green Bay, WI | $773 | $669 | $158 | 24% | — | $427 – $773 |
| 4 | Hardin County General Hospital Savannah, TN | $549 | $549 | — | — | — | $549 – $549 |
| 5 | University of Florida Health Gainesville, FL | $625 | $625 | — | — | — | $625 – $625 |
| 6 | Montefiore Medical Center Bronx, NY | $2.0k | $3.1k | $2.1k | 66% | — | $695 – $6.3k |
| 7 | East Cooper Medical Center LLC Mt Pleasant, SC | $1.0k | $1.0k | $158 | 15% | — | $864 – $1.2k |
| 8 | St Nicholas Hospital Of The Hospital Sisters Of The Third Order Of St Francis SHEBOYGAN, WI | $773 | $669 | $159 | 24% | — | $425 – $773 |
| 9 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $924 | $924 | — | — | — | $924 – $924 |
| 10 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $426 | $425 | $2 | 0% | — | $422 – $426 |
Ask Claude or any MCP client for HCPCS G0492 pricing at a specific hospital — see how to connect.