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
Distnt Site Service RHC
Low
$40
Average
$177
Median
$103
High
$695
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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. 12 hospitals; the 90th percentile is 5.4× 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 | Fairview Hospital Great Barrington, MA | $110 | $110 | $2 | 1% | 2–20 | $108 – $283 |
| 2 | La Porte Hospital Company LLC La Porte, IN | $62 | $62 | — | — | — | $62 – $214 |
| 3 | St Martin Hospital Inc Breaux Bridge, LA | $218 | $182 | $47 | 26% | — | $35 – $224 |
| 4 | Nationwide Children's Hospital Columbus, OH | $106 | $106 | — | — | — | $106 – $106 |
| 5 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $78 | $78 | $0 | 0% | — | $78 – $78 |
| 6 | Montefiore Medical Center Bronx, NY | $695 | $695 | — | — | — | $695 – $695 |
| 7 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $99 | $99 | — | — | — | $99 – $99 |
| 8 | Columbia Lutheran Charities Astoria, OR | $315 | $350 | $74 | 21% | — | $39 – $478 |
| 9 | Northeastern Vermont Regional Hospital, Inc. St. Johnsbury, VT | $40 | $40 | — | — | — | $40 – $104 |
| 10 | Kaweah Health Rehabilitation Hospital Visalia, CA | $80 | $71 | $19 | 26% | — | $35 – $98 |
Ask Claude or any MCP client for HCPCS G2025 pricing at a specific hospital — see how to connect.