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
Intake act w/med exam
Low
$0
Average
$353
Median
$306
High
$1.4k
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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. 253 hospitals; the 90th percentile is 4.1× 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 | Fairview Health Services Edina, MN | $265 | $616 | $563 | 91% | — | $179 – $1.7k |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $177 | $141 | $53 | 38% | — | $66 – $179 |
| 3 | Hoopeston Community Memorial Hospital Hoopeston, IL | $193 | $193 | — | — | — | $193 – $193 |
| 4 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $471 | $471 | — | — | — | $471 – $471 |
| 5 | William Beaumont Hospital Grosse Pointe, MI | $249 | $323 | $90 | 28% | — | $249 – $434 |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL | $173 | $173 | — | — | — | $173 – $173 |
| 7 | Westfield Memorial Hospital Inc WESTFIELD, NY | $191 | $190 | $4 | 2% | — | $178 – $191 |
| 8 | Sanford USD Medical Center Sioux Falls, SD | $35 | $28 | $11 | 39% | — | $13 – $36 |
| 9 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $230 | $230 | — | — | — | $230 – $230 |
| 10 | Gundersen Luthern Medical Center Inc La Crosse, WI | $110 | $97 | $29 | 30% | — | $13 – $110 |
Ask Claude or any MCP client for HCPCS G2076 pricing at a specific hospital — see how to connect.