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
Pwc gp3 xhd mult pow opt s/b
Prices here combine facility and professional fees. See them separately →Experimental
Low
$762
Average
$2.9k
Median
$1.5k
High
$7.9k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 2 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $764 | $762 | $3 | 0% | — | $757 – $764 |
| 4 | Montefiore New Rochelle Hospital New Rochelle, NY | $8.2k | $7.9k | $516 | 7% | — | $7.0k – $8.2k |
Ask Claude or any MCP client for HCPCS K0864 pricing at a specific hospital — see how to connect.