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
LSO SC R POS/LAT PNL PRE CST
Low
$104
Average
$459
Median
$416
High
$1.4k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
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. 20 hospitals; the 90th percentile is 1.7× 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 | United Hospital Center Bridgeport, WV | $365 | $420 | $88 | 21% | — | $344 – $602 |
| 2 | Allina Health Systems Shakopee, MN | $457 | $455 | $129 | 28% | — | $197 – $607 |
| 3 | Nationwide Children's Hospital Columbus, OH | $140 | $140 | — | — | — | $140 – $140 |
| 4 | Wetzel County Hospital, Inc. New Martinsville, WV | $361 | $391 | $71 | 18% | — | $344 – $602 |
| 5 | Allina Health Systems St Paul, MN | $369 | $350 | $92 | 26% | — | $137 – $440 |
| 6 | Affinity Hospital LLC Birmingham, AL | $1.3k | $1.4k | $500 | 36% | — | $354 – $2.8k |
| 7 | Reynolds Memorial Hospital, Inc. Glen Dale, WV | $361 | $391 | $82 | 21% | — | $224 – $602 |
| 8 | Allina Health Systems Owatonna, MN | $537 | $523 | $171 | 33% | — | $197 – $794 |
| 9 | West Virginia University Hospitals, Inc. Morgantown, WV | $363 | $411 | $129 | 31% | — | $224 – $912 |
| 10 | Allina Health Systems Ulm, MN | $569 | $551 | $189 | 34% | — | $205 – $823 |
Ask Claude or any MCP client for HCPCS L0633 pricing at a specific hospital — see how to connect.