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
LO SAG RI AN/POS PNL PRE OTS
Low
$362
Average
$552
Median
$378
High
$1.3k
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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. 9 hospitals; the 90th percentile is 2.8× 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 | Northside Hospital, Inc. Lawrenceville, GA | $442 | $370 | $158 | 43% | — | $133 – $884 |
| 2 | Northside Hospital, Inc. Canton, GA | $442 | $366 | $171 | 47% | — | $99 – $884 |
| 3 | Northside Hospital, Inc. Atlanta, GA | $442 | $378 | $154 | 41% | — | $143 – $884 |
| 4 | Northside Hospital, Inc. Duluth, GA | $442 | $362 | $169 | 47% | — | $112 – $884 |
| 5 | Northside Hospital, Inc. Cumming, GA | $442 | $367 | $170 | 46% | — | $107 – $884 |
| 6 | Nationwide Children's Hospital Columbus, OH | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $966 | $963 | $4 | 0% | — | $957 – $966 |
| 8 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $301 | $414 | $167 | 40% | — | $271 – $738 |
| 9 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $443 | $443 | — | — | — | $443 – $443 |
Ask Claude or any MCP client for HCPCS L0642 pricing at a specific hospital — see how to connect.