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
ADDITION UPPR EXTRM OTHS
Low
$43
Average
$1.4k
Median
$350
High
$4.3k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 9 hospitals; the 90th percentile is 90.6× 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 | Hca Healthone Mountain Ridge Thornton, CO | $350 | $350 | — | — | — | $160 – $946 |
| 2 | Hca Healthone Northeast Er THORNTON, CO | $350 | $350 | — | — | — | $160 – $946 |
| 3 | Northwest Sahurita Hospital LLC Tucson, AZ | $43 | $43 | $0 | 1% | — | $18 – $83 |
| 4 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $43 | $43 | $0 | 1% | — | $18 – $83 |
| 5 | Oro Valley Hospital LLC Tucson, AZ | $43 | $43 | $0 | 1% | — | $21 – $124 |
| 6 | Northwest Hospital LLC Tucson, AZ | $43 | $43 | $0 | 1% | — | $21 – $124 |
| 7 | Avita Ontario Hospital Ontario, OH | $3.5k | $3.7k | $629 | 17% | — | $61 – $5.6k |
| 8 | Galion Community Hospital S., OH | $4.1k | $4.3k | $442 | 10% | — | $36 – $5.6k |
| 9 | Bucyrus Community Hospital Bucyrus, OH | $3.5k | $3.7k | $629 | 17% | — | $36 – $5.6k |
Ask Claude or any MCP client for HCPCS L3995 pricing at a specific hospital — see how to connect.