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
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Low
$1
Average
$145
Median
$130
High
$890
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 798 hospitals; the 90th percentile is 2.2× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $173 | $175 | $44 | 25% | — | $131 – $256 |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $105 | $105 | $6 | 5% | — | $89 – $112 |
| 3 | Ingalls Memorial Hospital Harvey, IL | $109 | $109 | $5 | 5% | — | $104 – $114 |
| 4 | Fairview Health Services Edina, MN | $114 | $186 | $160 | 86% | — | $46 – $875 |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $114 | $132 | $47 | 35% | — | $105 – $261 |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $62 | $69 | $41 | 59% | — | $6 – $147 |
| 7 | Corewell Health Ludington Hospital Ludington, MI | $109 | $133 | $38 | 29% | — | $104 – $187 |
| 8 | Kettering Medical Center Miamisburg, OH | $161 | $178 | $59 | 33% | — | $104 – $279 |
| 9 | Hospital for Special Surgery White Plains, NY | $208 | $208 | — | — | — | $208 – $208 |
| 10 | Hoopeston Community Memorial Hospital Hoopeston, IL | $55 | $71 | $23 | 32% | — | $55 – $104 |
Ask Claude or any MCP client for HCPCS L4090 pricing at a specific hospital — see how to connect.