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
Add UE prost b/e acrylic
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$562
Median
$503
High
$3.1k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 822 hospitals; the 90th percentile is 1.9× 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 | $600 | $606 | $151 | 25% | — | $456 – $889 |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $443 | $443 | $24 | 5% | — | $376 – $474 |
| 3 | Ingalls Memorial Hospital Harvey, IL | $476 | $476 | $23 | 5% | — | $453 – $499 |
| 4 | Fairview Health Services Edina, MN | $484 | $813 | $737 | 91% | — | $201 – $3.8k |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $479 | $555 | $195 | 35% | — | $442 – $1.1k |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $267 | $274 | $144 | 52% | — | $27 – $538 |
| 7 | Corewell Health Ludington Hospital Ludington, MI | $476 | $582 | $166 | 29% | — | $453 – $816 |
| 8 | Kettering Medical Center Miamisburg, OH | $704 | $778 | $256 | 33% | — | $453 – $1.2k |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL | $244 | $314 | $99 | 31% | — | $244 – $453 |
| 10 | Deaconess Hospital, Inc Newburgh, IN | $434 | $434 | — | — | — | $434 – $434 |
Ask Claude or any MCP client for HCPCS L7403 pricing at a specific hospital — see how to connect.