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 a/e acrylic
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$849
Median
$758
High
$4.7k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 818 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 | $905 | $915 | $228 | 25% | — | $688 – $1.3k |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $668 | $669 | $36 | 5% | — | $568 – $715 |
| 3 | Ingalls Memorial Hospital Harvey, IL | $719 | $719 | $34 | 5% | — | $684 – $753 |
| 4 | Fairview Health Services Edina, MN | $730 | $1.2k | $1.1k | 91% | — | $303 – $5.8k |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $722 | $837 | $295 | 35% | — | $667 – $1.7k |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $403 | $413 | $217 | 52% | — | $40 – $813 |
| 7 | Corewell Health Ludington Hospital Ludington, MI | $719 | $878 | $250 | 29% | — | $684 – $1.2k |
| 8 | Kettering Medical Center Miamisburg, OH | $1.1k | $1.2k | $386 | 33% | — | $684 – $1.8k |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL | $368 | $474 | $149 | 31% | — | $368 – $684 |
| 10 | Deaconess Hospital, Inc Newburgh, IN | $655 | $655 | — | — | — | $655 – $655 |
Ask Claude or any MCP client for HCPCS L7404 pricing at a specific hospital — see how to connect.