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 s/d acrylic
Prices here combine facility and professional fees. See them separately →Experimental
Low
$874
Average
$1.6k
Median
$1.2k
High
$3.8k
Filter by billing methodology
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. 7 hospitals; the 90th percentile is 3.1× 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 | Nationwide Children's Hospital Columbus, OH | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $915 | $915 | — | — | — | $915 – $915 |
| 3 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $900 | $1.2k | $499 | 40% | — | $810 – $2.2k |
| 4 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $1.5k | $1.5k | $7 | 0% | — | $1.5k – $1.5k |
| 5 | Arkansas Childrens Hospital Little Rock, AR | $900 | $900 | — | — | — | $900 – $900 |
| 6 | Arkansas Childrens Northwest Springdale, AR | $874 | $874 | — | — | — | $874 – $874 |
| 7 | Montefiore New Rochelle Hospital New Rochelle, NY | $4.0k | $3.8k | $250 | 7% | — | $3.4k – $4.0k |
Ask Claude or any MCP client for HCPCS L7405 pricing at a specific hospital — see how to connect.