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
Ntiol category 4
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$6.4k
Median
$2.4k
High
$304.6k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 150 hospitals; the 90th percentile is 164.6× 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 | Mayo Regional Hospital Dover Foxcroft, ME | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Kettering Medical Center Miamisburg, OH | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 3 | Thomas Jefferson University Hospital, Inc. Philadelphia, PA | $8.2k | $8.6k | $643 | 7% | — | $8.1k – $9.5k |
| 4 | Jefferson Health - Northeast Langhorne, PA | $7.9k | $7.9k | $309 | 4% | — | $7.6k – $8.2k |
| 5 | Northside Hospital, Inc. Lawrenceville, GA | $21.6k | $23.4k | $14.4k | 62% | — | $6.9k – $50k |
| 6 | Keck Hospital of USC Los Angeles, CA | $18.3k | $18.3k | — | — | — | $18.3k – $18.3k |
| 7 | The Medical Center of Central Georgia Inc Macon, GA | $74 | $74 | — | — | — | $74 – $74 |
| 8 | Spohn Hospital Beeville Beeville, TX | $6.7k | $6.5k | $290 | 4% | — | $6.0k – $6.7k |
| 9 | Claiborne Medical Center Tazewell, TN | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 10 | Northside Hospital, Inc. Atlanta, GA | $20.1k | $21.5k | $12.6k | 59% | — | $6.9k – $50k |
Ask Claude or any MCP client for HCPCS Q1004 pricing at a specific hospital — see how to connect.