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
Alloskin
Low
$1
Average
$98
Median
$87
High
$948
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 973 hospitals; the 90th percentile is 13.0× 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 | $122 | $109 | $68 | 62% | — | $15 – $233 |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $26 | $60 | $57 | 95% | — | $13 – $141 |
| 3 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $12 | $93 | $141 | 152% | — | $11 – $337 |
| 4 | Ingalls Memorial Hospital Harvey, IL | $20 | $54 | $55 | 102% | — | $16 – $147 |
| 5 | Fairview Health Services Edina, MN | $16 | $19 | $7 | 38% | — | $5 – $32 |
| 6 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $19 | $20 | $5 | 27% | — | $14 – $37 |
| 7 | Hca Florida West Hospital PENSACOLA, FL | $12 | $99 | $123 | 124% | — | $12 – $273 |
| 8 | Mayo Regional Hospital Dover Foxcroft, ME | $15 | $84 | $215 | 255% | — | $12 – $765 |
| 9 | Kettering Medical Center Miamisburg, OH | $158 | $159 | $125 | 79% | — | $18 – $431 |
| 10 | Hoopeston Community Memorial Hospital Hoopeston, IL | $10 | $51 | $58 | 114% | — | $10 – $133 |
Ask Claude or any MCP client for HCPCS Q4115 pricing at a specific hospital — see how to connect.