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
Q4154
Low
$77
Average
$627
Median
$169
High
$2.3k
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 19.3× 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.
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9 hospital rates
iThe hospitals that file a Superior Healthplan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $77 | $77 | — | — | — | $77 – $77 |
| 2 | MEDICAL CITY ALLIANCE HASLET, TX percent of total billed charges · outpatientfrom % of charges | 5 | $169 | $169 | — | — | — | $169 – $169 |
| 3 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 5 | $143 | $141 | $9 | 6% | — | $126 – $154 |
| 4 | MEDICAL CITY DECATUR DECATUR, TX percent of total billed charges · outpatientfrom % of charges | 5 | $199 | $199 | — | — | — | $199 – $199 |
| 5 | MEDICAL CITY DENTON Denton, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | MEDICAL CITY PLANO Plano, TX percent of total billed charges · outpatientfrom % of charges | 5 | $198 | $188 | $23 | 12% | — | $149 – $209 |
| 7 | MEDICAL CITY SURGERY CITY ALLIANCE FT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 5 | $169 | $169 | — | — | — | $169 – $169 |
| 8 | Medical City Argyle Argyle, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 9 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 7 | $64 | $129 | $75 | 59% | — | $64 – $216 |
← Payers reporting HCPCS Q4154 · Snapshot 20261111T120946Z-9134e7f7