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
HC Adc Daily Charge Restricted (Mdpl)
Prices here combine facility and professional fees. See them separately →Experimental
Low
$42
Average
$102
Median
$117
High
$155
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 16 hospitals; the 90th percentile is 3.6× 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 | Holy Cross Hospital-Silver Spring Silver Spring, MD | $103 | $74 | $48 | 64% | 283–337 | $4 – $115 |
| 2 | Fairview Health Services Edina, MN | $144 | $148 | $48 | 32% | — | $49 – $216 |
| 3 | Fairview Health Services Minneapolis, MN | $149 | $148 | $45 | 30% | — | $49 – $216 |
| 4 | Memorial Hospital Pembroke Pembroke Pines, FL | $52 | $43 | $17 | 40% | — | $4 – $68 |
| 5 | Memorial Hospital Miramar Miramar, FL | $52 | $44 | $17 | 38% | — | $4 – $68 |
| 6 | Fairview Health Services Burnsville, MN | $144 | $148 | $48 | 32% | — | $49 – $216 |
| 7 | Memorial Regional Hospital Hollywood, FL | $52 | $42 | $16 | 39% | — | $4 – $68 |
| 8 | Boston Medical Center Boston, MA | $86 | $90 | $23 | 25% | — | $57 – $137 |
| 9 | HealthEast St John's Hospital Maplewood, MN | $144 | $148 | $48 | 32% | — | $49 – $216 |
| 10 | Granville Medical Center Oxford, NC | $41 | $44 | $16 | 36% | — | $22 – $75 |
Ask Claude or any MCP client for HCPCS S5102 pricing at a specific hospital — see how to connect.