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 LATITUDE4, DIG ,MONAURAL-ITC
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$431
Median
$326
High
$1.8k
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. 17 hospitals; the 90th percentile is 119970.4× 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 | Denver Health and Hospital Authority Denver, CO | $1.5k | $1.5k | — | — | 9–90 | $1.5k – $1.5k |
| 2 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Vanderbilt University Medical Center Nashville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Nationwide Children's Hospital Columbus, OH | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Northeastern Vermont Regional Hospital, Inc. St. Johnsbury, VT | $326 | $326 | — | — | — | $326 – $326 |
| 6 | Dukes Health System LLC Peru, IN | $367 | $463 | $210 | 45% | — | $166 – $828 |
| 7 | The Toledo Hospital Toledo, OH | $700 | $589 | $192 | 33% | — | $256 – $700 |
| 8 | La Porte Hospital Company LLC La Porte, IN | $520 | $489 | $131 | 27% | — | $286 – $676 |
| 9 | Holyoke Medical Center Holyoke, MA | $1.9k | $1.8k | $339 | 19% | — | $1.3k – $2.2k |
| 10 | The Union Hospital Association Dover, OH | $1 | $1 | — | — | — | $1 – $1 |
Ask Claude or any MCP client for HCPCS V5255 pricing at a specific hospital — see how to connect.