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
Elec alys s-scl eeg wo prgrm
Kettering, OH
See all hospitals reporting CPT 1004T →Price type
Kettering Medical Center ’s median price of $203 is 28% above the median hospital's median price ($158), higher than 77% of the 560 hospitals reporting CPT 1004T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare managed care plan fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 2 | Molina medicare managed care plan fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 3 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 4 | Caresource marketplace exchange fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 5 | UnitedHealthcare exchange fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 6 | Molina exchange fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 7 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $452 | $452 | — | — | — | $452 – $452 |
Last updated: Apr 1, 2026
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