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
Troy, OH
See all hospitals reporting CPT 1004T →Price type
Kettering Medical Center’s median price of $202 is 28% above the median hospital's median price ($158), higher than 76% 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 | $130 | $130 | — | — | — | $130 – $130 |
| 2 | Molina medicare managed care plan fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 3 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 4 | Caresource marketplace exchange fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 5 | UnitedHealthcare exchange fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 6 | Molina exchange fee schedule · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 7 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $457 | $457 | — | — | — | $457 – $457 |
Last updated: Apr 1, 2026
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