CPT 78645 · 1,064 hospitals reporting

Nm-shunt patency evaluation

The same procedure costs $64.37 at one hospital and $8,259 at another — a 128× spread for what's billed under the same code. Median: $792.

Cheapest published

$64.37

6 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,064 hospitals

$792

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$8,259

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

428 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA CLARA	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL AND REHAB CENTER	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL - SACRAMENTO	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL - FREMONT	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL-SAN JOSE	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSP SO SACRAMENTO	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA ROSA	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL - FRESNO	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL - ANTIOCH	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL - VACAVILLE	CA	$2,262	$792	$616	$1,710	3 insurers
KAISER FOUNDATION HOSPITAL - ROSEVILLE	CA	$2,262	$792	$616	$1,710	3 insurers
ST CLARE HOSPITAL	WA	$2,750	$793	$1,980	$2,063	2 insurers
ST CLARE HOSPITAL	WA	$2,750	$793	$610	$2,684	5 insurers
ST MARY'S REGIONAL MEDICAL CENTER	OK	$1,969	$788	—	—	4 insurers
SURGICAL INSTITUTE OF READING	PA	—	$783	$110	$489	2 insurers
ALTRU HOSPITAL	ND	$1,316	$803	—	—	0 insurers
ADVENTHEALTH CENTRAL TEXAS	TX	$1,610	$805	$720	$1,449	5 insurers
ADVENTHEALTH ROLLINS BROOK	TX	$1,610	$805	$720	$1,449	5 insurers
ADVENTHEALTH FISH MEMORIAL	FL	$1,408	$774	$243	$1,352	5 insurers
BEEBE MEDICAL CENTER	DE	$905	$769	—	—	1 insurers
CHI HEALTH GOOD SAMARITAN	NE	$1,253	$764	$614	$1,165	5 insurers
CHI HEALTH GOOD SAMARITAN	NE	$1,253	$764	$263	$1,253	5 insurers
SILVER CROSS HOSPITAL AND MEDICAL CENTERS	IL	$1,999	$764	$1,199	$1,579	3 insurers
SILVER CROSS HOSPITAL AND MEDICAL CENTERS	IL	$1,999	$764	$309	$1,999	5 insurers
ATRIUM HEALTH FLOYD MEDICAL CENTER	GA	$1,509	$755	—	—	2 insurers
KAISER PERMANENTE CENTRAL HOSPITAL	WA	$1,215	$753	$828	$828	2 insurers
ST ELIZABETH HOSPITAL	WA	$2,750	$837	$1,980	$2,063	2 insurers
ST ELIZABETH HOSPITAL	WA	$2,750	$837	$610	$2,684	5 insurers
Adventhealth Zephyrhills	FL	$1,235	$741	$45.15	$1,168	5 insurers
ADVENTHEALTH TAMPA	FL	$1,235	$741	$183	$5,196	5 insurers
UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.	TX	$1,456	$728	—	—	2 insurers
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES	CO	$1,228	$725	$675	$1,154	5 insurers
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES	CO	$1,228	$725	$282	$1,228	5 insurers
CHI HEALTH ST. FRANCIS	NE	$1,228	$725	$675	$1,154	5 insurers
CHI HEALTH ST. FRANCIS	NE	$1,228	$725	$282	$1,228	5 insurers
CARLE BROMENN MEDICAL CENTER	IL	$859	$859	—	—	5 insurers