0804T
HCPCSPrgrmg evl ldls pm 2chmbr ip
Based on the latest published hospital price files, code 0804T (Prgrmg evl ldls pm 2chmbr ip) appears at 6 hospitals with disclosed cash prices from $41.65 to $910. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.
Compare 0804T prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code 0804T vary by about 22× across the 3 hospitals with disclosed prices here — from $41.65 to $910. Shopping around can matter.
Lowest cash price by hospital
- Munson Medical Center$41.65
Cash price by city
Reflects your current filters.
- Traverse City · 1 hospital$41.65
- Chicago · 1 hospital$289
- Los Angeles · 1 hospital$910
7 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Prgrmg evl ldls pm 2chmbr ip Outpatient | Endeavor Health Edward Hospital | 0804T HCPCS | — | — | $39.99 – $64.43 | — | |
| Prgrmg evl ldls pm 2chmbr ip Outpatient | University of Chicago Medical Center | 0804T HCPCS | — | — | — | — | |
| PRGRMG DEV EVAL LEADLS PM SYS 2CHMBR IN PERSN Inpatient & outpatient | Endeavor Health Swedish Hospital | 0804T HCPCS | $289 | $289 | — | — | |
| HB PRGRMG DEV EVAL LEADLS PM SYS 2CHMBR IN PERSN Inpatient & outpatient | Endeavor Health Swedish Hospital | 0804T HCPCS | $289 | $289 | — | — | |
| PRGRMG EVL LDLS PM 2CHMB IP Outpatient | Munson Medical Center | 0804T CPT | $49.00 | $41.65 | $19.45 – $92.97 | — | |
| Outpatient Surgical Group 0 Outpatient | Cedars-Sinai Medical Center | 0804T CPT | $1,400 | $910 | $2,807 – $4,167 | — | |
| PRGRMG EVL LDLS PM 2CHMBR IP Outpatient | Atrium Health Mercy | 0804T CPT | — | — | $36.18 – $44.33 | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish 0804T prices
Open a hospital to see this code in the context of its full published prices.
Code 0804T: frequently asked
- What does code 0804T cost?
- Across the published hospital price files, the disclosed cash price for 0804T ranges from $41.65 to $910. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code 0804T?
- 0804T is the billing code hospitals use to identify "Prgrmg evl ldls pm 2chmbr ip" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.