CDM 28658
Reported by 16 hospitals in the network under the other methodology.
Based on 2,202–7,845 billing samples across every hospital reporting.
Low
$4
Average
$10
Median
$10
High
$21
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. 16 hospitals; the 90th percentile is 2.4× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services | Minneapolis, MN | $7 | $21 | $44 | 376–1,222 | $0 | $202 |
| 2 | Fairview Health Services | Princeton, MN | $7 | $9 | $6 | 96–960 | $0 | $40 |
| 3 | HealthEast St John's Hospital | Maplewood, MN | $7 | $10 | $7 | 147–786 | $0 | $37 |
| 4 | Tacoma General Allenmore Hospital | Tacoma, WA | $7 | $13 | $12 | 262–622 | $0 | $41 |
| 5 | Fairview Health Services | Burnsville, MN | $7 | $12 | $8 | 115–754 | $0 | $37 |
| 6 | Fairview Health Services | Edina, MN | $6 | $10 | $7 | 103–742 | $0 | $37 |
| 7 | MultiCare Valley Hospital | Spokane Valley, WA | $4 | $5 | $1 | 387–396 | $0 | $6 |
| 8 | HealthEast Woodwinds Hospital | Woodbury, MN | $7 | $8 | $3 | 99–657 | $0 | $37 |
| 9 | Fairview Health Services | Wyoming, MN | $14 | $14 | $7 | 67–670 | $0 | $40 |
| 10 | Good Samaritan Hospital | Puyallup, WA | $7 | $8 | $6 | 195–267 | $0 | $21 |
Ask Claude or any MCP client for CDM 28658 pricing at a specific hospital — see how to connect.