Reported by 22 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$14
Average
$116
Median
$74
High
$565
| # | 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 | Sanford Fargo Medical Center | Fargo, ND | $96 | $96 | $40 | — | $56 | $136 |
| 2 | Sanford Bemidji Medical Center | Bemidji, MN | $164 | $164 | $109 | — | $56 | $273 |
| 3 | Sanford USD Medical Center | Sioux Falls, SD | $95 | $75 | $29 | — | $34 | $97 |
| 4 | Sanford Worthington Medical Center | Worthington, MN | $134 | $134 | $77 | — | $57 | $210 |
| 5 | Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital | CITY, MT | $87 | $87 | — | — | $87 | $87 |
| 6 | MaineHealth | Portland, ME | $24 | $24 | — | — | $24 | $24 |
| 7 | MaineHealth | Biddeford, ME | $24 | $24 | — | — | $24 | $24 |
| 8 | MaineHealth | Brunswick, ME | $14 | $14 | — | — | $14 | $14 |
| 9 | MaineHealth | Rockport, ME | $15 | $15 | — | — | $15 | $15 |
| 10 | MaineHealth | Belfast, ME | $20 | $20 | — | — | $20 | $20 |
Ask Claude or any MCP client for CPT 0492T pricing at a specific hospital — see how to connect.