Reported by 111 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 83–236 billing samples across every hospital reporting.
Low
$79
Average
$559
Median
$130
High
$4.0k
| # | 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 | Benefis Hospitals Inc | Falls, MT | $104 | $130 | $64 | 66 | $104 | $302 |
| 2 | Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $1.2k | $1.4k | $366 | 10–100 | $131 | $714 |
| 3 | Northwestern Medicine Central DuPage Hospital | Winfield, IL | $719 | $719 | — | 5–50 | $80 | $1.2k |
| 4 | Affinity Hospital LLC | Birmingham, AL | $316 | $1.4k | $1.5k | 1–10 | $89 | $9k |
| 5 | Catholic Health Initiatives Colorado | Pueblo, CO | $85 | $85 | — | 1–10 | $102 | $9.5k |
| 6 | IOM Health System LP | Fort Wayne, IN | $390 | $310 | $110 | — | $76 | $2.6k |
| 7 | Warsaw Health System LLC | Warsaw, IN | $390 | $307 | $104 | — | $76 | $804 |
| 8 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $390 | $289 | $112 | — | $96 | $2.5k |
| 9 | St. Joseph Health System, LLC | Wayne, IN | $390 | $472 | $621 | — | $96 | $2.9k |
| 10 | Jackson HMA LLC | Jackson, MS | $171 | $265 | $301 | — | $83 | $1.1k |
Ask Claude or any MCP client for CPT 77402 pricing at a specific hospital — see how to connect.