Reported by 32 hospitals in the network.
Filter by billing methodology
Low
$2
Average
$55
Median
$30
High
$325
| # | 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 | Ascension Via Christi Hospital Manhattan, Inc. | Manhattan, KS | $8 | $8 | — | — | $8 | $8 |
| 2 | Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | $8 | $8 | — | — | $8 | $8 |
| 3 | Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | $8 | $8 | — | — | $8 | $8 |
| 4 | Ascension Via Christi Hospitals Wichita, Inc. | Wichita, KS | $8 | $8 | — | — | $8 | $8 |
| 5 | St. John Sapulpa, Inc. | Sapulpa, OK | $97 | $97 | — | — | $97 | $97 |
| 6 | Owasso Medical Facility, Inc. | Owasso, OK | $97 | $97 | — | — | $97 | $97 |
| 7 | St. John Medical Center, Inc. | Tulsa, OK | $98 | $98 | — | — | $98 | $98 |
| 8 | Jane Phillips Memorial Medical Center | Bartlesville, OK | $129 | $129 | — | — | $129 | $129 |
| 9 | Jane Phillips Nowata Hospital, Inc. | Nowata, OK | $129 | $129 | — | — | $129 | $129 |
| 10 | St. Mary's Health, Inc. | Evansville, IN | $21 | $21 | — | — | $21 | $21 |
Ask Claude or any MCP client for CPT 80104 pricing at a specific hospital — see how to connect.