Reported by 8 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$10
Average
$15
Median
$15
High
$19
| # | 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 | IOM Health System LP | Fort Wayne, IN | $16 | $15 | $3 | — | $9 | $37 |
| 2 | Bluffton Health System LLC | Bluffton, IN | $14 | $14 | $3 | — | $9 | $37 |
| 3 | Dukes Health System LLC | Peru, IN | $13 | $13 | $2 | — | $8 | $42 |
| 4 | Warsaw Health System LLC | Warsaw, IN | $16 | $15 | $3 | — | $9 | $39 |
| 5 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $16 | $15 | $3 | — | $9 | $41 |
| 6 | St. Joseph Health System, LLC | Wayne, IN | $17 | $19 | $10 | — | $9 | $41 |
| 7 | Dupont Hospital LLC | Wayne, IN | $16 | $15 | $3 | — | $9 | $37 |
| 8 | Triad of Alabama LLC | Dothan, AL | $10 | $10 | $1 | — | $3 | $91 |
Ask Claude or any MCP client for CPT 84490 pricing at a specific hospital — see how to connect.