Reported by 15 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
$18
Average
$38
Median
$37
High
$120
| # | 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 | $21 | $19 | $4 | — | $11 | $355 |
| 2 | Bluffton Health System LLC | Bluffton, IN | $18 | $18 | $4 | — | $11 | $365 |
| 3 | Dukes Health System LLC | Peru, IN | $18 | $18 | $3 | — | $10 | $56 |
| 4 | Warsaw Health System LLC | Warsaw, IN | $21 | $20 | $4 | — | $11 | $286 |
| 5 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $21 | $20 | $4 | — | $11 | $394 |
| 6 | St. Joseph Health System, LLC | Wayne, IN | $22 | $77 | $131 | — | $11 | $394 |
| 7 | Dupont Hospital LLC | Wayne, IN | $21 | $19 | $4 | — | $11 | $298 |
| 8 | Granbury Hospital Corporation | Granbury, TX | $21 | $37 | $32 | — | $13 | $473 |
| 9 | St Peters Hospital | Albany, NY | $42 | $41 | $3 | — | $13 | $265 |
| 10 | Northside Hospital, Inc. | Lawrenceville, GA | $17 | $37 | $26 | — | $10 | $114 |
Ask Claude or any MCP client for CPT 84620 pricing at a specific hospital — see how to connect.