Reported by 6 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
$15
Average
$20
Median
$19
High
$32
| # | 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 | Vicksburg Healthcare LLC | Vicksburg, MS | $13 | $32 | $49 | — | $12 | $187 |
| 2 | Northwest Sahurita Hospital LLC | Tucson, AZ | $13 | $19 | $11 | — | $13 | $64 |
| 3 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $13 | $19 | $11 | — | $13 | $64 |
| 4 | Oro Valley Hospital LLC | Tucson, AZ | $13 | $18 | $10 | — | $13 | $96 |
| 5 | Northwest Hospital LLC | Tucson, AZ | $13 | $18 | $10 | — | $13 | $96 |
| 6 | West Virginia University Hospitals, Inc. | Morgantown, WV | $14 | $15 | $3 | — | $9 | $21 |
Ask Claude or any MCP client for CPT 86750 pricing at a specific hospital — see how to connect.