Reported by 78 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
$0
Average
$43
Median
$22
High
$548
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Northwestern Memorial Hospital | Chicago, IL | $16 | $46 | $46 | $620 | — |
| 2 | IOM Health System LP | Fort Wayne, IN | $13 | $23 | $22 | $336 | $4 |
| 3 | Bluffton Health System LLC | Bluffton, IN | $13 | $21 | $20 | $360 | $5 |
| 4 | Dukes Health System LLC | Peru, IN | $14 | $82 | $80 | $255 | $14 |
| 5 | Warsaw Health System LLC | Warsaw, IN | $5 | $23 | $22 | $603 | $4 |
| 6 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $13 | $23 | $22 | $355 | $5 |
| 7 | St. Joseph Health System, LLC | Wayne, IN | $13 | $24 | $66 | $373 | $105 |
| 8 | Dupont Hospital LLC | Wayne, IN | $13 | $23 | $22 | $213 | $4 |
| 9 | Natchez Hospital Company LLC | Natchez, MS | $13 | $14 | $80 | $778 | $211 |
| 10 | Wesley Health System LLC | Hattiesburg, MS | $10 | $16 | $93 | $620 | $182 |
Ask Claude or any MCP client for CPT 86777 pricing at a specific hospital — see how to connect.