Reported by 2 hospitals in the network under the case rate methodology.
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Low
$43
Average
$80
Median
$80
High
$117
| # | 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 | Covenant Medical Center Inc | Waterloo, IA | $117 | $117 | — | — | $12 | $117 |
| 2 | Memorial Hospital of Laramie County | Cheyenne, WY | $43 | $43 | — | — | $43 | $43 |
Ask Claude or any MCP client for CPT 90484 pricing at a specific hospital — see how to connect.