Reported by 14 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
$130
Average
$302
Median
$309
High
$373
| # | 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 | East Cooper Medical Center LLC | Mt Pleasant, SC | $393 | $373 | $113 | — | $225 | $500 |
| 2 | South Carolina Coastal Medical Center LLC | Hardeeville, SC | $354 | $324 | $111 | — | $175 | $443 |
| 3 | Community Medical Center | Toms River, NJ | $309 | $309 | $25 | — | $284 | $334 |
| 4 | Newark Beth Israel Medical Center | Newark, NJ | $309 | $309 | $25 | — | $284 | $334 |
| 5 | Clara Maass Medical Center | Belleville, NJ | $309 | $309 | $25 | — | $284 | $334 |
| 6 | Monmouth Medical Center | Long Branch, NJ | $309 | $309 | $25 | — | $284 | $334 |
| 7 | Monmouth Medical Center Southern Campus | Lakewood, NJ | $309 | $309 | $25 | — | $284 | $334 |
| 8 | Cooperman Barnabas Medical Center | Livingston, NJ | $309 | $309 | $25 | — | $284 | $334 |
| 9 | Jersey City Medical Center | Jersey City, NJ | $309 | $309 | $25 | — | $284 | $334 |
| 10 | Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $309 | $309 | $25 | — | $284 | $334 |
Ask Claude or any MCP client for CPT 904T pricing at a specific hospital — see how to connect.