Reported by 16 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
$12
Average
$22
Median
$16
High
$64
| # | 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 | $17 | $16 | $3 | — | $9 | $47 |
| 2 | Bluffton Health System LLC | Bluffton, IN | $10 | $12 | $5 | — | $4 | $47 |
| 3 | Dukes Health System LLC | Peru, IN | $17 | $16 | $3 | — | $9 | $52 |
| 4 | Warsaw Health System LLC | Warsaw, IN | $17 | $13 | $5 | — | $4 | $49 |
| 5 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $18 | $16 | $3 | — | $9 | $52 |
| 6 | St. Joseph Health System, LLC | Wayne, IN | $19 | $23 | $15 | — | $9 | $52 |
| 7 | Dupont Hospital LLC | Wayne, IN | $13 | $13 | $2 | — | $7 | $47 |
| 8 | Natchez Hospital Company LLC | Natchez, MS | $18 | $52 | $75 | — | $10 | $270 |
| 9 | Northwest Sahurita Hospital LLC | Tucson, AZ | $9 | $16 | $12 | — | $6 | $48 |
| 10 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $9 | $16 | $12 | — | $6 | $48 |
Ask Claude or any MCP client for CPT 90687 pricing at a specific hospital — see how to connect.