Reported by 54 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
$397
Median
$154
High
$1.1k
| # | 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 | $100 | $137 | $56 | — | $100 | $1.1k |
| 2 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $100 | $144 | $61 | — | $77 | $1.3k |
| 3 | St. Joseph Health System, LLC | Wayne, IN | $100 | $198 | $270 | — | $100 | $1.3k |
| 4 | La Porte Hospital Company LLC | La Porte, IN | $100 | $124 | $49 | — | $77 | $696 |
| 5 | St Joseph Mercy Oakland | Pontiac, MI | $128 | $138 | $52 | — | $70 | $490 |
| 6 | Holy Cross Hospital-Silver Spring | Silver Spring, MD | $157 | $157 | — | — | $157 | $282 |
| 7 | Holy Cross Hospital-Ft. Lauderdale | Ft. Lauderdale, FL | $135 | $162 | $48 | — | $124 | $776 |
| 8 | Mount Carmel Grove City | Grove City, OH | $463 | $403 | $121 | — | $107 | $945 |
| 9 | Mount Carmel East | Columbus, OH | $463 | $402 | $121 | — | $107 | $945 |
| 10 | Vanderbilt Wilson County Hospital | Lebanon, TN | $0 | $0 | — | — | $150 | $2.7k |
Ask Claude or any MCP client for CPT 95863 pricing at a specific hospital — see how to connect.