Reported by 18 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$65
Average
$203
Median
$279
High
$323
| # | 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 | The Medical Center of Central Georgia Inc | Macon, GA | $71 | $71 | $13 | — | $58 | $84 |
| 2 | Central Georgia Rehabilitation LLC | Macon, GA | $71 | $71 | $13 | — | $58 | $84 |
| 3 | Mary Hitchcock Memorial Hospital | Lebanon, NH | $57 | $68 | $18 | — | $54 | $93 |
| 4 | Cheshire Medical Center | Keene, NH | $73 | $73 | $20 | — | $54 | $93 |
| 5 | Advocate Childrens Hospital Oak Lawn | Oak Lawn, IL | $284 | $282 | $15 | — | $263 | $299 |
| 6 | Advocate Christ Medical Center | Oak Lawn, IL | $279 | $277 | $15 | — | $258 | $294 |
| 7 | Advocate Lutheran General Hospital | Park Ridge, IL | $283 | $281 | $15 | — | $262 | $298 |
| 8 | Advocate Good Samaritan Hospital | Downers Grove, IL | $286 | $284 | $15 | — | $264 | $301 |
| 9 | Advocate Childrens Hospital Park Ridge | Park Ridge, IL | $288 | $286 | $15 | — | $267 | $304 |
| 10 | Advocate Condell Medical Center | Libertyville, IL | $176 | $175 | $9 | — | $163 | $185 |
Ask Claude or any MCP client for CPT 95904 pricing at a specific hospital — see how to connect.