Reported by 5 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
$22
Average
$40
Median
$29
High
$94
| # | 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 | Bluffton Health System LLC | Bluffton, IN | $24 | $24 | $1 | — | $21 | $91 |
| 2 | Dukes Health System LLC | Peru, IN | $29 | $29 | $5 | — | $16 | $101 |
| 3 | St. Joseph Health System, LLC | Wayne, IN | $92 | $94 | $5 | — | $21 | $101 |
| 4 | La Porte Hospital Company LLC | La Porte, IN | $32 | $32 | — | — | $32 | $111 |
| 5 | The University of Tennessee Medical Center | Knoxville, TN | $23 | $22 | $8 | — | $10 | $31 |
Ask Claude or any MCP client for CPT 99058 pricing at a specific hospital — see how to connect.