Reported by 982 hospitals in the network under the case rate methodology.
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Based on 3,678–4,884 billing samples across every hospital reporting.
Low
$0
Average
$2.7k
Median
$2.0k
High
$20.2k
| # | 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 | Sioux Center Health | Sioux Center, IA | $640 | $640 | $481 | 878–896 | $159 | $1.1k |
| 2 | Avera St. Mary's Hospital | Pierre, SD | $296 | $296 | — | 664 | $296 | $1.6k |
| 3 | Avera Holy Family Hospital | Estherville, IA | $159 | $159 | — | 416 | $159 | $3.1k |
| 4 | Avera Queen of Peace | Mitchell, SD | $296 | $296 | — | 263 | $296 | $2.3k |
| 5 | Mount Carmel Grove City | Grove City, OH | $4.8k | $3.9k | $1.8k | 121–166 | $495 | $7.9k |
| 6 | Mount Carmel St Ann's | Westerville, OH | $4.8k | $3.9k | $1.8k | 119–164 | $505 | $7.9k |
| 7 | Avera Merrill Pioneer | Rock Rapids, IA | $232 | $232 | — | 136 | $232 | $1.2k |
| 8 | Lakes Regional Hospital | Spirit Lake, IA | $760 | $760 | — | 118 | $393 | $1.9k |
| 9 | Saint Luke’s Hospital of Trenton | Trenton, MO | $166 | $235 | $159 | 80–134 | $161 | $1.2k |
| 10 | Saint Marys Hospital | Waterbury, CT | $3.1k | $2.7k | $456 | 104 | $440 | $4.2k |
Ask Claude or any MCP client for CPT 99285 pricing at a specific hospital — see how to connect.