Reported by 38 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$749
Average
$1.2k
Median
$1.3k
High
$2.1k
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Virginia Mason Medical Center | Seattle, WA | $622 | $888 | $1.3k | $3.2k | $806 |
| 2 | Saint Alphonsus Regional Medical Center - Boise | Boise, ID | $208 | $1.1k | $1.1k | $1.1k | $89 |
| 3 | St Joseph Mercy Chelsea | Chelsea, MI | $580 | $1.8k | $1.6k | $2.2k | $350 |
| 4 | St Joseph Mercy Ann Arbor | Ypsilanti, MI | $560 | $2.2k | $1.9k | $2.2k | $532 |
| 5 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton | Brighton, MI | $490 | $2.0k | $1.8k | $2.2k | $432 |
| 6 | Samaritan Hospital | Troy, NY | $46 | $2.0k | $1.6k | $2.4k | $498 |
| 7 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center | Murray, UT | $851 | $868 | $1.3k | $2.5k | $641 |
| 8 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital | Provo, UT | $718 | $906 | $1.3k | $2.5k | $650 |
| 9 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital | Ogden, UT | $723 | $906 | $1.3k | $2.5k | $620 |
| 10 | Benefis Hospitals Inc | Falls, MT | $659 | $873 | $1.0k | $2.4k | $451 |
Ask Claude or any MCP client for CPT L3764 pricing at a specific hospital — see how to connect.