Reported by 26 hospitals in the network.
Low
$12
Average
$31
Median
$12
High
$108
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | St. Alexius Medical Center | Estates, IL | — | — | $0 | — | — |
| 2 | Alexian Brothers Behavioral Health Hospital | Estates, IL | — | — | $0 | — | — |
| 3 | Alexian Brothers Medical Center | Village, IL | — | — | $0 | — | — |
| 4 | Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | — | — | $0 | — | — |
| 5 | St. John Sapulpa, Inc. | Sapulpa, OK | $79 | $79 | $79 | $79 | — |
| 6 | Owasso Medical Facility, Inc. | Owasso, OK | $84 | $84 | $84 | $84 | — |
| 7 | St. John Medical Center, Inc. | Tulsa, OK | $100 | $100 | $100 | $100 | — |
| 8 | Jane Phillips Memorial Medical Center | Bartlesville, OK | $108 | $108 | $108 | $108 | — |
| 9 | Jane Phillips Nowata Hospital, Inc. | Nowata, OK | $108 | $108 | $108 | $108 | — |
| 10 | St. Vincent Seton Specialty Hospital, Inc. | Indianapolis, IN | $12 | $12 | $12 | $12 | — |
Ask Claude or any MCP client for HCPCS 0103T pricing at a specific hospital — see how to connect.