Reported by 30 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$31
Average
$110
Median
$106
High
$194
| # | 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 | Providence Health System - Southern California | Burbank, CA | $85 | $85 | — | — | $85 | $85 |
| 2 | Providence Health System - Southern California | Mission Hills, CA | $67 | $67 | — | — | $67 | $67 |
| 3 | Providence Health System - Southern California | Torrance, CA | $66 | $66 | — | — | $66 | $66 |
| 4 | Providence Health System - Southern California | Santa Monica, CA | $86 | $86 | — | — | $86 | $86 |
| 5 | Providence Health System - Southern California | San Pedro, CA | $69 | $69 | — | — | $69 | $69 |
| 6 | St Joseph Hospital of Orange | Orange, CA | $179 | $179 | $16 | — | $163 | $195 |
| 7 | Covenant Medical Center | Lubbock, TX | $168 | $165 | $27 | — | $129 | $197 |
| 8 | St Jude Hospital Inc | Fullerton, CA | $183 | $183 | $17 | — | $166 | $199 |
| 9 | Mission Hospital Regional Med Center | Mission Viejo, CA | $194 | $194 | $18 | — | $176 | $211 |
| 10 | Tarzana Medical Center LLC | Tarzana, CA | $84 | $84 | — | — | $84 | $84 |
Ask Claude or any MCP client for HCPCS 0391T pricing at a specific hospital — see how to connect.