Reported by 33 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$33
Average
$93
Median
$71
High
$211
| # | 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 | Covenant Medical Center | Lubbock, TX | $72 | $71 | $12 | — | $55 | $85 |
| 2 | Methodist Children's Hospital | Lubbock, TX | $72 | $71 | $12 | — | $55 | $85 |
| 3 | Providence Health And Services - Washington | Anchorage, AK | $198 | $198 | $47 | — | $151 | $245 |
| 4 | Methodist Hospital Plainview | Plainview, TX | $40 | $41 | $7 | — | $33 | $54 |
| 5 | Kadlec Regional Medical Center | Richland, WA | $53 | $53 | — | — | $53 | $53 |
| 6 | Methodist Hospital Levelland | Levelland, TX | $42 | $43 | $7 | — | $33 | $57 |
| 7 | Lubbock Heritage Hospital LLC | Lubbock, TX | $55 | $54 | $22 | — | $25 | $85 |
| 8 | SSM-SLUH, Inc. | Saint Louis, MO | $129 | $154 | $60 | — | $76 | $263 |
| 9 | SSM Health Care of Oklahoma, Inc | Oklahoma City, OK | $50 | $50 | — | — | $50 | $50 |
| 10 | SSM Regional Health Services | Jefferson City, MO | $208 | $204 | $51 | — | $119 | $281 |
Ask Claude or any MCP client for HCPCS 0403T pricing at a specific hospital — see how to connect.