Reported by 1 hospital in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Low
$263
Average
$263
Median
$263
High
$263
| # | 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 | Upstate University Hospital | Syracuse, NY | $214 | $263 | $126 | — | $110 | $494 |
Ask Claude or any MCP client for HCPCS 0639T pricing at a specific hospital — see how to connect.