Reported by 4 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$223
Average
$223
Median
$223
High
$223
| # | 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 | Riverside Hospital Inc | Newport News, VA | $147 | $223 | $238 | — | $31 | $849 |
| 2 | Riverside Middle Peninsula Hospital, Inc | Gloucester, VA | $147 | $223 | $238 | — | $31 | $849 |
| 3 | Shore Health Services Inc. | Onancock, VA | $148 | $223 | $238 | — | $31 | $849 |
| 4 | Doctors’ Hospital of Williamsburg | Williamsburg, VA | $147 | $223 | $238 | — | $31 | $849 |
Ask Claude or any MCP client for HCPCS 76872TC pricing at a specific hospital — see how to connect.