Reported by 5 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
$139
Average
$216
Median
$242
High
$312
| # | 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 | Wellington Regional Medical Center | Wellington, FL | $277 | $312 | $66 | — | $238 | $414 |
| 2 | Ukiah Adventist Hospital | Ukiah, CA | $120 | $139 | $38 | — | $26 | $291 |
| 3 | San Joaquin Community Hospital | Bakersfield, CA | $112 | $145 | $45 | — | $26 | $252 |
| 4 | Nebraska Medical Center | Omaha, NE | $200 | $242 | $104 | — | $50 | $517 |
| 5 | Bellevue Medical Center Llc | Bellevue, NE | $200 | $242 | $104 | — | $50 | $517 |
Ask Claude or any MCP client for HCPCS 77091 pricing at a specific hospital — see how to connect.