Reported by 20 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
$43
Average
$71
Median
$50
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 | Castle Medical Center | Kailua, HI | $39 | $77 | $76 | — | $29 | $229 |
| 3 | Portland Adventist Medical Center | Portland, OR | $69 | $87 | $59 | — | $29 | $234 |
| 4 | Ukiah Adventist Hospital | Ukiah, CA | $39 | $45 | $12 | — | $30 | $294 |
| 5 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $62 | $62 | — | — | $7 | $162 |
| 6 | Sonora Community Hospital | Sonora, CA | $39 | $43 | $11 | — | $19 | $278 |
| 7 | Glendale Adventist Medical Center | Glendale, CA | $40 | $50 | $19 | — | $14 | $164 |
| 8 | Twin Cities Community Hospital Inc | Templeton, CA | $39 | $43 | $13 | — | $6 | $69 |
| 9 | Adventist Health Delano | Delano, CA | $39 | $50 | $17 | — | $8 | $180 |
| 10 | Simi Valley Hospital And Health Care Services | Valley, CA | $39 | $49 | $17 | — | $12 | $147 |
Ask Claude or any MCP client for HCPCS 80204 pricing at a specific hospital — see how to connect.