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
$110
Average
$399
Median
$411
High
$663
| # | 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 | Castle Medical Center | Kailua, HI | $97 | $160 | $127 | — | $59 | $413 |
| 2 | Sierra Vista Hospital Inc | Obispo, CA | $95 | $110 | $27 | — | $26 | $171 |
| 3 | Nebraska Medical Center | Omaha, NE | $548 | $663 | $285 | — | $55 | $1.4k |
| 4 | Bellevue Medical Center Llc | Bellevue, NE | $548 | $663 | $285 | — | $55 | $1.4k |
Ask Claude or any MCP client for HCPCS 81377 pricing at a specific hospital — see how to connect.