Reported by 15 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
$66
Median
$46
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 | $40 | $57 | $35 | — | $18 | $128 |
| 3 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $63 | $63 | — | — | $5 | $150 |
| 4 | Sonora Community Hospital | Sonora, CA | $39 | $44 | $11 | — | $14 | $309 |
| 5 | Glendale Adventist Medical Center | Glendale, CA | $39 | $44 | $16 | — | $9 | $281 |
| 6 | Adventist Health Delano | Delano, CA | $39 | $51 | $17 | — | $6 | $168 |
| 7 | Simi Valley Hospital And Health Care Services | Valley, CA | $39 | $50 | $18 | — | $8 | $275 |
| 8 | Adventist Health Tulare | Tulare, CA | $39 | $52 | $19 | — | $8 | $260 |
| 9 | Rideout Memorial Hospital | Marysville, CA | $39 | $45 | $12 | — | $8 | $797 |
| 10 | Reedley Community Hospital | Reedley, CA | $39 | $46 | $12 | — | $4 | $326 |
Ask Claude or any MCP client for HCPCS 84126 pricing at a specific hospital — see how to connect.