Reported by 16 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
$10
Average
$69
Median
$12
High
$321
| # | 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 | $10 | $18 | $16 | — | $3 | $51 |
| 3 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $15 | $15 | — | — | $1 | $56 |
| 4 | Sonora Community Hospital | Sonora, CA | $9 | $11 | $3 | — | $4 | $114 |
| 5 | Glendale Adventist Medical Center | Glendale, CA | $9 | $11 | $4 | — | $1 | $104 |
| 6 | Adventist Health Delano | Delano, CA | $9 | $12 | $4 | — | $2 | $62 |
| 7 | Simi Valley Hospital And Health Care Services | Valley, CA | $9 | $12 | $4 | — | $3 | $102 |
| 8 | Adventist Health Tulare | Tulare, CA | $9 | $13 | $5 | — | $3 | $96 |
| 9 | Reedley Community Hospital | Reedley, CA | $9 | $11 | $3 | — | $1 | $121 |
| 10 | San Joaquin Community Hospital | Bakersfield, CA | $9 | $12 | $4 | — | $3 | $108 |
Ask Claude or any MCP client for HCPCS 84220 pricing at a specific hospital — see how to connect.