Reported by 2 hospitals in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Low
$33
Average
$184
Median
$184
High
$335
| # | 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 | Northwest Medical Foundation Of Tillamook | Tillamook, OR | $39 | $33 | $9 | — | $20 | $42 |
| 2 | Upstate University Hospital | Syracuse, NY | $329 | $335 | $148 | — | $16 | $566 |
Ask Claude or any MCP client for HCPCS 84577 pricing at a specific hospital — see how to connect.