Reported by 3 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
$312
Average
$374
Median
$404
High
$404
| # | 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 | Nebraska Medical Center | Omaha, NE | $334 | $404 | $173 | — | $13 | $863 |
| 3 | Bellevue Medical Center Llc | Bellevue, NE | $334 | $404 | $173 | — | $13 | $863 |
Ask Claude or any MCP client for HCPCS 84620 pricing at a specific hospital — see how to connect.