Reported by 17 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
$19
Average
$60
Median
$22
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 | $17 | $48 | $80 | — | $6 | $284 |
| 3 | Ukiah Adventist Hospital | Ukiah, CA | $17 | $20 | $5 | — | $17 | $248 |
| 4 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $27 | $27 | — | — | $18 | $154 |
| 5 | Sonora Community Hospital | Sonora, CA | $17 | $19 | $5 | — | $17 | $782 |
| 6 | Glendale Adventist Medical Center | Glendale, CA | $20 | $60 | $88 | — | $5 | $361 |
| 7 | Twin Cities Community Hospital Inc | Templeton, CA | $17 | $64 | $109 | — | $17 | $332 |
| 8 | Simi Valley Hospital And Health Care Services | Valley, CA | $17 | $22 | $8 | — | $8 | $237 |
| 9 | Adventist Health Tulare | Tulare, CA | $17 | $22 | $8 | — | $5 | $224 |
| 10 | Rideout Memorial Hospital | Marysville, CA | $17 | $20 | $5 | — | $4 | $269 |
Ask Claude or any MCP client for HCPCS 86677 pricing at a specific hospital — see how to connect.