Reported by 19 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
$23
Average
$47
Median
$27
High
$312
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Wellington Regional Medical Center | Wellington, FL | — | $277 | $312 | — | $66 |
| 2 | Castle Medical Center | Kailua, HI | $12 | $21 | $57 | $201 | $72 |
| 3 | Portland Adventist Medical Center | Portland, OR | $16 | $37 | $48 | $138 | $35 |
| 4 | Ukiah Adventist Hospital | Ukiah, CA | $8 | $20 | $24 | $122 | $7 |
| 5 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $4 | $33 | $33 | $339 | — |
| 6 | Sonora Community Hospital | Sonora, CA | $10 | $20 | $23 | $109 | $6 |
| 7 | Glendale Adventist Medical Center | Glendale, CA | $3 | $23 | $63 | $728 | $121 |
| 8 | Twin Cities Community Hospital Inc | Templeton, CA | $20 | $20 | $61 | $631 | $90 |
| 9 | Adventist Health Delano | Delano, CA | $3 | $20 | $27 | $744 | $9 |
| 10 | Simi Valley Hospital And Health Care Services | Valley, CA | $6 | $20 | $26 | $221 | $9 |
Ask Claude or any MCP client for HCPCS 87103 pricing at a specific hospital — see how to connect.