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
$17
Average
$55
Median
$20
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 | $16 | $36 | $41 | — | $9 | $131 |
| 3 | Portland Adventist Medical Center | Portland, OR | $28 | $58 | $85 | — | $12 | $313 |
| 4 | Ukiah Adventist Hospital | Ukiah, CA | $15 | $18 | $5 | — | $11 | $207 |
| 5 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $25 | $25 | — | — | $5 | $91 |
| 6 | Sonora Community Hospital | Sonora, CA | $15 | $17 | $4 | — | $15 | $187 |
| 7 | Glendale Adventist Medical Center | Glendale, CA | $18 | $23 | $11 | — | $5 | $170 |
| 8 | Adventist Health Delano | Delano, CA | $15 | $20 | $7 | — | $5 | $101 |
| 9 | Simi Valley Hospital And Health Care Services | Valley, CA | $15 | $20 | $7 | — | $9 | $166 |
| 10 | Adventist Health Tulare | Tulare, CA | $15 | $20 | $7 | — | $5 | $157 |
Ask Claude or any MCP client for HCPCS 87109 pricing at a specific hospital — see how to connect.