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
$5
Average
$11
Median
$6
High
$42
| # | 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 | Castle Medical Center | Kailua, HI | $4 | $9 | $10 | — | $1 | $35 |
| 2 | Portland Adventist Medical Center | Portland, OR | $8 | $22 | $40 | — | $3 | $144 |
| 3 | Ukiah Adventist Hospital | Ukiah, CA | $4 | $5 | $1 | — | $1 | $58 |
| 4 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $7 | $7 | — | — | $0 | $25 |
| 5 | Sonora Community Hospital | Sonora, CA | $4 | $5 | $1 | — | $2 | $319 |
| 6 | Glendale Adventist Medical Center | Glendale, CA | $5 | $32 | $77 | — | $0 | $379 |
| 7 | Adventist Health Delano | Delano, CA | $4 | $6 | $2 | — | $1 | $484 |
| 8 | Simi Valley Hospital And Health Care Services | Valley, CA | $4 | $6 | $2 | — | $1 | $68 |
| 9 | Adventist Health Tulare | Tulare, CA | $4 | $6 | $2 | — | $1 | $65 |
| 10 | Rideout Memorial Hospital | Marysville, CA | $4 | $5 | $1 | — | $1 | $553 |
Ask Claude or any MCP client for HCPCS 87169 pricing at a specific hospital — see how to connect.