Reported by 6 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
$25
Average
$38
Median
$30
High
$74
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Glendale Adventist Medical Center | Glendale, CA | $7 | $27 | $74 | $638 | $124 |
| 2 | Simi Valley Hospital And Health Care Services | Valley, CA | $10 | $23 | $29 | $309 | $10 |
| 3 | Adventist Health Tulare | Tulare, CA | $6 | $23 | $30 | $292 | $11 |
| 4 | Lodi Memorial Hospital Association Inc | Lodi, CA | $6 | $23 | $27 | $213 | $8 |
| 5 | White Memorial Medical Center | Angeles, CA | $7 | $23 | $44 | $793 | $110 |
| 6 | St Helena Hospital | Helena, CA | $22 | $23 | $25 | $224 | $6 |
Ask Claude or any MCP client for HCPCS 87490 pricing at a specific hospital — see how to connect.