Reported by 70 hospitals in the network under the fee schedule methodology.
Low
$19
Average
$142
Median
$100
High
$373
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 70 hospitals; the 90th percentile is 8.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | The Mount Sinai Hospital | New York, NY | $20 | $36 | $21 | — | $20 | $69 |
| 2 | Wellstar Mcg Health, Affiliated With Med Col | Augusta, GA | $75 | $75 | — | — | $75 | $75 |
| 3 | Wellstar Kennestone Hospital | Marietta, GA | $75 | $75 | — | — | $75 | $75 |
| 4 | Wellstar West Georgia Medical Center | Lagrange, GA | $75 | $75 | — | — | $75 | $75 |
| 5 | Wellstar Cobb Hospital | Austell, GA | $75 | $75 | — | — | $75 | $75 |
| 6 | Wellstar North Fulton Hospital | Roswell, GA | $75 | $75 | — | — | $75 | $75 |
| 7 | Wellstar Spalding Regional Hospital | Griffin, GA | $75 | $75 | — | — | $75 | $75 |
| 8 | Wellstar Douglas Hospital | Douglasville, GA | $75 | $75 | — | — | $75 | $75 |
| 9 | Wellstar Paulding Hospital | Hiram, GA | $75 | $75 | — | — | $75 | $75 |
| 10 | Wellstar Windy Hill Hospital | Marietta, GA | $75 | $75 | — | — | $75 | $75 |
Ask Claude or any MCP client for HCPCS 87622 pricing at a specific hospital — see how to connect.