Reported by 16 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
$159
Average
$208
Median
$184
High
$433
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Castle Medical Center | Kailua, HI | $91 | $145 | $246 | $660 | $201 |
| 2 | Ukiah Adventist Hospital | Ukiah, CA | $54 | $143 | $165 | $2.2k | $46 |
| 3 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $27 | $228 | $228 | $740 | — |
| 4 | Sonora Community Hospital | Sonora, CA | $71 | $143 | $159 | $2.0k | $40 |
| 5 | Glendale Adventist Medical Center | Glendale, CA | $16 | $148 | $241 | $1.2k | $206 |
| 6 | Twin Cities Community Hospital Inc | Templeton, CA | $11 | $143 | $279 | $1.9k | $272 |
| 7 | Adventist Health Delano | Delano, CA | $14 | $143 | $186 | $1.4k | $62 |
| 8 | Simi Valley Hospital And Health Care Services | Valley, CA | $43 | $143 | $183 | $1.1k | $64 |
| 9 | Adventist Health Tulare | Tulare, CA | $14 | $143 | $190 | $1.7k | $69 |
| 10 | Rideout Memorial Hospital | Marysville, CA | $13 | $143 | $166 | $1.9k | $46 |
Ask Claude or any MCP client for HCPCS 87631 pricing at a specific hospital — see how to connect.