Reported by 224 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$23
Average
$55
Median
$40
High
$336
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $25 | $27 | $70 | $171 | $58 |
| 2 | University of Iowa Health Care Medical Center | Iowa City, IA | $25 | $27 | $68 | $171 | $57 |
| 3 | The Mount Sinai Hospital | New York, NY | $12 | $31 | $55 | $207 | $52 |
| 4 | Spring Valley Hospital Medical Center | Las Vegas, NV | — | $24 | $23 | — | $9 |
| 5 | Valley Health Speciality Hospital | Las Vegas, NV | — | $24 | $23 | — | $9 |
| 6 | Summerlin Hospital Medical Center | Las Vegas, NV | — | $24 | $23 | — | $9 |
| 7 | West Henderson Hospital | NV 89052, NV | — | $24 | $23 | — | $9 |
| 8 | Henderson Hospital | Henderson, NV | — | $24 | $23 | — | $9 |
| 9 | Centennial Hills | Las Vegas, NV | — | $24 | $23 | — | $9 |
| 10 | Manatee Memorial Hospital | Bradenton, FL | — | $24 | $28 | — | $7 |
Ask Claude or any MCP client for HCPCS 87904 pricing at a specific hospital — see how to connect.