Reported by 15 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
$29
Average
$34
Median
$33
High
$42
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $8 | $42 | $42 | $154 | — |
| 2 | Sonora Community Hospital | Sonora, CA | $22 | $26 | $29 | $316 | $7 |
| 3 | Glendale Adventist Medical Center | Glendale, CA | $6 | $27 | $35 | $288 | $12 |
| 4 | Twin Cities Community Hospital Inc | Templeton, CA | $26 | $26 | $42 | $107 | $28 |
| 5 | Adventist Health Delano | Delano, CA | $5 | $26 | $34 | $171 | $11 |
| 6 | Simi Valley Hospital And Health Care Services | Valley, CA | $13 | $26 | $33 | $281 | $12 |
| 7 | Adventist Health Tulare | Tulare, CA | $5 | $26 | $35 | $266 | $13 |
| 8 | Rideout Memorial Hospital | Marysville, CA | $5 | $26 | $30 | $47 | $8 |
| 9 | Reedley Community Hospital | Reedley, CA | $6 | $26 | $31 | $334 | $8 |
| 10 | San Joaquin Community Hospital | Bakersfield, CA | $5 | $26 | $34 | $298 | $10 |
Ask Claude or any MCP client for HCPCS 87904 pricing at a specific hospital — see how to connect.