Reported by 29 hospitals in the network.
Low
$27
Average
$489
Median
$84
High
$6.7k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 29 hospitals; the 90th percentile is 5.1× 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 | $30 | $30 | — | — | $30 | $30 |
| 2 | Hmh Hospitals Corporation | Edison, NJ | $128 | $140 | $25 | — | $121 | $182 |
| 3 | Hmh Hospitals Corporation | Brick, NJ | $128 | $140 | $25 | — | $121 | $182 |
| 4 | Hmh Hospitals Corporation | Edison, NJ | $128 | $140 | $25 | — | $121 | $182 |
| 5 | Providence Health System - Southern California | Burbank, CA | $42 | $43 | $3 | — | $40 | $49 |
| 6 | Providence Health System - Southern California | Mission Hills, CA | $23 | $27 | $8 | — | $21 | $40 |
| 7 | Providence Health System - Southern California | Torrance, CA | $42 | $42 | $6 | — | $34 | $50 |
| 8 | Providence Health System - Southern California | Santa Monica, CA | $51 | $49 | $6 | — | $40 | $54 |
| 9 | Providence Health System - Southern California | San Pedro, CA | $25 | $27 | $7 | — | $21 | $40 |
| 10 | Tarzana Medical Center LLC | Tarzana, CA | $26 | $28 | $8 | — | $21 | $40 |
Ask Claude or any MCP client for HCPCS 90804 pricing at a specific hospital — see how to connect.