Reported by 18 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 28–82 billing samples across every hospital reporting.
Low
$166
Average
$505
Median
$313
High
$926
| # | 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 | State Of Mississippi-university Of Mississippi Medical Center | JACKSON, MS | $262 | $236 | $117 | 28–82 | $116 | $540 |
| 2 | Wellington Regional Medical Center | Wellington, FL | $277 | $312 | $66 | — | $238 | $414 |
| 3 | Ukiah Adventist Hospital | Ukiah, CA | $177 | $206 | $57 | — | $54 | $945 |
| 4 | Glendale Adventist Medical Center | Glendale, CA | $199 | $314 | $252 | — | $13 | $1.1k |
| 5 | Rideout Memorial Hospital | Marysville, CA | $166 | $193 | $53 | — | $11 | $1.2k |
| 6 | San Joaquin Community Hospital | Bakersfield, CA | $166 | $166 | — | — | $13 | $166 |
| 7 | Hanford Community Hospital | Hanford, CA | $166 | $166 | — | — | $8 | $166 |
| 8 | St Helena Hospital | Helena, CA | $171 | $190 | $48 | — | $54 | $1.0k |
| 9 | State Of Mississippi-university Of Mississippi Medical Center | CANTON, MS | $250 | $246 | $97 | — | $116 | $400 |
| 10 | State Of Mississippi-university Of Mississippi Medical Center | GRENADA, MS | $116 | $197 | $97 | — | $111 | $420 |
Ask Claude or any MCP client for HCPCS 94728 pricing at a specific hospital — see how to connect.