Reported by 3 hospitals in the network under the percent of billed charges methodology.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Low
$149
Average
$164
Median
$149
High
$193
| # | 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 | Nebraska Medical Center | Omaha, NE | $153 | $149 | $41 | — | $0 | $762 |
| 2 | Bellevue Medical Center Llc | Bellevue, NE | $153 | $149 | $41 | — | $0 | $762 |
| 3 | University Of Miami Hosp & Clinics | Miami, FL | $199 | $193 | $67 | — | $91 | $290 |
Ask Claude or any MCP client for HCPCS 96904 pricing at a specific hospital — see how to connect.