Reported by 13 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
$128
Average
$181
Median
$148
High
$346
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Ukiah Adventist Hospital | Ukiah, CA | $99 | $117 | $135 | $478 | $37 |
| 2 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $99 | $188 | $188 | $685 | — |
| 3 | Sonora Community Hospital | Sonora, CA | $99 | $117 | $130 | $588 | $33 |
| 4 | Glendale Adventist Medical Center | Glendale, CA | $69 | $122 | $346 | $2.2k | $536 |
| 5 | Twin Cities Community Hospital Inc | Templeton, CA | $2 | $118 | $315 | $8.4k | $459 |
| 6 | Mid Columbia Medical Center | Dalles, OR | $114 | $213 | $213 | $447 | — |
| 7 | Adventist Health Delano | Delano, CA | $81 | $118 | $154 | $309 | $51 |
| 8 | Rideout Memorial Hospital | Marysville, CA | $38 | $117 | $140 | $314 | $40 |
| 9 | San Joaquin Community Hospital | Bakersfield, CA | $69 | $118 | $142 | $549 | $42 |
| 10 | Lodi Memorial Hospital Association Inc | Lodi, CA | $99 | $117 | $136 | $834 | $39 |
Ask Claude or any MCP client for HCPCS 99204 pricing at a specific hospital — see how to connect.