Reported by 7 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$112
Average
$151
Median
$130
High
$210
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | St. Mary's Regional Medical Center | Enid, OK | — | $112 | $112 | — | — |
| 2 | Covenant Medical Center | Lubbock, TX | $134 | $190 | $195 | $250 | $43 |
| 3 | Methodist Children's Hospital | Lubbock, TX | $163 | $213 | $210 | $250 | $35 |
| 4 | Providence Health And Services - Washington | Anchorage, AK | $99 | $130 | $130 | $161 | $31 |
| 5 | Methodist Hospital Plainview | Plainview, TX | $101 | $125 | $124 | $159 | $19 |
| 6 | Methodist Hospital Levelland | Levelland, TX | $103 | $125 | $130 | $169 | $20 |
| 7 | Lubbock Heritage Hospital LLC | Lubbock, TX | $76 | $149 | $159 | $250 | $59 |
Ask Claude or any MCP client for HCPCS 99504 pricing at a specific hospital — see how to connect.