Reported by 26 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$73
Average
$219
Median
$199
High
$699
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | The Mount Sinai Hospital | New York, NY | $120 | $120 | $120 | $120 | — |
| 2 | Ukiah Adventist Hospital | Ukiah, CA | $106 | $280 | $317 | $505 | $84 |
| 3 | Adventist Health Medical Center Tehachapi | Tehachapi, CA | $117 | $304 | $357 | $685 | $115 |
| 4 | Sonora Community Hospital | Sonora, CA | $140 | $274 | $247 | $415 | $95 |
| 5 | Reedley Community Hospital | Reedley, CA | $116 | $375 | $397 | $676 | $118 |
| 6 | Adventist Health Mendocino Coast | Bragg, CA | $105 | $279 | $465 | $837 | $263 |
| 7 | Lodi Memorial Hospital Association Inc | Lodi, CA | $73 | $155 | $221 | $399 | $83 |
| 8 | Willits Hospital Inc | Willits, CA | $145 | $403 | $373 | $407 | $54 |
| 9 | Santa Rosa Hospital - Westover Hills | San Antonio, TX | $73 | $73 | $73 | $73 | — |
| 10 | Santa Rosa Hospital - Alamo Heights | San Antonio, TX | $73 | $73 | $73 | $73 | — |
Ask Claude or any MCP client for HCPCS D5621 pricing at a specific hospital — see how to connect.