Reported by 18 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$60
Average
$192
Median
$116
High
$579
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Santa Rosa Hospital - Westover Hills | San Antonio, TX | $60 | $60 | $60 | $60 | — |
| 2 | Santa Rosa Hospital - Alamo Heights | San Antonio, TX | $60 | $60 | $60 | $60 | — |
| 3 | Santa Rosa Emergency Center - Alon | San Antonio, TX | $60 | $60 | $60 | $60 | — |
| 4 | St. Michael Hospital - Atlanta | Atlanta, TX | $403 | $403 | $403 | $403 | — |
| 5 | St. Michael Rehabilitation Hospital | Texarkana, TX | $403 | $403 | $403 | $403 | — |
| 6 | East Cooper Medical Center LLC | Mt Pleasant, SC | $84 | $84 | $84 | $84 | — |
| 7 | South Carolina Coastal Medical Center LLC | Hardeeville, SC | $84 | $84 | $84 | $84 | — |
| 8 | CHRISTUS Health - Pine Street | Texarkana, TX | $403 | $403 | $403 | $403 | — |
| 9 | St. Michael Health System - Texarkana | Texarkana, TX | $403 | $403 | $403 | $403 | — |
| 10 | Hilton Head Medical Center LLC | Hilton Head Island, SC | $84 | $84 | $84 | $84 | — |
Ask Claude or any MCP client for HCPCS D5876 pricing at a specific hospital — see how to connect.