Reported by 73 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$126
Average
$4.8k
Median
$4.2k
High
$33.6k
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | The Mount Sinai Hospital | New York, NY | $250 | $8.2k | $6.4k | $9.4k | $3.8k |
| 2 | Vhs Of Arrowhead, Inc | Phoenix, AZ | $785 | $785 | $785 | $785 | — |
| 3 | Vhs Of Phoenix Inc | Phoenix, AZ | $785 | $785 | $785 | $785 | — |
| 4 | VHS Acquisition Subsidiary Number 1 Inc | Cave Creek, AZ | $785 | $785 | $785 | $785 | — |
| 5 | Vhs Of Arrowhead, Inc | Glendale, AZ | $785 | $785 | $785 | $785 | — |
| 6 | Vhs Of Arrowhead, Inc | Surprise, AZ | $785 | $785 | $785 | $785 | — |
| 7 | SMSJ Tucson Holdings LLC | Tucson, AZ | $849 | $849 | $849 | $849 | — |
| 8 | Florida Coast Medical and Surgical Center, Inc. | Port St. Lucie, FL | $231 | $471 | $514 | $895 | $254 |
| 9 | Wellstar Mcg Health, Affiliated With Med Col | Augusta, GA | $5.1k | $5.1k | $5.1k | $5.1k | — |
| 10 | Wellstar Kennestone Hospital | Marietta, GA | $5.1k | $5.1k | $5.1k | $5.1k | — |
Ask Claude or any MCP client for HCPCS D6104 pricing at a specific hospital — see how to connect.