Reported by 148 hospitals in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Based on 8,154–55,998 billing samples across every hospital reporting.
Low
$0
Average
$21
Median
$8
High
$324
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Tacoma General Allenmore Hospital | Tacoma, WA | $27 | $36 | $20 | 1,312–13,120 | $0 | $74 |
| 2 | Fairview Health Services | Minneapolis, MN | $20 | $22 | $12 | 944–9,044 | $0 | $50 |
| 3 | Good Samaritan Hospital | Puyallup, WA | $47 | $50 | $17 | 420–4,200 | $0 | $75 |
| 4 | Fairview Health Services | Burnsville, MN | $18 | $19 | $4 | 431–3,734 | $0 | $40 |
| 5 | HealthEast St John's Hospital | Maplewood, MN | $3 | $2 | $1 | 323–3,014 | $0 | $40 |
| 6 | MultiCare Deaconess Hospital | Spokane, WA | $55 | $56 | $14 | 252–2,520 | $0 | $74 |
| 7 | Fairview Health Services | Edina, MN | $26 | $27 | $8 | 272–2,360 | $0 | $40 |
| 8 | HealthEast Woodwinds Hospital | Woodbury, MN | $20 | $21 | $7 | 252–2,367 | $0 | $40 |
| 9 | Stony Brook University Hospital | Stony Brook, NY | $20 | $20 | — | 1,200 | $20 | $20 |
| 10 | MultiCare Capital Medical Center | Olympia, WA | $51 | $45 | $25 | 144–1,440 | $0 | $73 |
Ask Claude or any MCP client for HCPCS J2004 pricing at a specific hospital — see how to connect.