Reported by 3 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$104
Average
$111
Median
$110
High
$117
| # | 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 | Memorial Medical Center San Augustine | San Augustine, TX | $129 | $104 | $52 | — | $27 | $190 |
| 2 | Memorial Health System Of East Texas | Lufkin, TX | $121 | $117 | $35 | — | $27 | $171 |
| 3 | Memorial Hospital Of Polk County | Livingston, TX | $119 | $110 | $40 | — | $27 | $171 |
Ask Claude or any MCP client for HCPCS J2095 pricing at a specific hospital — see how to connect.