Reported by 103 hospitals in the network under the other methodology.
Based on 71–710 billing samples across every hospital reporting.
Low
$0
Average
$252
Median
$73
High
$2.0k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 103 hospitals; the 90th percentile is 4070.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Atrium Health Hospitals Inc | Shelby, NC | $37 | $37 | — | 20–200 | $7 | $300 |
| 2 | Baystate Franklin Medical Center | Greenfield, MA | $751 | $751 | — | 14–140 | $751 | $751 |
| 3 | The Charlotte Mecklenburg Hospital Authority | Charlotte, NC | $53 | $53 | — | 10–100 | $5 | $307 |
| 4 | Northside Hospital, Inc. | Lawrenceville, GA | $22 | $70 | $91 | 5–50 | $1 | $447 |
| 5 | Northside Hospital, Inc. | Canton, GA | $23 | $73 | $94 | 5–50 | $1 | $447 |
| 6 | Northside Hospital, Inc. | Duluth, GA | $22 | $70 | $91 | 5–50 | $1 | $447 |
| 7 | Northside Hospital, Inc. | Cumming, GA | $22 | $72 | $94 | 5–50 | $1 | $447 |
| 8 | Northside Hospital, Inc. | Atlanta, GA | $25 | $75 | $93 | 4–40 | $1 | $447 |
| 9 | Community Memorial Hospital of Menomonee Falls Inc | Menomonee Falls, WI | $48 | $48 | — | 2–20 | $0 | $138 |
| 10 | Baptist Health Medical Center - Arkadelphia | Arkadelphia, AR | $17 | $17 | — | 1–10 | $0 | $17 |
Ask Claude or any MCP client for HCPCS J2404 pricing at a specific hospital — see how to connect.