Reported by 1 hospital in the network under the other methodology.
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Low
$175
Average
$175
Median
$175
High
$175
| # | 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 | White Memorial Medical Center | Angeles, CA | $175 | $175 | $45 | — | $20 | $505 |
Ask Claude or any MCP client for HCPCS S0117 pricing at a specific hospital — see how to connect.