Reported by 72 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$39
Average
$152
Median
$111
High
$679
| # | 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 | MaineHealth | Portland, ME | $150 | $150 | — | — | $150 | $150 |
| 2 | MaineHealth | Biddeford, ME | $150 | $150 | — | — | $150 | $150 |
| 3 | Memorial Hospital of Laramie County | Cheyenne, WY | $135 | $135 | — | — | $135 | $135 |
| 4 | MaineHealth | Brunswick, ME | $164 | $164 | — | — | $164 | $164 |
| 5 | MaineHealth | Rockport, ME | $186 | $186 | — | — | $186 | $186 |
| 6 | MaineHealth | North Conway, NH | $205 | $205 | — | — | $205 | $205 |
| 7 | MaineHealth | Farmington, ME | $213 | $213 | — | — | $213 | $213 |
| 8 | MaineHealth | Westbrook, ME | $213 | $213 | — | — | $213 | $213 |
| 9 | Santa Rosa Hospital - Westover Hills | San Antonio, TX | $68 | $68 | — | — | $68 | $68 |
| 10 | Santa Rosa Hospital - Alamo Heights | San Antonio, TX | $68 | $68 | — | — | $68 | $68 |
Ask Claude or any MCP client for HCPCS S0255 pricing at a specific hospital — see how to connect.