Reported by 23 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$3
Average
$10
Median
$10
High
$27
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Memorial Hospital of Laramie County | Cheyenne, WY | $3 | $3 | $3 | $3 | — |
| 2 | Santa Rosa Hospital - Westover Hills | San Antonio, TX | $5 | $5 | $5 | $5 | — |
| 3 | Santa Rosa Hospital - Alamo Heights | San Antonio, TX | $5 | $5 | $5 | $5 | — |
| 4 | Santa Rosa Emergency Center - Alon | San Antonio, TX | $5 | $5 | $5 | $5 | — |
| 5 | East Cooper Medical Center LLC | Mt Pleasant, SC | $5 | $5 | $5 | $5 | — |
| 6 | South Carolina Coastal Medical Center LLC | Hardeeville, SC | $5 | $5 | $5 | $5 | — |
| 7 | Hilton Head Medical Center LLC | Hilton Head Island, SC | $5 | $5 | $5 | $5 | — |
| 8 | Covenant Medical Center | Lubbock, TX | $27 | $27 | $27 | $27 | — |
| 9 | Providence Health And Services - Washington | Anchorage, AK | $20 | $26 | $26 | $32 | $6 |
| 10 | Lubbock Heritage Hospital LLC | Lubbock, TX | $27 | $27 | $27 | $27 | — |
Ask Claude or any MCP client for HCPCS T1004 pricing at a specific hospital — see how to connect.