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
$104
Average
$104
Median
$104
High
$104
| # | 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 | La Porte Hospital Company LLC | La Porte, IN | $104 | $104 | $30 | — | $39 | $224 |
Ask Claude or any MCP client for HCPCS V2624 pricing at a specific hospital — see how to connect.