CDM 301004691
Prices here combine facility and professional fees. See them separately →Experimental
Rates differ by insurer. See what each payer pays for this code →Experimental
Low
$15
Average
$23
Median
$21
High
$40
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. 5 hospitals; the 90th percentile is 2.2× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Josephs Community Hospital of West Bend Inc West Bend, WI | $17 | $16 | $4 | 23% | 5,076–5,130 | $8 – $22 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI | $17 | $25 | $26 | 100% | 428–554 | $17 – $130 |
| 3 | Holy Family Memorial Inc Manitowoc, WI | $17 | $21 | $7 | 34% | 142–232 | $17 – $43 |
| 4 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI | $17 | $15 | $4 | 24% | 23–113 | $10 – $22 |
| 5 | Froedtert Community Hospital Pewaukee Pewaukee, WI | $17 | $40 | $32 | 80% | 3–30 | $17 – $85 |
Ask Claude or any MCP client for CDM 301004691 pricing at a specific hospital — see how to connect.