Reported by 47 hospitals in the network under the fee schedule methodology.
Low
$15
Average
$100
Median
$100
High
$312
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 47 hospitals; the 90th percentile is 7.3× 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 | 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 | St Joseph’s Health Services Inc | Hillsboro, WI | $88 | $80 | $25 | — | $15 | $96 |
| 2 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $15 | $15 | — | — | $15 | $15 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $15 | $15 | — | — | $15 | $15 |
| 4 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $96 | $85 | $28 | — | $15 | $96 |
| 5 | Memorial Hospital of Boscobel | Boscobel, WI | $75 | $68 | $20 | — | $15 | $75 |
| 6 | Tri-County Memorial Hospital Inc | Whitehall, WI | $75 | $67 | $21 | — | $15 | $75 |
| 7 | St. Vincent Seton Specialty Hospital, Inc. | Indianapolis, IN | $100 | $100 | — | — | $100 | $100 |
| 8 | St. Vincent Fishers Hospital, Inc. | Fishers, IN | $100 | $100 | — | — | $100 | $100 |
| 9 | St. Vincent Williamsport Hospital, Inc. | Williamsport, IN | $100 | $100 | — | — | $100 | $100 |
| 10 | Carmel AmbSurg | Carmel, IN | $100 | $100 | — | — | $100 | $100 |
Ask Claude or any MCP client for CPT 0401T pricing at a specific hospital — see how to connect.