Reported by 54 hospitals in the network.
Filter by billing methodology
Low
$16
Average
$72
Median
$63
High
$146
| # | 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 | $89 | $81 | $25 | — | $16 | $98 |
| 2 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $16 | $16 | $0 | — | $15 | $16 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $49 | $51 | $36 | — | $16 | $91 |
| 4 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $98 | $86 | $29 | — | $16 | $98 |
| 5 | Memorial Hospital of Boscobel | Boscobel, WI | $76 | $69 | $20 | — | $16 | $76 |
| 6 | Tri-County Memorial Hospital Inc | Whitehall, WI | $76 | $68 | $21 | — | $16 | $76 |
| 7 | St. Alexius Medical Center | Estates, IL | $144 | $143 | $2 | — | $136 | $144 |
| 8 | Alexian Brothers Behavioral Health Hospital | Estates, IL | $142 | $143 | $1 | — | $142 | $144 |
| 9 | Alexian Brothers Medical Center | Village, IL | $144 | $143 | $3 | — | $136 | $144 |
| 10 | Gottlieb Memorial Hospital | Melrose Park, IL | $35 | $35 | — | — | $35 | $35 |
Ask Claude or any MCP client for HCPCS 0390T pricing at a specific hospital — see how to connect.