Reported by 56 hospitals in the network.
Filter by billing methodology
Low
$8
Average
$74
Median
$74
High
$312
| # | 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 | $0 | — | $15 | $15 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $47 | $49 | $34 | — | $15 | $87 |
| 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 HCPCS 0401T pricing at a specific hospital — see how to connect.