Reported by 112 hospitals in the network.
Filter by billing methodology
Low
$18
Average
$65
Median
$53
High
$211
| # | 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 | $107 | $97 | $30 | — | $19 | $118 |
| 2 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $19 | $18 | $2 | — | $14 | $19 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $59 | $61 | $42 | — | $19 | $108 |
| 4 | Saint Elizabeth’s Hospital of Wabasha Inc | Wabasha, MN | $28 | $28 | — | — | $28 | $28 |
| 5 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $118 | $104 | $35 | — | $19 | $118 |
| 6 | Memorial Hospital of Boscobel | Boscobel, WI | $92 | $83 | $24 | — | $19 | $92 |
| 7 | Tri-County Memorial Hospital Inc | Whitehall, WI | $92 | $82 | $26 | — | $19 | $92 |
| 8 | St. Vincent's Medical Center, Inc. (FL) | Jacksonville, FL | $79 | $79 | — | — | $79 | $79 |
| 9 | St Vincents Health System Inc | Johns, FL | $79 | $79 | — | — | $79 | $79 |
| 10 | St. Luke's-St. Vincent's Healthcare, Inc. | Jacksonville, FL | $79 | $79 | — | — | $79 | $79 |
Ask Claude or any MCP client for HCPCS 0403T pricing at a specific hospital — see how to connect.