Reported by 96 hospitals in the network.
Filter by billing methodology
Low
$177
Average
$1.5k
Median
$1.2k
High
$3.9k
| # | 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 | The Mount Sinai Hospital | New York, NY | $831 | $2.1k | $1.8k | — | $584 | $4.8k |
| 2 | St Joseph’s Health Services Inc | Hillsboro, WI | $1.0k | $924 | $284 | — | $178 | $1.1k |
| 3 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $178 | $177 | $1 | — | $174 | $178 |
| 4 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $553 | $575 | $399 | — | $178 | $1.0k |
| 5 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $1.1k | $982 | $329 | — | $178 | $1.1k |
| 6 | Memorial Hospital of Boscobel | Boscobel, WI | $870 | $784 | $229 | — | $178 | $870 |
| 7 | Tri-County Memorial Hospital Inc | Whitehall, WI | $873 | $774 | $243 | — | $178 | $873 |
| 8 | Gottlieb Memorial Hospital | Melrose Park, IL | $397 | $397 | — | — | $397 | $397 |
| 9 | MacNeal Hospital | Berwyn, IL | $397 | $397 | — | — | $397 | $397 |
| 10 | Loyola University Medical Center | Maywood, IL | $574 | $574 | — | — | $574 | $574 |
Ask Claude or any MCP client for HCPCS 77058 pricing at a specific hospital — see how to connect.