Reported by 3 hospitals in the network.
Filter by billing methodology
Low
$33
Average
$102
Median
$137
High
$137
| # | 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 | $137 | $137 | — | — | $137 | $137 |
| 2 | Memorial Hospital of Boscobel | Boscobel, WI | $137 | $137 | — | — | $137 | $137 |
| 3 | Nationwide Children's Hospital Toledo, Llc | Toledo, OH | $33 | $33 | — | — | $33 | $33 |
Ask Claude or any MCP client for HCPCS 86304TC pricing at a specific hospital — see how to connect.