Reported by 11 hospitals in the network.
Filter by billing methodology
Low
$23
Average
$190
Median
$160
High
$624
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $608 | $624 | $624 | $640 | $16 |
| 2 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $160 | $160 | $160 | $160 | — |
| 3 | Saint Elizabeth’s Hospital of Wabasha Inc | Wabasha, MN | $160 | $160 | $160 | $160 | — |
| 4 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $160 | $160 | $160 | $160 | — |
| 5 | Memorial Hospital of Boscobel | Boscobel, WI | $160 | $160 | $160 | $160 | — |
| 6 | Tri-County Memorial Hospital Inc | Whitehall, WI | $608 | $624 | $624 | $640 | $16 |
| 7 | Henry Ford Health System | Detroit, MI | $42 | $42 | $42 | $58 | — |
| 8 | Henry Ford Health System | West Bloomfield, MI | $42 | $42 | $47 | $58 | $7 |
| 9 | Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $42 | $42 | $47 | $58 | $7 |
| 10 | Henry Ford Wyandotte Hospital | Wyandotte, MI | $42 | $42 | $47 | $58 | $7 |
Ask Claude or any MCP client for HCPCS 86769QW pricing at a specific hospital — see how to connect.