Reported by 18 hospitals in the network.
Filter by billing methodology
Low
$22
Average
$68
Median
$22
High
$245
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | St Joseph’s Health Services Inc | Hillsboro, WI | $239 | $239 | $239 | $239 | — |
| 2 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $239 | $245 | $245 | $252 | $6 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $63 | $63 | $63 | $63 | — |
| 4 | Saint Elizabeth’s Hospital of Wabasha Inc | Wabasha, MN | $63 | $63 | $63 | $63 | — |
| 5 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $63 | $63 | $63 | $63 | — |
| 6 | Memorial Hospital of Boscobel | Boscobel, WI | $63 | $63 | $63 | $63 | — |
| 7 | Tri-County Memorial Hospital Inc | Whitehall, WI | $239 | $245 | $245 | $252 | $6 |
| 8 | Hmh Hospitals Corporation | North Bergen, NJ | $22 | $27 | $27 | $32 | $5 |
| 9 | Hmh Hospitals Corporation | Edison, NJ | $22 | $22 | $22 | $22 | — |
| 10 | Hmh Hospitals Corporation | Hackensack, NJ | $22 | $22 | $22 | $22 | — |
Ask Claude or any MCP client for HCPCS 87804QW pricing at a specific hospital — see how to connect.