Reported by 19 hospitals in the network.
Filter by billing methodology
Low
$23
Average
$161
Median
$66
High
$613
| # | 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 | $598 | $598 | — | — | $598 | $598 |
| 2 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $613 | $613 | $16 | — | $598 | $629 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $157 | $157 | — | — | $157 | $157 |
| 4 | Saint Elizabeth’s Hospital of Wabasha Inc | Wabasha, MN | $157 | $157 | — | — | $157 | $157 |
| 5 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $157 | $157 | — | — | $157 | $157 |
| 6 | Memorial Hospital of Boscobel | Boscobel, WI | $157 | $157 | — | — | $157 | $157 |
| 7 | Tri-County Memorial Hospital Inc | Whitehall, WI | $613 | $613 | $16 | — | $598 | $629 |
| 8 | Henry Ford Health System | Detroit, MI | $41 | $41 | — | — | $41 | $57 |
| 9 | Henry Ford Health System | West Bloomfield, MI | $41 | $46 | $7 | — | $41 | $57 |
| 10 | Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $41 | $46 | $7 | — | $41 | $57 |
Ask Claude or any MCP client for HCPCS 87811QW pricing at a specific hospital — see how to connect.