Reported by 53 hospitals in the network.
Filter by billing methodology
Low
$25
Average
$121
Median
$62
High
$687
| # | 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 | $669 | $669 | — | — | $669 | $669 |
| 2 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $687 | $687 | $18 | — | $669 | $705 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $176 | $176 | — | — | $176 | $176 |
| 4 | Saint Elizabeth’s Hospital of Wabasha Inc | Wabasha, MN | $176 | $176 | — | — | $176 | $176 |
| 5 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $176 | $176 | — | — | $176 | $176 |
| 6 | Memorial Hospital of Boscobel | Boscobel, WI | $176 | $176 | — | — | $176 | $176 |
| 7 | Tri-County Memorial Hospital Inc | Whitehall, WI | $687 | $687 | $18 | — | $669 | $705 |
| 8 | Hmh Hospitals Corporation | North Bergen, NJ | $62 | $62 | — | — | $62 | $62 |
| 9 | Hmh Hospitals Corporation | Edison, NJ | $62 | $62 | — | — | $62 | $62 |
| 10 | Hmh Hospitals Corporation | Hackensack, NJ | $62 | $62 | — | — | $62 | $62 |
Ask Claude or any MCP client for HCPCS G0472QW pricing at a specific hospital — see how to connect.