Reported by 29 hospitals in the network.
Filter by billing methodology
Low
$33
Average
$94
Median
$89
High
$187
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | The Mount Sinai Hospital | New York, NY | $75 | $75 | $75 | $75 | — |
| 2 | St Joseph’s Health Services Inc | Hillsboro, WI | $33 | $190 | $173 | $209 | $53 |
| 3 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $33 | $33 | $33 | $35 | $1 |
| 4 | Gundersen Palmer Lutheran Hospital and Clinic Inc | West Union, IA | $33 | $111 | $115 | $206 | $82 |
| 5 | Moundview Memorial Hospital and Clinics, Inc. | Friendship, WI | $33 | $209 | $184 | $209 | $61 |
| 6 | Memorial Hospital of Boscobel | Boscobel, WI | $33 | $163 | $147 | $163 | $43 |
| 7 | Tri-County Memorial Hospital Inc | Whitehall, WI | $33 | $163 | $145 | $163 | $46 |
| 8 | Memorial Hospital of Laramie County | Cheyenne, WY | $61 | $138 | $155 | $210 | $42 |
| 9 | Providence Health And Services - Washington | Spokane, WA | $139 | $139 | $139 | $139 | — |
| 10 | Henry Ford Health System | Detroit, MI | $105 | $122 | $122 | $140 | $18 |
Ask Claude or any MCP client for HCPCS G0504 pricing at a specific hospital — see how to connect.