SelfPayRates
Hospital Milwaukee-Waukesha, WI

Ascension SE Wisconsin Hospital - Franklin Campus

Listed in its price file as “Ascension SE Wisconsin Hospital, Inc.”.

Ascension SE Wisconsin Hospital - Franklin Campus in Franklin, WI publishes cash prices for 311 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wisconsin median for 238 of 305 procedures and above it for 59. By typical cash price it ranks #19 of 103 Wisconsin hospitals and #4 of 16 hospitals in the Milwaukee, WI area, cheapest first. Select a procedure to compare it with other hospitals nearby.

10101 S. 27th St Franklin WI 53132 Collected Sep 23, 2026 Source price file Check a bill from this hospital (414) 447-2130

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 520136 · CMS hospital register NPI 1427007384

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Ascension SE Wisconsin Hospital - Franklin Campus is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

ProcedureCash priceList priceInsurers payvs WisconsinOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST $862.84 $1,628.00 $240.02–$872.26 64% below 47%
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST $862.84 $1,628.00 $240.02–$872.26 64% below 47%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST $862.84 $1,628.00 $240.02–$872.26 — 47%
Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS $197.16 $372.00 $39.75–$245.18 18% below 47%
Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS $197.16 $372.00 $39.75–$245.18 18% below 47%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS $197.16 $372.00 $39.75–$245.18 — 47%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY EXAM OF ANKLE 3/> VIEWS $158.47 $299.00 $29.98–$233.22 33% below 47%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY EXAM OF ANKLE 3/> VIEWS $158.47 $299.00 $29.98–$233.22 33% below 47%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY EXAM OF ANKLE 3/> VIEWS $158.47 $299.00 $29.98–$233.22 — 47%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTR NON-INVAS ART STUDY 2 LEVELS LIMITED $682.64 $1,288.00 $41.82–$1,004.64 77% above 47%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST $850.12 $1,604.00 $171.47–$594.78 41% below 47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC X-RAY EXAM ESOPHAGUS SINGLE CONTRAST STUDY $156.88 $296.00 $79.04–$294.56 70% below 47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC X-RAY EXAM ESOPHAGUS SINGLE CONTRAST STUDY $156.88 $296.00 $79.04–$294.56 70% below 47%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC X-RAY EXAM ESOPHAGUS SINGLE CONTRAST STUDY $156.88 $296.00 $79.04–$294.56 — 47%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING WHOLE BODY $2,271.05 $4,285.00 $145.21–$867.36 52% above 47%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE $534.24 $1,008.00 $33.02–$786.24 1% above 47%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE $534.24 $1,008.00 $33.02–$786.24 1% above 47%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE $534.24 $1,008.00 $33.02–$786.24 — 47%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED $510.39 $963.00 $30.72–$751.14 30% above 47%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED $510.39 $963.00 $30.72–$751.14 30% above 47%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED $510.39 $963.00 $30.72–$751.14 — 47%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS W/WO CONTRAST $1,292.67 $2,439.00 $374.29–$1,291.71 58% below 47%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS W/WO CONTRAST $1,292.67 $2,439.00 $374.29–$1,291.71 58% below 47%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN PELVIS W/WO CONTRAST $1,292.67 $2,439.00 $374.29–$1,291.71 — 47%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CONTRAST $845.35 $1,595.00 $298.84–$980.18 59% below 47%
CT angiography (CTA) of the head CPT 70496 HC STROKE CT ANGIOGRAPHY HEAD AI $845.35 $1,595.00 $298.84–$980.18 59% below 47%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CONTRAST $845.35 $1,595.00 $298.84–$980.18 59% below 47%
CT angiography (CTA) of the head CPT 70496 HC STROKE CT ANGIOGRAPHY HEAD AI $845.35 $1,595.00 $298.84–$980.18 59% below 47%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CONTRAST $845.35 $1,595.00 $298.84–$980.18 — 47%
CT angiography (CTA) of the head inpatient CPT 70496 HC STROKE CT ANGIOGRAPHY HEAD AI $845.35 $1,595.00 $298.84–$980.18 — 47%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W/WO CONTRAST $885.10 $1,670.00 $298.84–$975.45 56% below 47%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W/WO CONTRAST $885.10 $1,670.00 $298.84–$975.45 56% below 47%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W/WO CONTRAST $885.10 $1,670.00 $298.84–$975.45 — 47%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/WO CONTRAST $885.10 $1,670.00 $311.05–$997.12 56% below 47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HEART COR ARTERIES GRAFTS $845.35 $1,595.00 $401.74–$1,393.14 52% below 47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HEART COR ARTERIES GRAFTS $845.35 $1,595.00 $401.74–$1,393.14 52% below 47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA HEART COR ARTERIES GRAFTS $845.35 $1,595.00 $401.74–$1,393.14 — 47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART CALCIUM SCORE PREPAID $25.97 $49.00 $38.22 60% below 47%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN PELVIS WO CONTRAST $1,212.11 $2,287.00 $297.63–$666.61 52% below 47%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRAST $1,274.65 $2,405.00 $312.23–$1,036.55 60% below 47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN PELVIS CONTRAST 1/> REGIONS $1,274.65 $2,405.00 $343.48–$1,173.55 65% below 47%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST $850.12 $1,604.00 $217.35–$766.97 48% below 47%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST $841.64 $1,588.00 $203.93–$498.56 33% below 47%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST $858.60 $1,620.00 $146.35–$465.75 38% below 47%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST $841.64 $1,588.00 $145.14–$724.00 35% below 47%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST $841.64 $1,588.00 $145.14–$724.00 35% below 47%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST $841.64 $1,588.00 $145.14–$724.00 — 47%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST $850.12 $1,604.00 $193.44–$538.86 45% below 47%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST $862.84 $1,628.00 $217.35–$637.11 53% below 47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST $841.64 $1,588.00 $171.47–$724.00 45% below 47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST $841.64 $1,588.00 $171.47–$724.00 45% below 47%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST $841.64 $1,588.00 $171.47–$724.00 — 47%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO CONTRAST $858.60 $1,620.00 $183.68–$614.07 44% below 47%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST $867.61 $1,637.00 $199.03–$751.00 47% below 47%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX BILATERAL STUDY $1,061.06 $2,002.00 $133.69–$1,561.56 — 47%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/WO CONTRAST $858.60 $1,620.00 $236.36–$914.66 63% below 47%
Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS $171.19 $323.00 $37.34–$251.94 20% below 47%
Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS $171.19 $323.00 $37.34–$251.94 20% below 47%
Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS $171.19 $323.00 $37.34–$251.94 — 47%
Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW $115.54 $218.00 $31.21–$204.00 29% below 47%
Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW $115.54 $218.00 $31.21–$204.00 29% below 47%
Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW $115.54 $218.00 $31.21–$204.00 — 47%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY EXAM OF CLAVICLE COMPLETE $144.69 $273.00 $28.74–$212.94 30% below 47%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY EXAM OF CLAVICLE COMPLETE $144.69 $273.00 $28.74–$212.94 30% below 47%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-RAY EXAM OF CLAVICLE COMPLETE $144.69 $273.00 $28.74–$212.94 — 47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE $510.39 $963.00 $126.13–$751.14 7% below 47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE $510.39 $963.00 $126.13–$751.14 7% below 47%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE $510.39 $963.00 $126.13–$751.14 — 47%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL $173.84 $328.00 $34.88–$255.84 56% below 47%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL $173.84 $328.00 $34.88–$255.84 56% below 47%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL $173.84 $328.00 $34.88–$255.84 — 47%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY/PERIPHERAL $134.62 $254.00 $37.33–$204.00 52% below 47%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY/PERIPHERAL $134.62 $254.00 $37.33–$204.00 52% below 47%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY/PERIPHERAL $134.62 $254.00 $37.33–$204.00 — 47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST $841.64 $1,588.00 $175.12–$724.00 41% below 47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST $841.64 $1,588.00 $175.12–$724.00 41% below 47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST $841.64 $1,588.00 $175.12–$724.00 — 47%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST $850.12 $1,604.00 $213.66–$763.24 48% below 47%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI $381.60 $720.00 $44.99–$565.28 — 47%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI $381.60 $720.00 $44.99–$565.28 — 47%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI $381.60 $720.00 $44.99–$565.28 — 47%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI $271.89 $513.00 $36.64–$445.46 12% below 47%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI $271.89 $513.00 $36.64–$445.46 12% below 47%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI $271.89 $513.00 $36.64–$445.46 — 47%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLX ART LOWER EXTREM BILAT $957.18 $1,806.00 $131.85–$1,408.68 — 47%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VEN DUPL SCAN BILAT UP/LW $1,074.31 $2,027.00 $116.18–$1,581.06 — 47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE W/O CONTRAST $2,870.48 $5,416.00 $214.17–$750.65 64% above 47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE W CONTRAST $3,086.72 $5,824.00 $214.17–$750.65 76% above 47%
Elbow X-ray, 2 views CPT 73070 HC X-RAY EXAM OF ELBOW 2 VIEWS $138.86 $262.00 $27.50–$204.36 27% below 47%
Elbow X-ray, 2 views CPT 73070 HC X-RAY EXAM OF ELBOW 2 VIEWS $138.86 $262.00 $27.50–$204.36 27% below 47%
Elbow X-ray, 2 views inpatient CPT 73070 HC X-RAY EXAM OF ELBOW 2 VIEWS $138.86 $262.00 $27.50–$204.36 — 47%
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY EXAM OF ELBOW 3/> VIEWS $158.47 $299.00 $29.98–$233.22 33% below 47%
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY EXAM OF ELBOW 3/> VIEWS $158.47 $299.00 $29.98–$233.22 33% below 47%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-RAY EXAM OF ELBOW 3/> VIEWS $158.47 $299.00 $29.98–$233.22 — 47%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA WO CONTRAST $858.60 $1,620.00 $219.77–$776.46 40% below 47%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA WO CONTRAST $858.60 $1,620.00 $219.77–$776.46 40% below 47%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT SELLA WO CONTRAST $858.60 $1,620.00 $219.77–$776.46 — 47%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY EXAM OF FACIAL BONES 3/>VIEWS $158.47 $299.00 $45.82–$245.18 47% below 47%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY EXAM OF FACIAL BONES 3/>VIEWS $158.47 $299.00 $45.82–$245.18 47% below 47%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY EXAM OF FACIAL BONES 3/>VIEWS $158.47 $299.00 $45.82–$245.18 — 47%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY EXAM OF FOREARM $144.69 $273.00 $28.74–$212.94 27% below 47%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY EXAM OF FOREARM $144.69 $273.00 $28.74–$212.94 27% below 47%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-RAY EXAM OF FOREARM $144.69 $273.00 $28.74–$212.94 — 47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY IMAGING W OR WO GB $2,893.27 $5,459.00 $124.96–$1,138.22 96% above 47%
Hand X-ray, 2 views CPT 73120 HC X-RAY EXAM OF HAND 2 VIEWS $139.92 $264.00 $28.74–$245.18 26% below 47%
Hand X-ray, 2 views CPT 73120 HC X-RAY EXAM OF HAND 2 VIEWS $139.92 $264.00 $28.74–$245.18 26% below 47%
Hand X-ray, 2 views inpatient CPT 73120 HC X-RAY EXAM OF HAND 2 VIEWS $139.92 $264.00 $28.74–$245.18 — 47%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY EXAM OF HEEL 2 VIEWS $135.15 $255.00 $27.57–$204.00 32% below 47%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY EXAM OF HEEL 2 VIEWS $135.15 $255.00 $27.57–$204.00 32% below 47%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-RAY EXAM OF HEEL 2 VIEWS $135.15 $255.00 $27.57–$204.00 — 47%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP TEST TYPE III $2,006.58 $3,786.00 $205.73–$3,379.00 227% above 47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY WITH CPAP $4,680.96 $8,832.00 $427.38–$6,570.00 28% above 47%
Knee X-ray, 3 views CPT 73562 HC X-RAY EXAM OF KNEE 3 VIEWS $152.64 $288.00 $32.40–$224.64 40% below 47%
Knee X-ray, 3 views CPT 73562 HC X-RAY EXAM OF KNEE 3 VIEWS $152.64 $288.00 $32.40–$224.64 40% below 47%
Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY EXAM OF KNEE 3 VIEWS $152.64 $288.00 $32.40–$224.64 — 47%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY EXAM KNEE 4 OR MORE VIEWS $156.88 $296.00 $38.50–$245.18 43% below 47%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY EXAM KNEE 4 OR MORE VIEWS $156.88 $296.00 $38.50–$245.18 43% below 47%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-RAY EXAM KNEE 4 OR MORE VIEWS $156.88 $296.00 $38.50–$245.18 — 47%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST $841.64 $1,588.00 $171.47–$595.95 42% below 47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LTD $374.71 $707.00 $100.98–$551.46 16% below 47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LTD $374.71 $707.00 $100.98–$551.46 16% below 47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL LTD $374.71 $707.00 $100.98–$551.46 — 47%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG $286.73 $541.00 $37.29–$519.00 at median 47%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG $286.73 $541.00 $37.29–$519.00 at median 47%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG $286.73 $541.00 $37.29–$519.00 — 47%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LOW DOSE CT THORAX LUNG SCREENING $595.72 $1,124.00 $176.02–$876.72 34% above 47%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY EXAM TIBIA/FIBULA 2 VIEWS $158.47 $299.00 $28.74–$233.22 26% below 47%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY EXAM TIBIA/FIBULA 2 VIEWS $158.47 $299.00 $28.74–$233.22 26% below 47%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-RAY EXAM TIBIA/FIBULA 2 VIEWS $158.47 $299.00 $28.74–$233.22 — 47%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST $1,426.76 $2,692.00 $205.17–$1,299.65 35% below 47%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST $1,426.76 $2,692.00 $205.17–$1,299.65 35% below 47%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST $1,426.76 $2,692.00 $205.17–$1,299.65 — 47%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W OR/& WO CONT PREPAY BILAT $265.00 $500.00 $103.69–$391.37 — 47%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W/CONT, BILAT $1,434.71 $2,707.00 $103.69–$1,350.09 — 47%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W/CONT, BILAT $1,434.71 $2,707.00 $103.69–$1,350.09 — 47%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI W/O FOL W/CONT, BREAST BILAT $1,506.26 $2,842.00 $103.69–$1,350.09 — 47%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI W/O FOL W/CONT, BREAST BILAT $1,506.26 $2,842.00 $103.69–$1,350.09 — 47%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W/CONT, BILAT $1,434.71 $2,707.00 $103.69–$1,350.09 — 47%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI W/O FOL W/CONT, BREAST BILAT $1,506.26 $2,842.00 $103.69–$1,350.09 — 47%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST $1,355.21 $2,557.00 $232.67–$836.00 39% below 47%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST $1,355.21 $2,557.00 $232.67–$836.00 39% below 47%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST $1,355.21 $2,557.00 $232.67–$836.00 — 47%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST $1,426.76 $2,692.00 $367.39–$1,563.40 58% below 47%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST $1,426.76 $2,692.00 $367.39–$1,563.40 58% below 47%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST $1,426.76 $2,692.00 $367.39–$1,563.40 — 47%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST $1,341.96 $2,532.00 $249.81–$1,105.83 39% below 47%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST $1,341.96 $2,532.00 $249.81–$1,105.83 39% below 47%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST $1,341.96 $2,532.00 $249.81–$1,105.83 — 47%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST $1,426.76 $2,692.00 $386.43–$1,682.77 58% below 47%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST $1,426.76 $2,692.00 $386.43–$1,682.77 58% below 47%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST $1,426.76 $2,692.00 $386.43–$1,682.77 — 47%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST $1,337.19 $2,523.00 $253.47–$836.00 39% below 47%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST $1,337.19 $2,523.00 $253.47–$836.00 39% below 47%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST $1,337.19 $2,523.00 $253.47–$836.00 — 47%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST $1,426.76 $2,692.00 $392.51–$1,256.80 58% below 47%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST $1,426.76 $2,692.00 $392.51–$1,256.80 58% below 47%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST $1,426.76 $2,692.00 $392.51–$1,256.80 — 47%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST $1,341.96 $2,532.00 $254.16–$836.00 39% below 47%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST $1,341.96 $2,532.00 $254.16–$836.00 39% below 47%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST $1,341.96 $2,532.00 $254.16–$836.00 — 47%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/WO CONTRAST $1,441.07 $2,719.00 $392.51–$1,259.15 58% below 47%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/WO CONTRAST $1,441.07 $2,719.00 $392.51–$1,259.15 58% below 47%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/WO CONTRAST $1,441.07 $2,719.00 $392.51–$1,259.15 — 47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE WO CONTRAST $1,337.19 $2,523.00 $254.16–$836.00 39% below 47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE WO CONTRAST $1,337.19 $2,523.00 $254.16–$836.00 39% below 47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE WO CONTRAST $1,337.19 $2,523.00 $254.16–$836.00 — 47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/WO CONTRAST $1,426.76 $2,692.00 $392.51–$1,262.70 58% below 47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/WO CONTRAST $1,426.76 $2,692.00 $392.51–$1,262.70 58% below 47%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W/WO CONTRAST $1,426.76 $2,692.00 $392.51–$1,262.70 — 47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE WO CONTRAST $1,337.19 $2,523.00 $254.16–$836.00 39% below 47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE WO CONTRAST $1,337.19 $2,523.00 $254.16–$836.00 39% below 47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE WO CONTRAST $1,337.19 $2,523.00 $254.16–$836.00 — 47%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CONTRAST $1,441.07 $2,719.00 $386.43–$1,679.22 58% below 47%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CONTRAST $1,441.07 $2,719.00 $386.43–$1,679.22 58% below 47%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO CONTRAST $1,441.07 $2,719.00 $386.43–$1,679.22 — 47%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST $1,337.19 $2,523.00 $249.81–$1,243.97 39% below 47%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST $1,337.19 $2,523.00 $249.81–$1,243.97 39% below 47%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST $1,337.19 $2,523.00 $249.81–$1,243.97 — 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPPER EXTREMITY WO CONTRAST $1,355.21 $2,557.00 $232.67–$836.00 39% below 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPPER EXTREMITY WO CONTRAST $1,355.21 $2,557.00 $232.67–$836.00 39% below 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI JOINT UPPER EXTREMITY WO CONTRAST $1,355.21 $2,557.00 $232.67–$836.00 — 47%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC X-RAY EXAM NECK SPINE 4/5VWS $162.18 $306.00 $53.89–$245.18 49% below 47%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC X-RAY EXAM NECK SPINE 4/5VWS $162.18 $306.00 $53.89–$245.18 49% below 47%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC X-RAY EXAM NECK SPINE 4/5VWS $162.18 $306.00 $53.89–$245.18 — 47%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST $850.12 $1,604.00 $237.57–$784.81 48% below 47%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST $850.12 $1,604.00 $237.57–$784.81 48% below 47%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST $850.12 $1,604.00 $237.57–$784.81 — 47%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST $841.64 $1,588.00 $219.77–$724.00 41% below 47%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST $841.64 $1,588.00 $219.77–$724.00 41% below 47%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST $841.64 $1,588.00 $219.77–$724.00 — 47%
Neck soft tissue X-ray CPT 70360 HC X-RAY EXAM OF NECK $138.86 $262.00 $28.81–$204.36 34% below 47%
Neck soft tissue X-ray CPT 70360 HC X-RAY EXAM OF NECK $138.86 $262.00 $28.81–$204.36 34% below 47%
Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY EXAM OF NECK $138.86 $262.00 $28.81–$204.36 — 47%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES $4,420.20 $8,340.00 $270.07–$2,938.37 43% above 47%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT IMAGE SKULL BASE-THIGH $2,729.50 $5,150.00 $407.96–$3,756.00 36% below 47%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT IMAGE SKULL BASE-THIGH $2,729.50 $5,150.00 $407.96–$3,756.00 36% below 47%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET/CT IMAGE SKULL BASE-THIGH $2,729.50 $5,150.00 $407.96–$3,756.00 — 47%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST $841.64 $1,588.00 $186.16–$485.48 34% below 47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US NON-OB PELVIC LTD /FOLLOW UP $334.43 $631.00 $75.07–$519.00 16% below 47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US NON-OB PELVIC LTD /FOLLOW UP $334.43 $631.00 $75.07–$519.00 16% below 47%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US NON-OB PELVIC LTD /FOLLOW UP $334.43 $631.00 $75.07–$519.00 — 47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US NON-OB PELVIC COMPLETE $371.00 $700.00 $117.61–$546.00 29% below 47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US NON-OB PELVIC COMPLETE $371.00 $700.00 $117.61–$546.00 29% below 47%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US NON-OB PELVIC COMPLETE $371.00 $700.00 $117.61–$546.00 — 47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 14 WKS / > SINGLE FETUS $367.29 $693.00 $172.12–$540.54 36% below 47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 14 WKS / > SINGLE FETUS $367.29 $693.00 $172.12–$540.54 36% below 47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 14 WKS / > SINGLE FETUS $367.29 $693.00 $172.12–$540.54 — 47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14WKS SINGLE FETUS $367.29 $693.00 $171.43–$540.54 28% below 47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14WKS SINGLE FETUS $367.29 $693.00 $171.43–$540.54 28% below 47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB < 14WKS SINGLE FETUS $367.29 $693.00 $171.43–$540.54 — 47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LTD 1 / > FETUS $367.29 $693.00 $111.47–$540.54 at median 47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LTD 1 / > FETUS $367.29 $693.00 $111.47–$540.54 at median 47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LTD 1 / > FETUS $367.29 $693.00 $111.47–$540.54 — 47%
Rib X-ray, one side, 2 views CPT 71100 HC X-RAY EXAM RIBS UNI 2 VIEWS $158.47 $299.00 $38.50–$233.22 29% below 47%
Rib X-ray, one side, 2 views CPT 71100 HC X-RAY EXAM RIBS UNI 2 VIEWS $158.47 $299.00 $38.50–$233.22 29% below 47%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC X-RAY EXAM RIBS UNI 2 VIEWS $158.47 $299.00 $38.50–$233.22 — 47%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-RAY EXAM UNILAT RIBS/CHEST $158.47 $299.00 $46.58–$245.18 43% below 47%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-RAY EXAM UNILAT RIBS/CHEST $158.47 $299.00 $46.58–$245.18 43% below 47%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC X-RAY EXAM UNILAT RIBS/CHEST $158.47 $299.00 $46.58–$245.18 — 47%
Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO BI INCL CAD $259.17 $489.00 $34.34–$456.30 — 47%
Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO BI INCL CAD $259.17 $489.00 $34.34–$456.30 — 47%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREEN MAMMO BI INCL CAD $259.17 $489.00 $34.34–$456.30 — 47%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY EXAM OF SHOULDER 2/> VIEWS $158.47 $299.00 $32.40–$233.22 32% below 47%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY EXAM OF SHOULDER 2/> VIEWS $158.47 $299.00 $32.40–$233.22 32% below 47%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY EXAM OF SHOULDER 2/> VIEWS $158.47 $299.00 $32.40–$233.22 — 47%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY EXAM OF SINUSES 3/> VIEWS $156.88 $296.00 $43.40–$230.88 41% below 47%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY EXAM OF SINUSES 3/> VIEWS $156.88 $296.00 $43.40–$230.88 41% below 47%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY EXAM OF SINUSES 3/> VIEWS $156.88 $296.00 $43.40–$230.88 — 47%
Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY EXAM OF SKULL < 4 VIEWS $147.87 $279.00 $43.37–$245.18 39% below 47%
Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY EXAM OF SKULL < 4 VIEWS $147.87 $279.00 $43.37–$245.18 39% below 47%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY EXAM OF SKULL < 4 VIEWS $147.87 $279.00 $43.37–$245.18 — 47%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM STUDY $4,539.98 $8,566.00 $410.99–$6,570.00 33% above 47%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS TTE CONT ECG W/O CONTRAST $3,136.01 $5,917.00 $287.10–$892.94 53% above 47%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS TTE CONT ECG W/ CONTRAST $3,136.01 $5,917.00 $287.10–$892.94 53% above 47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNCTION CINE/VIDEO CONTRAST STUDY $166.42 $314.00 $91.22–$244.92 64% below 47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNCTION CINE/VIDEO CONTRAST STUDY $166.42 $314.00 $91.22–$244.92 64% below 47%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING FUNCTION CINE/VIDEO CONTRAST STUDY $166.42 $314.00 $91.22–$244.92 — 47%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS $182.85 $345.00 $32.40–$269.10 26% below 47%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS $182.85 $345.00 $32.40–$269.10 26% below 47%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS $182.85 $345.00 $32.40–$269.10 — 47%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE WO CONTRAST $841.64 $1,588.00 $171.47–$599.51 45% below 47%
Toe X-ray, 2 or more views CPT 73660 HC X-RAY EXAM OF TOE(S) 2 VIEWS $138.86 $262.00 $22.67–$204.36 31% below 47%
Toe X-ray, 2 or more views CPT 73660 HC X-RAY EXAM OF TOE(S) 2 VIEWS $138.86 $262.00 $22.67–$204.36 31% below 47%
Toe X-ray, 2 or more views inpatient CPT 73660 HC X-RAY EXAM OF TOE(S) 2 VIEWS $138.86 $262.00 $22.67–$204.36 — 47%
Transvaginal pelvic ultrasound CPT 76830 HC US NON-OB TRANSVAGINAL $469.58 $886.00 $118.78–$691.08 at median 47%
Transvaginal pelvic ultrasound CPT 76830 HC US NON-OB TRANSVAGINAL $469.58 $886.00 $118.78–$691.08 at median 47%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US NON-OB TRANSVAGINAL $469.58 $886.00 $118.78–$691.08 — 47%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL EXAM $371.00 $700.00 $130.44–$546.00 5% below 47%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL EXAM $371.00 $700.00 $130.44–$546.00 5% below 47%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL EXAM $371.00 $700.00 $130.44–$546.00 — 47%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE $415.52 $784.00 $138.35–$611.52 39% below 47%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE $415.52 $784.00 $138.35–$611.52 39% below 47%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE $415.52 $784.00 $138.35–$611.52 — 47%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & TESTICLES $385.84 $728.00 $109.05–$567.84 22% below 47%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & TESTICLES $385.84 $728.00 $109.05–$567.84 22% below 47%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & TESTICLES $385.84 $728.00 $109.05–$567.84 — 47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF SOFT TISSUES HEAD AND NECK $510.39 $963.00 $96.12–$751.14 at median 47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF SOFT TISSUES HEAD AND NECK $510.39 $963.00 $96.12–$751.14 at median 47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF SOFT TISSUES HEAD AND NECK $510.39 $963.00 $96.12–$751.14 — 47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY EXAM UPPER GI TRC SINGLE CONTRAST STUDY $192.39 $363.00 $118.78–$258.03 72% below 47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY EXAM UPPER GI TRC SINGLE CONTRAST STUDY $192.39 $363.00 $118.78–$258.03 — 47%
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY EXAM OF HUMERUS $147.87 $279.00 $28.74–$217.62 30% below 47%
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY EXAM OF HUMERUS $147.87 $279.00 $28.74–$217.62 30% below 47%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-RAY EXAM OF HUMERUS $147.87 $279.00 $28.74–$217.62 — 47%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP VENOUS EXTREMITY UNILATERAL/LIMITED $995.87 $1,879.00 $75.04–$1,465.62 39% above 47%
Wrist X-ray, 2 views CPT 73100 HC X-RAY EXAM OF WRIST 2 VIEWS $135.15 $255.00 $28.74–$204.00 37% below 47%
Wrist X-ray, 2 views CPT 73100 HC X-RAY EXAM OF WRIST 2 VIEWS $135.15 $255.00 $28.74–$204.00 37% below 47%
Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY EXAM OF WRIST 2 VIEWS $135.15 $255.00 $28.74–$204.00 — 47%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY EXAM OF WRIST 3/> VIEWS $158.47 $299.00 $29.98–$233.22 38% below 47%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY EXAM OF WRIST 3/> VIEWS $158.47 $299.00 $29.98–$233.22 38% below 47%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY EXAM OF WRIST 3/> VIEWS $158.47 $299.00 $29.98–$233.22 — 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY HIP WITH PELVIS 2/3 VIEW $182.32 $344.00 $38.50–$268.32 37% below 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY HIP WITH PELVIS 2/3 VIEW $182.32 $344.00 $38.50–$268.32 37% below 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY HIP WITH PELVIS 2/3 VIEW $182.32 $344.00 $38.50–$268.32 — 47%
X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW $170.66 $322.00 $31.21–$251.16 19% below 47%
X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW $170.66 $322.00 $31.21–$251.16 19% below 47%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW $170.66 $322.00 $31.21–$251.16 — 47%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY EXAM OF ANKLE 2 VIEWS $135.15 $255.00 $28.74–$204.00 32% below 47%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY EXAM OF ANKLE 2 VIEWS $135.15 $255.00 $28.74–$204.00 32% below 47%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY EXAM OF ANKLE 2 VIEWS $135.15 $255.00 $28.74–$204.00 — 47%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) $155.82 $294.00 $23.84–$229.32 36% below 47%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) $155.82 $294.00 $23.84–$229.32 36% below 47%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S) $155.82 $294.00 $23.84–$229.32 — 47%
X-ray of the foot, 2 views CPT 73620 HC X-RAY EXAM OF FOOT 2 VIEWS $148.93 $281.00 $26.39–$219.18 22% below 47%
X-ray of the foot, 2 views CPT 73620 HC X-RAY EXAM OF FOOT 2 VIEWS $148.93 $281.00 $26.39–$219.18 22% below 47%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY EXAM OF FOOT 2 VIEWS $148.93 $281.00 $26.39–$219.18 — 47%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY EXAM OF FOOT 3/> VIEWS $170.66 $322.00 $28.81–$251.16 29% below 47%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY EXAM OF FOOT 3/> VIEWS $170.66 $322.00 $28.81–$251.16 29% below 47%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY EXAM OF FOOT 3/> VIEWS $170.66 $322.00 $28.81–$251.16 — 47%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY EXAM OF HAND 3/> VIEWS $171.19 $323.00 $29.98–$251.94 27% below 47%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY EXAM OF HAND 3/> VIEWS $171.19 $323.00 $29.98–$251.94 27% below 47%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY EXAM OF HAND 3/> VIEWS $171.19 $323.00 $29.98–$251.94 — 47%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY EXAM OF KNEE 1 OR 2 VIEWS $147.87 $279.00 $28.74–$217.62 30% below 47%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY EXAM OF KNEE 1 OR 2 VIEWS $147.87 $279.00 $28.74–$217.62 30% below 47%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY EXAM OF KNEE 1 OR 2 VIEWS $147.87 $279.00 $28.74–$217.62 — 47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY EXAM L-S SPINE 2/3 VWS $155.29 $293.00 $38.50–$245.18 47% below 47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY EXAM L-S SPINE 2/3 VWS $155.29 $293.00 $38.50–$245.18 47% below 47%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY EXAM L-S SPINE 2/3 VWS $155.29 $293.00 $38.50–$245.18 — 47%
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY EXAM L-2 SPINE 4/>VWS $163.24 $308.00 $53.89–$245.18 56% below 47%
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY EXAM L-2 SPINE 4/>VWS $163.24 $308.00 $53.89–$245.18 56% below 47%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY EXAM L-2 SPINE 4/>VWS $163.24 $308.00 $53.89–$245.18 — 47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY EXAM THORAC SPINE 2VWS $135.15 $255.00 $38.50–$245.18 43% below 47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY EXAM THORAC SPINE 2VWS $135.15 $255.00 $38.50–$245.18 43% below 47%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY EXAM THORAC SPINE 2VWS $135.15 $255.00 $38.50–$245.18 — 47%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY EXAM OF NASAL BONES $158.47 $299.00 $29.98–$233.22 35% below 47%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY EXAM OF NASAL BONES $158.47 $299.00 $29.98–$233.22 35% below 47%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY EXAM OF NASAL BONES $158.47 $299.00 $29.98–$233.22 — 47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X-RAY EXAM NECK SPINE 2-3 VW $156.88 $296.00 $38.50–$230.88 35% below 47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X-RAY EXAM NECK SPINE 2-3 VW $156.88 $296.00 $38.50–$230.88 35% below 47%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC X-RAY EXAM NECK SPINE 2-3 VW $156.88 $296.00 $38.50–$230.88 — 47%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY EXAM OF PELVIS 1 OR 2 VIEWS $130.91 $247.00 $29.98–$245.18 41% below 47%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY EXAM OF PELVIS 1 OR 2 VIEWS $130.91 $247.00 $29.98–$245.18 41% below 47%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY EXAM OF PELVIS 1 OR 2 VIEWS $130.91 $247.00 $29.98–$245.18 — 47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY EXAM SACRUM & COCCYX 2/> $156.88 $296.00 $29.98–$230.88 27% below 47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY EXAM SACRUM & COCCYX 2/> $156.88 $296.00 $29.98–$230.88 27% below 47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY EXAM SACRUM & COCCYX 2/> $156.88 $296.00 $29.98–$230.88 — 47%

Lab tests

ProcedureCash priceList priceInsurers payvs WisconsinOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANINE AMINO (ALT) (SGPT) $19.08 $36.00 $5.57–$24.91 45% below 47%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE (AST) (SGOT) $18.02 $34.00 $5.44–$24.32 62% below 47%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE $21.73 $41.00 $5.44–$24.32 55% below 47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE $24.91 $47.00 $5.37–$23.60 at median 47%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN (AFP) SERUM $66.25 $125.00 $17.61–$78.83 21% below 47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY $56.18 $106.00 $13.60–$60.82 32% below 47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES $47.17 $89.00 $12.69–$54.30 31% below 47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC ASSAY OF NATRIURETIC PEPTIDE - POC $111.30 $210.00 $41.22–$159.53 22% below 47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC ASSAY OF NATRIURETIC PEPTIDE $111.30 $210.00 $41.22–$159.53 22% below 47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHER SPECIMEN AEROBIC $54.06 $102.00 $9.05–$40.50 3% above 47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATHOLOGY GROSS EXAM LEVEL IV $121.37 $229.00 $33.88–$134.24 44% below 47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATHOLOGY GROSS EXAM LVL IV $503.50 $950.00 $33.88–$247.09 133% above 47%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA $72.61 $137.00 $10.84–$48.54 15% below 47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE $15.90 $30.00 $3.48–$9.27 8% above 47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE $15.90 $30.00 $3.48–$9.27 8% above 47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE $15.90 $30.00 $3.48–$9.27 — 47%
Blood glucose (sugar) test CPT 82947 HC ASSAY GLUCOSE BLOOD QUANTITATIVE $15.90 $30.00 $4.13–$18.46 35% below 47%
Blood glucose (sugar) test CPT 82947 HC ASSAY GLUCOSE BLOOD QUANTITATIVE - POC $15.90 $30.00 $4.13–$18.46 35% below 47%
Blood glucose (sugar) test CPT 82947 HC ASSAY GLUCOSE BLOOD QUANT $25.97 $49.00 $4.13–$18.46 6% above 47%
Blood lead test CPT 83655 HC ASSAY OF LEAD $42.40 $80.00 $12.72–$56.89 23% below 47%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN ASSAY $48.76 $92.00 $7.90–$35.33 21% below 47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO $64.66 $122.00 $3.14–$12.97 52% above 47%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN $19.08 $36.00 $4.15–$18.56 26% below 47%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN - POC $19.08 $36.00 $4.15–$18.56 26% below 47%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE $54.59 $103.00 $8.64–$93.25 37% below 47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN $36.57 $69.00 $5.44–$24.32 33% below 47%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE AMPLIFIED PROBE $109.71 $207.00 $39.13–$164.91 27% below 47%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9 $67.31 $127.00 $21.85–$97.81 40% below 47%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR CA 125 $71.55 $135.00 $21.85–$97.81 40% below 47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 TEST AMPLIFIED PROBE TECHNIQUE $109.18 $206.00 $51.31–$177.02 19% below 47%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY $51.94 $98.00 $9.63–$57.86 29% below 47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLAMYDIA TRACHOMATIS DNA AMP PROBE $113.42 $214.00 $36.84–$164.91 21% below 47%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO DIFFERENTIAL WBC $31.80 $60.00 $8.16–$36.54 56% below 47%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED $24.38 $46.00 $6.79–$30.39 54% below 47%
Creatinine blood test CPT 82565 HC ASSAY OF CREATININE - POC $20.67 $39.00 $5.38–$24.08 35% below 47%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY $49.82 $94.00 $15.11–$67.65 29% below 47%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION QUANTITATIVE $63.60 $120.00 $10.69–$46.02 20% below 47%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION QUANTITATIVE - POC $63.60 $120.00 $10.69–$46.02 20% below 47%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE $72.61 $137.00 $23.34–$104.50 49% below 47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRG SCR A PANEL PER DAY LV4 $583.53 $1,101.00 $65.25–$372.08 403% above 47%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL - POC $41.87 $79.00 $7.36–$32.95 14% below 47%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA $59.89 $113.00 $19.05–$85.28 27% below 47%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL $90.63 $171.00 $29.34–$131.31 29% below 47%
FSH (follicle-stimulating hormone) test CPT 83001 HC ASSAY OF GONADOTROPIN (FSH) $64.13 $121.00 $19.51–$87.32 45% below 47%
Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL $149.46 $282.00 $20.61–$92.25 21% below 47%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN $53.53 $101.00 $14.31–$64.07 41% below 47%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY $45.05 $85.00 $10.21–$39.92 33% below 47%
Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM $56.18 $106.00 $15.44–$69.10 43% below 47%
Free T3 thyroid hormone test CPT 84481 HC FREE ASSAY (FT-3) $57.77 $109.00 $17.79–$75.56 41% below 47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE $45.05 $85.00 $9.47–$42.37 44% below 47%
Free testosterone test CPT 84402 HC ASSAY OF FREE TESTOSTERONE $82.68 $156.00 $26.74–$119.68 30% below 47%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT $27.03 $51.00 $7.56–$33.84 49% below 47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST $24.38 $46.00 $4.99–$22.32 51% below 47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - POC $24.38 $46.00 $4.99–$22.32 51% below 47%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) $53.53 $101.00 $13.51–$60.48 40% below 47%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI ANTIBODY $60.95 $115.00 $9.63–$64.93 35% below 47%
H. pylori stool antigen test CPT 87338 HC HPYLORI STOOL EIA $74.20 $140.00 $15.10–$67.59 43% below 47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANTIFICATION&REVERSE TRANSCRIPT $297.33 $561.00 $89.36–$399.92 23% below 47%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 1 RESULT ANTIBODY $53.53 $101.00 $14.40–$64.41 31% below 47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH-RISK TYPES $113.42 $214.00 $36.84–$164.91 21% below 47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST $38.16 $72.00 $10.20–$45.61 45% below 47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - POC $38.16 $72.00 $10.20–$45.61 45% below 47%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN $14.84 $28.00 $2.49–$11.14 15% below 47%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN - POC $14.84 $28.00 $2.49–$11.14 15% below 47%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY TOTAL $48.76 $92.00 $12.65–$56.61 39% below 47%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE ANTIBODY $46.64 $88.00 $11.28–$50.47 37% below 47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA $44.52 $84.00 $10.85–$48.54 32% below 47%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY TEST $59.89 $113.00 $14.98–$67.07 25% below 47%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C REVERSE TRANSCRIPTION $190.80 $360.00 $44.98–$201.31 19% below 47%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 TEST $42.93 $81.00 $13.85–$62.00 37% below 47%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 TEST $63.07 $119.00 $20.32–$90.98 22% below 47%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY $45.58 $86.00 $13.60–$60.82 43% below 47%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE $64.13 $121.00 $18.82–$79.28 46% below 47%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL $41.87 $79.00 $12.00–$53.72 38% below 47%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON $25.97 $49.00 $6.79–$30.43 51% below 47%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST $33.92 $64.00 $9.18–$41.09 45% below 47%
LH (luteinizing hormone) test CPT 83002 HC ASSAY OF GONADOTROPIN (LH) $64.13 $121.00 $19.45–$87.01 34% below 47%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID $49.29 $93.00 $12.15–$50.20 29% below 47%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - POC $49.29 $93.00 $12.15–$50.20 29% below 47%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME $23.85 $45.00 $6.34–$28.36 52% below 47%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE $46.64 $88.00 $7.23–$32.36 31% below 47%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY $64.66 $122.00 $17.88–$80.04 22% below 47%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM $39.75 $75.00 $7.04–$31.46 24% below 47%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY $50.35 $95.00 $13.52–$60.55 39% below 47%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN - POC $33.92 $64.00 $5.44–$24.32 39% below 47%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN $33.92 $64.00 $5.44–$24.32 39% below 47%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY $50.35 $95.00 $13.70–$61.31 41% below 47%
Obstetric blood test panel CPT 80055 HC PRENATAL PROFILE $191.86 $362.00 $50.20–$224.66 21% below 47%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE $60.42 $114.00 $19.31–$86.46 35% below 47%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING $69.96 $132.00 $19.31–$86.46 26% below 47%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATHOLOGY C/V AUTOMATED FLUID REDO $93.81 $177.00 $27.94–$119.23 11% below 47%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATHOLOGY C/V THIN LAYER $80.03 $151.00 $21.27–$95.22 11% below 47%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE $132.50 $250.00 $43.34–$193.99 38% below 47%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA OR WB $38.16 $72.00 $6.31–$28.22 27% below 47%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF PHOSPHORUS $19.08 $36.00 $4.98–$22.29 54% below 47%
Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM - POC $23.32 $44.00 $5.00–$21.60 15% below 47%
Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM $23.32 $44.00 $5.00–$21.60 15% below 47%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHRMOML ANEUPLOIDY $1,206.81 $2,277.00 $797.00–$2,277.00 at median 47%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE $60.95 $115.00 $21.90–$93.25 50% below 47%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN $74.73 $141.00 $20.35–$91.08 38% below 47%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - POC $21.20 $40.00 $4.50–$18.49 37% below 47%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $21.20 $40.00 $4.50–$18.49 37% below 47%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRESUMPTIVE DIRECT OPT OBS - POC $73.14 $138.00 $13.23–$69.76 28% above 47%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ASSAY W/OPTIC $47.17 $89.00 $17.38–$56.34 11% below 47%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC $45.58 $86.00 $17.36–$56.34 at median 47%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - POC $45.58 $86.00 $17.36–$56.34 at median 47%
Renin blood test CPT 84244 HC ASSAY OF RENIN $70.49 $133.00 $23.09–$103.36 52% below 47%
Rh blood typing CPT 86901 HC BLOOD TYPING RH (D) $30.21 $57.00 $3.14–$12.97 24% below 47%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE $30.74 $58.00 $5.95–$26.67 47% below 47%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY $46.64 $88.00 $15.11–$67.65 43% below 47%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED $22.79 $43.00 $2.83–$12.70 45% below 47%
Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM $15.90 $30.00 $5.05–$22.63 36% below 47%
Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM - POC $15.90 $30.00 $5.05–$22.63 36% below 47%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS $46.64 $88.00 $9.35–$41.81 28% below 47%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES - POC $18.02 $34.00 $4.60–$15.28 15% below 47%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 $39.75 $75.00 $16.72–$74.76 34% below 47%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM TPPA $21.20 $40.00 $13.10–$37.19 61% below 47%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM $44.52 $84.00 $13.10–$59.03 19% below 47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL QUALITATIVE $23.32 $44.00 $4.48–$20.08 41% below 47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUNITY MEASURE $200.87 $379.00 $65.08–$291.28 20% below 47%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE $87.98 $166.00 $27.10–$118.44 23% below 47%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY EACH $47.17 $89.00 $15.28–$68.38 33% below 47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE $63.60 $120.00 $17.64–$78.97 29% below 47%
Total IgE blood test CPT 82785 HC ASSAY OF IGE $51.94 $98.00 $17.28–$77.38 49% below 47%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE $34.45 $65.00 $7.21–$32.26 34% below 47%
Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY TRIIODOTHYRONINE (T3) $56.71 $107.00 $14.89–$66.62 47% below 47%
Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN $42.93 $81.00 $13.40–$60.00 55% below 47%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIFIED $143.10 $270.00 $36.84–$164.91 5% above 47%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES $21.73 $41.00 $6.03–$27.01 60% below 47%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE - POC $73.14 $138.00 $13.09–$46.23 13% below 47%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE $73.14 $138.00 $13.09–$46.23 13% below 47%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID $21.20 $40.00 $4.75–$21.25 58% below 47%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTOMATED W/O SCOPE - POC $9.01 $17.00 $2.36–$10.63 64% below 47%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTOMATED W/O SCOPE-POC $13.78 $26.00 $3.65–$12.01 at median 47%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT $39.22 $74.00 $8.47–$37.95 48% below 47%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - POC $39.75 $75.00 $8.61–$29.70 20% below 47%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST $39.75 $75.00 $8.61–$29.70 20% below 47%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 $57.24 $108.00 $15.83–$70.86 44% below 47%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VIT D 1 25-DIHYDROXY $134.62 $254.00 $40.42–$180.92 16% below 47%
Zinc blood test CPT 84630 HC ASSAY OF ZINC $38.69 $73.00 $11.96–$50.75 52% below 47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN TEST $69.96 $132.00 $15.80–$70.76 41% below 47%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs WisconsinOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC $1,285.25 $2,425.00 $470.90 49% below 47%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC LHC W CORONARY ANGIO/LT VENT $11,072.23 $20,891.00 $1,026.87–$13,389.00 13% above 47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ELECTIVE CARDIOVERSION $725.57 $1,369.00 $681.12 26% below 47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION EXTERNAL $1,590.00 $3,000.00 $681.12 61% above 47%
Catheter ablation for atrial fibrillation CPT 93656 HC ABLATE AF W EP/AR INDUCT $18,348.60 $34,620.00 $3,706.24–$20,925.00 4% above 47%
Coronary stent placement, one artery CPT 92928 HC STENT 1ST ART/BRANCH $9,087.91 $17,147.00 $1,987.10–$16,927.00 16% above 47%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX INTERLAMINAR CRV/THRC W IMG $1,487.71 $2,807.00 $900.27 13% above 47%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV $1,453.79 $2,743.00 $634.88 10% below 47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATHETER FOR HYSTEROGRAPHY $373.12 $704.00 $428.91 11% above 47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $657.20 $1,240.00 $214.25 93% above 47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC INJECT/ASP MAJOR JOINT $365.17 $689.00 $218.02 16% below 47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC INJECT/ASP MEDIUM JOINT $320.12 $604.00 $182.43 at median 47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC INJECT/ASP SMALL JOINT $275.07 $519.00 $173.89 26% below 47%
Left heart catheterization, diagnostic one side CPT 93452 HC LT HEART CATH W/ VENT $8,373.47 $15,799.00 $832.15–$13,389.00 23% above 47%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W IMG $1,053.64 $1,988.00 $884.87 8% below 47%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX INTERLAMINAR LMBR/SAC W/O IMG $1,005.41 $1,897.00 $565.36 22% above 47%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ AA&/STRD TRANSFORAMINAL EPIDURAL L/S $930.68 $1,756.00 $805.87 13% below 47%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT GREATER OCCIPITAL $820.97 $1,549.00 $364.61 78% above 47%
Pacemaker implant (dual chamber) CPT 33208 HC PERM PACE/ELECTRODES AV $9,284.54 $17,518.00 $1,918.19 46% above 47%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING $1,776.03 $3,351.00 $1,065.77 38% above 47%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE $1,371.64 $2,588.00 $789.16 10% below 47%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMB/SAC FACET JNT $1,841.22 $3,474.00 $1,538.63 26% below 47%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPL $849.06 $1,602.00 $548.83 152% above 47%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION $460.57 $869.00 $448.50 92% above 47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE $646.60 $1,220.00 $576.51 7% above 47%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION $460.57 $869.00 $356.63 92% above 47%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W IMAGING $1,163.88 $2,196.00 $1,053.61 3% below 47%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL $260.23 $491.00 $200.71 27% below 47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG $1,824.26 $3,442.00 $469.03–$2,429.13 10% below 47%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs WisconsinOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE $305.81 $577.00 $124.02 48% below 47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT-RESP $116.60 $220.00 $60.01 35% above 47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT $116.60 $220.00 $60.01 35% above 47%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION INITIAL UP TO 1 HR $412.34 $778.00 $439.82 26% below 47%
Critical care, first 30 to 74 minutes CPT 99291 HC ER CRITICAL CARE 1ST HOUR $1,385.42 $2,614.00 $730.62–$2,614.00 22% below 47%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY $574.52 $1,084.00 $193.87–$994.40 14% below 47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG $260.23 $491.00 $27.44 76% above 47%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY $486.54 $918.00 $589.46 33% below 47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER CARE LEVEL I $261.29 $493.00 $56.72–$493.00 39% above 47%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER CARE LEVEL II $457.92 $864.00 $110.53–$864.00 42% above 47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER CARE LEVEL III $1,034.56 $1,952.00 $165.41–$1,952.00 75% above 47%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER CARE LEVEL IV $1,767.02 $3,334.00 $313.78–$3,334.00 92% above 47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC SEXUAL ASSAULT FACILITY $1,820.02 $3,434.00 $462.81–$3,434.00 24% above 47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER CARE LEVEL V $1,820.02 $3,434.00 $462.81–$3,434.00 24% above 47%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST $1,038.80 $1,960.00 $127.50 31% above 47%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INITIAL HYDRATION 31 MIN-1 HR $330.19 $623.00 $186.80 16% above 47%
IV infusion of a medicine, first hour CPT 96365 HC IV INITIAL INFUS 1ST HR THER/PROPH/DIAG $321.18 $606.00 $226.10 1% above 47%
IV push of a medicine, first drug CPT 96374 HC INJ INITIAL IV PUSH THER/PROPH/DIAG $395.91 $747.00 $185.23 140% above 47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SC/IM THER/PROPH/DIAG $342.38 $646.00 $83.06 325% above 47%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES $1,955.17 $3,689.00 $275.23–$636.28 98% above 47%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR REEDUCATION / 15 MIN $71.55 $135.00 $112.03 25% below 47%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR REEDUCATION / 15 MIN $71.55 $135.00 $112.03 25% below 47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INITL INDIV 15MIN $66.25 $125.00 $115.97 10% above 47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY 1 OR MORE REGIONS/15 MIN $77.38 $146.00 $99.62 20% below 47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY 1 OR MORE REGIONS/15 MIN $77.38 $146.00 $99.62 20% below 47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES / 15 MIN $72.61 $137.00 $107.37 25% below 47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES / 15 MIN $72.61 $137.00 $107.37 25% below 47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN $30.74 $58.00 $37.78 6% above 47%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT VISIT EST LEV 5 $342.38 $646.00 $385.16 16% above 47%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT VISIT EST LEV 3 $230.02 $434.00 $86.74–$193.80 40% above 47%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT VISIT EST LEV 4 $308.46 $582.00 $122.48–$285.95 66% above 47%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT VISIT EST LEV 2 $192.39 $363.00 $53.91–$115.90 99% above 47%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY $365.17 $689.00 $28.39–$117.47 31% above 47%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHOSPASM EVAL $457.92 $864.00 $44.06–$200.63 6% below 47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY $174.90 $330.00 $324.05 12% below 47%

Vaccines

ProcedureCash priceList priceInsurers payvs WisconsinOff list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2024-25(6MOS UP)/PF SYRINGE 1 $46.48 $87.69 $27.49–$67.41 46% above 47%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE/PF 20MCG/ML SUSPENSION 1 $94.90 $179.06 $75.21–$154.83 18% below 47%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE/PF 20MCG/ML SUSPENSION 1 $94.90 $179.06 $75.21–$154.83 18% below 47%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE/PF 20MCG/ML SUSPENSION 1 $94.90 $179.06 $75.21–$154.83 — 47%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2024-25(65YR UP)/PF 180MCG/0.5 ML SYRIN $133.15 $251.23 $80.43–$250.59 68% above 47%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2024-25(65YR UP)/PF 180MCG/0.5 ML SYRIN $133.15 $251.23 $80.43–$250.59 68% above 47%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC TS2024-25(65YR UP)/PF 180MCG/0.5 ML SYRIN $133.15 $251.23 $80.43–$250.59 — 47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 13-VAL CONJ-DIP CRM/PF 0.5ML SYRINGE 1 $277.39 $523.37 $219.82–$425.68 5% below 47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 13-VAL CONJ-DIP CRM/PF 0.5ML SYRINGE 1 $277.39 $523.37 $219.82–$425.68 5% below 47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOC 13-VAL CONJ-DIP CRM/PF 0.5ML SYRINGE 1 $277.39 $523.37 $219.82–$425.68 — 47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF 0.5ML SYRINGE 1 $469.54 $885.93 $326.27–$774.90 61% above 47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF 0.5ML SYRINGE 1 $469.54 $885.93 $326.27–$774.90 61% above 47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF 0.5ML SYRINGE 1 $469.54 $885.93 $326.27–$774.90 — 47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL P-SAC VAC 25MCG/0.5 ML SOLUTIO $132.74 $250.45 $105.19–$220.23 6% below 47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL P-SAC VAC 25MCG/0.5 ML SOLUTIO $132.74 $250.45 $105.19–$220.23 6% below 47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL P-SAC VAC 25MCG/0.5 ML SYRINGE $163.48 $308.44 $129.54–$293.64 16% above 47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL P-SAC VAC 25MCG/0.5 ML SYRINGE $163.48 $308.44 $129.54–$293.64 16% above 47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL P-SAC VAC 25MCG/0.5 ML SOLUTIO $132.74 $250.45 $105.19–$220.23 — 47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL P-SAC VAC 25MCG/0.5 ML SYRINGE $163.48 $308.44 $129.54–$293.64 — 47%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (PCEC)/PF 2.5UNIT SUSPENSION FOR RE $668.66 $1,261.63 $403.16–$852.23 15% above 47%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (PCEC)/PF 2.5UNIT SUSPENSION FOR RE $668.66 $1,261.63 $403.16–$852.23 15% above 47%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (PCEC)/PF 2.5UNIT SUSPENSION FOR RE $668.66 $1,261.63 $403.16–$852.23 — 47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS/PF SYRINGE 1 $52.98 $99.97 $31.95–$95.62 28% above 47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS/PF SYRINGE 1 $52.98 $99.97 $31.95–$95.62 28% above 47%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS/PF SYRINGE 1 $52.98 $99.97 $31.95–$95.62 — 47%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390816857-1427007384_ascension-se-wisconsin-hospital-inc-franklin_standardcharges.csv