Sacred Heart Rehabilitation Institute, Inc.
Sacred Heart Rehabilitation Institute, Inc. in Mequon, WI publishes cash prices for 26 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
13111 N Port Washington Rd Fl 2 Mequon WI 53097 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,281.54 | $2,418.00 | 47% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $145.75 | $275.00 | 47% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $116.07 | $219.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST | $3,579.09 | $6,753.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST | $3,579.09 | $6,753.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JOINT LOWER EXTREMITY WO CONTRAST | $3,579.09 | $6,753.00 | 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 | $6,520.06 | $12,302.00 | 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 | $6,520.06 | $12,302.00 | 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 | $6,520.06 | $12,302.00 | 47% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $2,158.16 | $4,072.00 | 47% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $2,158.16 | $4,072.00 | 47% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $2,158.16 | $4,072.00 | 47% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 14 WKS / > SINGLE FETUS | $445.20 | $840.00 | 47% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO BI INCL CAD | $115.01 | $217.00 | 47% |
| Sleep study in a lab (polysomnography) CPT 95810 HC PBB POLYSOMNOGRAPHY 4 OR MORE | $1,370.58 | $2,586.00 | 47% |
| Sleep study in a lab (polysomnography) CPT 95810 HC PBB POLYSOMNOGRAPHY 4 OR MORE | $1,370.58 | $2,586.00 | 47% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC PBB POLYSOMNOGRAPHY 4 OR MORE | $1,370.58 | $2,586.00 | 47% |
| Transvaginal pelvic ultrasound CPT 76830 HC US NON-OB TRANSVAGINAL | $388.49 | $733.00 | 47% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE | $586.71 | $1,107.00 | 47% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $72.08 | $136.00 | 47% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $72.08 | $136.00 | 47% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $72.08 | $136.00 | 47% |
| Obstetric blood test panel CPT 80055 HC PBB OBSTETRIC PANEL | $100.17 | $189.00 | 47% |
| Obstetric blood test panel CPT 80055 HC PBB OBSTETRIC PANEL | $100.17 | $189.00 | 47% |
| Obstetric blood test panel inpatient CPT 80055 HC PBB OBSTETRIC PANEL | $100.17 | $189.00 | 47% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NONAUTOMATED W/SCOPE | $14.84 | $28.00 | 47% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NONAUTOMATED W/SCOPE | $14.84 | $28.00 | 47% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS NONAUTOMATED W/SCOPE | $14.84 | $28.00 | 47% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 HC PBB LESION REMOVAL COLONOSCOPY | $2,205.33 | $4,161.00 | 47% |
| Colonoscopy with polyp removal CPT 45385 HC PBB LESION REMOVAL COLONOSCOPY | $2,205.33 | $4,161.00 | 47% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC PBB LESION REMOVAL COLONOSCOPY | $2,205.33 | $4,161.00 | 47% |
| Colonoscopy with tissue sample CPT 45380 HC PBB COLONOSCOPY AND BIOPSY | $2,205.33 | $4,161.00 | 47% |
| Colonoscopy with tissue sample CPT 45380 HC PBB COLONOSCOPY AND BIOPSY | $2,205.33 | $4,161.00 | 47% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC PBB COLONOSCOPY AND BIOPSY | $2,205.33 | $4,161.00 | 47% |
| Colonoscopy, diagnostic CPT 45378 HC PBB DIAGNOSTIC COLONOSCOPY | $2,031.49 | $3,833.00 | 47% |
| Colonoscopy, diagnostic CPT 45378 HC PBB DIAGNOSTIC COLONOSCOPY | $2,031.49 | $3,833.00 | 47% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC PBB DIAGNOSTIC COLONOSCOPY | $2,031.49 | $3,833.00 | 47% |
| Left heart catheterization, diagnostic one side CPT 93452 HC PBB LEFT HRT CATH W/VENTRCLGRPHY | $1,490.89 | $2,813.00 | 47% |
| Left heart catheterization, diagnostic one side CPT 93452 HC PBB LEFT HRT CATH W/VENTRCLGRPHY | $1,490.89 | $2,813.00 | 47% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC PBB LEFT HRT CATH W/VENTRCLGRPHY | $1,490.89 | $2,813.00 | 47% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC PBB NJX INTERLAMINAR LMBR/SAC | $298.92 | $564.00 | 47% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC PBB NJX INTERLAMINAR LMBR/SAC | $298.92 | $564.00 | 47% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC PBB NJX INTERLAMINAR LMBR/SAC | $139.92 | $264.00 | 47% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC PBB NJX INTERLAMINAR LMBR/SAC | $139.92 | $264.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PBB INJ FORAMEN EPIDURAL L/S | $450.50 | $850.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PBB INJ FORAMEN EPIDURAL L/S | $450.50 | $850.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC PBB INJ FORAMEN EPIDURAL L/S | $450.50 | $850.00 | 47% |
| Prostate biopsy CPT 55700 HC 55700 BIOPSY OF PROSTATE | $272.95 | $515.00 | 47% |
| Prostate biopsy inpatient CPT 55700 HC 55700 BIOPSY OF PROSTATE | $272.95 | $515.00 | 47% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PBB UPPER GI ENDOSCOPY BIOPSY | $2,318.75 | $4,375.00 | 47% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PBB UPPER GI ENDOSCOPY BIOPSY | $2,318.75 | $4,375.00 | 47% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC PBB UPPER GI ENDOSCOPY BIOPSY | $2,318.75 | $4,375.00 | 47% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PBB UPPR GI ENDOSCOPY DIAGNOSIS | $2,184.66 | $4,122.00 | 47% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PBB UPPR GI ENDOSCOPY DIAGNOSIS | $2,184.66 | $4,122.00 | 47% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC PBB UPPR GI ENDOSCOPY DIAGNOSIS | $2,184.66 | $4,122.00 | 47% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 60 minutes CPT 99205 HC PBB OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $151.58 | $286.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC 97110 THERAPEUTIC EXERCI | $66.78 | $126.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC 97110 THERAPEUTIC EXERCI | $66.78 | $126.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC 97110 THERAPEUTIC EXERCI | $66.78 | $126.00 | 47% |