Midwest Orthopedic Specialty Hospital
Listed in its price file as “Wheaton Franciscan Healthcare - Southeast Wisconsin Inc”.
Midwest Orthopedic Specialty Hospital in Franklin, WI publishes cash prices for 298 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 245 of 294 procedures and above it for 42. By typical cash price it ranks #11 of 103 Wisconsin hospitals and #1 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
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off 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 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–$724.00 | 41% below | 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–$724.00 | 41% below | 47% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $850.12 | $1,604.00 | $171.47–$724.00 | — | 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% |
| 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 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 neck CPT 70498 HC CTA NECK W/WO CONTRAST | $885.10 | $1,670.00 | $298.84–$975.45 | 56% below | 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 scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN PELVIS WO CONTRAST | $1,212.11 | $2,287.00 | $297.63–$724.00 | 52% 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–$724.00 | 52% below | 47% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN PELVIS WO CONTRAST | $1,212.11 | $2,287.00 | $297.63–$724.00 | — | 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 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 with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST | $850.12 | $1,604.00 | $217.35–$766.97 | — | 47% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST | $841.64 | $1,588.00 | $203.93–$724.00 | 33% below | 47% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST | $841.64 | $1,588.00 | $203.93–$724.00 | 33% below | 47% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST | $841.64 | $1,588.00 | $203.93–$724.00 | — | 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–$724.00 | 38% 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–$724.00 | 38% below | 47% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST | $858.60 | $1,620.00 | $146.35–$724.00 | — | 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–$724.00 | 45% below | 47% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST | $850.12 | $1,604.00 | $193.44–$724.00 | 45% below | 47% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST | $850.12 | $1,604.00 | $193.44–$724.00 | — | 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–$724.00 | 53% 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–$724.00 | 53% below | 47% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST | $862.84 | $1,628.00 | $217.35–$724.00 | — | 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–$597.13 | 45% below | 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–$724.00 | 44% below | 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–$724.00 | 44% below | 47% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE WO CONTRAST | $858.60 | $1,620.00 | $183.68–$724.00 | — | 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 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 CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W/WO CONTRAST | $858.60 | $1,620.00 | $236.36–$914.66 | — | 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% |
| 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% |
| 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% |
| 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% |
| 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–$724.00 | 42% below | 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–$724.00 | 42% below | 47% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $841.64 | $1,588.00 | $171.47–$724.00 | — | 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–$724.00 | 34% below | 47% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST | $841.64 | $1,588.00 | $186.16–$724.00 | 34% below | 47% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST | $841.64 | $1,588.00 | $186.16–$724.00 | — | 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% |
| 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% |
| 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% |
| 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% |
| 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% |
| 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% |
| 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 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
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ASSAY OF ACTH | $141.51 | $267.00 | $40.55–$181.50 | 36% below | 47% |
| 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% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $152.64 | $288.00 | $50.01–$244.36 | 50% below | 47% |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN | $18.02 | $34.00 | $5.20–$23.25 | 52% below | 47% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $131.97 | $249.00 | $42.79–$191.51 | 32% 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 - R | $12.72 | $24.00 | $5.37–$23.60 | 49% 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 SERUM | $63.60 | $120.00 | $17.61–$78.83 | 24% below | 47% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN (AFP) SERUM | $66.25 | $125.00 | $17.61–$78.83 | 21% below | 47% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $60.95 | $115.00 | $15.30–$68.48 | 32% below | 47% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $43.99 | $83.00 | $6.80–$30.46 | 29% 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 CULT BACT EX URINE, BLOOD, STOOL | $13.78 | $26.00 | $9.05–$20.26 | 74% below | 47% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, WOUND AEROBIC WITH GRAM STAIN | $13.78 | $26.00 | $9.05–$20.26 | 74% 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% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL-CALCIUM, TOTAL | $50.88 | $96.00 | $8.88–$39.74 | 42% below | 47% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $16.43 | $31.00 | $5.27–$23.56 | 65% below | 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 - LEGAL | $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 - LEGAL | $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 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 draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - LEGAL | $15.90 | $30.00 | $3.48–$9.27 | — | 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 QUANTITATIVE | $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 - POC | $19.08 | $36.00 | $4.15–$18.56 | 26% below | 47% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN | $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 C DIFF, TOX GEN(S), AMPL TECHN | $59.36 | $112.00 | $39.13–$87.58 | 61% 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% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL | $19.08 | $36.00 | $5.42–$24.25 | 64% below | 47% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN | $73.67 | $139.00 | $19.91–$89.15 | 46% 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% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $50.88 | $96.00 | $14.06–$87.35 | 43% 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% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $65.72 | $124.00 | $11.09–$49.65 | 42% below | 47% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL | $63.07 | $119.00 | $17.11–$76.62 | 47% below | 47% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) | $32.33 | $61.00 | $6.84–$30.60 | 49% below | 47% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE | $20.67 | $39.00 | $5.38–$24.08 | 35% 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 DRUG TEST PRESUMPTIVE CHEM ANALYZER | $73.14 | $138.00 | $65.25–$116.67 | 37% below | 47% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PROPOXYPHENE, SCREEN AND CONFIRMATION, URINE | $98.58 | $186.00 | $65.25–$146.03 | 15% 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% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $668.86 | $1,262.00 | $65.25–$372.08 | 477% above | 47% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $41.87 | $79.00 | $7.36–$32.95 | 14% below | 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% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC 80050 GENERAL HEALTH PANEL | $182.32 | $344.00 | $59.01–$149.90 | 34% 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 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 tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) | $53.53 | $101.00 | $13.51–$60.48 | 40% below | 47% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NESSERIA GONORRHOEAE DNA AMPLIFIED PROBE | $113.42 | $214.00 | $36.84–$164.91 | 21% 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% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $64.66 | $122.00 | $25.28–$113.16 | 37% 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 - POC | $14.84 | $28.00 | $2.49–$11.14 | 15% below | 47% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $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% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $57.24 | $108.00 | $9.11–$40.81 | 44% 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 - POC | $49.29 | $93.00 | $12.15–$50.20 | 29% 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 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% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $51.94 | $98.00 | $8.58–$38.40 | 49% 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 | $33.92 | $64.00 | $5.44–$24.32 | 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% |
| Mumps immunity blood test CPT 86735 HC MUMPS | $20.67 | $39.00 | $13.70–$30.67 | 76% 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% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $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 drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRESUMPTIVE DIRECT OPT OBS | $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 - POC | $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 | $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 - POC | $15.90 | $30.00 | $5.05–$22.63 | 36% below | 47% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM | $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 (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES | $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% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC ASSAY SCREEN BLOOD FECAL 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-R | $27.03 | $51.00 | $17.64–$39.48 | 70% 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 cholesterol blood test CPT 82465 HC ASSAY BLOOD/SERUM CHOLESTEROL | $18.02 | $34.00 | $4.57–$20.42 | 61% 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 | $73.14 | $138.00 | $13.09–$46.23 | 13% below | 47% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE - POC | $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 with microscope exam, automated CPT 81001 HC URINALYSIS AUTOMATED W/SCOPE | $22.26 | $42.00 | $3.33–$14.90 | 38% below | 47% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NONAUTOMATED W/SCOPE | $22.79 | $43.00 | $4.22–$14.90 | 82% above | 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, automated CPT 81003 HC URINALYSIS AUTOMATED W/O SCOPE | $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% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTOMATED W/O SCOPE | $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 microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE | $34.45 | $65.00 | $6.07–$27.15 | 47% 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% |
| 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% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $57.24 | $108.00 | $15.83–$70.86 | 44% below | 47% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $93.28 | $176.00 | $31.08–$139.14 | 40% 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
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| 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% |
| 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% |
| 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% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE | $646.60 | $1,220.00 | $576.51 | 7% 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% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC RF ENDOVENOUS 1ST VEIN | $4,650.75 | $8,775.00 | $5,555.95 | 19% above | 47% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off 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% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION INITIAL UP TO 1 HR | $412.34 | $778.00 | $439.82 | 26% below | 47% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG | $260.23 | $491.00 | $27.44 | 76% 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 OT NEUROMUSCULAR REEDUCATION / 15 MIN | $71.55 | $135.00 | $112.03 | 25% below | 47% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT 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 OT THERAPEUTIC EXERCISES / 15 MIN | $72.61 | $137.00 | $107.37 | 25% 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% |
| 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% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC QS2022-23(65YR UP)/PF 240MCG/0.7 ML SYRIN | $111.37 | $210.13 | $80.43–$143.57 | 40% above | 47% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC QS2022-23(65YR UP)/PF 240MCG/0.7 ML SYRIN | $111.37 | $210.13 | $80.43–$143.57 | 40% above | 47% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC QS2022-23(65YR UP)/PF 240MCG/0.7 ML SYRIN | $111.37 | $210.13 | $80.43–$143.57 | — | 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, 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 | $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 | $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) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL P-SAC VAC 25MCG/0.5 ML SYRINGE | $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 SOLUTIO | $132.74 | $250.45 | $105.19–$220.23 | — | 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.