Hospital

Marshfield Medical Center - Neillsville

Marshfield Medical Center - Neillsville in Neillsville, WI publishes cash prices for 37 common procedures listed here, from its own machine-readable price file updated Feb 20, 2026. Click a procedure to compare it with other hospitals nearby.

N3708 River Ave, Neillsville, WI 54456-7218 Collected Sep 24, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Off list
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/CONTRAST SI JOINTS	$3,992.85	$4,203.00	5%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST SI JOINTS	$3,992.85	$4,203.00	5%

Lab tests

Procedure	Cash price	List price	Off list
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL W TOTAL CA-TECH	$88.35	$93.00	5%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL W TOTAL CA-TECH	$88.35	$93.00	5%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL-TECH	$141.55	$149.00	5%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL-TECH	$141.55	$149.00	5%
Complete blood count (CBC) with differential CPT 85025 CBC W AUTO DIFF-TECH	$80.75	$85.00	5%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W AUTO DIFF-TECH	$80.75	$85.00	5%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO WO DIFF-TECH	$66.50	$70.00	5%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO WO DIFF-TECH	$66.50	$70.00	5%
Comprehensive metabolic panel (blood test) CPT 80053 COMPR METABOLIC PANEL-TECH	$112.10	$118.00	5%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPR METABOLIC PANEL-TECH	$112.10	$118.00	5%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL-TECH	$93.10	$98.00	5%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL-TECH	$93.10	$98.00	5%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-TECH	$88.35	$93.00	5%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-TECH	$88.35	$93.00	5%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE-TECH	$198.55	$209.00	5%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE-TECH	$198.55	$209.00	5%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL-TECH	$198.55	$209.00	5%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL-TECH	$198.55	$209.00	5%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL-TECH	$64.60	$68.00	5%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL-TECH	$64.60	$68.00	5%
Prothrombin time (PT/INR) clotting test CPT 85610 COMPREHENSIVE ANTIPHOSPHOLIPID SYNDROME-TECH	$42.75	$45.00	5%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-TECH	$42.75	$45.00	5%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME-TECH	$42.75	$45.00	5%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 COMPREHENSIVE ANTIPHOSPHOLIPID SYNDROME-TECH	$42.75	$45.00	5%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE-TECH	$172.90	$182.00	5%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID DIAGNOSTIC CASCADE-TECH	$173.85	$183.00	5%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE-TECH	$172.90	$182.00	5%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID DIAGNOSTIC CASCADE-TECH	$173.85	$183.00	5%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W MICRO-TECH	$39.90	$42.00	5%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W MICRO-TECH	$39.90	$42.00	5%
Urinalysis without microscope exam, automated CPT 81003 RHC URINE, DIPSTICK ONLY	$25.65	$27.00	5%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS BY DIP OR REGENT STRIP-TECH	$26.60	$28.00	5%
Urinalysis without microscope exam, automated CPT 81003 BLOOD, URINE TECH	$26.60	$28.00	5%
Urinalysis without microscope exam, automated CPT 81003 BILE, URINE - TECH	$26.60	$28.00	5%
Urinalysis without microscope exam, automated CPT 81003 ALBUMIN LEVEL URINE-TECH	$29.45	$31.00	5%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICROSCOPY-TECH	$29.45	$31.00	5%
Urinalysis without microscope exam, automated CPT 81003 UA BY DIP OR TABLET FOR BILI-TECH	$29.45	$31.00	5%
Urinalysis without microscope exam, automated CPT 81003 UA BY DIP OR TAB REG FOR BILI-TECH	$29.45	$31.00	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 RHC URINE, DIPSTICK ONLY	$25.65	$27.00	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS BY DIP OR REGENT STRIP-TECH	$26.60	$28.00	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 BILE, URINE - TECH	$26.60	$28.00	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 BLOOD, URINE TECH	$26.60	$28.00	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 ALBUMIN LEVEL URINE-TECH	$29.45	$31.00	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA BY DIP OR TABLET FOR BILI-TECH	$29.45	$31.00	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA BY DIP OR TAB REG FOR BILI-TECH	$29.45	$31.00	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICROSCOPY-TECH	$29.45	$31.00	5%
Urinalysis without microscope exam, manual CPT 81002 DIP-POC	$31.35	$33.00	5%
Urinalysis without microscope exam, manual CPT 81002 ONCOLOGY PROTEIN URINE SCREEN	$34.20	$36.00	5%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON AUTO WO MICRO-TECH	$34.20	$36.00	5%
Urinalysis without microscope exam, manual inpatient CPT 81002 DIP-POC	$31.35	$33.00	5%
Urinalysis without microscope exam, manual inpatient CPT 81002 ONCOLOGY PROTEIN URINE SCREEN	$34.20	$36.00	5%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NON AUTO WO MICRO-TECH	$34.20	$36.00	5%

Surgery and procedures

Procedure	Cash price	List price	Off list
Colonoscopy with tissue sample CPT 45380 COLONOSC FLEX W/BIOPSY-TECH	$1,248.30	$1,314.00	5%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSC FLEX W/BIOPSY-TECH	$1,248.30	$1,314.00	5%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC-TECH	$1,468.70	$1,546.00	5%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC-TECH	$1,468.70	$1,546.00	5%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER CAPS-EXT SHARE CARE-TECH	$901.55	$949.00	5%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 DISC SECNDRY MEMB CATARACT LSR-TECH	$901.55	$949.00	5%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG LASER CAPS-EXT SHARE CARE-TECH	$901.55	$949.00	5%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 DISC SECNDRY MEMB CATARACT LSR-TECH	$901.55	$949.00	5%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ DIAG/THER SUB L/S W/IMAG-TECH	$274.55	$289.00	5%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPID/SUBARCH LUM/SAC W/GUIDE-TECH	$744.80	$784.00	5%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DIAG/THER SUB L/S W/IMAG-TECH	$274.55	$289.00	5%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPID/SUBARCH LUM/SAC W/GUIDE-TECH	$744.80	$784.00	5%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/TX SUB LMBR/SAC WO IMG-TECH	$240.35	$253.00	5%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX/TX SUB LMBR/SAC WO IMG-TECH	$240.35	$253.00	5%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES AGNT LMB/SAC-RAD ONLY-TECH	$312.55	$329.00	5%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES AGNT W/GUIDE-TECH	$744.80	$784.00	5%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES AGNT LMB/SAC-RAD ONLY-TECH	$312.55	$329.00	5%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES AGNT W/GUIDE-TECH	$744.80	$784.00	5%
Prostate biopsy CPT 55700 BIOPSY PROSTRATE NEEDLE/PUNCH-TECH	$399.95	$421.00	5%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTRATE NEEDLE/PUNCH-TECH	$399.95	$421.00	5%
Removal of a breast lump, open surgery CPT 19120 EXN BRST LESN OPEN >=1 LESN-TECH	$868.30	$914.00	5%
Removal of a breast lump, open surgery inpatient CPT 19120 EXN BRST LESN OPEN >=1 LESN-TECH	$868.30	$914.00	5%

Doctor visits and therapy

Procedure	Cash price	List price	Off list
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY,50 MIN-MSW/MS 90847-TECH	$177.65	$187.00	5%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY,LMFT-MS 90847-TECH	$177.65	$187.00	5%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY,50 MIN-PHD 90847-TECH	$177.65	$187.00	5%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY,50 MIN-PHD 90847-TECH	$177.65	$187.00	5%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY,50 MIN-MSW/MS 90847-TECH	$177.65	$187.00	5%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY,LMFT-MS 90847-TECH	$177.65	$187.00	5%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THER W/O PT,50 MIN-MD 90846-TECH	$171.00	$180.00	5%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THER,W/O PT,50MN-MSW/MS 90846-TECH	$171.00	$180.00	5%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THER W/O PT,50 MIN-PHD 90846-TECH	$171.00	$180.00	5%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THER W/O PT,50 MIN-MD 90846-TECH	$171.00	$180.00	5%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THER,W/O PT,50MN-MSW/MS 90846-TECH	$171.00	$180.00	5%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THER W/O PT,50 MIN-PHD 90846-TECH	$171.00	$180.00	5%
Group psychotherapy session CPT 90853 GROUP THERAPY-APNP 90853-TECH	$50.35	$53.00	5%
Group psychotherapy session CPT 90853 GROUP THERAPY-MSW/MS 90853-TECH	$50.35	$53.00	5%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY-MSW/MS 90853-TECH	$50.35	$53.00	5%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY-APNP 90853-TECH	$50.35	$53.00	5%
New patient office visit, about 30 minutes CPT 99203 UC VISIT NEW, LEVEL 3 TECH	$244.15	$257.00	5%
New patient office visit, about 30 minutes inpatient CPT 99203 UC VISIT NEW, LEVEL 3 TECH	$244.15	$257.00	5%
New patient office visit, about 45 minutes CPT 99204 VISIT NEW PAT LEVEL 4-TECH	$148.20	$156.00	5%
New patient office visit, about 45 minutes CPT 99204 UC VISIT NEW, LEVEL 4 TECH	$358.15	$377.00	5%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW PAT LEVEL 4-TECH	$148.20	$156.00	5%
New patient office visit, about 45 minutes inpatient CPT 99204 UC VISIT NEW, LEVEL 4 TECH	$358.15	$377.00	5%
New patient office visit, about 60 minutes CPT 99205 VISIT NEW PAT LEVEL 5-TECH	$193.80	$204.00	5%
New patient office visit, about 60 minutes CPT 99205 UC VISIT NEW, LEVEL 5 TECH	$469.30	$494.00	5%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW PAT LEVEL 5-TECH	$193.80	$204.00	5%
New patient office visit, about 60 minutes inpatient CPT 99205 UC VISIT NEW, LEVEL 5 TECH	$469.30	$494.00	5%
Preventive checkup, new patient aged 18–39 CPT 99385 VISIT PREV MED INIT AGE 18-39-TECH	$139.65	$147.00	5%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 VISIT PREV MED INIT AGE 18-39-TECH	$139.65	$147.00	5%
Preventive checkup, new patient aged 40–64 CPT 99386 VISIT PREV MED INIT AGE 40-64-TECH	$151.05	$159.00	5%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 VISIT PREV MED INIT AGE 40-64-TECH	$151.05	$159.00	5%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN-APNP-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes CPT 90832 90832 PSYCHOTHERAPY 30 MIN-MD-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY,LMFT-MS 90832-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY-30 MIN-MSW/MS 90832-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY,30 MIN-PHD 90832-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY,QTT-MSW-90832-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY,LMFT-MS 90832-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN-APNP-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYCHOTHERAPY 30 MIN-MD-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY,QTT-MSW-90832-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY,30 MIN-PHD 90832-TECH	$106.40	$112.00	5%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY-30 MIN-MSW/MS 90832-TECH	$106.40	$112.00	5%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY,45 MIN-MSW/MS 90834-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL; THERAPY,LMFT-MS 90834-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY,45 MIN-PHD 90834-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY,QTT-MSW-90834-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN-APNP-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN-MD-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN-MD-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY,QTT-MSW-90834-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL; THERAPY,LMFT-MS 90834-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY,45 MIN-MSW/MS 90834-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY,45 MIN-PHD 90834-TECH	$141.55	$149.00	5%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN-APNP-TECH	$141.55	$149.00	5%
Psychotherapy session, 60 minutes CPT 90837 90837 PSYCHOTHERAPY 60 MIN-APNP TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY,LMFT-MS 90837-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY,60 MIN-PHD 90837-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY,60 MIN-MSW/MS 90837-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, QTT-MSW 90837-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes CPT 90837 PSYTX 60 MIN MD-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX 60 MIN MD-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY,LMFT-MS 90837-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY, QTT-MSW 90837-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY,60 MIN-PHD 90837-TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYCHOTHERAPY 60 MIN-APNP TECH	$212.80	$224.00	5%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY,60 MIN-MSW/MS 90837-TECH	$212.80	$224.00	5%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 NEW - BASED ON TIME 99243-TECH	$143.45	$151.00	5%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 ESTAB - BASED ON COMPONENT-TECH	$143.45	$151.00	5%
Specialist consultation, low complexity or 30+ minutes CPT 99243 VISIT OP CONSULT LEVEL 3-TECH	$143.45	$151.00	5%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 ESTAB - BASED ON TIME 99243-TECH	$143.45	$151.00	5%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 VISIT OP CONSULT LEVEL 3-TECH	$143.45	$151.00	5%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3 ESTAB - BASED ON COMPONENT-TECH	$143.45	$151.00	5%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3 NEW - BASED ON TIME 99243-TECH	$143.45	$151.00	5%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3 ESTAB - BASED ON TIME 99243-TECH	$143.45	$151.00	5%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 ESTAB - BASED ON COMPONENTS-TECH	$193.80	$204.00	5%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 VISIT OP CONSULT LEVEL 4-TECH	$193.80	$204.00	5%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 ESTAB - BASED ON TIME 99244-TECH	$193.80	$204.00	5%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 NEW - BASED ON TIME 99244-TECH	$193.80	$204.00	5%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4 NEW - BASED ON TIME 99244-TECH	$193.80	$204.00	5%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4 ESTAB - BASED ON TIME 99244-TECH	$193.80	$204.00	5%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4 ESTAB - BASED ON COMPONENTS-TECH	$193.80	$204.00	5%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 VISIT OP CONSULT LEVEL 4-TECH	$193.80	$204.00	5%

Source file: https://www.marshfieldclinic.org/-/media/marshfieldclinic/files/patient%20resources/cms-hpt-documents/390806828_marshfield-medical-center--neillsville_standardcharges.zip