Hospital Rice Lake, WI

Marshfield Medical Center - Rice Lake

Marshfield Medical Center - Rice Lake in Rice Lake, 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.

1700 West Stout Street, Rice Lake, WI 54868 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	$2,244.85	$2,363.00	5%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST SI JOINTS	$2,244.85	$2,363.00	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	$1,313.85	$1,383.00	5%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSC FLEX W/BIOPSY-TECH	$1,313.85	$1,383.00	5%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC-TECH	$1,545.65	$1,627.00	5%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC-TECH	$1,545.65	$1,627.00	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	$893.95	$941.00	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	$893.95	$941.00	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	$893.95	$941.00	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	$893.95	$941.00	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	$254.60	$268.00	5%
New patient office visit, about 30 minutes inpatient CPT 99203 UC VISIT NEW, LEVEL 3 TECH	$254.60	$268.00	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	$374.30	$394.00	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	$374.30	$394.00	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	$490.20	$516.00	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	$490.20	$516.00	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/390837206_marshfield-medical-center--rice-lake_standardcharges.zip