SelfPayRates
Hospital Rice Lake, WI

Cumberland Memorial Hospital

Cumberland Memorial Hospital in Cumberland, WI publishes cash prices for 258 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Wisconsin median for 166 of 258 procedures and below it for 89. By typical cash price it ranks #81 of 89 Wisconsin hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1705 16TH AVE, CUMBERLAND, WI, 54829 Collected Sep 27, 2026 Source price file (715) 822-7200

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 521353 · CMS hospital register

The price file shows no self-pay discount

For 717 of the 717 prices listed here, the cash price in Cumberland Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

ProcedureCash price List priceInsurers payvs WisconsinOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WT ANKLE/BRACL INDICES DOP LIM $1,151.75 $1,151.75 — 218% above —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 WT ANKLE/BRACL INDICES DOP LIM $1,151.75 $1,151.75 — — —
Chest X-ray, single view CPT 71045 XR CHEST CUMBERLAND TL SCHOOLS $216.65 $216.65 — 76% above —
Chest X-ray, single view inpatient CPT 71045 XR CHEST CUMBERLAND TL SCHOOLS $216.65 $216.65 — — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo w/Contrast (2D) $2,067.10 $2,067.10 — 50% above —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo w/Contrast (2D) $2,067.10 $2,067.10 — — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US FAST abdominal limited $201.25 $201.25 — 53% below —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US FAST abdominal limited $201.25 $201.25 — — —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM LEXISCAN REST AND STRESS $4,961.98 $4,961.98 — 87% above —
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM LEXISCAN REST AND STRESS $4,961.98 $4,961.98 — — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US FAST Pelvic limited $186.25 $186.25 — 36% below —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US FAST Pelvic limited $186.25 $186.25 — — —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US REAL TIME W/IMAGE DOCUM $139.95 $139.95 — 62% below —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US REAL TIME W/IMAGE DOCUM $139.95 $139.95 — — —
X-ray of the abdomen, 1 view CPT 74018 XR Small Bowel Follow Through $332.95 $332.95 — 85% above —
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Small Bowel Follow Through $332.95 $332.95 — — —

Lab tests

ProcedureCash price List priceInsurers payvs WisconsinOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT $64.75 $64.75 — 53% above —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT $64.75 $64.75 — — —
AST (aspartate aminotransferase) enzyme test CPT 84450 AST $64.75 $64.75 — 36% above —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST $64.75 $64.75 — — —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS A,B,C,ACUTE PANEL $157.25 $157.25 — 46% below —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS A,B,C,ACUTE PANEL $157.25 $157.25 — — —
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE $96.90 $96.90 — 288% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE $96.90 $96.90 — — —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP ANTI $139.45 $139.45 — 74% above —
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEP ANTI $139.45 $139.45 — — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA $79.35 $79.35 — 16% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA $79.35 $79.35 — — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE $260.60 $260.60 — 88% above —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE $260.60 $260.60 — — —
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE $213.30 $213.30 — 149% above —
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROFILE $213.30 $213.30 — — —
Blood culture for bacteria CPT 87040 BLOOD CULTURE $201.05 $201.05 — 147% above —
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE $201.05 $201.05 — — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $32.70 $32.70 — 149% above —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 =>VENIPUNCTURE<= $32.90 $32.90 — 151% above —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $32.70 $32.70 — — —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 =>VENIPUNCTURE<= $32.90 $32.90 — — —
Blood glucose (sugar) test CPT 82947 GLUCOSE $59.35 $59.35 — 164% above —
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $59.35 $59.35 — — —
Blood lead test CPT 83655 LEAD $88.35 $88.35 — 79% above —
Blood lead test inpatient CPT 83655 LEAD $88.35 $88.35 — — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE $80.75 $80.75 — 102% above —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO Gel Type $80.75 $80.75 — 102% above —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE $80.75 $80.75 — — —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO Gel Type $80.75 $80.75 — — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $128.05 $128.05 — 135% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $128.05 $128.05 — — —
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE BY PCR $112.05 $112.05 — 22% below —
C. difficile toxin gene test (stool PCR) CPT 87493 Meningitis Panel CSF $112.05 $112.05 — 22% below —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Meningitis Panel CSF $112.05 $112.05 — — —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE BY PCR $112.05 $112.05 — — —
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $88.90 $88.90 — 19% below —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 $88.90 $88.90 — — —
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $282.70 $282.70 — 141% above —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $282.70 $282.70 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2-SPIKE AB $208.10 $208.10 — 56% above —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid ID Now $213.20 $213.20 — 60% above —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 $287.20 $287.20 — 116% above —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV2-SPIKE AB $208.10 $208.10 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid ID Now $213.20 $213.20 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 $287.20 $287.20 — — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA $112.85 $112.85 — 21% below —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA $112.85 $112.85 — — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $165.75 $165.75 — 79% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $165.75 $165.75 — — —
Complete blood count (CBC) with differential CPT 85025 Influenza Cedar Crest $30.60 $30.60 — 56% below —
Complete blood count (CBC) with differential CPT 85025 Single Titers Cedar Crest $71.40 $71.40 — 2% above —
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $99.85 $99.85 — 43% above —
Complete blood count (CBC) with differential CPT 85025 Positive Drug Screen Cedar Cre $102.00 $102.00 — 46% above —
Complete blood count (CBC) with differential CPT 85025 Hepatitis B Cedar Crest $149.85 $149.85 — 114% above —
Complete blood count (CBC) with differential CPT 85025 CedarCrest exposure patient $225.00 $225.00 — 221% above —
Complete blood count (CBC) with differential CPT 85025 MMR Cedar Crest $262.95 $262.95 — 276% above —
Complete blood count (CBC) with differential CPT 85025 Positive TB FU Cedar Crest $280.50 $280.50 — 301% above —
Complete blood count (CBC) with differential CPT 85025 Emp Screen W/O Titer Cedar $306.00 $306.00 — 337% above —
Complete blood count (CBC) with differential CPT 85025 New Employee Screen Cedar Cres $510.00 $510.00 — 629% above —
Complete blood count (CBC) with differential CPT 85025 Empl Exp and Patient Cedar Cr $750.00 $750.00 — 971% above —
Complete blood count (CBC) with differential inpatient CPT 85025 Influenza Cedar Crest $30.60 $30.60 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 Single Titers Cedar Crest $71.40 $71.40 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $99.85 $99.85 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 Positive Drug Screen Cedar Cre $102.00 $102.00 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 Hepatitis B Cedar Crest $149.85 $149.85 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 CedarCrest exposure patient $225.00 $225.00 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 MMR Cedar Crest $262.95 $262.95 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 Positive TB FU Cedar Crest $280.50 $280.50 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 Emp Screen W/O Titer Cedar $306.00 $306.00 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 New Employee Screen Cedar Cres $510.00 $510.00 — — —
Complete blood count (CBC) with differential inpatient CPT 85025 Empl Exp and Patient Cedar Cr $750.00 $750.00 — — —
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF $93.85 $93.85 — 88% above —
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF $93.85 $93.85 — — —
Comprehensive metabolic panel (blood test) CPT 80053 Cytokines $159.25 $159.25 — 40% above —
Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PROFILE $260.60 $260.60 — 129% above —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cytokines $159.25 $159.25 — — —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC PROFILE $260.60 $260.60 — — —
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER $234.65 $234.65 — 269% above —
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER $234.65 $234.65 — — —
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S $181.25 $181.25 — 32% above —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S $181.25 $181.25 — — —
Estradiol blood test CPT 82670 ESTRADIOL $117.40 $117.40 — 2% below —
Estradiol blood test inpatient CPT 82670 ESTRADIOL $117.40 $117.40 — — —
FSH (follicle-stimulating hormone) test CPT 83001 FSH (GONADOTROPIN) $164.10 $164.10 — 42% above —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (GONADOTROPIN) $164.10 $164.10 — — —
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL $152.25 $152.25 — 18% below —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL $152.25 $152.25 — — —
Ferritin blood test (iron stores) CPT 82728 FERRITIN $117.40 $117.40 — 30% above —
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $117.40 $117.40 — — —
Folate (folic acid) blood test CPT 82746 FOLIC ACID $142.55 $142.55 — 44% above —
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID $142.55 $142.55 — — —
Free T3 thyroid hormone test CPT 84481 FREE T3 $149.15 $149.15 — 57% above —
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 $149.15 $149.15 — — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 $170.15 $170.15 — 131% above —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 $170.15 $170.15 — — —
Free testosterone test CPT 84402 TESTOSTERONE FREE $212.80 $212.80 — 85% above —
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE $212.80 $212.80 — — —
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $469.80 $469.80 — 105% above —
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $469.80 $469.80 — — —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE $88.90 $88.90 — 90% above —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE $88.90 $88.90 — — —
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPEC $208.55 $208.55 — 138% above —
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST 3 SPEC $208.55 $208.55 — — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOE $112.85 $112.85 — 21% below —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOE $112.85 $112.85 — — —
H. pylori stool antigen test CPT 87338 HPYLORI ANTIGEN FECAL $99.85 $99.85 — 20% below —
H. pylori stool antigen test inpatient CPT 87338 HPYLORI ANTIGEN FECAL $99.85 $99.85 — — —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT $262.60 $262.60 — 30% below —
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT $262.60 $262.60 — — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV $107.10 $107.10 — 7% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV $107.10 $107.10 — — —
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV high risk infectious agent $164.85 $164.85 — 15% above —
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV high risk infectious agent $164.85 $164.85 — — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HEMOGLOBIN $111.05 $111.05 — 127% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATED HEMOGLOBIN $111.05 $111.05 — — —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY $99.30 $99.30 — 34% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY $99.30 $99.30 — — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS-HBSAG $59.05 $59.05 — 9% below —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS-HBSAG $59.05 $59.05 — — —
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $55.50 $55.50 — 33% below —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $55.50 $55.50 — — —
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTIFICATION $473.20 $473.20 — 130% above —
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANTIFICATION $473.20 $473.20 — — —
Herpes blood test, HSV-1 antibody CPT 86695 ANTB HERPES TYP 1 $117.85 $117.85 — 81% above —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTB HERPES TYP 1 $117.85 $117.85 — — —
Herpes blood test, HSV-2 antibody CPT 86696 ANTB HERPES TYP 2 $117.85 $117.85 — 36% above —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTB HERPES TYP 2 $117.85 $117.85 — — —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT $86.50 $86.50 — 12% above —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT $86.50 $86.50 — — —
Homocysteine blood test CPT 83090 HOMOCYSTEINE $129.75 $129.75 — 10% above —
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE $129.75 $129.75 — — —
Insulin blood test CPT 83525 INSULIN TOT $129.75 $129.75 — 100% above —
Insulin blood test inpatient CPT 83525 INSULIN TOT $129.75 $129.75 — — —
Iron blood test (serum iron) CPT 83540 IRON TOTAL $70.45 $70.45 — 32% above —
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL $70.45 $70.45 — — —
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY $82.15 $82.15 — 32% above —
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY $82.15 $82.15 — — —
Kidney function blood test panel CPT 80069 RENAL PANEL $176.50 $176.50 — 72% above —
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL $176.50 $176.50 — — —
LH (luteinizing hormone) test CPT 83002 LH (LUTENIZING HORMONE) $164.10 $164.10 — 73% above —
LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTENIZING HORMONE) $164.10 $164.10 — — —
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $111.05 $111.05 — 64% above —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $111.05 $111.05 — — —
Liver function blood test panel CPT 80076 LIVER PROFILE $240.50 $240.50 — 136% above —
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE $240.50 $240.50 — — —
Lyme disease antibody test CPT 86618 LYMES IGG/IGM $146.65 $146.65 — 76% above —
Lyme disease antibody test inpatient CPT 86618 LYMES IGG/IGM $146.65 $146.65 — — —
Magnesium blood test CPT 83735 SSAT24 URINE MAGESIUM $71.40 $71.40 — 43% above —
Magnesium blood test CPT 83735 MAGNESIUM $116.55 $116.55 — 133% above —
Magnesium blood test inpatient CPT 83735 SSAT24 URINE MAGESIUM $71.40 $71.40 — — —
Magnesium blood test inpatient CPT 83735 MAGNESIUM $116.55 $116.55 — — —
Measles (rubeola) antibody test CPT 86765 ANTIBODY, RUBEOLA $123.15 $123.15 — 54% above —
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $129.65 $129.65 — 62% above —
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY, RUBEOLA $123.15 $123.15 — — —
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY $129.65 $129.65 — — —
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST $89.30 $89.30 — 62% above —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST $89.30 $89.30 — — —
Obstetric blood test panel CPT 80055 PRENATAL PROFILE $351.60 $351.60 — 83% above —
Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE $351.60 $351.60 — — —
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $140.45 $140.45 — 56% above —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $140.45 $140.45 — — —
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA $201.45 $201.45 — 124% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA $201.45 $201.45 — — —
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE $240.50 $240.50 — 24% above —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE $240.50 $240.50 — — —
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $120.25 $120.25 — 140% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $120.25 $120.25 — — —
Progesterone blood test CPT 84144 PROGESTERONE $152.15 $152.15 — 27% above —
Progesterone blood test inpatient CPT 84144 PROGESTERONE $152.15 $152.15 — — —
Prolactin blood test CPT 84146 PROLACTIN $152.15 $152.15 — 26% above —
Prolactin blood test inpatient CPT 84146 PROLACTIN $152.15 $152.15 — — —
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $56.45 $56.45 — 90% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME $56.45 $56.45 — — —
Rapid flu test (influenza antigen) CPT 87804 IAADRADOO INF $65.90 $65.90 — 25% above —
Rapid flu test (influenza antigen) inpatient CPT 87804 IAADRADOO INF $65.90 $65.90 — — —
Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANTITATIVE $99.50 $99.50 — 73% above —
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANTITATIVE $99.50 $99.50 — — —
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY $72.35 $72.35 — 10% below —
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY $72.35 $72.35 — — —
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR $64.75 $64.75 — 71% above —
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR $64.75 $64.75 — — —
Stool ova and parasites exam CPT 87177 OVA & PARASITS DIR SMRS $45.60 $45.60 — 27% below —
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITS DIR SMRS $45.60 $45.60 — — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD X3 $48.30 $48.30 — 147% above —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD X3 $48.30 $48.30 — — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL $101.90 $101.90 — 172% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL $101.90 $101.90 — — —
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE $173.45 $173.45 — 54% above —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE $173.45 $173.45 — — —
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES EA $142.45 $142.45 — 111% above —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES EA $142.45 $142.45 — — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $198.35 $198.35 — 134% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $198.35 $198.35 — — —
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis $141.75 $141.75 — 4% above —
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis $141.75 $141.75 — — —
Uric acid blood test CPT 84550 URIC ACID $96.15 $96.15 — 106% above —
Uric acid blood test inpatient CPT 84550 URIC ACID $96.15 $96.15 — — —
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE $58.20 $58.20 — 46% above —
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE $58.20 $58.20 — — —
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE $117.40 $117.40 — 56% above —
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE $117.40 $117.40 — — —
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE $82.15 $82.15 — 38% above —
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE $82.15 $82.15 — — —
Vitamin B12 (cobalamin) blood test CPT 82607 B12 $140.70 $140.70 — 41% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 $140.70 $140.70 — — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, TOTAL (25-HYDROXY) $152.45 $152.45 — 2% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, TOTAL (25-HYDROXY) $152.45 $152.45 — — —
Zinc blood test CPT 84630 ZINC $70.05 $70.05 — 10% below —
Zinc blood test inpatient CPT 84630 ZINC $70.05 $70.05 — — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORIONIC HCG $140.35 $140.35 — 25% above —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHORIONIC HCG $140.35 $140.35 — — —

Surgery and procedures

ProcedureCash price List priceInsurers payvs WisconsinOff list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY OPEN; W/RUPT $3,236.00 $3,236.00 — 33% below —
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY OPEN; W/RUPT $3,236.00 $3,236.00 — — —
Appendectomy, open surgery CPT 44950 Appendectomy, Open $2,334.70 $2,334.70 — 4% below —
Appendectomy, open surgery inpatient CPT 44950 Appendectomy, Open $2,334.70 $2,334.70 — — —
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY, SHOULDER $4,352.45 $4,352.45 — 20% below —
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY, SHOULDER $4,352.45 $4,352.45 — — —
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Bunionectomy w/ sesamoldectony $2,421.15 $2,421.15 — 46% below —
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Bunionectomy w/ sesamoldectony $2,421.15 $2,421.15 — — —
Bunion correction with removal of part of the big toe joint CPT 28292 BUIONECTOMY W/SESAMOIDECTOMY $2,203.40 $2,203.40 — 37% below —
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 BUIONECTOMY W/SESAMOIDECTOMY $2,203.40 $2,203.40 — — —
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTE $753.90 $753.90 — 13% below —
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT $819.80 $819.80 — 5% below —
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $971.90 $971.90 — 12% above —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTE $753.90 $753.90 — — —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXT $819.80 $819.80 — — —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $971.90 $971.90 — — —
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel release $1,910.25 $1,910.25 — 3% above —
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL NEUROPLASTY $1,925.30 $1,925.30 — 3% above —
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel release $1,910.25 $1,910.25 — — —
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL NEUROPLASTY $1,925.30 $1,925.30 — — —
Cataract surgery with lens implant CPT 66984 Removal of Cataract w/ins pros $7,500.00 $7,500.00 — 62% above —
Cataract surgery with lens implant inpatient CPT 66984 Removal of Cataract w/ins pros $7,500.00 $7,500.00 — — —
Cervical biopsy CPT 57500 BIOPSY CERVIX $750.80 $750.80 — 27% above —
Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX $750.80 $750.80 — — —
Cesarean delivery, including prenatal and postpartum care CPT 59510 OBANTEPARTUM CARE $7,253.20 $7,253.20 — 33% above —
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OBANTEPARTUM CARE $7,253.20 $7,253.20 — — —
Colonoscopy with polyp removal CPT 45385 Colonoscopy Rem Tumor w/Snare $4,300.00 $4,300.00 — 111% above —
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy Rem Tumor w/Snare $4,300.00 $4,300.00 — — —
Colonoscopy with tissue sample CPT 45380 Colonoscopy w/Biopsy $4,300.00 $4,300.00 — 123% above —
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy w/Biopsy $4,300.00 $4,300.00 — — —
Colonoscopy, diagnostic CPT 45378 Colonoscopy Screen Non High Ri $500.00 $500.00 — 68% below —
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Screen Non High Ri $500.00 $500.00 — — —
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY BX CERVIX $750.80 $750.80 — 66% above —
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY BX CERVIX $750.80 $750.80 — — —
Complex cataract surgery with lens implant CPT 66982 Complex Removal of Cataract $8,200.00 $8,200.00 — 92% above —
Complex cataract surgery with lens implant inpatient CPT 66982 Complex Removal of Cataract $8,200.00 $8,200.00 — — —
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $695.65 $695.65 — 14% above —
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY $695.65 $695.65 — — —
D&C (dilation and curettage), not related to pregnancy CPT 58120 D & C DX&/THER $1,435.25 $1,435.25 — 14% above —
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D & C DX&/THER $1,435.25 $1,435.25 — — —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PREMAL LESION 1ST $209.90 $209.90 — at median —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST PREMAL LESION 1ST $209.90 $209.90 — — —
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN I/L $35.88 $35.88 — 37% below —
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN $77.45 $77.45 — 35% above —
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN I/L $35.88 $35.88 — — —
Earwax removal with instruments, one ear CPT 69210 EAR WASH $72.88 $72.88 — 13% below —
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN INST $143.65 $143.65 — 71% above —
Earwax removal with instruments, one ear inpatient CPT 69210 EAR WASH $72.88 $72.88 — — —
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN INST $143.65 $143.65 — — —
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PIPELLE/ENDO BX $519.00 $519.00 — 91% above —
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PIPELLE/ENDO BX $519.00 $519.00 — — —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL STEROID INJE-CERVICAL $2,123.80 $2,123.80 — 153% above —
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURAL STEROID INJE-CERVICAL $2,123.80 $2,123.80 — — —
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJEC DX/THERAPEU AGENT W/US $867.00 $867.00 — 3% below —
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJEC DX/THERAPEU AGENT W/US $867.00 $867.00 — — —
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Repair anterior abd hernia $2,080.00 $2,080.00 — 38% below —
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Repair anterior abd hernia $2,080.00 $2,080.00 — — —
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair of anterior abd hernia $1,432.95 $1,432.95 — 33% below —
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Repair of anterior abd hernia $1,432.95 $1,432.95 — — —
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY, FLEXIBLE; DX $474.80 $474.80 — 39% below —
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SCOP SIGMOID COLON DX $519.00 $519.00 — 33% below —
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY, FLEXIBLE; DX $474.80 $474.80 — — —
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SCOP SIGMOID COLON DX $519.00 $519.00 — — —
Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY $1,093.00 $1,093.00 — 73% below —
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY CHOLECYSTEC $2,815.60 $2,815.60 — 31% below —
Gallbladder removal, laparoscopic inpatient CPT 47562 CHOLECYSTECTOMY $1,093.00 $1,093.00 — — —
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPY CHOLECYSTEC $2,815.60 $2,815.60 — — —
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLECYSTECTOMY LAPAROS $2,915.85 $2,915.85 — 41% below —
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 CHOLECYSTECTOMY LAPAROS $2,915.85 $2,915.85 — — —
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorroidectomy by Rub Band $657.08 $657.08 — 51% below —
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INT BINDER $793.90 $793.90 — 41% below —
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INT BINDER $793.90 $793.90 — — —
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorroidectomy, int&ext $1,875.25 $1,875.25 — 16% below —
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorroidectomy, int&ext $1,875.25 $1,875.25 — — —
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdom Hysterectomy $3,464.80 $3,464.80 — 12% below —
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total Abdom Hysterectomy $3,464.80 $3,464.80 — — —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HSG HYSTEROSALPINGOGRAPH $585.25 $585.25 — 126% above —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HSG HYSTEROSALPINGOGRAPH $585.25 $585.25 — — —
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY W/ENDOMETRIAL ABL $6,005.75 $6,005.75 — 26% above —
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY W/ENDOMETRIAL ABL $6,005.75 $6,005.75 — — —
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BX ENDOMENT $2,646.40 $2,646.40 — 27% below —
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BX ENDOMENT $2,646.40 $2,646.40 — — —
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION $519.00 $519.00 — 71% above —
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION $519.00 $519.00 — — —
Incision and drainage of a simple or single skin abscess CPT 10060 I/D Abscess Simple $248.40 $248.40 — 19% below —
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION/DRAINAGE ABSCESS SIMP $254.76 $254.76 — 17% below —
Incision and drainage of a simple or single skin abscess CPT 10060 I/D Abscess Simple - Clinic $403.40 $403.40 — 31% above —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I/D Abscess Simple $248.40 $248.40 — — —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION/DRAINAGE ABSCESS SIMP $254.76 $254.76 — — —
Inguinal (groin) hernia repair, age 5 or older CPT 49505 INGUINAL HERNIA REPAIR OPEN $2,035.05 $2,035.05 — 25% below —
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 INGUINAL HERNIA REPAIR OPEN $2,035.05 $2,035.05 — — —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION 1 TENDON $287.20 $287.20 — 12% above —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 STERNAL TRIGGER POINT $958.45 $958.45 — 272% above —
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION 1 TENDON $287.20 $287.20 — — —
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 STERNAL TRIGGER POINT $958.45 $958.45 — — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration/Inj Lrg Joint/Bursa $101.43 $101.43 — 71% below —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION LG JOINT $320.30 $320.30 — 7% below —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJECTIONS $320.30 $320.30 — 7% below —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration/Inj Lrg Joint/Bursa $101.43 $101.43 — — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT INJECTIONS $320.30 $320.30 — — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION LG JOINT $320.30 $320.30 — — —
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INJ NON-BIODE DRUG $396.65 $396.65 — 60% above —
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INJ NON-BIODE DRUG $396.65 $396.65 — — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration/Inj Interm Jnt/Burs $83.45 $83.45 — 71% below —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION MED JOINT $287.20 $287.20 — 2% below —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration/Inj Interm Jnt/Burs $83.45 $83.45 — — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration/Inj Sm Joint/Bursa $81.05 $81.05 — 71% below —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION SMALL JOINT $265.00 $265.00 — 4% below —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration/Inj Sm Joint/Bursa $81.05 $81.05 — — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECTION SMALL JOINT $265.00 $265.00 — — —
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY KNEE $2,948.00 $2,948.00 — 6% above —
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY KNEE $2,948.00 $2,948.00 — — —
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthroscopy,knee, surgical w/m $3,346.60 $3,346.60 — 13% above —
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Arthroscopy,knee, surgical w/m $3,346.60 $3,346.60 — — —
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthroscopy, Knee Chrondroplas $2,756.75 $2,756.75 — 11% below —
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Arthroscopy, Knee Chrondroplas $2,756.75 $2,756.75 — — —
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY,SURG, APPENDECTOMY $2,395.65 $2,395.65 — 35% below —
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 APPENDECTOMY LAPARASCOPY $2,453.10 $2,453.10 — 33% below —
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY,SURG, APPENDECTOMY $2,395.65 $2,395.65 — — —
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 APPENDECTOMY LAPARASCOPY $2,453.10 $2,453.10 — — —
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Lap Hyst Uterus 250 w/tube rem $3,950.00 $3,950.00 — 5% below —
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Lap Hyst Uterus 250 w/tube rem $3,950.00 $3,950.00 — — —
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Repair Ing Hernia $964.70 $964.70 — 57% below —
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laparoscopy Repair Ing Hernia $964.70 $964.70 — — —
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 SALPINGECTOMY $5,150.55 $5,150.55 — 60% above —
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 SALPINGECTOMY $5,150.55 $5,150.55 — — —
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Laser Surgery (YAG) Cataract $2,400.00 $2,400.00 — 104% above —
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Laser Surgery (YAG) Cataract $2,400.00 $2,400.00 — — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Interm Repair >2.5 S/A/T/E $348.48 $348.48 — 43% below —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERM WOUND S/A/T/E $557.60 $557.60 — 8% below —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMDIATE 2.5 CC $622.95 $622.95 — 3% above —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Interm Repair >2.5 S/A/T/E $348.48 $348.48 — — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERM WOUND S/A/T/E $557.60 $557.60 — — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMDIATE 2.5 CC $622.95 $622.95 — — —
Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL STEROID INJ-LUMBER $2,123.80 $2,123.80 — 286% above —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL STEROID INJ-LUMBER $2,123.80 $2,123.80 — — —
Lumpectomy (partial mastectomy) CPT 19301 LUMPECTOMY ASSIST $662.45 $662.45 — 72% below —
Lumpectomy (partial mastectomy) CPT 19301 LUMPECTOMY, BREAST $2,394.10 $2,394.10 — 2% above —
Lumpectomy (partial mastectomy) inpatient CPT 19301 LUMPECTOMY ASSIST $662.45 $662.45 — — —
Lumpectomy (partial mastectomy) inpatient CPT 19301 LUMPECTOMY, BREAST $2,394.10 $2,394.10 — — —
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE COMPL $3,568.10 $3,568.10 — 7% below —
Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY SIMPLE COMPL $3,568.10 $3,568.10 — — —
Miscarriage treatment with D&C, first trimester CPT 59820 MISSED ABORTION COMP $2,646.40 $2,646.40 — 128% above —
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 MISSED ABORTION COMP $2,646.40 $2,646.40 — — —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision,benign lesion truck, $277.20 $277.20 — 20% below —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LES MRGXCP SK TG T/A/L $373.15 $373.15 — 7% above —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Excision,benign lesion truck, $277.20 $277.20 — — —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LES MRGXCP SK TG T/A/L $373.15 $373.15 — — —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LES MRGN DK TG .0 $490.20 $490.20 — 5% below —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC B9 LES MRGN DK TG .0 $490.20 $490.20 — — —
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL $124.20 $124.20 — 45% below —
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE P/C SL $257.30 $257.30 — 14% above —
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE P/C $259.70 $259.70 — 15% above —
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PARTIAL $124.20 $124.20 — — —
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE P/C SL $257.30 $257.30 — — —
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE P/C $259.70 $259.70 — — —
Occipital nerve block (injection for headaches) CPT 64405 Occipital Nerve block $115.18 $115.18 — 74% below —
Occipital nerve block (injection for headaches) CPT 64405 Occipital Nerve block $362.94 $362.94 — 19% below —
Occipital nerve block (injection for headaches) CPT 64405 Occipital Nerve Block $362.94 $362.94 — 19% below —
Occipital nerve block (injection for headaches) inpatient CPT 64405 Occipital Nerve block $115.18 $115.18 — — —
Occipital nerve block (injection for headaches) inpatient CPT 64405 Occipital Nerve Block $362.94 $362.94 — — —
Paracentesis with imaging guidance CPT 49083 Paracentesis $240.60 $240.60 — 81% below —
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/ US GUIDENCE $278.90 $278.90 — 77% below —
Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis w imag $583.70 $583.70 — 53% below —
Paracentesis with imaging guidance CPT 49083 PARACENTESIS WITH GUIDE $893.03 $893.03 — 28% below —
Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis $240.60 $240.60 — — —
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/ US GUIDENCE $278.90 $278.90 — — —
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis w imag $583.70 $583.70 — — —
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS WITH GUIDE $893.03 $893.03 — — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail $236.50 $236.50 — 28% below —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL $694.95 $694.95 — 113% above —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail $236.50 $236.50 — — —
Removal of a breast lump, open surgery CPT 19120 EXC PF CYST, FIBROADENOMA $1,548.40 $1,548.40 — 28% below —
Removal of a breast lump, open surgery inpatient CPT 19120 EXC PF CYST, FIBROADENOMA $1,548.40 $1,548.40 — — —
Removal of a foreign object under the skin, simple CPT 10120 INCIS REMOVAL FORG BODY $244.30 $244.30 — 20% below —
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FOREIGN BOD $403.65 $403.65 — 32% above —
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS REMOVAL FORG BODY $244.30 $244.30 — — —
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL FOREIGN BOD $403.65 $403.65 — — —
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy Screen Non High Ri $3,000.00 $3,000.00 — 132% above —
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colonoscopy Screen Non High Ri $3,000.00 $3,000.00 — — —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy Positive Cologuard $3,000.00 $3,000.00 — 85% above —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colonoscopy Positive Cologuard $3,000.00 $3,000.00 — — —
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST SHORT ARM $143.95 $143.95 — 39% below —
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST ELBOW FINGER $309.25 $309.25 — 31% above —
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST SHORT ARM $143.95 $143.95 — — —
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST ELBOW FINGER $309.25 $309.25 — — —
Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint $92.88 $92.88 — 47% below —
Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT $187.75 $187.75 — 7% above —
Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint $92.88 $92.88 — — —
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION SHORT ARM SPLINT $187.75 $187.75 — — —
Short leg cast (below the knee) CPT 29405 Application of Cast Short Leg $134.73 $134.73 — 40% below —
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST $364.35 $364.35 — 62% above —
Short leg cast (below the knee) inpatient CPT 29405 Application of Cast Short Leg $134.73 $134.73 — — —
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST $364.35 $364.35 — — —
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint $114.10 $114.10 — 45% below —
Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint $114.10 $114.10 — — —
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHOULDER DECOMP $2,032.25 $2,032.25 — 6% above —
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCOPY SHOULDER DECOMP $2,032.25 $2,032.25 — — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair >2.5 S/N/A/G/T $98.53 $98.53 — 70% below —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR S/N/A/G/T $471.95 $471.95 — 45% above —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair >2.5 S/N/A/G/T $98.53 $98.53 — — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR S/N/A/G/T $471.95 $471.95 — — —
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESIO $311.00 $311.00 — 40% above —
Skin biopsy, punch, one lesion CPT 11104 Punch bipsy of Skin $613.45 $613.45 — 176% above —
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LES $644.55 $644.55 — 190% above —
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LESIO $311.00 $311.00 — — —
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bipsy of Skin $613.45 $613.45 — — —
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LES $644.55 $644.55 — — —
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MAL LESION T/A/L $424.35 $424.35 — 16% above —
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MAL LESION T/A/L $424.35 $424.35 — — —
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 $303.75 $303.75 — 115% above —
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 $303.75 $303.75 — — —
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture $444.15 $444.15 — 23% below —
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPI PNXR LUMBAR DX $618.35 $618.35 — 7% above —
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP $720.10 $720.10 — 24% above —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture $444.15 $444.15 — — —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPI PNXR LUMBAR DX $618.35 $618.35 — — —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP $720.10 $720.10 — — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair 2.6-7.5 S/N/A/T $129.03 $129.03 — 36% below —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPE REPAIR S/N/A/G/T $558.25 $558.25 — 176% above —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Repair 2.6-7.5 S/N/A/T $129.03 $129.03 — — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPE REPAIR S/N/A/G/T $558.25 $558.25 — — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair >2.5 F/E/E/N/L $122.33 $122.33 — 60% below —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REP F/E/E/N/L/M 2.6-5.0 $569.45 $569.45 — 84% above —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair >2.5 F/E/E/N/L $122.33 $122.33 — — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REP F/E/E/N/L/M 2.6-5.0 $569.45 $569.45 — — —
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN LESION $311.00 $311.00 — 35% above —
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN LESION $311.00 $311.00 — — —
Thoracentesis with imaging guidance CPT 32555 Thoracentesis w/Imaging $1,500.00 $1,500.00 — 30% above —
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis w/Imaging $1,500.00 $1,500.00 — — —
Total hip replacement CPT 27130 Arthroplasty, (total hip) $6,055.60 $6,055.60 — at median —
Total hip replacement inpatient CPT 27130 Arthroplasty, (total hip) $6,055.60 $6,055.60 — — —
Total knee replacement CPT 27447 ARTHROPLAS KNEE COND PLAT $6,274.20 $6,274.20 — at median —
Total knee replacement inpatient CPT 27447 ARTHROPLAS KNEE COND PLAT $6,274.20 $6,274.20 — — —
Total shoulder replacement CPT 23472 Total Shoulder Replacement $4,500.00 $4,500.00 — 26% below —
Total shoulder replacement inpatient CPT 23472 Total Shoulder Replacement $4,500.00 $4,500.00 — — —
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy - Total/Complete $2,043.60 $2,043.60 — 40% below —
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Thyroidectomy - Total/Complete $2,043.60 $2,043.60 — — —
Trigger finger release surgery CPT 26055 Trigger Finger Release $1,876.40 $1,876.40 — 24% below —
Trigger finger release surgery inpatient CPT 26055 Trigger Finger Release $1,876.40 $1,876.40 — — —
Trigger point injections, 1 or 2 muscles CPT 20552 injection, trigger point $191.60 $191.60 — 26% below —
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCL $298.20 $298.20 — 15% above —
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1 OR 2 MUSCLES $384.25 $384.25 — 48% above —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 injection, trigger point $191.60 $191.60 — — —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT INJ 1-2 MUSCL $298.20 $298.20 — — —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1 OR 2 MUSCLES $384.25 $384.25 — — —
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY W/FULGURAT $2,340.50 $2,340.50 — 67% above —
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY W/FULGURAT $2,340.50 $2,340.50 — — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST PERCUT W/US $1,636.15 $1,636.15 — 11% below —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSYBREAST W/US GUIDE $2,465.00 $2,465.00 — 35% above —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST PERCUT W/US $1,636.15 $1,636.15 — — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BIOPSYBREAST W/US GUIDE $2,465.00 $2,465.00 — — —
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD w/Ballon Dilation $4,300.00 $4,300.00 — 161% above —
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD w/Ballon Dilation $4,300.00 $4,300.00 — — —
Upper endoscopy (EGD) with biopsy CPT 43239 EGD w/Biopsy $4,300.00 $4,300.00 — 172% above —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD w/Biopsy $4,300.00 $4,300.00 — — —
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 ESOPHAGOGASTRODUODENOSCOPY $1,140.55 $1,140.55 — 35% below —
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 ESOPHAGOGASTRODUODENOSCOPY $1,140.55 $1,140.55 — — —
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenscopy $3,077.55 $3,077.55 — 110% above —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenscopy $3,077.55 $3,077.55 — — —
Ureteroscopy with laser stone breaking and stent placement both sides CPT 52356 LITHOTRIPSY BILATERAL $2,927.85 $2,927.85 — — —
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 LITHOTRIPSY UNILATERAL $2,927.85 $2,927.85 — 44% above —
Ureteroscopy with laser stone breaking and stent placement inpatient both sides CPT 52356 LITHOTRIPSY BILATERAL $2,927.85 $2,927.85 — — —
Ureteroscopy with laser stone breaking and stent placement inpatient one side CPT 52356 LITHOTRIPSY UNILATERAL $2,927.85 $2,927.85 — — —
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY $1,810.65 $1,810.65 — 100% above —
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY $1,810.65 $1,810.65 — — —
Wart removal, up to 14 warts CPT 17110 DEST BENIGN LESION 1-14 $220.90 $220.90 — 16% above —
Wart removal, up to 14 warts inpatient CPT 17110 DEST BENIGN LESION 1-14 $220.90 $220.90 — — —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENY SUBCUTA TISSUE $247.30 $247.30 — 45% below —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WT DEBRI SKIN SUBQ 20 SQ CM $831.60 $831.60 — 83% above —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENY SUBCUTA TISSUE $247.30 $247.30 — — —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WT DEBRI SKIN SUBQ 20 SQ CM $831.60 $831.60 — — —
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Distal Radial Fracture $2,684.00 $2,684.00 — 31% below —
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Distal Radial Fracture $2,684.00 $2,684.00 — — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs WisconsinOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT AND BLOOD ADMIN $513.96 $513.96 — 12% below —
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT AND BLOOD ADMIN $513.96 $513.96 — 12% below —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD PRODUCT AND BLOOD ADMIN $513.96 $513.96 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND NEB RX $159.83 $159.83 — 139% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND NEB RX $159.83 $159.83 — — —
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INFUS 1 HR S/I $627.40 $627.40 — 18% above —
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV INFUS 1 HR S/I $627.40 $627.40 — — —
Critical care, first 30 to 74 minutes CPT 99291 ED Criti Care 30-74 min $2,413.25 $2,413.25 — 74% above —
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE $2,806.65 $2,806.65 — 103% above —
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED Criti Care 30-74 min $2,413.25 $2,413.25 — — —
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE $2,806.65 $2,806.65 — — —
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG 12 Lead w/Interpretation $260.60 $260.60 — 391% above —
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG 12 Lead w/Interpretation $260.60 $260.60 — — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead EKG w/o Interpretation $255.45 $255.45 — 82% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 Lead EKG w/o Interpretation $255.45 $255.45 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 $222.60 $222.60 — 101% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Physician Level 1 $253.41 $253.41 — 129% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 $222.60 $222.60 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Physician Level 1 $253.41 $253.41 — — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 $372.35 $372.35 — 41% above —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Physician Level 2 $406.14 $406.14 — 53% above —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 $372.35 $372.35 — — —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Physician Level 2 $406.14 $406.14 — — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 $641.55 $641.55 — 59% above —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Physician Level 3 $693.63 $693.63 — 72% above —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Sane $988.40 $988.40 — 146% above —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 $641.55 $641.55 — — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Physician Level 3 $693.63 $693.63 — — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Sane $988.40 $988.40 — — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 $1,074.81 $1,074.81 — 81% above —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Physician Level 4 $1,085.74 $1,085.74 — 82% above —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 $1,074.81 $1,074.81 — — —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Physician Level 4 $1,085.74 $1,085.74 — — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Physician Level 5 $1,532.24 $1,532.24 — 50% above —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 $1,570.69 $1,570.69 — 54% above —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Physician Level 5 $1,532.24 $1,532.24 — — —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 $1,570.69 $1,570.69 — — —
Exercise stress test, tracing only, the hospital charge CPT 93017 Treadmill Tracing Only $902.78 $902.78 — 14% above —
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Treadmill Tracing Only $902.78 $902.78 — — —
Eye exam, returning patient, intermediate CPT 92012 OPH MEDICAL XM&EVAL INTRM EST $199.05 $199.05 — 85% above —
Eye exam, returning patient, intermediate inpatient CPT 92012 OPH MEDICAL XM&EVAL INTRM EST $199.05 $199.05 — — —
Family therapy with the patient, 50 minutes CPT 90847 FAMILY/COUPLE PSYCHT W PATIENT $188.15 $188.15 — 1% below —
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY/COUPLE PSYCHT W PATIENT $188.15 $188.15 — — —
Family therapy without the patient, 50 minutes CPT 90846 FAMILY/COUPLE PSYCHOTH W/O PAT $177.25 $177.25 — at median —
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY/COUPLE PSYCHOTH W/O PAT $177.25 $177.25 — — —
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY NOT FAMILY $154.25 $154.25 — 111% above —
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY NOT FAMILY $154.25 $154.25 — — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Inf Hydration Int 31 min $312.96 $312.96 — 10% above —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Inf Hydration Int 31 min $312.96 $312.96 — — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM MED ADMIN CLINIC $58.70 $58.70 — 23% below —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN MEDICINE $66.85 $66.85 — 12% below —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ IM/SUBQ $75.35 $75.35 — 1% below —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SQ MED ADMINISTRATION $75.35 $75.35 — 1% below —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Admin Bamlanivimab $994.80 $994.80 — 1208% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM MED ADMIN CLINIC $58.70 $58.70 — — —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN MEDICINE $66.85 $66.85 — — —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ IM/SUBQ $75.35 $75.35 — — —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SQ MED ADMINISTRATION $75.35 $75.35 — — —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Admin Bamlanivimab $994.80 $994.80 — — —
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL $298.50 $298.50 — 36% above —
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL $298.50 $298.50 — — —
Neuromuscular re-education, 15 minutes CPT 97112 AT NEUROMUSCULAR REEDUCATION $137.65 $137.65 — 47% above —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 AT NEUROMUSCULAR REEDUCATION $137.65 $137.65 — — —
New patient office visit, about 30 minutes CPT 99203 WT OUTPATIENT INTERMEDIATE $187.08 $187.08 — 6% below —
New patient office visit, about 30 minutes CPT 99203 OFFICE NEW 30 MIN $242.80 $242.80 — 21% above —
New patient office visit, about 30 minutes inpatient CPT 99203 WT OUTPATIENT INTERMEDIATE $187.08 $187.08 — — —
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE NEW 30 MIN $242.80 $242.80 — — —
New patient office visit, about 45 minutes CPT 99204 WT OUTPATIENT NEW EXTENDED $305.68 $305.68 — 49% above —
New patient office visit, about 45 minutes CPT 99204 OFFICE NEW 45 MIN $375.00 $375.00 — 83% above —
New patient office visit, about 45 minutes inpatient CPT 99204 WT OUTPATIENT NEW EXTENDED $305.68 $305.68 — — —
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE NEW 45 MIN $375.00 $375.00 — — —
New patient office visit, about 60 minutes CPT 99205 WT OUTPATIENT NEW COMPLEX $418.80 $418.80 — 38% above —
New patient office visit, about 60 minutes CPT 99205 OFFICE NEW 60 MIN $419.85 $419.85 — 38% above —
New patient office visit, about 60 minutes inpatient CPT 99205 WT OUTPATIENT NEW COMPLEX $418.80 $418.80 — — —
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE NEW 60 MIN $419.85 $419.85 — — —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WT OUTPATIENT NEW LIMITED $108.03 $108.03 — 17% below —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT 15 MIN $165.15 $165.15 — 26% above —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE NEW 15 MIN $165.65 $165.65 — 27% above —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WT OUTPATIENT NEW LIMITED $108.03 $108.03 — — —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT 15 MIN $165.15 $165.15 — — —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE NEW 15 MIN $165.65 $165.65 — — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUT THER EACH 15 MIN $58.70 $58.70 — 2% above —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUT THER EACH 15 MIN $58.70 $58.70 — — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 AT MANUAL THERAPY 15 MIN $164.55 $164.55 — 88% above —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 AT MANUAL THERAPY 15 MIN $164.55 $164.55 — — —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 AT THERAPEUTIC EXCERCIE $164.55 $164.55 — 88% above —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 AT THERAPEUTIC EXCERCIE $164.55 $164.55 — — —
Preventive checkup, new patient aged 18–39 CPT 99385 1ST PREV NEW PATIENT AGE 18-39 $342.25 $342.25 — 145% above —
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 1ST PREV NEW PATIENT AGE 18-39 $342.25 $342.25 — — —
Preventive checkup, new patient aged 40–64 CPT 99386 1ST PREV NEW PATIENT AGE 40-64 $353.15 $353.15 — 21% above —
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 1ST PREV NEW PATIENT AGE 40-64 $353.15 $353.15 — — —
Preventive checkup, new patient aged 65 or older CPT 99387 1ST PREV NEW PATIENT OVER 65 $375.00 $375.00 — 19% above —
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 1ST PREV NEW PATIENT OVER 65 $375.00 $375.00 — — —
Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC PREVMED EST PAT 18-39 $287.60 $287.60 — 85% above —
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PERIODIC PREVMED EST PAT 18-39 $287.60 $287.60 — — —
Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC PREVMED EST PAT 40-64 $309.45 $309.45 — 84% above —
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PERIODIC PREVMED EST PAT 40-64 $309.45 $309.45 — — —
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVAL $419.85 $419.85 — 52% above —
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC DIAGNOSTIC EVAL $419.85 $419.85 — — —
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCHOLOGICAL TEST/EVAL $199.05 $199.05 — 21% below —
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCHOLOGICAL TEST/EVAL $199.05 $199.05 — — —
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS 60 MN $298.50 $298.50 — 1% above —
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTHERAPY FOR CRISIS 60 MN $298.50 $298.50 — — —
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN 16-37 MIN $132.35 $132.35 — 24% above —
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN 16-37 MIN $132.35 $132.35 — — —
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN 38-52 MIN $177.25 $177.25 — 25% above —
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN 38-52 MIN $177.25 $177.25 — — —
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN 53OVER $264.60 $264.60 — 24% above —
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN 53OVER $264.60 $264.60 — — —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WT OUTPATIENT CONTINUED COMPL $331.10 $331.10 — 17% above —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT 60 MIN $384.55 $384.55 — 36% above —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE EST 40 MIN $397.95 $397.95 — 41% above —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WT OUTPATIENT CONTINUED COMPL $331.10 $331.10 — — —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT 60 MIN $384.55 $384.55 — — —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE EST 40 MIN $397.95 $397.95 — — —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WT OUTPATIENT CONTINUED INTERM $151.93 $151.93 — 4% below —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT 20 MIN $170.75 $170.75 — 8% above —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WT OUTPATIENT CONTINUED INTERM $151.93 $151.93 — — —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT 20 MIN $170.75 $170.75 — — —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WT OUTPATIENT CONTINUED EXTE $223.50 $223.50 — 22% above —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT 25 MIN $236.80 $236.80 — 30% above —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE EST 30 MIN $242.80 $242.80 — 33% above —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WT OUTPATIENT CONTINUED EXTE $223.50 $223.50 — — —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT 25 MIN $236.80 $236.80 — — —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE EST 30 MIN $242.80 $242.80 — — —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PREVENTATIVE COUNSELING 10 MIN $70.45 $70.45 — 28% below —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WT OUTPATIENT CONTINUED LIMITE $81.15 $81.15 — 17% below —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT 10 MIN $126.45 $126.45 — 30% above —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE EST 10 MIN $132.35 $132.35 — 36% above —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PREVENTATIVE COUNSELING 10 MIN $70.45 $70.45 — — —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WT OUTPATIENT CONTINUED LIMITE $81.15 $81.15 — — —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT 10 MIN $126.45 $126.45 — — —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE EST 10 MIN $132.35 $132.35 — — —
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT 40 MIN $408.95 $408.95 — 104% above —
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT 40 MIN $408.95 $408.95 — — —
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT 60 MINS $519.30 $519.30 — 62% above —
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT 60 MINS $519.30 $519.30 — — —
Spirometry (breathing test) CPT 94010 PFT MANPOWER AND 3M $112.85 $112.85 — 35% below —
Spirometry (breathing test) CPT 94010 PFT SENECA FOODS $175.95 $175.95 — 2% above —
Spirometry (breathing test) CPT 94010 RESPITORY THERAPY CALL BACK $216.95 $216.95 — 25% above —
Spirometry (breathing test) inpatient CPT 94010 PFT MANPOWER AND 3M $112.85 $112.85 — — —
Spirometry (breathing test) inpatient CPT 94010 PFT SENECA FOODS $175.95 $175.95 — — —
Spirometry (breathing test) inpatient CPT 94010 RESPITORY THERAPY CALL BACK $216.95 $216.95 — — —
Therapeutic activities (functional training), 15 minutes CPT 97530 AT THERAPEUTIC ACTIVITIES $153.50 $153.50 — 82% above —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 AT THERAPEUTIC ACTIVITIES $153.50 $153.50 — — —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB THERAPEUTIC BLEEDING $138.25 $138.25 — 27% below —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 BB THERAPEUTIC BLEEDING $138.25 $138.25 — — —
Treadmill or drug stress test with ECG, supervision and report CPT 93015 EKG STRESS $1,110.65 $1,110.65 — 153% above —
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 EKG STRESS $1,110.65 $1,110.65 — — —

Vaccines

ProcedureCash price List priceInsurers payvs WisconsinOff list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Covid Vax Comirnaty 30 mcg/.3m $449.50 $449.50 — 162% above —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Covid 19 24-25 PFS 12+ 30mcg $502.15 $502.15 — 192% above —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Covid-19 25-26 12 + $531.70 $531.70 — 209% above —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Covid Vax Comirnaty 30 mcg/.3m $449.50 $449.50 — — —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Covid 19 24-25 PFS 12+ 30mcg $502.15 $502.15 — — —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Covid-19 25-26 12 + $531.70 $531.70 — — —
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA $198.75 $198.75 — 21% above —
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA $198.75 $198.75 — — —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA $43.85 $43.85 — 62% above —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone Trivalent 25-26 6 mn + $87.20 $87.20 — 222% above —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone Trivalent 24-25 45mcg/ $88.10 $88.10 — 225% above —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA $43.85 $43.85 — — —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone Trivalent 25-26 6 mn + $87.20 $87.20 — — —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone Trivalent 24-25 45mcg/ $88.10 $88.10 — — —
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV-9 (Gardasil) Vaccine 0.5 m $1,106.95 $1,106.95 — 247% above —
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV-9 (Gardasil) Vaccine 0.5 m $1,106.95 $1,106.95 — — —
Hepatitis A vaccine, adult dose CPT 90632 HEP A ADULT $132.55 $132.55 — 1% above —
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A ADULT $132.55 $132.55 — — —
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B ADULT $110.55 $110.55 — 12% below —
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACC 20MCG/ML PFD $110.55 $110.55 — 12% below —
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACC 20MCG/ML PFD $110.55 $110.55 — — —
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B ADULT $110.55 $110.55 — — —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS HIGH DOSE PFS $82.05 $82.05 — 3% above —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FluZONE HIGH-DOSE QUAD 2021-22 $87.55 $87.55 — 10% above —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Triv 24-25 $269.00 $269.00 — 239% above —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose 65 + 25-26 $284.60 $284.60 — 259% above —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 RSV Vaccine, pref A&B (abrysvo $818.30 $818.30 — 932% above —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS HIGH DOSE PFS $82.05 $82.05 — — —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FluZONE HIGH-DOSE QUAD 2021-22 $87.55 $87.55 — — —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High-Dose Triv 24-25 $269.00 $269.00 — — —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose 65 + 25-26 $284.60 $284.60 — — —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 RSV Vaccine, pref A&B (abrysvo $818.30 $818.30 — — —
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR $121.55 $121.55 — 21% below —
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACC 0.5ML $293.85 $293.85 — 92% above —
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR $121.55 $121.55 — — —
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACC 0.5ML $293.85 $293.85 — — —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL $220.90 $220.90 — 4% below —
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL $220.90 $220.90 — — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal PCV-20 vaccine $979.35 $979.35 — 235% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal PCV-20 vaccine $979.35 $979.35 — — —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX/PREVNAR $143.65 $143.65 — 2% above —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 25MCG/0.5ML INJ $394.35 $394.35 — 180% above —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX/PREVNAR $143.65 $143.65 — — —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 25MCG/0.5ML INJ $394.35 $394.35 — — —
Rabies vaccine, one dose CPT 90675 RABIES vaccine 2.5 unit 1 mL $1,420.65 $1,420.65 — 164% above —
Rabies vaccine, one dose inpatient CPT 90675 RABIES vaccine 2.5 unit 1 mL $1,420.65 $1,420.65 — — —
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX $320.30 $320.30 — 62% above —
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX $320.30 $320.30 — — —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DT 7 + YRS $55.30 $55.30 — 33% above —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPTHERIA VACC 0.5ML $106.75 $106.75 — 158% above —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DT 7 + YRS $55.30 $55.30 — — —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPTHERIA VACC 0.5ML $106.75 $106.75 — — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP $77.45 $77.45 — at median —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS, DIPHTH & PERTUSSIS $355.25 $355.25 — 359% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP $77.45 $77.45 — — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS, DIPHTH & PERTUSSIS $355.25 $355.25 — — —
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE FOR IM USE $132.55 $132.55 — 4% below —
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE FOR IM USE $132.55 $132.55 — — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN 1 VACCINE $41.65 $41.65 — 8% above —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN 1 VACCINE 19 yrs & older $44.25 $44.25 — 14% above —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin 1 vaccine- ER $44.25 $44.25 — 14% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN 1 VACCINE $41.65 $41.65 — — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin 1 vaccine- ER $44.25 $44.25 — — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN 1 VACCINE 19 yrs & older $44.25 $44.25 — — —
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDL VACC 19 & older $44.25 $44.25 — 36% above —
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDL VACC 19 & older $44.25 $44.25 — — —

Source file: https://cumberlandhealthcare.com/wp-content/uploads/2026/04/390831153_cumberland-memorial-hospital_standardcharges.csv