Saint Croix Regional Medical Center
Saint Croix Regional Medical Center in Saint Croix Falls, WI publishes cash prices for 121 common procedures listed here, from its own machine-readable price file updated Apr 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wisconsin median for 107 of 117 procedures and above it for 9. By typical cash price it ranks #3 of 105 Wisconsin hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
235 EAST STATE STREET, SAINT CROIX FALLS, WI, 54024 Collected Nov 11, 2026 Source price file Check a bill from this hospital
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 HCHG RAD XRAY ABDOMEN COMPLETE PORTABLE | $102.54 | $186.43 | $74.91–$158.47 | 57% below | 45% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HCHG RAD XRAY ABDOMEN COMPLETE PORTABLE | $102.54 | $186.43 | $74.91–$158.47 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG RAD US TOE PRESSURE ONLY BILAT,Technical | $103.10 | $187.46 | $75.32–$159.34 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HCHG RAD US TOE PRESSURE ONLY BILAT,Technical | $103.10 | $187.46 | $75.32–$159.34 | — | 45% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HCHG RAD XRAY CLAVICLE COMPLETE PORTABLE | $64.58 | $117.42 | $47.18–$112.36 | 69% below | 45% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HCHG RAD XRAY CLAVICLE COMPLETE PORTABLE | $64.58 | $117.42 | $47.18–$112.36 | — | 45% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT ADDL VIEWS WWO CAD | $100.84 | $183.34 | $73.67–$155.84 | — | 45% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT ADDL VIEWS WWO CAD | $100.84 | $183.34 | $73.67–$155.84 | — | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG RAD US VEIN MAPPING EXTREMITY BILATERAL | $356.90 | $648.90 | $260.73–$551.56 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG RAD US VEIN MAPPING EXTREMITY BILATERAL | $356.90 | $648.90 | $260.73–$551.56 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO 2D COMP WO CONT W SPECTRAL-COLOR | $1,050.29 | $1,909.62 | $767.28–$1,730.09 | 40% below | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG ECHO 2D COMP WO CONT W SPECTRAL-COLOR | $1,050.29 | $1,909.62 | $767.28–$1,730.09 | — | 45% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG RAD XRAY FACIAL BONES COMPLETE MINIMUM OF THREE VIEWS | $96.87 | $176.13 | $70.77–$169.56 | 68% below | 45% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG RAD XRAY FACIAL BONES COMPLETE MINIMUM OF THREE VIEWS | $96.87 | $176.13 | $70.77–$169.56 | — | 45% |
| Hand X-ray, 2 views CPT 73120 HCHG RAD XRAY HAND 2 VIEWS PORTABLE | $57.22 | $104.03 | $41.80–$104.03 | 70% below | 45% |
| Hand X-ray, 2 views inpatient CPT 73120 HCHG RAD XRAY HAND 2 VIEWS PORTABLE | $57.22 | $104.03 | $41.80–$104.03 | — | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HCHG RAD XRAY CALCANEUS 2 VIEWS LTD | $55.52 | $100.94 | $40.56–$100.94 | 72% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HCHG RAD XRAY CALCANEUS 2 VIEWS LTD | $55.52 | $100.94 | $40.56–$100.94 | — | 45% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HCHG RAD XRAY TIBIA AND FIBULA 2 VIEWS LIMITED | $90.07 | $163.77 | $65.81–$139.20 | 58% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HCHG RAD XRAY TIBIA AND FIBULA 2 VIEWS LIMITED | $90.07 | $163.77 | $65.81–$139.20 | — | 45% |
| Neck soft tissue X-ray CPT 70360 HCHG RAD XRAY NECK SOFT TISSUE | $56.65 | $103.00 | $41.39–$103.00 | 73% below | 45% |
| Neck soft tissue X-ray CPT 70360 HCHG RAD XRAY NECK SOFT TISSUE PORTABLE | $56.65 | $103.00 | $41.39–$103.00 | 73% below | 45% |
| Neck soft tissue X-ray inpatient CPT 70360 HCHG RAD XRAY NECK SOFT TISSUE | $56.65 | $103.00 | $41.39–$103.00 | — | 45% |
| Neck soft tissue X-ray inpatient CPT 70360 HCHG RAD XRAY NECK SOFT TISSUE PORTABLE | $56.65 | $103.00 | $41.39–$103.00 | — | 45% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PR PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,Technical | $1,744.82 | $3,172.40 | $1,274.67–$2,696.54 | 59% below | 45% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PR PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,Technical | $1,744.82 | $3,172.40 | $1,274.67–$2,696.54 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG US OB LIMITED 1 OR MORE FETUSES | $86.11 | $156.56 | $62.91–$156.56 | 77% below | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG US OB LIMITED 1 OR MORE FETUSES | $86.11 | $156.56 | $62.91–$156.56 | — | 45% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING LTD WWO CAD | $100.84 | $183.34 | $73.67–$183.34 | — | 45% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING LTD WWO CAD | $100.84 | $183.34 | $73.67–$183.34 | — | 45% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HCHG RAD XRAY SINUSES COMPLETE MINIMUM OF THREE VIEWS | $90.64 | $164.80 | $66.22–$151.56 | 66% below | 45% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HCHG RAD XRAY SINUSES COMPLETE MINIMUM OF THREE VIEWS | $90.64 | $164.80 | $66.22–$151.56 | — | 45% |
| Skull X-ray, fewer than 4 views CPT 70250 HCHG RAD XRAY SKULL THREE VIEWS OR LESS | $75.91 | $138.02 | $55.46–$138.02 | 69% below | 45% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG RAD XRAY SKULL THREE VIEWS OR LESS | $75.91 | $138.02 | $55.46–$138.02 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 (IA) HCHG STRESS ECHO 2D PHARMACOLOGIC W STRESS TEST WO | $403.91 | $734.39 | $295.08–$624.23 | 80% below | 45% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 (IA) HCHG STRESS ECHO 2D EXERCISE W STRESS TEST WO CONTRAST | $403.91 | $734.39 | $295.08–$624.23 | 80% below | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 (IA) HCHG STRESS ECHO 2D EXERCISE W STRESS TEST WO CONTRAST | $403.91 | $734.39 | $295.08–$624.23 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 (IA) HCHG STRESS ECHO 2D PHARMACOLOGIC W STRESS TEST WO | $403.91 | $734.39 | $295.08–$624.23 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HCHG RAD XRAY FEMUR 2 VIEWS LIMITED | $72.51 | $131.84 | $52.97–$129.04 | 71% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HCHG RAD XRAY FEMUR 2 VIEWS PORTABLE | $96.87 | $176.13 | $70.77–$149.71 | 61% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG RAD XRAY FEMUR 2 VIEWS LIMITED | $72.51 | $131.84 | $52.97–$129.04 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG RAD XRAY FEMUR 2 VIEWS PORTABLE | $96.87 | $176.13 | $70.77–$149.71 | — | 45% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG RAD XRAY FINGER TWO VIEWS OR MORE PORTABLE | $62.32 | $113.30 | $45.52–$113.30 | 75% below | 45% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG RAD XRAY FINGER TWO VIEWS OR MORE PORTABLE | $62.32 | $113.30 | $45.52–$113.30 | — | 45% |
| X-ray of the foot, 2 views CPT 73620 HCHG RAD XRAY FOOT 2 VIEWS PORTABLE | $69.68 | $126.69 | $50.90–$107.69 | 63% below | 45% |
| X-ray of the foot, 2 views CPT 73620 HCHG RAD XRAY FOOT 2 VIEWS PORTABLE LIMITED | $69.68 | $126.69 | $50.90–$107.69 | 63% below | 45% |
| X-ray of the foot, 2 views inpatient CPT 73620 HCHG RAD XRAY FOOT 2 VIEWS PORTABLE | $69.68 | $126.69 | $50.90–$107.69 | — | 45% |
| X-ray of the foot, 2 views inpatient CPT 73620 HCHG RAD XRAY FOOT 2 VIEWS PORTABLE LIMITED | $69.68 | $126.69 | $50.90–$107.69 | — | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG RAD XRAY LUMBOSACRAL SPINE 2 OR 3 VIEWS PORTABLE | $121.23 | $220.42 | $88.56–$187.36 | 58% below | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG RAD XRAY LUMBOSACRAL SPINE 2 OR 3 VIEWS PORTABLE | $121.23 | $220.42 | $88.56–$187.36 | — | 45% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG RAD XRAY SPINE THORACIC 2 VIEWS PORTABLE | $133.69 | $243.08 | $97.67–$206.62 | 44% below | 45% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG RAD XRAY SPINE THORACIC 2 VIEWS PORTABLE | $133.69 | $243.08 | $97.67–$206.62 | — | 45% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HCHG RAD XRAY NASAL BONES COMPLETE MINIMUM OF THREE VIEWS | $60.62 | $110.21 | $44.29–$110.21 | 75% below | 45% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG RAD XRAY NASAL BONES COMPLETE MINIMUM OF THREE VIEWS | $60.62 | $110.21 | $44.29–$110.21 | — | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG RAD XRAY SPINE CERVICAL 2 OR 3 VIEWS PORTABLE | $104.24 | $189.52 | $76.15–$161.09 | 57% below | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG RAD XRAY SPINE CERVICAL 2 OR 3 VIEWS PORTABLE | $104.24 | $189.52 | $76.15–$161.09 | — | 45% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG GENERAL LAB 8007400 | $220.94 | $401.70 | $49.22–$341.44 | 24% below | 45% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG GENERAL LAB 8007400 | $220.94 | $401.70 | $49.22–$341.44 | — | 45% |
| Albumin blood test CPT 82040 HCHG ALBUMIN SERUM | $15.86 | $28.84 | $5.11–$24.51 | 58% below | 45% |
| Albumin blood test inpatient CPT 82040 HCHG ALBUMIN SERUM | $15.86 | $28.84 | $5.11–$24.51 | — | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HCHG ALK PHOS TOTAL LC | $21.53 | $39.14 | $5.35–$33.27 | 56% below | 45% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HCHG ALK PHOS TOTAL LC | $21.53 | $39.14 | $5.35–$33.27 | — | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG RAST IN-HOUSE | $18.13 | $32.96 | $4.57–$28.02 | 27% below | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG RAST IN-HOUSE | $18.13 | $32.96 | $4.57–$28.02 | — | 45% |
| Ammonia blood test CPT 82140 HCHG SUPERSAT AMMONIUM | $20.25 | $36.82 | $14.80–$36.82 | 77% below | 45% |
| Ammonia blood test inpatient CPT 82140 HCHG SUPERSAT AMMONIUM | $20.25 | $36.82 | $14.80–$36.82 | — | 45% |
| Amylase blood test CPT 82150 HCHG AMYLASE URINE | $32.29 | $58.71 | $6.70–$49.90 | 48% below | 45% |
| Amylase blood test inpatient CPT 82150 HCHG AMYLASE URINE | $32.29 | $58.71 | $6.70–$49.90 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG PRO-BNP | $152.96 | $278.10 | $40.57–$236.38 | 7% above | 45% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG PRO-BNP | $152.96 | $278.10 | $40.57–$236.38 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG NASAL CULTURE AFFILIATE ONLY | $34.56 | $62.83 | $8.91–$53.41 | 34% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG NASAL CULTURE AFFILIATE ONLY | $34.56 | $62.83 | $8.91–$53.41 | — | 45% |
| Bilirubin blood test, total CPT 82247 HCHG BILIRUBIN, BODY FLUID,TOTAL | $32.29 | $58.71 | $4.24–$49.90 | 31% below | 45% |
| Bilirubin blood test, total inpatient CPT 82247 HCHG BILIRUBIN, BODY FLUID,TOTAL | $32.29 | $58.71 | $4.24–$49.90 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG ROUTINE VENIPUNCTURE | $10.20 | $18.54 | $3.24–$18.54 | 31% below | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG LEGAL BLOOD ALCOHOL DRAW | $10.20 | $18.54 | $3.24–$18.54 | 31% below | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG LEGAL BLOOD ALCOHOL DRAW | $10.20 | $18.54 | $3.24–$18.54 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG ROUTINE VENIPUNCTURE | $10.20 | $18.54 | $3.24–$18.54 | — | 45% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE POCT | $19.26 | $35.02 | $4.06–$29.77 | 21% below | 45% |
| Blood glucose (sugar) test CPT 82947 HCHG FASTING GLUCOSE | $19.26 | $35.02 | $4.06–$29.77 | 21% below | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG FASTING GLUCOSE | $19.26 | $35.02 | $4.06–$29.77 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE POCT | $19.26 | $35.02 | $4.06–$29.77 | — | 45% |
| Blood lead test CPT 83655 HCHG LEAD, BLOOD LC | $39.09 | $71.07 | $12.51–$60.41 | 29% below | 45% |
| Blood lead test CPT 83655 HCHG LEAD, FILTER PAPER | $48.15 | $87.55 | $12.51–$74.42 | 12% below | 45% |
| Blood lead test inpatient CPT 83655 HCHG LEAD, BLOOD LC | $39.09 | $71.07 | $12.51–$60.41 | — | 45% |
| Blood lead test inpatient CPT 83655 HCHG LEAD, FILTER PAPER | $48.15 | $87.55 | $12.51–$74.42 | — | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 HCHG BUN POCT | $19.26 | $35.02 | $4.08–$29.77 | 25% below | 45% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG BUN POCT | $19.26 | $35.02 | $4.08–$29.77 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG COVID 19 NAA LC | $104.80 | $190.55 | $51.31–$161.97 | 22% below | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG COVID 19 NAA LC | $104.80 | $190.55 | $51.31–$161.97 | — | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 HCHG VARICELLA-ZOSTER AB, IGM LC | $15.86 | $28.84 | $8.17–$28.84 | 78% below | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 HCHG VZV IMMUNE ASSAY | $65.15 | $118.45 | $8.17–$100.68 | 10% below | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG VARICELLA-ZOSTER AB, IGM LC | $15.86 | $28.84 | $8.17–$28.84 | — | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG VZV IMMUNE ASSAY | $65.15 | $118.45 | $8.17–$100.68 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HCHG GENERAL LAB 8749101 | $90.07 | $163.77 | $36.26–$140.36 | 37% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HCHG GENERAL LAB 8749101 | $90.07 | $163.77 | $36.26–$140.36 | — | 45% |
| Cortisol blood test, total CPT 82533 HCHG SALIVARY CORTISOL LC | $59.48 | $108.15 | $16.84–$91.93 | 50% below | 45% |
| Cortisol blood test, total CPT 82533 HCHG DEXAMETHASONE SUPP | $59.48 | $108.15 | $16.84–$91.93 | 50% below | 45% |
| Cortisol blood test, total inpatient CPT 82533 HCHG SALIVARY CORTISOL LC | $59.48 | $108.15 | $16.84–$91.93 | — | 45% |
| Cortisol blood test, total inpatient CPT 82533 HCHG DEXAMETHASONE SUPP | $59.48 | $108.15 | $16.84–$91.93 | — | 45% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CMV IGG ABY | $88.94 | $161.71 | $14.87–$137.45 | 20% above | 45% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CMV IGG ABY | $88.94 | $161.71 | $14.87–$137.45 | — | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG DHEA-SULFATE | $88.37 | $160.68 | $22.97–$136.58 | 38% below | 45% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HCHG DHEA-SULFATE | $88.37 | $160.68 | $22.97–$136.58 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN BLOOD DSS | $78.74 | $143.17 | $57.53–$143.17 | 29% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG NICOTINE SCREEN URINE | $92.34 | $167.89 | $63.40–$167.89 | 17% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUGS OF ABUSE WB 11 | $149.56 | $271.92 | $63.40–$232.74 | 35% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG MECONIUM DRUG SCREEN HCMC | $181.28 | $329.60 | $63.40–$280.16 | 63% above | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN BLOOD DSS | $78.74 | $143.17 | $57.53–$143.17 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG NICOTINE SCREEN URINE | $92.34 | $167.89 | $63.40–$167.89 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUGS OF ABUSE WB 11 | $149.56 | $271.92 | $63.40–$232.74 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG MECONIUM DRUG SCREEN HCMC | $181.28 | $329.60 | $63.40–$280.16 | — | 45% |
| Estradiol blood test CPT 82670 HCHG ESTRADIOL LCC | $22.09 | $40.17 | $16.14–$40.17 | 82% below | 45% |
| Estradiol blood test inpatient CPT 82670 HCHG ESTRADIOL LCC | $22.09 | $40.17 | $16.14–$40.17 | — | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 HCHG FSH LCC | $23.79 | $43.26 | $17.39–$43.26 | 79% below | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG FSH LCC | $23.79 | $43.26 | $17.39–$43.26 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE 2HPP | $23.79 | $43.26 | $4.91–$36.77 | 52% below | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE 2 HOUR | $23.79 | $43.26 | $4.91–$36.77 | 52% below | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE 2 HOUR | $23.79 | $43.26 | $4.91–$36.77 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE 2HPP | $23.79 | $43.26 | $4.91–$36.77 | — | 45% |
| Glucose tolerance test, 3 samples CPT 82951 HCHG GTT | $50.99 | $92.70 | $13.30–$78.80 | 43% below | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GTT | $50.99 | $92.70 | $13.30–$78.80 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HCHG GENERAL LAB 8759102 | $60.62 | $110.21 | $36.26–$110.21 | 58% below | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HCHG GENERAL LAB 8759102 | $60.62 | $110.21 | $36.26–$110.21 | — | 45% |
| H. pylori antibody blood test CPT 86677 HCHG HELICOBACTER PYLORI IGG AFFILIATE ONLY | $63.45 | $115.36 | $8.17–$98.06 | 29% below | 45% |
| H. pylori antibody blood test inpatient CPT 86677 HCHG HELICOBACTER PYLORI IGG AFFILIATE ONLY | $63.45 | $115.36 | $8.17–$98.06 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG GENERAL LAB 8753600 | $105.37 | $191.58 | $76.98–$191.58 | 73% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HCHG GENERAL LAB 8753600 | $105.37 | $191.58 | $76.98–$191.58 | — | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG GENERAL LAB 8738900 | $46.45 | $84.46 | $24.88–$84.46 | 55% below | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG GENERAL LAB 8738900 | $46.45 | $84.46 | $24.88–$84.46 | — | 45% |
| Hemoglobin blood test CPT 85018 HCHG BLOOD GAS HGB | $16.43 | $29.87 | $2.45–$25.39 | 6% below | 45% |
| Hemoglobin blood test inpatient CPT 85018 HCHG BLOOD GAS HGB | $16.43 | $29.87 | $2.45–$25.39 | — | 45% |
| Hepatitis B core antibody test (total) CPT 86704 HCHG GENERAL LAB 8670403 LCC | $15.86 | $28.84 | $11.58–$28.84 | 80% below | 45% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG GENERAL LAB 8670403 LCC | $15.86 | $28.84 | $11.58–$28.84 | — | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG GENERAL LAB 8752200 | $202.81 | $368.74 | $44.27–$313.43 | 8% below | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCHG GENERAL LAB 8752200 | $202.81 | $368.74 | $44.27–$313.43 | — | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HCHG GENERAL LAB 8669500 | $33.99 | $61.80 | $13.63–$52.74 | 50% below | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG GENERAL LAB 8669500 | $33.99 | $61.80 | $13.63–$52.74 | — | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HCHG GENERAL LAB 8669600 | $49.85 | $90.64 | $19.99–$77.44 | 37% below | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HCHG GENERAL LAB 8669600 | $49.85 | $90.64 | $19.99–$77.44 | — | 45% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG HIGH SENS CRP | $40.22 | $73.13 | $13.38–$62.16 | 50% below | 45% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG HIGH SENS CRP | $40.22 | $73.13 | $13.38–$62.16 | — | 45% |
| Homocysteine blood test CPT 83090 HCHG HOMOCYSTEINE, CARDIAC | $101.40 | $184.37 | $18.52–$156.71 | 14% below | 45% |
| Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTEINE, CARDIAC | $101.40 | $184.37 | $18.52–$156.71 | — | 45% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL RTR | $13.60 | $24.72 | $8.97–$24.72 | 87% below | 45% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL RTR | $13.60 | $24.72 | $8.97–$24.72 | — | 45% |
| LH (luteinizing hormone) test CPT 83002 HCHG LUTEINIZING HORMONE LCC | $23.79 | $43.26 | $17.39–$43.26 | 76% below | 45% |
| LH (luteinizing hormone) test CPT 83002 HCHG LUTEINIZING HORMONE | $83.84 | $152.44 | $19.14–$129.57 | 14% below | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 HCHG LUTEINIZING HORMONE LCC | $23.79 | $43.26 | $17.39–$43.26 | — | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 HCHG LUTEINIZING HORMONE | $83.84 | $152.44 | $19.14–$129.57 | — | 45% |
| Lactate (lactic acid) blood test CPT 83605 HCHG LACTATE, CSF | $74.78 | $135.96 | $11.96–$115.57 | 7% above | 45% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTATE, CSF | $74.78 | $135.96 | $11.96–$115.57 | — | 45% |
| Magnesium blood test CPT 83735 HCHG SUPERSAT MAGNESIUM | $17.85 | $32.45 | $6.92–$27.58 | 66% below | 45% |
| Magnesium blood test inpatient CPT 83735 HCHG SUPERSAT MAGNESIUM | $17.85 | $32.45 | $6.92–$27.58 | — | 45% |
| Measles (rubeola) antibody test CPT 86765 HCHG RUBEOLA ANTIBODIES, IGM LC | $45.89 | $83.43 | $13.31–$70.92 | 44% below | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 HCHG RUBEOLA ANTIBODIES, IGM LC | $45.89 | $83.43 | $13.31–$70.92 | — | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA,FREE | $47.02 | $85.49 | $19.00–$73.58 | 49% below | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA,FREE | $47.02 | $85.49 | $19.00–$73.58 | — | 45% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HCHG IMAGED THIN PREP PAP DIAGNOSTIC | $45.32 | $82.40 | $27.50–$82.40 | 57% below | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HCHG IMAGED THIN PREP PAP DIAGNOSTIC | $45.32 | $82.40 | $27.50–$82.40 | — | 45% |
| Potassium blood test CPT 84132 HCHG POTASSIUM POCT | $19.26 | $35.02 | $4.92–$29.77 | 29% below | 45% |
| Potassium blood test inpatient CPT 84132 HCHG POTASSIUM POCT | $19.26 | $35.02 | $4.92–$29.77 | — | 45% |
| Prolactin blood test CPT 84146 HCHG PROLACTIN LCC | $13.60 | $24.72 | $9.94–$26.77 | 89% below | 45% |
| Prolactin blood test inpatient CPT 84146 HCHG PROLACTIN LCC | $13.60 | $24.72 | $9.94–$26.77 | — | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG INR POCT | $20.96 | $38.11 | $4.43–$32.39 | 35% below | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG INR POCT | $20.96 | $38.11 | $4.43–$32.39 | — | 45% |
| Rapid flu test (influenza antigen) CPT 87804 PR IAADIADOO INFLUENZA | $38.52 | $70.04 | $16.86–$59.58 | 27% below | 45% |
| Rapid flu test (influenza antigen) CPT 87804 HCHG INFLUENZA A&B | $38.52 | $70.04 | $16.86–$59.58 | 27% below | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 PR IAADIADOO INFLUENZA | $38.52 | $70.04 | $16.86–$59.58 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG INFLUENZA A&B | $38.52 | $70.04 | $16.86–$59.58 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HCHG RAPID STREP A THROAT-SAT | $23.79 | $43.26 | $16.86–$43.26 | 48% below | 45% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 PR IAADIADOO STREPTOCOCCUS GROUP A | $23.79 | $43.26 | $16.86–$43.26 | 48% below | 45% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HCHG RAPID STREP A THROAT-SAT | $23.79 | $43.26 | $16.86–$43.26 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 PR IAADIADOO STREPTOCOCCUS GROUP A | $23.79 | $43.26 | $16.86–$43.26 | — | 45% |
| Rh blood typing CPT 86901 HCHG WEAK DU | $24.93 | $45.32 | $3.09–$38.52 | 37% below | 45% |
| Rh blood typing inpatient CPT 86901 HCHG WEAK DU | $24.93 | $45.32 | $3.09–$38.52 | — | 45% |
| Sodium blood test CPT 84295 HCHG SODIUM POCT | $20.39 | $37.08 | $4.97–$31.52 | 18% below | 45% |
| Sodium blood test inpatient CPT 84295 HCHG SODIUM POCT | $20.39 | $37.08 | $4.97–$31.52 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG OCCULT BLOOD -3 DAY AFFILIATE ONLY | $11.90 | $21.63 | $3.66–$18.39 | 44% below | 45% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG OCCULT BLOOD -3 DAY AFFILIATE ONLY | $11.90 | $21.63 | $3.66–$18.39 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG OCCULT BLOOD, IFOBT | $64.01 | $116.39 | $16.45–$98.93 | 3% above | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HCHG OCCULT BLOOD, IFOBT | $64.01 | $116.39 | $16.45–$98.93 | — | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HCHG GENERAL LAB 8678001 | $56.65 | $103.00 | $11.13–$87.55 | 3% above | 45% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HCHG GENERAL LAB 8678001 | $56.65 | $103.00 | $11.13–$87.55 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG GENERAL LAB 8659200 | $26.06 | $47.38 | $4.41–$40.27 | 34% below | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG GENERAL LAB 8659201 | $26.06 | $47.38 | $4.41–$40.27 | 34% below | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG GENERAL LAB 8659201 | $26.06 | $47.38 | $4.41–$40.27 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG GENERAL LAB 8659200 | $26.06 | $47.38 | $4.41–$40.27 | — | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL LCC | $13.03 | $23.69 | $9.52–$36.10 | 89% below | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE TOTAL LCC | $13.03 | $23.69 | $9.52–$36.10 | — | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG LIVER-KIDNEY MICROSOMAL AB LC | $60.05 | $109.18 | $15.03–$92.80 | 14% below | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG LIVER-KIDNEY MICROSOMAL AB LC | $60.05 | $109.18 | $15.03–$92.80 | — | 45% |
| Total IgE blood test CPT 82785 HCHG IGE | $57.78 | $105.06 | $17.01–$89.30 | 43% below | 45% |
| Total IgE blood test inpatient CPT 82785 HCHG IGE | $57.78 | $105.06 | $17.01–$89.30 | — | 45% |
| Total cholesterol blood test CPT 82465 HCHG CHOLESTEROL BODY FLUID | $17.56 | $31.93 | $4.49–$27.14 | 62% below | 45% |
| Total cholesterol blood test inpatient CPT 82465 HCHG CHOLESTEROL BODY FLUID | $17.56 | $31.93 | $4.49–$27.14 | — | 45% |
| Triglycerides blood test CPT 84478 HCHG TRIGLYCERIDE BODY FLUID | $19.83 | $36.05 | $5.93–$30.64 | 63% below | 45% |
| Triglycerides blood test inpatient CPT 84478 HCHG TRIGLYCERIDE BODY FLUID | $19.83 | $36.05 | $5.93–$30.64 | — | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG PROTEIN QUAL URINE | $15.30 | $27.81 | $2.32–$23.64 | 39% below | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG OCCULT BLOOD URINE | $15.30 | $27.81 | $2.32–$23.64 | 39% below | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG SPECIFIC GRAVITY URINE | $15.30 | $27.81 | $2.32–$23.64 | 39% below | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG OCCULT BLOOD URINE | $15.30 | $27.81 | $2.32–$23.64 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG PROTEIN QUAL URINE | $15.30 | $27.81 | $2.32–$23.64 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG SPECIFIC GRAVITY URINE | $15.30 | $27.81 | $2.32–$23.64 | — | 45% |
| Urine microalbumin (albumin) test CPT 82043 HCHG URINE ALBUMIN,24HR | $40.79 | $74.16 | $5.97–$63.04 | 34% below | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HCHG URINE ALBUMIN,24HR | $40.79 | $74.16 | $5.97–$63.04 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG VITAMIN D D2D3 LCC | $42.49 | $77.25 | $30.59–$77.25 | 73% below | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HCHG VITAMIN D D2D3 LCC | $42.49 | $77.25 | $30.59–$77.25 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG GENERAL LAB 8470208 | $39.09 | $71.07 | $15.55–$60.41 | 67% below | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG GENERAL LAB 8470208 | $39.09 | $71.07 | $15.55–$60.41 | — | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG RAD INJ EPIDURAL CERVICAL OR THORACIC W GUIDE | $833.89 | $1,516.16 | $609.20–$1,516.16 | 27% below | 45% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG RAD INJ EPIDURAL CERVICAL OR THORACIC W GUIDE | $833.89 | $1,516.16 | $609.20–$1,516.16 | — | 45% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG RAD INJ FACET JOINT LUMBAR/SACRAL ONE LEVEL W GUIDE | $232.83 | $423.33 | $170.10–$423.33 | 85% below | 45% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG RAD INJ FACET JOINT LUMBAR/SACRAL ONE LEVEL W GUIDE | $232.83 | $423.33 | $170.10–$423.33 | — | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG RAD INJ HYSTEROSALPINGOGRAM W CATHETERIZATION | $81.58 | $148.32 | $59.59–$148.32 | 76% below | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HCHG RAD INJ HYSTEROSALPINGOGRAM W CATHETERIZATION | $81.58 | $148.32 | $59.59–$148.32 | — | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG RAD INJECTION SINGLE TENDON SHEATH LIGAMENT | $216.40 | $393.46 | $158.09–$393.46 | 37% below | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG RAD INJECTION SINGLE TENDON SHEATH LIGAMENT | $216.40 | $393.46 | $158.09–$393.46 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG XR ARTHROCENTESIS MAJOR JOINT OR BURSA,Technical | $222.07 | $403.76 | $162.23–$403.76 | 44% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG CT INJECTION MAJOR JOINT BURSA,Technical | $222.07 | $403.76 | $162.23–$403.76 | 44% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG IR INJ OR ASP MAJOR JT OR BURSA,Technical | $222.07 | $403.76 | $162.23–$403.76 | 44% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG XR ARTHROCENTESIS MAJOR JOINT OR BURSA,Technical | $222.07 | $403.76 | $162.23–$403.76 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG CT INJECTION MAJOR JOINT BURSA,Technical | $222.07 | $403.76 | $162.23–$403.76 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG IR INJ OR ASP MAJOR JT OR BURSA,Technical | $222.07 | $403.76 | $162.23–$403.76 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG RAD ARTHROCENTESIS ASPIRATION INJECTION INTERM JOINT BURSA | $210.74 | $383.16 | $153.96–$383.16 | 34% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG RAD ARTHROCENTESIS ASPIRATION INJECTION INTERM JOINT BURSA | $210.74 | $383.16 | $153.96–$383.16 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG RAD ARTHROCENTESIS ASPIRATION SMALL JOINT OR BURSA,Technical | $210.74 | $383.16 | $153.96–$383.16 | 32% below | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG RAD ARTHROCENTESIS ASPIRATION SMALL JOINT OR BURSA,Technical | $210.74 | $383.16 | $153.96–$383.16 | — | 45% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG RAD INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $833.89 | $1,516.16 | $609.20–$1,516.16 | 27% below | 45% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG RAD INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $833.89 | $1,516.16 | $609.20–$1,516.16 | — | 45% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG RAD INJ TRANS EPIDURAL LUMBAR/SACRAL ONE LEVEL W GUIDE | $300.25 | $545.90 | $219.34–$545.90 | 72% below | 45% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG RAD INJ TRANS EPIDURAL LUMBAR/SACRAL ONE LEVEL W GUIDE | $300.25 | $545.90 | $219.34–$545.90 | — | 45% |
| Occipital nerve block (injection for headaches) CPT 64405 HCHG RAD INJ ANES AGENT STEROID OCCIPITAL NERVE | $98.57 | $179.22 | $72.01–$179.22 | 79% below | 45% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG RAD INJ ANES AGENT STEROID OCCIPITAL NERVE | $98.57 | $179.22 | $72.01–$179.22 | — | 45% |
| Paracentesis with imaging guidance CPT 49083 HCHG RAD PARACENTESIS ABDOMEN WITH IMAGING | $683.77 | $1,243.21 | $499.53–$1,243.21 | 47% below | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 HCHG RAD PARACENTESIS ABDOMEN WITH IMAGING | $683.77 | $1,243.21 | $499.53–$1,243.21 | — | 45% |
| Short leg cast (below the knee) CPT 29405 HCHG PT APPLICATION SHORT LEG CAST | $109.90 | $199.82 | $80.29–$169.85 | 53% below | 45% |
| Short leg cast (below the knee) inpatient CPT 29405 HCHG PT APPLICATION SHORT LEG CAST | $109.90 | $199.82 | $80.29–$169.85 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG LUMBAR PUNCTURE DIAGNOSTIC | $198.28 | $360.50 | $144.84–$360.50 | 67% below | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG LUMBAR PUNCTURE DIAGNOSTIC | $198.28 | $360.50 | $144.84–$360.50 | — | 45% |
| Thoracentesis with imaging guidance CPT 32555 HCHG RAD THORACENTESIS PLEURAL SPACE NEEDLE OR CATHETER | $233.40 | $424.36 | $170.51–$424.36 | 81% below | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HCHG RAD THORACENTESIS PLEURAL SPACE NEEDLE OR CATHETER | $233.40 | $424.36 | $170.51–$424.36 | — | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG RC SPUTUM INDUCTION | $81.58 | $148.32 | $59.59–$126.07 | 6% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG RC AIRWAY INHALATION TX EZPAP W NEB | $81.58 | $148.32 | $59.59–$126.07 | 6% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG RC AIRWAY INHALATION TX MDI VENT | $81.58 | $148.32 | $59.59–$126.07 | 6% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG RC SPUTUM INDUCTION | $81.58 | $148.32 | $59.59–$126.07 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG RC AIRWAY INHALATION TX EZPAP W NEB | $81.58 | $148.32 | $59.59–$126.07 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG RC AIRWAY INHALATION TX MDI VENT | $81.58 | $148.32 | $59.59–$126.07 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG EEG AWAKE/DROWSY | $545.54 | $991.89 | $398.54–$843.11 | 17% below | 45% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HCHG EEG AWAKE/DROWSY | $545.54 | $991.89 | $398.54–$843.11 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG 12LEAD TRACING ONLY WO REPORT/INTERP | $116.70 | $212.18 | $85.25–$180.35 | 21% below | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG 12LEAD TRACING ONLY WO REPORT/INTERP | $116.70 | $212.18 | $85.25–$180.35 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG ED IV INFUSION HYDRATION INITIAL 31-60 MIN | $89.51 | $162.74 | $65.39–$138.33 | 69% below | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG ED IV INFUSION HYDRATION INITIAL 31-60 MIN | $89.51 | $162.74 | $65.39–$138.33 | — | 45% |
| IV infusion of a medicine, first hour CPT 96365 HCHG ED IV INF THERAPY/DX/PROPH INITIAL HR | $89.51 | $162.74 | $65.39–$138.33 | 72% below | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HCHG ED IV INF THERAPY/DX/PROPH INITIAL HR | $89.51 | $162.74 | $65.39–$138.33 | — | 45% |
| IV push of a medicine, first drug CPT 96374 HCHG IV INJECTION TX/DX/PROPHYLAXIS INITIAL | $89.51 | $162.74 | $65.39–$138.33 | 46% below | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 HCHG IV INJECTION TX/DX/PROPHYLAXIS INITIAL | $89.51 | $162.74 | $65.39–$138.33 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE 59 | $41.35 | $75.19 | $30.21–$75.19 | 57% below | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE 59 | $41.35 | $75.19 | $30.21–$75.19 | — | 45% |
| Speech therapy session, individual CPT 92507 HCHG SLP 59 INDIV TX COMMUNICATION | $169.95 | $309.00 | $115.00–$309.00 | 33% below | 45% |
| Speech therapy session, individual inpatient CPT 92507 HCHG SLP 59 INDIV TX COMMUNICATION | $169.95 | $309.00 | $115.00–$309.00 | — | 45% |
| Spirometry (breathing test) CPT 94010 HCHG SPIROMETRY BEDSIDE | $50.42 | $91.67 | $36.83–$77.92 | 82% below | 45% |
| Spirometry (breathing test) inpatient CPT 94010 HCHG SPIROMETRY BEDSIDE | $50.42 | $91.67 | $36.83–$77.92 | — | 45% |
| Spirometry before and after a bronchodilator CPT 94060 HCHG BRONCHOSPASM EVAL-BEDSIDE | $89.51 | $162.74 | $65.39–$138.33 | 82% below | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG BRONCHOSPASM EVAL-BEDSIDE | $89.51 | $162.74 | $65.39–$138.33 | — | 45% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 vaccine 2024-25 (12yr up) 30 mcg/0.3 mL Syrg 0.3 mL SYRINGE | $165.55 | $301.00 | $120.94–$255.85 | at median | 45% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 vaccine 2024-25 (12yr up) 30 mcg/0.3 mL Syrg 0.3 mL SYRINGE | $165.55 | $301.00 | $120.94–$255.85 | — | 45% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 diphtheria-tetanus-pertussis-polio vaccine injection 25 Lf-58 mcg-10 Lf/0.5 mL Susp 0.5 mL VIAL | $73.02 | $132.77 | $53.35–$112.85 | 13% below | 45% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 diphtheria-tetanus-pertussis-polio vaccine injection 25 Lf-58 mcg-10 Lf/0.5 mL Susp 0.5 mL VIAL | $73.02 | $132.77 | $53.35–$112.85 | — | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza vaccine 2024-25 (6 mos up) PF 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL SYRINGE | $23.10 | $42.00 | $16.88–$35.70 | 28% below | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza vaccine 2024-25 (6 mos up) PF 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL SYRINGE | $23.10 | $42.00 | $16.88–$35.70 | — | 45% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A Virus Vaccine (PF) 720 ELISA unit/0.5 mL Susp 0.5 mL VIAL | $55.50 | $100.91 | $40.54–$85.77 | 7% above | 45% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis A Virus Vaccine (PF) 720 ELISA unit/0.5 mL Susp 0.5 mL VIAL | $55.50 | $100.91 | $40.54–$85.77 | — | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza vaccine 2024-25 (65 yrs up) PF 180 mcg/0.5 mL Syrg 0.5 mL SYRINGE | $57.75 | $105.00 | $42.19–$105.00 | 27% below | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza vaccine 2024-25 (65 yrs up) PF 180 mcg/0.5 mL Syrg 0.5 mL SYRINGE | $57.75 | $105.00 | $42.19–$105.00 | — | 45% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Japanese encephalitis vaccine (3 yrs up) PF 6 mcg/0.5 mL Syrg 0.5 mL SYRINGE | $427.34 | $776.99 | $312.20–$660.44 | 53% above | 45% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Japanese encephalitis vaccine (3 yrs up) PF 6 mcg/0.5 mL Syrg 0.5 mL SYRINGE | $427.34 | $776.99 | $312.20–$660.44 | — | 45% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal vaccine (2m-55y) PF a,c,y,w135-dip 10-5 mcg/0.5 mL Kit 5 Each KIT | $37.94 | $68.99 | $27.72–$58.64 | 83% below | 45% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal vaccine (2m-55y) PF a,c,y,w135-dip 10-5 mcg/0.5 mL Kit 5 Each KIT | $37.94 | $68.99 | $27.72–$58.64 | — | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B vacc,4-component (PF) 50-50-50-25 mcg/0.5 mL Syrg 0.5 mL SYRINGE | $330.74 | $601.34 | $241.62–$511.14 | 43% above | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal B vacc,4-component (PF) 50-50-50-25 mcg/0.5 mL Syrg 0.5 mL SYRINGE | $330.74 | $601.34 | $241.62–$511.14 | — | 45% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 influenza vaccine LIVE 2024-25 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Nssy 1 Each SYRINGE | $29.70 | $54.00 | $21.70–$45.90 | 23% below | 45% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 influenza vaccine LIVE 2024-25 (2-49 yrs) 10exp6.5-7.5 FF unit/0.2 mL Nssy 1 Each SYRINGE | $29.70 | $54.00 | $21.70–$45.90 | — | 45% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumoccal 13-val conj vaccine 0.5 mL Syrg 0.5 mL SYRINGE | $386.75 | $703.19 | $282.54–$597.71 | 32% above | 45% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumoccal 13-val conj vaccine 0.5 mL Syrg 0.5 mL SYRINGE | $386.75 | $703.19 | $282.54–$597.71 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria-acellular pertussis-tetanus toxoid 2.5-8-5 Lf-mcg-* Syrg 0.5 mL SYRINGE | $65.86 | $119.75 | $45.64–$101.79 | 19% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria-acellular pertussis-tetanus toxoid 2.5-8-5 Lf-mcg-* Syrg 0.5 mL SYRINGE | $65.86 | $119.75 | $45.64–$101.79 | — | 45% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.