Bellin Health Oconto Hospital
Listed in its price file as “Oconto Hospital & Medical Center Inc”.
Bellin Health Oconto Hospital in Oconto, WI publishes cash prices for 182 common procedures listed here, from its own machine-readable price file updated Jun 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wisconsin median for 139 of 171 procedures and above it for 32. By typical cash price it ranks #12 of 103 Wisconsin hospitals and #2 of 6 hospitals in the Green Bay, WI area, cheapest first. Select a procedure to compare it with other hospitals nearby.
820 Arbutus Ave, Oconto, WI 54153 Collected Sep 22, 2026 Source price file Check a bill from this hospital (920) 835-1101
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 521356 · CMS hospital register NPI 1356373302
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Bellin Health Oconto Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HCHG 74170 CT ABD W&W/O IV CONT | $566.25 | $1,223.00 | $354.67–$1,100.70 | 76% below | 54% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HCHG 74170 CT ABD W&W/O IV CONT | $566.25 | $1,223.00 | $354.67–$1,100.70 | — | 54% |
| Abdominal X-ray, 2 views CPT 74019 HCHG 74019 RADIOLOGIC EXAM, ABDOMEN; 2 VIEWS | $179.18 | $387.00 | $112.23–$348.30 | 25% below | 54% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HCHG 74019 RADIOLOGIC EXAM, ABDOMEN; 2 VIEWS | $179.18 | $387.00 | $112.23–$348.30 | — | 54% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HCHG 73610 ANKLE 3VW ROUTINE L/R | $160.66 | $347.00 | $100.63–$312.30 | 32% below | 54% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HCHG 73610 ANKLE 3VW ROUTINE L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HCHG 73200 CT UPR EXT W/O IV CONT | $381.98 | $825.00 | $239.25–$742.50 | 73% below | 54% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HCHG 73200 CT UPR EXT W/O IV CONT | $381.98 | $825.00 | $239.25–$742.50 | — | 54% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HCHG 74174 CTA ABD & PELVIS W/CONTRAST,INCL NONCONT | $920.44 | $1,988.00 | $576.52–$1,789.20 | 70% below | 54% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HCHG 74174 CTA ABD & PELVIS W/CONTRAST,INCL NONCONT | $920.44 | $1,988.00 | $576.52–$1,789.20 | — | 54% |
| CT angiography (CTA) of the head CPT 70496 HCHG 70496 CT ANGIO HEAD W/O&W IV CONT | $635.24 | $1,372.00 | $397.88–$1,234.80 | 69% below | 54% |
| CT angiography (CTA) of the head inpatient CPT 70496 HCHG 70496 CT ANGIO HEAD W/O&W IV CONT | $635.24 | $1,372.00 | $397.88–$1,234.80 | — | 54% |
| CT angiography (CTA) of the neck CPT 70498 HCHG 70498 CT ANGIO NECK W/O&W IV CONT | $635.24 | $1,372.00 | $397.88–$1,234.80 | 69% below | 54% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HCHG 70498 CT ANGIO NECK W/O&W IV CONT | $635.24 | $1,372.00 | $397.88–$1,234.80 | — | 54% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG 71275 CT ANGIO CHEST WO&W IV CONT | $643.57 | $1,390.00 | $403.10–$1,251.00 | 68% below | 54% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG 71275 CT ANGIO CHEST WO&W IV CONT | $643.57 | $1,390.00 | $403.10–$1,251.00 | — | 54% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG 75571 CT HEART W/O CONTRAST W/QUANT EVAL COR CALC | $34.73 | $75.00 | $21.75–$67.50 | 46% below | 54% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG 75571 CT HEART W/O CONTRAST W/QUANT EVAL COR CALC | $34.73 | $75.00 | $21.75–$67.50 | — | 54% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG 74176 CT ABD&PELVIS; W/O CONTRAST | $484.30 | $1,046.00 | $303.34–$941.40 | 81% below | 54% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG 74176 CT ABD&PELVIS; W/O CONTRAST | $484.30 | $1,046.00 | $303.34–$941.40 | — | 54% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG 74177 CT ABD&PELVIS;W/CONTRAST | $760.25 | $1,642.00 | $476.18–$1,477.80 | 76% below | 54% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG 74177 CT ABD&PELVIS;W/CONTRAST | $760.25 | $1,642.00 | $476.18–$1,477.80 | — | 54% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG 74178 CT ABD&PELVIS;W/O,W/CONTRAST | $775.99 | $1,676.00 | $486.04–$1,508.40 | 79% below | 54% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG 74178 CT ABD&PELVIS;W/O,W/CONTRAST | $775.99 | $1,676.00 | $486.04–$1,508.40 | — | 54% |
| CT scan of the abdomen with contrast CPT 74160 HCHG 74160 CT ABDOMEN W/IV CONT | $489.39 | $1,057.00 | $306.53–$951.30 | 70% below | 54% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HCHG 74160 CT ABDOMEN W/IV CONT | $489.39 | $1,057.00 | $306.53–$951.30 | — | 54% |
| CT scan of the abdomen without contrast CPT 74150 HCHG 74150 CT ABDOMEN W/O IV CONT | $237.98 | $514.00 | $149.06–$462.60 | 81% below | 54% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HCHG 74150 CT ABDOMEN W/O IV CONT | $237.98 | $514.00 | $149.06–$462.60 | — | 54% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG 70486 CT MAXILLA W/O IV CONT | $286.60 | $619.00 | $179.51–$557.10 | 79% below | 54% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG 70486 CT MAXILLA W/O IV CONT | $286.60 | $619.00 | $179.51–$557.10 | — | 54% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG 70450 CT HEAD W/O IV CONT | $217.15 | $469.00 | $136.01–$422.10 | 83% below | 54% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG 70450 CT HEAD W/O IV CONT | $217.15 | $469.00 | $136.01–$422.10 | — | 54% |
| CT scan of the head without and with contrast CPT 70470 HCHG 70470 CT HEAD W&W/O IV CONT | $335.68 | $725.00 | $210.25–$652.50 | 82% below | 54% |
| CT scan of the head without and with contrast inpatient CPT 70470 HCHG 70470 CT HEAD W&W/O IV CONT | $335.68 | $725.00 | $210.25–$652.50 | — | 54% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG 72131 CT SPINE L W/O IV CONT | $331.51 | $716.00 | $207.64–$644.40 | 78% below | 54% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG 72131 CT SPINE L W/O IV CONT | $331.51 | $716.00 | $207.64–$644.40 | — | 54% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG 72125 CT SPINE C W/O IV CONT | $336.60 | $727.00 | $210.83–$654.30 | 78% below | 54% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG 72125 CT SPINE C W/O IV CONT | $336.60 | $727.00 | $210.83–$654.30 | — | 54% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG 72193 CT PELVIS W/IV CONT | $490.78 | $1,060.00 | $307.40–$954.00 | 70% below | 54% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG 72193 CT PELVIS W/IV CONT | $490.78 | $1,060.00 | $307.40–$954.00 | — | 54% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HCHG 93880 US CAROTID/DOPPLER | $552.36 | $1,193.00 | $345.97–$1,073.70 | 44% below | 54% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HCHG 93880 US CAROTID/DOPPLER | $552.36 | $1,193.00 | $345.97–$1,073.70 | — | 54% |
| Chest CT scan without and with contrast CPT 71270 HCHG 71270 CT THORAX, DIAGNOSTIC; W/O & W/IV CONTRAST | $500.50 | $1,081.00 | $313.49–$972.90 | 78% below | 54% |
| Chest CT scan without and with contrast inpatient CPT 71270 HCHG 71270 CT THORAX, DIAGNOSTIC; W/O & W/IV CONTRAST | $500.50 | $1,081.00 | $313.49–$972.90 | — | 54% |
| Chest X-ray, 2 views CPT 71046 HCHG 71046 RADIOLOGIC EXAM, CHEST; 2 VIEWS | $162.98 | $352.00 | $102.08–$316.80 | 24% below | 54% |
| Chest X-ray, 2 views inpatient CPT 71046 HCHG 71046 RADIOLOGIC EXAM, CHEST; 2 VIEWS | $162.98 | $352.00 | $102.08–$316.80 | — | 54% |
| Chest X-ray, single view CPT 71045 HCHG 71045 RADIOLOGIC EXAM, CHEST; SINGLE VIEW | $144.92 | $313.00 | $90.77–$281.70 | 10% below | 54% |
| Chest X-ray, single view inpatient CPT 71045 HCHG 71045 RADIOLOGIC EXAM, CHEST; SINGLE VIEW | $144.92 | $313.00 | $90.77–$281.70 | — | 54% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HCHG 73000 CLAVICLE COMPLETE 1-2 VIEWS | $160.66 | $347.00 | $100.63–$312.30 | 22% below | 54% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HCHG 73000 CLAVICLE COMPLETE 1-2 VIEWS | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG 76770 US RENAL | $218.54 | $472.00 | $136.88–$424.80 | 60% below | 54% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG 76770 US RENAL | $218.54 | $472.00 | $136.88–$424.80 | — | 54% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG 71250 CT, THORAX, DIAGNOSTIC; W/O CONTRAST | $269.00 | $581.00 | $168.49–$522.90 | 81% below | 54% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG 71250 CT, THORAX, DIAGNOSTIC; W/O CONTRAST | $269.00 | $581.00 | $168.49–$522.90 | — | 54% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG 71260 CT, THORAX, DIAGNOSTIC; W/CONTRAST | $368.55 | $796.00 | $230.84–$716.40 | 78% below | 54% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG 71260 CT, THORAX, DIAGNOSTIC; W/CONTRAST | $368.55 | $796.00 | $230.84–$716.40 | — | 54% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG 93925 US LWR EXT ARTERY BILAT | $432.44 | $934.00 | $270.86–$840.60 | — | 54% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG 93925 US LWR EXT ARTERY BILAT | $432.44 | $934.00 | $270.86–$840.60 | — | 54% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HCHG 93970 DUPLEX SCAN EXT VEINS BIL | $562.08 | $1,214.00 | $352.06–$1,092.60 | 53% below | 54% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HCHG 93970 DUPLEX SCAN EXT VEINS BIL | $562.08 | $1,214.00 | $352.06–$1,092.60 | — | 54% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG 93306 TRANSTHO ECHO W/CONTRAST | $1,032.03 | $2,229.00 | $646.41–$2,006.10 | 41% below | 54% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG 93306 TRANSTHOR ECHO COMPLETE | $1,032.03 | $2,229.00 | $646.41–$2,006.10 | 41% below | 54% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG 93306 TRANSTHOR ECHO COMPLETE | $1,032.03 | $2,229.00 | $646.41–$2,006.10 | — | 54% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG 93306 TRANSTHO ECHO W/CONTRAST | $1,032.03 | $2,229.00 | $646.41–$2,006.10 | — | 54% |
| Elbow X-ray, 2 views CPT 73070 HCHG 73070 ELBOW 2VW L/R | $160.66 | $347.00 | $100.63–$312.30 | 16% below | 54% |
| Elbow X-ray, 2 views inpatient CPT 73070 HCHG 73070 ELBOW 2VW L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HCHG 73080 ELBOW TRAUMA 3VW L/R | $160.66 | $347.00 | $100.63–$312.30 | 32% below | 54% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HCHG 73080 ELBOW TRAUMA 3VW L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HCHG 70480 CT ORB TEMP B IAC W/O IV CONT | $481.98 | $1,041.00 | $301.89–$936.90 | 67% below | 54% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG 70480 CT ORB TEMP B IAC W/O IV CONT | $481.98 | $1,041.00 | $301.89–$936.90 | — | 54% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG 70150 FACIAL BONES | $194.00 | $419.00 | $121.51–$377.10 | 35% below | 54% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG 70150 FACIAL BONES | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HCHG 73090 FOREARM L/R | $160.66 | $347.00 | $100.63–$312.30 | 19% below | 54% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HCHG 73090 FOREARM L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Hand X-ray, 2 views CPT 73120 HCHG 73120 HAND 1-2 VIEWS | $160.66 | $347.00 | $100.63–$312.30 | 15% below | 54% |
| Hand X-ray, 2 views inpatient CPT 73120 HCHG 73120 HAND 1-2 VIEWS | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HCHG 73650 HEEL 1-2VW L/R | $160.66 | $347.00 | $100.63–$312.30 | 19% below | 54% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HCHG 73650 HEEL 1-2VW L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG 95806 SLEEP STUDY UNATTENDED, SIMULTANEOUS RECORDING | $306.51 | $662.00 | $191.98–$595.80 | 50% below | 54% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG 95806 SLEEP STUDY UNATTENDED, SIMULTANEOUS RECORDING | $306.51 | $662.00 | $191.98–$595.80 | — | 54% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG 95811 POLYSOMNOGRAPHY 6/+ YRS W/CPAP | $1,665.41 | $3,597.00 | $1,043.13–$3,237.30 | 55% below | 54% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG 95811 POLYSOMNOGRAPHY 6/+ YRS W/CPAP | $1,665.41 | $3,597.00 | $1,043.13–$3,237.30 | — | 54% |
| Knee X-ray, 3 views CPT 73562 HCHG 73562 KNEE 3 VW SPCFY L/R | $175.94 | $380.00 | $110.20–$342.00 | 31% below | 54% |
| Knee X-ray, 3 views inpatient CPT 73562 HCHG 73562 KNEE 3 VW SPCFY L/R | $175.94 | $380.00 | $110.20–$342.00 | — | 54% |
| Knee X-ray, complete, 4 or more views CPT 73564 HCHG 73564 KNEE 4 VW SPCFY L/R | $194.00 | $419.00 | $121.51–$377.10 | 30% below | 54% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HCHG 73564 KNEE 4 VW SPCFY L/R | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HCHG 73700 CT LWR EXT W/O IV CONT | $319.93 | $691.00 | $200.39–$621.90 | 78% below | 54% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HCHG 73700 CT LWR EXT W/O IV CONT | $319.93 | $691.00 | $200.39–$621.90 | — | 54% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG 76705 US ABDOMEN; LIMITED | $194.00 | $419.00 | $121.51–$377.10 | 56% below | 54% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG 76705 US ABDOMEN; LIMITED | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HCHG 76882 ULTRASOUND, LIMITED, JOINT OR OTHER NONVASC STRUCTURE | $170.38 | $368.00 | $106.72–$331.20 | 41% below | 54% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HCHG 76882 ULTRASOUND, LIMITED, JOINT OR OTHER NONVASC STRUCTURE | $170.38 | $368.00 | $106.72–$331.20 | — | 54% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG 71271 CT, THORAX, LOW DOSE FOR CA SCREENING, WO CONTRAST | $289.84 | $626.00 | $181.54–$563.40 | 35% below | 54% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG 71271 CT, THORAX, LOW DOSE FOR CA SCREENING, WO CONTRAST | $289.84 | $626.00 | $181.54–$563.40 | — | 54% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HCHG 73590 TIBIA+FIBULA L/R | $160.66 | $347.00 | $100.63–$312.30 | 25% below | 54% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HCHG 73590 TIBIA+FIBULA L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| MR angiography (MRA) of the head without contrast CPT 70544 HCHG 70544 MRA-HEAD W/O CONTRAST | $560.23 | $1,210.00 | $350.90–$1,089.00 | 75% below | 54% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HCHG 70544 MRA-HEAD W/O CONTRAST | $560.23 | $1,210.00 | $350.90–$1,089.00 | — | 54% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG 73721 MRI LOWER EXT;W/O CONTRAST | $614.40 | $1,327.00 | $384.83–$1,194.30 | 72% below | 54% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG 73721 MRI LOWER EXT;W/O CONTRAST | $614.40 | $1,327.00 | $384.83–$1,194.30 | — | 54% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG 73723 MRI LOWER EXT;W/O,W/CONT | $975.08 | $2,106.00 | $610.74–$1,895.40 | 71% below | 54% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG 73723 MRI LOWER EXT;W/O,W/CONT | $975.08 | $2,106.00 | $610.74–$1,895.40 | — | 54% |
| MRI of the abdomen without contrast CPT 74181 HCHG 74181 MRI-ABDOMEN W/O CONTRAST | $432.44 | $934.00 | $270.86–$840.60 | 80% below | 54% |
| MRI of the abdomen without contrast inpatient CPT 74181 HCHG 74181 MRI-ABDOMEN W/O CONTRAST | $432.44 | $934.00 | $270.86–$840.60 | — | 54% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG 74183 MRI-ABDOMEN WO & W/CONTRAST | $882.48 | $1,906.00 | $552.74–$1,715.40 | 74% below | 54% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG 74183 MRI-ABDOMEN WO & W/CONTRAST | $882.48 | $1,906.00 | $552.74–$1,715.40 | — | 54% |
| MRI of the brain, no contrast dye CPT 70551 HCHG 70551 MRI HEAD (3 SEQ) | $571.81 | $1,235.00 | $358.15–$1,111.50 | 74% below | 54% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG 70551 MRI HEAD (3 SEQ) | $571.81 | $1,235.00 | $358.15–$1,111.50 | — | 54% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG 70553 MRI HEAD W&WO CONTRAST | $882.48 | $1,906.00 | $552.74–$1,715.40 | 74% below | 54% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG 70553 MRI HEAD W&WO CONTRAST | $882.48 | $1,906.00 | $552.74–$1,715.40 | — | 54% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG 72148 MRI-LUMBAR SPINE W/O CONTRAST | $728.30 | $1,573.00 | $456.17–$1,415.70 | 67% below | 54% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG 72148 MRI-LUMBAR SPINE W/O CONTRAST | $728.30 | $1,573.00 | $456.17–$1,415.70 | — | 54% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HCHG 72158 MRI L-SPINE W&WO CONTRAST | $968.60 | $2,092.00 | $606.68–$1,882.80 | 72% below | 54% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG 72158 MRI L-SPINE W&WO CONTRAST | $968.60 | $2,092.00 | $606.68–$1,882.80 | — | 54% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG 72146 MRI-THORACIC SPINE W/O CONTRAS | $580.14 | $1,253.00 | $363.37–$1,127.70 | 74% below | 54% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG 72146 MRI-THORACIC SPINE W/O CONTRAS | $580.14 | $1,253.00 | $363.37–$1,127.70 | — | 54% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG 72156 MRI C-SPINE W&WO CONTRAST | $678.76 | $1,466.00 | $425.14–$1,319.40 | 80% below | 54% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG 72156 MRI C-SPINE W&WO CONTRAST | $678.76 | $1,466.00 | $425.14–$1,319.40 | — | 54% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG 72141 MRI-CERVICAL SPINE W/O CONTRAS | $556.06 | $1,201.00 | $348.29–$1,080.90 | 75% below | 54% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG 72141 MRI-CERVICAL SPINE W/O CONTRAS | $556.06 | $1,201.00 | $348.29–$1,080.90 | — | 54% |
| MRI of the pelvis without and with contrast CPT 72197 HCHG 72197 MRI-PELVIS WO & W/CONTRAST | $870.44 | $1,880.00 | $545.20–$1,692.00 | 75% below | 54% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG 72197 MRI-PELVIS WO & W/CONTRAST | $870.44 | $1,880.00 | $545.20–$1,692.00 | — | 54% |
| MRI of the pelvis, no contrast dye CPT 72195 HCHG 72195 MRI PELVIS W/O CONTRAST | $792.66 | $1,712.00 | $496.48–$1,540.80 | 64% below | 54% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG 72195 MRI PELVIS W/O CONTRAST | $792.66 | $1,712.00 | $496.48–$1,540.80 | — | 54% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HCHG 73221 MRI-UP EXTRM-JOINT W/O CONTRAS | $614.40 | $1,327.00 | $384.83–$1,194.30 | 72% below | 54% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HCHG 73221 MRI-UP EXTRM-JOINT W/O CONTRAS | $614.40 | $1,327.00 | $384.83–$1,194.30 | — | 54% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HCHG 72050 SPINE CERVICAL 4-5 VIEWS SPEC | $210.20 | $454.00 | $131.66–$408.60 | 35% below | 54% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HCHG 72050 SPINE CERVICAL 4-5 VIEWS SPEC | $210.20 | $454.00 | $131.66–$408.60 | — | 54% |
| Neck soft tissue CT scan with contrast CPT 70491 HCHG 70491 CT NECK SOFT TIS W/IV CONT | $394.94 | $853.00 | $247.37–$767.70 | 76% below | 54% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HCHG 70491 CT NECK SOFT TIS W/IV CONT | $394.94 | $853.00 | $247.37–$767.70 | — | 54% |
| Neck soft tissue CT scan without contrast CPT 70490 HCHG 70490 CT NECK SOFT TIS W/O IV CONT | $264.84 | $572.00 | $165.88–$514.80 | 81% below | 54% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HCHG 70490 CT NECK SOFT TIS W/O IV CONT | $264.84 | $572.00 | $165.88–$514.80 | — | 54% |
| Neck soft tissue X-ray CPT 70360 HCHG 70360 NECK SOFT TISSUE 1VW | $160.66 | $347.00 | $100.63–$312.30 | 23% below | 54% |
| Neck soft tissue X-ray inpatient CPT 70360 HCHG 70360 NECK SOFT TISSUE 1VW | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Pelvic CT scan without contrast CPT 72192 HCHG 72192 CT PELVIS W/O IV CONT | $269.00 | $581.00 | $168.49–$522.90 | 79% below | 54% |
| Pelvic CT scan without contrast inpatient CPT 72192 HCHG 72192 CT PELVIS W/O IV CONT | $269.00 | $581.00 | $168.49–$522.90 | — | 54% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG 76856 US PELVIS | $206.04 | $445.00 | $129.05–$400.50 | 61% below | 54% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG 76856 US PELVIS | $206.04 | $445.00 | $129.05–$400.50 | — | 54% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG 76805 US OB-AFTER 1ST TRIMESTER | $225.02 | $486.00 | $140.94–$437.40 | 61% below | 54% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG 76805 US OB-AFTER 1ST TRIMESTER | $225.02 | $486.00 | $140.94–$437.40 | — | 54% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG 76801 US OB <14WKS,SNGL FETUS | $194.00 | $419.00 | $121.51–$377.10 | 62% below | 54% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG 76801 US OB <14WKS,SNGL FETUS | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HCHG 71101 X/R-RIBS-W/PA CHEST-MIN 3 VIEW | $194.00 | $419.00 | $121.51–$377.10 | 30% below | 54% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HCHG 71101 X/R-RIBS-W/PA CHEST-MIN 3 VIEW | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HCHG 73030 SHOULDER 2VW L/R (ROUT) | $160.66 | $347.00 | $100.63–$312.30 | 32% below | 54% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HCHG 73030 SHOULDER 2VW L/R (ROUT) | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Skull X-ray, fewer than 4 views CPT 70250 HCHG 70250 SKULL; LESS THAN 4VW | $194.00 | $419.00 | $121.51–$377.10 | 21% below | 54% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG 70250 SKULL; LESS THAN 4VW | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG 95810 POLYSOMNOGRAPHY 6/+ YRS | $1,845.06 | $3,985.00 | $1,155.65–$3,586.50 | 46% below | 54% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG 95810 POLYSOMNOGRAPHY 6/+ YRS | $1,845.06 | $3,985.00 | $1,155.65–$3,586.50 | — | 54% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HCHG 73552 X/R FEMUR MINIMUM OF 2 VIEWS | $160.66 | $347.00 | $100.63–$312.30 | 35% below | 54% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG 73552 X/R FEMUR MINIMUM OF 2 VIEWS | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HCHG 72128 CT SPINE T W/O IV CONT | $300.49 | $649.00 | $188.21–$584.10 | 80% below | 54% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HCHG 72128 CT SPINE T W/O IV CONT | $300.49 | $649.00 | $188.21–$584.10 | — | 54% |
| Toe X-ray, 2 or more views CPT 73660 HCHG 73660 TOES SPECIFY L/R | $160.66 | $347.00 | $100.63–$312.30 | 20% below | 54% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HCHG 73660 TOES SPECIFY L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG 76830 US PELVIS TRANSVAG | $211.13 | $456.00 | $132.24–$410.40 | 55% below | 54% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG 76830 US PELVIS TRANSVAG | $211.13 | $456.00 | $132.24–$410.40 | — | 54% |
| Transvaginal ultrasound during pregnancy CPT 76817 HCHG 76817 US OB TRANSVAGINAL | $194.00 | $419.00 | $121.51–$377.10 | 51% below | 54% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG 76817 US OB TRANSVAGINAL | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG 76700 US ABDOMEN (SPCFY) | $228.72 | $494.00 | $143.26–$444.60 | 66% below | 54% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG 76700 US ABDOMEN (SPCFY) | $228.72 | $494.00 | $143.26–$444.60 | — | 54% |
| Ultrasound of the scrotum and testicles CPT 76870 HCHG 76870 US TESTICULAR | $198.63 | $429.00 | $124.41–$386.10 | 60% below | 54% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG 76870 US TESTICULAR | $198.63 | $429.00 | $124.41–$386.10 | — | 54% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG 76536 US SOFT TISSUES HEAD AND NECK | $214.37 | $463.00 | $134.27–$416.70 | 58% below | 54% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG 76536 US SOFT TISSUES HEAD AND NECK | $214.37 | $463.00 | $134.27–$416.70 | — | 54% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HCHG 73060 HUMERUS L/R | $160.66 | $347.00 | $100.63–$312.30 | 23% below | 54% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HCHG 73060 HUMERUS L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HCHG 93971 DUPLEX SCAN EXT VEINS UNI | $252.34 | $545.00 | $158.05–$490.50 | 65% below | 54% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HCHG 93971 DUPLEX SCAN EXT VEINS UNI | $252.34 | $545.00 | $158.05–$490.50 | — | 54% |
| Wrist X-ray, 2 views CPT 73100 HCHG 73100 WRIST 1-2 VIEWS | $160.66 | $347.00 | $100.63–$312.30 | 26% below | 54% |
| Wrist X-ray, 2 views inpatient CPT 73100 HCHG 73100 WRIST 1-2 VIEWS | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HCHG 73110 WRIST 3VWS ROUTINE L/R | $194.00 | $419.00 | $121.51–$377.10 | 24% below | 54% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HCHG 73110 WRIST 3VWS ROUTINE L/R | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HCHG 73502 X/R HIP, UNILATERAL, W/PELVIS WHEN PERFORMED, 2-3 VIE | $163.44 | $353.00 | $102.37–$317.70 | 44% below | 54% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG 73502 X/R HIP, UNILATERAL, W/PELVIS WHEN PERFORMED, 2-3 VIE | $163.44 | $353.00 | $102.37–$317.70 | — | 54% |
| X-ray of the abdomen, 1 view CPT 74018 HCHG 74018 RADIOLOGIC EXAM, ABDOMEN; 1 VIEW | $160.66 | $347.00 | $100.63–$312.30 | 24% below | 54% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG 74018 RADIOLOGIC EXAM, ABDOMEN; 1 VIEW | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG 73140 FINGER (SPCFY) L/R | $160.66 | $347.00 | $100.63–$312.30 | 34% below | 54% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG 73140 FINGER (SPCFY) L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HCHG 73630 FOOT 3V ROUTINE L/R | $160.66 | $347.00 | $100.63–$312.30 | 33% below | 54% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HCHG 73630 FOOT 3V ROUTINE L/R | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| X-ray of the hand, 3 or more views CPT 73130 HCHG 73130 HAND 3V ROUTINE L/R | $194.00 | $419.00 | $121.51–$377.10 | 17% below | 54% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HCHG 73130 HAND 3V ROUTINE L/R | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| X-ray of the knee, 1 or 2 views CPT 73560 HCHG 73560 KNEE 1-2 VIEWS SPEC | $160.66 | $347.00 | $100.63–$312.30 | 24% below | 54% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HCHG 73560 KNEE 1-2 VIEWS SPEC | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG 72100 SPINE LUMBAR (ROUT) 2-3VWS | $194.00 | $419.00 | $121.51–$377.10 | 33% below | 54% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG 72100 SPINE LUMBAR (ROUT) 2-3VWS | $194.00 | $419.00 | $121.51–$377.10 | — | 54% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) | $222.24 | $480.00 | $139.20–$432.00 | 40% below | 54% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) | $222.24 | $480.00 | $139.20–$432.00 | — | 54% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG 72070 SPINE DORSAL AP+LAT (2VW) | $157.42 | $340.00 | $98.60–$306.00 | 34% below | 54% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG 72070 SPINE DORSAL AP+LAT (2VW) | $157.42 | $340.00 | $98.60–$306.00 | — | 54% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HCHG 70160 NASAL BONES ROUTINE | $160.66 | $347.00 | $100.63–$312.30 | 34% below | 54% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG 70160 NASAL BONES ROUTINE | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG 72040 SPINE CERV AP+LAT 3 VWS | $160.66 | $347.00 | $100.63–$312.30 | 33% below | 54% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG 72040 SPINE CERV AP+LAT 3 VWS | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG 72170 PELVIS 1 OR 2 VIEWS | $192.61 | $416.00 | $120.64–$374.40 | 13% below | 54% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG 72170 PELVIS 1 OR 2 VIEWS | $192.61 | $416.00 | $120.64–$374.40 | — | 54% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG 72220 SACRUM & COCCYX | $160.66 | $347.00 | $100.63–$312.30 | 26% below | 54% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG 72220 SACRUM & COCCYX | $160.66 | $347.00 | $100.63–$312.30 | — | 54% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAM, LEVEL 4 | $128.25 | $277.00 | $80.33–$249.30 | 41% below | 54% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAM, LEVEL 4 | $128.25 | $277.00 | $80.33–$249.30 | — | 54% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $12.96 | $28.00 | $8.12–$25.20 | 12% below | 54% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $12.96 | $28.00 | $8.12–$25.20 | — | 54% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, SEROLOGIC; ABO | $187.98 | $406.00 | $117.74–$365.40 | 342% above | 54% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING, SEROLOGIC; ABO | $187.98 | $406.00 | $117.74–$365.40 | — | 54% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFECTIOUS AGENT ANTIGEN DETECTION; CHLAMYDIA ASSAY | $88.90 | $192.00 | $55.68–$172.80 | 38% below | 54% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFECTIOUS AGENT ANTIGEN DETECTION; CHLAMYDIA ASSAY | $88.90 | $192.00 | $55.68–$172.80 | — | 54% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $36.58 | $79.00 | $22.91–$71.10 | 54% below | 54% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $36.58 | $79.00 | $22.91–$71.10 | — | 54% |
| Mumps immunity blood test CPT 86735 ANTIBODY; MUMPS, SKIN TEST | $33.34 | $72.00 | $20.88–$64.80 | 61% below | 54% |
| Mumps immunity blood test inpatient CPT 86735 ANTIBODY; MUMPS, SKIN TEST | $33.34 | $72.00 | $20.88–$64.80 | — | 54% |
| Rh blood typing CPT 86901 BLOOD TYPING, SEROLOGIC; RH (D) | $55.10 | $119.00 | $34.51–$107.10 | 39% above | 54% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING, SEROLOGIC; RH (D) | $55.10 | $119.00 | $34.51–$107.10 | — | 54% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (VDRL) | $11.11 | $24.00 | $6.96–$21.60 | 72% below | 54% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (VDRL) | $11.11 | $24.00 | $6.96–$21.60 | — | 54% |
| Trichomonas test (NAAT) CPT 87661 INFECTIOUS AGENT ANTIGEN DETECTION; TRICHOMONAS VAGINALIS | $72.69 | $157.00 | $45.53–$141.30 | 47% below | 54% |
| Trichomonas test (NAAT) inpatient CPT 87661 INFECTIOUS AGENT ANTIGEN DETECTION; TRICHOMONAS VAGINALIS | $72.69 | $157.00 | $45.53–$141.30 | — | 54% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG 19081 BREAST BIOPSY W/PLC LOC DEVICE 1ST LESION | $2,860.88 | $6,179.00 | $1,791.91–$5,561.10 | 13% above | 54% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HCHG 19081 BREAST BIOPSY W/PLC LOC DEVICE 1ST LESION | $2,860.88 | $6,179.00 | $1,791.91–$5,561.10 | — | 54% |
| Colonoscopy with polyp removal CPT 45385 HCHG 45385P COLONOSCOPY W/REM POLYP,TUMOR,LESION-SNARE | $2,040.44 | $4,407.00 | $1,278.03–$3,966.30 | 17% below | 54% |
| Colonoscopy with polyp removal inpatient CPT 45385 HCHG 45385P COLONOSCOPY W/REM POLYP,TUMOR,LESION-SNARE | $2,040.44 | $4,407.00 | $1,278.03–$3,966.30 | — | 54% |
| Colonoscopy with tissue sample CPT 45380 HCHG 45380 COLONOSCOPY, FOR BIOPSY | $2,082.57 | $4,498.00 | $1,304.42–$4,048.20 | 2% above | 54% |
| Colonoscopy with tissue sample inpatient CPT 45380 HCHG 45380 COLONOSCOPY, FOR BIOPSY | $2,082.57 | $4,498.00 | $1,304.42–$4,048.20 | — | 54% |
| Colonoscopy, diagnostic CPT 45378 HCHG 45378P COLONOSCOPY; DIAGNOSTIC | $1,613.09 | $3,484.00 | $1,010.36–$3,135.60 | 7% below | 54% |
| Colonoscopy, diagnostic inpatient CPT 45378 HCHG 45378P COLONOSCOPY; DIAGNOSTIC | $1,613.09 | $3,484.00 | $1,010.36–$3,135.60 | — | 54% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HCHG 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LAVAGE UNILATERAL | $108.34 | $234.00 | $67.86–$210.60 | 17% above | 54% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HCHG 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LAVAGE UNILATERAL | $108.34 | $234.00 | $67.86–$210.60 | — | 54% |
| Earwax removal with instruments, one ear one side CPT 69210 HCHG 69210 REM IMPACTED CERUMEN, UNILATERAL | $108.34 | $234.00 | $67.86–$210.60 | 29% above | 54% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HCHG 69210 REM IMPACTED CERUMEN, UNILATERAL | $108.34 | $234.00 | $67.86–$210.60 | — | 54% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HCHG 10060 I&D ABSCESS SIMPLE | $353.27 | $763.00 | $221.27–$686.70 | 21% above | 54% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG 10060 I&D ABSCESS SIMPLE | $353.27 | $763.00 | $221.27–$686.70 | — | 54% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG 20610 ARTHROCENTESIS, ASP/INJ, LRG JNT | $435.68 | $941.00 | $272.89–$846.90 | at median | 54% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG 20610 ARTHROCENTESIS, ASP/INJ, LRG JNT | $435.68 | $941.00 | $272.89–$846.90 | — | 54% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HCHG 11440 EXCISION BENIGN LESION; <.5CM | $1,156.57 | $2,498.00 | $724.42–$2,248.20 | 125% above | 54% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HCHG 11440 EXCISION BENIGN LESION; <.5CM | $1,156.57 | $2,498.00 | $724.42–$2,248.20 | — | 54% |
| Nail removal (partial or complete), one nail CPT 11730 HCHG 11730 AVULSION NAIL PLATE | $353.27 | $763.00 | $221.27–$686.70 | 50% above | 54% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG 11730 AVULSION NAIL PLATE | $353.27 | $763.00 | $221.27–$686.70 | — | 54% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG 11750 REMOVAL NAIL BED PERMANENT | $658.39 | $1,422.00 | $412.38–$1,279.80 | 102% above | 54% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HCHG 11750 REMOVAL NAIL BED PERMANENT | $658.39 | $1,422.00 | $412.38–$1,279.80 | — | 54% |
| Removal of a foreign object under the skin, simple CPT 10120 HCHG 10120 INC&REMOVAL FB SIMPLE | $658.39 | $1,422.00 | $412.38–$1,279.80 | 96% above | 54% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG 10120 INC&REMOVAL FB SIMPLE | $658.39 | $1,422.00 | $412.38–$1,279.80 | — | 54% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HCHG G0121P COLORECTAL CANCER SCREENING; COLONOSCOPY (PT NOT MEE | $1,481.60 | $3,200.00 | $928.00–$2,880.00 | 23% below | 54% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HCHG G0121P COLORECTAL CANCER SCREENING; COLONOSCOPY (PT NOT MEE | $1,481.60 | $3,200.00 | $928.00–$2,880.00 | — | 54% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HCHG G0105P COLORECTAL CANCER SCREENING; COLONOSCOPY, HIGH RISK | $1,613.09 | $3,484.00 | $1,010.36–$3,135.60 | 15% below | 54% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HCHG G0105P COLORECTAL CANCER SCREENING; COLONOSCOPY, HIGH RISK | $1,613.09 | $3,484.00 | $1,010.36–$3,135.60 | — | 54% |
| Short arm splint (forearm and hand) CPT 29125 HCHG 29125 APPLY SHORT ARM SPLINT | $219.00 | $473.00 | $137.17–$425.70 | 25% above | 54% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HCHG 29125 APPLY SHORT ARM SPLINT | $219.00 | $473.00 | $137.17–$425.70 | — | 54% |
| Short leg cast (below the knee) CPT 29405 HCHG 29405 APPLY SHORT LEG CAST(KNEE-TOE) | $492.17 | $1,063.00 | $308.27–$956.70 | 109% above | 54% |
| Short leg cast (below the knee) inpatient CPT 29405 HCHG 29405 APPLY SHORT LEG CAST(KNEE-TOE) | $492.17 | $1,063.00 | $308.27–$956.70 | — | 54% |
| Short leg splint (calf to foot) CPT 29515 HCHG 29515 APPLY SHT LEG SPLT(CALF-FOOT) | $259.74 | $561.00 | $162.69–$504.90 | 25% above | 54% |
| Short leg splint (calf to foot) inpatient CPT 29515 HCHG 29515 APPLY SHT LEG SPLT(CALF-FOOT) | $259.74 | $561.00 | $162.69–$504.90 | — | 54% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HCHG 12001 SIMP LAC<2.6CM BDY/SCLP/HND/FT | $353.27 | $763.00 | $221.27–$686.70 | 9% above | 54% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HCHG 12001 SIMP LAC<2.6CM BDY/SCLP/HND/FT | $353.27 | $763.00 | $221.27–$686.70 | — | 54% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HCHG 12002 SIMPLE LACERATION 2.6-7.5 CM | $353.27 | $763.00 | $221.27–$686.70 | 75% above | 54% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HCHG 12002 SIMPLE LACERATION 2.6-7.5 CM | $353.27 | $763.00 | $221.27–$686.70 | — | 54% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HCHG 12011 SIMP LAC FACE/CHIN/EARS <2.5CM | $353.27 | $763.00 | $221.27–$686.70 | 14% above | 54% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HCHG 12011 SIMP LAC FACE/CHIN/EARS <2.5CM | $353.27 | $763.00 | $221.27–$686.70 | — | 54% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HCHG 43239P EGD W/BIOPSY, SGL OR MULT | $1,456.60 | $3,146.00 | $912.34–$2,831.40 | 8% below | 54% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG 43239P EGD W/BIOPSY, SGL OR MULT | $1,456.60 | $3,146.00 | $912.34–$2,831.40 | — | 54% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HCHG 43248 UPPER GI ENDO GUIDEWIRE | $1,599.67 | $3,455.00 | $1,001.95–$3,109.50 | 14% below | 54% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HCHG 43248 UPPER GI ENDO GUIDEWIRE | $1,599.67 | $3,455.00 | $1,001.95–$3,109.50 | — | 54% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG 43235 UPPER GI ENDOSCOPY DIAG | $1,599.67 | $3,455.00 | $1,001.95–$3,109.50 | 9% above | 54% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG 43235 UPPER GI ENDOSCOPY DIAG | $1,599.67 | $3,455.00 | $1,001.95–$3,109.50 | — | 54% |
| Wart removal, up to 14 warts CPT 17110 HCHG 17110 DEST BENIGN LESIONS, UP TO 14 | $353.27 | $763.00 | $221.27–$686.70 | 80% above | 54% |
| Wart removal, up to 14 warts inpatient CPT 17110 HCHG 17110 DEST BENIGN LESIONS, UP TO 14 | $353.27 | $763.00 | $221.27–$686.70 | — | 54% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG 11042 DEBRIDE SUBQ TISS 20 SQ CM/< | $658.39 | $1,422.00 | $412.38–$1,279.80 | 23% above | 54% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG 11042 DEBRIDE SUBQ TISS 20 SQ CM/< | $658.39 | $1,422.00 | $412.38–$1,279.80 | — | 54% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 3 PRODUCTS | $663.02 | $1,432.00 | $415.28–$1,288.80 | 14% above | 54% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 1 PRODUCT | $663.02 | $1,432.00 | $415.28–$1,288.80 | 14% above | 54% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 1 PRODUCT | $663.02 | $1,432.00 | $415.28–$1,288.80 | — | 54% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG 36430 TRANSFUSION BLOOD/PRODUCTS - 3 PRODUCTS | $663.02 | $1,432.00 | $415.28–$1,288.80 | — | 54% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG 94640 NON/PRESSURIZED INHALATION TRT | $217.15 | $469.00 | $136.01–$422.10 | 151% above | 54% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG 94640 NON/PRESSURIZED INHALATION TRT | $217.15 | $469.00 | $136.01–$422.10 | — | 54% |
| Chemotherapy IV infusion, first hour CPT 96413 HCHG 96413 CHEMO ADM IV INF TECH UPTO 1HR | $531.06 | $1,147.00 | $332.63–$1,032.30 | 5% below | 54% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG 96413 CHEMO ADM IV INF TECH UPTO 1HR | $531.06 | $1,147.00 | $332.63–$1,032.30 | — | 54% |
| Critical care, first 30 to 74 minutes CPT 99291 HCHG 99291 CRITICAL CARE 1ST 30-74 MIN | $1,263.99 | $2,730.00 | $791.70–$2,457.00 | 29% below | 54% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG 99291 CRITICAL CARE 1ST 30-74 MIN | $1,263.99 | $2,730.00 | $791.70–$2,457.00 | — | 54% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG 93005 ELECTROCARDIOGRAM, ROUTINE ECG, TRACING ONLY | $101.40 | $219.00 | $63.51–$197.10 | 31% below | 54% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG 93005 ELECTROCARDIOGRAM, ROUTINE ECG, TRACING ONLY | $101.40 | $219.00 | $63.51–$197.10 | — | 54% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG 99281 EMERGENCY SERVICE I | $134.27 | $290.00 | $84.10–$261.00 | 28% below | 54% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG 99281 EMERGENCY SERVICE I | $134.27 | $290.00 | $84.10–$261.00 | — | 54% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG 99282 EMERGENCY SERVICE II | $212.98 | $460.00 | $133.40–$414.00 | 34% below | 54% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG 99282 EMERGENCY SERVICE II | $212.98 | $460.00 | $133.40–$414.00 | — | 54% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG 99283 CRIME SUSPECT EXAMINATION | $385.22 | $832.00 | $241.28–$748.80 | 35% below | 54% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG 99283 EMERGENCY SERVICE III | $385.22 | $832.00 | $241.28–$748.80 | 35% below | 54% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG 99283 EMERGENCY SERVICE III | $385.22 | $832.00 | $241.28–$748.80 | — | 54% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG 99283 CRIME SUSPECT EXAMINATION | $385.22 | $832.00 | $241.28–$748.80 | — | 54% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG 99284 EMERGENCY SERVICE IV | $618.57 | $1,336.00 | $387.44–$1,202.40 | 33% below | 54% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG 99284 EMERGENCY SERVICE IV | $618.57 | $1,336.00 | $387.44–$1,202.40 | — | 54% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG 99285 EMERGENCY SERVICE V | $921.83 | $1,991.00 | $577.39–$1,791.90 | 37% below | 54% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG 99285 EMERGENCY SERVICE V | $921.83 | $1,991.00 | $577.39–$1,791.90 | — | 54% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, 50 MIN | $251.87 | $544.00 | $157.76–$489.60 | 33% above | 54% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, 50 MIN | $251.87 | $544.00 | $157.76–$489.60 | — | 54% |
| Family therapy without the patient, 50 minutes CPT 90846 HCHG 90846 FAM PSYCHOTHERAPY W/O PATIENT, 50 MIN | $251.87 | $544.00 | $157.76–$489.60 | 38% above | 54% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HCHG 90846 FAM PSYCHOTHERAPY W/O PATIENT, 50 MIN | $251.87 | $544.00 | $157.76–$489.60 | — | 54% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG 96360 IV INF HYD;INIT UPTO 1HR | $301.88 | $652.00 | $189.08–$586.80 | 6% above | 54% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG 96360 IV INF HYD;INIT UPTO 1HR | $301.88 | $652.00 | $189.08–$586.80 | — | 54% |
| IV infusion of a medicine, first hour CPT 96365 HCHG 96365 IV INF THER;UP TO 1 HR | $302.34 | $653.00 | $189.37–$587.70 | 5% below | 54% |
| IV infusion of a medicine, first hour CPT 96365 HCHG INPT IV INF THER;1ST HR | $302.34 | $653.00 | $189.37–$587.70 | 5% below | 54% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HCHG 96365 IV INF THER;UP TO 1 HR | $302.34 | $653.00 | $189.37–$587.70 | — | 54% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HCHG INPT IV INF THER;1ST HR | $302.34 | $653.00 | $189.37–$587.70 | — | 54% |
| IV push of a medicine, first drug CPT 96374 HCHG 96374 INJ;IV PUSH SNGL/INIT | $301.88 | $652.00 | $189.08–$586.80 | 83% above | 54% |
| IV push of a medicine, first drug inpatient CPT 96374 HCHG 96374 INJ;IV PUSH SNGL/INIT | $301.88 | $652.00 | $189.08–$586.80 | — | 54% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG 96372 INJ;SUBCUT/INTRAMUSC | $83.80 | $181.00 | $52.49–$162.90 | 4% above | 54% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG 96372 INJ;SUBCUT/INTRAMUSC | $83.80 | $181.00 | $52.49–$162.90 | — | 54% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HCHG 95910 NERVE CONDUCTION STUDIES; 7-8 | $553.75 | $1,196.00 | $346.84–$1,076.40 | 42% below | 54% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HCHG 95910 NERVE CONDUCTION STUDIES; 7-8 | $553.75 | $1,196.00 | $346.84–$1,076.40 | — | 54% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG 97112 NEUROMUSCULAR RE-ED | $44.45 | $96.00 | $27.84–$86.40 | — | 54% |
| New patient office visit, about 30 minutes CPT 99203 HCHG 99203 OFFICE OUTPATIENT NEW 30 MINUTES | $178.72 | $386.00 | $111.94–$347.40 | 10% below | 54% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHG 99203 OFFICE OUTPATIENT NEW 30 MINUTES | $178.72 | $386.00 | $111.94–$347.40 | — | 54% |
| New patient office visit, about 45 minutes CPT 99204 HCHG 99204 OFFICE OUTPATIENT NEW 45 MINUTES | $185.20 | $400.00 | $116.00–$360.00 | 17% below | 54% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG 99204 OFFICE OUTPATIENT NEW 45 MINUTES | $185.20 | $400.00 | $116.00–$360.00 | — | 54% |
| New patient office visit, about 60 minutes CPT 99205 HCHG 99205 OFFICE OUTPATIENT NEW 60 MINUTES | $209.28 | $452.00 | $131.08–$406.80 | 31% below | 54% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 OFFICE OUTPATIENT NEW 60 MINUTES | $209.28 | $452.00 | $131.08–$406.80 | — | 54% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG 99202 OFFICE OUTPATIENT NEW 20 MINUTES | $129.64 | $280.00 | $81.20–$252.00 | 1% below | 54% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG 99202 OFFICE OUTPATIENT NEW 20 MINUTES | $129.64 | $280.00 | $81.20–$252.00 | — | 54% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG 97165 OT EVALUATION, LOW COMPLEXITY | $127.79 | $276.00 | $80.04–$248.40 | — | 54% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HCHG 97163 PT EVALUATION, HIGH COMPLEXITY | $178.26 | $385.00 | $111.65–$346.50 | — | 54% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG 97161 PT EVAL-BRIEF | $127.79 | $276.00 | $80.04–$248.40 | — | 54% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG 97162 PT EVALUATION, MODERATE COMPLEXITY | $150.48 | $325.00 | $94.25–$292.50 | — | 54% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG 97140 MANUAL THERAPY(SOFT TISS) 15MIN | $37.97 | $82.00 | $23.78–$73.80 | — | 54% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG 97110 THERAPUTIC PROCEDURE, EACH 15 MIN; THERAPUTIC EXERCIS | $47.69 | $103.00 | $29.87–$92.70 | — | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN MNTL | $248.17 | $536.00 | $155.44–$482.40 | 133% above | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN MNTL | $248.17 | $536.00 | $155.44–$482.40 | — | 54% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG 99215 OFFICE OUTPATIENT VISIT 40 MIN MET/EXCEEDED | $185.20 | $400.00 | $116.00–$360.00 | 37% below | 54% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG 99215 OFFICE OUTPATIENT VISIT 40 MIN MET/EXCEEDED | $185.20 | $400.00 | $116.00–$360.00 | — | 54% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG 99213 OFFICE OUTPATIENT VISIT 20 MIN MET/EXCEEDED | $133.81 | $289.00 | $83.81–$260.10 | 19% below | 54% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG 99213 OFFICE OUTPATIENT VISIT 20 MIN MET/EXCEEDED | $133.81 | $289.00 | $83.81–$260.10 | — | 54% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG 99214 OFFICE OUTPATIENT VISIT 30 MIN MET/EXCEEDED | $167.14 | $361.00 | $104.69–$324.90 | 10% below | 54% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG 99214 OFFICE OUTPATIENT VISIT 30 MIN MET/EXCEEDED | $167.14 | $361.00 | $104.69–$324.90 | — | 54% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG 99212 OFFICE OUTPATIENT VISIT 10 MIN MET/EXCEEDED | $129.64 | $280.00 | $81.20–$252.00 | 34% above | 54% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG 99212 OFFICE OUTPATIENT VISIT 10 MIN MET/EXCEEDED | $129.64 | $280.00 | $81.20–$252.00 | — | 54% |
| Speech and language evaluation inpatient CPT 92523 HCHG 92523 EVAL SPEECH SOUND PROD W/EVAL LANG COMP | $329.19 | $711.00 | $206.19–$639.90 | — | 54% |
| Speech therapy session, individual inpatient CPT 92507 HCHG 92507 SPEECH LANGUAGE THERAPY, INDIVIDUAL | $113.44 | $245.00 | $71.05–$220.50 | — | 54% |
| Spirometry (breathing test) CPT 94010 HCHG 94010 SPIROMETRY-COMPLETE W REPORT | $223.17 | $482.00 | $139.78–$433.80 | 20% below | 54% |
| Spirometry (breathing test) inpatient CPT 94010 HCHG 94010 SPIROMETRY-COMPLETE W REPORT | $223.17 | $482.00 | $139.78–$433.80 | — | 54% |
| Spirometry before and after a bronchodilator CPT 94060 HCHG 94060 BRONCHODILATION RESPONSIVENESS | $529.67 | $1,144.00 | $331.76–$1,029.60 | 9% above | 54% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG 94060 BRONCHODILATION RESPONSIVENESS | $529.67 | $1,144.00 | $331.76–$1,029.60 | — | 54% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG 97530 THERAP FUNCT ACTIV 15MIN | $49.08 | $106.00 | $30.74–$95.40 | — | 54% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG 99195 PHLEBOTOMY-THERAPUTIC | $181.50 | $392.00 | $113.68–$352.80 | 9% below | 54% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG 99195 PHLEBOTOMY-THERAPUTIC | $181.50 | $392.00 | $113.68–$352.80 | — | 54% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Hepatitis A vaccine, adult dose CPT 90632 HCHG 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR IM USE | $67.24 | $145.22 | $42.11–$130.70 | 49% below | 54% |
| Hepatitis A vaccine, adult dose CPT 90632 HCHG 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR IM USE | $67.24 | $145.22 | $42.11–$130.70 | 49% below | 54% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HCHG 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR IM USE | $67.24 | $145.22 | $42.11–$130.70 | — | 54% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HCHG 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR IM USE | $67.24 | $145.22 | $42.11–$130.70 | — | 54% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20 MCG/ML INJECT SUSY | $47.74 | $103.10 | $29.90–$92.79 | 59% below | 54% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20 MCG/ML INJECT SUSY | $47.74 | $103.10 | $29.90–$92.79 | 59% below | 54% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20 MCG/ML INJECT SUSY | $47.74 | $103.10 | $29.90–$92.79 | — | 54% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20 MCG/ML INJECT SUSY | $47.74 | $103.10 | $29.90–$92.79 | — | 54% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 20 MCG/ML INJECT SUSY | $37.41 | $80.80 | $23.43–$72.72 | 33% below | 54% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 20 MCG/ML INJECT SUSY | $37.41 | $80.80 | $23.43–$72.72 | 33% below | 54% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 20 MCG/ML INJECT SUSY | $37.41 | $80.80 | $23.43–$72.72 | — | 54% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 20 MCG/ML INJECT SUSY | $37.41 | $80.80 | $23.43–$72.72 | — | 54% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HCHG 90670 PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FO | $213.98 | $462.16 | $134.03–$415.94 | 27% below | 54% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HCHG 90670 PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FO | $213.98 | $462.16 | $134.03–$415.94 | 27% below | 54% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HCHG 90670 PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FO | $213.98 | $462.16 | $134.03–$415.94 | — | 54% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HCHG 90670 PNEUMOCOCCAL CONJUGATE VACCINE, 13 VALENT (PCV13), FO | $213.98 | $462.16 | $134.03–$415.94 | — | 54% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HCHG 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV23) >2YRS | $102.57 | $221.54 | $64.25–$199.39 | 27% below | 54% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HCHG 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV23) >2YRS | $102.57 | $221.54 | $64.25–$199.39 | 27% below | 54% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HCHG 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV23) >2YRS | $102.57 | $221.54 | $64.25–$199.39 | — | 54% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HCHG 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV23) >2YRS | $102.57 | $221.54 | $64.25–$199.39 | — | 54% |
| Rabies vaccine, one dose CPT 90675 RABAVERT MUSCLE SUSR | $348.34 | $752.35 | $218.18–$677.12 | 40% below | 54% |
| Rabies vaccine, one dose CPT 90675 RABAVERT MUSCLE SUSR | $348.34 | $752.35 | $218.18–$677.12 | 40% below | 54% |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT MUSCLE SUSR | $348.34 | $752.35 | $218.18–$677.12 | — | 54% |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT MUSCLE SUSR | $348.34 | $752.35 | $218.18–$677.12 | — | 54% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 5-2 LFU MUSCLE INJ | $36.46 | $78.75 | $22.84–$70.88 | 12% below | 54% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 5-2 LFU MUSCLE INJ | $36.46 | $78.75 | $22.84–$70.88 | 12% below | 54% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC 5-2 LFU MUSCLE INJ | $36.46 | $78.75 | $22.84–$70.88 | — | 54% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC 5-2 LFU MUSCLE INJ | $36.46 | $78.75 | $22.84–$70.88 | — | 54% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSP | $39.63 | $85.60 | $24.82–$77.04 | 51% below | 54% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSP | $39.63 | $85.60 | $24.82–$77.04 | 51% below | 54% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HCHG 90715 TDAP VACCINE (ADECEL/BOOSTRIX) > 7YRS, FOR IM USE | $52.51 | $113.42 | $32.89–$102.08 | 36% below | 54% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HCHG 90715 TDAP VACCINE (ADECEL/BOOSTRIX) > 7YRS, FOR IM USE | $52.51 | $113.42 | $32.89–$102.08 | 36% below | 54% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSP | $39.63 | $85.60 | $24.82–$77.04 | — | 54% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 MUSCLE SUSP | $39.63 | $85.60 | $24.82–$77.04 | — | 54% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HCHG 90715 TDAP VACCINE (ADECEL/BOOSTRIX) > 7YRS, FOR IM USE | $52.51 | $113.42 | $32.89–$102.08 | — | 54% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HCHG 90715 TDAP VACCINE (ADECEL/BOOSTRIX) > 7YRS, FOR IM USE | $52.51 | $113.42 | $32.89–$102.08 | — | 54% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG 90471/G0008 ADMIN FLU VACCINE | $45.37 | $98.00 | $28.42–$88.20 | 17% above | 54% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG 90471 IMMUNIZATION ADMIN | $81.03 | $175.00 | $50.75–$157.50 | 109% above | 54% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG 90471/G0008 ADMIN FLU VACCINE | $45.37 | $98.00 | $28.42–$88.20 | — | 54% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG 90471 IMMUNIZATION ADMIN | $81.03 | $175.00 | $50.75–$157.50 | — | 54% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG 90472 IMMUN ADMIN EA ADDL | $21.30 | $46.00 | $13.34–$41.40 | 34% below | 54% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG 90472 IMMUN ADMIN EA ADDL | $21.30 | $46.00 | $13.34–$41.40 | — | 54% |
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.
Source file: https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/bellin-oconto