Hospital Appleton, WI

Thedacare Regional Medical Center-Appleton Inc.

Thedacare Regional Medical Center-Appleton Inc. in Appleton, WI publishes cash prices for 71 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

2400 E Capitol Drive, Appleton, WI 54911-8728 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST $1,531.43 $2,734.70 44%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN&PELVIS W/CONTRAST $2,072.00 $3,700.00 44%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen&Pelvis W/Contrast $2,300.20 $4,107.50 44%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head W/O Contrast (70450) $936.77 $1,672.80 44%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST (70450) $955.53 $1,706.30 44%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast $1,002.18 $1,789.60 44%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST $1,022.22 $1,825.40 44%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Diagnostic Mammography Computer-Aided Detcj Bi $308.00 $550.00 44%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $314.16 $561.00 44%
Diagnostic mammogram, one breast CPT 77065 HC Diagnostic Mammography Computer-Aided Detcj Uni $308.00 $550.00 44%
Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $314.16 $561.00 44%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI, JOINT OF LEG $1,015.17 $1,812.80 44%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI, Joint of Leg $1,889.50 $3,374.10 44%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI, JOINT OF LEG $2,251.03 $4,019.70 44%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lwr Extre Joint W/O&W Dye $3,069.70 $5,481.60 44%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LWR EXTRE JOINT W/O&W DYE $3,530.13 $6,303.80 44%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain $1,531.94 $2,735.60 44%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN $1,685.04 $3,009.00 44%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain WO and W Contrast $1,818.15 $3,246.70 44%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO AND W CONTRAST $2,363.59 $4,220.70 44%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine WO Contrast $1,472.30 $2,629.10 44%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST $1,913.97 $3,417.80 44%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >14 Weeks, Single Fetus $488.15 $871.70 44%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >14 WEEKS, SINGLE FETUS $502.82 $897.90 44%
Screening mammogram, both breasts both sides CPT 77067 HC Screening Mammography Bi 2-View Breast Inc Cad $307.16 $548.50 44%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $322.00 $575.00 44%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY-PSG $2,258.03 $4,032.20 44%
Sleep study in a lab (polysomnography) CPT 95810 HC Sleep Study-Psg $2,457.67 $4,388.70 44%
Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY-PSG $2,752.57 $4,915.30 44%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal $341.94 $610.60 44%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL $352.18 $628.90 44%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $580.27 $1,036.20 44%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete $552.22 $986.10 44%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE $568.79 $1,015.70 44%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY LUMBAR SPINE 4 VW $227.47 $406.20 44%
X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4 Vw $236.49 $422.30 44%
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW $307.44 $549.00 44%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $34.50 $61.60 44%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $54.60 $97.50 44%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CT W/DIFF $31.81 $56.80 44%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CT W/MANUAL DIFF $26.38 $47.10 44%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CT NO DIFF $26.38 $47.10 44%
Comprehensive metabolic panel (blood test) CPT 80053 PANEL, COMPREHENSIVE METABOLIC $43.06 $76.90 44%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $44.41 $79.30 44%
Liver function blood test panel CPT 80076 LIVER PANEL $33.60 $60.00 44%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN, FREE $74.98 $133.90 44%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN $74.98 $133.90 44%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN, TOTAL $74.98 $133.90 44%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPC AG, SYMPTOMATIC $74.98 $133.90 44%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME $24.47 $43.70 44%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $12.26 $21.90 44%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE $68.49 $122.30 44%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) $68.49 $122.30 44%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS,AUTO,W/MICRO $10.19 $18.20 44%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS,NONAUTO,W/MICRO $10.19 $18.20 44%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, DIP ONLY, AUTO $7.00 $12.50 44%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, DIP ONLY, NONAUTO $8.01 $14.30 44%

Surgery and procedures

ProcedureCash price List priceOff list
Cataract surgery with lens implant CPT 66984 HC Remv Cataract Extracap,Insert $4,048.18 $7,228.90 44%
Cataract surgery with lens implant CPT 66984 HC REMV CATARACT EXTRACAP,INSERT $4,169.65 $7,445.80 44%
Cesarean delivery, including prenatal and postpartum care CPT 59510 FULL ROUT OBSTE CARE,CESAREAN DELIV $5,437.94 $9,710.60 44%
Colonoscopy with endoscopic ultrasound CPT 45391 HC Colonoscopy W/Endoscope US $2,369.02 $4,230.40 44%
Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY W/ENDOSCOPE US $2,440.09 $4,357.30 44%
Colonoscopy with polyp removal CPT 45385 HC Prof Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $1,584.13 $2,828.80 44%
Colonoscopy with polyp removal CPT 45385 HC PROF COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $1,622.15 $2,896.70 44%
Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $1,928.58 $3,443.90 44%
Colonoscopy with polyp removal CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $1,986.43 $3,547.20 44%
Colonoscopy with polyp removal CPT 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $2,986.70 $5,333.40 44%
Colonoscopy with tissue sample CPT 45380 HC Prof Colonoscopy W/Biopsy Single/Multiple $1,250.98 $2,233.90 44%
Colonoscopy with tissue sample CPT 45380 HC PROF COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $1,281.00 $2,287.50 44%
Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple $1,928.58 $3,443.90 44%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $1,986.43 $3,547.20 44%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $2,864.96 $5,116.00 44%
Colonoscopy, diagnostic CPT 45378 HC Prof Colonoscopy Flx Dx W/Collj Spec When Pfrmd $1,148.84 $2,051.50 44%
Colonoscopy, diagnostic CPT 45378 HC PROF COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,176.39 $2,100.70 44%
Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd $1,741.38 $3,109.60 44%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,793.62 $3,202.90 44%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $2,233.11 $3,987.70 44%
Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY LAPAROSCOPIC $4,119.81 $7,356.80 44%
Gallbladder removal, laparoscopic CPT 47562 HC Cholecystectomy Laparoscopic $8,873.59 $15,845.70 44%
Gallbladder removal, laparoscopic CPT 47562 HC CHOLECYSTECTOMY LAPAROSCOPIC $9,139.82 $16,321.10 44%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR ING HERNIA,5+Y/O,REDUCIBL $3,280.87 $5,858.70 44%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC Repair Ing Hernia,5+Y/O,Reducibl $5,579.56 $9,963.50 44%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC REPAIR ING HERNIA,5+Y/O,REDUCIBL $5,746.94 $10,262.40 44%
Knee arthroscopy with meniscus trim CPT 29881 MENISCECTOMY MEDIAL OR LATERAL $2,696.23 $4,814.70 44%
Knee arthroscopy with meniscus trim CPT 29881 HC Meniscectomy Medial or Lateral $4,966.42 $8,868.60 44%
Knee arthroscopy with meniscus trim CPT 29881 HC MENISCECTOMY MEDIAL OR LATERAL $5,115.43 $9,134.70 44%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH INCLUDES LVG (93452) $4,158.56 $7,426.00 44%
Left heart catheterization, diagnostic one side CPT 93452 HC Left Hrt Cath Includes Lvg (93452) $4,158.56 $7,426.00 44%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,147.44 $2,049.00 44%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN (62323) $1,181.88 $2,110.50 44%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN (62323) $1,317.23 $2,352.20 44%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $700.34 $1,250.60 44%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn $923.94 $1,649.90 44%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $1,201.14 $2,144.90 44%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC Lumbar Nerve Block Bilateral (64483.02) $1,507.74 $2,692.40 44%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC LUMBAR NERVE BLOCK BILATERAL (64483.02) $1,552.99 $2,773.20 44%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL INJECTION LUMBAR OR SACRAL 1 LEVEL (64483) $1,253.34 $2,238.10 44%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Transforaminal Injection Lumbar or Sacral 1 Level (64483) $1,507.74 $2,692.40 44%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC TRANSFORAMINAL INJECTION LUMBAR OR SACRAL 1 LEVEL (64483) $1,552.99 $2,773.20 44%
Prostate biopsy CPT 55700 HC Biopsy of Prostate,Needle/Punch $2,702.22 $4,825.40 44%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING $6,062.39 $10,825.70 44%
Prostate removal (prostatectomy), laparoscopic CPT 55866 HC Laparo Radical Prostatectomy $8,723.46 $15,577.60 44%
Prostate removal (prostatectomy), laparoscopic CPT 55866 HC LAPARO RADICAL PROSTATECTOMY $8,985.14 $16,044.90 44%
Removal of a breast lump, open surgery CPT 19120 EXCISE BREAST LESION $1,794.80 $3,205.00 44%
Removal of a breast lump, open surgery CPT 19120 HC Excise Breast Lesion $4,935.78 $8,813.90 44%
Removal of a breast lump, open surgery CPT 19120 HC EXCISE BREAST LESION $5,083.85 $9,078.30 44%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHLDR ARTHROSCOP,PART ACROMIOPLAS $1,817.98 $3,246.40 44%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC Shldr Arthroscop,Part Acromioplas $2,186.35 $3,904.20 44%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC SHLDR ARTHROSCOP,PART ACROMIOPLAS $2,251.93 $4,021.30 44%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS/ADENOIDS,<12 Y/O $1,902.26 $3,396.90 44%
Tonsil and adenoid removal, child under 12 CPT 42820 HC Remove Tonsils/Adenoids,<12 Y/O $6,232.80 $11,130.00 44%
Tonsil and adenoid removal, child under 12 CPT 42820 HC REMOVE TONSILS/ADENOIDS,<12 Y/O $6,419.78 $11,463.90 44%
Total hip replacement CPT 27130 HC Total Hip Replacement $3,621.58 $6,467.10 44%
Total hip replacement CPT 27130 HC TOTAL HIP REPLACEMENT $4,707.92 $8,407.00 44%
Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT $6,281.30 $11,216.60 44%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT $6,275.53 $11,206.30 44%
Total knee replacement CPT 27447 HC Total Knee Replacement $8,384.94 $14,973.10 44%
Total knee replacement CPT 27447 HC TOTAL KNEE REPLACEMENT $8,636.49 $15,422.30 44%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Prof Upper GI Endoscopy,Biopsy $863.52 $1,542.00 44%
Upper endoscopy (EGD) with biopsy CPT 43239 HC PROF UPPER GI ENDOSCOPY,BIOPSY $869.51 $1,552.70 44%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Upper GI Endoscopy,Biopsy $1,467.98 $2,621.40 44%
Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDOSCOPY,BIOPSY $1,514.24 $2,704.00 44%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY,BIOPSY $2,496.98 $4,458.90 44%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Prof Upper GI Endoscopy,Diagnosis $764.96 $1,366.00 44%
Upper endoscopy (EGD), diagnostic CPT 43235 HC PROF UPPER GI ENDOSCOPY,DIAGNOSIS $783.33 $1,398.80 44%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Upper GI Endoscopy,Diagnosis $1,467.98 $2,621.40 44%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY,DIAGNOSIS $1,514.24 $2,704.00 44%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS $1,904.28 $3,400.50 44%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 ROUT OB CARE,VAG DELIV,PREV C-SEC $5,143.88 $9,185.50 44%
Vaginal delivery, including prenatal and postpartum care CPT 59400 FULL ROUT OBSTE CARE,VAGINAL DELIV $4,964.51 $8,865.20 44%

Doctor visits and therapy

ProcedureCash price List priceOff list
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM, COMPLETE $53.03 $94.70 44%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC Ekg-Electrocardiogram, Global $162.57 $290.30 44%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG-ELECTROCARDIOGRAM, GLOBAL $172.31 $307.70 44%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Mtg W Pt Present $148.85 $265.80 44%
Family therapy with the patient, 50 minutes CPT 90847 HC Iop Family Mtg W Pt Present $148.85 $265.80 44%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Visit Lvl 2 $148.85 $265.80 44%
Family therapy with the patient, 50 minutes CPT 90847 HC IOP FAMILY MTG W PT PRESENT $193.48 $345.50 44%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY MTG W PT PRESENT $193.48 $345.50 44%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY VISIT LVL 2 $193.48 $345.50 44%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY VISIT LEVEL 1 $209.38 $373.90 44%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $220.98 $394.60 44%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Mtg W/O Pt Present $168.62 $301.10 44%
Family therapy without the patient, 50 minutes CPT 90846 HC Iop Family Psychotherapy W/O Pat 50 Min $168.62 $301.10 44%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY MTG W/O PT PRESENT $175.28 $313.00 44%
Family therapy without the patient, 50 minutes CPT 90846 HC IOP FAMILY PSYCHOTHERAPY W/O PAT 50 MIN $175.28 $313.00 44%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY-NO PT $200.70 $358.40 44%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $212.58 $379.60 44%
Group psychotherapy session CPT 90853 HC Group Therapy Level 2 Hr $136.19 $243.20 44%
Group psychotherapy session CPT 90853 HC Group Psychotherapy $136.19 $243.20 44%
Group psychotherapy session CPT 90853 GROUP THERAPY W/MOD (1 HR) $141.62 $252.90 44%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY $141.62 $252.90 44%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY $141.68 $253.00 44%
Group psychotherapy session CPT 90853 HC IOP GROUP PSYCHOTHERAPY $141.68 $253.00 44%
New patient office visit, about 30 minutes CPT 99203 HC NEW PT LEVEL 3 $168.62 $301.10 44%
New patient office visit, about 30 minutes CPT 99203 HC New Pt Level 3 $168.62 $301.10 44%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $228.48 $408.00 44%
New patient office visit, about 45 minutes CPT 99204 HC NEW PT LEVEL 4 $175.56 $313.50 44%
New patient office visit, about 45 minutes CPT 99204 HC New Pt Level 4 $175.56 $313.50 44%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $340.82 $608.60 44%
New patient office visit, about 60 minutes CPT 99205 HC New Pt Level 5 $304.53 $543.80 44%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT LEVEL 5 $304.53 $543.80 44%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $449.74 $803.10 44%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 LAT THERAPUTIC EXERCISE W/MOD 15 MIN(747) $115.98 $207.10 44%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 LAT THERAPUTIC EXERCISE $115.98 $207.10 44%
Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VISIT,NEW,18-39 $251.44 $449.00 44%
Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE VISIT,NEW,40-64 $290.98 $519.60 44%
Psychotherapy session, 30 minutes CPT 90832 HC Php Individual Psychotherapy Lvl 1 $109.09 $194.80 44%
Psychotherapy session, 30 minutes CPT 90832 HC Individual Psychotherapy Lvl 1 $109.09 $194.80 44%
Psychotherapy session, 30 minutes CPT 90832 HC Psych Therapy 30 Min W/Pt &/or Family $109.09 $194.80 44%
Psychotherapy session, 30 minutes CPT 90832 HC PHP INDIVIDUAL PSYCHOTHERAPY LVL 1 $113.51 $202.70 44%
Psychotherapy session, 30 minutes CPT 90832 HC INDIVIDUAL PSYCHOTHERAPY LVL 1 $113.51 $202.70 44%
Psychotherapy session, 30 minutes CPT 90832 HC IOP INDIVIDUAL PSYCHOTHERAPY LVL 1 $113.51 $202.70 44%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES $158.70 $283.40 44%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES $209.61 $374.30 44%
Psychotherapy session, 45 minutes CPT 90834 HC Individual Psychotherapy Lvl 2 $215.21 $384.30 44%
Psychotherapy session, 45 minutes CPT 90834 HC Psych Therapy 45 Min W/Pt &/or Family $215.21 $384.30 44%
Psychotherapy session, 45 minutes CPT 90834 HC Php Individual Psychotherapy Lvl 2 $215.21 $384.30 44%
Psychotherapy session, 45 minutes CPT 90834 HC PHP INDIVIDUAL PSYCHOTHERAPY LVL 2 $259.50 $463.40 44%
Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL PSYCHOTHERAPY LVL 2 $259.50 $463.40 44%
Psychotherapy session, 45 minutes CPT 90834 HC IOP INDIVIDUAL PSYCHOTHERAPY LVL 2 $259.50 $463.40 44%
Psychotherapy session, 60 minutes CPT 90837 HC Psych Therapy 60 Min W/Pt &/or Family $214.93 $383.80 44%
Psychotherapy session, 60 minutes CPT 90837 HC Php Psych Therapy 60 Min W/Pt &/or Family $214.93 $383.80 44%
Psychotherapy session, 60 minutes CPT 90837 HC PHP PSYCH THERAPY 60 MIN W/PT &/OR FAMILY $259.50 $463.40 44%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCH THERAPY 60 MIN W/PT &/OR FAMILY $259.50 $463.40 44%
Psychotherapy session, 60 minutes CPT 90837 HC IOP PSYCH THERAPY 60 MIN W/PT &/OR FAMILY $259.50 $463.40 44%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES $308.78 $551.40 44%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION,LEVEL III $250.43 $447.20 44%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION,LEVEL IV $350.56 $626.00 44%

Source file: https://hospitalpricetransparencyfiles.com/thedacare-regional-medical-center-appleton-inc/390824015_ThedaCare-Regional-Medical-Center-Appleton-Inc-dba-OSP_standardcharges.csv