Wisconsin · 1,500 published self-pay prices, from $1.30 to $6,663.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 1,500 published items.
| Item | Cash price | Setting |
|---|---|---|
| 3D breast mammography of 1 breast | $13.65 | Outpatient |
| 3D breast mammography of both breasts | $27.30 | Outpatient |
| 5% DEXTROSE IN LACTATED RINGERS INFUSION, UP TO 1000 CC | $39.00 | Outpatient |
| 5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT) | $19.50 | Outpatient |
| Activated protein resistance assay | $110 | Outpatient |
| Acute hepatitis panel | $224 | Outpatient |
| ADH (antidiuretic hormone) level | $139 | Outpatient |
| Administration of vaccine | $27.30 | Outpatient |
| Adrenocorticotropic hormone (ACTH) level | $113 | Outpatient |
| Albumin (protein) level | $16.95 | Outpatient |
| Alcohols levels, 1 or 2 | $216 | Outpatient |
| Aldolase (enzyme) level | $39.65 | Outpatient |
| Aldosterone hormone level | $144 | Outpatient |
| Alkaloids levels | $181 | Outpatient |
| Alpha-1-antitrypsin (protein) blood test, phenotype | $48.10 | Outpatient |
| Alpha-1-antitrypsin (protein) blood test, total | $49.49 | Outpatient |
| Alpha-fetoprotein (AFP) level, serum | $69.82 | Outpatient |
| Ammonia level | $61.86 | Outpatient |
| AMOX-CLAV 500-125 MG TABLET | $1.30 | Outpatient |
| Amphetamines levels, 1 or 2 | $138 | Outpatient |
| Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen | $150 | Outpatient |
| Amplifed nucleic acid probe typing of disease agent in blood culture specimen | $716 | Outpatient |
| Amputation of foot across instep | $1,717 | Outpatient |
| Amputation of toe and midfoot bone | $907 | Outpatient |
| Amputation of toe at joint between forefoot and toes | $433 | Outpatient |
| Amylase (enzyme) level | $28.22 | Outpatient |
| Analysis for antibody (IgM) to Cytomegalovirus (CMV) | $49.86 | Outpatient |
| Analysis for antibody (IgM) to Toxoplasma (parasite) | $90.35 | Outpatient |
| Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $51.35 | Outpatient |
| Analysis for antibody to Bartonella (bacteria) | $24.05 | Outpatient |
| Analysis for antibody to Brucella (bacteria) | $24.05 | Outpatient |
| Analysis for antibody to Coxiella burnetii (Q fever bacteria) | $41.11 | Outpatient |
| Analysis for antibody to Cytomegalovirus (CMV) | $45.24 | Outpatient |
| Analysis for antibody to Ehrlichia (bacteria transmitted by ticks) | $26.33 | Outpatient |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen | $49.40 | Outpatient |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen | $53.95 | Outpatient |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid | $59.15 | Outpatient |
| Analysis for antibody to Herpes simplex virus, type 1 | $43.13 | Outpatient |
| Analysis for antibody to Herpes simplex virus, type 2 | $64.16 | Outpatient |
| Analysis for antibody to mumps virus | $34.45 | Outpatient |
| Analysis for antibody to Mycoplasma (bacteria) | $54.60 | Outpatient |
| Analysis for antibody to parvovirus | $62.40 | Outpatient |
| Analysis for antibody to protozoa (parasite) | $61.19 | Outpatient |
| Analysis for antibody to Rickettsia (bacteria) | $79.95 | Outpatient |
| Analysis for antibody to Rubella (German measles virus) | $33.15 | Outpatient |
| Analysis for antibody to Rubeola (measles virus) | $33.15 | Outpatient |
| Analysis for antibody to Toxoplasma (parasite) | $59.15 | Outpatient |
| Analysis for antibody to varicella-zoster virus (chicken pox) | $33.15 | Outpatient |
| Analysis for antibody, Treponema pallidum | $45.40 | Outpatient |
| Analysis for detection of tumor marker | $79.56 | Outpatient |
| Analysis of substance using immunoassay technique, multiple step method | $45.14 | Outpatient |
| Analysis of voice and resonance production | $210 | Outpatient |
| Analysis test by nucleic acid for Hepatitis C virus | $540 | Outpatient |
| Analysis using chemiluminescent technique (light and chemical )reaction | $45.50 | Outpatient |
| Anchoring of biceps tendon | $1,546 | Outpatient |
| Anesthesia for access to central vein | $15.60 | Outpatient |
| Anesthesia for cesarean delivery | $4.55 | Outpatient |
| Anesthesia for cesarean delivery following labor | $3.90 | Outpatient |
| Anesthesia for closed procedure on bones of forearm, wrist, or hand | $14.95 | Outpatient |
| Anesthesia for closed procedure on knee joint | $12.35 | Outpatient |
| Anesthesia for closed procedure on lower leg, ankle, and foot | $14.95 | Outpatient |
| Anesthesia for closed procedure on top of arm bone and shoulder joint | $15.60 | Outpatient |
| Anesthesia for exam of colon using an endoscope | $14.95 | Outpatient |
| Anesthesia for exam of uterus using an endoscope | $15.60 | Outpatient |
| Anesthesia for incision of ear drum | $15.60 | Outpatient |
| Anesthesia for incomplete or missed abortion | $15.60 | Outpatient |
| Anesthesia for labor during planned vaginal delivery | $3.90 | Outpatient |
| Anesthesia for lens surgery | $15.60 | Outpatient |
| Anesthesia for nerve block and injection | $17.55 | Outpatient |
| Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance | $16.25 | Outpatient |
| Anesthesia for open or endoscopic total shoulder joint replacement | $17.55 | Outpatient |
| Anesthesia for other closed procedure on chest | $13.65 | Outpatient |
| Anesthesia for other procedure on elbow | $15.60 | Outpatient |
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | $16.25 | Outpatient |
| Anesthesia for other procedure on external middle and inner ear | $16.90 | Outpatient |
| Anesthesia for other procedure on eye | $16.25 | Outpatient |
| Anesthesia for other procedure on female genitals | $14.95 | Outpatient |
| Anesthesia for other procedure on forearm, wrist, or hand bones | $14.95 | Outpatient |
| Anesthesia for other procedure on large bowel using an endoscope | $15.60 | Outpatient |
| Anesthesia for other procedure on lower abdomen | $16.90 | Outpatient |
| Anesthesia for other procedure on lower abdomen outside abdominal cavity | $16.90 | Outpatient |
| Anesthesia for other procedure on lower leg, ankle, and foot bones | $14.95 | Outpatient |
| Anesthesia for other procedure on male genitals | $14.95 | Outpatient |
| Anesthesia for other procedure on mouth | $16.25 | Outpatient |
| Anesthesia for other procedure on neck area (1 year or older) | $16.90 | Outpatient |
| Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot | $14.95 | Outpatient |
| Anesthesia for other procedure on nose and sinuses | $16.25 | Outpatient |
| Anesthesia for other procedure on skin of arms, legs, and front body | $14.95 | Outpatient |
| Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back | $16.25 | Outpatient |
| Anesthesia for other procedure on top of arm bone and shoulder joint | $16.25 | Outpatient |
| Anesthesia for other procedure on upper abdomen | $17.55 | Outpatient |
| Anesthesia for other procedure on upper front abdomen | $14.30 | Outpatient |
| Anesthesia for other procedure or exam of knee joint using an endoscope | $15.60 | Outpatient |
| Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper arm and elbow | $14.95 | Outpatient |
| Anesthesia for other repair of lower abdomen hernia (1 year or older) | $15.60 | Outpatient |
| Anesthesia for other repair of upper abdomen hernia | $15.60 | Outpatient |
| Anesthesia for procedure for total knee joint replacement | $17.55 | Outpatient |
| Anesthesia for procedure on anus and rectum | $16.25 | Outpatient |
| Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | $14.95 | Outpatient |
| Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee | $15.60 | Outpatient |
| Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg | $15.60 | Outpatient |
| Anesthesia for procedure on saliva gland | $17.55 | Outpatient |
| Anesthesia for procedure on small and large bowel using an endoscope | $16.25 | Outpatient |
| Anesthesia for procedure on upper 2/3rd of thigh bone | $16.90 | Outpatient |
| Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening | $16.90 | Outpatient |
| Anesthesia for procedure to turn the position of fetus in uterus | $16.25 | Outpatient |
| Anesthesia for removal of all or part of breast | $16.25 | Outpatient |
| Anesthesia for repair of abdominal wall hernia | $16.25 | Outpatient |
| Anesthesia for repair of Achilles tendon | $16.25 | Outpatient |
| Anesthesia for total hip replacement | $18.20 | Outpatient |
| Anesthesia for tying large blood vessels of neck | $16.25 | Outpatient |
| Anesthesia for tying or incision of fallopian tubes using an endoscope | $16.90 | Outpatient |
| Angiotensin l - converting enzyme (ACE) level | $51.87 | Outpatient |
| Antiepileptics levels, 1-3 | $129 | Outpatient |
| Antithrombin III antigen (clotting inhibitor) activity | $46.80 | Outpatient |
| Antithrombin III antigen (clotting inhibitor) level | $44.20 | Outpatient |
| APLIGRAF, PER SQUARE CENTIMETER | $53.95 | Outpatient |
| Application of electrical stimulation | $148 | Outpatient |
| Application of electrical stimulation with therapist present, each 15 minutes | $105 | Outpatient |
| Application of long leg splint from thigh to ankle or toe | $187 | Outpatient |
| Application of lower and upper arm splint | $202 | Outpatient |
| Application of mechanical traction | $103 | Outpatient |
| Application of nonmoveable finger splint | $83.85 | Outpatient |
| Application of nonmoveable forearm to hand splint | $152 | Outpatient |
| Application of short leg splint from calf to foot | $117 | Outpatient |
| Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | $203 | Outpatient |
| Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | $178 | Outpatient |
| Application of ultrasound, each 15 minutes | $93.60 | Outpatient |
| Arsenic level | $78.00 | Outpatient |
| Artery puncture collection of blood sample | $57.85 | Outpatient |
| Ascorbic acid (Vitamin C) level, blood | $40.30 | Outpatient |
| Aspiration and/or injection of fluid from large joint | $185 | Outpatient |
| Aspiration and/or injection of fluid from medium joint | $79.95 | Outpatient |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | $144 | Outpatient |
| Aspiration of abdominal cavity or cyst using an endoscope | $755 | Outpatient |
| Aspiration of fluid from chest cavity | $217 | Outpatient |
| Aspiration of fluid from chest cavity using imaging guidance | $254 | Outpatient |
| Automated urinalysis test | $7.86 | Outpatient |
| Automated white blood cell count | $11.25 | Outpatient |
| AZITHROMYCIN 250 MG TABLET | $2.96 | Outpatient |
| BACITRACIN 500 UNIT/GM OINTMNT | $4.34 | Outpatient |
| Bacterial blood culture | $46.61 | Outpatient |
| Bacterial colony count, urine | $33.77 | Outpatient |
| Bacterial culture for aerobic isolates | $33.40 | Outpatient |
| Bacterial culture for anaerobic isolates | $33.15 | Outpatient |
| Bacterial culture, any other source except urine, blood or stool, aerobic | $35.29 | Outpatient |
| Bacterial culture, any source, except blood, anaerobic | $39.08 | Outpatient |
| Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | $373 | Outpatient |
| BATTERY FOR USE IN HEARING DEVICE | $210 | Outpatient |
| Benzodiazepines levels, 1-12 | $81.25 | Outpatient |
| Beta 2 glycoprotein 1 antibody (autoantibody) measurement | $24.16 | Outpatient |
| Beta-2 microglobulin (protein) level | $66.30 | Outpatient |
| Bile acids level, total | $52.00 | Outpatient |
| Bilirubin level, direct | $33.15 | Outpatient |
| Bilirubin level, total | $18.31 | Outpatient |
| Biopsy and scraping of cervix using an endoscope | $288 | Outpatient |
| Biopsy of breast and placement of locating device using ultrasound, each additional growth | $173 | Outpatient |
| Biopsy of breast and placement of locating device using ultrasound, first growth | $377 | Outpatient |
| Biopsy of breast and placement of locating device using X-ray with needle, first growth | $474 | Outpatient |
| Biopsy of breast through incision | $530 | Outpatient |
| Biopsy of esophagus using a flexible endoscope through mouth | $225 | Outpatient |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $372 | Outpatient |
| Biopsy of large bowel using a flexible endoscope | $415 | Outpatient |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin | $367 | Outpatient |
| Biopsy of lining of uterus | $153 | Outpatient |
| Biopsy of lining of uterus and/or removal of polyp using an endoscope | $1,139 | Outpatient |
| Biopsy of voice box using an endoscope with operating microscope or telescope | $504 | Outpatient |
| Biopsy or removal of deep lymph nodes of neck | $908 | Outpatient |
| Biopsy or removal of deep lymph nodes of underarm | $1,041 | Outpatient |
| Biopsy or removal of lymph nodes of groin | $963 | Outpatient |
| Biopsy or removal of nasal polyp or tissue using an endoscope | $384 | Outpatient |
| Blood chloride level | $19.50 | Outpatient |
| Blood count, hemoglobin | $10.49 | Outpatient |
| Blood creatinine level | $22.09 | Outpatient |
| Blood gases measurement | $82.17 | Outpatient |
| Blood glucose (sugar) level | $22.75 | Outpatient |
| Blood glucose (sugar) test performed by hand-held instrument | $10.54 | Outpatient |
| Blood glucose (sugar) tolerance test, 3 specimens | $44.36 | Outpatient |
| Blood glucose (sugar) tolerance test, each additional beyond 3 specimens | $13.70 | Outpatient |
| Blood group typing (ABO) | $11.86 | Outpatient |
| Blood osmolality (concentration) measurement | $22.91 | Outpatient |
| Blood pH level | $29.25 | Outpatient |
| Blood potassium level | $19.27 | Outpatient |
| Blood sodium level | $20.43 | Outpatient |
| Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $32.21 | Outpatient |
| Blood test, basic group of blood chemicals (Calcium, total) | $22.75 | Outpatient |
| Blood test, clotting time | $16.87 | Outpatient |
| Blood test, clotting time, substitution | $13.00 | Outpatient |
| Blood test, comprehensive group of blood chemicals | $51.06 | Outpatient |
| Blood test, lipids (cholesterol and triglycerides) | $24.70 | Outpatient |
| Blood test, thyroid stimulating hormone (TSH) | $24.70 | Outpatient |
| Blood typing for red blood cell antigens | $16.25 | Outpatient |
| Blood typing for Rh (D) antigen | $11.86 | Outpatient |
| Blood unit compatibility test, antiglobulin technique | $127 | Outpatient |
| Blood unit compatibility test, immediate spin technique | $45.66 | Outpatient |
| Blood unit compatibility test, incubation technique | $127 | Outpatient |
| Body fluid cell count with cell identification | $21.48 | Outpatient |
| Body fluid pH level | $14.95 | Outpatient |
| Breath test analysis for helicobacter pylori | $228 | Outpatient |
| BRIDION 200 MG/2 ML VIAL | $156 | Outpatient |
| BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | $3.91 | Outpatient |
| BUMETANIDE 1 MG TABLET | $1.38 | Outpatient |
| BUPIVACAINE 0.25%-EPI 1:200000 | $54.48 | Outpatient |
| BUPIVACAINE 0.5%-EPI 1:200,000 | $50.11 | Outpatient |
| C-peptide (protein) level | $73.36 | Outpatient |
| Cadmium level | $94.90 | Outpatient |
| CAFFEINE-SOD BENZOAT 250 MG/ML | $97.21 | Outpatient |
| Calcitonin (hormone) level | $110 | Outpatient |
| Calcium level, ionized | $55.90 | Outpatient |
| Calcium level, total | $22.17 | Outpatient |
| Cannabinoids levels, natural | $57.20 | Outpatient |
| CAPSAICIN 8% PATCH, PER SQUARE CENTIMETER | $9.08 | Outpatient |
| Carbamazepine level, total | $62.21 | Outpatient |
| Carboxyhemoglobin (protein) level | $40.30 | Outpatient |
| Carcinoembryonic antigen (CEA) protein level | $62.49 | Outpatient |
| Cardiolipin antibody (tissue antibody) measurement | $88.19 | Outpatient |
| Carnitine level | $59.15 | Outpatient |
| Catecholamines (organic nitrogen) level | $104 | Outpatient |
| Cell examination of specimen, concentration technique | $73.37 | Outpatient |
| Cerebrospinal fluid, or amniotic fluid albumin (protein) level | $75.73 | Outpatient |
| Ceruloplasmin (protein) level | $44.20 | Outpatient |
| Cervicovaginal secretion of placenta protein | $266 | Outpatient |
| Cesarean delivery | $2,502 | Outpatient |
| Cesarean delivery with care before and after delivery | $6,663 | Outpatient |
| Check of hearing aid, 1 ear | $70.20 | Outpatient |
| Check of hearing aid, both ears | $29.25 | Outpatient |
| Chemical analysis using spectrophotometry (light) | $22.75 | Outpatient |
| Cholesterol level | $22.75 | Outpatient |
| Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease | $32.50 | Outpatient |
| Chromium level to test for poisoning or deficiency | $27.81 | Outpatient |
| Chromosome analysis for genetic defects, count 15-20 cells | $245 | Outpatient |
| CIPROFLOX-DEXAMETH OTIC SUSP | $130 | Outpatient |
| Citrate level | $76.05 | Outpatient |
| Closed treatment of 3 broken lower leg bones at ankle with manipulation | $215 | Outpatient |
| Closed treatment of broken ankle joint bone with manipulation | $745 | Outpatient |
| Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation | $1,240 | Outpatient |
| Closed treatment of dislocated finger joint with manipulation | $325 | Outpatient |
| Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child | $206 | Outpatient |
| Closed treatment of dislocated hip prosthesis | $205 | Outpatient |
| Closed treatment of dislocated hip prosthesis under anesthesia | $1,129 | Outpatient |
| Closed treatment of dislocated kneecap | $216 | Both |
| Closed treatment of dislocated shoulder with manipulation | $325 | Outpatient |
| Closed treatment of dislocated shoulder with manipulation under anesthesia | $1,004 | Outpatient |
| CLOTRIMAZOLE 1% TOPICAL CREAM | $7.87 | Outpatient |
| Clotting factor II prothrombin, measurement | $39.00 | Outpatient |
| Clotting factor V (AcG or proaccelerin) measurement | $57.85 | Outpatient |
| Clotting factor VII (proconvertin, stable factor) | $58.50 | Outpatient |
| Clotting factor VIII (AHG) measurement | $50.91 | Outpatient |
| Clotting factor VIII (VW factor) antigen | $94.25 | Outpatient |
| Clotting factor X assessment test, diluted | $32.90 | Outpatient |
| Coagulation assessment blood test, plasma or whole blood | $25.45 | Outpatient |
| Coagulation function measurement, D-dimer; quantitative | $35.45 | Outpatient |
| Coagulation function measurement, paracoagulation | $261 | Outpatient |
| Coagulation function screening test with interpretation and report | $50.70 | Outpatient |
| COCAINE HYDROCHLORIDE NASAL SOLUTION (NUMBRINO), 1 MG | $1.44 | Outpatient |
| COLCHICINE 0.6 MG TABLET | $8.00 | Outpatient |
| Collagen cross links test, (urine test to evaluate bone health) | $61.10 | Outpatient |
| Collection of blood sample from central venous tube | $62.40 | Outpatient |
| Collection of blood sample from implanted device | $56.55 | Outpatient |
| COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $924 | Outpatient |
| COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $447 | Outpatient |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | $28.07 | Outpatient |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $22.75 | Outpatient |
| Complete exam of nose and sinuses using an endoscope | $1,201 | Outpatient |
| Complete ultrasound scan behind abdominal cavity | $385 | Outpatient |
| Complete ultrasound scan of abdomen | $829 | Outpatient |
| Complete ultrasound scan of pelvis | $773 | Outpatient |
| Complete ultrasound study of arm and leg arteries | $250 | Outpatient |
| Complex control of nose bleed | $165 | Outpatient |
| Complicated or multiple drainage of skin abscess | $392 | Outpatient |
| Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm | $672 | Outpatient |
| Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm | $976 | Outpatient |
| Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | $874 | Outpatient |
| Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | $573 | Outpatient |
| Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less | $188 | Outpatient |
| Complicated repair of wound of trunk, 2.6-7.5 cm | $601 | Outpatient |
| Comprehensive hearing and speech recognition test | $231 | Outpatient |
| Computer-assisted procedure outside membrane covering brain | $369 | Outpatient |
| Concentration of specimen for infectious agents | $18.53 | Outpatient |
| Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) | $66.42 | Outpatient |
| Control of bleeding of nose using an endoscope | $401 | Outpatient |
| Copper level | $42.25 | Outpatient |
| Cortisol (hormone) measurement, free | $68.90 | Outpatient |
| Cortisol (hormone) measurement, total | $64.21 | Outpatient |
| Creatine kinase (cardiac enzyme) level, MB fraction only | $26.33 | Outpatient |
| Creatine kinase (cardiac enzyme) level, total | $28.39 | Outpatient |
| Creatinine level to test for kidney function or muscle injury | $24.19 | Outpatient |
| Critical care, each additional 30 minutes | $306 | Outpatient |
| Critical care, first 30-74 minutes | $573 | Outpatient |
| Cryoglobulin (protein) measurement | $27.30 | Outpatient |
| Crystal identification from tissue or body fluid | $25.55 | Outpatient |
| CT guidance for needle or tube localization | $1,318 | Outpatient |
| CT scan head or brain with contrast | $1,533 | Outpatient |
| CT scan head or brain without contrast | $1,533 | Outpatient |
| CT scan of abdomen and pelvis before and after contrast | $3,464 | Outpatient |
| CT scan of abdomen and pelvis with contrast | $3,464 | Outpatient |
| CT scan of abdomen and pelvis without contrast | $2,655 | Outpatient |
| CT scan of abdomen before and after contrast | $2,832 | Outpatient |
| CT scan of abdomen with contrast | $2,294 | Outpatient |
| CT scan of abdomen without contrast | $2,294 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Wisconsin or browse all procedures.