Wisconsin · 1,500 published self-pay prices, from $68.58 to $48,097.
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 |
|---|---|---|
| ABILIFY MAINTENA 400 MG IM SSRR | $3,450 | Outpatient |
| ABRYSVO 120 MCG/0.5 ML IM SOLR | $399 | Outpatient |
| ABY; SARS-COV-2 COVID-19 ARUP | $131 | Outpatient |
| ABY; SEVERE ACUTE RESP SYNDROME CORONAVIRUS 2 | $131 | Outpatient |
| ABY;SEVERE ACUTE RESP SYNDROME CORONAVIRUS 2 | $134 | Outpatient |
| ACETAMINOPHEN | $107 | Outpatient |
| ACETYLCHOLINE RECEPTOR BINDING | $105 | Outpatient |
| ACHR MUSCLE BINDING AB | $105 | Outpatient |
| ACTEMRA 200 MG/10 ML (20 MG/ML) IV SOLN | $1,218 | Outpatient |
| ACTEMRA 400 MG/20 ML (20 MG/ML) IV SOLN | $3,748 | Outpatient |
| ACTIVATED PROTEIN C RESISTANCE | $87.38 | Outpatient |
| ACUTE HEPATITIS PANEL | $272 | Outpatient |
| ACYLCARNITIES; QUANTITATIVE, EACH SPECIMEN | $96.52 | Outpatient |
| ADALIMUMAB | $220 | Outpatient |
| ADALIMUMAB QN W/REFLEX TO AB,S MCLAB | $107 | Outpatient |
| ADRENOCORTICOTROPIC HORMONE (ACTH) | $220 | Outpatient |
| ALBURX (HUMAN) 25 % 25 % IV SOLP | $243 | Outpatient |
| ALBUTEIN 25 % 25 % IV SOLP | $252 | Outpatient |
| ALCOHOL BIOMARKERS MCLAB | $471 | Outpatient |
| ALCOHOL BIOMARKERS, PHOSPHATIDYLETHANOL BLOOD MCLAB | $499 | Outpatient |
| ALCOHOL; IMMUNOASSAY | $119 | Outpatient |
| ALCOHOLS | $241 | Outpatient |
| ALDOSTERONE, BLOOD | $233 | Outpatient |
| ALDOSTERONE, URINE | $233 | Outpatient |
| ALPHA-1-ANTITRYPSIN; PHENOTYPE | $80.77 | Outpatient |
| ALPHA-1-ANTITRYPSIN; TOTAL | $76.71 | Outpatient |
| ALPHA-FETOPROTEIN (AFP); SERUM | $96.01 | Outpatient |
| AMINO ACIDS 6 OR MORE QUANT EA SPEC | $96.52 | Outpatient |
| AMINO ACIDS; SINGLE QUANTITATIVE (GLYCINE) | $132 | Outpatient |
| AMIODARONE ARUP | $107 | Outpatient |
| AMITRIPTYLINE | $201 | Outpatient |
| AMMONIA | $83.31 | Outpatient |
| AMPHETAMINES; 3 OR 4 | $134 | Outpatient |
| AMPHOTERICIN B LIPOSOME 50 MG IV SUSR | $1,859 | Outpatient |
| ANALGESICS, NON-OPIOD; 1 OR 2 | $146 | Outpatient |
| ANDROSTENEDIONE | $167 | Outpatient |
| ANGIOTENSIN I - CONVERTING ENZYME (ACE) | $83.31 | Outpatient |
| ANITEPILEPTICS, NOS, 1-3 | $69.60 | Outpatient |
| ANORO ELLIPTA 62.5-25 MCG/ACTUATION IN DSDV | $145 | Outpatient |
| ANTI-IGA | $98.55 | Outpatient |
| ANTI-MULLERIAN HORMONE | $98.55 | Outpatient |
| ANTI-MULLERIAN HORMONE (AMH) ARUP | $220 | Outpatient |
| ANTI-STRIATED MUSCLE | $98.55 | Outpatient |
| ANTIBODY ELUTION (RBC), EACH ELUTION | $170 | Outpatient |
| ANTIBODY IDENTIFICATION, RBC ABY, EA PANEL FOR EA TECHNIQUE | $270 | Outpatient |
| ANTIBODY IDENTIFICATION, RBC ABY, EACH PANEL FOR EACH TECHNIQUE | $270 | Outpatient |
| ANTIBODY IDENTIFICATION; ANTI-GRANULOCYTE | $85.85 | Outpatient |
| ANTIBODY IDENTIFICATION; HEPARIN INDUCED THROMBOCYTOPENIA | $105 | Outpatient |
| ANTIBODY; ASPERGILLUS | $85.85 | Outpatient |
| ANTIBODY; BACTERIUM, NES MCLAB | $73.66 | Outpatient |
| ANTIBODY; BLASTOMYCES IMMUNODIFF | $73.66 | Outpatient |
| ANTIBODY; BORRELIA BURGDORFERI (LYME IGG/IGM SCREEN) | $97.54 | Outpatient |
| ANTIBODY; BORRELIA BURGDORFERI (LYME) | $88.39 | Outpatient |
| ANTIBODY; BORRELIA BURGDORFERI (WESTERN BLOT, LYME) | $88.39 | Outpatient |
| ANTIBODY; CANDIDA | $68.58 | Outpatient |
| ANTIBODY; COXIELLA BURNETII | $69.09 | Outpatient |
| ANTIBODY; CYTOMEGALOVIRUS (CMV) AB, IGG, S MCLAB | $82.30 | Outpatient |
| ANTIBODY; CYTOMEGALOVIRUS (CMV) NEG PRODUCT | $82.30 | Outpatient |
| ANTIBODY; CYTOMEGALOVIRUS (CMV), AB, IGM, S MCLAB | $96.52 | Outpatient |
| ANTIBODY; ENCEPHALITIS, CALIFORNIA VIRUS IGG/IGM | $75.18 | Outpatient |
| ANTIBODY; EPSTEIN-BARR (EB) VIRUS, EARLY ANTIGEN (EA) | $75.18 | Outpatient |
| ANTIBODY; EPSTEIN-BARR (EB) VIRUS, NUCLEAR ANTIGEN (EBNA-1 IGG) | $87.38 | Outpatient |
| ANTIBODY; EPSTEIN-BARR (EB) VIRUS, NUCLEAR ANTIGEN (EBNA) | $87.38 | Outpatient |
| ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA), EBV IGG | $104 | Outpatient |
| ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA), EBV IGM | $104 | Outpatient |
| ANTIBODY; H PYLORI | $96.52 | Outpatient |
| ANTIBODY; HERPES SIMPLEX (HSV IGM BY EIA) | $82.30 | Outpatient |
| ANTIBODY; HERPES SIMPLEX (HSV IGM BY EIA/IFA) | $82.30 | Outpatient |
| ANTIBODY; HERPES SIMPLEX (HSV TYPE 1 AB) | $75.18 | Outpatient |
| ANTIBODY; HERPES SIMPLEX, TYPE 2 | $111 | Outpatient |
| ANTIBODY; HERPES VIRUS 7 ABY IGG | $73.66 | Outpatient |
| ANTIBODY; HERPES VIRUS 7 ABY IGM | $73.66 | Outpatient |
| ANTIBODY; HISTOPLASMA | $78.74 | Outpatient |
| ANTIBODY; HIV-1 AND HIV-2, SINGLE RESULT | $78.23 | Outpatient |
| ANTIBODY; HIV-2 | $77.22 | Outpatient |
| ANTIBODY; HTLV I-II CONFIRM SER | $111 | Outpatient |
| ANTIBODY; HTLV OR HIV ABY, CONFIRMATORY TEST | $111 | Outpatient |
| ANTIBODY; JC (JOHN CUNNINGHAM) VIRUS | $96.52 | Outpatient |
| ANTIBODY; LEPTOSPIRA MCLAB | $92.46 | Outpatient |
| ANTIBODY; MUMPS | $74.68 | Outpatient |
| ANTIBODY; MUMPS ARUP | $74.68 | Outpatient |
| ANTIBODY; MUMPS, SKIN TEST | $74.68 | Outpatient |
| ANTIBODY; MYCOPLASMA | $75.69 | Outpatient |
| ANTIBODY; MYCOPLASMA P IGM | $75.69 | Outpatient |
| ANTIBODY; MYCOPLASMA P(NEUMO IGM ABY IFA) | $75.69 | Outpatient |
| ANTIBODY; PARVOVIRUS IGG | $85.85 | Outpatient |
| ANTIBODY; PARVOVIRUS IGM | $85.85 | Outpatient |
| ANTIBODY; PROTOZOA (BABESIA MICROTI IGG) | $70.61 | Outpatient |
| ANTIBODY; PROTOZOA (BABESIA MICROTI IGM) | $70.61 | Outpatient |
| ANTIBODY; RICKETTSIA (SPOTTED/TYPHUS FEVER) | $111 | Outpatient |
| ANTIBODY; RUBELLA | $82.30 | Outpatient |
| ANTIBODY; RUBELLA, IMMM STATUS | $82.30 | Outpatient |
| ANTIBODY; RUBEOLA | $73.66 | Outpatient |
| ANTIBODY; RUBEOLA, IMMUNE STATUS | $73.66 | Outpatient |
| ANTIBODY; TOXOPLASMA IGG | $82.30 | Outpatient |
| ANTIBODY; TREPONEMA PALLIDUM | $75.69 | Outpatient |
| ANTIBODY; TREPONEMA PALLIDUM, SYPHILIS AB MCLAB | $75.69 | Outpatient |
| ANTIBODY; VARICELLA ZOSTER IMM STAT | $73.66 | Outpatient |
| ANTIBODY; VARICELLA-ZOSTER | $73.66 | Outpatient |
| ANTIBODY; VIRUS,NOT SPECIFIED | $73.66 | Outpatient |
| ANTIBODY; WEST NILE VIRUS AB, IGG | $82.30 | Outpatient |
| ANTIBODY; WEST NILE VIRUS AB,IGM | $96.52 | Outpatient |
| ANTINEUTROPHIL CYTOPLASMIC ABY (ANCA); SCREEN, EA ABY | $69.09 | Outpatient |
| ANTINUCLEAR ANTIBODIES | $69.09 | Outpatient |
| ANTIPSYCHOTICS, NOS, 1-3 | $82.30 | Outpatient |
| ANTIPSYCHOTICS, NOS; 1-3 ARUP | $82.30 | Outpatient |
| APOLIPOPROTEIN B | $120 | Outpatient |
| AQUAPORIN-4 (NMO) ABY; CBA, EA | $69.09 | Outpatient |
| AQUAPORIN-4 (NMO) ABY; FLOW CYTOMETRY, EA | $215 | Outpatient |
| ARNUITY ELLIPTA 100 MCG/ACTUATION IN DSDV | $120 | Outpatient |
| ARSENIC FRACTIONATION 24 HOUR URINE MCLAB | $108 | Outpatient |
| ARSENIC, BLOOD | $108 | Outpatient |
| ARSENIC, URINE | $108 | Outpatient |
| B CELLS, TOTAL COUNT | $215 | Outpatient |
| BCR/ABL QUALITATIVE BY PCR; MAJOR BP | $937 | Outpatient |
| BENZODIAZEPINES; 1-12 | $113 | Outpatient |
| BETA 2 GLYCOPROTEIN I ANTIBODY, EACH | $145 | Outpatient |
| BETA 2 MICROGLOBULIN | $92.46 | Outpatient |
| BETA CROSSLAPS SERUM | $107 | Outpatient |
| BG CALCIUM IONIZED | $78.23 | Outpatient |
| BICILLIN L-A 1/200/000 UNIT/2 ML IM SYRG | $170 | Outpatient |
| BILE ACIDS, TOTAL | $98.04 | Outpatient |
| BLOOD, OCCULT, QUAL, FECES, 1-3 DETERMINATIONS, BY IMMUNOASSAY, | $90.93 | Outpatient |
| BRAF GENE ANALYSIS | $1,002 | Outpatient |
| BREO ELLIPTA 100-25 MCG/DOSE IN DSDV | $200 | Outpatient |
| BREO ELLIPTA 200-25 MCG/DOSE IN DSDV | $206 | Outpatient |
| BRIDION 100 MG/ML IV SOLN | $156 | Outpatient |
| BUPRENORPHINE 15 MCG/HOUR TD PTWK | $155 | Outpatient |
| C-PEPTIDE | $119 | Outpatient |
| C-REACTIVE PROTEIN; HIGH SENSITIVITY | $74.17 | Outpatient |
| C1 ESTERASE INHIB AGN | $98.55 | Outpatient |
| CADMIUM | $135 | Outpatient |
| CADMIUM (OCCUPATIONAL, URINE) | $135 | Outpatient |
| CADMIUM, URINE | $135 | Outpatient |
| CALCITONIN | $153 | Outpatient |
| CALCULUS; INFRARED SPECTROSCOPY | $73.66 | Outpatient |
| CALPROTECTIN, FECAL | $112 | Outpatient |
| CANNABINOIDS, NATURAL | $204 | Outpatient |
| CANNABINOIDS, SYNTHETIC; 7 OR MORE | $378 | Outpatient |
| CARBAMAZEPINE; TOTAL | $83.31 | Outpatient |
| CARBOXYHEMOGLOBIN; QUANTITATIVE | $70.61 | Outpatient |
| CARCINOEMBRYONIC ANTIGEN (CEA) | $108 | Outpatient |
| CARDENE IV IN SODIUM CHLORIDE 20 MG/200 ML (0.1 MG/ML) IV PGBK | $137 | Outpatient |
| CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, IG CLASS | $145 | Outpatient |
| CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, IGG | $145 | Outpatient |
| CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, IGM | $145 | Outpatient |
| CARNITINE (TOTAL AND FREE), QUANTITATIVE, EACH SPECIMEN | $96.52 | Outpatient |
| CATECHOLAMINES; FRACTIONATED | $144 | Outpatient |
| CATHFLO ACTIVASE 2 MG INTRACATH SOLR | $227 | Outpatient |
| CDC 2019-NCOV CORONAVIRUS COVID-19 | $159 | Outpatient |
| CELLULAR FUNCTION ASSAY INVOLVING STIMULATION/DETECTION OF BIOMA | $776 | Outpatient |
| CFTR GENE ANALYSIS; COMMON VARIANTS | $3,181 | Outpatient |
| CHEMILUM ASSAY VEDOLIZUMAB AB, S REFLEX MCLAB | $80.77 | Outpatient |
| CHEMILUMINESCENT ASSAY | $80.77 | Outpatient |
| CHROMATOGRAPHY QUANT COLUMN SINGLE ANALYTE | $138 | Outpatient |
| CHROMATOGRAPHY,TG | $138 | Outpatient |
| CHROMIUM | $116 | Outpatient |
| CLOMIPRAMINE, S | $201 | Outpatient |
| CLOTTING INHIBITORS/ANTICOAGULANTS; PROTEIN C ACTIVITY | $79.25 | Outpatient |
| CLOTTING INHIBITORS/ANTICOAGULANTS; PROTEIN C ANTIGEN | $68.58 | Outpatient |
| CLOTTING INHIBITORS/ANTICOAGULANTS; PROTEIN S, FREE | $87.38 | Outpatient |
| CLOTTING INHIBITORS/ANTICOAGULANTS; PROTEIN S, FREE, ACTIVITY | $87.38 | Outpatient |
| CLOTTING; FACTOR V, LABILE FACTOR | $101 | Outpatient |
| CLOTTING; FACTOR VII | $102 | Outpatient |
| CLOTTING; FACTOR VIII, 1-STAGE | $102 | Outpatient |
| CLOTTING; FACTOR VIII, 1-STAGE BCW | $102 | Outpatient |
| CLOTTING; FACTOR VIII, VW FACTOR ANTIGEN BCW | $131 | Outpatient |
| CLOTTING; FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR | $131 | Outpatient |
| CLOZAPINE | $115 | Outpatient |
| COLLAGEN CROSS LINKS, ANY METHOD ARUP | $107 | Outpatient |
| COLLAGEN X-LINK N-TELOPEPTIDE | $107 | Outpatient |
| COLORECTAL CANCER SCREENING; FECAL OCCULT BLOOD TEST, IMMUNOASSS | $103 | Outpatient |
| COLUMN CHROM/SPECTROMETRY; STABLE ISOTOPE | $138 | Outpatient |
| COLUMN CHROMATOGRAPHY NON-DRUG ANALYTE NES | $138 | Outpatient |
| COLUMN CHROMATOGRAPHY/MASS SPECTROMETRY QUANT SINGLE | $138 | Outpatient |
| COMPATIBILITY TEST EACH UNIT; ANTIGLOBULIN TECHNIQUE | $178 | Outpatient |
| COMPATIBILITY TEST EACH UNIT; ANTIGLOBULIN TECHNIQUE (CROSSMATCH | $182 | Outpatient |
| COMPATIBILITY TEST EACH UNIT; IMMEDIATE SPIN TECHNIQUE (CROSSMAT | $162 | Outpatient |
| COMPLEMENT C1Q LEVEL | $68.58 | Outpatient |
| COMPLEMENT; FUNCTIONAL ACTIVITY, EA COMP | $68.58 | Outpatient |
| COMPLEMENT; TOTAL HEMOLYTIC (CH50) | $116 | Outpatient |
| COMPLIANCE DRUG SCREEN BLOOD | $104 | Outpatient |
| COPPER, SERUM | $71.12 | Outpatient |
| COPPER, URINE | $71.12 | Outpatient |
| CORTISOL; FREE | $95.50 | Outpatient |
| CORTISOL; TOTAL | $92.96 | Outpatient |
| CORTISONE QUANT, 24HR URINE | $138 | Outpatient |
| COSYNTROPIN 0.25 MG IJ SOLR | $108 | Outpatient |
| COVID-19 MCLAB | $159 | Outpatient |
| COVID-19 PCR | $159 | Outpatient |
| CRYOFIBRINOGEN | $80.77 | Outpatient |
| CULT TYP; ID BLD PATH & RESIST TYP, PER CULT/ISOLATE, 6+ TRGT | $1,246 | Outpatient |
| CULTURE, CHLAMYDIA, ANY SOURCE | $112 | Outpatient |
| CULTURE, FUNGI ISOLATION; BLOOD | $117 | Outpatient |
| CULTURE,TYPING; ID BY NUCLEIC ACID PROBE, DIRECT | $115 | Outpatient |
| CYANOCOBALAMIN (VITAMIN B12) | $86.36 | Outpatient |
| CYCLIC CITRULLINATED PEPTIDE A | $74.17 | Outpatient |
| CYCLOSPORINE | $103 | Outpatient |
| CYP2D6 GENE ANALYSIS | $2,577 | Outpatient |
| CYSTATIN C | $106 | Outpatient |
| CYTO/MOLECULAR REPORT MCLAB | $90.93 | Outpatient |
| CYTOGENETICS INTERP/REPORT | $132 | Outpatient |
| CYTOPATHOLOGY, CERVICAL/VAGINAL, FLUID BASED; AUTOMATED SCREEN | $152 | Outpatient |
| CYTOPATHOLOGY, CERVICAL/VAGINAL, LIQUID BASED PREP; MANUAL SCREE | $116 | Outpatient |
| CYTOPATHOLOGY, EVALUATION OF FINE NEEDLE ASPIRATE: INTERP AND RE | $249 | Outpatient |
| CYTOPATHOLOGY, SELECTIVE CELLULAR ENHANCEMENT W/INTERP | $234 | Outpatient |
| DAPTOMYCIN 350 MG IV SOLR | $81.08 | Outpatient |
| DEFINITY 1.1 MG/ML IV SUSP | $411 | Outpatient |
| DEHYDROEPIANDROSTERONE (DHEA) | $144 | Outpatient |
| DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) | $127 | Outpatient |
| DEOXYRIBONUCLEASE, ANTIBODY | $75.69 | Outpatient |
| DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY; DOUBLE STRANDED | $78.74 | Outpatient |
| DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY; SINGLE STRANDED | $78.74 | Outpatient |
| DEPO-PROVERA 150 MG/ML IM SYRG | $74.27 | Outpatient |
| DEXAMETHASONE | $115 | Outpatient |
| DIGOXIN; TOTAL | $75.69 | Outpatient |
| DIHYDROTESTOSTERONE (DHT) | $167 | Outpatient |
| DRUG SCREEN LIST A | $144 | Outpatient |
| DRUG SCREEN LIST A - MEDTOX DOA SCREEN | $130 | Outpatient |
| DRUG SCREEN PRSMPTV SNGL CLASS | $181 | Outpatient |
| DRUG TEST PRESUMPTIVE, ALCOHOL BIOMARKERS MCLAB | $181 | Outpatient |
| DRUG TEST PRESUMPTIVE; INSTR ASSIST DIR OPT OBSERV | $98.04 | Outpatient |
| ELASTASE, PANCREATIC (EL-1), FECAL; QUANT | $131 | Outpatient |
| ENTYVIO 300 MG IV SOLR | $10,423 | Outpatient |
| ENZYME CELL ACTIVITY MCLAB | $126 | Outpatient |
| EPINEPHRINE 0.3 MG/0.3 ML IJ ATIN | $203 | Outpatient |
| EPSTEIN-BARR (EB) VIRUS; VIRAL CAPSID (VCA) | $104 | Outpatient |
| ERTAPENEM 1 GRAM IJ SOLR | $158 | Outpatient |
| ERYTHROPOIETIN | $107 | Outpatient |
| ESTRADIOL; TOTAL | $160 | Outpatient |
| ESTRIOL | $138 | Outpatient |
| ESTROGENS; TOTAL | $124 | Outpatient |
| ESTRONE, SERUM MCLAB | $143 | Outpatient |
| ETHYLENE GLYCOL, SERUM MCLAB | $228 | Outpatient |
| EUFLEXXA 10 MG/ML(MW 2.4 -3.6 MILLION) IX SYRG | $473 | Outpatient |
| EXTRACTABLE NUCLEAR ANTIGEN (ENA), ANY METHOD, EA ANTIBODY | $103 | Outpatient |
| EXTRACTABLE NUCLEAR ANTIGEN (ENA), ANY METHOD, SCLERODERMA ABY | $103 | Outpatient |
| EXTRACTABLE NUCLEAR ANTIGEN (ENA), J01 ANTIBODIES, IGG, SERUM | $103 | Outpatient |
| F2 GENE ANALYSIS, 20210G>A VARIANT | $375 | Outpatient |
| F5 GENE ANALYSIS, LEIDEN VARIANT | $419 | Outpatient |
| FASENRA 30 MG/ML SC SYRG | $7,231 | Outpatient |
| FAT OR LIPIDS, FECES; QUANTITATIVE | $96.01 | Outpatient |
| FATTY ACIDS, NONESTERIFIED | $107 | Outpatient |
| FELBAMATE ARUP | $107 | Outpatient |
| FERAHEME 510 MG/17 ML (30 MG/ML) IV SOLN | $1,613 | Outpatient |
| FERRITIN | $77.72 | Outpatient |
| FLOW CYTOMETRY, TECHNICAL COMPONENT; EACH ADDL MARKER | $107 | Outpatient |
| FLOW CYTOMETRY, TECHNICAL COMPONENT; FIRST MARKER | $270 | Outpatient |
| FLUBLOK QUAD 2023-2024 (PF) 180 MCG (45 MCG X 4)/0.5 ML IM SYRG | $86.18 | Outpatient |
| FLUORESCENT ABY TITER ARUP | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ABY; SCREEN, MOG FACS,S MCLAB | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ABY;TITER, MOG FACS TITER MCLAB | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, ANTI-NEUT CYTO | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EA ANTIBODY | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCRN, ENDOMYSIAL ANTIB | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; TITER, CRITHIDIA DNA A | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; TITER, EA ANTIBODY | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; TITER, MITOCHONDRIAL A | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; TITER, PARIETAL CELL A | $69.09 | Outpatient |
| FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; TITER, SMOOTH MUSCLE A | $69.09 | Outpatient |
| FLUOXETINE, SERUM MCLAB | $107 | Outpatient |
| FLUTICASONE PROPIONATE 44 MCG/ACTUATION IN HFAA | $207 | Outpatient |
| FLUZONE HIGHDOSE QUAD 23-24 PF 240 MCG/0.7 ML IM SYRG | $86.18 | Outpatient |
| FMR1 GENE ANALYSIS | $326 | Outpatient |
| FOLIC ACID; RBC | $101 | Outpatient |
| FOLIC ACID; SERUM | $83.82 | Outpatient |
| FRESH FROZEN PLASMA, SINGLE DONOR, EACH UNIT | $177 | Outpatient |
| FRESH FROZEN PLASMA, THAWING, EACH UNIT | $131 | Outpatient |
| GABAPENTIN, WHOLE BLOOD, SERUM OR PLASMA | $124 | Outpatient |
| GAMMAGLOBULIN (IMMUNOGLOBULIN); IGE, TOTAL | $93.98 | Outpatient |
| GASES, BLOOD, ANY COMBINATION | $149 | Outpatient |
| GASES, BLOOD, ARTERIAL, W/O2 SATURATION | $450 | Outpatient |
| GASES, BLOOD, VENOUS, W/O2 SATURATION | $450 | Outpatient |
| GASTRIN | $101 | Outpatient |
| GASTROINTESTINAL PATHOGEN PCR FECES MCLAB | $2,382 | Outpatient |
| GENTAMICIN | $93.47 | Outpatient |
| GLIADIN (DEAMIDATED) (DGP) ABY, EA IG CLASS | $69.09 | Outpatient |
| GLUCAGON | $81.79 | Outpatient |
| GLUCAGON HCL 1 MG/ML IJ SOLR | $300 | Outpatient |
| GLUCOSE; TOLERANCE TEST (GTT) | $73.66 | Outpatient |
| GLUTATHIONE | $88.39 | Outpatient |
| GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE | $85.85 | Outpatient |
| GONADOTROPIN; FOLLCLE STIMULATING HORMONE (FSH) | $106 | Outpatient |
| GONADOTROPIN; LUTEINIZING HORMONE (LH) | $106 | Outpatient |
| GROWTH HORMONE, HUMAN (HGH), BLOOD | $95.50 | Outpatient |
| HALOPERIDOL | $90.42 | Outpatient |
| HAPTOGLOBIN; BLOOD | $72.14 | Outpatient |
| HCHG H PYLORI TITER | $91.44 | Outpatient |
| HCHG MALYUGIN RING | $178 | Outpatient |
| HCHG 10060 I&D ABSCESS SIMPLE | $165 | Outpatient |
| HCHG 10061 I&D ABSCESS COMPLICATED/MULT | $177 | Outpatient |
| HCHG 10080 I&D PILONIDAL CYST | $340 | Outpatient |
| HCHG 10081 I&D PILONIDAL CYST COMPLICATED | $409 | Outpatient |
| HCHG 10120 INC&REMOVAL FB SIMPLE | $177 | Outpatient |
| HCHG 10121 INC&REMOVAL FB COMPLICATED | $466 | Outpatient |
| HCHG 10140 I&D HEMATOMA/SEROMA/OR FLUID | $764 | Outpatient |
| HCHG 10160 PUNCT ASP ABSC/HEMA/BULLA/CYST | $177 | Outpatient |
| HCHG 11000 DBRIDMNT INFECT/SKIN UP TO 10% | $276 | Outpatient |
| HCHG 11042 DEBRIDE SUBQ TISS 20 SQ CM/< | $177 | Outpatient |
| HCHG 11044 DEBRIDMNT BONE 20 SQ CM/< | $764 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Wisconsin or browse all procedures.