Wisconsin · 1,500 published self-pay prices, from $95.21 to $19,350.
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 |
|---|---|---|
| ABY; SARS-COV-2 COVID-19 ARUP | $135 | Outpatient |
| ABY; SEVERE ACUTE RESP SYNDROME CORONAVIRUS 2 | $135 | Outpatient |
| ABY;SEVERE ACUTE RESP SYNDROME CORONAVIRUS 2 | $135 | Outpatient |
| ACETYLCHOLINE RECEPTOR (ACHR); BINDING ABY ARUP | $102 | Outpatient |
| ACETYLCHOLINE RECEPTOR (ACHR); BLOCKING ABY | $102 | Outpatient |
| ACETYLCHOLINE RECEPTOR BINDING | $102 | Outpatient |
| ACHR MUSCLE BINDING AB | $102 | Outpatient |
| ADALIMUMAB | $213 | Outpatient |
| ADALIMUMAB QN W/REFLEX TO AB,S MCLAB | $103 | Outpatient |
| ADAM 13 ACTIVITY | $170 | Outpatient |
| ADRENOCORTICOTROPIC HORMONE (ACTH) | $214 | Outpatient |
| ADVAIR DISKUS 100-50 MCG/DOSE IN DSDV | $212 | Both |
| ADVAIR DISKUS 250-50 MCG/DOSE IN DSDV | $212 | Both |
| ADVAIR DISKUS 500-50 MCG/DOSE IN DSDV | $346 | Both |
| ALBUKED-25 25 % IV SOLP | $134 | Both |
| ALCOHOL; IMMUNOASSAY | $110 | Outpatient |
| ALCOHOLS | $220 | Outpatient |
| ALDOSTERONE, BLOOD | $225 | Outpatient |
| ALDOSTERONE, URINE | $225 | Outpatient |
| ALLERGEN SPECIFIC IGE; RECOMBINATE/PURIFIED COMP, EA | $98.89 | Outpatient |
| ALUMINUM, BLOOD | $141 | Outpatient |
| AMIODARONE ARUP | $103 | Outpatient |
| ANDROSTENEDIONE | $161 | Outpatient |
| ANESTHESIA BASE SUPPLY | $115 | Both |
| ANORO ELLIPTA 62.5-25 MCG/ACTUATION IN DSDV | $151 | Both |
| ANTI GLOMER BASE MEM | $95.21 | Outpatient |
| ANTI-IGA | $95.21 | Outpatient |
| ANTI-MULLERIAN HORMONE (AMH) ARUP | $214 | Outpatient |
| ANTIBODY ELUTION (RBC), EACH ELUTION | $187 | Outpatient |
| ANTIBODY IDENTIFICATION, RBC ABY, EA PANEL FOR EA TECHNIQUE | $294 | Outpatient |
| ANTIBODY IDENTIFICATION, RBC ABY, EACH PANEL FOR EACH TECHNIQUE | $294 | Outpatient |
| ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA), EBV IGG | $99.94 | Outpatient |
| ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA), EBV IGM | $99.94 | Outpatient |
| ANTIBODY; HERPES SIMPLEX, TYPE 2 | $107 | Outpatient |
| ANTIBODY; RICKETTSIA (SPOTTED/TYPHUS FEVER) | $107 | Outpatient |
| APOLIPOPROTEIN | $116 | Outpatient |
| APOLIPOPROTEIN B | $116 | Outpatient |
| AQUACELL AG 6X6 | $100 | Both |
| ARANESP (IN POLYSORBATE) 40 MCG/0.4 ML IJ SYRG | $433 | Both |
| ARNUITY ELLIPTA 100 MCG/ACTUATION IN DSDV | $124 | Both |
| ARSENIC, BLOOD | $105 | Outpatient |
| ARSENIC, URINE | $105 | Outpatient |
| B CELLS, TOTAL COUNT | $208 | Outpatient |
| BCR/ABL 1 GENE MAJOR BP MCLAB | $906 | Outpatient |
| BCR/ABL 1 GENE MINOR BP MCLAB | $800 | Outpatient |
| BCR/ABL 1 GENE OTHER BP MCLAB | $1,186 | Outpatient |
| BCR/ABL QUALITATIVE BY PCR; MAJOR BP | $906 | Outpatient |
| BCR/ABL QUALITATIVE BY PCR; MINOR BP | $800 | Outpatient |
| BETA 2 GLYCOPROTEIN I ANTIBODY, EACH | $140 | Outpatient |
| BETA CROSSLAPS SERUM | $103 | Outpatient |
| BETAMETHASONE DIPROPIONATE 0.05 % EX OINT | $111 | Both |
| BEYFORTUS 100 MG/ML IM SYRG | $693 | Both |
| BICILLIN L-A 1/200/000 UNIT/2 ML IM SYRG | $641 | Both |
| BIOFIRE JOINT INFECTION PANEL | $1,490 | Outpatient |
| BORTEZOMIB 3.5 MG IJ SOLR | $175 | Both |
| BRAF GENE ANALYSIS | $969 | Outpatient |
| C-PEPTIDE | $115 | Outpatient |
| CADMIUM | $130 | Outpatient |
| CADMIUM, URINE | $130 | Outpatient |
| CALCITONIN | $148 | Outpatient |
| CALCITONIN (SALMON) 200 UNIT/ACTUATION NA SPRY | $105 | Both |
| CALPROTECTIN, FECAL | $108 | Outpatient |
| CARCINOEMBRYONIC ANTIGEN (CEA) | $105 | Outpatient |
| CARDENE IV IN SODIUM CHLORIDE 20 MG/200 ML (0.1 MG/ML) IV PGBK | $142 | Both |
| CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, IG CLASS | $140 | Outpatient |
| CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, IGG | $140 | Outpatient |
| CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, IGM | $140 | Outpatient |
| CATECHOLAMINES; FRACTIONATED | $139 | Outpatient |
| CATHFLO ACTIVASE 2 MG INTRACATH SOLR | $235 | Both |
| CDC 2019-NCOV CORONAVIRUS COVID-19 | $165 | Outpatient |
| CFTR GENE ANALYSIS; COMMON VARIANTS | $3,074 | Outpatient |
| CHROMATOGRAPHY QUANT COLUMN SINGLE ANALYTE | $133 | Outpatient |
| CHROMIUM | $112 | Outpatient |
| CHROMOSOME ANALYSIS; ANALYZE 20-25 CELLS | $798 | Outpatient |
| CIMZIA POWDER FOR RECONST 400 MG (200 MG X 2 VIALS) SC KIT | $7,135 | Both |
| CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT DRPS | $245 | Both |
| CITRATE | $154 | Outpatient |
| CLOTTING; FACTOR V, LABILE FACTOR | $97.31 | Outpatient |
| CLOTTING; FACTOR VIII, 1-STAGE | $98.89 | Outpatient |
| CLOTTING; FACTOR VIII, VON WILLEBRAND FACTOR | $127 | Outpatient |
| CLOTTING; FACTOR VIII, VW FACTOR ANTIGEN BCW | $127 | Outpatient |
| CLOTTING; FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR | $127 | Outpatient |
| CLOZAPINE | $112 | Outpatient |
| COBALT SERUM | $133 | Outpatient |
| COLLAGEN CROSS LINKS, ANY METHOD ARUP | $103 | Outpatient |
| COLUMN CHROM/SPECTROMETRY; STABLE ISOTOPE | $133 | Outpatient |
| COMBIVENT RESPIMAT 20-100 MCG/ACTUATION IN MIST | $665 | Both |
| COMPATIBILITY TEST EACH UNIT; ANTIGLOBULIN TECHNIQUE | $143 | Outpatient |
| COMPATIBILITY TEST EACH UNIT; ANTIGLOBULIN TECHNIQUE (CROSSMATCH | $143 | Outpatient |
| COMPATIBILITY TEST EACH UNIT; IMMEDIATE SPIN TECHNIQUE (CROSSMAT | $172 | Outpatient |
| COMPLEMENT; TOTAL HEMOLYTIC (CH50) | $112 | Outpatient |
| COMPLIANCE DRUG SCREEN BLOOD | $131 | Outpatient |
| CONSULTATION AND REPORT ON REFERRED MATERIAL REQ PREP OF SLIDES | $192 | Outpatient |
| CONSULTATION, COMPREHENSIVE, W/REVIEW OF RECORDS/SPECIMENS, W/RE | $509 | Outpatient |
| COSYNTROPIN 0.25 MG IJ SOLR | $112 | Both |
| COVID-19 MCLAB | $165 | Outpatient |
| COVID-19 PCR | $165 | Outpatient |
| CULT TYP; ID BLD PATH & RESIST TYP, PER CULT/ISOLATE, 6+ TRGT | $1,319 | Outpatient |
| CULT TYP; NUC ACID AMP PROBE, CULT/ISOLATE, EA ORGANISM PRB | $194 | Outpatient |
| CULTURE, CHLAMYDIA, ANY SOURCE | $108 | Outpatient |
| CULTURE, FUNGI ISOLATION; BLOOD | $113 | Outpatient |
| CYCLOPHOSPHAMIDE 2 GRAM IV SOLR | $655 | Both |
| CYCLOSPORINE | $99.94 | Outpatient |
| CYP2D6 GENE ANALYSIS | $2,491 | Outpatient |
| CYSTATIN C | $102 | Outpatient |
| CYTOGENETICS INTERP/REPORT | $214 | Outpatient |
| CYTOGENOMIC ANALYSIS FOR CONSTITUTIONAL CHROMO ABNORMALITIES; WH | $1,894 | Outpatient |
| CYTOPATHOLOGY, CERVICAL/VAGINAL, FLUID BASED; AUTOMATED SCREEN | $147 | Outpatient |
| CYTOPATHOLOGY, CERVICAL/VAGINAL, LIQUID BASED PREP; MANUAL SCREE | $112 | Outpatient |
| CYTOPATHOLOGY, CONCENTRATION TECH, SMEARS AND INTERP | $238 | Outpatient |
| CYTOPATHOLOGY, EVALUATION OF FINE NEEDLE ASPIRATE | $143 | Outpatient |
| CYTOPATHOLOGY, EVALUATION OF FINE NEEDLE ASPIRATE: INTERP AND RE | $433 | Outpatient |
| CYTOPATHOLOGY, SELECTIVE CELLULAR ENHANCEMENT W/INTERP | $425 | Outpatient |
| CYTOPATHOLOGY, SMEARS, ANY OTHER SOURCE; SCREENING/INTERP | $136 | Outpatient |
| DALVANCE 500 MG IV SOLN | $4,834 | Both |
| DARZALEX FASPRO 1/800 MG-30/000 UNIT/15 ML SC SOLN | $12,758 | Both |
| DEFINITY 1.1 MG/ML IV SUSP | $425 | Both |
| DEHYDROEPIANDROSTERONE (DHEA) | $139 | Outpatient |
| DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) | $123 | Outpatient |
| DIHYDROERGOTAMINE 1 MG/ML IJ SOLN | $109 | Both |
| DOCETAXEL 160 MG/16 ML (10 MG/ML) IV SOLN | $643 | Both |
| DOCETAXEL 160 MG/8 ML (20 MG/ML) IV SOLN | $190 | Both |
| DOXORUBICIN/ PEG-LIPOSOMAL 2 MG/ML IV SUSP | $1,644 | Both |
| DRUG SCREEN LIST A | $343 | Outpatient |
| DRUG SCREEN LIST A - MEDTOX DOA SCREEN | $131 | Outpatient |
| DUROLANE 60 MG/3 ML IX SYRG | $1,469 | Both |
| ELASTASE, PANCREATIC (EL-1), FECAL; QUANT | $127 | Outpatient |
| ENTYVIO 300 MG IV SOLR | $10,792 | Both |
| ENZYME CELL ACTIVITY MCLAB | $123 | Outpatient |
| EPINEPHRINE 0.15 MG/0.3 ML IJ ATIN | $210 | Both |
| EPIPEN 2-PAK 0.3 MG/0.3 ML IJ ATIN | $426 | Both |
| EPSTEIN-BARR (EB) VIRUS; VIRAL CAPSID (VCA) | $99.94 | Outpatient |
| ERYTHROPOIETIN | $104 | Outpatient |
| ESTRADIOL; TOTAL | $154 | Outpatient |
| ESTRIOL | $134 | Outpatient |
| ESTROGENS; TOTAL | $120 | Outpatient |
| ETHYLENE GLYCOL, SERUM MCLAB | $220 | Outpatient |
| EXPAREL (PF) 1.3 % (13.3 MG/ML) LINF SUSP | $278 | Both |
| EXTRACTABLE NUCLEAR ANTIGEN (ENA), ANY METHOD, EA ANTIBODY | $98.89 | Outpatient |
| EXTRACTABLE NUCLEAR ANTIGEN (ENA), ANY METHOD, SCLERODERMA ABY | $98.89 | Outpatient |
| EXTRACTABLE NUCLEAR ANTIGEN (ENA), J01 ANTIBODIES, IGG, SERUM | $98.89 | Outpatient |
| EYLEA 2 MG/0.05 ML INTRAVITREAL SOLN | $2,588 | Both |
| EYLEA HD 8 MG/0.07 ML INTRAVITREAL SOLN | $3,673 | Both |
| F2 GENE ANALYSIS, 20210G>A VARIANT | $363 | Outpatient |
| F5 GENE ANALYSIS, LEIDEN VARIANT | $405 | Outpatient |
| FASENRA 30 MG/ML SC SYRG | $7,487 | Both |
| FERAHEME 510 MG/17 ML (30 MG/ML) IV SOLN | $1,670 | Both |
| FERUMOXYTOL 510 MG/17 ML (30 MG/ML) IV SOLN | $2,432 | Both |
| FLECAINIDE | $103 | Outpatient |
| FLOW CYTOMETRY, INTERPRETATION; 16 OR MORE MARKERS | $396 | Outpatient |
| FLOW CYTOMETRY, INTERPRETATION; 2-8 MARKERS | $216 | Outpatient |
| FLOW CYTOMETRY, INTERPRETATION; 9-15 MARKERS | $284 | Outpatient |
| FLOW CYTOMETRY, TECHNICAL COMPONENT; EACH ADDL MARKER | $115 | Outpatient |
| FLOW CYTOMETRY, TECHNICAL COMPONENT; FIRST MARKER | $294 | Outpatient |
| FML LIQUIFILM 0.1 % OP DRPS | $236 | Both |
| FMR1 GENE ANALYSIS | $315 | Outpatient |
| FOLIC ACID; RBC | $97.31 | Outpatient |
| FOSFOMYCIN TROMETHAMINE 3 GRAM PO PACK | $105 | Both |
| FRESH FROZEN PLASMA, SINGLE DONOR, EACH UNIT | $141 | Outpatient |
| FRESH FROZEN PLASMA, THAWING, EACH UNIT | $143 | Outpatient |
| FULPHILA 6 MG/0.6 ML SC SYRG | $2,921 | Both |
| GAMMAGARD LIQUID 10 % IJ SOLN | $565 | Both |
| GASES, BLOOD, ANY COMBINATION | $144 | Outpatient |
| GASES, BLOOD, ARTERIAL, W/O2 SATURATION | $435 | Outpatient |
| GASES, BLOOD, VENOUS, W/O2 SATURATION | $435 | Outpatient |
| GASTRIN | $97.31 | Outpatient |
| GASTROINTESTINAL PATHOGEN PCR FECES MCLAB | $2,302 | Outpatient |
| GEN ANESTH SUPPLY KIT | $280 | Both |
| GENERAL HEALTH PANEL | $191 | Outpatient |
| GENU-RANGER HINGED KNEE | $346 | Both |
| GLUCAGON HCL 1 MG/ML IJ SOLR | $227 | Both |
| GONADOTROPIN; FOLLCLE STIMULATING HORMONE (FSH) | $103 | Outpatient |
| GONADOTROPIN; LUTEINIZING HORMONE (LH) | $102 | Outpatient |
| GRANIX 300 MCG/0.5 ML SC SYRG | $350 | Both |
| HCHG 10021 FINE NEEDLE ASPIRATION BIOPSY, W/O IMAGING GUIDANCE; | $134 | Outpatient |
| HCHG 10060 I&D ABSCESS SIMPLE | $113 | Outpatient |
| HCHG 10061 I&D ABSCESS COMPLICATED/MULT | $162 | Outpatient |
| HCHG 10080 I&D PILONIDAL CYST | $277 | Outpatient |
| HCHG 10081 I&D PILONIDAL CYST COMPLICATED | $525 | Outpatient |
| HCHG 10120 INC&REMOVAL FB SIMPLE | $160 | Outpatient |
| HCHG 10121 INC&REMOVAL FB COMPLICATED | $573 | Outpatient |
| HCHG 10140 I&D HEMATOMA/SEROMA/OR FLUID | $577 | Outpatient |
| HCHG 10160 PUNCT ASP ABSC/HEMA/BULLA/CYST | $133 | Outpatient |
| HCHG 11000 DBRIDMNT INFECT/SKIN UP TO 10% | $206 | Outpatient |
| HCHG 11001 DEBRIDE ECZEMATOUS SKIN | $126 | Outpatient |
| HCHG 11010 DEBRIDEMENT/REMOVAL FOREIGN MATERIAL AT OPEN FX/DISLO | $633 | Outpatient |
| HCHG 11042 DEBRIDE SUBQ TISS 20 SQ CM/< | $161 | Outpatient |
| HCHG 11043 DEBRIDE MUSC/FAS 20 SQ CM/< | $265 | Outpatient |
| HCHG 11057 PARING/CUTTING BENIGN LESIONS;>4 LESIONS | $96.78 | Outpatient |
| HCHG 11104 PUNCH BIOPSY SKIN; SINGLE LESION | $118 | Outpatient |
| HCHG 11106 INCISIONAL BIOPSY OF SKIN; SINGLE LESION | $143 | Outpatient |
| HCHG 11302 SHAVE LESION 1.1-2CM | $103 | Outpatient |
| HCHG 11303 SHAVING EPIDERMAL LESION; > 2CM | $133 | Outpatient |
| HCHG 11307 SHAVING EPIDERMAL LESION; 1.1 - 2 CM | $103 | Outpatient |
| HCHG 11308 SHAVING EPIDERMAL LESION; >2 CM | $133 | Outpatient |
| HCHG 11312 SHAVING EPIDERMAL LESION; 1.1 - 2 CM | $103 | Outpatient |
| HCHG 11313 SHAVING EPIDERMAL LESION; > 2 CM | $133 | Outpatient |
| HCHG 11400 EXCISION BENIGN LESION, <0.5 CM | $254 | Outpatient |
| HCHG 11401 EXCISION BENIGN LESION, 0.6-1.0 CM | $307 | Outpatient |
| HCHG 11402 EXCISION BENIGN LESION, 1.1-2.0 CM | $360 | Outpatient |
| HCHG 11403 EXCISION BENIGN LESION, 2.1-3.0 CM | $413 | Outpatient |
| HCHG 11404 EXCISION BENIGN LESION, 3.1-4.0 CM | $466 | Outpatient |
| HCHG 11406 EXCISION BENIGN LESION, > 4 CM | $572 | Outpatient |
| HCHG 11421 EXCISION BENIGN LESION 0.6-1.0 CM | $226 | Outpatient |
| HCHG 11422 EXCISION BENIGN LESION 1.1-2.0 CM | $375 | Outpatient |
| HCHG 11423 EXCISION BENIGN LESION 2.1-3.0 CM | $523 | Outpatient |
| HCHG 11424 EXCISION BENIGN LESION, 3.1-4.0 CM | $670 | Outpatient |
| HCHG 11426 EXCISION BENIGN LESION, > 4 CM | $967 | Outpatient |
| HCHG 11440 EXCISION BENIGN LESION; <.5CM | $254 | Outpatient |
| HCHG 11441 EXCISION BENIGN LESION, 0.6-1.0 CM | $373 | Outpatient |
| HCHG 11442 EXCISION BENIGN LESION, 1.1-2.0 CM | $492 | Outpatient |
| HCHG 11443 EXCISION BENIGN LESION, 2.1-3.0 CM | $611 | Outpatient |
| HCHG 11444 EXCISION BENIGN LESION, 3.1-4.0 CM | $729 | Outpatient |
| HCHG 11446 EXCISION BENIGN LESION, > 4 CM | $966 | Outpatient |
| HCHG 11600 EXC MALIGN LESION, 0.5 CM OR LESS | $254 | Outpatient |
| HCHG 11601 EXC MALIGN LESION, 0.6-1.0 CM | $307 | Outpatient |
| HCHG 11602 EXC MALIGN LESION, 1.1-2.0 CM | $360 | Outpatient |
| HCHG 11603 EXC MALIGN LESION, 2.1-3.0 CM | $413 | Outpatient |
| HCHG 11604 EXC MALIGN LESION, 3.1-4.0 CM | $466 | Outpatient |
| HCHG 11606 EXC MALIGN LESION, OVER 4 CM | $572 | Outpatient |
| HCHG 11620 EXC MALIGN LESION, 0.5 CM OR LESS | $575 | Outpatient |
| HCHG 11621 EXC MALIGN LESION 0.6-1.0 CM | $638 | Outpatient |
| HCHG 11622 EXC MALIGN LESION 1.1-2.0 CM | $704 | Outpatient |
| HCHG 11623 EXC MALIGN LESION, 2.1-3.0 CM | $770 | Outpatient |
| HCHG 11624 EXC MALIGN LESION, 3.1-4.0 CM | $835 | Outpatient |
| HCHG 11626 EXC MALIGN LESION, OVER 4 CM | $966 | Outpatient |
| HCHG 11640 EXC MALIGN LESION, 0.5 CM OR LESS | $254 | Outpatient |
| HCHG 11641 EXC MALIGN LESION, 0.6-1.0 CM | $373 | Outpatient |
| HCHG 11642 EXC MALIGN LESION, 1.1-2.0 CM | $492 | Outpatient |
| HCHG 11643 EXC MALIGN LESION, 2.1-3.0 CM | $611 | Outpatient |
| HCHG 11644 EXC MALIGN LESION, 3.1-4.0 CM | $729 | Outpatient |
| HCHG 11646 EXC MALIGN LESION, OVER 4 CM | $966 | Outpatient |
| HCHG 11750 REMOVAL NAIL BED PERMANENT | $230 | Outpatient |
| HCHG 11760 REPAIR NAIL BED | $434 | Outpatient |
| HCHG 11765 WEDGE RESECTION INGROWN NAIL | $134 | Outpatient |
| HCHG 11770 EXC PILONIDAL CYST/SINUS, SIMPLE | $612 | Outpatient |
| HCHG 11981 INSERTION, DRUG-DELIVERY IMPLANT (IE, RESORB, BIODEGR | $125 | Outpatient |
| HCHG 11982 REMOVAL DRUG DELIVERY IMPLANT | $168 | Outpatient |
| HCHG 11983 REMOVAL W/REINSERT DRUG IMPLANT | $286 | Outpatient |
| HCHG 12002 SIMPLE LACERATION 2.6-7.5 CM | $127 | Outpatient |
| HCHG 12004 SIMPLE LACERATION 7.6-12.5 CM | $159 | Outpatient |
| HCHG 12005 SIMPLE LACERATION 12.6-20 CM | $191 | Outpatient |
| HCHG 12006 SIMP LAC BODY/SCALP 20.1-30 CM | $224 | Outpatient |
| HCHG 12007 SIMP LAC BODY/SCALP >30 CM | $442 | Outpatient |
| HCHG 12011 SIMP LAC FACE/CHIN/EARS <2.5CM | $136 | Outpatient |
| HCHG 12013 SIM LAC FACE/CHIN/EARS 2.6-5CM | $169 | Outpatient |
| HCHG 12014 SIM LAC FACE/CHIN/EARS5.1-7.5C | $203 | Outpatient |
| HCHG 12015 SIM LAC FACE/CHIN/EARS7.6-12.5 | $236 | Outpatient |
| HCHG 12016 SIM LAC FACE/CHIN/EARS12.6-20C | $304 | Outpatient |
| HCHG 12031 REPAIR INTERMEDIATE WOUND, SCALP, AXILLAE, TRUNK, EXT | $133 | Outpatient |
| HCHG 12032 INT LAC BODY/SCALP 2.6-7.5 CM | $224 | Outpatient |
| HCHG 12034 INT LAC BODY/SCALP 7.6-12.5 CM | $314 | Outpatient |
| HCHG 12035 INT LAC BODY/SCALP 12.6-20 CM | $404 | Outpatient |
| HCHG 12036 INT LAC BODY/SCALP 20.1-30 CM | $495 | Outpatient |
| HCHG 12037 INT LAC BODY/SCALP >30 CM | $1,013 | Outpatient |
| HCHG 12041 REPAIR INTERMEDIATE WOUND, NECK, HANDS, FEET, EXT GEN | $156 | Outpatient |
| HCHG 12042 INT LAC NECK/HAND/FEET2.6-7.5C | $190 | Outpatient |
| HCHG 12044 INT LAC NECK/HAND/FEET7.6-12.5 | $224 | Outpatient |
| HCHG 12045 INT LAC NECK/HAND/FEET12.5-20C | $290 | Outpatient |
| HCHG 12051 INT LAC FACE/EARS/EYES <2.5 CM | $210 | Outpatient |
| HCHG 12052 INT LAC FACE/EARS/EYES2.6-5 CM | $243 | Outpatient |
| HCHG 12053 INT LAC FACE/EARS/EYES5.1-7.5C | $286 | Outpatient |
| HCHG 12054 INT LAC FACE/EARS/EYES7.6-12.5 | $328 | Outpatient |
| HCHG 12055 INT LAC FACE/EAR/EYE12.6-20 CM | $412 | Outpatient |
| HCHG 13121 COMP LAC SCALP/LEG/ARM2.6-7.5C | $410 | Outpatient |
| HCHG 13122 COM LAC SCLP/ARM/LEG EA ADL 5C | $241 | Outpatient |
| HCHG 13131 COM LAC FAC/NCK/HND/FT1.1-2.5C | $363 | Outpatient |
| HCHG 13132 COM LAC FAC/NCK/HND/FT2.6-7.5C | $555 | Outpatient |
| HCHG 13133 COM LAC FAC/NCK/ADDL5CM OR LES | $252 | Outpatient |
| HCHG 13151 COM LAC NOS/EAR/EYE/LIP1.1-2.5 | $630 | Outpatient |
| HCHG 13152 COM LAC NOS/EAR/EYE/LIP2.6-7.5 | $934 | Outpatient |
| HCHG 13153 COM LAC NS/EAR/EYE/LIP ADDL 5C | $284 | Outpatient |
| HCHG 14040 ADJ TISSUE TRANSFER;<10SQ | $875 | Outpatient |
| HCHG 14060 ADJ TISSUE TRF, 10 SQ CM OR LESS | $1,472 | Outpatient |
| HCHG 15120 SPLIT THICKNESS AUTOGRAFT 1ST 100 CM | $1,628 | Outpatient |
| HCHG 15260 FULL THICK SKIN GRFT, <20 SQ CM | $1,834 | Outpatient |
| HCHG 15271 SKIN SUB GRAFT TRNK/ARM/LEG;1ST 25 SQ CM | $1,082 | Outpatient |
| HCHG 15272 SKIN SUB GRAFT TRNK/ARM/LEG;ADD ON | $172 | Outpatient |
| HCHG 15275 SKIN SUB GRAFT FACE/SCALP/NK/EAR | $1,212 | Outpatient |
| HCHG 16000 INIT TX BURN 1ST DEG LOC TRMT | $184 | Outpatient |
| HCHG 16020 DRESS/DEBRIDE BURN SML 1-2 DEG | $123 | Outpatient |
| HCHG 16025 DRESS/DEBRIDE BURN MED 1-2 DEG | $234 | Outpatient |
| HCHG 16030 DRESS/DEBRIDE BURN LGE 9% | $564 | Outpatient |
| HCHG 17004 DESTRUCTION 15 OR MORE LESIONS | $163 | Outpatient |
| HCHG 17110 DEST BENIGN LESIONS, UP TO 14 | $125 | Outpatient |
| HCHG 17260 DESTRUCT LESION 0.5 CM OR LESS | $97.31 | Outpatient |
| HCHG 17261 DESTRUCT LESION 0.6-1.0 CM | $108 | Outpatient |
| HCHG 17262 DESTRUCT LESION 1.1-2.0 CM | $194 | Outpatient |
| HCHG 17263 DESTRUCT LESION 2.1-3.0 CM | $140 | Outpatient |
| HCHG 17264 DESTRUCT LESION 3.1-4.0 CM | $150 | Outpatient |
| HCHG 17271 DESTRUCT LESION 0.6-1.0 CM | $232 | Outpatient |
| HCHG 17272 DESTRUCT LESION 1.1-2.0 CM | $176 | Outpatient |
| HCHG 17273 DESTRUCT LESION 2.1-3.0 CM | $270 | Outpatient |
| HCHG 17282 DESTRUCTION LESION 1.1-2.0 CM | $199 | Outpatient |
| HCHG 17311 MOHS FIRST STAGE, UP TO 5 BLOCKS | $606 | Outpatient |
| HCHG 19083 BIOPSY BREAST W/PLC LOC DEVICE 1ST LESION | $1,362 | Outpatient |
| HCHG 19084 BIOPSY BREAST W/PLC LOC DEVICE EA ADDL LESION | $870 | Outpatient |
| HCHG 19100 NEEDLE BIOPSY BREAST | $1,552 | Outpatient |
| HCHG 19281 PLC BREAST LOC DEVICE 1ST LESION | $1,362 | Outpatient |
| HCHG 19282 PL BREAST LOC DEVICE EA ADDL LESION | $276 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Wisconsin or browse all procedures.