Wisconsin · 1,500 published self-pay prices, from $110 to $14,601.
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 |
|---|---|---|
| 123i Cap per 100 Uci | $132 | Outpatient |
| 99mtc Mag3 per Dose to 15mci | $382 | Outpatient |
| ACETYLCHOLINE CHLORIDE 20 MG IO SOLR | $206 | Outpatient |
| Acetylcholine Receptor | $245 | Outpatient |
| Acoustic Immittance Tsting (All 3)Ree) | $162 | Outpatient |
| Acromioclavicular Joints Bilateral | $458 | Outpatient |
| ACTH | $192 | Outpatient |
| Aep Screen Hearing Newborn | $237 | Outpatient |
| Aldosterone | $236 | Outpatient |
| Alkaline Phosphatase Isoenzymes | $158 | Outpatient |
| Alpha Fetoprotein Amnio | $136 | Outpatient |
| Alpha Fetoprotein Blood Tumor | $155 | Outpatient |
| Alpha Fetoprotein Refer | $173 | Outpatient |
| Alpha Subunit | $169 | Outpatient |
| Alpha-1-Antitrypsin Blood | $122 | Outpatient |
| Alpha-2-Macroglobulin | $152 | Outpatient |
| ALPHA1-PROTEINASE INHIBITOR 1000 MG/20ML IV SOLN | $371 | Outpatient |
| ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE) | $13,891 | Outpatient |
| ALTEPLASE 1 MG/ML IV INFUSION (FOR STROKE) USING 100 MG VIAL | $13,891 | Outpatient |
| ALTEPLASE 100 MG IV SOLR | $13,891 | Outpatient |
| ALTEPLASE 100 MG/100 ML IV INFUSION (FOR PE) USING 100 MG VIAL | $13,891 | Outpatient |
| ALTEPLASE 2 MG IJ SOLR | $333 | Outpatient |
| Ambulatory Proc Recovery | $1,319 | Outpatient |
| Ambulatory Surgery | $373 | Outpatient |
| Aminolevulinic Acid Urine | $195 | Outpatient |
| Amiodarone Level | $191 | Outpatient |
| Amnisure | $148 | Outpatient |
| Amoebic Antibody | $197 | Outpatient |
| Amputate Foot Transmetatarsal | $197 | Outpatient |
| Amputation Toe | $118 | Outpatient |
| Ana Blood Screen | $142 | Outpatient |
| Ana I | $155 | Outpatient |
| Anaplasma Phg Qualitative Pcr | $280 | Outpatient |
| Androstenedione | $336 | Outpatient |
| Angiotensin Convert Enzyme Blood | $128 | Outpatient |
| Ankle 2 Vw | $327 | Outpatient |
| Ankle 3+ Vw | $332 | Outpatient |
| Ankle Single View | $261 | Outpatient |
| Anti-Mullerian Hormone | $178 | Outpatient |
| Antibody Absorption | $130 | Outpatient |
| Antibody Elution | $272 | Outpatient |
| Antibody ID | $114 | Outpatient |
| Antibody Screen | $125 | Outpatient |
| Antigen Screen Patient | $130 | Outpatient |
| Antithrombin III Antigen | $169 | Outpatient |
| Apolipoprotein a-1 | $124 | Outpatient |
| APREPITANT 40 MG PO CAPS | $139 | Outpatient |
| Arsenic Blood | $299 | Outpatient |
| Arsenic I | $284 | Outpatient |
| Arsenic Urine | $227 | Outpatient |
| Art Duplex Le or Bypass Graft/Uni | $848 | Outpatient |
| Arthrodesis Great Toe Mtp Joint | $162 | Outpatient |
| Aspiration Renal Cyst Pelvis | $726 | Outpatient |
| Assessment of Aphasia per Hr | $363 | Outpatient |
| Athletic Trn Eval High Complexity | $324 | Outpatient |
| Athletic Trn Eval Low Complexity | $324 | Outpatient |
| Athletic Trn Eval Mod Complexity | $324 | Outpatient |
| Athletic Trn Reeval Plan Low Complexity | $142 | Outpatient |
| Audiometry Comprehensive | $184 | Outpatient |
| Avi Pump and Tubing | $142 | Outpatient |
| B-Type Natriuretic Peptide | $227 | Outpatient |
| Babesia Microti Dna Pcr | $608 | Outpatient |
| Bactericidal Titer | $158 | Outpatient |
| Balloon Cervical Ripening | $138 | Outpatient |
| Basic Metabolic Panel (Ca Total) | $218 | Outpatient |
| Basic Metabolic Panel Fasting | $218 | Outpatient |
| Behav and Qual Analysis for Voice | $392 | Outpatient |
| BELATACEPT 250 MG IV SOLR | $1,435 | Outpatient |
| BENRALIZUMAB 30 MG/ML SC SOSY | $9,506 | Outpatient |
| Beta-2-Microglobulin | $139 | Outpatient |
| BEZLOTOXUMAB 1000 MG/40ML IV SOLN | $4,452 | Outpatient |
| Bicross Dispensing Fee | $583 | Outpatient |
| BIMATOPROST 0.01 % OP SOLN | $425 | Outpatient |
| Binaural Dispensing Fee | $660 | Outpatient |
| Biofire Respiratory Panel 2.1 | $228 | Outpatient |
| Biopsy Bone Superfical | $629 | Outpatient |
| Biopsy Breast Incisonal | $138 | Outpatient |
| Biopsy Liver Needle | $800 | Outpatient |
| Biopsy Muscle Deep | $116 | Outpatient |
| Biopsy Needle Lung Percut W Img | $1,049 | Outpatient |
| Biopsy Salivary Gland | $156 | Outpatient |
| Biotinidase | $178 | Outpatient |
| Bk Virus Pcr Quant Blood | $261 | Outpatient |
| Blastomyces Antibody | $169 | Outpatient |
| Blood Gases Arterial | $216 | Outpatient |
| Blood Gases Capillary | $244 | Outpatient |
| Blood Gases Cord Arterial I | $209 | Outpatient |
| Blood Gases Venous | $192 | Outpatient |
| Bone Length Studies | $329 | Outpatient |
| Bone Survey Complete | $967 | Outpatient |
| Bone Survey Limited | $731 | Outpatient |
| Bordetella Pcr Each | $166 | Outpatient |
| Braf Gene | $289 | Outpatient |
| Breast Feed Init Visit | $204 | Outpatient |
| Breast Mass Biopsy/Excision | $214 | Outpatient |
| Breast Prosthesis Bra and Bilat Form | $241 | Outpatient |
| Breast Prosthesis Bra and Form | $142 | Outpatient |
| Breast Prosthesis Mastectomy Form | $316 | Outpatient |
| Bronchoscope Disposable | $318 | Outpatient |
| Bronchoscopy | $2,790 | Outpatient |
| BSS - EPINEPHRINE IRRIGATION | $142 | Outpatient |
| BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO | $251 | Outpatient |
| BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO | $218 | Outpatient |
| BUPIVACAINE LIPOSOME 1.3 % IJ SUSP | $400 | Outpatient |
| Burn Dress Debrid No Anesthes Lg | $339 | Outpatient |
| Burn Dress Debrid No Anesthes Med | $273 | Outpatient |
| BUTAMBEN-TETRACAINE-BENZOCAINE 2-2-14 % EX AERO | $222 | Outpatient |
| Bx Breast Perc 1st Lesn US | $249 | Outpatient |
| Bx Breast Perc Ea Addl Lesn US | $194 | Outpatient |
| C-Reactive Protein Sensitive | $145 | Outpatient |
| C-Telopeptide Crossl Blood | $130 | Outpatient |
| Ca 125 Blood | $224 | Outpatient |
| Ca 19-9 | $157 | Outpatient |
| Ca 27-29 | $185 | Outpatient |
| Cadmium | $329 | Outpatient |
| Cadmium Urine | $313 | Outpatient |
| Calcaneus 2+ Vw | $268 | Outpatient |
| Calcitonin | $136 | Outpatient |
| Calcium Ionized Blood | $120 | Outpatient |
| Calprotectin Fecal | $155 | Outpatient |
| Canalith Repositioning per Day Pt | $163 | Outpatient |
| CANDIDA ALBICANS SKN TST ANTGN ID SOLN | $418 | Outpatient |
| Car Seat/Bed Test <=12 Mo 60min | $122 | Outpatient |
| Carbamazepine Level Total | $184 | Outpatient |
| CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN | $190 | Outpatient |
| Card Stress Test Routine | $937 | Outpatient |
| Cardiac Rehab Ph 2 WO Ecg Lvl I 2nd Evnt | $190 | Outpatient |
| Cardiac Rehab Ph 2 WO Ecg Lvlii 2nd Evnt | $190 | Outpatient |
| Cardiac Rehab Phase 2 WO Ecg Level I | $190 | Outpatient |
| Cardiac Rehab Phase 2 WO Ecg Level II | $190 | Outpatient |
| Cardiac Rehab-Ph 2-Level I 2nd Event | $238 | Outpatient |
| Cardiac Rehab-Ph 2-Level II 2nd Event | $238 | Outpatient |
| Cardiac Rehab-Phase 2-Level I | $238 | Outpatient |
| Cardiac Rehab-Phase 2-Level II | $238 | Outpatient |
| Cardiopulmonary Resuscitation | $1,204 | Outpatient |
| Cardioversion Elective External | $1,093 | Outpatient |
| Carnitine Blood | $218 | Outpatient |
| Carnitine Urine | $464 | Outpatient |
| Carotene Total | $126 | Outpatient |
| Cast Appl-Bodyandupper Extremity/Splin | $190 | Outpatient |
| Cast Appl-Lower Extremity/Splints | $398 | Outpatient |
| Cast Appl-Other | $591 | Outpatient |
| Cast Long Leg Fiberglass, Adult >=11 Yrs | $112 | Outpatient |
| Cataract Procedure D/C in Or | $3,474 | Outpatient |
| Cataract Surgery | $4,723 | Outpatient |
| Cath Chest Trocar 10fr | $133 | Outpatient |
| Cath Chest Trocar 24fr | $138 | Outpatient |
| Cath Kit | $484 | Outpatient |
| Cath Midline Pwr Glide Full Kt 18 Ga 10cm | $196 | Outpatient |
| Cath Midline Pwr Glide Full Kt 20ga 8cm | $196 | Outpatient |
| Cath Picc Powr Solo Sgl Lumn 4fr | $228 | Outpatient |
| Cath Picc Pwr 5fr Dual Lumn | $244 | Outpatient |
| Cath Picc Pwr Sngl Lumn | $228 | Outpatient |
| Cath Subclavian Vein | $2,517 | Outpatient |
| Catheter Bakri Tamponade Balloon | $322 | Outpatient |
| Cbc W Auto Differential | $128 | Outpatient |
| Cd4/Cd8 + Ratio I | $206 | Outpatient |
| Cea Blood | $199 | Outpatient |
| Celero Breast Bx Gun | $219 | Outpatient |
| Cell Block I | $303 | Outpatient |
| Cell Count W Differential CSF | $112 | Outpatient |
| Centromere Antibody | $167 | Outpatient |
| Cervical Spine 3 View or Less | $337 | Outpatient |
| Cervical Spine 4 or 5 Vw | $498 | Outpatient |
| Cervical Spine W Obl and Flex/Ext | $866 | Outpatient |
| Chemo Ivp Ea Addl New Drug | $365 | Outpatient |
| Chemo Ivp Sngl or Init Drug | $413 | Outpatient |
| Chemodenervation Anal Sphincter | $126 | Outpatient |
| Chest Wall Manipulation Init | $148 | Outpatient |
| Chest Wall Manipulation Subseq | $114 | Outpatient |
| Chlamydia Dna Probe | $192 | Outpatient |
| Chlamydia Trach and Neisseria Gonorrhoeae Amp Probe | $384 | Outpatient |
| Chlamydia Trachomatis by Pcr | $192 | Outpatient |
| Cholangiogram Operative | $707 | Outpatient |
| Cholecystography Oral Contrast | $458 | Outpatient |
| Chr (15-20ct/2k/Bd) | $232 | Outpatient |
| Chr (20 CT/2k) | $759 | Outpatient |
| Chr (20ct/2k)Frgx | $489 | Outpatient |
| Chr Add Karyotypes Blood | $292 | Outpatient |
| Chr Amnio | $251 | Outpatient |
| Chr Bone Marrow | $707 | Outpatient |
| Chromogranin A | $131 | Outpatient |
| CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP | $127 | Outpatient |
| Circuit Airvo | $155 | Outpatient |
| Circumcision Clamp W Regional Ans | $298 | Outpatient |
| Circumcision Clamp WO Regional Ans | $298 | Outpatient |
| CLINIMIX/DEXTROSE (5/15) 5 % IV SOLN | $126 | Outpatient |
| Clomipramine Level | $158 | Outpatient |
| Clostridium Diff Pcr | $177 | Outpatient |
| Closure Fast Catheter | $1,167 | Outpatient |
| Cltr Skin Agrft F/N/Hf/G 1st 25cm Orless | $230 | Outpatient |
| Cltr Skin Autograft T/a/L 1st 25cm/< | $215 | Outpatient |
| Cns Dna Amp Probe Type 12-25 | $414 | Outpatient |
| COCAINE HCL 40 MG/ML NA SOLN | $510 | Outpatient |
| Cognitive Test by HC Pro per Hr St | $268 | Outpatient |
| COLLAGENASE 250 UNIT/GM EX OINT | $526 | Outpatient |
| Colonoscopy | $2,625 | Outpatient |
| Compatibility Test Antiglobulin | $152 | Outpatient |
| Complement C1 Esterase Inhib Ag | $112 | Outpatient |
| Complement C4 | $126 | Outpatient |
| Complement Total | $222 | Outpatient |
| Complication W Baby Daily (N2) | $822 | Inpatient |
| Comprehensive Metabolic Panel | $316 | Outpatient |
| Comprehensive Metabolic Panel Fast | $291 | Outpatient |
| Conditioned Play Audiometry | $162 | Outpatient |
| Cont Glucose Monitor >= 72hrs Offc Equip | $491 | Outpatient |
| Cont Glucose Monitor Pt Prov Equip | $170 | Outpatient |
| Cont Inhalation Tx 1st Hr | $114 | Outpatient |
| Cont Inhalation Tx Addl Hr | $119 | Outpatient |
| Control Epistaxis Ant Complx | $355 | Outpatient |
| Correct Hallux Valgus W Arthrodesis | $169 | Outpatient |
| Cortisol Blood | $189 | Outpatient |
| Cortisol Blood Am | $197 | Outpatient |
| Cortisol Saliva | $233 | Outpatient |
| COSYNTROPIN 0.25 MG IJ SOLR | $171 | Outpatient |
| COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY | $526 | Outpatient |
| Cpap/Bipap Treatment | $588 | Outpatient |
| Creatinine Clearance Urine Timed | $152 | Outpatient |
| Cros Dispensing Fee | $495 | Outpatient |
| CROSS-LINK HYAL ACID (VISC) 30 MG/3ML IX PRSY | $1,084 | Outpatient |
| Cryoprecipitate | $145 | Outpatient |
| CT Abdomen Non IV Contrast | $1,802 | Outpatient |
| CT Abdomen Pelvis W Contrast | $3,779 | Outpatient |
| CT Abdomen Pelvis WO Contrast | $2,880 | Outpatient |
| CT Abdomen Pelvis Wwo Contrast | $4,414 | Outpatient |
| CT Abdomen With and Without IV Contrast | $2,501 | Outpatient |
| CT Abdomen With IV Contrast | $2,228 | Outpatient |
| CT Angio Abd Aorta Bil Low Ext W/WO | $3,194 | Outpatient |
| CT Angio Abdomen Pelvis W WO Con | $4,718 | Outpatient |
| CT Angio Abdomen W/WO Contrast | $2,749 | Outpatient |
| CT Angio Chest W Contrast | $3,072 | Outpatient |
| CT Angio Head With and Without Contrast | $2,869 | Outpatient |
| CT Angio Neck | $2,587 | Outpatient |
| CT Angio Pelvis | $2,526 | Outpatient |
| CT Angio Upper Extrem W and WO Contrast | $2,587 | Outpatient |
| CT Cervical Spine Non Contrast | $2,047 | Outpatient |
| CT Cervical Spine With and WO Contrast | $2,443 | Outpatient |
| CT Cervical Spine With Contrast | $2,191 | Outpatient |
| CT Chest Low Dose for Lung Ca Screen | $728 | Outpatient |
| CT Chest Non Contrast | $1,708 | Outpatient |
| CT Chest With and Without Contrast | $2,501 | Outpatient |
| CT Chest With Contrast | $2,096 | Outpatient |
| CT Guided Needle Placement | $2,050 | Outpatient |
| CT Head Non Contrast | $1,465 | Outpatient |
| CT Head With and Without Contrast | $2,202 | Outpatient |
| CT Head With Contrast | $2,280 | Outpatient |
| CT Lower Ext Bilat With Contrast | $1,653 | Outpatient |
| CT Lower Extremity Non Contrast | $1,680 | Outpatient |
| CT Lower Extremity W and WO Contrast | $1,689 | Outpatient |
| CT Lower Extremity With Contrast | $1,692 | Outpatient |
| CT Lumbar Spine Non Contrast | $1,954 | Outpatient |
| CT Lumbar Spine With and Without Contrast | $2,443 | Outpatient |
| CT Lumbar Spine With Contrast | $2,100 | Outpatient |
| CT Maxillofacial W & WO Contrast | $2,086 | Outpatient |
| CT Maxillofacial W Contrast | $2,059 | Outpatient |
| CT Orbit Post Fossa Ear Non Contrast | $1,712 | Outpatient |
| CT Orbit Post Fossa Ear With & Without Contrast | $2,003 | Outpatient |
| CT Orbit Post Fossa Ear With Contrast | $1,790 | Outpatient |
| CT Pelvis With and Without IV Contrast | $2,280 | Outpatient |
| CT Pelvis With IV Contrast | $2,088 | Outpatient |
| CT Pelvis WO Contrast | $1,873 | Outpatient |
| CT Si Joint Injection Bilat | $2,217 | Outpatient |
| CT Sinus Facial Bones Non Contrast | $1,527 | Outpatient |
| CT Soft Tissue Neck Non Contrast | $1,609 | Outpatient |
| CT Soft Tissue Neck With and WO Contrast | $2,410 | Outpatient |
| CT Soft Tissue Neck With Contrast | $1,885 | Outpatient |
| CT Thoracic Spine Non Contrast | $1,895 | Outpatient |
| CT Thoracic Spine With and WO Contrast | $2,443 | Outpatient |
| CT Thoracic Spine With Contrast | $1,988 | Outpatient |
| CT Upper Extremity Non Contrast | $1,646 | Outpatient |
| CT Upper Extremity W and WO Contrast | $1,717 | Outpatient |
| CT Upper Extremity With Contrast | $1,692 | Outpatient |
| Cta Head Neck W Contrast W Img Process | $4,718 | Outpatient |
| Cu/OB Recovery Room 1 Hr 15 Min | $1,274 | Outpatient |
| Culture Anaerobe | $137 | Outpatient |
| Culture Blood | $134 | Outpatient |
| Culture Chlamydia Pneumo | $138 | Outpatient |
| Culture CSF | $206 | Outpatient |
| Culture Mycoplasma | $180 | Outpatient |
| Culture Respiratory | $206 | Outpatient |
| Culture Routine | $166 | Outpatient |
| Culture Salmonella+Shigella | $141 | Outpatient |
| Culture Throat | $141 | Outpatient |
| Culture Typing Nacd Seq Each | $310 | Outpatient |
| Culture Ureaplasma | $161 | Outpatient |
| Culture Urine | $123 | Outpatient |
| Cyclic Citrul Peptide Ab Igg (CCP) I | $112 | Outpatient |
| Cystine Urine Random | $301 | Outpatient |
| Cysto W Ins Ureteral Cath | $138 | Outpatient |
| Cystogram 3 Views S and I | $718 | Outpatient |
| Cytopath Cell Enhance Tech W Intrp | $184 | Outpatient |
| D-Dimer Quantitative | $123 | Outpatient |
| DALBAVANCIN HCL 500 MG IV SOLR | $1,880 | Outpatient |
| Day Surgery Recovery | $320 | Outpatient |
| Debrid Selective 1st 20sq Cm or < Pt | $196 | Outpatient |
| Debrid Selective Ea Addl 20sq Cm Pt | $196 | Outpatient |
| Debride Bone 1st 20 Cm or Less | $140 | Outpatient |
| DENOSUMAB 60 MG/ML SC SOSY | $3,049 | Outpatient |
| Deoxycortisol-11 | $292 | Outpatient |
| DESFLURANE IN SOLN | $286 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Wisconsin or browse all procedures.