Wisconsin · 732 published self-pay prices, from $1.80 to $17,132.
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 732 published items.
| Item | Cash price | Setting |
|---|---|---|
| AAA US SCREEN TC | $932 | Both |
| Abatacept For IV Soln 250 MG | $4.50 | Both |
| ABD DUPLEX ABD -FOLLOW UP | $323 | Both |
| ABD DUPLEX ABD-FOLLOW UP(T) | $781 | Both |
| ABD DUPLEX ABD-FULL | $1,040 | Both |
| ACETAMINOPHEN | $2,081 | Both |
| Acetaminophen IV Soln 10 MG/ML | $190 | Both |
| ACETONE ASSAY | $111 | Both |
| ACETONE, QUANTITATIVE - REF | $1,253 | Both |
| ACUTE HEPATITIS PANEL | $7,657 | Both |
| Acyclovir Sodium IV Soln 50 MG/ML | $132 | Both |
| ADMIN HEP B,ADULT 19+ | $158 | Both |
| Ado-Trastuzumab Emtansine For IV Soln 100 MG | $4.50 | Both |
| Ado-Trastuzumab Emtansine For IV Soln 160 MG | $7.20 | Both |
| ADULT VENT MGMT INPAT INIT DAY | $7,596 | Both |
| AEROBIC ISOLATE - REF | $1,079 | Both |
| AEROSOL OR VAPOR INHALATIONS | $143 | Both |
| AGENT NOS ASSAY W/OPTIC | $1,822 | Both |
| AIRWAY INHALATION TREATMENT | $175 | Both |
| ALBUMIN, BLOOD | $1,512 | Both |
| ALBUMIN; OTHER SOURCE, QUANTITATIVE, EACH SPECIMEN | $86.40 | Both |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) | $2.93 | Both |
| ALCOHOL | $2,081 | Both |
| ALPHA-FETOPROTEIN SERUM | $162 | Both |
| ALPHA-FETOPROTEIN, SERUM - REF | $5,627 | Both |
| Alteplase For Inj 100 MG | $14.40 | Both |
| Alteplase For Inj 2 MG | $255 | Both |
| Amiodarone HCl Inj 150 MG/3ML (50 MG/ML) | $18.00 | Both |
| AMMONIA | $148 | Both |
| ANAPLSMA PHGCYTOPHLM AMP PRB | $1,021 | Both |
| ANTINUCLEAR ANTIBODIES | $71.10 | Both |
| ANTINUCLEAR ANTIBODIESANA - REF | $853 | Both |
| ART LOWER EXTREMITY-BILAT | $1,338 | Both |
| ART LOWER EXTREMITY+UPPER | $738 | Both |
| ASPIRATE PLEURA W/ IMAGING | $1,029 | Both |
| ASSAY ALKALINE PHOSPHATASE | $2,110 | Both |
| ASSAY BLOOD CARBON MONOXIDE | $2,887 | Both |
| ASSAY CALCIUM, IONIZED | $1,696 | Both |
| ASSAY DIPROPYLACETIC ACID | $387 | Both |
| ASSAY FOR VANCOMYCIN | $1,598 | Both |
| ASSAY IGA/IGD/IGG/IGM EACH | $81.90 | Both |
| ASSAY OF AMYLASE | $303 | Both |
| ASSAY OF BLOOD LIPOPROTEIN | $75.60 | Both |
| ASSAY OF CK (CPK) | $1,656 | Both |
| ASSAY OF DIGOXIN | $136 | Both |
| ASSAY OF FERRITIN | $275 | Both |
| ASSAY OF FREE THYROXINE - REF | $1,685 | Both |
| ASSAY OF GGT - REF | $1,397 | Both |
| ASSAY OF HOMOCYSTINE - REF | $2,106 | Both |
| ASSAY OF IRON | $157 | Both |
| ASSAY OF LACTIC ACID | $108 | Both |
| ASSAY OF LIPASE | $163 | Both |
| ASSAY OF NATRIURETIC PEPTIDE | $5,657 | Both |
| ASSAY OF OSMOLALITY URINE - REF | $1,685 | Both |
| ASSAY OF PHENYTOIN TOTAL | $238 | Both |
| ASSAY OF PHOSPHORUS | $171 | Both |
| ASSAY OF PROGESTERONE | $756 | Both |
| ASSAY OF PROTEIN SERUM | $2,200 | Both |
| ASSAY OF PSA FREE | $1,829 | Both |
| ASSAY OF PSA TOTAL | $2,057 | Both |
| ASSAY OF UREA NITROGEN | $128 | Both |
| ASSAY THYROID STIM HORMONE | $207 | Both |
| ASSAY, GLUCOSE, BLOOD QUANT | $171 | Both |
| Atezolizumab IV Soln 1200 MG/20ML | $14.40 | Both |
| Atropine Sulfate Inj PF 1 MG/ML | $47.48 | Both |
| Atropine Sulfate IV Soln 1 MG/ML | $18.00 | Both |
| Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML) | $39.38 | Both |
| Azacitidine For Inj 100 MG | $372 | Both |
| Azithromycin For Susp 200 MG/5ML | $93.89 | Both |
| Azithromycin IV For Soln 500 MG | $54.50 | Both |
| Azithromycin Tab 250 MG | $33.27 | Both |
| B.BURGDORFERI, AMP PROBE - REF | $1,102 | Both |
| BABESIA MICROTI AMP PRB | $1,021 | Both |
| BEHAVRAL QUALIT ANALYS VOICE | $2,383 | Both |
| BILIRUBIN DIRECT | $82.80 | Both |
| BILIRUBIN TOTAL | $169 | Both |
| BLOOD CULTURE FOR BACTERIA | $266 | Both |
| BLOOD GASES: PH, PO2 & PCO2 | $558 | Both |
| BLOOD OCCULT PEROXIDASE | $594 | Both |
| BLOOD TRANSFUSION SERVICE | $10,078 | Both |
| BLOOD TYPING ABO | $112 | Both |
| BLOOD TYPING RH (D) | $112 | Both |
| BLOOD, OCCULT, OTHER SOURCES | $2,203 | Both |
| BODY FLUID CELL COUNT W DIFF | $1,451 | Both |
| BONE SCAN, WHOLE BODY | $2,110 | Both |
| BREAST TOMOSYNTHESIS,DX TC BILAT | $598 | Both |
| BREAST TOMOSYNTHESIS,DX TC UNILAT | $374 | Both |
| BREAST TOMOSYNTHESIS,SCREEN TC | $598 | Both |
| BRONCH EVAL B/A BRONCH | $2,188 | Both |
| BRONCHIAL ALLERGY TESTS,DRUGS | $1,168 | Both |
| BRONCHO RESPONSE PRE & POST TC | $168 | Both |
| C-REACTIVE PROTEIN | $154 | Both |
| C02/MEMBANE DIFFUSE CAPACITY | $158 | Both |
| CALCIUM - REF | $637 | Both |
| CALCIUM TOTAL | $2,030 | Both |
| CALCULUS SPECTROSCOPY | $411 | Both |
| CALCULUS, INFRARED SPEC - REF | $4,946 | Both |
| CANALITH REPOSITIONING | $3,744 | Both |
| CAPILLARY BLOOD COLLECTION | $356 | Both |
| Carboplatin IV Soln 150 MG/15ML | $76.45 | Both |
| Carboplatin IV Soln 450 MG/45ML | $228 | Both |
| Carboplatin IV Soln 50 MG/5ML | $62.80 | Both |
| Carboplatin IV Soln 600 MG/60ML | $221 | Both |
| CARCINOEMBRYONIC ANTIGEN | $373 | Both |
| CARCINOEMBRYONIC ANTIGEN - REF | $4,471 | Both |
| CARDIAC REHAB/MONITOR | $172 | Both |
| Carfilzomib For Inj 10 MG | $749 | Both |
| Carfilzomib For Inj 30 MG | $1.80 | Both |
| Carfilzomib For Inj 60 MG | $4.50 | Both |
| CATHETERIZE FOR URINE SPEC | $83.70 | Both |
| Cefazolin Sodium For Inj 1 GM | $18.00 | Both |
| Cefazolin Sodium For Inj 2 GM | $23.03 | Both |
| Cefazolin Sodium For Inj 500 MG | $18.00 | Both |
| Cefazolin Sodium for IV Soln 1 GM and Dextrose 4% (50 ML) | $102 | Both |
| Cefazolin Sodium for IV Soln 2 GM and Dextrose 3% (50 ML) | $106 | Both |
| Cefepime HCl For Inj 1 GM | $64.05 | Both |
| Cefepime HCl For IV Soln 2 GM | $127 | Both |
| Cefoxitin Sodium For IV Soln 1 GM | $37.61 | Both |
| Cefoxitin Sodium IV For Soln 2 GM and Dextrose 2.2% (50 ML) | $125 | Both |
| Ceftriaxone Sodium For Inj 1 GM | $18.00 | Both |
| Ceftriaxone Sodium For Inj 2 GM | $18.00 | Both |
| Ceftriaxone Sodium For Inj 500 MG | $18.00 | Both |
| Ceftriaxone Sodium for IV Soln 1 GM and Dextrose 3.74% 50 ML | $111 | Both |
| Ceftriaxone Sodium for IV Soln 2 GM and Dextrose 2.22% 50 ML | $134 | Both |
| Charcoal Activated-Sorbitol Susp | $79.76 | Both |
| CHEMILUMINESCENT ASSAY - REF | $1,501 | Both |
| CHEMOTHERAPY ADMINISTRATION, SUBQ/IM HORMONAL ANTI-NEOPLASTIC | $1,871 | Both |
| CHEMOTHERAPY ADMINISTRATION, SUBQ/IM NON-HORMONAL ANTI-NEOPLASTIC | $1,832 | Both |
| CHEMOTHERAPY PROLONGED INFUSION WITH PUMP (OVER 8 HOURS) | $5,366 | Both |
| CHEMOTHERAPY, IV INFUSION, 1 HOUR | $7,415 | Both |
| CHEMOTHERAPY, IV INFUSION, ADD'L HOUR | $2,356 | Both |
| CHEMOTHERAPY, IV INFUSION, EACH ADD'L SEQUENTIAL INFUSION | $3,930 | Both |
| CHEMOTHERAPY, IV PUSH, ADDITIONAL DRUG | $8,979 | Both |
| CHEMOTHERAPY, IV PUSH, SINGLE DRUG | $3,307 | Both |
| CHEST WALL MANIPULATION,INITIAL | $174 | Both |
| CHLAMYDIA TRACHOMATIS DNA, AMP PROBE | $1,188 | Both |
| Ciprofloxacin 200 MG/100ML in D5W | $104 | Both |
| Ciprofloxacin 400 MG/200ML in D5W | $92.52 | Both |
| Cladribine IV Soln 10 MG/10ML (1 MG/ML) | $618 | Both |
| CLOSTRIDIUM AG EIA | $1,008 | Both |
| CLOSTRIDIUM AG, EIA | $1,512 | Both |
| COLLECT BLOOD FROM PICC | $160 | Both |
| COLONOSCOPY W/SNARE | $1,048 | Both |
| COLONOSCOPY,BIOPSY | $2,781 | Both |
| COLONOSCOPY,FLEX,DIAGNOSTIC | $2,396 | Both |
| COLONOSCOPY,FLEX,SCREEN | $2,923 | Both |
| COLONOSCOPY,REMV LESN,SNARE | $2,923 | Both |
| COLONOSCOPY,SCREEN PREV | $2,397 | Both |
| COMPATIBILITY TEST,ANTIGLOB TECH | $1,145 | Both |
| COMPLEMENT; ANTIGEN, EACH COMPONENT | $78.30 | Both |
| COMPLETE CBC AUTOMATED | $134 | Both |
| COMPLETE CBC W/AUTO DIFF WBC | $266 | Both |
| COMPLIMENT, AG EA - REF | $1,490 | Both |
| COMPREHENSIVE METABOLIC PANEL | $3,586 | Both |
| CONCURRENT INFUSION | $2,268 | Both |
| CONTRAST XRAY ESOPHAGUS; INCL SCOUT & DELAY (TC) | $922 | Both |
| CONTRAST XRAY SWALLOWING FUNCT INT, CINE/VID; INCLSCOUT & DELAY (TC) | $1,009 | Both |
| CORTISOL SERUM - REF | $1,332 | Both |
| CPAP/BIPAP MGMNT-PT OWN EQUIPMENT | $785 | Both |
| CREATININE, BLOOD | $637 | Both |
| CREATININE, OTHER SOURCE - REF | $896 | Both |
| CREATININE; BLOOD | $128 | Both |
| CREATININE; OTHER SOURCE - REF | $598 | Both |
| CT ABD & PELVIS W/O CONTRAST | $3,903 | Both |
| CT ABD&PELV 1+ SECTION/REGNS | $4,597 | Both |
| CT ABDOMEN W/DYE | $2,804 | Both |
| CT ABDOMEN W/O & W/DYE | $3,549 | Both |
| CT ABDOMEN W/O DYE | $1,974 | Both |
| CT ABDOMEN&PELVIS W/CONTRAST | $4,597 | Both |
| CT ANGIO ABD&PELV W/O&W/DYE | $4,597 | Both |
| CT ANGIO ABDOM W/O & W/DYE | $3,903 | Both |
| CT ANGIO ABDOMINAL ARTERIES | $3,118 | Both |
| CT ANGIO LWR EXTR W/O&W/DYE | $2,714 | Both |
| CT ANGIOGRAPHY, CHEST | $3,903 | Both |
| CT ANGIOGRAPHY, HEAD | $2,183 | Both |
| CT ANGIOGRAPHY, NECK | $3,172 | Both |
| CT CHEST SPINE W/O DYE | $2,364 | Both |
| CT HEAD/BRAIN W/O & W/DYE | $2,856 | Both |
| CT HEAD/BRAIN W/O DYE | $1,974 | Both |
| CT LOWER EXTREMITY W/O DYE | $1,329 | Both |
| CT LUMBAR SPINE W/O DYE | $2,364 | Both |
| CT MAXILLOFACIAL W/DYE | $2,272 | Both |
| CT MAXILLOFACIALW/O DYE | $1,974 | Both |
| CT NECK SPINE W/O & W/DYE | $1,278 | Both |
| CT NECK SPINE W/O DYE | $2,182 | Both |
| CT ORBIT/EAR/FOSA W/O DYE | $1,329 | Both |
| CT PELVIS W/DYE | $2,905 | Both |
| CT PELVIS W/O DYE | $2,056 | Both |
| CT SOFT TISSUE NECK W/DYE | $2,075 | Both |
| CT SOFT TISSUE NECK W/O DYE | $1,973 | Both |
| CT UPPER EXTREMITY W/DYE | $2,272 | Both |
| CT UPPER EXTREMITY W/O DYE | $1,442 | Both |
| CULTFOR PATHOG ORGAN,SCR - REF | $1,166 | Both |
| CULTURE SCREEN ONLY | $68.40 | Both |
| CULTURE, ANAEROBIC | $2,873 | Both |
| CUSTOM HAND SPLINT - LEVEL 1 | $1,735 | Both |
| CUSTOM HAND-FINGER ORTHOTIC W/O JOINTS | $479 | Both |
| CV CAROTID IMAGING-BILAT | $1,825 | Both |
| Cyanocobalamin Inj 1000 MCG/ML | $26.12 | Both |
| CYSTOSCOPY,DIL URETHRAL STRICTURE | $644 | Both |
| CYSTOURETHROSCOPY | $475 | Both |
| CYTO NON GYN | $198 | Both |
| DBL CONTRAST X-RAY, ESOPHAGUS - RADIOLOGY | $236 | Both |
| Decitabine For Inj 50 MG | $208 | Both |
| Denosumab Inj 120 MG/1.7ML | $4.50 | Both |
| Denosumab Inj Soln Prefilled Syringe 60 MG/ML | $2.70 | Both |
| DETECT AGENT NOS DNA AMP | $2,131 | Both |
| DETECT AGENT, MULT ORGS, DNA, DIR | $770 | Both |
| Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML | $28.35 | Both |
| Dexamethasone Sodium Phosphate Inj 10 MG/ML | $18.00 | Both |
| Dexamethasone Sodium Phosphate Inj 20 MG/5ML | $18.00 | Both |
| Dexamethasone Sodium Phosphate Inj 4 MG/ML | $18.00 | Both |
| Dextrose 5% in Lactated Ringers | $74.52 | Both |
| Dextrose 5% w/ Sodium Chloride 0.2% | $74.52 | Both |
| Dextrose 5% w/ Sodium Chloride 0.225% | $74.52 | Both |
| Dextrose 5% w/ Sodium Chloride 0.45% | $74.52 | Both |
| Dextrose 5% w/ Sodium Chloride 0.9% | $74.52 | Both |
| Dextrose Inj 5% | $92.52 | Both |
| DIAGNOSTIC CT THORAX W/ CONTRAST (TC) | $3,082 | Both |
| DIAGNOSTIC CT THORAX W/O CONTRAST (TC) | $1,974 | Both |
| Diazepam Inj 5 MG/ML | $103 | Both |
| DIGITAL MAMM, DIAG, BILAT, TC W/CAD PERF | $412 | Both |
| DIGITAL MAMM, DIAG, UNILAT, TC W/CAD PERF | $310 | Both |
| DIGITAL MAMMOGRAM, SCREEN BIL, TC W/CAD PERF | $320 | Both |
| Digoxin Inj 0.25 MG/ML | $20.79 | Both |
| Diphenhydramine HCl Inj 50 MG/ML | $18.00 | Both |
| Diphenhydramine HCl Liquid 12.5 MG/5ML | $3.43 | Both |
| Docetaxel For Inj Conc 160 MG/8ML (20 MG/ML) | $758 | Both |
| Docetaxel For Inj Conc 80 MG/4ML (20 MG/ML) | $758 | Both |
| Docetaxel Soln for IV Infusion 160 MG/16ML | $870 | Both |
| Docetaxel Soln for IV Infusion 20 MG/2ML | $575 | Both |
| Docetaxel Soln for IV Infusion 80 MG/8ML | $495 | Both |
| Doxorubicin HCl Inj 2 MG/ML | $139 | Both |
| DRUG SCREEN CLASS LIST A - REF | $5,126 | Both |
| DXA, BONE DENSITY STUDY, HIPS/PELV/SPINE | $621 | Both |
| EACH ADD'L HOUR IV HYDRATION | $1,525 | Both |
| EACH ADD'L HOUR IV INFUSION <8 HOUR | $1,861 | Both |
| EACH ADD'L SEQUENTIAL IV INFUSION <1 HOUR | $2,192 | Both |
| EACH ADD'L SEQUENTIAL PUSH NEW DRUG | $2,444 | Both |
| EBV, VIRAL CAPSID AB - REF | $832 | Both |
| ECG 12 LEAD, INTERP ONLY | $1,458 | Outpatient |
| ECG 12 LEAD, TRACING ONLY | $3,337 | Both |
| ECHO HEART XTHORACIC,LIMITED | $817 | Both |
| EHRLICHA CHAFFEENSIS AMP PRB | $1,021 | Both |
| EHRLICHIA (ANAPLASMA) AB - REF | $3,575 | Both |
| EHRLICHIA ANTIBODY | $298 | Both |
| ELECTRIC STIMULATION THERAPY | $1,825 | Both |
| ELECTRICAL STIMULATION | $1,397 | Both |
| ELECTROLYTE PANEL | $77.40 | Both |
| EMERGENCY LEVEL II VISIT | $298 | Outpatient |
| EMERGENCY LEVEL III VISIT | $484 | Outpatient |
| EMERGENCY LEVEL IV VISIT | $752 | Outpatient |
| EMERGENCY LEVEL V VISIT | $1,110 | Outpatient |
| ENDOCRINE E2 | $907 | Both |
| ENDOVENOUS ABLATION INCOMPETENT VEIN, LASER, EXTREMITY, 1ST VEIN | $507 | Outpatient |
| Epinephrine Inj 1 MG/ML (1:1000) | $18.00 | Both |
| ERYTHROPIETIN - REF | $2,182 | Both |
| ESTRADIOL - REF | $907 | Both |
| EVALUATE SPEECH PRODUCTION | $3,096 | Both |
| EVALUATE SWALLOW FCTN BRIEF | $220 | Both |
| EVALUATE SWALLOWING FUNCTION | $2,772 | Both |
| EXC SKIN BENIG 0.6-1CM FACE,FACIAL | $405 | Outpatient |
| EXC SKIN BENIG 0.6-1CM TRUNK,ARM,LEG | $322 | Outpatient |
| EXC SKIN BENIG 1.1-2CM FACE,FACIAL | $277 | Both |
| EXC SKIN BENIG 1.1-2CM REMAINDR BODY | $413 | Outpatient |
| EXC SKIN BENIG 1.1-2CM TRUNK,ARM,LEG | $354 | Outpatient |
| EXC SKIN MALIG 2.1-3CM REMAINDR BODY | $375 | Both |
| EXC SKIN MALIG 2.1-3CM TRUNK,ARM,LEG | $382 | Both |
| FACILITY EMERGENCY LEVEL 1 VISIT | $219 | Both |
| FACILITY EMERGENCY LEVEL II VISIT | $361 | Both |
| FACILITY EMERGENCY LEVEL III VISIT | $663 | Both |
| FACILITY EMERGENCY LEVEL IV VISIT | $1,107 | Both |
| FACILITY EMERGENCY LEVEL V VISIT | $1,695 | Both |
| Famotidine Preservative Free Inj 20 MG/2ML | $18.00 | Both |
| Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe) | $1.80 | Both |
| FIBRIN DEGRADATION QUANT | $187 | Both |
| Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML) | $867 | Both |
| Filgrastim Soln Prefilled Syringe 300 MCG/0.5ML | $552 | Both |
| Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML (600 MCG/ML) | $548 | Both |
| FIRST HOUR IV HYDRATION <1 HOUR | $3,805 | Both |
| FISH BILEDUCT CA PT 2 - REF | $1,809 | Both |
| FLU DNA AMP PROBE 1ST 2 TYPES | $1,980 | Both |
| FLU VACCINE HIGH DOSE 65+ | $920 | Both |
| FLU VACCINE, NO PRESERV, IM .5ML | $515 | Both |
| FLU VACCINE,QUAD, NO PRESERV,IM .5 ML | $292 | Both |
| FLUBLOK VACCINE, INJ | $657 | Both |
| Fluconazole in NaCl 0.9% Inj 200 MG/100ML | $96.49 | Both |
| FLUOROSCOPY GUID NEEDLE PLCMT TC | $299 | Both |
| Fluorouracil IV Soln 1 GM/20ML (50 MG/ML) | $77.90 | Both |
| Fluorouracil IV Soln 2.5 GM/50ML (50 MG/ML) | $106 | Both |
| Fluorouracil IV Soln 5 GM/100ML (50 MG/ML) | $138 | Both |
| Fluorouracil IV Soln 500 MG/10ML (50 MG/ML) | $47.86 | Both |
| FOLIC ACID (FOLATE), SERUM | $209 | Both |
| Folic Acid Inj 5 MG/ML | $18.00 | Both |
| Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq) | $593 | Both |
| FREE ASSAY (FT-3) - REF | $1,159 | Both |
| FUNGAL CULTURE, OTHER SOURCE - REF | $842 | Both |
| FUNGUS ISOLATION CULTURE | $187 | Both |
| Furosemide Inj 10 MG/ML | $18.00 | Both |
| Gadoteridol IV Soln 279.3 MG/ML (0.5 MMOL/ML) | $177 | Both |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Wisconsin or browse all procedures.