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Thedacare Medical Center New London

Wisconsin · 1,500 published self-pay prices, from $87.25 to $14,947.

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.

ItemCash priceSetting
17 HYDROXYPROGESTERONE$111Both
ABD PARACENTESIS W/IMAGING (49083)$1,956Both
ADMIN INFLUENZA VIRUS VAC$163Both
ADRENOCORTICOTROPIC HORMONE$157Both
ALDOSTERONE ASSAY$166Both
ALPHA-FETOPROTEIN (AFP); L3 AND TOTAL$263Both
alteplase (for catheter clearance) 2 mg Solr 1 each Vial$219Both
alteplase (stroke) 100 mg/100 mL (1 mg/mL) Solr 1 each Vial$9,385Both
alteplase 100 mg Solr 1 each Vial$9,385Both
alteplase 100 mg/100 mL (1 mg/mL) Solr 1 each Vial$9,385Both
alteplase 50 mg Solr 1 each Vial$4,704Both
ALTEPLASE RECOMBINANT$104Both
alteplase via EVD (for IVH) 1 mg/mL Solr 1 each Vial$219Both
ANDROSTENEDION ASSAY$119Both
ANKLE X-RAY 3+ VW$163Both
ANKLE XRAY 2 VIEW$144Both
ANTI-MULLERIAN HORMONE (AMH)$144Both
ANTIBODY ID, EA PANEL, COMMUNITY BLD CTR$112Both
ANTIBODY ID, EACH PANEL, COMMUNITY BLD CTR$112Both
ANTIBODY ID, RBC ABS, COMMUNITY BLD CTR$112Both
ANTIDIURETIC HORMONE$138Both
ASPIRATE PLEURA W/ IMAGING (32555)$1,574Both
ASSAY OF PARATHORMONE$168Both
ASSAY OF TOTAL ESTRADIOL$114Both
B CELLS, TOTAL COUNT$154Both
BCR-ABL MAJOR BREAK POINT$668Both
BCR-ABL MINOR BREAK POINT$590Both
BCR-ABL OTHER BREAK POINT$656Both
belatacept 250 mg Solr 1 each Vial$1,074Both
Botox Cosmetic 100 Units Solr 1 each Vial$712Both
BRAIN NATRIURETIC PEPTIDE$138Both
BREAST TOMOSYNTHESIS BI$116Both
BUPivacaine liposome 1.3 % Susp 20 mL Vial$194Both
BUPivacaine-meloxicam ER 200-6 mg/7 mL Soln 7 mL Vial$187Both
BUPivacaine-meloxicam ER 400-12 mg/14 mL Soln 14 mL Vial$356Both
BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE$1,816Both
C DIFF AMPLIFIED PROBE$143Both
C TRACHOMATIS, DNA OR RNA$143Both
C TRACHOMATIS,AMP,RNA$143Both
CALCITONIN$109Both
CALR, GENE ANALYSIS, COMMON VARIANTS IN EXON 9$496Both
CANCER ANTIGEN 125$97.78Both
CANCER ANTIGEN 15-3$91.17Both
CAT SCAN OF CHEST CONTRAST (71260)$579Both
CATECHOLAMINES FRAC, FREE$103Both
Cath Drainage (6624627)$618Both
CATH DRAINAGE (6624627)$649Both
Cath Drainage (6625823)$371Both
CATH DRAINAGE (6625823)$390Both
Cath Drainage (6625982)$2,062Both
CATH DRAINAGE (6625982)$2,165Both
CENTRAL NERVOUS SYSTEM PATHOGEN, 12-25 TARGETS$422Both
CERVICAL SP XRAY 4/5 VIEW$236Both
CHEMO , INIT PROLONG INF W/ PUMP$490Both
CHEMO, ANTI-NEOPL, SQ/IM$278Both
CHEMO, IV INFUSION, 1HR$500Both
CHEMO, IV INFUSION, ADDL HR$108Both
CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE$143Both
CHROMOGRANIN A, BLOOD$89.99Both
CHROMOSOME ANALYSIS, CONGENITAL DISORDER, BLOOD$518Both
CHROMOSOME ANALYSIS,15-20 CELLS$518Both
CHROMOSOME, BLD (KARYOTYPE)$518Both
CITRATE$113Both
CLOSTRIDIUM DIFFICILE TOXINS,PCR, STOOL$143Both
CLOTTING FACTORS,VIII,VW FACTOR ANTIGEN$93.52Both
CMV DNA QUANT BY PCR, BLOOD$175Both
cocaine 40 MG/ML Soln 4 mL Bottle$362Both
Color Flow Velocity Doppler HC$300Both
COLOR FLOW VELOCITY DOPPLER HC$300Both
COMPATIBILITY TEST ELECTRIC$237Both
CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT$224Both
CONTINUOUS GLUCOSE MONITORING$537Both
cosyntropin 0.25 mg Solr 1 each Vial$117Both
CT ABD & PELVIS W/O CONTRAST$513Both
CT ABD&PELV 1+ SECTION/REGNS$1,255Both
CT ABDOMEN W/ W/O CONTR$854Both
CT ABDOMEN&PELVIS W/CONTRAST$1,531Both
CT ANGIO ABD&PELV W/O&W/DYE$1,404Both
CT ANGIO ABDOMEN$851Both
CT ANGIO ABDOMINAL ARTERIES$902Both
CT ANGIO UPR EXTRM W/O&W DYE$851Both
CT ANGIOGRAPHY CHEST$851Both
CT ANGIOGRAPHY HEAD W & W/O CONTRAST$851Both
CT ANGIOGRAPHY NECK W & W/O CONTRAST$851Both
CT CERVICAL SP W/O CONTRAST$453Both
CT CHEST W/O CONTRAST (71250)$447Both
CT HEAD W AND W/O CONTRAST$576Both
CT HEAD W/ CONTRAST$479Both
CT HEAD W/O CONTRAST$335Both
CT IAC/SELLA/ORBIT/POST FOSSA W CONTRAST$717Both
CT L-SPINE W/ CONTRAST$580Both
CT L-SPINE WO CONTRAST (72131)$447Both
CT NECK TISSUE CONTRAST$605Both
CT ORBIT/EAR/FOSSA W/O DYE$586Both
CT SCAN LOWER EXT WO CONTRAST$447Both
CT SCAN OF ABDOMEN$410Both
CT SCAN OF ABDOMEN CONTRAST$852Both
CT SCAN OF FACE, JAW WO CONTRAST$444Both
CT SCAN OF LOWER EXT W CONTRAST$833Both
CT SCAN OF NECK TISSUE$446Both
CT SCAN OF PELVIS CONTRAST$852Both
CT SCAN OF PELVIS WO CONTRAST (72192)$415Both
CT SCAN, FACE/JAW W CONTRAST$500Both
CT SCANS FACE/JAW W WO CONTRAST$632Both
CT THORACIC SP W/O CONTRAST$451Both
CT UPPER EXTREMITY W/ CONTRAST$743Both
CT UPPER EXTREMITY W/O CONTRAST$736Both
CULTURE,VIRUS RESPIRATORY$106Both
CYTOLOGY NONGYN REF LAB GLOBAL$183Both
CYTOPATH, CELLULAR ENHANCEMENT W/ INTERP TECH$101Both
CYTOPATH, FLUIDS, SMEAR WITH INTERP TECH$191Both
dalbavancin 500 mg Solr 1 each Vial$1,826Both
DAPTOmycin 350 MG Solr 1 each Vial$106Both
DAPTOmycin 500 mg Solr 1 each Vial$509Both
DAPTOmycin 500 mg/10 mL Soln 10 mL Syringe$217Both
darbepoetin 100 mcg/0.5 mL Soln 0.5 mL Syringe$379Both
darbepoetin 100 mcg/0.5 mL Sosy 0.5 mL Syringe$238Both
darbepoetin 100 mcg/mL Soln 1 mL Vial$477Both
darbepoetin 150 mcg/0.3 mL Sosy 0.3 mL Syringe$606Both
darbepoetin 200 mcg/0.4 mL Sosy 0.4 mL Syringe$1,319Both
darbepoetin 25 mcg/0.42 mL Sosy 0.42 mL Syringe$238Both
darbepoetin 25 mcg/mL Soln 1 mL Vial$135Both
darbepoetin 300 mcg/0.6 mL Sosy 0.6 mL Syringe$1,319Both
darbepoetin 40 mcg/0.4 mL Sosy 0.4 mL Syringe$238Both
darbepoetin 500 mcg/mL Sosy 1 mL Syringe$4,348Both
darbepoetin 60 mcg/0.3 mL Sosy 0.3 mL Syringe$238Both
denosumab 120 mg/1.7 mL Soln 1.7 mL Vial$3,692Both
denosumab 60 mg/mL Sosy 1 mL Syringe$2,017Both
dexAMETHasone 0.4 MG Inst 10 each Box$539Both
DHEA-S$90.61Both
DIAB MANAGE TRN PER INDIV$204Both
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI$535Both
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI$420Both
DIGITAL BREAST TOMOSYNTHESIS BILATERAL$535Both
DIGITAL BREAST TOMOSYNTHESIS UNILATERAL$419Both
digoxin 100 mcg/mL Soln 1 mL Ampule$168Both
digoxin 100 mcg/mL Soln 1 mL Vial$138Both
DOPPLER LTD ECHO HC$190Both
Doppler Ltd Echo HC$190Both
Draw Blood Off Venous Device (36591)$106Both
DRAW BLOOD OFF VENOUS DEVICE (36591)$89.32Both
DRUG TEST(S), PRESUMPTIVE W/CONFIRM, BY CHEM INSTRUMENT, PER DAY$186Both
DRUG TEST(S), PRESUMPTIVE W/CONFIRM, COC, BY CHEM INSTRUMENT, PER DAY$186Both
DRUG TEST(S), PRESUMPTIVE, BY CHEM INSTRUMENT, PER DAY$186Both
DUPLEX EXTREM VENOUS,BILAT$579Both
DUPLEX EXTREM VENOUS,UNI OR LTD$366Both
DXA BONE DENSITY, AXIAL$183Both
DXA BONE DENSITY/PERIPHERAL$103Both
ECG MONITOR ANALY/RPRT UP TO 48 HOURS (713)$178Both
ECG MONITOR/RPRT UP TO 48 HOURS (715)$90.27Both
ECHO LTD OR F/U TRANSTHORACIC HC$694Both
Echo Ltd or F/U Transthoracic HC$694Both
Echo Ltd W Contrast HC$694Both
ECHO LTD W CONTRAST HC$694Both
Echo Transthoracic W Contrast HC$1,681Both
ECHO TRANSTHORACIC W CONTRAST HC$1,681Both
ECHO W SPECTRAL DOPPLER AND COLOR FLOW (93306)$635Both
Echo W Spectral Doppler and Color Flow HC$1,681Both
ECHO W SPECTRAL DOPPLER AND COLOR FLOW HC$1,681Both
EEG AWAKE,DROWSY W STIMULATN$209Both
EEG EXTENDED MONITORING 61-119 MINUTES$316Both
EEG W/O VID 2-12HR CONT MNTR$515Both
Eeg W/O Vid 2-12hr Cont Mntr$460Both
ELBOW X-RAY MIN 3 VIEWS$144Both
EMERGENCY DEPT VISIT,LEVEL II$135Both
EMERGENCY DEPT VISIT,LEVEL III$232Both
EMERGENCY DEPT VISIT,LEVEL IV$392Both
EMERGENCY DEPT VISIT,LEVEL V$569Both
enoxaparin 100 mg/1 mL Sosy 1 mL Syringe$111Both
enoxaparin 100 mg/mL Soln 3 mL Vial$289Both
enoxaparin 150 mg/1 mL Sosy 1 mL Syringe$142Both
EPINEPHrine 0.15 mg/0.3 mL Soaj 1 each Pen$173Both
EPINEPHrine 0.15 mg/0.3 mL Soaj 2 each Pen$343Both
EPINEPHrine 0.3 mg/0.3 mL Soaj 1 each Pen$173Both
EPINEPHrine 0.3 mg/0.3 mL Soaj 2 each Pen$343Both
EPINEPHrine 30 MG/30ML Soln 30 mL Vial$156Both
EPINEPHrine-dextrose 4 mg/250 mL (16 mcg/mL) Soln 250 mL Flex Cont$94.07Both
epoetin alfa-epbx 10,000 Units/mL Soln 1 mL Vial$125Both
epoetin alfa-epbx 10,000 Units/mL Soln 2 mL Vial$124Both
epoetin alfa-epbx 40,000 Units/mL Soln 1 mL Vial$437Both
EPSTEIN BARR, PCR$148Both
ERPR IHC, QUANT OR SEMI QUANT, EA AB$247Both
ERPR IHC, QUANT OR SEMI QUANT, EA AB TECH$247Both
ertapenem 1 g Solr 1 each Vial$161Both
esmolol 2,000 mg/100 mL (20 mg/mL) Soln 100 mL Flex Cont$170Both
esmolol 2,500 mg/250 mL (10 mg/mL) Soln 250 mL Flex Cont$446Both
ESTRADIOL$114Both
ESTROGENS; FRACTIONATED$132Both
EVAL OF BRONCHOSPASM,PROLONGED$228Both
F2 PROTHROMBIN, COAG FACTOR 2$201Both
F5 GENE ANALYSIS (COAG FACTOR V)$249Both
FACIAL BONES XRAY 3 VIEW$153Both
ferumoxytol 510 mg/17 mL Soln 17 mL Vial$202Both
filgrastim-aafi 300 mcg/0.5 mL Sosy 0.5 mL Syringe$111Both
filgrastim-aafi 300 MCG/ML Soln 1 mL Vial$111Both
filgrastim-aafi 480 mcg/0.8 mL Sosy 0.8 mL Syringe$165Both
filgrastim-aafi 480 MCG/1.6ML Soln 1.6 mL Vial$167Both
filgrastim-ayow 300 mcg/0.5 mL Sosy 0.5 mL Syringe$95.35Both
filgrastim-ayow 480 mcg/0.8 mL Sosy 0.8 mL Syringe$134Both
FISH FOR GENETIC DISORDERS$298Both
FLOW CYTOMETRY FOR LEUK/LYMPHOMA PANEL,1ST MARKER$266Both
FLOW CYTOMETRY, EA ADD'L MARKER$151Both
FLOW CYTOMETRY, FIRST MARKER$266Both
FLOW CYTOMETRY, INTERPRETATION; 16 OR MORE$324Both
FLOW CYTOMETRY,CYTO OR NUCLEIC 1ST MARKER$266Both
FLU VACC PRSV FREE INC ANTIG HIGH DOSE$295Both
FLUOROGUIDE FOR VEIN DEVICE (77001)$444Both
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON$398Both
FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME$133Both
fosaprepitant 150 mg Solr 1 each Vial$436Both
fosaprepitant 150 mg/150 mL Inj 150 mL Flex Cont$312Both
fosphenytoin 500 mg PE/10 mL Soln 10 mL Vial$151Both
GASES, BLOOD$139Both
GASTROINTESTINAL PATHOGENS, 12-25 TARGETS$692Both
GENOTYPE DNA/RNA HEP C$1,049Both
glucagon 1 mg Solr 1 each Box$250Both
glucagon 1 mg Solr 1 each Vial$156Both
GROUP A STREP AMPLIFIED DNA PROBE$143Both
HC EXC SHOULDER TUM DEEP 5 CM/>$6,788Both
HC Abd Paracentesis W/Imaging (49083)$1,470Both
HC ABD PARACENTESIS W/IMAGING (49083)$1,515Both
HC Abg Puncture$145Both
HC ABG PUNCTURE$145Both
HC ADJ TISS XFER LID,NOS,EAR <10SQCM$3,348Both
HC Adj Tiss Xfer Lid,Nos,Ear <10sqcm$3,250Both
HC AIRWAY INHALATION TREATMENT$150Both
HC Airway Inhalation Treatment$150Both
HC Amputation Metatarsal+Toe,Single$2,135Both
HC AMPUTATION METATARSAL+TOE,SINGLE$2,199Both
HC Amputation Toe,Mt-P Jt$3,798Both
HC AMPUTATION TOE,MT-P JT$3,912Both
HC Ankle Scope,Excis Osteochon Defct$5,543Both
HC ANKLE SCOPE,EXCIS OSTEOCHON DEFCT$5,709Both
HC Ankle Scope,Extens Debridemnt$3,659Both
HC ANKLE SCOPE,EXTENS DEBRIDEMNT$3,769Both
HC ANKLE X-RAY 3+ VW$218Both
HC Ankle X-Ray 3+ Vw$212Both
HC Ankle Xray 2 View$139Both
HC ANKLE XRAY 2 VIEW$153Both
HC Applic Multi Layer Compress Below Knee$272Both
HC APPLIC MULTI LAYER COMPRESS BELOW KNEE$272Both
HC APPLICATION RIGID TOTAL CONTACT LEG CAST$618Both
HC Application Rigid Total Contact Leg Cast$618Both
HC Apply Splint, Long Arm$318Both
HC APPLY SPLINT, LONG ARM$334Both
HC Apply Splint, Short Arm$250Both
HC APPLY SPLINT, SHORT ARM$263Both
HC APPLY SPLINT, SHORT LEG$308Both
HC Apply Splint, Short Leg$294Both
HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US$535Both
HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US$551Both
HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US (20610)$533Both
HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US (20610)$548Both
HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US$454Both
HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US$496Both
HC ARTHROSCOP ROTATOR CUFF REPR$11,200Both
HC Arthroscop Rotator Cuff Repr$10,985Both
HC Aspirate Pleura W/ Imaging (32555)$1,376Both
HC ASPIRATE PLEURA W/ IMAGING (32555)$1,410Both
HC BARIATRIC EXERCISE PHYSIOLOGIST VISIT$145Both
HC Bariatric Exercise Physiologist Visit$145Both
HC Behavioral & Qualit Analysis Voice and Resonance$309Both
HC BEHAVIORAL AND QUALITATIVE ANALYSIS$309Both
HC Biopsy of Eyelid$494Both
HC BIOPSY OF EYELID$509Both
HC Biopsy of Prostate,Needle/Punch$3,123Both
HC Bipap/Cpap$415Both
HC BIPAP/CPAP$415Both
HC Bipap/Cpap Initiation & Mngmt$270Both
HC BIPAP/CPAP INITIATION & MNGMT$270Both
HC BLADDER IRRIGATION SIMPLE$574Both
HC Bladder Irrigation Simple$547Both
HC BLADDER SCAN U/S NON IMAGING$131Both
HC Bladder Scan U/S Non Imaging$125Both
HC Blood Transfusion$566Both
HC BLOOD TRANSFUSION$566Both
HC Breast Tomosynthesis Bi$94.81Both
HC BREAST TOMOSYNTHESIS BI$94.81Both
HC BRONCHODILATOR STUDY$523Both
HC Bronchodilator Study$494Both
HC Bx Breast W Device 1st Lesion Ultrasound Guide$2,670Both
HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE$2,751Both
HC BX/REMV,LYMPH NODE,DEEP AXILL$4,398Both
HC Bx/Remv,Lymph Node,Deep Axill$4,311Both
HC Cad Breast MRI$188Both
HC CAD BREAST MRI$203Both
HC CANTHOPLASTY$3,038Both
HC Canthoplasty$2,949Both
HC Cardiac Rehab W/O Monitor$159Both
HC CARDIAC REHAB W/O MONITOR$207Both
HC Cardiac Rhb Monitor Exercise$192Both
HC CARDIAC RHB MONITOR EXERCISE$212Both
HC Cat Scan of Chest Contrast (71260)$1,784Both
HC CAT SCAN OF CHEST CONTRAST (71260)$1,784Both
HC CATARACT SURGERY COMPLEX$4,170Both
HC Cataract Surgery Complex$4,048Both
HC CERVICAL SP XRAY 4/5 VIEW$375Both
HC Cervical Sp Xray 4/5 View$341Both
HC CHEMICAL CAUTERIZATION OF GRANULATION TISSUE$329Both
HC Chemical Cauterization of Granulation Tissue$329Both

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