Wisconsin · 1,500 published self-pay prices, from $323 to $20,950.
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 |
|---|---|---|
| ABATACEPT 250 MG IV SOLR | $1,871 | Outpatient |
| ACETYLCHOLINE CHLORIDE 20 MG IO SOLR | $420 | Outpatient |
| ACYCLOVIR 200 MG/5ML PO SUSP | $337 | Outpatient |
| ALPHA1-PROTEINASE INHIBITOR 1000 MG/20ML IV SOLN | $419 | Outpatient |
| ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE) | $10,265 | Outpatient |
| ALTEPLASE 1 MG/ML IV INFUSION (FOR STROKE) USING 100 MG VIAL | $10,265 | Outpatient |
| ALTEPLASE 100 MG IV SOLR | $10,265 | Outpatient |
| ALTEPLASE 100 MG/100 ML IV INFUSION (FOR PE) USING 100 MG VIAL | $10,265 | Outpatient |
| ALTEPLASE 2 MG IJ SOLR | $626 | Outpatient |
| ALVIMOPAN 12 MG PO CAPS | $586 | Outpatient |
| ATOVAQUONE 750 MG/5ML PO SUSP | $3,699 | Outpatient |
| BCG LIVE 50 MG INT SUSR | $586 | Outpatient |
| BELATACEPT 250 MG IV SOLR | $1,131 | Outpatient |
| BETAMETHASONE DIPROPIONATE 0.05 % EX OINT | $330 | Outpatient |
| BETAXOLOL HCL 0.25 % OP SUSP | $1,050 | Outpatient |
| BEZLOTOXUMAB 1000 MG/40ML IV SOLN | $12,238 | Outpatient |
| BIMATOPROST 0.01 % OP SOLN | $850 | Outpatient |
| BRIMONIDINE TARTRATE 0.15 % OP SOLN | $514 | Outpatient |
| BRIMONIDINE TARTRATE-TIMOLOL 0.2-0.5 % OP SOLN | $657 | Outpatient |
| BRINZOLAMIDE 1 % OP SUSP | $1,105 | Outpatient |
| BSS PLUS AND EPINEPHRINE 0.3 MG IRRIGATION (OR ONLY) | $683 | Outpatient |
| BUDESONIDE 90 MCG/ACT IN AEPB | $365 | Outpatient |
| BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO | $755 | Outpatient |
| BUPIVACAINE LIPOSOME 1.3 % IJ SUSP | $816 | Outpatient |
| BUPIVACAINE-MELOXICAM ER 400-12 MG/14ML IJ SOLN | $974 | Outpatient |
| BUPRENORPHINE ER 100 MG/0.5ML SC SOSY | $2,568 | Outpatient |
| BUPRENORPHINE ER 300 MG/1.5ML SC SOSY | $2,568 | Outpatient |
| CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN | $1,166 | Outpatient |
| CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN | $451 | Outpatient |
| CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP | $752 | Outpatient |
| CISATRACURIUM BESYLATE (PF) 10 MG/ML IV SOLN - SSM SO | $957 | Outpatient |
| CISATRACURIUM BESYLATE (PF) 200 MG/20ML IV SOLN | $957 | Outpatient |
| COCAINE HCL 40 MG/ML NA SOLN | $1,156 | Outpatient |
| COLLAGENASE 250 UNIT/GM EX OINT | $660 | Outpatient |
| COSYNTROPIN 0.25 MG IJ SOLR | $343 | Outpatient |
| DALBAVANCIN HCL 500 MG IV SOLR | $2,075 | Outpatient |
| DANTROLENE SODIUM 250 MG IV SUSR | $3,866 | Outpatient |
| DARBEPOETIN ALFA 100 MCG/0.5ML IJ SOSY | $903 | Outpatient |
| DARBEPOETIN ALFA 200 MCG/0.4ML IJ SOSY | $1,806 | Outpatient |
| DARBEPOETIN ALFA 300 MCG/0.6ML IJ SOSY | $2,708 | Outpatient |
| DENOSUMAB 60 MG/ML SC SOSY | $2,188 | Outpatient |
| DIAZEPAM 10 MG RE GEL | $565 | Outpatient |
| DIAZEPAM 20 MG RE GEL | $448 | Outpatient |
| DIGOXIN IMMUNE FAB 40 MG IV SOLR | $5,802 | Outpatient |
| DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN | $1,373 | Outpatient |
| DINOPROSTONE 10 MG VA INST | $357 | Outpatient |
| DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN | $329 | Outpatient |
| EDARAVONE 30 MG/100ML IV SOLN | $447 | Outpatient |
| EPCORITAMAB-BYSP 48 MG/0.8ML SC SOLN | $19,607 | Outpatient |
| EPINEPHRINE 0.15 MG/0.3ML IJ SOAJ | $355 | Outpatient |
| EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ | $355 | Outpatient |
| EPTINEZUMAB-JJMR 100 MG/ML IV SOLN | $2,338 | Outpatient |
| ERTAPENEM SODIUM 1 G IJ SOLR | $377 | Outpatient |
| ESTROGENS CONJUGATED 0.625 MG/GM VA CREA | $1,524 | Outpatient |
| ESTROGENS CONJUGATED 25 MG IJ SOLR | $451 | Outpatient |
| ETONOGESTREL 68 MG SC IMPL | $900 | Outpatient |
| FDC BLUE 2 POWD | $6,833 | Outpatient |
| FERRIC CARBOXYMALTOSE 50 MG/ML IV SOLN - SSM SO | $5,187 | Outpatient |
| FILGRASTIM 300 MCG/0.5ML IJ SOSY | $389 | Outpatient |
| FILGRASTIM 480 MCG/0.8ML IJ SOSY | $620 | Outpatient |
| FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY | $512 | Outpatient |
| FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO | $882 | Outpatient |
| FLUTICASONE PROPIONATE HFA 220 MCG/ACT IN AERO | $1,370 | Outpatient |
| FLUTICASONE PROPIONATE HFA 44 MCG/ACT IN AERO | $659 | Outpatient |
| FOMEPIZOLE 1 GM/ML IV SOLN | $1,149 | Outpatient |
| FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN | $345 | Outpatient |
| FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN | $345 | Outpatient |
| GOSERELIN ACETATE 3.6 MG SC IMPL | $1,375 | Outpatient |
| HC AFF TRAUMA ACTIVATION | $1,134 | Inpatient |
| HC ANKLE BRACH INDEX/SGL WAVEFORM DOPPLER | $324 | Outpatient |
| HC ANOSCOPY DIAGNOSTIC | $377 | Outpatient |
| HC APPL CAST TOTAL CONTACT LEG | $726 | Outpatient |
| HC APPLIC SPLINT LONG LEG | $388 | Outpatient |
| HC APPLIC SPLINT SHORT LEG | $368 | Outpatient |
| HC ART DUPLEX LE OR BYPASS GRAFT/UNI | $609 | Outpatient |
| HC ARTERIAL STUDY EXTREM BILATERAL MULTILVL | $569 | Outpatient |
| HC ARTHROPLASTY TOTAL HIP | $1,649 | Outpatient |
| HC BINAURAL DISPENSING FEE | $724 | Outpatient |
| HC BIOFEEDBACK PERIN OR SPHINC 1ST 15MIN | $393 | Outpatient |
| HC BIOPSY LYMPH NODE SUPERFICIAL BY NEEDLE | $745 | Outpatient |
| HC BLOOD TRANSFUSION >7 HOURS | $884 | Outpatient |
| HC BLOOD TRANSFUSION 1-2 HOURS | $490 | Outpatient |
| HC BLOOD TRANSFUSION 2-3 HOURS | $510 | Outpatient |
| HC BLOOD TRANSFUSION 3-4 HOURS | $530 | Outpatient |
| HC BLOOD TRANSFUSION 4-5 HOURS | $571 | Outpatient |
| HC BLOOD TRANSFUSION 5-6 HOURS | $612 | Outpatient |
| HC BONE SURVEY COMPLETE | $718 | Outpatient |
| HC BONE SURVEY LIMITED | $381 | Outpatient |
| HC BRONCHODILATOR PRE/POST TEST | $384 | Outpatient |
| HC BX BREAST PERC 1ST LESN STEREOTCT | $3,804 | Outpatient |
| HC BX BREAST PERC 1ST LESN US | $2,366 | Outpatient |
| HC BX BREAST PERC EA ADDL LESN US | $706 | Outpatient |
| HC BX BREAST PERC EA ADDL LSN STEROTCT | $2,494 | Outpatient |
| HC CA SCREEN FLEXI SIGMOIDSCOPE | $850 | Outpatient |
| HC CARD STRESS TEST | $804 | Outpatient |
| HC CARD STRESS TEST LEXISCAN | $892 | Outpatient |
| HC CARDIOPULMONARY RESUSCITATION | $786 | Outpatient |
| HC CARDIOVERSION ELECTIVE EXTERNAL | $1,022 | Outpatient |
| HC CATHETER BAKRI TAMPONADE BALLOON | $538 | Outpatient |
| HC CATHETERIZATION URETHRA COMP | $401 | Outpatient |
| HC CEPHALIC VERSION EXTERNAL | $559 | Outpatient |
| HC CERVICAL SPINE MIN 4+ VW | $411 | Outpatient |
| HC CERVICAL SPINE W OBL AND FLEX/EXT | $406 | Outpatient |
| HC CESAREAN SECTION | $597 | Outpatient |
| HC CHANGE TUBE CYSTOSTOMY COMPLEX | $372 | Outpatient |
| HC CIRCUMCISION CLAMP W REGIONAL ANS | $341 | Outpatient |
| HC COLON CA SCRN NOT HI RSK IND | $1,749 | Outpatient |
| HC COLONOSCOPY FLEX DIAGNOSTIC | $1,735 | Outpatient |
| HC COLONOSCOPY FLEX W ABLATION | $2,403 | Outpatient |
| HC COLONOSCOPY FLEX W REMOVAL OF FB | $809 | Outpatient |
| HC COLONOSCOPY FLEX W REMV LES BY HBF | $2,015 | Outpatient |
| HC COLONOSCOPY FLEX WITH BIOPSY | $2,088 | Outpatient |
| HC COLONOSCOPY SCRN HIGH RISK | $1,740 | Outpatient |
| HC COLONOSCOPY STOMA W REM BY SNARE | $2,002 | Outpatient |
| HC COLONOSCOPY THRU STOMA | $709 | Outpatient |
| HC COLONOSCOPY THRU STOMA W BX | $1,529 | Outpatient |
| HC COLONOSCOPY W BAND LIGATION | $791 | Outpatient |
| HC COLONOSCOPY W CONTROL BLEED | $2,309 | Outpatient |
| HC COLONOSCOPY W DECOMPRESSION | $703 | Outpatient |
| HC COLONOSCOPY W SUBMUCOUS INJ | $1,791 | Outpatient |
| HC COLONOSCOPY WITH POLYPECTOMY | $2,450 | Outpatient |
| HC CONT INHALATION TX 1ST HR | $524 | Outpatient |
| HC CONT INHALATION TX ADDL HR | $365 | Outpatient |
| HC CPAP/BIPAP TREATMENT | $880 | Outpatient |
| HC CT ABDOMEN NON IV CONTRAST | $1,508 | Outpatient |
| HC CT ABDOMEN PELVIS W CONTRAST | $2,965 | Outpatient |
| HC CT ABDOMEN PELVIS WO CONTRAST | $2,740 | Outpatient |
| HC CT ABDOMEN PELVIS WWO CONTRAST | $3,413 | Outpatient |
| HC CT ABDOMEN WITH & WITHOUT IV CONTRAST | $2,437 | Outpatient |
| HC CT ABDOMEN WITH IV CONTRAST | $2,148 | Outpatient |
| HC CT ANGIO ABD AORTA BIL LOW EXT W/WO | $3,766 | Outpatient |
| HC CT ANGIO ABDOMEN PELVIS W WO CON | $3,477 | Outpatient |
| HC CT ANGIO ABDOMEN W/WO CONTRAST | $2,772 | Outpatient |
| HC CT ANGIO CHEST W CONTRAST | $2,686 | Outpatient |
| HC CT ANGIO HEAD WITH AND WITHOUT CONTRAST | $2,662 | Outpatient |
| HC CT ANGIO LOWER EXTREM W AND WO CONTRAST | $1,477 | Outpatient |
| HC CT ANGIO NECK | $2,752 | Outpatient |
| HC CT ANGIO PELVIS | $2,768 | Outpatient |
| HC CT ANGIO UPPER EXTREM W AND WO CONTRAST | $2,674 | Outpatient |
| HC CT CEREBRAL PERF ANLYS W CON W CT CTA | $1,565 | Outpatient |
| HC CT CERVICAL SPINE NON CONTRAST | $1,743 | Outpatient |
| HC CT CERVICAL SPINE WITH CONTRAST | $1,455 | Outpatient |
| HC CT CHEST LOW DOSE FOR LUNG CA SCREEN | $1,094 | Outpatient |
| HC CT CHEST NON CONTRAST | $1,530 | Outpatient |
| HC CT CHEST WITH & WITHOUT CONTRAST | $1,820 | Outpatient |
| HC CT CHEST WITH CONTRAST | $1,786 | Outpatient |
| HC CT GUIDED NEEDLE PLACEMENT | $1,495 | Outpatient |
| HC CT HEAD NON CONTRAST | $1,450 | Outpatient |
| HC CT HEAD WITH & WITHOUT CONTRAST | $1,469 | Outpatient |
| HC CT HEAD WITH CONTRAST | $1,404 | Outpatient |
| HC CT LOWER EXTREMITY NON CONTRAST | $1,408 | Outpatient |
| HC CT LOWER EXTREMITY WITH CONTRAST | $1,411 | Outpatient |
| HC CT LOWER EXTREMITY WITH & WITHOUT CONTRAST | $1,741 | Outpatient |
| HC CT LUMBAR SPINE NON CONTRAST | $1,612 | Outpatient |
| HC CT LUMBAR SPINE WITH & WITHOUT CONTRAST | $1,728 | Outpatient |
| HC CT MAXILLOFACIAL W & WO CONTRAST | $1,608 | Outpatient |
| HC CT MAXILLOFACIAL W CONTRAST | $1,279 | Outpatient |
| HC CT ORBIT POST FOSSA EAR NON CONTRAST | $1,584 | Outpatient |
| HC CT ORBIT POST FOSSA EAR WITH CONTRAST | $1,642 | Outpatient |
| HC CT PELVIS WITH & WITHOUT IV CONTRAST | $2,428 | Outpatient |
| HC CT PELVIS WITH IV CONTRAST | $2,165 | Outpatient |
| HC CT PELVIS WO CONTRAST | $1,550 | Outpatient |
| HC CT SINUS FACIAL BONES NON CONTRAST | $1,410 | Outpatient |
| HC CT SOFT TISSUE NECK NON CONTRAST | $1,176 | Outpatient |
| HC CT SOFT TISSUE NECK WITH & WITHOUT CONTRAST | $1,874 | Outpatient |
| HC CT SOFT TISSUE NECK WITH CONTRAST | $1,560 | Outpatient |
| HC CT THORACIC SPINE NON CONTRAST | $1,408 | Outpatient |
| HC CT THORACIC SPINE WITH & WITHOUT CONTRAST | $1,749 | Outpatient |
| HC CT THORACIC SPINE WITH CONTRAST | $1,420 | Outpatient |
| HC CT UPPER EXTREMITY NON CONTRAST | $1,432 | Outpatient |
| HC CT UPPER EXTREMITY WITH CONTRAST | $1,827 | Outpatient |
| HC CTA HEAD NECK W CONTRAST W IMG PROCESS | $3,375 | Outpatient |
| HC CYSTO W DIL URETHRL STRICTURE | $700 | Outpatient |
| HC DEBRID FX/DISLOC OPN SKIN SUBQ | $1,267 | Outpatient |
| HC DELIVERY VAGINAL | $1,331 | Outpatient |
| HC DESTRUCT FACET JNT W IMG C/T SNGL LVL | $902 | Outpatient |
| HC DESTRUCT FACET JNT W IMG L/S SNG LVL | $903 | Outpatient |
| HC DESTRUCT NERVE NEUROLYTIC PERIPH | $563 | Outpatient |
| HC DEXA BONE DENSITY AXIAL SKELETON | $470 | Outpatient |
| HC DEXA BONE DENSITY PERIPHERAL | $452 | Outpatient |
| HC DISLOC ANKLE CLOSED TX NO ANESTH | $1,840 | Outpatient |
| HC DISLOC FINGER IP CLOSD TX NO ANES | $786 | Outpatient |
| HC DISLOC HIP CLOSED TX NO ANES | $794 | Outpatient |
| HC DISLOC PATELLA CLOSED TX NO ANES | $1,633 | Outpatient |
| HC DISPENSING FEE CONTRALAT ROUT BINAURAL | $638 | Outpatient |
| HC DOPPLER ECHO COMPLETE | $355 | Outpatient |
| HC DRAINAGE EXT EAR ABSCESS COMP | $561 | Outpatient |
| HC DUPLEX CAROTID BILAT | $1,061 | Outpatient |
| HC DUPLEX VEIN EXTREM BILAT | $1,726 | Outpatient |
| HC DUPLEX VEIN EXTREM UNILAT | $821 | Outpatient |
| HC ECG MONITOR UP TO 48 HRS RECORDING | $398 | Outpatient |
| HC ECG MONITOR UP TO 48HRS SCAN W REPORT | $854 | Outpatient |
| HC ECHO EXAM OF HEAD | $376 | Outpatient |
| HC ECHO TTE CONG ANOM CMPLT | $1,348 | Outpatient |
| HC ED CRITICAL CARE ADDL 30 MIN | $736 | Outpatient |
| HC ED CRITICAL CARE E/M 30-74 MIN | $1,498 | Outpatient |
| HC ED TX DISLOC SHLDR CLSD W MANIP W ANES | $923 | Outpatient |
| HC EECP PER TREATMENT | $403 | Outpatient |
| HC EGD FELX TRANSORAL W CONTROL OF BLEED | $1,792 | Outpatient |
| HC EGD FELX TRANSORAL W REMVL LESN SNARE | $1,749 | Outpatient |
| HC EGD FLEX TRANSORAL DX | $1,772 | Outpatient |
| HC EGD FLEX TRANSORAL W BX SNGL OR MULT | $2,035 | Outpatient |
| HC EGD FLEX TRANSORAL W PLCMT GTUBE PERC | $1,769 | Outpatient |
| HC EGD FLEX TRANSORAL W REMOVAL FB | $1,918 | Outpatient |
| HC EGD W BALLOON DILATION ESOPHAGUS<30MM | $1,697 | Outpatient |
| HC EKG >48HRS TO 7 DAYS CONT RECORD | $404 | Outpatient |
| HC EKG >48HRS TO 7 DAYS CONT SCAN ANLY | $648 | Outpatient |
| HC EKG >7DAYS TO 15 DAYS CONT RECORD | $420 | Outpatient |
| HC EKG >7DAYS TO 15 DAYS CONT SCAN ANLY | $2,322 | Outpatient |
| HC EMERGENCY DEPT VISIT LEVEL 3 | $486 | Outpatient |
| HC EMERGENCY DEPT VISIT LEVEL 4 | $827 | Outpatient |
| HC EMERGENCY DEPT VISIT LEVEL 5 | $1,320 | Outpatient |
| HC ENDO 1ST 30 MIN | $1,401 | Outpatient |
| HC ENDO DRUG INDUCED SLEEP EVAL DIAGNOSTIC | $877 | Outpatient |
| HC EPISTAXIS CONTRL ANTERIOR SIMPLE | $404 | Outpatient |
| HC EPISTAXIS CONTRL POST & PACK INIT | $759 | Outpatient |
| HC EPISTAXIS CONTRL POST & PACK SUBS | $945 | Outpatient |
| HC EVAL SPEECH SOUND PROD W LANG | $439 | Outpatient |
| HC EVAL SPEECH SOUND PRODUCTION | $331 | Outpatient |
| HC EXCISION LINGUAL FRENUM | $684 | Outpatient |
| HC FACILITY OBSV HRLY W/TELEMETRY | $454 | Outpatient |
| HC FDG PER DOSE TO 45MCI | $890 | Outpatient |
| HC FINE NEEDLE ASP W US EA ADDL LSN | $1,012 | Outpatient |
| HC FINE NEEDLE ASP W US FIRST LSN | $1,052 | Outpatient |
| HC FL ARTHROGRAM HIP | $379 | Outpatient |
| HC FL ARTHROGRAM SHOULDER | $873 | Outpatient |
| HC FL ARTHROGRAM WRIST | $885 | Outpatient |
| HC FL HYSTEROSALPINGOGRAM | $617 | Outpatient |
| HC FLUORO < 1 HOUR | $341 | Outpatient |
| HC FLUORO CVAD | $675 | Outpatient |
| HC FLUORO GUIDANCE FOR NEEDLE PLACMENT | $460 | Outpatient |
| HC FLUORO GUIDANCE FOR SPINAL INJ | $638 | Outpatient |
| HC FLUORO RETROGRADE PYELOGRAM W/WO KUB | $458 | Outpatient |
| HC FULL ROUT OB CARE VAGINAL DELIV TWIN | $5,173 | Outpatient |
| HC FX ANKLE BIMALL CLSD TX & MANIP | $2,034 | Outpatient |
| HC FX ANKLE TRIMALL CLSD TX & MANIP | $2,088 | Outpatient |
| HC FX RADIUS DISTAL CLSD TX & MANIP | $1,804 | Outpatient |
| HC HEARING AID DIG BIN BTE BUDGET | $1,898 | Outpatient |
| HC HEARING AID DIG BIN BTE HIGH | $3,335 | Outpatient |
| HC HEARING AID DIG BIN BTE HIGH ADDL FEE | $3,561 | Outpatient |
| HC HEARING AID DIG BIN BTE LOW | $2,432 | Outpatient |
| HC HEARING AID DIG BIN BTE LOW ADDL FEE | $2,635 | Outpatient |
| HC HEARING AID DIG BIN BTE MID | $2,895 | Outpatient |
| HC HEARING AID DIG BIN BTE MID ADDL FEE | $3,070 | Outpatient |
| HC HEARING AID DIG BIN ITE BUDGET | $1,926 | Outpatient |
| HC HEARING AID DIG BIN ITE HIGH | $3,335 | Outpatient |
| HC HEARING AID DIG BIN ITE HIGH ADDL FEE | $3,460 | Outpatient |
| HC HEARING AID DIG BIN ITE LOW | $2,432 | Outpatient |
| HC HEARING AID DIG BIN ITE LOW ADDL FEE | $2,635 | Outpatient |
| HC HEARING AID DIG BIN ITE MID | $2,791 | Outpatient |
| HC HEARING AID DIG BIN ITE MID ADDL FEE | $3,014 | Outpatient |
| HC HEARING AID DIG MON BTE HIGH | $1,703 | Outpatient |
| HC HEARING AID DIG MON BTE HIGH ADDL FEE | $1,758 | Outpatient |
| HC HEARING AID DIG MON BTE LOW | $1,245 | Outpatient |
| HC HEARING AID DIG MON BTE LOW ADDL FEE | $1,312 | Outpatient |
| HC HEARING AID DIG MON BTE MID | $1,423 | Outpatient |
| HC HEARING AID DIG MON BTE MID ADDL FEE | $1,535 | Outpatient |
| HC HEARING AID DIG MON ITE HIGH | $1,646 | Outpatient |
| HC HEARING AID DIG MON ITE HIGH ADDL FEE | $1,758 | Outpatient |
| HC HEARING AID DIG MON ITE LOW | $1,200 | Outpatient |
| HC HEARING AID DIG MON ITE LOW ADDL FEE | $1,312 | Outpatient |
| HC HEARING AID DIG MON ITE MID | $1,423 | Outpatient |
| HC HEARING AID DIG MON ITE MID ADDL FEE | $1,535 | Outpatient |
| HC HEATED HIGH FLOW O2 INITIAL | $839 | Outpatient |
| HC HEATED HIGH FLOW O2 SUBSEQ | $839 | Outpatient |
| HC HEPATOBIL SYST IMAGE W/DRUG | $1,765 | Outpatient |
| HC HEPATOBILIARY SYSTEM IMAGING | $1,298 | Outpatient |
| HC HYSTEROCOPY W ENDO BX | $1,051 | Outpatient |
| HC I & D VESTIBULE OF MOUTH | $571 | Outpatient |
| HC I AND D ABSCESS PERIANAL | $473 | Outpatient |
| HC I AND D ABSCESS PERIRECTAL | $1,979 | Outpatient |
| HC I&D ABCESS CYST HEMATOMA DENTOALVEOLAR | $745 | Outpatient |
| HC I&D ABCESS FINGER SMPL | $662 | Outpatient |
| HC I&D ABSCESS COMPLEX OR MULTIPLE | $420 | Outpatient |
| HC I&D ABSCESS OR HEMAT NASAL INTRNL | $573 | Outpatient |
| HC I&D HEMATOMA SEROMA FLUID | $343 | Outpatient |
| HC I&D HEMORRHOID THROMBOSED EXTERNL | $511 | Outpatient |
| HC INCISION LINGUAL FRENUM | $515 | Outpatient |
| HC INJ AA STRD BRACHIAL PLEXUS SNGL W IMG | $325 | Outpatient |
| HC INJ AA STRD SCIATIC NERVE W IMG | $334 | Outpatient |
| HC INJ ANS SUPERIOR HYPOGAST PLEXUS | $594 | Outpatient |
| HC INJ EPIDURAL CERVICAL THOR W IMG | $814 | Outpatient |
| HC INJ EPIDURAL LUMBAR SACRAL W IMG | $848 | Outpatient |
| HC INJ EPIDURAL LUMBAR SACRAL WO IMG | $875 | Outpatient |
| HC INJ FACET JNT C/T SNGL LVL | $925 | Outpatient |
| HC INJ FOR SENTINEL NODE ID | $336 | Outpatient |
| HC INJ LUMB EPIDUR BLOOD/CLOT PATCH | $528 | Outpatient |
| HC INJ NERVE BLOCK SYMPATHETIC LUMB THORAC | $398 | Outpatient |
| HC INJ SACROILIAC JOINT | $389 | Outpatient |
| HC INJ TRANSFOR EPID CER/THOR SNG | $613 | Outpatient |
| HC INJ TRANSFORAM NERVE L/S SNGL | $1,457 | Outpatient |
| HC INJ TRANSFORMAL NERVE L/S ADDL | $839 | Outpatient |
| HC INJECTION ARTHROGRAM HIP | $566 | Outpatient |
| HC INJECTION ARTHROGRAM SHOULDER | $417 | Outpatient |
| HC INJECTION ARTHROGRAM WRIST | $607 | Outpatient |
| HC INJECTION CYSTOGRAM | $362 | Outpatient |
| HC INJECTION HYSTEROSALPINGOGRAM | $483 | Outpatient |
| HC INSERT NON TUN CVC >=5 YRS | $382 | Outpatient |
| HC INSERT PICC WO SQ PT >=5YRS W IMG | $1,372 | Outpatient |
| HC INSERT PICC WO SQ PT >=5YRS WO IMG | $427 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Wisconsin or browse all procedures.