Supplies, drugs & other prices at Aspirus Langlade Hospital
Antigo, WI · every code in this section with a posted price and a Medicare benchmark.
87 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,703 | $2,620 | 2.2× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,631.50 | $2,510 | 2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $911.30 | $1,402 | 2.7× |
| Admin hepatitis b vaccine (G0010) | $45.50 | $70 | 1.0× |
| Admin influenza virus vac (G0008) | $26 | $40 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $26 | $40 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$542.75–$679.25 | $835–$1,045 | varies |
| Ca screen;pelvic/breast exam (G0101) | $115.70 | $178 | 1.2× |
| Catheterize for urine spec (P9612) | $14.30 | $22 | 1.5× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$1,293.50–$1,747.85 | $1,990–$2,689 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,624.35–$1,715.35 | $2,499–$2,639 | varies |
| Diab manage trn per indiv (G0108) | $145.60 | $224 | 2.6× |
| Diab manage trn ind/group (G0109) | $40.95 | $63 | 2.6× |
| Direct refer hospital observ (G0379) | $215.15 | $331 | 0.4× |
| Drug test def 1-7 classes (G0480) range across 4 matching MRF lines |
$145.60–$228.15 | $224–$351 | varies |
| Drug test def 15-21 classes (G0482) | $251.55 | $387 | 1.3× |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$385.45–$600.60 | $593–$924 | varies |
| Drug test def 8-14 classes (G0481) | $198.90 | $306 | 1.3× |
| Ekg tracing for initial prev (G0404) | $79.30 | $122 | 2.8× |
| Elec stim other than wound (G0283) | $72.80 | $112 | 5.7× |
| Esd endoscopy or colonoscopy (C9779) | $4,234.10 | $6,514 | 1.1× |
| Esophag muc integ w/eso egd (C9777) | $3,304.60 | $5,084 | 0.9× |
| Extrnl counterpulse, per tx (G0166) | $1,629.55 | $2,507 | 12.6× |
| Fecal blood scrn immunoassay (G0328) | $83.20 | $128 | 4.6× |
| Hbot, full body chamber, 30m (G0277) | $602.55 | $927 | 4.5× |
| Hep c screen high risk/other (G0472) | $118.30 | $182 | 2.6× |
| Hepb screen high risk indiv (G0499) | $227.50 | $350 | 8.0× |
| Home sleep test/type 3 porta (G0399) | $573.95 | $883 | 2.7× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$140.40–$226.85 | $216–$349 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$221–$1,729.65 | $340–$2,661 | varies |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) | $5,352.10 | $8,234 | 1.0× |
| Magnetically controlled capsule endoscopy w/i&r (0651T) range across 2 matching MRF lines |
$2,937.35–$3,300.70 | $4,519–$5,078 | varies |
| Mnt subs tx for change dx (G0270) | $40.95 | $63 | 1.3× |
| Mra w/cont, abd (C8900) | $2,942.55 | $4,527 | 8.7× |
| Mra w/cont, lwr ext (C8912) | $2,142.40 | $3,296 | 6.3× |
| Mra w/o cont, abd (C8901) | $1,951.30 | $3,002 | 8.4× |
| Mra w/o cont, chest (C8910) | $1,994.85 | $3,069 | 8.6× |
| Mra w/o cont, lwr ext (C8913) | $1,264.90 | $1,946 | 5.5× |
| Mra w/o fol w/cont, abd (C8902) | $2,697.50 | $4,150 | 8.0× |
| Mra w/o fol w/cont, chest (C8911) | $2,537.60 | $3,904 | 7.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,596.10 | $3,994 | 7.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,952.60 | $3,004 | 5.8× |
| Mri w/o fol w/cont, breast, (C8908) | $3,302 | $5,080 | 9.7× |
| Mri w/o fol w/cont, brst, un (C8905) | $4,537.65 | $6,981 | 13.4× |
| Neuro csf prion prtn qual (0035U) | $210.60 | $324 | 0.4× |
| Obtaining screen pap smear (Q0091) | $101.40 | $156 | 3.6× |
| Oth resp proc, group (G0239) | $119.60 | $184 | 3.3× |
| Oth resp proc, indiv (G0238) | $115.05 | $177 | 4.1× |
| Pathogen test for platelets (P9100) | $68.90 | $106 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $10,598.25 | $16,305 | 0.6× |
| Perc d-e cor revasc t cabg s (C9604) | $10,598.25 | $16,305 | 0.9× |
| Perc d-e cor stent ather s (C9602) | $10,598.25 | $16,305 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $10,598.25 | $16,305 | 0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) | $8,024.90 | $12,346 | 1.1× |
| Pne flu hepb cov home admin (M0201) | $45.50 | $70 | 1.3× |
| Potassium hydroxide preps (Q0112) | $26.65 | $41 | 4.6× |
| Ppps, initial visit (G0438) | $184.60 | $284 | 1.1× |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$79.30–$127.40 | $122–$196 | varies |
| Prgrmg dev eval scrms phys/qhp remote (0650T) | $221 | $340 | 6.1× |
| Prolonged iv inf, req pump (C8957) | $223.60 | $344 | 1.1× |
| Prostate biopsy, any mthd (G0416) | $419.25 | $645 | 1.2× |
| Psa screening (G0103) | $111.80 | $172 | 5.8× |
| Revasc intra lithotrip-ather (C9766) | $21,277.10 | $32,734 | 1.2× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$18,183.10–$27,274.65 | $27,974–$41,961 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$9,655.10–$14,482.65 | $14,854–$22,281 | varies |
| Revasc lith-sten-ath tib/per (C9775) | $27,614.60 | $42,484 | 1.6× |
| Revasc lithotr-ather tib/per (C9774) | $13,845.65 | $21,301 | 0.8× |
| Revasc lithotr-stent tib/per (C9773) | $16,270.15 | $25,031 | 0.9× |
| Revasc lithotrip tibi/perone (C9772) | $10,426.65 | $16,041 | 0.9× |
| Revasc lithotrip-stent-ather (C9767) | $31,353.40 | $48,236 | 1.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $126.10 | $194 | 4.8× |
| Screen cerv/vag thin layer (G0123) | $92.95 | $143 | 4.6× |
| Spine device implant surgery (C9757) unusually low: confirm this is the full procedure |
$5,649.15 | $8,691 | 0.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $12,675 | $19,500 | 0.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $12,093.25 | $18,605 | 0.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) unusually low: confirm this is the full procedure |
$2,097.55 | $3,227 | 0.4× |
| Therapeutic procd strg endur (G0237) | $115.05 | $177 | 4.1× |
| Tomosynthesis, mammo (G0279) range across 4 matching MRF lines |
$87.10–$148.20 | $134–$228 | varies |
| Trauma respons w/hosp criti (G0390) range across 9 matching MRF lines |
$410.15–$6,577.35 | $631–$10,119 | varies |
| Trim nail(s) (G0127) | $33.15 | $51 | 0.6× |
| Trluml Perip Athrc Iliac Art (0238T) | $10,633.35 | $16,359 | 0.6× |
| Tte w or w/o fol w/con,stres (C8928) | $1,631.50 | $2,510 | 2.1× |
| Tte w or w/o fol w/cont, com (C8921) | $1,594.45 | $2,453 | 2.1× |
| Tte w or w/o fol w/cont, f/u (C8922) | $829.40 | $1,276 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,903.20 | $2,928 | 2.5× |
| Unsched dialysis esrd pt hos (G0257) | $1,499.55 | $2,307 | 2.2× |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$73.45–$118.30 | $113–$182 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.