Childrens Hospital of Wisconsin Fox Valley

Neenah, WI · Children's hospital

Posts prices for 21 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Tonsillectomy and adenoidectomy (under age 12) (42820) $3,496.35 $6,357 0.6×
CT head/brain without contrast (70450) $619.85 $1,127 6.1×
MRI brain without contrast (70551) $2,321.14 $4,220.25 10.0×
MRI brain without and with contrast (70553) $1,949.20 $3,544 5.8×
CT pelvis with contrast (72193) $1,171.91 $2,130.75 6.9×
CT abdomen and pelvis with contrast (74177) $2,006.81 $3,648.75 5.9×
Ultrasound, abdomen complete (76700) $397.38 $722.50 3.9×
Basic metabolic panel (80048) $156.48 $284.50 18.5×
Comprehensive metabolic panel (80053) $52.39 $95.25 5.0×
Lipid panel (80061) $110.96 $201.75 8.3×
Hepatic function panel (80076) $116.88 $212.50 14.3×
Urinalysis, non-automated, with microscopy (81000) $14.03 $25.50 3.5×
Urinalysis, non-automated, without microscopy (81002) $10.04 $18.25 2.9×
Thyroid stimulating hormone (TSH) (84443) $104.91 $190.75 6.2×
CBC with automated differential (85025) $56.93 $103.50 7.3×
CBC, automated (85027) $47.99 $87.25 7.4×
Prothrombin time (PT) (85610) $27.64 $50.25 6.4×
Partial thromboplastin time (PTT) (85730) $47.99 $87.25 8.0×
Office visit, new patient (low complexity, ~30 min) (99203) $269.50 $490 2.1×
Office visit, new patient (moderate complexity, ~45 min) (99204) $403.70 $734 3.1×
Office visit, new patient (high complexity, ~60 min) (99205) $533.50 $970 4.1×

Children's hospital — Medicare is an adult program, so the Medicare benchmarks on this page are a general yardstick, not rates this hospital typically bills.

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