Visits & medical services prices at Childrens Hospital of Wisconsin Fox Valley
Neenah, WI · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$46.20–$66.96 | $84–$121.75 | varies |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $314.60 | $572 | 1.6× |
| Cardiopulmonary resuscitation (92950) | $56.10 | $102 | 0.3× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$53.21–$155.51 | $96.75–$282.75 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $168.71 | $306.75 | 2.4× |
| Chemo IV infusion addl hr (96415) | $200.61 | $364.75 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $381.29 | $693.25 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $331.38 | $602.50 | 1.0× |
| Chest Wall Manipulation (94668) | $53.21 | $96.75 | 0.4× |
| Color/duplex Doppler, complete (93975) | $651.20 | $1,184 | 2.8× |
| Color/duplex Doppler, limited (93976) | $644.46 | $1,171.75 | 6.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $488.40 | $888 | 2.3× |
| Cpt initial (94667) | $105.88 | $192.50 | 0.8× |
| Critical care first hour (99291) | $1,023.41 | $1,860.75 | 1.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $658.49 | $1,197.25 | 2.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $544.23 | $989.50 | 5.4× |
| Echo Congenital Complete (93303) | $917.68 | $1,668.50 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) | $314.60 | $572 | 1.4× |
| Eeg 41-60 Minutes (95812) | $274.18 | $498.50 | 1.3× |
| EEG awake and asleep (95819) | $671.14 | $1,220.25 | 3.2× |
| EEG awake drowsy (95816) | $344.58 | $626.50 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) | $792.14 | $1,440.25 | 3.8× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$106.70–$147.26 | $194–$267.75 | varies |
| Emergency Dept Visit Level 2 (99282) | $99.28 | $180.50 | 0.7× |
| Emergency Dept Visit Level 3 (99283) | $182.74 | $332.25 | 0.7× |
| Emergency Dept Visit Level 4 (99284) | $310.89 | $565.25 | 0.8× |
| Er level v (99285) | $887.70 | $1,614 | 1.5× |
| Evaluate pt use of inhaler (94664) | $35.89 | $65.25 | 0.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $16.09 | $29.25 | 0.2× |
| Immunization administration (90471) | $28.60 | $52 | 0.4× |
| IV infusion hydration each additional hour (96361) | $91.85 | $167 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $138.05 | $251 | 0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$33.55–$109.45 | $61–$199 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$34.51–$129.66 | $62.75–$235.75 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$71.50–$148.09 | $130–$269.25 | varies |
| Pulmonary service/procedure (94799) | $525.11 | $954.75 | 4.2× |
| Surfactant Admin Thru Tube (94610) | $64.21 | $116.75 | 0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$24.20–$48.26 | $44–$87.75 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$217.94–$224.40 | $396.25–$408 | varies |
| Tte w/doppler, complete (93306) | $1,160.91 | $2,110.75 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $41.80 | $76 | 0.9× |
| Vent Mgmt Inpat Init Day (94002) | $407.96 | $741.75 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $618.89 | $1,125.25 | 1.0× |
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.