Edgerton Hospital and Health Services

Edgerton, WI · Critical Access Hospital

Posts prices for 56 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$846.07–$1,420.58 $1,159–$1,946 varies
Shoulder arthroscopy with decompression (29826) $358.43 $491 —
Knee arthroscopy with meniscectomy (29881) $1,106.68 $1,516 0.3×
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure
$732.92 $1,004 0.1×
Upper GI endoscopy (EGD), diagnostic (43235) $254.04 $348 0.3×
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines
$286.89–$3,268.21 $393–$4,477 varies
Diagnostic colonoscopy (45378) $383.98 $526 0.4×
Colonoscopy with biopsy (45380) $416.83 $571 0.4×
Colonoscopy with lesion removal (45385) $528.52 $724 0.5×
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$1,352.69 $1,853 0.2×
Inguinal hernia repair (age 5+) (49505) $1,069.45 $1,465 0.3×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 3 matching MRF lines
$226.30–$1,660.02 $310–$2,274 varies
After-cataract laser surgery (YAG capsulotomy) (66821) $1,081.13 $1,481 2.0×
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$86.14–$2,180.51 $118–$2,987 varies
MRI brain without contrast (70551)
range across 2 matching MRF lines
$149.65–$4,006.97 $205–$5,489 varies
MRI brain with contrast (70552)
range across 2 matching MRF lines
$180.31–$4,090.92 $247–$5,604 varies
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$230.68–$5,715.17 $316–$7,829 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$32.12–$666.49 $44–$913 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$150.38–$4,006.97 $206–$5,489 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$118.26–$2,649.90 $162–$3,630 varies
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$137.24–$4,006.97 $188–$5,489 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$184.69–$4,420.88 $253–$6,056 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$81.76–$1,012.51 $112–$1,387 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$101.47–$982.58 $139–$1,346 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$70.81–$982.58 $97–$1,346 varies
Mammography, one breast (diagnostic) (77065)
range across 2 matching MRF lines
$82.49–$321.20 $113–$440 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$101.47–$401.50 $139–$550 varies
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$97.82–$365 $134–$500 varies
Basic metabolic panel (80048) $221.19 $303 26.1×
Comprehensive metabolic panel (80053) $171.55 $235 16.2×
Lipid panel (80061) $146 $200 10.9×
Renal function panel (80069) $183.96 $252 21.2×
Hepatic function panel (80076) $208.78 $286 25.6×
Urinalysis, non-automated, without microscopy (81002) $44.53 $61 12.8×
PSA, total (84153)
range across 2 matching MRF lines
$104.39–$256.96 $143–$352 varies
Thyroid stimulating hormone (TSH) (84443) $164.25 $225 9.8×
CBC with automated differential (85025) $98.55 $135 12.7×
CBC, automated (85027) $154.76 $212 23.9×
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$37.23–$71.54 $51–$98 varies
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$73.73–$116.07 $101–$159 varies
Psychotherapy, 30 minutes (90832)
range across 2 matching MRF lines
$69.35–$458.44 $95–$628 varies
Psychotherapy, 45 minutes (90834)
range across 2 matching MRF lines
$165.71–$567.94 $227–$778 varies
Psychotherapy, 60 minutes (90837)
range across 2 matching MRF lines
$244.55–$578.89 $335–$793 varies
Family psychotherapy, without patient (50 min) (90846)
range across 2 matching MRF lines
$165.71–$605.17 $227–$829 varies
Family psychotherapy, with patient (50 min) (90847) $635.10 $870 3.7×
Group psychotherapy (90853) $552.61 $757 5.6×
Left heart catheterization (93452)
range across 2 matching MRF lines
$490.56–$795.70 $672–$1,090 varies
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$244.55–$4,784.42 $335–$6,554 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $188.34 $258 6.5×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines
$152.57–$324.12 $209–$444 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$184.69–$452.60 $253–$620 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$336.53–$658.46 $461–$902 varies
Office consultation (low complexity, ~30 min) (99243) $191.99 $263 1.5×
Office consultation (moderate complexity, ~40 min) (99244) $308.06 $422 2.4×
Preventive visit, new patient (age 18–39) (99385)
range across 2 matching MRF lines
$91.25–$286.07 $125–$391.87 varies
Preventive visit, new patient (age 40–64) (99386)
range across 2 matching MRF lines
$91.25–$284.70 $125–$390 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.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 2.6 MB) ↓ — captured 2026-09-08

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