Visits & medical services prices at Edgerton Hospital and Health Services
Edgerton, WI · every code in this section with a posted price and a Medicare benchmark.
194 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $33.58 | $46 | 0.9× |
| Advncd Care Plan 30 Min (99497) | $158.41 | $217 | 1.6× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$35.04–$216.08 | $48–$296 | varies |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$36.50–$247.59 | $50–$339.16 | varies |
| Analyze Pacemaker System (93724) range across 2 matching MRF lines |
$35.04–$646.78 | $48–$886 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $104.39 | $143 | 7.3× |
| Application Modality 1/> Areas Diathermy (97024) | $85.41 | $117 | 11.6× |
| Application Modality 1/> Areas Infrared (97026) | $45.99 | $63 | 6.9× |
| Assessment of aphasia per hr (96105) | $336.53 | $461 | 3.5× |
| Behavral qualit analys voice (92524) | $164.25 | $225 | 1.5× |
| Brief Emotional/Behav Assmt (96127) | $8.76 | $12 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$26.28–$623.42 | $36–$854 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$75.92–$83.95 | $104–$115 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$965.79–$1,106.68 | $1,323–$1,516 | varies |
| Cardiopulmonary exercise testing (94621) | $489.83 | $671 | 1.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$379.60–$803.73 | $520–$1,101 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$222.65–$1,979.76 | $305–$2,712 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $776.72 | $1,064 | 0.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $613.20 | $840 | 0.2× |
| Cbt 1st hour (94644) | $215.35 | $295 | 1.7× |
| Chemo IV infusion addl hr (96415) | $203.67 | $279 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $662.11 | $907 | 2.1× |
| Chest Wall Manipulation (94668) | $111.69 | $153 | 0.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $105.85 | $145 | 1.1× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$116.80–$1,256.33 | $160–$1,721 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$80.30–$1,040.98 | $110–$1,426 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $132.13 | $181 | 4.1× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $229.95 | $315 | 1.3× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$75.19–$330.69 | $103–$453 | varies |
| Coronary Artery Angio S&I (93454) | $497.86 | $682 | 0.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $553.34 | $758 | 2.6× |
| Cpt initial (94667) range across 2 matching MRF lines |
$84.68–$143.81 | $116–$197 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$446.03–$2,255.70 | $611–$3,090 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$48.91–$371.57 | $67–$509 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$79.57–$1,040.98 | $109–$1,426 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $650.43 | $891 | 6.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$67.89–$1,255.60 | $93–$1,720 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$49.64–$650.43 | $68–$891 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,460 | $2,000 | 6.3× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$45.99–$1,011.78 | $63–$1,386 | varies |
| Duplex Scan Hemodialysis Access (93990) | $615.39 | $843 | 6.1× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$80.30–$1,255.60 | $110–$1,720 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$50.37–$684.74 | $69–$938 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $279.59 | $383 | 2.2× |
| ECG/monitoring and analysis (93271) | $918.34 | $1,258 | 9.9× |
| Echo Congenital Complete (93303) | $1,766.60 | $2,420 | 3.3× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$67.89–$1,164.35 | $93–$1,595 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$221.19–$381.06 | $303–$522 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$159.14–$2,482 | $218–$3,400 | varies |
| Eeg 41-60 Minutes (95812) | $1,138.07 | $1,559 | 5.4× |
| EEG awake and asleep (95819) | $1,138.07 | $1,559 | 5.4× |
| EEG awake drowsy (95816) | $1,138.07 | $1,559 | 5.4× |
| EEG extended monitoring 61-119 minutes (95813) | $1,138.07 | $1,559 | 5.4× |
| Eeg Sleep Only (95822) | $1,138.07 | $1,559 | 5.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$87.60–$146 | $120–$200 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$73–$109.50 | $100–$150 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$97.09–$102.93 | $133–$141 | varies |
| Electrocardiogram Tracing (93005) | $231.41 | $317 | 4.0× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$86.14–$465.01 | $118–$637 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$128.48–$851.91 | $176–$1,167 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$174.47–$1,581.18 | $239–$2,166 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$43.07–$237.98 | $59–$326 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$357.70–$2,044 | $490–$2,800 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$51.10–$125.56 | $70–$172 | varies |
| Evaluate Speech Production (92522) | $310.25 | $425 | 2.8× |
| Evaluate Swallowing Function (92610) | $659.92 | $904 | 7.8× |
| Evaluation of speech fluency (92521) | $210.24 | $288 | 1.6× |
| External ECG rec>48hr<7d recording (93242) | $40.88 | $56 | 1.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $229.22 | $314 | 1.8× |
| External ECG rec>7d<15d recording (93246) | $40.88 | $56 | 1.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $229.22 | $314 | 1.8× |
| External Ecg Scanning Analysis Report (93226) | $648.24 | $888 | 11.3× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$81.03–$1,522.78 | $111–$2,086 | varies |
| Extracranial Uni/Ltd Study (93882) | $976.74 | $1,338 | 9.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $93.44 | $128 | 0.2× |
| Group Therapeutic Procedures (97150) | $86.87 | $119 | 4.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $859.94 | $1,178 | 0.3× |
| Holter monitor recording (93225) | $648.24 | $888 | 5.0× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$75.19–$131.40 | $103–$180 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$116.80–$201.48 | $160–$276 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$37.96–$113.15 | $52–$155 | varies |
| Icm Device Eval (93290) | $75.19 | $103 | 2.1× |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$53.29–$93.44 | $73–$128 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$37.96–$65.70 | $52–$90 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$33.58–$58.40 | $46–$80 | varies |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$75.19–$118.99 | $103–$163 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$119.72–$127.02 | $164–$174 | varies |
| Irrig Drug Delivery Device (96523) | $170.82 | $234 | 3.0× |
| IV infusion hydration each additional hour (96361) | $203.67 | $279 | 4.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $489.10 | $670 | 2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $202.21 | $277 | 2.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $203.67 | $279 | 4.5× |
| IV push initial (96374) | $223.38 | $306 | 1.1× |
| L Hrt Art/Grft Angio (93459) | $694.96 | $952 | 0.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$50.37–$616.85 | $69–$845 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $53.29 | $73 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $53.29 | $73 | 1.5× |
| Methacholine challenge (94070) | $746.79 | $1,023 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) | $593.49 | $813 | 6.5× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$118.99–$3,790.16 | $163–$5,192 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$97.82–$129.94 | $134–$178 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $274.48 | $376 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $274.48 | $376 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$82.49–$361.35 | $113–$495 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $714.67 | $979 | 1.8× |
| Neuromuscular Reeducation (97112) | $166.44 | $228 | 5.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $66.43 | $91 | 0.5× |
| Oral Function Therapy (92526) | $307.33 | $421 | 3.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $142.35 | $195 | 3.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $60.59 | $83 | 2.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $90.52 | $124 | 4.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $119.72 | $164 | 5.7× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $150.38 | $206 | 7.2× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $182.50 | $250 | 8.7× |
| Ot eval high complexity (97167) | $392.74 | $538 | 3.9× |
| Ot Eval Low Complex (97165) | $320.47 | $439 | 3.2× |
| Ot Eval Moderate Complexity (97166) | $356.24 | $488 | 3.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$148.92–$157.68 | $204–$216 | varies |
| Ot paraffin bath (97018) | $54.75 | $75 | 9.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $151.11 | $207 | 3.7× |
| Ot Re-Eval Est Plan Care (97168) | $139.43 | $191 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $256.23 | $351 | 2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$197.10–$208.05 | $270–$285 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $297.84 | $408 | 1.4× |
| Percutaneous tests w/allergenic extracts (95004) | $29.93 | $41 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $178.85 | $245 | 3.1× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$202.94–$246.01 | $278–$337 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $205.86 | $282 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $205.86 | $282 | 3.6× |
| Physical Performance Test (97750) | $154.03 | $211 | 4.6× |
| Plethysmography (94726) range across 2 matching MRF lines |
$20.44–$307.33 | $28–$421 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$43.80–$44.53 | $60–$61 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$77.38–$105.12 | $106–$144 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$86.87–$117.53 | $119–$161 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$56.94–$66.43 | $78–$91 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$51.10–$215.35 | $70–$295 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$318.28–$4,855.23 | $436–$6,651 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $26.28 | $36 | 0.6× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$86.87–$135.05 | $119–$185 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$86.14–$150.38 | $118–$206 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $109.50 | $150 | 1.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$18.98–$43.07 | $26–$59 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $64.97 | $89 | 1.4× |
| Psych diag eval w/med srvcs (90792) | $319.74 | $438 | 1.9× |
| Psychiatric diagnostic evaluation (90791) | $281.78 | $386 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $240.90 | $330 | 1.4× |
| Pt Eval High Complex (97163) | $392.74 | $538 | 4.0× |
| Pt eval low complex 20 min (97161) | $320.47 | $439 | 3.3× |
| Pt Eval Mod Complex (97162) | $356.24 | $488 | 3.6× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$114.61–$186.15 | $157–$255 | varies |
| Pt mechanical traction (97012) | $127.02 | $174 | 8.8× |
| Pt Re-Eval Est Plan Care (97164) | $139.43 | $191 | 2.1× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$30.66–$147.46 | $42–$202 | varies |
| Pulmonary Stress Testing (94618) | $68.62 | $94 | 0.5× |
| Pure Tone Audiometry Air (92552) | $94.90 | $130 | 0.7× |
| Rem interrog icpms <30 d phys/qhp (93297) | $53.29 | $73 | 1.5× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$53.29–$91.25 | $73–$125 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $529.25 | $725 | 14.6× |
| Remote 30 Day Ecg Tech Supp (93229) | $1,887.05 | $2,585 | 5.2× |
| Respiratory flow volume loop (94375) | $178.85 | $245 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $251.12 | $344 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $263.53 | $361 | 2.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $102.93 | $141 | 2.2× |
| Self Care Mngment Training (97535) | $173.74 | $238 | 5.4× |
| Sleep study unattended (95806) | $292 | $400 | 1.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$108.77–$1,095 | $149–$1,500 | varies |
| Speech sound lang comprehen (92523) | $465.74 | $638 | 2.1× |
| Spirometry (94010) range across 3 matching MRF lines |
$147.46–$221.19 | $202–$303 | varies |
| Standardized Cognitive Performance Testing (96125) | $183.96 | $252 | 1.8× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$1,474.60–$1,834.49 | $2,020–$2,513 | varies |
| Temp transcutaneous pacing (92953) | $879.65 | $1,205 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $113.15 | $155 | 5.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $91.98 | $126 | 4.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$100.74–$106.58 | $138–$146 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $219.73 | $301 | 2.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $100.01 | $137 | 2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$33.58–$195.64 | $46–$268 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $662.11 | $907 | 3.2× |
| Therapeutic Activities (97530) | $167.17 | $229 | 4.8× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $189.80 | $260 | 0.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$51.83–$60.59 | $71–$83 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $25.55 | $35 | 0.7× |
| Trans Care Mgmt 14 Day Disch (99495) | $221.19 | $303 | 1.7× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$148.19–$2,722.90 | $203–$3,730 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $296.38 | $406 | 3.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $64.97 | $89 | 2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $169.36 | $232 | 3.7× |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$56.94–$71.54 | $78–$98 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$25.55–$475.96 | $35–$652 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$45.26–$540.93 | $62–$741 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$186.88–$317.55 | $256–$435 | varies |
| Vital capacity, total (94150) | $142.35 | $195 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $113.88 | $156 | 3.7× |
| Whirlpool Therapy (97022) | $83.95 | $115 | 5.3× |
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.