Visits & medical services prices at Froedtert Community Hospital

New Berlin, WI · every code in this section with a posted price and a Medicare benchmark.

96 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $31.35 $57 0.8×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$68.75–$132 $125–$240 varies
Application on-body injector (96377) $39.33 $71.50 0.8×
Canalith repositioning proc (95992) $100.93 $183.50 2.5×
Cardiac Stress Tst,Tracing Only (93017) $882.20 $1,604 4.1×
Cardiopulmonary resuscitation (92950) $357.78 $650.50 1.7×
Cardioversion (92960) $1,363.73 $2,479.50 2.1×
Cbt 1st hour (94644) $133.65 $243 1.0×
Chemo Anti-Neopl Sq/Im (96401) $194.43 $353.50 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $150.98 $274.50 2.1×
Chemo Ia Push (96420) $255.20 $464 0.8×
Chemo IV infusion addl hr (96415) $219.18 $398.50 3.1×
Chemo IV push addl drug (96411) $203.78 $370.50 2.8×
Chemother Prolong Infuse W/Pump (96416) $335.78 $610.50 1.0×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $388.03 $705.50 1.2×
Chemotherapy Unspecified (96549) $55.55 $101 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $249.15 $453 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $462 $840 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $234.30 $426 0.7×
Color/duplex Doppler, complete (93975) $658.35 $1,197 2.8×
Color/duplex Doppler, limited (93976) $413.88 $752.50 4.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$158.13–$182.33 $287.50–$331.50 varies
Cpt initial (94667) $108.90 $198 0.8×
Critical care first hour (99291) $1,276.28 $2,320.50 1.6×
Dialysis One Evaluation (90945)
range across 2 matching MRF lines
$370.15–$1,598.30 $673–$2,906 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $206.53 $375.50 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $815.38 $1,482.50 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $620.40 $1,128 6.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $846.18 $1,538.50 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $586.85 $1,067 5.6×
Duplex up extrem art unilat/ltd (93931) $540.93 $983.50 5.2×
Echo Congenital Complete (93303) $1,001 $1,820 1.8×
Echo Heart Xthoracic,Limited (93308) $574.20 $1,044 2.4×
Echo transesophageal (93312) $1,779.80 $3,236 3.3×
Echo Transesophageal - Congenital Tee Complete (93315) $1,196.25 $2,175 2.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,118.33 $3,851.50 3.9×
Eeg 41-60 Minutes (95812) $530.75 $965 2.5×
EEG awake and asleep (95819) $606.93 $1,103.50 2.8×
EEG awake drowsy (95816)
range across 2 matching MRF lines
$524.43–$618.48 $953.50–$1,124.50 varies
EEG cont rec w/video by tech min 8 channels (95700) $391.33 $711.50 1.8×
EEG extended monitoring 61-119 minutes (95813) $762.58 $1,386.50 3.5×
Electrocardiogram Tracing (93005) $176.28 $320.50 3.0×
Emergency Dept Visit Level 2 (99282) $245.30 $446 1.6×
Emergency Dept Visit Level 3 (99283) $540.10 $982 2.0×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$672.65–$883.58 $1,223–$1,606.50 varies
Er level 1 (99281) $98.18 $178.50 1.2×
Er level v (99285)
range across 2 matching MRF lines
$950.95–$1,178.10 $1,729–$2,142 varies
Evaluate pt use of inhaler (94664) $133.10 $242 0.6×
Extracranial Bilat Study (93880) $837.38 $1,522.50 3.5×
Extracranial Uni/Ltd Study (93882) $237.05 $431 2.3×
F-up/limited tthrc echo congenital car anomaly (93304) $865.43 $1,573.50 1.6×
Holter monitor recording (93225) $368.78 $670.50 2.8×
Immunization administration (90471) $45.65 $83 0.6×
Irrig Drug Delivery Device (96523) $88.83 $161.50 1.5×
IV infusion hydration each additional hour (96361) $70.13 $127.50 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $251.63 $457.50 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $76.18 $138.50 1.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $80.03 $145.50 1.7×
IV push initial (96374) $134.20 $244 0.6×
Nasopharyngoscopy (92511) $172.15 $313 0.9×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$90.20–$92.13 $164–$167.50 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $96.80 $176 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $83.60 $152 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $24.75 $45 1.2×
Ot eval high complexity (97167) $260.98 $474.50 2.6×
Ot Eval Low Complex (97165) $195.80 $356 1.9×
Ot Eval Moderate Complexity (97166) $214.50 $390 2.1×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$94.88–$96.80 $172.50–$176 varies
Ot Prosthetic Training, Each 15 Min (97761) $77.55 $141 1.9×
Penile Vascular Study,Ltd or F/U (93981) $297.83 $541.50 2.9×
Pt Eval High Complex (97163) $254.93 $463.50 2.6×
Pt eval low complex 20 min (97161) $193.60 $352 2.0×
Pt Eval Mod Complex (97162) $219.18 $398.50 2.2×
Pt gait training 15 min (97116) $59.95 $109 2.1×
Pt Re-Eval Est Plan Care (97164) $115.50 $210 1.7×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$84.70–$127.05 $154–$231 varies
Refill/Maint Pump/Resvr Syst (96522) $320.65 $583 1.5×
Remote 30 Day Ecg Rev/Report (93270) $397.38 $722.50 10.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $80.30 $146 1.4×
Self Care Mngment Training (97535) $65.45 $119 2.0×
Sensory Integration Ea 15 Min (97533) $72.60 $132 1.2×
Subcutaneous Infusion Each Additional Hour (96370) $59.95 $109 1.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $227.70 $414 1.1×
Temp transcutaneous pacing (92953) $912.45 $1,659 1.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $60.78 $110.50 2.7×
Ther Ivntj Ea Addl 15 Min (97130) $57.48 $104.50 2.7×
Ther/Proph/Diag Inj Ia (96373) $149.05 $271 0.7×
Ther/Proph/Diag Inj Sc/Im (96372) $74.80 $136 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $262.63 $477.50 1.2×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$67.93–$69.30 $123.50–$126 varies
Tte w/doppler, complete (93306) $1,096.70 $1,994 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $83.60 $152 1.8×
Upr/L Xtremity Art 2 Levels (93922) $276.38 $502.50 2.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $492.80 $896 2.3×
Vent Mgmt Inpat Init Day (94002) $378.13 $687.50 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $66 $120 2.1×

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.