Supplies, drugs & other prices at Froedtert Menomonee Falls Hospital
Menomonee Falls, WI · every code in this section with a posted price and a Medicare benchmark.
65 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,498.20 | $2,724 | 1.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,301.30 | $2,366 | 3.7× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $337.70 | $614 | 1.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $7,024.60 | $12,772 | 3.6× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $7,024.60 | $12,772 | 0.8× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $7,024.60 | $12,772 | 3.6× |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$11.46–$61.60 | $20.82–$112 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$11.46–$28.60 | $20.82–$52 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$11.46–$52.80 | $20.82–$96 | varies |
| Adrnl cortcl tum bchm asy 25 (0015M) | $1,542.75 | $2,805 | 1.2× |
| Ca screen;pelvic/breast exam (G0101) | $51.70 | $94 | 0.5× |
| Catheterize for urine spec (P9612) | $25.30 | $46 | 2.7× |
| Demonstrate use home inr mon (G0248) | $222.20 | $404 | 1.7× |
| Depression screen annual (G0444) | $74.25 | $135 | 2.0× |
| Direct refer hospital observ (G0379) | $475.20 | $864 | 0.8× |
| Ekg tracing for initial prev (G0404) | $58.30 | $106 | 2.0× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$59.40–$103.40 | $108–$188 | varies |
| Fern test (Q0114) | $19.25 | $35 | 2.0× |
| Flt3 gene int tandem dupl variants quantitative (0046U) | $1,537.25 | $2,795 | 3.8× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $158.95 | $289 | 3.7× |
| Initial care training 30 m (G0539) | $160.05 | $291 | 3.0× |
| Intens cardiac rehab no exer (G0423) | $245.85 | $447 | 1.9× |
| Intens cardiac rehab w/exerc (G0422) | $240.90 | $438 | 1.9× |
| Mri w/cont, breast, bi (C8906) | $3,133.90 | $5,698 | 9.0× |
| Mri w/cont, breast, uni (C8903) | $2,847.35 | $5,177 | 16.3× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $415.25 | $755 | 1.9× |
| Neuro csf prion prtn qual (0035U) | $488.40 | $888 | 0.9× |
| Obtaining screen pap smear (Q0091) | $50.05 | $91 | 1.7× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $326.70 | $594 | 1.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $326.70 | $594 | 1.0× |
| Oth resp proc, group (G0239) | $192.50 | $350 | 5.2× |
| Oth resp proc, indiv (G0238) | $64.35 | $117 | 2.2× |
| Pemivibart infusion (M0224) | $622.33 | $1,131.50 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) | $13,530.55 | $24,601 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $23,255.65 | $42,283 | 2.0× |
| Perc d-e cor stent ather s (C9602) | $13,400.20 | $24,364 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $10,725 | $19,500 | 0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) | $4,509.45 | $8,199 | 0.6× |
| Perq Sacral Augmt Unilat Inj (0200T) | $4,509.45 | $8,199 | 0.6× |
| Prolonged iv inf, req pump (C8957) range across 2 matching MRF lines |
$407.55–$458.70 | $741–$834 | varies |
| Psa screening (G0103) range across 2 matching MRF lines |
$117.15–$123.20 | $213–$224 | varies |
| Revasc intra lithotrip-stent (C9765) | $18,673.05 | $33,951 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $10,969.75 | $19,945 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) | $16,332.25 | $29,695 | 0.9× |
| Revasc lithotr-stent tib/per (C9773) | $24,533.30 | $44,606 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $19,474.95 | $35,409 | 1.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $125.68 | $228.50 | 4.7× |
| Screen cerv/vag thin layer (G0123) | $85.25 | $155 | 4.2× |
| Screen pap by tech w md supv (P3000) | $52.53 | $95.50 | 2.8× |
| Sim ang w/prs cath rad emb (C8004) | $15,845.78 | $28,810.50 | 1.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $26,647.78 | $48,450.50 | 1.4× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,012.55 | $1,841 | 1.3× |
| Therapeutic procd strg endur (G0237) | $68.20 | $124 | 2.4× |
| Therapeutic ultrafiltration (0692T) | $1,100 | $2,000 | 0.7× |
| Train for caregiver add 15 (G0540) | $80.03 | $145.50 | 3.1× |
| Trauma respons w/hosp criti (G0390) | $1,883.75 | $3,425 | 1.4× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $2,933.43 | $5,333.50 | 0.8× |
| Trim nail(s) (G0127) | $64.90 | $118 | 1.1× |
| Tte w or w/o contr, cont ecg (C8930) | $3,132.25 | $5,695 | 4.0× |
| Tte w or w/o fol w/cont, com (C8921) | $1,475.10 | $2,682 | 1.9× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,012.55 | $1,841 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) | $1,514.70 | $2,754 | 1.9× |
| Unsched dialysis esrd pt hos (G0257) | $1,485.55 | $2,701 | 2.2× |
| Vasc emb/occ w/prs cath (C9797) | $25,090.45 | $45,619 | 1.4× |
| Wet mounts/ w preparations (Q0111) | $40.70 | $74 | 2.2× |
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.