Supplies, drugs & other prices at Froedtert West Bend Hospital

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

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

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ProcedurePosted cashPosted 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 2 matching MRF lines
$53.35–$61.60 $97–$112 varies
Admin influenza virus vac (G0008) $28.60 $52 0.6×
Admin pneumococcal vaccine (G0009) $52.80 $96 1.1×
Adrnl cortcl tum bchm asy 25 (0015M) $1,542.75 $2,805 1.2×
Catheterize for urine spec (P9612) $25.30 $46 2.7×
Demonstrate use home inr mon (G0248) $222.20 $404 1.7×
Direct refer hospital observ (G0379) $475.20 $864 0.8×
Fecal blood scrn immunoassay (G0328)
range across 2 matching MRF lines
$59.40–$103.40 $108–$188 varies
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×
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×
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×
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×
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×

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.