Visits & medical services prices at Froedtert West Bend Hospital
West Bend, WI · every code in this section with a posted price and a Medicare benchmark.
144 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) | $36.85 | $67 | 0.9× |
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$68.75–$132 | $125–$240 | varies |
| Application on-body injector (96377) | $72.05 | $131 | 1.5× |
| Assessment of aphasia per hr (96105) | $215.05 | $391 | 2.2× |
| Behavral qualit analys voice (92524) range across 5 matching MRF lines |
$50.05–$232.65 | $91–$423 | varies |
| Bis Xtracell Fluid Analysis (93702) range across 2 matching MRF lines |
$169.40–$205.15 | $308–$373 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $594 | $1,080 | 1.6× |
| Canalith repositioning proc (95992) | $118.80 | $216 | 2.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,037.85 | $1,887 | 4.8× |
| Cardiopulmonary resuscitation (92950) | $420.75 | $765 | 2.0× |
| Cardioversion (92960) | $1,604.35 | $2,917 | 2.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $81.40 | $148 | 3.1× |
| Cbt 1st hour (94644) | $157.30 | $286 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$228.80–$246.40 | $416–$448 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$177.65–$212.30 | $323–$386 | varies |
| Chemo Ia Push (96420) | $300.30 | $546 | 0.9× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$257.95–$260.70 | $469–$474 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$239.80–$268.95 | $436–$489 | varies |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
$394.90–$606.10 | $718–$1,102 | varies |
| Chemotherapy Into Cns (96450) | $530.20 | $964 | 1.6× |
| Chemotherapy Unspecified (96549) | $86.35 | $157 | 1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$293.15–$314.60 | $533–$572 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$543.40–$623.15 | $988–$1,133 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$275.55–$416.35 | $501–$757 | varies |
| Chest Wall Manipulation (94668) range across 5 matching MRF lines |
$37.95–$79.20 | $69–$144 | varies |
| Color/duplex Doppler, complete (93975) | $774.40 | $1,408 | 3.3× |
| Color/duplex Doppler, limited (93976) | $486.75 | $885 | 4.7× |
| Continuous Pulse Ox (94762) | $292.60 | $532 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$125.13–$214.50 | $227.50–$390 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$128.15–$278.85 | $233–$507 | varies |
| Critical care first hour (99291) | $1,501.50 | $2,730 | 1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$304.70–$326.70 | $554–$594 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$435.60–$1,880.45 | $792–$3,419 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $705.10 | $1,282 | 3.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $243.10 | $442 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $959.20 | $1,744 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $729.85 | $1,327 | 7.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $995.50 | $1,810 | 4.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $690.25 | $1,255 | 6.6× |
| Duplex Scan Hemodialysis Access (93990) | $424.05 | $771 | 4.1× |
| Duplex up extrem art bilat (93930) | $663.85 | $1,207 | 2.8× |
| Duplex up extrem art unilat/ltd (93931) | $636.35 | $1,157 | 6.1× |
| Echo Congenital Complete (93303) | $1,177.55 | $2,141 | 2.2× |
| Echo Heart Xthoracic,Limited (93308) | $675.40 | $1,228 | 2.8× |
| Echo transesophageal (93312) | $2,093.85 | $3,807 | 3.8× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,407.45 | $2,559 | 2.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,492.05 | $4,531 | 4.6× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$523.60–$624.25 | $952–$1,135 | varies |
| EEG awake and asleep (95819) | $713.90 | $1,298 | 3.3× |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$475.75–$727.65 | $865–$1,323 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$576.40–$897.05 | $1,048–$1,631 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$207.35–$249.15 | $377–$453 | varies |
| Emergency Dept Visit Level 2 (99282) | $288.75 | $525 | 1.9× |
| Emergency Dept Visit Level 3 (99283) | $635.25 | $1,155 | 2.3× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$791.45–$1,039.50 | $1,439–$1,890 | varies |
| Er level 1 (99281) | $115.50 | $210 | 1.4× |
| Er level v (99285) range across 2 matching MRF lines |
$1,118.70–$1,386 | $2,034–$2,520 | varies |
| Evaluate pt use of inhaler (94664) | $133.10 | $242 | 0.6× |
| Evaluate Speech Production (92522) range across 4 matching MRF lines |
$119.35–$363 | $217–$660 | varies |
| Evaluate Swallowing Function (92610) range across 6 matching MRF lines |
$82.50–$491.70 | $150–$894 | varies |
| Extracranial Bilat Study (93880) | $985.05 | $1,791 | 4.1× |
| Extracranial Uni/Ltd Study (93882) | $278.85 | $507 | 2.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,018.05 | $1,851 | 1.9× |
| Gi tract capsule endoscopy (91110) | $1,527.90 | $2,778 | 1.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$59.40–$807.40 | $108–$1,468 | varies |
| Icd Device Interrogate (93289) | $144.65 | $263 | 3.9× |
| Ilr Device Interrogate (93291) | $103.40 | $188 | 3.6× |
| Immunization administration (90471) | $45.65 | $83 | 0.6× |
| Insert/Place Heart Catheter (93503) | $2,658.70 | $4,834 | 1.7× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$102.30–$124.85 | $186–$227 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$82.50–$106.70 | $150–$194 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$295.90–$302.50 | $538–$550 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$89.65–$144.10 | $163–$262 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$94.05–$119.90 | $171–$218 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$134.20–$178.20 | $244–$324 | varies |
| Low frequency non-thermal us (97610) | $283.25 | $515 | 1.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,152.80 | $2,096 | 5.4× |
| Methacholine challenge (94070) | $657.53 | $1,195.50 | 1.8× |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$75.90–$601.15 | $138–$1,093 | varies |
| Multiple Sleep Latency Test (95805) | $1,764.40 | $3,208 | 2.1× |
| Nasopharyngoscopy (92511) | $202.40 | $368 | 1.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $519.20 | $944 | 1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $437.25 | $795 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $200.75 | $365 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $377.30 | $686 | 0.9× |
| Neuromuscular Reeducation (97112) | $108.35 | $197 | 3.3× |
| Oral Function Therapy (92526) range across 6 matching MRF lines |
$112.20–$662.20 | $204–$1,204 | varies |
| Oral Speech Device Eval (92597) range across 6 matching MRF lines |
$166.10–$889.90 | $302–$1,618 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $100.65 | $183 | 2.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $29.15 | $53 | 1.4× |
| Ot eval high complexity (97167) | $312.95 | $569 | 3.1× |
| Ot Eval Low Complex (97165) | $234.85 | $427 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $252.45 | $459 | 2.5× |
| Ot manual therapy 15 min (97140) | $113.85 | $207 | 4.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $92.95 | $169 | 2.3× |
| Ot Re-Eval Est Plan Care (97168) | $121 | $220 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$261.80–$267.30 | $476–$486 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $144.65 | $263 | 1.1× |
| Penile Vascular Study,Ltd or F/U (93981) | $350.35 | $637 | 3.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $238.43 | $433.50 | 1.1× |
| Peripheral arterial disease rehab per session (93668) | $101.75 | $185 | 1.7× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$187–$194.15 | $340–$353 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $202.95 | $369 | 3.5× |
| Plethysmography (94726) | $422.95 | $769 | 1.1× |
| Pm device eval in person (93288) | $58.30 | $106 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,713.05 | $6,751 | 4.3× |
| Pt Eval High Complex (97163) | $299.75 | $545 | 3.1× |
| Pt eval low complex 20 min (97161) | $227.70 | $414 | 2.3× |
| Pt Eval Mod Complex (97162) | $257.95 | $469 | 2.6× |
| Pt gait training 15 min (97116) | $70.40 | $128 | 2.4× |
| Pt group caregiver training (97552) | $27.50 | $50 | 1.2× |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$108.35–$229.90 | $197–$418 | varies |
| Pt Re-Eval Est Plan Care (97164) | $135.85 | $247 | 2.0× |
| Pulmonary service/procedure (94799) range across 7 matching MRF lines |
$51.15–$305.80 | $93–$556 | varies |
| Pulmonary Stress Testing (94618) | $186.45 | $339 | 1.4× |
| Refill/Maint Pump/Resvr Syst (96522) | $377.30 | $686 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$169.95–$199.65 | $309–$363 | varies |
| Self Care Mngment Training (97535) | $78.65 | $143 | 2.4× |
| Sleep study unattended (95806) | $427.90 | $778 | 2.0× |
| Slp caregiver training 1st 30 min (97550) | $163.35 | $297 | 3.1× |
| Speech sound lang comprehen (92523) range across 6 matching MRF lines |
$123.20–$740.30 | $224–$1,346 | varies |
| Spirometry (94010) | $317.63 | $577.50 | 1.5× |
| Subcutaneous Infusion Each Additional Hour (96370) | $70.40 | $128 | 1.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $267.85 | $487 | 1.3× |
| Surfactant Admin Thru Tube (94610) | $160.60 | $292 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $73.15 | $133 | 3.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $68.75 | $125 | 3.3× |
| Ther/Proph/Diag Inj Ia (96373) | $175.45 | $319 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$88–$89.10 | $160–$162 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$309.10–$314.60 | $562–$572 | varies |
| Therapeutic Activities (97530) | $81.40 | $148 | 2.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $20.35 | $37 | 0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $25.85 | $47 | 0.7× |
| Tte w/doppler, complete (93306) | $1,290.30 | $2,346 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 6 matching MRF lines |
$68.75–$508.75 | $125–$925 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$98.45–$99 | $179–$180 | varies |
| Unlis neurological/neuromuscular dx px (95999) | $195.80 | $356 | 1.5× |
| Unlisted noninvasive vascular diagnostic study (93998) | $52.80 | $96 | 1.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $325.05 | $591 | 2.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $579.70 | $1,054 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$406.45–$444.95 | $739–$809 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $444.95 | $809 | 0.7× |
| Vital capacity, total (94150) | $89.65 | $163 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $77.55 | $141 | 2.5× |
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.