Supplies, drugs & other prices at Gundersen Boscobel Area Hospital and Clinics

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

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

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ProcedurePosted cashPosted gross× Medicare
Ca screen;pelvic/breast exam (G0101)
range across 2 matching MRF lines
$46.87–$70.04 $91–$136 varies
Catheterize for urine spec (P9612) $17.51 $34 1.9×
Chemo extend iv infus w/pump (G0498) $281.19 $546 0.9×
Colon ca scrn not hi rsk ind (G0121) $1,603.20 $3,113 1.8×
Colorectal scrn; hi risk ind (G0105) $1,603.20 $3,113 1.8×
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$77.25–$80.34 $150–$156 varies
Direct refer hospital observ (G0379) $463.50 $900 0.8×
Eia hiv-1/hiv-2 screen (G0432) $95.79 $186 4.9×
Ekg tracing for initial prev (G0404) $20.60 $40 0.7×
Extrnl counterpulse, per tx (G0166) $242.57 $471 1.9×
Hep c screen high risk/other (G0472) $134.42 $261 2.9×
Home sleep test/type 3 porta (G0399) $342.48 $665 1.6×
Hopd mntl hlt, 15-29 min (C7900) $128.75 $250 3.5×
Hopd mntl hlt, 30-60 min (C7901) $180.25 $350 1.8×
Hopd mntl hlt, grp (C7903) $128.75 $250 3.5×
Hpv combo assay ca screen (G0476) $171.50 $333 4.9×
Initial preventive exam (G0402) $379.04 $736 2.9×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $596.37 $1,158 4.9×
Oth resp proc, group (G0239) $166.35 $323 4.6×
Oth resp proc, indiv (G0238) $44.81 $87 1.6×
Psa screening (G0103) $94.25 $183 4.9×
Screen cerv/vag thin layer (G0123) $98.88 $192 4.9×
Therapeutic procd strg endur (G0237) $44.81 $87 1.6×
Visit to determ ldct elig (G0296) $64.38 $125 0.7×

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.