Visits & medical services prices at Gundersen Lutheran Medical Center

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $24.80 $62 0.6×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $109.20 $273 0.5×
Aep neurodiagnostic i&r (92653) $206.80 $517 0.9×
Aep threshold estimation mlt frequencies i&r (92652) $206.80 $517 0.9×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $104.80 $262 0.8×
Analyze neurostim complex (95972) $121.60 $304 1.2×
Analyze neurostim no prog (95970) $122.40 $306 0.9×
Analyze Neurostim Simple (95971) $124.80 $312 1.2×
Assessment of tinnitus (92625) $109.20 $273 0.8×
Auditory Function, 60 Min (92620) $105.20 $263 0.8×
Biofeedback training any modality (90901) $73.60 $184 1.8×
Canalith repositioning proc (95992) $67.60 $169 1.7×
Cervical & Ocular Vemp Testing W/I&R (92519) $206.80 $517 0.9×
Cervical Vemp Testing W/I&R (92517) $109.20 $273 0.8×
Chemotherapy Into Cns (96450) $295.60 $739 0.8×
Comprehensive Hearing Test (92557) $104.80 $262 0.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $144.40 $361 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $217.20 $543 1.0×
Developmental tst admin phys/qhp 1st hour (96112) $135.20 $338 1.0×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $104.80 $262 0.8×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $175.20 $438 1.3×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $104.80 $262 0.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $106 $265 0.8×
Ear and throat examination (92502) $494 $1,235 0.9×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $85.20 $213 0.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $181.20 $453 1.8×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $56.80 $142 1.4×
Electrocochleography (92584) $102.40 $256 0.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $115.60 $289 0.8×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $199.20 $498 0.9×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $100 $250 0.7×
Flexible endoscopic eval swallow c/v rec (92612) $238.40 $596 1.2×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $213.60 $534 0.9×
Gonioscopy (92020) $81.60 $204 0.6×
Health Behavior Assessment/Re-Assessment (96156) $61.60 $154 0.6×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $21.20 $53 0.5×
Health behavior ivntj group f2f 1st 30 min (96164) $6.80 $17 0.2×
Health behavior ivntj indiv f2f 1st 30 min (96158) $61.60 $154 0.3×
Hypnotherapy (90880) $113.20 $283 1.1×
Ingestion challenge test initial 120 minutes (95076) $366 $915 0.9×
Interrogation vad in person (93750) $126 $315 1.3×
Intracutaneous tests w/allergenic extracts (95024) $42.40 $106 0.7×
Laryngeal Function Studies (92520) $123.60 $309 0.9×
Low frequency non-thermal us (97610) $141.60 $354 0.7×
Multiple Family Group Psychotherapy (90849) $128.80 $322 0.7×
Nasopharyngoscopy (92511) $179.20 $448 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $240 $600 0.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $240 $600 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $132.80 $332 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $241.20 $603 0.6×
Neurobehavioral Status Exam (96116) $167.20 $418 0.7×
Nrpsyc tst eval phys/qhp 1st (96132) $234.80 $587 0.6×
Ocular Vemp Testing W/I&R (92518) $109.20 $273 0.8×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014)
range across 2 matching MRF lines
$25.60–$53.60 $64–$134 varies
Ophth medical xm&eval intermediate estab pt (92012) $53.60 $134 0.4×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $58.80 $147 0.9×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $57.60 $144 0.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $62.40 $156 2.7×
Osteopathic manipulative tx 3-4 body regions (98926) $62.40 $156 2.7×
Osteopathic manipulative tx 5-6 body regions (98927) $62.40 $156 2.7×
Osteopathic manipulative tx 7-8 body regions (98928) $62.40 $156 2.7×
Osteopathic manipulative tx 9-10 body regions (98929) $62.40 $156 2.7×
Ot rom hand (95852) $15.60 $39 0.7×
Pdt dstr prmlg les phys/qhp (96573) $132.80 $332 0.6×
Percutaneous tests w/allergenic extracts (95004) $37.60 $94 0.0×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $41.60 $104 0.8×
Prepj& antigen allergen immunotherapy 2 insect (95146) $46.40 $116 0.9×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $68.80 $172 0.9×
Psych diag eval w/med srvcs (90792) $144 $360 0.8×
Psychiatric diagnostic evaluation (90791) $100.80 $252 0.5×
Psychological tst eval svc phys/qhp first hour (96130) $135.20 $338 0.6×
Psycl/Nrpsyc Tst Auto Result (96146) $16.40 $41 0.5×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $13.60 $34 0.1×
Psytx Crisis Initial 60 Min (90839) $99.60 $249 0.5×
Rapid Desensitization Procedure Each Hour (95180) $261.60 $654 0.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $23.60 $59 0.6×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $80.80 $202 0.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $87.20 $218 0.6×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $43.20 $108 1.0×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $43.20 $108 0.8×
Repet tms tx initial w/map/motr threshld/del&m (90867) $256 $640 1.1×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $13.60 $34 0.5×
Spin/Brain Pump Refil & Main (95991) $547.20 $1,368 1.7×
Therap repetitive tms tx subseq delivery & mng (90868) $140 $350 0.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $53.60 $134 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $46.40 $116 1.2×
Trans Care Mgmt 14 Day Disch (99495) $149.20 $373 1.1×
Trans Care Mgmt 7 Day Disch (99496) $172.80 $432 1.2×
Tympanometry (92567) $31.20 $78 0.8×
Tympanometry and reflex threshold measurements (92550) $104.80 $262 0.5×
Visual reinforcement audiometry (vra) (92579) $104.80 $262 0.5×

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.