Home › Hospitals › Gundersen Moundview Hospital and Clinics Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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Procedure Posted cash Posted gross × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,774.44
$3,493
2.0×
Upper GI endoscopy (EGD) with biopsy (43239) $1,774.44
$3,493
2.0×
Diagnostic colonoscopy (45378) $2,113.28
$4,160
2.3×
Colonoscopy with biopsy (45380) $2,113.28
$4,160
1.8×
Colonoscopy with lesion removal (45385) $2,113.28
$4,160
1.8×
CT head/brain without contrast (70450) $858.01
$1,689
8.4×
MRI brain without contrast (70551) $1,633.73
$3,216
7.0×
MRI brain with contrast (70552) $2,215.90
$4,362
6.5×
MRI brain without and with contrast (70553) $2,127
$4,187
6.3×
X-ray lower spine, 4+ views (72110) $314.45
$619
3.1×
MRI lumbar spine without contrast (72148) $2,033.02
$4,002
8.8×
CT pelvis with contrast (72193) $1,590.04
$3,130
9.3×
MRI lower-extremity joint without contrast (73721) $1,493.52
$2,940
6.4×
CT abdomen and pelvis with contrast (74177) $2,032.51
$4,001
6.0×
Ultrasound, abdomen complete (76700) $695.96
$1,370
6.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $457.71
$901
4.5×
Ultrasound, transvaginal (76830) $498.86
$982
4.9×
Mammography, one breast (diagnostic) (77065) $274.83
$541
3.2×
Mammography, both breasts (diagnostic) (77066) $341.88
$673
3.1×
Mammography, screening (bilateral) (77067) $179.32
$353
2.0×
Basic metabolic panel (80048) $48.26
$95
5.7×
Comprehensive metabolic panel (80053) $60.45
$119
5.7×
Lipid panel (80061) $76.71
$151
5.7×
Renal function panel (80069) $49.78
$98
5.7×
Hepatic function panel (80076) $46.74
$92
5.7×
Urinalysis, non-automated, without microscopy (81002) $19.81
$39
5.7×
PSA, total (84153) $105.16
$207
5.7×
Thyroid stimulating hormone (TSH) (84443) $96.01
$189
5.7×
CBC with automated differential (85025) $44.20
$87
5.7×
CBC, automated (85027) $37.08
$73
5.7×
Prothrombin time (PT) (85610) $24.38
$48
5.7×
Partial thromboplastin time (PTT) (85730) $34.54
$68
5.7×
Sleep study (attended polysomnography) (95810) $3,482.85
$6,856
4.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $73.66
$145
2.5×
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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