Supplies, drugs & other prices at Gundersen Moundview Hospital and Clinics
Friendship, WI · every code in this section with a posted price and a Medicare benchmark.
16 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ca screen;flexi sigmoidscope (G0104) | $2,113.28 | $4,160 | 2.3× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$24.38–$36.58 | $48–$72 | varies |
| Catheterize for urine spec (P9612) | $23.88 | $47 | 2.6× |
| Colon ca scrn not hi rsk ind (G0121) | $2,113.28 | $4,160 | 2.3× |
| Colorectal scrn; hi risk ind (G0105) | $2,113.28 | $4,160 | 2.3× |
| Direct refer hospital observ (G0379) | $390.65 | $769 | 0.7× |
| Fecal blood scrn immunoassay (G0328) | $103.12 | $203 | 5.7× |
| Hep c screen high risk/other (G0472) | $81.28 | $160 | 1.8× |
| Hiv combination assay (G0475) | $137.67 | $271 | 5.7× |
| Home sleep test/type 3 porta (G0399) | $361.70 | $712 | 1.7× |
| Initial preventive exam (G0402) | $115.32 | $227 | 0.9× |
| Prostate biopsy, any mthd (G0416) | $1,164.34 | $2,292 | 3.3× |
| Psa screening (G0103) | $110.24 | $217 | 5.7× |
| Screen cerv/vag thin layer (G0123) | $115.82 | $228 | 5.7× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$960.63–$1,793.24 | $1,891–$3,530 | varies |
| Visit to determ ldct elig (G0296) | $67.56 | $133 | 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.