HSHS St. Clare Memorial Hospital
Oconto Falls, WI · Critical Access Hospital
Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $4,422.66 | $6,701 | 1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,083.06 | $1,641 | 1.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,147.74 | $1,739 | 1.3× |
| Diagnostic colonoscopy (45378) | $1,338.48 | $2,028 | 1.5× |
| Colonoscopy with biopsy (45380) | $1,472.46 | $2,231 | 1.3× |
| Colonoscopy with lesion removal (45385) | $1,896.18 | $2,873 | 1.6× |
| Laparoscopic gallbladder removal (47562) | $6,738.60 | $10,210 | 1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $1,186.68 | $1,798 | 1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,779.36 | $2,696 | 2.1× |
| CT head/brain without contrast (70450) | $1,259.28 | $1,908 | 12.4× |
| MRI brain without contrast (70551) | $2,360.16 | $3,576 | 10.2× |
| MRI brain with contrast (70552) | $2,591.82 | $3,927 | 7.6× |
| MRI brain without and with contrast (70553) | $2,721.18 | $4,123 | 8.0× |
| X-ray lower spine, 4+ views (72110) | $582.78 | $883 | 5.7× |
| MRI lumbar spine without contrast (72148) | $2,337.72 | $3,542 | 10.1× |
| CT pelvis with contrast (72193) | $1,539.12 | $2,332 | 9.0× |
| MRI lower-extremity joint without contrast (73721) | $2,420.88 | $3,668 | 10.4× |
| CT abdomen and pelvis with contrast (74177) | $3,016.86 | $4,571 | 8.9× |
| Ultrasound, abdomen complete (76700) | $769.56 | $1,166 | 7.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $573.54 | $869 | 5.6× |
| Ultrasound, transvaginal (76830) | $531.30 | $805 | 5.2× |
| Mammography, one breast (diagnostic) (77065) | $310.20 | $470 | 3.6× |
| Mammography, both breasts (diagnostic) (77066) | $369.60 | $560 | 3.3× |
| Mammography, screening (bilateral) (77067) | $310.20 | $470 | 3.4× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$85.80–$125.40 | $130–$190 | varies |
| Comprehensive metabolic panel (80053) | $118.80 | $180 | 11.3× |
| Obstetric panel (80055) | $256.74 | $389 | 5.4× |
| Lipid panel (80061) range across 2 matching MRF lines |
$89.10–$149.82 | $135–$227 | varies |
| Renal function panel (80069) | $113.52 | $172 | 13.1× |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$68.64–$131.34 | $104–$199 | varies |
| PSA, total (84153) | $117.48 | $178 | 6.4× |
| Thyroid stimulating hormone (TSH) (84443) range across 3 matching MRF lines |
$99–$114.84 | $150–$174 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$59.40–$64.02 | $90–$97 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$43.56–$108.24 | $66–$164 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$31.68–$65.34 | $48–$99 | varies |
| Partial thromboplastin time (PTT) (85730) range across 4 matching MRF lines |
$46.86–$91.08 | $71–$138 | varies |
| Electrocardiogram (ECG), complete (93000) | $193.38 | $293 | 3.4× |
| Sleep study (attended polysomnography) (95810) | $3,812.16 | $5,776 | 4.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $80.52 | $122 | 2.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$94.38–$252.12 | $143–$382 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$141.24–$287.10 | $214–$435 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$192.06–$347.82 | $291–$527 | varies |
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.
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.
More prices at this hospital
- Imaging: 277 codes with posted prices and Medicare benchmarks
- Lab & pathology: 825 codes with posted prices and Medicare benchmarks
- Visits & medical services: 151 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 371 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 47 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 5.1 MB) ↓ — captured 2026-09-08
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.