Supplies, drugs & other prices at HSHS St. Clare Memorial Hospital
Oconto Falls, WI · every code in this section with a posted price and a Medicare benchmark.
47 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,657.26 | $2,511 | 2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,004.52 | $1,522 | 3.0× |
| Admin hepatitis b vaccine (G0010) | $62.70 | $95 | 1.4× |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$46.20–$53.46 | $70–$81 | varies |
| Admin pneumococcal vaccine (G0009) | $53.46 | $81 | 1.2× |
| Ca screen;flexi sigmoidscope (G0104) | $1,479.06 | $2,241 | 1.6× |
| Ca screen;pelvic/breast exam (G0101) | $106.92 | $162 | 1.1× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$42.24–$107.58 | $64–$163 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $1,052.70 | $1,595 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,052.70–$2,880.90 | $1,595–$4,365 | varies |
| Comt gene analysis c.472g>a variant (0032U) | $945.12 | $1,432 | 5.4× |
| Diab manage trn per indiv (G0108) | $90.42 | $137 | 1.6× |
| Direct refer hospital observ (G0379) | $643.50 | $975 | 1.1× |
| Drug test def 1-7 classes (G0480) range across 8 matching MRF lines |
$114.84–$230.34 | $174–$349 | varies |
| Drug test def 15-21 classes (G0482) | $244.86 | $371 | 1.2× |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$359.70–$699.60 | $545–$1,060 | varies |
| Drug test def 8-14 classes (G0481) | $188.76 | $286 | 1.2× |
| Eia hiv-1/hiv-2 screen (G0432) | $79.86 | $121 | 4.1× |
| Ekg tracing for initial prev (G0404) | $112.20 | $170 | 4.0× |
| Fecal blood scrn immunoassay (G0328) | $110.22 | $167 | 6.1× |
| Hbot, full body chamber, 30m (G0277) | $543.84 | $824 | 4.1× |
| Hep c screen high risk/other (G0472) | $99.66 | $151 | 2.2× |
| Initial preventive exam (G0402) | $149.16 | $226 | 1.2× |
| Inj for sacroiliac jt anesth (G0260) | $1,881 | $2,850 | 2.7× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $467.94 | $709 | 3.8× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $968.22 | $1,467 | 1.9× |
| Mra w/cont, abd (C8900) | $2,789.16 | $4,226 | 8.2× |
| Mra w/cont, chest (C8909) | $2,913.90 | $4,415 | 8.6× |
| Mra w/cont, pelvis (C8918) | $2,913.90 | $4,415 | 8.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,913.90 | $4,415 | 8.6× |
| Mri w/o fol w/cont, breast, (C8908) | $3,204.96 | $4,856 | 9.5× |
| Neuro csf prion prtn qual (0035U) | $625.02 | $947 | 1.2× |
| Obtaining screen pap smear (Q0091) | $51.48 | $78 | 1.8× |
| Opps service,sched team conf (G0175) | $491.70 | $745 | 1.2× |
| Oth resp proc, group (G0239) | $167.64 | $254 | 4.6× |
| Oth resp proc, indiv (G0238) | $84.48 | $128 | 3.0× |
| Ppps, initial visit (G0438) | $177.54 | $269 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $462.66 | $701 | 1.3× |
| Psa screening (G0103) range across 3 matching MRF lines |
$99–$154.44 | $150–$234 | varies |
| Screen cerv/vag thin layer (G0123) | $125.40 | $190 | 6.2× |
| Screen pap by tech w md supv (P3000) range across 2 matching MRF lines |
$53.46–$118.14 | $81–$179 | varies |
| Therapeutic procd strg endur (G0237) | $79.20 | $120 | 2.8× |
| Tpmt and Nudt15 Genotype (0034U) | $538.56 | $816 | 1.2× |
| Trauma respons w/hosp criti (G0390) | $2,693.46 | $4,081 | 2.1× |
| Trim nail(s) (G0127) | $108.90 | $165 | 1.9× |
| Tte w or w/o fol w/con,stres (C8928) | $1,657.92 | $2,512 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,906.74 | $2,889 | 2.5× |
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.