Lafayette Hospital and Clinics

Darlington, WI · Critical Access Hospital

Posts prices for 22 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines		 $2,436–$3,120 $3,045–$3,900 varies
CT head/brain without contrast (70450) $1,271.20 $1,589 12.5×
MRI brain without contrast (70551) $3,044.80 $3,806 13.1×
MRI brain with contrast (70552) $3,262.40 $4,078 9.6×
MRI brain without and with contrast (70553) $3,914.40 $4,893 11.6×
X-ray lower spine, 4+ views (72110) $521.60 $652 5.1×
MRI lumbar spine without contrast (72148) $2,419.20 $3,024 10.4×
CT pelvis with contrast (72193) $2,000.80 $2,501 11.7×
MRI lower-extremity joint without contrast (73721) $2,609.60 $3,262 11.3×
CT abdomen and pelvis with contrast (74177) $1,740 $2,175 5.1×
Ultrasound, abdomen complete (76700) $802.40 $1,003 7.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $633.60 $792 6.2×
Ultrasound, transvaginal (76830) $521.60 $652 5.1×
Mammography, one breast (diagnostic) (77065) $435.20 $544 5.1×
Mammography, both breasts (diagnostic) (77066) $521.60 $652 4.7×
Mammography, screening (bilateral) (77067) $435.20 $544 4.8×
Prothrombin time (PT) (85610) $43.20 $54 10.1×
Sleep study (attended polysomnography) (95810) $3,914.40 $4,893 4.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $87.20 $109 3.0×
Office visit, new patient (low complexity, ~30 min) (99203) $282.40 $353 2.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $292 $365 2.3×
Preventive visit, new patient (age 40–64) (99386) $521.60 $652 —

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.

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Download the machine-readable file (CSV, 55.7 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.