Supplies, drugs & other prices at Mayo Clinic Health System-chippewa Valley
Bloomer, WI · every code in this section with a posted price and a Medicare benchmark.
67 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$40.50–$51.30 | $45–$57 | varies |
| Admin influenza virus vac (G0008) | $20.70 | $23 | 0.4× |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$40.50–$51.30 | $45–$57 | varies |
| Adrnl cortcl tum bchm asy 25 (0015M) | $1,090.80 | $1,212 | 0.8× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $120.60 | $134 | 3.8× |
| Ca screen;flexi sigmoidscope (G0104) | $1,895.40 | $2,106 | 2.0× |
| Ca screen;pelvic/breast exam (G0101) | $155.70 | $173 | 1.5× |
| Catheterize for urine spec (P9612) | $264.60 | $294 | 28.3× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,239.20–$2,290.50 | $2,488–$2,545 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$2,239.20–$2,290.50 | $2,488–$2,545 | varies |
| Comt gene analysis c.472g>a variant (0032U) | $540 | $600 | 3.1× |
| Cyp1a2 gene analysis common variants (0031U) | $540 | $600 | 3.1× |
| Cyp2d6 3' gene dup/mlt (0076U) | $540 | $600 | 1.2× |
| Cyp2d6 full gene sequence (0071U) | $540 | $600 | 0.9× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $540 | $600 | 0.8× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) | $540 | $600 | 1.2× |
| Demonstrate use home inr mon (G0248) | $225.90 | $251 | 1.7× |
| Diab manage trn per indiv (G0108) | $89.10 | $99 | 1.6× |
| Diab manage trn ind/group (G0109) | $65.70 | $73 | 4.1× |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$185.40–$238.50 | $206–$265 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$322.20–$414 | $358–$460 | varies |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$254.70–$290.70 | $283–$323 | varies |
| Egd flexible transnasal w/insj intral tube/cath (0654T) | $5,515.20 | $6,128 | 1.4× |
| Ekg tracing for initial prev (G0404) | $165.60 | $184 | 5.8× |
| Elec stim other than wound (G0283) | $60.30 | $67 | 4.8× |
| Fern test (Q0114) | $31.50 | $35 | 3.2× |
| Hbot, full body chamber, 30m (G0277) | $626.40 | $696 | 4.6× |
| Hepb screen high risk indiv (G0499) | $95.40 | $106 | 3.4× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $159.30 | $177 | 3.7× |
| Init/sub psych care m 1st 30 (G2214) | $280.80 | $312 | 2.8× |
| Initial preventive exam (G0402) | $314.10 | $349 | 2.4× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $160.20 | $178 | 4.3× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $360 | $400 | 3.0× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,090.80 | $1,212 | 2.2× |
| Obtaining screen pap smear (Q0091) | $79.20 | $88 | 2.8× |
| Oth resp proc, group (G0239) | $304.20 | $338 | 8.2× |
| Oth resp proc, indiv (G0238) | $159.30 | $177 | 5.5× |
| Pemivibart infusion (M0224) | $572.40 | $636 | 1.3× |
| Perc d-e cor revasc chro sin (C9607) | $28,944 | $32,160 | 1.6× |
| Perc d-e cor revasc t cabg s (C9604) | $19,059.30 | $21,177 | 1.7× |
| Perc d-e cor stent ather s (C9602) | $27,445.50 | $30,495 | 1.5× |
| Perc drug-el cor stent sing (C9600) | $19,059.30 | $21,177 | 1.7× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $10,795.50 | $11,995 | 0.9× |
| Ppps, initial visit (G0438) | $462.60 | $514 | 2.7× |
| Ppps, subseq visit (G0439) | $307.80 | $342 | 2.2× |
| Prostate biopsy, any mthd (G0416) | $291.60 | $324 | 0.8× |
| Provide inr test mater/equip (G0249) | $170.10 | $189 | 1.3× |
| Psa screening (G0103) | $215.10 | $239 | 11.1× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $1,620 | $1,800 | 2.3× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $197.10 | $219 | 5.3× |
| Revasc intra lithotrip-ather (C9766) | $25,818.30 | $28,687 | 1.4× |
| Revasc intra lithotrip-stent (C9765) | $16,426.80 | $18,252 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $15,536.70 | $17,263 | 1.4× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $540 | $600 | 0.7× |
| Rx metab warfarin rx response trgt seq alys (0030U) | $630 | $700 | 4.7× |
| Screen cerv/vag thin layer (G0123) | $113.40 | $126 | 5.6× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $60.30 | $67 | 3.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $51,932.70 | $57,703 | 2.7× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $36,111.60 | $40,124 | 1.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $31,970.70 | $35,523 | 1.7× |
| Therapeutic procd strg endur (G0237) | $191.70 | $213 | 6.7× |
| Tpmt and Nudt15 Genotype (0034U) | $540 | $600 | 1.2× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$2,767.50–$8,464.50 | $3,075–$9,405 | varies |
| Trim nail(s) (G0127) | $100.80 | $112 | 1.7× |
| Trluml Perip Athrc Iliac Art (0238T) | $18,635.40 | $20,706 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $2,962.80 | $3,292 | 4.3× |
| Visit to determ ldct elig (G0296) | $186.30 | $207 | 1.8× |
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.