Mercy Walworth Hospital & Medical Center
Lake Geneva, WI · Critical Access Hospital
Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,268.54 | $1,691.38 | 1.5× |
| CT head/brain without contrast (70450) | $2,000.62 | $2,667.49 | 19.3× |
| MRI brain without contrast (70551) | $4,713.19 | $6,284.25 | 20.0× |
| MRI brain with contrast (70552) | $4,754.54 | $6,339.38 | 13.8× |
| MRI brain without and with contrast (70553) | $4,878.56 | $6,504.75 | 14.1× |
| X-ray lower spine, 4+ views (72110) | $342.28 | $456.38 | 3.3× |
| MRI lumbar spine without contrast (72148) | $5,462.52 | $7,283.36 | 23.1× |
| CT pelvis with contrast (72193) | $2,322.86 | $3,097.15 | 13.4× |
| MRI lower-extremity joint without contrast (73721) | $4,328.99 | $5,771.99 | 18.3× |
| CT abdomen and pelvis with contrast (74177) | $5,534.21 | $7,378.95 | 16.0× |
| Ultrasound, abdomen complete (76700) | $1,389.98 | $1,853.30 | 13.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,055.92 | $1,407.89 | 10.2× |
| Ultrasound, transvaginal (76830) | $925.28 | $1,233.70 | 8.9× |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$640.83–$691.27 | $854.44–$921.69 | varies |
| Mammography, both breasts (diagnostic) (77066) | $874.84 | $1,166.45 | 7.9× |
| Mammography, screening (bilateral) (77067) range across 4 matching MRF lines |
$386.09–$883.93 | $514.79–$1,178.57 | varies |
| Basic metabolic panel (80048) | $135.88 | $181.17 | 16.1× |
| Comprehensive metabolic panel (80053) | $163.88 | $218.51 | 15.5× |
| Obstetric panel (80055) | $434.60 | $579.47 | 9.1× |
| Lipid panel (80061) | $155.60 | $207.46 | 11.6× |
| Renal function panel (80069) | $158.69 | $211.59 | 18.3× |
| Hepatic function panel (80076) | $161.81 | $215.75 | 19.8× |
| PSA, total (84153) | $134.77 | $179.69 | 7.3× |
| Thyroid stimulating hormone (TSH) (84443) | $188 | $250.67 | 11.2× |
| CBC with automated differential (85025) | $116.69 | $155.59 | 15.0× |
| CBC, automated (85027) | $88.19 | $117.59 | 13.6× |
| Prothrombin time (PT) (85610) | $54.64 | $72.86 | 12.7× |
| Partial thromboplastin time (PTT) (85730) | $95.13 | $126.84 | 15.8× |
| Sleep study (attended polysomnography) (95810) range across 3 matching MRF lines |
$2,806.48–$5,184.68 | $3,741.98–$6,912.90 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $147.64 | $196.86 | 5.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$403.92–$424.12 | $538.56–$565.49 | 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: 215 codes with posted prices and Medicare benchmarks
- Lab & pathology: 568 codes with posted prices and Medicare benchmarks
- Visits & medical services: 115 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 240 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 15 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 16.2 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.