Supplies, drugs & other prices at Sauk Prairie Hospital
Prairie Du Sac, WI · every code in this section with a posted price and a Medicare benchmark.
21 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ca screen;flexi sigmoidscope (G0104) | $393.84 | $720 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $56.07 | $102.50 | 0.6× |
| Catheterize for urine spec (P9612) | $226.46 | $414 | 24.2× |
| Colon ca scrn not hi rsk ind (G0121) | $1,110.69 | $2,030.50 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) | $1,110.69 | $2,030.50 | 1.2× |
| Depression screen annual (G0444) | $56.89 | $104 | 1.6× |
| Ekg tracing for initial prev (G0404) | $29.27 | $53.50 | 1.0× |
| Hbot, full body chamber, 30m (G0277) | $58.26 | $106.50 | 0.4× |
| Init/sub psych care m 1st 30 (G2214) | $195.56 | $357.50 | 2.0× |
| Initial preventive exam (G0402) | $151.52 | $277 | 1.2× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $25.17 | $46 | 0.0× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$113.51–$379.35 | $207.50–$693.50 | varies |
| Obtaining screen pap smear (Q0091) | $48.14 | $88 | 1.7× |
| Oth resp proc, group (G0239) | $214.98 | $393 | 5.9× |
| Oth resp proc, indiv (G0238) range across 8 matching MRF lines |
$40.21–$302.22 | $73.50–$552.50 | varies |
| Ppps, initial visit (G0438) | $479.72 | $877 | 2.8× |
| Ppps, subseq visit (G0439) | $376.34 | $688 | 2.7× |
| Psa screening (G0103) | $161.64 | $295.50 | 8.4× |
| Therapeutic procd strg endur (G0237) range across 4 matching MRF lines |
$121.17–$484.37 | $221.50–$885.50 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$3,176.43–$3,970.40 | $5,807–$7,258.50 | varies |
| Trim nail(s) (G0127) | $22.71 | $41.50 | 0.4× |
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.