Supplies, drugs & other prices at Stoughton Hospital

Stoughton, WI · every code in this section with a posted price and a Medicare benchmark.

22 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $888.88 $1,616.14 2.6×
Admin influenza virus vac (G0008) $58.26 $105.93 1.3×
Admin pneumococcal vaccine (G0009) $36.36 $66.10 0.8×
Colon ca scrn not hi rsk ind (G0121) $1,363.46 $2,479.01 1.5×
Direct refer hospital observ (G0379) $443.71 $806.75 0.8×
Eia hiv-1/hiv-2 screen (G0432) $59.04 $107.35 3.0×
Elec stim other than wound (G0283) $75.90 $138 6.0×
Hopd mntl hlt, 15-29 min (C7900) $345.40 $628 9.5×
Hopd mntl hlt, 30-60 min (C7901) $427.90 $778 4.3×
Hopd mntl hlt, grp (C7903) $416.35 $757 11.4×
Inj for sacroiliac jt anesth (G0260) $631.98 $1,149.05 0.9×
Mra w/o cont, chest (C8910) $3,030.70 $5,510.36 13.1×
Mra w/o fol w/cont, chest (C8911) $2,792.90 $5,078 8.2×
Mra w/o fol w/cont, lwr ext (C8914) $2,456.17 $4,465.76 7.2×
Mra, w/o&w/dye, upper extr (C8936) $2,752.34 $5,004.25 8.1×
Mri w/o fol w/cont, breast, (C8908) $4,658.50 $8,470 13.7×
Njx platelet plasma (0232T) $713.86 $1,297.92 1.6×
Oth resp proc, group (G0239) $118.68 $215.79 3.3×
Psa screening (G0103) $149.05 $271 7.7×
Therapeutic procd strg endur (G0237) $92.40 $168 3.3×
Tomosynthesis, mammo (G0279) $34.10 $62 2.7×
Tte w or wo fol wcon,doppler (C8929) $2,022.90 $3,678 2.7×