Visits & medical services prices at Stoughton Hospital
Stoughton, WI · every code in this section with a posted price and a Medicare benchmark.
133 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $47.53 | $86.42 | 1.2× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$147.20–$182.05 | $267.64–$331 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $83.60 | $152 | 5.8× |
| Assessment of aphasia per hr (96105) | $212.32 | $386.03 | 2.2× |
| Behavral qualit analys voice (92524) | $288.12 | $523.85 | 2.6× |
| Bis Xtracell Fluid Analysis (93702) | $128.01 | $232.74 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $320.65 | $583 | 0.9× |
| Canalith repositioning proc (95992) | $116.60 | $212 | 2.9× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$624.86–$714.45 | $1,136.11–$1,299 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$689.15–$874.92 | $1,253–$1,590.76 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$601.57–$1,028.79 | $1,093.76–$1,870.53 | varies |
| Cbt 1st hour (94644) | $182.60 | $332 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $65.80 | $119.63 | 0.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $102.15 | $185.72 | 1.5× |
| Chemo IV infusion addl hr (96415) | $71.68 | $130.33 | 1.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $469.02 | $852.77 | 1.5× |
| Chest Wall Manipulation (94668) | $106.15 | $193 | 0.8× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$294.24–$814.69 | $534.99–$1,481.26 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$294.24–$502.70 | $534.99–$914 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $85.06 | $154.66 | 2.7× |
| Continuous Pulse Ox (94762) | $320.10 | $582 | 2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$450.91–$457.60 | $819.83–$832 | varies |
| Cpt initial (94667) | $139.77 | $254.13 | 1.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$631.41–$654.28 | $1,148.01–$1,189.60 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$168.65–$310.04 | $306.63–$563.71 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $260.15 | $473 | 2.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,240.93 | $2,256.24 | 5.4× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$329.24–$840.61 | $598.62–$1,528.39 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $308.74 | $561.34 | 1.3× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $148.48 | $269.96 | 1.5× |
| ECG/monitoring and analysis (93271) | $333.77 | $606.86 | 3.6× |
| Echo Congenital Complete (93303) | $1,134.06 | $2,061.92 | 2.1× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$285.40–$702.35 | $518.90–$1,277 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$49.35–$197.38 | $89.72–$358.87 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$49.35–$197.38 | $89.72–$358.87 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $84.15 | $153 | 5.7× |
| Electrocardiogram Tracing (93005) | $163.90 | $298 | 2.9× |
| Emergency Dept Visit Level 2 (99282) | $132.86 | $241.56 | 0.9× |
| Emergency Dept Visit Level 3 (99283) | $241.62 | $439.30 | 0.9× |
| Emergency Dept Visit Level 4 (99284) | $368.37 | $669.76 | 0.9× |
| Er level 1 (99281) | $85.99 | $156.34 | 1.0× |
| Er level v (99285) | $579.73 | $1,054.05 | 1.0× |
| Evaluate pt use of inhaler (94664) | $139.52 | $253.67 | 0.7× |
| Evaluate Speech Production (92522) | $237.95 | $432.63 | 2.1× |
| Evaluate Swallowing Function (92610) | $426.25 | $775 | 5.0× |
| External ECG rec>48hr<7d recording (93242) | $83.60 | $152 | 2.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $174.89 | $317.99 | 1.4× |
| External ECG rec>7d<15d recording (93246) | $157.60 | $286.54 | 4.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $397.20 | $722.18 | 3.1× |
| External Ecg Scanning Analysis Report (93226) | $397.20 | $722.18 | 6.9× |
| Extracranial Bilat Study (93880) | $1,144.55 | $2,081 | 4.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $831.60 | $1,512 | 1.6× |
| Holter monitor recording (93225) | $455.40 | $828 | 3.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $40.90 | $74.37 | 0.6× |
| Immunization administration (90471) | $47.53 | $86.42 | 0.7× |
| Iontophoresis 15 min (97033) | $111.24 | $202.26 | 5.8× |
| Irrig Drug Delivery Device (96523) | $113.85 | $207 | 2.0× |
| IV infusion hydration each additional hour (96361) | $113.85 | $207 | 2.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $392.15 | $713 | 1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $109.45 | $199 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $101.75 | $185 | 2.2× |
| IV push initial (96374) | $164.45 | $299 | 0.8× |
| Mechanical chest wall oscillation per session (94669) | $165.61 | $301.11 | 0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44 | $80 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $458.70 | $834 | 5.0× |
| Multiple Sleep Latency Test (95805) | $2,039.41 | $3,708.01 | 2.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$231.15–$370.40 | $420.27–$673.45 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$157.37–$315.54 | $286.13–$573.70 | varies |
| Neuromuscular Reeducation (97112) | $105.60 | $192 | 3.2× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $75.46 | $137.20 | 3.0× |
| Oral Function Therapy (92526) | $237.05 | $431 | 2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $108.90 | $198 | 2.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $82.05 | $149.18 | 5.8× |
| Ot eval high complexity (97167) | $343.75 | $625 | 3.4× |
| Ot Eval Low Complex (97165) | $213.40 | $388 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $264.55 | $481 | 2.6× |
| Ot manual therapy 15 min (97140) | $106.15 | $193 | 3.8× |
| Ot paraffin bath (97018) | $49.05 | $89.19 | 8.2× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$154.55–$157.85 | $281–$287 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $201.85 | $367 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $149.05 | $271 | 1.2× |
| Peripheral arterial disease rehab per session (93668) | $81.57 | $148.31 | 1.4× |
| Phlebotomy therapeutic (99195) | $100.47 | $182.68 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $154.97 | $281.76 | 2.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $135.10 | $245.64 | 2.4× |
| Physical Performance Test (97750) | $91.54 | $166.43 | 2.7× |
| Plethysmography (94726) | $214.50 | $390 | 0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,030.95 | $7,329 | 4.8× |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,028.61 | $7,324.75 | 4.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,451.14 | $2,638.44 | 1.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $141.75 | $257.72 | 3.8× |
| Pt Eval High Complex (97163) | $328.90 | $598 | 3.4× |
| Pt eval low complex 20 min (97161) | $218.35 | $397 | 2.2× |
| Pt Eval Mod Complex (97162) | $274.45 | $499 | 2.8× |
| Pt gait training 15 min (97116) | $105.05 | $191 | 3.6× |
| Pt mechanical traction (97012) | $94.60 | $172 | 6.6× |
| Pt Re-Eval Est Plan Care (97164) | $140.80 | $256 | 2.1× |
| Pulmonary service/procedure (94799) | $114.88 | $208.88 | 0.9× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $101.90 | $185.28 | 2.8× |
| Rem ther mntr dev sply resp (98976) | $101.90 | $185.28 | 2.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $429.51 | $780.93 | 11.8× |
| Remote 30 Day Ecg Tech Supp (93229) | $197.38 | $358.87 | 0.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $34.73 | $63.15 | 0.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $75.21 | $136.74 | 1.8× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $92.83 | $168.79 | 1.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$182.48–$306.55 | $331.78–$557.36 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $283.94 | $516.26 | 2.3× |
| Self Care Mngment Training (97535) | $101.20 | $184 | 3.1× |
| Sensory Integration Ea 15 Min (97533) | $88 | $160 | 1.4× |
| Sleep study attended (95807) | $2,598.04 | $4,723.71 | 7.2× |
| Sleep study unattended (95806) | $618.40 | $1,124.36 | 2.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $798.60 | $1,452 | 3.8× |
| Speech sound lang comprehen (92523) | $331.20 | $602.18 | 1.5× |
| Spirometry (94010) | $185.13 | $336.60 | 0.9× |
| Stress Tte Only (93350) | $478.07 | $869.22 | 0.9× |
| Temp transcutaneous pacing (92953) | $439.10 | $798.36 | 0.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $85.26 | $155.02 | 2.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $234.84 | $426.98 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$48.65–$81.95 | $88.45–$149 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $406.45 | $739 | 2.0× |
| Therapeutic Activities (97530) | $110.55 | $201 | 3.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $29.70 | $54 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $24.88 | $45.23 | 0.7× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$752.22–$1,961.30 | $1,367.68–$3,566 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $221.10 | $402 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $110.55 | $201 | 2.4× |
| Unlisted cardiovascular service/procedure (93799) | $1,152.57 | $2,095.59 | 9.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $184.99 | $336.35 | 1.4× |
| Vent Mgmt Inpat Init Day (94002) | $809.05 | $1,471 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $601.90 | $1,094.36 | 1.0× |
| Vital capacity, total (94150) | $85.46 | $155.39 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $78.10 | $142 | 2.5× |
| Whirlpool Therapy (97022) | $67.03 | $121.87 | 4.3× |
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.