ThedaCare Medical Center New London
New London, WI · Critical Access Hospital
Posts prices for 63 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) range across 2 matching MRF lines |
$4,935.78–$5,083.85 | $8,813.90–$9,078.30 | varies |
| Shoulder arthroscopy with decompression (29826) range across 3 matching MRF lines |
$1,817.98–$2,251.93 | $3,246.40–$4,021.30 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 3 matching MRF lines |
$2,696.23–$5,115.43 | $4,814.70–$9,134.70 | varies |
| Tonsillectomy and adenoidectomy (under age 12) (42820) range across 3 matching MRF lines |
$1,902.26–$6,419.78 | $3,396.90–$11,463.90 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 3 matching MRF lines |
$1,467.98–$2,006.70 | $2,621.40–$3,583.40 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 5 matching MRF lines |
$869.51–$2,496.98 | $1,552.70–$4,458.90 | varies |
| Diagnostic colonoscopy (45378) range across 5 matching MRF lines |
$1,148.84–$2,233.11 | $2,051.50–$3,987.70 | varies |
| Colonoscopy with biopsy (45380) range across 3 matching MRF lines |
$1,928.58–$2,719.92 | $3,443.90–$4,857 | varies |
| Colonoscopy with lesion removal (45385) range across 4 matching MRF lines |
$1,622.15–$2,986.70 | $2,896.70–$5,333.40 | varies |
| Colonoscopy with endoscopic ultrasound (45391) range across 3 matching MRF lines |
$2,369.02–$3,114.38 | $4,230.40–$5,561.40 | varies |
| Laparoscopic gallbladder removal (47562) range across 4 matching MRF lines |
$4,119.81–$14,946.51 | $7,356.80–$26,690.20 | varies |
| Inguinal hernia repair (age 5+) (49505) range across 3 matching MRF lines |
$5,579.56–$6,584.65 | $9,963.50–$11,758.30 | varies |
| Laparoscopic radical prostatectomy (55866) range across 3 matching MRF lines |
$6,062.39–$8,985.14 | $10,825.70–$16,044.90 | varies |
| Obstetric care, cesarean delivery (global) (59510) | $5,437.94 | $9,710.60 | — |
| Obstetric care, VBAC delivery (global) (59610) | $5,143.88 | $9,185.50 | — |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 4 matching MRF lines |
$399.78–$1,201.14 | $713.90–$2,144.90 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 6 matching MRF lines |
$554.85–$1,552.99 | $990.80–$2,773.20 | varies |
| Cataract removal with lens insertion (66984) range across 2 matching MRF lines |
$4,048.18–$4,169.65 | $7,228.90–$7,445.80 | varies |
| CT head/brain without contrast (70450) range across 4 matching MRF lines |
$334.60–$1,442.73 | $597.50–$2,576.30 | varies |
| MRI brain without contrast (70551) range across 4 matching MRF lines |
$641.87–$2,297.18 | $1,146.20–$4,102.10 | varies |
| MRI brain with contrast (70552) range across 4 matching MRF lines |
$948.08–$2,667.67 | $1,693–$4,763.70 | varies |
| MRI brain without and with contrast (70553) range across 4 matching MRF lines |
$1,074.98–$3,055.70 | $1,919.60–$5,456.60 | varies |
| X-ray lower spine, 4+ views (72110) range across 4 matching MRF lines |
$227.47–$346.86 | $406.20–$619.40 | varies |
| MRI lumbar spine without contrast (72148) range across 4 matching MRF lines |
$617.79–$2,469.66 | $1,103.20–$4,410.10 | varies |
| CT pelvis with contrast (72193) range across 4 matching MRF lines |
$852.26–$1,726.54 | $1,521.90–$3,083.10 | varies |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$1,015.17–$2,251.03 | $1,812.80–$4,019.70 | varies |
| CT abdomen and pelvis with contrast (74177) range across 4 matching MRF lines |
$1,531.43–$2,688 | $2,734.70–$4,800 | varies |
| Ultrasound, abdomen complete (76700) range across 4 matching MRF lines |
$379.57–$633.36 | $677.80–$1,131 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 4 matching MRF lines |
$426.66–$707.39 | $761.90–$1,263.20 | varies |
| Ultrasound, transvaginal (76830) range across 4 matching MRF lines |
$341.94–$580.27 | $610.60–$1,036.20 | varies |
| Mammography, one breast (diagnostic) (77065) range across 4 matching MRF lines |
$308–$419.72 | $550–$749.50 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 4 matching MRF lines |
$308–$535.36 | $550–$956 | varies |
| Mammography, screening (bilateral) (77067) range across 4 matching MRF lines |
$307.16–$443.86 | $548.50–$792.60 | varies |
| Basic metabolic panel (80048) | $34.50 | $61.60 | 4.1× |
| Comprehensive metabolic panel (80053) | $43.06 | $76.90 | 4.1× |
| Lipid panel (80061) | $54.60 | $97.50 | 4.1× |
| Renal function panel (80069) | $44.41 | $79.30 | 5.1× |
| Hepatic function panel (80076) | $33.60 | $60 | 4.1× |
| Urinalysis, non-automated, with microscopy (81000) | $10.19 | $18.20 | 2.5× |
| Urinalysis, non-automated, without microscopy (81002) | $8.01 | $14.30 | 2.3× |
| PSA, total (84153) | $74.98 | $133.90 | 4.1× |
| Thyroid stimulating hormone (TSH) (84443) | $68.49 | $122.30 | 4.1× |
| CBC with automated differential (85025) | $31.81 | $56.80 | 4.1× |
| CBC, automated (85027) | $26.38 | $47.10 | 4.1× |
| Prothrombin time (PT) (85610) | $12.26 | $21.90 | 2.9× |
| Partial thromboplastin time (PTT) (85730) | $24.47 | $43.70 | 4.1× |
| Psychotherapy, 30 minutes (90832) range across 8 matching MRF lines |
$109.09–$158.70 | $194.80–$283.40 | varies |
| Psychotherapy, 45 minutes (90834) range across 8 matching MRF lines |
$185.42–$259.50 | $331.10–$463.40 | varies |
| Psychotherapy, 60 minutes (90837) range across 7 matching MRF lines |
$214.93–$308.78 | $383.80–$551.40 | varies |
| Family psychotherapy, without patient (50 min) (90846) range across 8 matching MRF lines |
$168.62–$212.58 | $301.10–$379.60 | varies |
| Family psychotherapy, with patient (50 min) (90847) range across 10 matching MRF lines |
$148.85–$220.98 | $265.80–$394.60 | varies |
| Group psychotherapy (90853) range across 8 matching MRF lines |
$124.10–$141.68 | $221.60–$253 | varies |
| Electrocardiogram (ECG), complete (93000) range across 3 matching MRF lines |
$53.03–$172.31 | $94.70–$307.70 | varies |
| Left heart catheterization (93452) | $4,158.56 | $7,426 | 1.3× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$2,457.67–$2,752.57 | $4,388.70–$4,915.30 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 8 matching MRF lines |
$60.87–$115.98 | $108.70–$207.10 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 4 matching MRF lines |
$167.55–$228.48 | $299.20–$408 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 4 matching MRF lines |
$175.56–$340.82 | $313.50–$608.60 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 4 matching MRF lines |
$304.53–$449.74 | $543.80–$803.10 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 2 matching MRF lines |
$195.05–$250.43 | $348.30–$447.20 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 2 matching MRF lines |
$295.79–$350.56 | $528.20–$626 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 2 matching MRF lines |
$188.66–$251.44 | $336.90–$449 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 2 matching MRF lines |
$228.82–$290.98 | $408.60–$519.60 | 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: 403 codes with posted prices and Medicare benchmarks
- Lab & pathology: 900 codes with posted prices and Medicare benchmarks
- Visits & medical services: 364 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 3229 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 114 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 75.6 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.