Upland Hills Health

Dodgeville, WI · Critical Access Hospital

Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,771.93 $3,281.35 2.0×
Upper GI endoscopy (EGD) with biopsy (43239) $2,035.42 $3,769.30 2.3×
Diagnostic colonoscopy (45378) $1,734.94 $3,212.85 1.9×
Colonoscopy with biopsy (45380) $2,087.64 $3,866 1.8×
Colonoscopy with lesion removal (45385) $2,449.60 $4,536.30 2.1×
Obstetric care, vaginal delivery (global) (59400)
range across 2 matching MRF lines
$3,307.37–$5,173.31 $6,124.75–$9,580.20 varies
Obstetric care, VBAC delivery (global) (59610) $3,273.08 $6,061.25 —
Epidural injection, lumbar/sacral (with imaging) (62322) $874.80 $1,620 1.0×
Transforaminal epidural injection, lumbar/sacral (64483) $1,457.41 $2,698.90 1.7×
After-cataract laser surgery (YAG capsulotomy) (66821) $1,455.46 $2,695.30 2.7×
CT head/brain without contrast (70450) $1,450.06 $2,685.30 14.3×
MRI brain without contrast (70551) $2,273.59 $4,210.35 9.8×
MRI brain with contrast (70552) $2,825.25 $5,231.95 8.3×
MRI brain without and with contrast (70553) $3,277.99 $6,070.35 9.7×
X-ray lower spine, 4+ views (72110) $472.82 $875.60 4.7×
MRI lumbar spine without contrast (72148) $2,431.92 $4,503.55 10.5×
CT pelvis with contrast (72193) $2,164.89 $4,009.05 12.7×
MRI lower-extremity joint without contrast (73721) $2,178.68 $4,034.60 9.4×
CT abdomen and pelvis with contrast (74177) $2,965.30 $5,491.30 8.8×
Ultrasound, abdomen complete (76700) $725.76 $1,344 7.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $576.18 $1,067 5.7×
Ultrasound, transvaginal (76830) $470.04 $870.45 4.6×
Mammography, one breast (diagnostic) (77065) $230.63 $427.10 2.7×
Mammography, both breasts (diagnostic) (77066) $345.98 $640.70 3.1×
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$226.58–$243.08 $419.60–$450.15 varies
Basic metabolic panel (80048) $172.29 $319.05 20.4×
Comprehensive metabolic panel (80053) $225.32 $417.25 21.3×
Lipid panel (80061) $107.57 $199.20 8.0×
Renal function panel (80069) $162.30 $300.55 18.7×
Hepatic function panel (80076) $172.45 $319.35 21.1×
PSA, total (84153) $145.80 $270 7.9×
Thyroid stimulating hormone (TSH) (84443) $96.31 $178.35 5.7×
CBC with automated differential (85025) $113.83 $210.80 14.6×
CBC, automated (85027) $66.85 $123.80 10.3×
Prothrombin time (PT) (85610) $63.53 $117.65 14.8×
Partial thromboplastin time (PTT) (85730) $69.01 $127.80 11.5×
Electrocardiogram (ECG), complete (93000) $299.46 $554.55 5.2×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$3,407.48–$3,475.52 $6,310.15–$6,436.15 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines
$95.34–$102.71 $176.55–$190.20 varies
Office visit, new patient (low complexity, ~30 min) (99203) $273.92 $507.25 2.1×

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.

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Download the machine-readable file (UNKNOWN, 56.4 MB) ↓ — captured 2026-09-08

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