Supplies, drugs & other prices at Upland Hills Health
Dodgeville, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,281.07 | $2,372.35 | 3.8× |
| Admin influenza virus vac (G0008) | $63.77 | $118.10 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $63.77 | $118.10 | 1.4× |
| Ca screen;flexi sigmoidscope (G0104) | $850.50 | $1,575 | 0.9× |
| Catheterize for urine spec (P9612) | $159.22 | $294.85 | 17.0× |
| Colon ca scrn not hi rsk ind (G0121) | $1,748.63 | $3,238.20 | 1.9× |
| Colorectal scrn; hi risk ind (G0105) | $1,740.12 | $3,222.45 | 1.9× |
| Diab manage trn per indiv (G0108) | $85.32 | $158 | 1.5× |
| Diab manage trn ind/group (G0109) | $24.49 | $45.35 | 1.5× |
| Direct refer hospital observ (G0379) | $172.26 | $319 | 0.3× |
| Elec stim other than wound (G0283) | $43.39 | $80.35 | 3.4× |
| Extrnl counterpulse, per tx (G0166) | $402.73 | $745.80 | 3.1× |
| Fern test (Q0114) | $31.56 | $58.45 | 3.2× |
| Inj for sacroiliac jt anesth (G0260) | $1,073.33 | $1,987.65 | 1.6× |
| Mra w/o fol w/cont, abd (C8902) | $2,145.53 | $3,973.20 | 6.3× |
| Mri w/o fol w/cont, breast, (C8908) | $3,586.44 | $6,641.55 | 10.6× |
| Oth resp proc, indiv (G0238) | $73.85 | $136.75 | 2.6× |
| Pathogen test for platelets (P9100) | $42.71 | $79.10 | 0.7× |
| Psa screening (G0103) | $145.80 | $270 | 7.6× |
| Tomosynthesis, mammo (G0279) | $27 | $50 | 2.1× |
| Trauma respons w/hosp criti (G0390) | $1,133.70 | $2,099.45 | 0.9× |
| Tte w or wo fol wcon,doppler (C8929) | $1,485.84 | $2,751.55 | 2.0× |