Visits & medical services prices at Upland Hills Health
Dodgeville, WI · every code in this section with a posted price and a Medicare benchmark.
131 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $106.92 | $198 | 0.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $63.77 | $118.10 | 1.6× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$136.81–$257.20 | $253.35–$476.30 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $82.51 | $152.80 | 5.7× |
| Assessment of aphasia per hr (96105) | $236.79 | $438.50 | 2.4× |
| Audiometry Air & Bone (92553) | $138.78 | $257 | 1.1× |
| Behavral qualit analys voice (92524) | $209.84 | $388.60 | 1.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $392.69 | $727.20 | 4.8× |
| Bfb training ea addl 15 min (90913) | $219.70 | $406.85 | 6.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $384.37 | $711.80 | 1.1× |
| Car seat/bed test 60 min (94780) | $145.04 | $268.60 | 4.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$804.30–$891.95 | $1,489.45–$1,651.75 | varies |
| Cardiopulmonary resuscitation (92950) | $785.57 | $1,454.75 | 3.7× |
| Cardioversion (92960) | $1,022.06 | $1,892.70 | 1.6× |
| Cbt 1st hour (94644) | $524.18 | $970.70 | 4.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $111.29 | $206.10 | 1.6× |
| Chest Wall Manipulation (94668) | $73.17 | $135.50 | 0.6× |
| Color/duplex Doppler, complete (93975) | $547.21 | $1,013.35 | 2.4× |
| Color/duplex Doppler, limited (93976) | $361.58 | $669.60 | 3.6× |
| Comprehensive Hearing Test (92557) | $214.92 | $398 | 1.7× |
| Conditioning Play Audiometry (92582) | $137.70 | $255 | 1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $252.48 | $467.55 | 2.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $135.30 | $250.55 | 2.4× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$231.09–$300.62 | $427.95–$556.70 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$335.31–$880.36 | $620.95–$1,630.30 | varies |
| Cpt initial (94667) | $107.11 | $198.35 | 0.8× |
| Critical care first hour (99291) | $1,497.93 | $2,773.95 | 1.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $189.54 | $351 | 1.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $608.53 | $1,126.90 | 6.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,726.38 | $3,197 | 7.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $821.48 | $1,521.25 | 8.1× |
| Echo Congenital Complete (93303) | $1,347.89 | $2,496.10 | 2.5× |
| Echo Heart Xthoracic,Limited (93308) | $647.92 | $1,199.85 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$50.57–$84.11 | $93.65–$155.75 | varies |
| Electrocardiogram Tracing (93005) | $255.56 | $473.25 | 4.5× |
| Emergency Dept Visit Level 2 (99282) | $286.98 | $531.45 | 1.9× |
| Emergency Dept Visit Level 3 (99283) | $486.11 | $900.20 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $826.93 | $1,531.35 | 2.0× |
| Er level 1 (99281) range across 2 matching MRF lines |
$77.65–$145.94 | $143.80–$270.25 | varies |
| Er level v (99285) | $1,320.17 | $2,444.75 | 2.3× |
| Evaluate pt use of inhaler (94664) | $166.02 | $307.45 | 0.8× |
| Evaluate Speech Production (92522) | $331.05 | $613.05 | 3.0× |
| Evaluate Swallowing Function (92610) | $297.65 | $551.20 | 3.5× |
| Evoked Auditory Test,Limited (92587) | $137.70 | $255 | 0.7× |
| External ECG rec>48hr<7d recording (93242) | $404.03 | $748.20 | 11.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $648 | $1,200 | 5.0× |
| External ECG rec>7d<15d recording (93246) | $419.55 | $776.95 | 11.6× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $2,322 | $4,300 | 18.0× |
| External Ecg Scanning Analysis Report (93226) | $854.33 | $1,582.10 | 14.9× |
| Extracranial Bilat Study (93880) | $1,060.88 | $1,964.60 | 4.6× |
| Holter monitor recording (93225) | $398.33 | $737.65 | 3.1× |
| Immunization administration (90471) | $63.77 | $118.10 | 0.9× |
| Iontophoresis 15 min (97033) | $99.55 | $184.35 | 5.2× |
| Irrig Drug Delivery Device (96523) | $100.04 | $185.25 | 1.7× |
| IV infusion hydration each additional hour (96361) | $101.17 | $187.35 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $202.93 | $375.80 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $303.37 | $561.80 | 4.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $131.11 | $242.80 | 2.9× |
| IV push initial (96374) | $144.61 | $267.80 | 0.7× |
| Mechanical chest wall oscillation per session (94669) | $134.78 | $249.60 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $36.77 | $68.10 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $40.45 | $74.90 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) | $302 | $559.25 | 3.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$2,970.05–$3,353.89 | $5,500.10–$6,210.90 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $134.84 | $249.70 | 0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $146.07 | $270.50 | 0.4× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$106.14–$114.37 | $196.55–$211.80 | varies |
| Newborn resuscitation (99465) | $315.25 | $583.80 | 0.5× |
| Nitric oxide expired gas determination (95012) | $266 | $492.60 | 7.3× |
| Oral Function Therapy (92526) | $213.41 | $395.20 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $151.52 | $280.60 | 3.3× |
| Ot eval high complexity (97167) | $258.90 | $479.45 | 2.6× |
| Ot Eval Low Complex (97165) | $150.01 | $277.80 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $219.11 | $405.75 | 2.2× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$89.99–$96.96 | $166.65–$179.55 | varies |
| Ot paraffin bath (97018) | $19.63 | $36.35 | 3.3× |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$103.41–$125.01 | $191.50–$231.50 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$197.13–$260.09 | $365.05–$481.65 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $197.13 | $365.05 | 1.6× |
| Peripheral arterial disease rehab per session (93668) range across 3 matching MRF lines |
$138.67–$209.36 | $256.80–$387.70 | varies |
| Phlebotomy therapeutic (99195) | $384.67 | $712.35 | 3.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $202.91 | $375.75 | 3.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$207.90–$261.90 | $385–$485 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$110.13–$118.67 | $203.95–$219.75 | varies |
| Plethysmography (94726) | $731.48 | $1,354.60 | 2.0× |
| Pm device eval in person (93288) | $175.64 | $325.25 | 4.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,723.68–$4,250.18 | $6,895.70–$7,870.70 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,192.59 | $5,912.20 | 3.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,246.89 | $6,012.75 | 3.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $72.36 | $134 | 1.6× |
| Pt Eval High Complex (97163) | $258.90 | $479.45 | 2.6× |
| Pt eval low complex 20 min (97161) | $153.82 | $284.85 | 1.6× |
| Pt Eval Mod Complex (97162) | $186.65 | $345.65 | 1.9× |
| Pt gait training 15 min (97116) | $102.71 | $190.20 | 3.5× |
| Pt mechanical traction (97012) | $50.57 | $93.65 | 3.5× |
| Pt Re-Eval Est Plan Care (97164) | $106.14 | $196.55 | 1.6× |
| Pt ultraviolet (97028) range across 2 matching MRF lines |
$107.33–$356.08 | $198.75–$659.40 | varies |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$37.53–$838.62 | $69.50–$1,553 | varies |
| Pulmonary Stress Testing (94618) | $79.43 | $147.10 | 0.6× |
| Pure Tone Audiometry Air (92552) | $81 | $150 | 0.6× |
| Remote 30 Day Ecg Tech Supp (93229) | $2,616.41 | $4,845.20 | 7.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $237.60 | $440 | 1.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $93.12 | $172.45 | 1.9× |
| Self Care Mngment Training (97535) | $105.92 | $196.15 | 3.3× |
| Sensory Integration Ea 15 Min (97533) | $198.88 | $368.30 | 3.3× |
| Sleep study unattended (95806) | $496.85 | $920.10 | 2.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $810 | $1,500 | 3.9× |
| Speech Audiometry Complete (92556) | $77.22 | $143 | 1.3× |
| Speech audiometry threshold (92555) | $48.06 | $89 | 0.8× |
| Speech sound lang comprehen (92523) | $439.07 | $813.10 | 1.9× |
| Spirometry (94010) range across 2 matching MRF lines |
$121.96–$216.35 | $225.85–$400.65 | varies |
| Standardized Cognitive Performance Testing (96125) | $303.53 | $562.10 | 3.0× |
| Stress Tte Only (93350) | $2,283.17 | $4,228.10 | 4.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$120.80–$130.14 | $223.70–$241 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $197.80 | $366.30 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $72.36 | $134 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $386.51 | $715.75 | 1.9× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$114.29–$123.15 | $211.65–$228.05 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $62.48 | $115.70 | 1.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $29.51 | $54.65 | 0.8× |
| Tte w/doppler, complete (93306) | $1,546.70 | $2,864.25 | 2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $209.17 | $387.35 | 2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $127.68 | $236.45 | 2.8× |
| Tympanometry and reflex threshold measurements (92550) | $120.42 | $223 | 0.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$211.79–$324 | $392.20–$600 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $568.81 | $1,053.35 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $852.31 | $1,578.35 | 1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $596.51 | $1,104.65 | 1.0× |
| Visual reinforcement audiometry (vra) (92579) | $106.92 | $198 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $101.82 | $188.55 | 3.3× |
| Whirlpool Therapy (97022) | $83.89 | $155.35 | 5.3× |
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.