Supplies, drugs & other prices at Western Wisconsin Health
Baldwin, WI · every code in this section with a posted price and a Medicare benchmark.
39 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) | — | $1,290 | — |
| Admin influenza virus vac (G0008) | — | $14 | — |
| Admin pneumococcal vaccine (G0009) | — | $49 | — |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
— | $28–$29 | — |
| Cbc/diffwbc w/o platelet (G0306) | — | $99 | — |
| Chemo extend iv infus w/pump (G0498) | — | $907 | — |
| Diab manage trn per indiv (G0108) | — | $102 | — |
| Diab manage trn ind/group (G0109) | — | $55 | — |
| Drug test def 1-7 classes (G0480) range across 20 matching MRF lines |
— | $146–$236 | — |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
— | $48–$57 | — |
| Elec stim unattend for press (G0281) | — | $67 | — |
| Fern test (Q0114) | — | $26 | — |
| Home sleep test/type 3 porta (G0399) | — | $1,010 | — |
| Home sleep test/type 4 porta (G0400) | — | $897 | — |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
— | $1,582–$1,977 | — |
| Mra w/cont, abd (C8900) | — | $4,093 | — |
| Mra w/cont, chest (C8909) | — | $4,141 | — |
| Mra w/cont, lwr ext (C8912) | — | $4,114 | — |
| Mra w/cont, pelvis (C8918) | — | $4,109 | — |
| Mra w/o cont, abd (C8901) | — | $4,093 | — |
| Mra w/o cont, chest (C8910) | — | $4,141 | — |
| Mra w/o cont, lwr ext (C8913) | — | $4,114 | — |
| Mra w/o cont, pelvis (C8919) | — | $4,109 | — |
| Mra w/o fol w/cont, abd (C8902) | — | $4,093 | — |
| Mra w/o fol w/cont, chest (C8911) | — | $4,141 | — |
| Mra w/o fol w/cont, lwr ext (C8914) | — | $4,114 | — |
| Mra w/o fol w/cont, pelvis (C8920) | — | $4,109 | — |
| Mri w/o fol w/cont, breast, (C8908) | — | $2,196 | — |
| Oth resp proc, group (G0239) | — | $129 | — |
| Oth resp proc, indiv (G0238) | — | $99 | — |
| Psa screening (G0103) | — | $84 | — |
| Scr c/v cyto,thinlayer,rescr (G0145) | — | $99 | — |
| Screen cerv/vag thin layer (G0123) | — | $91 | — |
| Therapeutic procd strg endur (G0237) | — | $92 | — |
| Tomosynthesis, mammo (G0279) | — | $67 | — |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
— | $2,740–$3,653 | — |
| Trim nail(s) (G0127) | — | $171 | — |
| Tte w or w/o contr, cont ecg (C8930) | — | $872 | — |
| Tte w or wo fol wcon,doppler (C8929) | — | $2,190 | — |
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.