Westfields Hospital and Clinic

New Richmond, WI · Critical Access Hospital

Posts prices for 55 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$376.62–$731.14 $716–$1,390 varies
Shoulder arthroscopy with decompression (29826) $420.80 $800 —
Knee arthroscopy with meniscectomy (29881) $1,292.38 $2,457 0.4×
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure
$689.06 $1,310 0.1×
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines
$661.18–$666.44 $1,257–$1,267 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines
$330.33–$1,399.16 $628–$2,660 varies
Diagnostic colonoscopy (45378)
range across 2 matching MRF lines
$874.21–$1,633.76 $1,662–$3,106 varies
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines
$1,044.64–$2,043.51 $1,986–$3,885 varies
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$1,174.03–$1,798.39 $2,232–$3,419 varies
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$1,582.73 $3,009 0.2×
Inguinal hernia repair (age 5+) (49505) $1,250.83 $2,378 0.3×
Obstetric care, vaginal delivery (global) (59400) $4,326.35 $8,225 —
Obstetric care, cesarean delivery (global) (59510) $4,771.35 $9,071 —
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$249.32–$821.61 $474–$1,562 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$405.55–$703.26 $771–$1,337 varies
Cataract removal with lens insertion (66984) $1,508.04 $2,867 0.6×
CT head/brain without contrast (70450) $828.45 $1,575 7.6×
MRI brain without contrast (70551) $1,815.23 $3,451 7.3×
MRI brain with contrast (70552) $1,796.29 $3,415 4.9×
MRI brain without and with contrast (70553) $1,956.72 $3,720 5.4×
X-ray lower spine, 4+ views (72110) $399.76 $760 3.7×
MRI lumbar spine without contrast (72148) $1,684.78 $3,203 6.7×
CT pelvis with contrast (72193) $1,158.25 $2,202 6.3×
MRI lower-extremity joint without contrast (73721) $2,029.31 $3,858 8.1×
CT abdomen and pelvis with contrast (74177) $2,049.82 $3,897 5.6×
Ultrasound, abdomen complete (76700) $365.04 $694 3.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$269.84–$389.24 $513–$740 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$79.43–$283.51 $151–$539 varies
Mammography, one breast (diagnostic) (77065) $208.30 $396 2.4×
Mammography, screening (bilateral) (77067) $339.80 $646 3.7×
Basic metabolic panel (80048) $109.41 $208 12.9×
Comprehensive metabolic panel (80053) $180.94 $344 17.1×
Lipid panel (80061)
range across 2 matching MRF lines
$41.55–$94.15 $79–$179 varies
Renal function panel (80069) $77.32 $147 8.9×
Hepatic function panel (80076) $102.57 $195 12.6×
Urinalysis, non-automated, without microscopy (81002) $19.46 $37 5.6×
PSA, total (84153)
range across 3 matching MRF lines
$22.62–$99.94 $43–$190 varies
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$78.37–$86.79 $149–$165 varies
CBC with automated differential (85025) $49.44 $94 6.4×
CBC, automated (85027) $64.70 $123 10.0×
Prothrombin time (PT) (85610) $42.61 $81 9.9×
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$42.61–$62.07 $81–$118 varies
Psychotherapy, 30 minutes (90832)
range across 2 matching MRF lines
$45.76–$102.04 $87–$194 varies
Psychotherapy, 45 minutes (90834)
range across 2 matching MRF lines
$61.02–$152.01 $116–$289 varies
Psychotherapy, 60 minutes (90837)
range across 2 matching MRF lines
$89.42–$203.04 $170–$386 varies
Family psychotherapy, without patient (50 min) (90846) $160.96 $306 0.9×
Family psychotherapy, with patient (50 min) (90847)
range across 2 matching MRF lines
$74.69–$80.48 $142–$153 varies
Group psychotherapy (90853)
range across 4 matching MRF lines
$167.27–$195.15 $318–$371 varies
Sleep study (attended polysomnography) (95810) $2,809.37 $5,341 3.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $58.39 $111 2.0×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines
$162.01–$244.59 $308–$465 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$218.82–$477.08 $416–$907 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$282.99–$513.90 $538–$977 varies
Preventive visit, new patient (age 18–39) (99385)
range across 2 matching MRF lines
$92.58–$179.37 $176–$341 varies
Preventive visit, new patient (age 40–64) (99386)
range across 2 matching MRF lines
$107.83–$208.82 $205–$397 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.

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Download the machine-readable file (CSV, 19.2 MB) ↓ — captured 2026-09-08

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