Supplies, drugs & other prices at Westfields Hospital and Clinic

New Richmond, WI · every code in this section with a posted price and a Medicare benchmark.

38 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $69.43 $132 1.9×
Adm tocilizu covid-19 1st (M0249) $260.37 $495 0.6×
Admin hepatitis b vaccine (G0010) $36.82 $70 0.8×
Admin influenza virus vac (G0008) $42.08 $80 0.9×
Annual alcohol screen 15 min (G0442) $46.29 $88 1.2×
Behavior counsel obesity 15m (G0447)
range across 2 matching MRF lines
$49.44–$64.17 $94–$122 varies
Brief alcohol misuse counsel (G0443) $64.17 $122 0.6×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$300.35–$1,178.24 $571–$2,240 varies
Catheterize for urine spec (P9612) $47.87 $91 5.1×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$844.23–$1,284.49 $1,605–$2,442 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$836.34–$1,634.28 $1,590–$3,107 varies
Covid-19 lab test non-cdc (U0002) $69.43 $132 1.4×
Depression screen annual (G0444) $46.29 $88 1.2×
Diab manage trn per indiv (G0108) $112.04 $213 2.0×
Diab manage trn ind/group (G0109) $46.81 $89 2.9×
Drug test def 1-7 classes (G0480)
range across 4 matching MRF lines
$36.29–$88.89 $69–$169 varies
Drug test def 15-21 classes (G0482) $61.02 $116 0.3×
Drug test def simple all cl (G0659)
range across 5 matching MRF lines
$24.20–$88.89 $46–$169 varies
Ekg tracing for initial prev (G0404) $32.61 $62 1.1×
Fecal blood scrn immunoassay (G0328) $48.39 $92 2.7×
Group mnt 2 or more 30 mins (G0271) $38.40 $73 2.3×
Initial preventive exam (G0402)
range across 2 matching MRF lines
$108.88–$211.45 $207–$402 varies
Inj for sacroiliac jt anesth (G0260) $462.88 $880 0.6×
Mnt subs tx for change dx (G0270) $36.82 $70 1.2×
Njx platelet plasma (0232T) $307.18 $584 0.7×
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$16.31–$32.61 $31–$62 varies
Oth resp proc, group (G0239) $25.25 $48 0.6×
Oth resp proc, indiv (G0238) $21.04 $40 0.7×
Pathogen test for platelets (P9100) $7.36 $14 0.1×
Ppps, initial visit (G0438) $218.82 $416 1.3×
Ppps, subseq visit (G0439) $148.33 $282 1.1×
Psa screening (G0103) $99.94 $190 5.2×
Screen cerv/vag thin layer (G0123) $45.24 $86 2.2×
Therapeutic procd strg endur (G0237) $20.51 $39 0.7×
Tomosynthesis, mammo (G0279) $86.26 $164 6.8×
Trauma respons w/hosp criti (G0390) $3,628.35 $6,898 2.6×
Trim nail(s) (G0127)
range across 2 matching MRF lines
$15.25–$27.88 $29–$53 varies
Visit to determ ldct elig (G0296)
range across 2 matching MRF lines
$65.75–$174.63 $125–$332 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.