Visits & medical services prices at Westfields Hospital and Clinic
New Richmond, WI · every code in this section with a posted price and a Medicare benchmark.
182 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $23.67 | $45 | 0.6× |
| Advncd Care Plan 30 Min (99497) | $176.74 | $336 | 1.7× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$39.98–$164.64 | $76–$313 | varies |
| Analyze neurostim no prog (95970) | $48.92 | $93 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $46.81 | $89 | 3.3× |
| Application Modality 1/> Areas Infrared (97026) | $25.77 | $49 | 3.9× |
| Application on-body injector (96377) | $42.61 | $81 | 0.9× |
| Assessment of aphasia per hr (96105) | $222.50 | $423 | 2.3× |
| Behavral qualit analys voice (92524) | $167.27 | $318 | 1.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $56.28 | $107 | 0.7× |
| Bfb training ea addl 15 min (90913) | $56.28 | $107 | 1.7× |
| Brief Emotional/Behav Assmt (96127) | $9.47 | $18 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$59.44–$242.49 | $113–$461 | varies |
| Canalith repositioning proc (95992) | $59.44 | $113 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $454.99 | $865 | 2.0× |
| Cardiopulmonary exercise testing (94621) | $242.49 | $461 | 0.6× |
| Cardiopulmonary resuscitation (92950) | $449.20 | $854 | 2.0× |
| Cardioversion (92960) range across 2 matching MRF lines |
$501.28–$501.80 | $953–$954 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $9.47 | $18 | 0.2× |
| Cbt 1st hour (94644) | $197.78 | $376 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $169.90 | $323 | 2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $72.06 | $137 | 1.0× |
| Chemo IV infusion addl hr (96415) | $63.65 | $121 | 0.8× |
| Chemo IV push addl drug (96411) | $140.97 | $268 | 1.9× |
| Chemother Prolong Infuse W/Pump (96416) | $318.23 | $605 | 0.9× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$291.40–$571.24 | $554–$1,086 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $143.07 | $272 | 1.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $308.24 | $586 | 0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $187.26 | $356 | 0.5× |
| Chest Wall Manipulation (94668) | $98.89 | $188 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $55.76 | $106 | 0.5× |
| Color/duplex Doppler, complete (93975) | $396.08 | $753 | 1.6× |
| Color/duplex Doppler, limited (93976) | $606.48 | $1,153 | 5.5× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $44.18 | $84 | 1.4× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $139.92 | $266 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $360.31 | $685 | 2.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $138.34 | $263 | 2.2× |
| Continuous Pulse Ox (94762) | $189.89 | $361 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$164.64–$374.51 | $313–$712 | varies |
| Cpt initial (94667) | $84.69 | $161 | 0.6× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$530.21–$1,335.51 | $1,008–$2,539 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$160.96–$236.17 | $306–$449 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $606.48 | $1,153 | 2.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $310.87 | $591 | 2.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $305.08 | $580 | 1.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $305.08 | $580 | 2.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $948.90 | $1,804 | 3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$43.66–$374.51 | $83–$712 | varies |
| Duplex up extrem art bilat (93930) | $608.06 | $1,156 | 2.4× |
| Duplex up extrem art unilat/ltd (93931) | $828.45 | $1,575 | 7.6× |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$47.34–$587.54 | $90–$1,117 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $316.13 | $601 | 0.6× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$238.28–$462.88 | $453–$880 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$118.88–$429.22 | $226–$816 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$118.88–$429.22 | $226–$816 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $321.39 | $611 | 1.4× |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$182.52–$732.72 | $347–$1,393 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $66.80 | $127 | 4.5× |
| Electrocardiogram Tracing (93005) | $120.98 | $230 | 2.0× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$114.67–$255.64 | $218–$486 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$182.52–$401.34 | $347–$763 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$325.59–$649.61 | $619–$1,235 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$148.86–$159.90 | $283–$304 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$471.82–$1,182.97 | $897–$2,249 | varies |
| Evaluate pt use of inhaler (94664) | $164.64 | $313 | 0.7× |
| Evaluate Speech Production (92522) | $229.34 | $436 | 2.0× |
| Evaluate Swallowing Function (92610) | $144.12 | $274 | 1.7× |
| Evaluation of speech fluency (92521) | $189.89 | $361 | 1.4× |
| Evoked Auditory Test,Limited (92587) | $242.49 | $461 | 1.1× |
| External ECG rec>48hr<7d recording (93242) | $47.34 | $90 | 1.2× |
| External ECG rec>7d<15d recording (93246) | $47.34 | $90 | 1.2× |
| External Ecg Scanning Analysis Report (93226) | $111.51 | $212 | 1.8× |
| Extracranial Bilat Study (93880) | $553.88 | $1,053 | 2.2× |
| Extracranial Uni/Ltd Study (93882) | $457.62 | $870 | 4.2× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$62.07–$196.72 | $118–$374 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$42.08–$43.13 | $80–$82 | varies |
| Immunization administration (90471) | $42.08 | $80 | 0.6× |
| Inital newborn e/m (99460) | $194.09 | $369 | 1.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $4.21 | $8 | 0.1× |
| Iontophoresis 15 min (97033) | $69.96 | $133 | 3.7× |
| Irrig Drug Delivery Device (96523) | $56.28 | $107 | 0.9× |
| IV infusion hydration each additional hour (96361) | $35.77 | $68 | 0.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $131.50 | $250 | 0.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $68.38 | $130 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $43.66 | $83 | 0.9× |
| IV push initial (96374) | $129.92 | $247 | 0.6× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$33.14–$54.18 | $63–$103 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $431.32 | $820 | 1.9× |
| Mechanical chest wall oscillation per session (94669) | $117.82 | $224 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$16.31–$57.33 | $31–$109 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $65.75 | $125 | 1.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $38.92 | $74 | 2.3× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$57.86–$593.85 | $110–$1,129 | varies |
| Motion Fluoroscopy/Swallow (92611) | $189.89 | $361 | 2.1× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$125.19–$309.29 | $238–$588 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$321.39–$479.71 | $611–$912 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $479.71 | $912 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$87.84–$139.92 | $167–$266 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$105.20–$307.71 | $200–$585 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$70.48–$137.81 | $134–$262 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$188.31–$366.10 | $358–$696 | varies |
| Nerve conduction studies 13 or more studies (95913) | $216.71 | $412 | 0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$177.26–$242.49 | $337–$461 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$179.89–$211.45 | $342–$402 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$253.53–$279.31 | $482–$531 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$331.91–$413.44 | $631–$786 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $60.49 | $115 | 0.4× |
| Neuromuscular Reeducation (97112) | $58.39 | $111 | 1.8× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$373.46–$501.80 | $710–$954 | varies |
| Nitric oxide expired gas determination (95012) | $81.53 | $155 | 2.1× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $50.50 | $96 | 2.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $77.85 | $148 | 2.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $26.83 | $51 | 2.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$70.48–$140.97 | $134–$268 | varies |
| Oral Function Therapy (92526) | $118.35 | $225 | 1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $33.66 | $64 | 0.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $57.86 | $110 | 1.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$21.57–$42.61 | $41–$81 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$31.56–$61.02 | $60–$116 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$41.55–$81 | $79–$154 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $97.31 | $185 | 4.3× |
| Ot manual therapy 15 min (97140) | $58.39 | $111 | 2.1× |
| Ot paraffin bath (97018) | $58.39 | $111 | 9.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$316.13–$553.88 | $601–$1,053 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $237.23 | $451 | 1.8× |
| Oxygen Uptake Rest Indirect (94690) | $127.29 | $242 | 2.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $225.13 | $428 | 1.0× |
| Percutaneous tests w/allergenic extracts (95004) | $3.68 | $7 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $71.54 | $136 | 1.2× |
| Phlebotomy therapeutic (99195) | $208.30 | $396 | 1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $203.04 | $386 | 3.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $166.74 | $317 | 2.7× |
| Physical Performance Test (97750) | $41.55 | $79 | 1.2× |
| Plethysmography (94726) range across 2 matching MRF lines |
$242.49–$281.94 | $461–$536 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,809.37 | $5,341 | 3.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $19.46 | $37 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $21.57 | $41 | 0.4× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$103.10–$108.88 | $196–$207 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$97.31–$223.55 | $185–$425 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$187.78–$216.71 | $357–$412 | varies |
| Pt gait training 15 min (97116) | $58.39 | $111 | 2.0× |
| Pt mechanical traction (97012) | $57.86 | $110 | 4.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $9.47 | $18 | 0.2× |
| Pulm function test by gas (94727) | $85.21 | $162 | 0.4× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$187.78–$337.69 | $357–$642 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$63.12–$164.64 | $120–$313 | varies |
| Refill/Maint Portable Pump (96521) | $314.55 | $598 | 1.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $88.37 | $168 | 2.3× |
| Respiratory flow volume loop (94375) | $195.15 | $371 | 0.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $142.55 | $271 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $29.98 | $57 | 0.1× |
| Same day nb discharge (99463) | $233.02 | $443 | 1.7× |
| Self Care Mngment Training (97535) | $39.45 | $75 | 1.2× |
| Sensory Integration Ea 15 Min (97533) | $41.55 | $79 | 0.7× |
| Sleep study attended (95807) | $2,809.37 | $5,341 | 7.2× |
| Speech sound lang comprehen (92523) | $144.12 | $274 | 0.6× |
| Spirometry (94010) | $120.45 | $229 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $220.92 | $420 | 2.1× |
| Stress Tte Only (93350) | $609.11 | $1,158 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $56.28 | $107 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $56.28 | $107 | 2.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $83.11 | $158 | 2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $168.32 | $320 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $57.86 | $110 | 0.8× |
| Ther/Proph/Diag Iv Inf Init (96365) | $157.80 | $300 | 0.7× |
| Therapeutic Activities (97530) | $49.97 | $95 | 1.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $339.27 | $645 | 0.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$36.29–$54.18 | $69–$103 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$19.46–$27.35 | $37–$52 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$130.45–$253.53 | $248–$482 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$177.26–$332.43 | $337–$632 | varies |
| Tte w/doppler, complete (93306) | $701.68 | $1,334 | 1.2× |
| Tte W/O Doppler Complete (93307) | $587.54 | $1,117 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$118.35–$125.19 | $225–$238 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $49.44 | $94 | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $865.27 | $1,645 | 6.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $661.18 | $1,257 | 2.9× |
| Vent Mgmt Inpat Init Day (94002) | $747.45 | $1,421 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $417.64 | $794 | 0.6× |
| Vital capacity, total (94150) | $84.69 | $161 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $56.28 | $107 | 1.8× |
| Whirlpool Therapy (97022) | $25.77 | $49 | 1.6× |
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.