Top 40 services provided by WESTERN WISCONSIN HEALTH
Services CPT Price Est. Cash Price
Repair of the shoulder generally called a shoulder arthroscopy 29826 $646.00 $0.00
Knee cartilage replacement surgery with an endoscope 29881 $2,117.00 $0.00
Release and/or relocation of median nerve of hand 64721 $1,666.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,836.00 $0.00
MRI scan of the brain with and without contrast 70553 $4,480.00 $0.00
X-ray of the chest, 2 views 71046 $265.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $250.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,400.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,500.00 $0.00
Ultrasound of the abdomen 76700 $947.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $825.00 $0.00
Mammogram of both breasts 77067 $425.00 $0.00
Mammogram of both breasts 77067 $470.00 $0.00
Basic Metabolic Panel 80048 $100.00 $0.00
Lipid Panel 80061 $153.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $35.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $58.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $97.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $150.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $88.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $38.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $155.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $204.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $71.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $150.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $103.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $88.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $234.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $185.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $175.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $621.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $315.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $955.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $577.00 $0.00