FROEDTERT WEST BEND HOSPITAL
Acute Care Hospitals
Procedure Prices at FROEDTERT WEST BEND HOSPITAL
Blood Draw From Vein Using Needle
CPT 36415
$0.72
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$7.77
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$10.56
Screening Mammogram (bilateral)
CPT 77067
$17.48
Chest X-Ray (1 view)
CPT 71045
$17.72
Thoracic Spine X-Ray
CPT 72072
$17.72
Chest X-Ray (2 views)
CPT 71046
$17.93
Diagnostic Mammogram (bilateral)
CPT 77066
$18.41
Diagnostic Mammogram (unilateral)
CPT 77065
$18.79
Therapeutic Activities
CPT 97530
$26.57
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$40.57
Therapeutic Exercises
CPT 97110
$44.57
Abdominal Ultrasound — Limited
CPT 76705
$46.05
EKG Tracing
CPT 93005
$55.04
Retroperitoneal Ultrasound
CPT 76770
$58.17
Abdominal Ultrasound
CPT 76700
$63.07
MRI Joint of Lower Extremity
CPT 73721
$78.43
MRI Brain w/o Contrast
CPT 70551
$82.04
ER Visit — Low-Moderate Complexity
CPT 99283
$102.14
CT Chest
CPT 71250
$108.5
Echocardiogram w/ Doppler
CPT 93306
$138.01
MRI Brain w/ Contrast
CPT 70553
$138.75
CT Abdomen & Pelvis
CPT 74177
$153.27
ER Visit — Moderate Complexity
CPT 99284
$202
Colonoscopy
CPT 45378
$230.2
Upper GI Endoscopy w/ Biopsy
CPT 43239
$248.52
Colonoscopy w/ Biopsy
CPT 45380
$283.56
ER Visit — High Complexity
CPT 99285
$283.63
Cataract Surgery — Complex
CPT 66982
$540.66
Cataract Surgery
CPT 66984
$546.37
Knee Arthroscopy
CPT 29881
$673.1
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$813.23
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$859.71
Inguinal Hernia Repair
CPT 49505
$941.08
Laparoscopic Hernia Repair
CPT 49650
$1,017.35
Laparoscopic Cholecystectomy
CPT 47562
$1,175.95
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$1,366.9
Recurrent Inguinal Hernia Repair
CPT 49520
$3,147.69
Knee Replacement
CPT 27447
$7,744.68
Hip Replacement
CPT 27130
$12,349.19
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.