Gundersen St. Elizabeth Hospital and Clinics — price list
← Hospital overviewVerified from Gundersen St. Elizabeth Hospital and Clinics’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
242 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Hchg 10060 i&d abscess simple Outpatient | 20000001-125 CDM | $340 | $207 | $84.15 – $326 | — | |
| Hchg 10060 i&d abscess simple Inpatient | 20000001-125 CDM | $340 | $207 | $84.15 – $326 | — | |
| Hchg 10061 i&d abscess complicated/mult Outpatient | 20000002-125 CDM | $638 | $389 | $158 – $612 | — | |
| Hchg 10061 i&d abscess complicated/mult Inpatient | 20000002-125 CDM | $638 | $389 | $158 – $612 | — | |
| Hchg 10080 i&d pilonidal cyst Outpatient | 20000003-125 CDM | $1,110 | $676 | $275 – $1,066 | — | |
| Hchg 10080 i&d pilonidal cyst Inpatient | 20000003-125 CDM | $1,110 | $676 | $275 – $1,066 | — | |
| Hchg 10081 i&d pilonidal cyst complicated Outpatient | 20000004-125 CDM | $1,110 | $676 | $275 – $1,066 | — | |
| Hchg 10081 i&d pilonidal cyst complicated Inpatient | 20000004-125 CDM | $1,110 | $676 | $275 – $1,066 | — | |
| Hchg 10120 inc&removal fb simple Outpatient | 20000005-125 CDM | $638 | $389 | $158 – $612 | — | |
| Hchg 10120 inc&removal fb simple Inpatient | 20000005-125 CDM | $638 | $389 | $158 – $612 | — | |
| Hchg 10121 inc&removal fb complicated Outpatient | 20000006-125 CDM | $3,966 | $2,415 | $982 – $3,807 | — | |
| Hchg 10121 inc&removal fb complicated Inpatient | 20000006-125 CDM | $3,966 | $2,415 | $982 – $3,807 | — | |
| Hchg 10140 i&d hematoma/seroma/or fluid Outpatient | 20000007-125 CDM | $2,565 | $1,562 | $635 – $2,462 | — | |
| Hchg 10140 i&d hematoma/seroma/or fluid Inpatient | 20000007-125 CDM | $2,565 | $1,562 | $635 – $2,462 | — | |
| Hchg 10160 punct asp absc/hema/bulla/cyst Outpatient | 20000008-125 CDM | $638 | $389 | $158 – $612 | — | |
| Hchg 10160 punct asp absc/hema/bulla/cyst Inpatient | 20000008-125 CDM | $638 | $389 | $158 – $612 | — | |
| Hchg 11000 dbridmnt infect/skin up to 10% Outpatient | 20000010-125 CDM | $994 | $605 | $246 – $954 | — | |
| Hchg 11000 dbridmnt infect/skin up to 10% Inpatient | 20000010-125 CDM | $994 | $605 | $246 – $954 | — | |
| Hchg 11044 debridmnt bone 20 sq cm/< Outpatient | 20000013-125 CDM | $2,809 | $1,711 | $695 – $2,697 | — | |
| Hchg 11044 debridmnt bone 20 sq cm/< Inpatient | 20000013-125 CDM | $2,809 | $1,711 | $695 – $2,697 | — | |
| Hchg 11055 par/cut ben hyprkerat les;sngl Outpatient | 20000014-125 CDM | $340 | $207 | $84.15 – $326 | — | |
| Hchg 11055 par/cut ben hyprkerat les;sngl Inpatient | 20000014-125 CDM | $340 | $207 | $84.15 – $326 | — | |
| Hchg 11720 dbridmnt nail any method 1-5 Outpatient | 20000016-125 CDM | $198 | $121 | $49.01 – $190 | — | |
| Hchg 11720 dbridmnt nail any method 1-5 Inpatient | 20000016-125 CDM | $198 | $121 | $49.01 – $190 | — | |
| Hchg 11721 dbridmnt nail any method 6+ Outpatient | 20000017-125 CDM | $198 | $121 | $49.01 – $190 | — | |
| Hchg 11721 dbridmnt nail any method 6+ Inpatient | 20000017-125 CDM | $198 | $121 | $49.01 – $190 | — | |
| Hchg 11730 avulsion nail plate Outpatient | 20000018-125 CDM | $340 | $207 | $84.15 – $326 | — | |
| Hchg 11730 avulsion nail plate Inpatient | 20000018-125 CDM | $340 | $207 | $84.15 – $326 | — | |
| Hchg 11732 avulsion each addl nail plate Outpatient | 20000019-125 CDM | $198 | $121 | $49.01 – $190 | — | |
| Hchg 11732 avulsion each addl nail plate Inpatient | 20000019-125 CDM | $198 | $121 | $49.01 – $190 | — |