Marshfield Medical Center Beaver Dam Hospital — price list
← Hospital overviewVerified from Marshfield Medical Center Beaver Dam Hospital’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.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
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.
20 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN SOLN-INJ 1000MG/100 ML Outpatient | 55097 CDM | $0.51 | $0.49 | $0.05 – $0.49 | — | |
| ALLOPURINOL TAB 100 MG Outpatient | 55328 CDM | $1.21 | $1.15 | $0.61 – $1.16 | — | |
| ALTEPLASE RECOMBINANT 100 MG Outpatient | 55327 CDM | $18,039 | $17,137 | $94.15 – $17,318 | — | |
| AMANTADINE TAB 100 MG Outpatient | 55349 CDM | $6.81 | $6.47 | $3.46 – $6.54 | — | |
| ARGATROBAN SOLN 100 MG/ML 2.5 ML Outpatient | 55400 CDM | $407 | $387 | $0.74 – $391 | — | |
| BENZONATATE CAP 100 MG Outpatient | 55483 CDM | $0.83 | $0.79 | $0.42 – $0.80 | — | |
| BUPROPION TAB-ER 100 MG (12-HOUR SR) Outpatient | 55601 CDM | $1.91 | $1.82 | $0.97 – $1.83 | — | |
| CALCIUM GLUCONATE SOLN-INJ 100 MG/ML 10 ML Outpatient | 55640 CDM | $4.27 | $4.06 | $0.04 – $4.10 | — | |
| CALCIUM GLUCONATE SOLN-INJ 100 MG/ML 50 ML Outpatient | 55621 CDM | $2.30 | $2.18 | $0.04 – $2.21 | — | |
| CARBIDOPA-LEVODOPA TAB 10 MG-100 MG Outpatient | 55686 CDM | $0.95 | $0.90 | $0.48 – $0.91 | — | |
| CARBIDOPA-LEVODOPA TAB 25 MG-100 MG Outpatient | 55785 CDM | $1.08 | $1.02 | $0.55 – $1.04 | — | |
| CEFAZOLIN 2 GM/D5W 100 ML PREMIX Outpatient | 55691 CDM | $0.39 | $0.37 | $0.20 – $3.35 | — | |
| CELECOXIB CAP 100 MG Outpatient | 55696 CDM | $32.88 | $31.23 | $16.70 – $31.56 | — | |
| CHOLECALCIFEROL TAB 1000 INTL UNITS Outpatient | 55784 CDM | $0.07 | $0.07 | $0.04 – $0.07 | — | |
| CIPROFLOXACIN 200 MG/100 ML PREMIX Outpatient | 55805 CDM | $0.12 | $0.11 | $0.06 – $2.67 | — | |
| CITRIC ACID-SODIUM CITRATE LIQ 66.8 MG-100 MG/ML Outpatient | 55818 CDM | $0.13 | $0.12 | $0.07 – $0.12 | — | |
| DEXTROSE 5%/0.2% NACL 1000 ML Outpatient | 55077 CDM | $0.01 | $0.01 | $0.01 – $0.01 | — | |
| DEXTROSE 5%/0.9% NACL 1000 ML Outpatient | 55071 CDM | $0.01 | $0.01 | $0.01 – $1.56 | — | |
| DEXTROSE 5%/LACTATED RINGERS 1000 ML Outpatient | 55084 CDM | $0.01 | $0.01 | $0.01 – $16.47 | — | |
| HYDROCODONE-ACETAMINOPHEN TAB 5 MG-325 MG Outpatient | 55100 CDM | $0.85 | $0.81 | $0.43 – $0.82 | — |