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.
18 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ALLERGEN WEED PANEL 1SO - TECH Outpatient | 55351 CDM | $144 | $136 | $4.57 – $138 | — | |
| ALPRAZOLAM TAB 0.5 MG Outpatient | 55352 CDM | $0.21 | $0.20 | $0.11 – $0.20 | — | |
| AMINOCAPROIC ACID SOLN-INJ 250 MG/ML 20 ML Outpatient | 55353 CDM | $1.55 | $1.47 | $0.79 – $1.49 | — | |
| AMINOPHYLLINE SOLN 25 MG/ML 10 ML Outpatient | 55356 CDM | $6.70 | $6.37 | $3.40 – $9.54 | — | |
| AMIODARONE HCL 7034804 Outpatient | 55357 CDM | $1.08 | $1.02 | $0.54 – $1.04 | — | |
| AMITRIPTYLINE 25 MG TAB Outpatient | 55358 CDM | $1.22 | $1.16 | $0.62 – $1.17 | — | |
| AMITRIPTYLINE TAB 50 MG Outpatient | 55359 CDM | $2.43 | $2.31 | $1.23 – $2.33 | — | |
| AMLODIPINE TAB 2.5 MG Outpatient | 55354 CDM | $26.50 | $25.18 | $13.46 – $25.44 | — | |
| AMNIOCENTESIS GUIDE-TECH Outpatient | 55350 CDM | $235 | $223 | $82.01 – $955 | — | |
| AMOXICILLIN CAP 500 MG Outpatient | 55355 CDM | $0.79 | $0.75 | $0.40 – $0.76 | — | |
| BREAST TOMOSYN SCR MOBILE-UNIL 52 Outpatient | 35352 CDM | $57.00 | $54.15 | $28.94 – $246 | — | |
| BRONCHOSPASM EVAL-B/A DILATORS TC Outpatient | 35351 CDM | $890 | $846 | $452 – $854 | — | |
| CENTRAL MOTOR EV POTTNL URP LM TC Outpatient | 35354 CDM | $2,701 | $2,566 | $1,372 – $2,593 | — | |
| CENTRAL MOTOR EV PTNL LWR LMB TC Outpatient | 35358 CDM | $2,720 | $2,584 | $1,381 – $2,611 | — | |
| CT-PELVIS W/CONTRAST SI JOINTS Outpatient | 35350 CDM | $3,661 | $3,478 | $170 – $5,836 | — | |
| DIG BRST TOMOSYNTH MOBILE-BIL TC Outpatient | 35355 CDM | $61.00 | $57.95 | $30.98 – $134 | — | |
| DIG BRST TOMOSYNTH MOBILE-UNIL TC Outpatient | 35356 CDM | $61.00 | $57.95 | $30.98 – $134 | — | |
| MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC Inpatient | 535 MS-DRG | — | — | $12,560 – $35,282 | — |