HospitalPricer

My Choice: disclosed hospital rates

iDirect answer

Based on the published hospital price files, My Choice appears in disclosed negotiated rates across 2 hospitals and 377 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

377 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
ABETA42 & TTAU ECLIA CEREBRAL SPINAL FLUID RATIO
Outpatient
Bellin Health Oconto Hospital0459U.C00-584-6570
CDM
$977$635$332 – $879
HC ABD XRAY FLAT/UPRIGHT/PA CHEST
Outpatient
Bellin Memorial Hospital3207402201-584-40927
CDM
$419$272$100 – $182
HC ABD XRAY FLAT/UPRIGHT/PA CHEST
Outpatient
Bellin Health Oconto Hospital3207402201-584-6497
CDM
$419$272$142 – $377
HC ANKLE X-RAY 3+ VW
Outpatient
Bellin Memorial Hospital3207361001-584-40934
CDM
$347$226$83.05 – $135
HC ANKLE X-RAY 3+ VW
Outpatient
Bellin Health Oconto Hospital3207361001-584-6504
CDM
$347$226$118 – $312
HC ANKLE XRAY 2 VIEW
Outpatient
Bellin Memorial Hospital3207360001-584-40935
CDM
$347$226$83.05 – $119
HC ANKLE XRAY 2 VIEW
Outpatient
Bellin Health Oconto Hospital3207360001-584-6505
CDM
$347$226$118 – $312
HC ARTHROGRAM HIP
Outpatient
Bellin Memorial Hospital3227352501-584-40898
CDM
$1,419$922$339 – $479
HC ARTHROGRAM HIP
Outpatient
Bellin Health Oconto Hospital3227352501-584-6468
CDM
$1,419$922$482 – $1,277
HC ARTHROGRAM KNEE
Outpatient
Bellin Memorial Hospital3227358001-584-40897
CDM
$1,419$922$339 – $406
HC ARTHROGRAM KNEE
Outpatient
Bellin Health Oconto Hospital3227358001-584-6467
CDM
$1,419$922$482 – $1,277
HC ARTHROGRAM OF ELBOW
Outpatient
Bellin Memorial Hospital3207308501-584-40957
CDM
$1,429$929$339 – $368
HC ARTHROGRAM OF ELBOW
Outpatient
Bellin Health Oconto Hospital3207308501-584-6527
CDM
$1,429$929$486 – $1,286
HC ARTHROGRAM SHOULDER
Outpatient
Bellin Memorial Hospital3227304001-584-40899
CDM
$1,419$922$339 – $491
HC ARTHROGRAM SHOULDER
Outpatient
Bellin Health Oconto Hospital3227304001-584-6469
CDM
$1,419$922$482 – $1,277
HC BREAST - TISSUE SPECIMEN
Outpatient
Bellin Memorial Hospital3207609801-584-40910
CDM
$1,938$1,260$153 – $526
HC BREAST - TISSUE SPECIMEN
Outpatient
Bellin Health Oconto Hospital3207609801-584-6480
CDM
$1,938$1,260$659 – $1,744
HC CAT SCAN OF CHEST CONTRAST (71260)
Outpatient
Bellin Memorial Hospital3507126001-584-40850
CDM
$711$462$168 – $623
HC CAT SCAN OF CHEST CONTRAST (71260)
Outpatient
Bellin Health Oconto Hospital3507126001-584-6420
CDM
$711$462$242 – $640
HC CERVICAL SP XRAY 4/5 VIEW
Outpatient
Bellin Memorial Hospital3207205001-584-40977
CDM
$419$272$100 – $198
HC CERVICAL SP XRAY 4/5 VIEW
Outpatient
Bellin Health Oconto Hospital3207205001-584-6547
CDM
$419$272$142 – $377
HC CHEMOTHERAPY INTO CNS (INTRATHECAL)
Outpatient
Bellin Memorial Hospital3319645001-584-40895
CDM
$1,291$839$271 – $323
HC CHEMOTHERAPY INTO CNS (INTRATHECAL)
Outpatient
Bellin Health Oconto Hospital3319645001-584-6465
CDM
$1,291$839$439 – $1,162
HC CT ABD & PELVIS W/O CONTRAST
Outpatient
Bellin Memorial Hospital3507417601-584-40827
CDM
$934$607$224 – $666
HC CT ABD & PELVIS W/O CONTRAST
Outpatient
Bellin Health Oconto Hospital3507417601-584-6397
CDM
$934$607$318 – $841