The prices provided are current as of January 1, 2013 and may be subject to change.
Average prices for select services.
Langlade Hospital provides estimated average prices for many common adult procedures to help you with making informed health care decisions. Your price may vary based on the actual procedure performed. Call 715-623-9244 for an estimate.
What is included in these prices?
Prices include Langlade Hospital equipment fees and staff time.
What is not included in these prices?
Prices do not include physician’s fees such as your surgeon, anesthesiologist or radiologist.
Will my final obligation be different than the price listed here?
The amount you owe may vary due to a number of circumstances:
- Additional testing, medications, services or procedures ordered.
- The procedure planned may not be the procedure performed based on your physician’s assessment.
- If you have insurance, the type of insurance you have, your deductibles, coinsurance or out-of-pocket limits will determine your final amount owed to Langlade Hospital.
To receive the most accurate information, contact your insurance company to understand your actual financial obligation for a test or a procedure.
|Room and Board||$ 830.00|
|Intensive Care with Monitor||$ 1,714.00|
|Level 3||$ 468.50|
|Labor & Delivery|
|Outpatient Procedures||Average Charge|
|(EGD) with closed biopsy||$ 2,160.00|
|Basic Metabolic Panel||$ 73.70|
|Complete Blood Count||$ 61.05|
|Comprehensive Metabolic Panel||$ 94.05|
|Urine Culture||$ 66.00|
|Glycosylated Hemoglobin||$ 77.55|
|Hepatic Function Panel||$ 68.75|
|Lipid Panel||$ 112.20|
|Occult Blood, Stool Guiac||$ 25.30|
|T4, Thyroxine, Free||$ 84.70|
|Thyroid Stimulating Hormone||$ 118.80|
|Routine Urinalysis||$ 26.40|
|Screening (G0202)||$ 315.15|
|CAD (77052)||$ 50.10|
|Diagnositic (G0204)||$ 333.90|
|CAD (77051)||$ 50.10|
|Head CT Scan w/o contrast||$ 1,280.85|
|Abdomen w/ contrast||$ 1,808.25|
|Abdomen w/o contrast||$ 1,398.50|
|Pelvis w/ contrast||$ 1,519.95|
|Pelvis w/o contrast||$ 1,328.65|
|Chest CT Scan w/contrast||$ 1,830.85|
|C-Spine CT w/o contrast||$ 1,847.10|
|L-Spine MRI w/o contrast||$ 3,122.15|
|L-Spine MRI w/ contrast||$ 3,395.95|
|L-Spine MRI w & w/o contrast||$ 3,734.00|
|Joint of Upper Extremity w/o contrast||$ 2,707.55|
|Joint of Upper Extremity w/ contrast||$ 2,914.85|
|Joint of Upper Extremity w & w/o contrast||$ 3,964.25|