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Childrens Hospital of Wisconsin Fox Valley

130 Second St, Neenah, WI 54956 · (920) 969-7900

ChildrensVoluntary non-profit - OtherOshkosh, WI metroWebsite ↗

Price file

Prices published

File dated 2026-03-24

1,690 price rows for 51 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 3 lines · metro median $35

$156
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines · metro median $2,007

$2,007
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines · metro median $937

$620
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 3 lines · metro median $1,172

$1,172
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $113

$112
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines · metro median $57

$57
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $52

$52
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $340

$413
cash
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Gonorrhea test (DNA)

CPT 87591 · lowest of 3 lines · metro median $143

$181
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 3 lines · metro median $93

$111
cash
Liver function panel

CPT 80076 · lowest of 3 lines · metro median $117

$117
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 3 lines · metro median $1,949

$1,949
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 3 lines · metro median $1,992

$1,992
cash
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New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $210

$270
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $223

$404
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $423

$534
cash
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Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 3 lines · metro median $48

$48
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 3 lines · metro median $28

$28
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TSH test (thyroid)

CPT 84443 · lowest of 3 lines · metro median $68

$105
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $1,902

$3,496
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines · metro median $552

$397
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Urinalysis with microscope

CPT 81001 · lowest of 3 lines · metro median $34

$34
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Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.