Gundersen Boscobel Area Hospital and Clinics

205 Parker St, Boscobel, WI 53805 · (608) 375-4112

Critical Access HospitalsVoluntary non-profit - PrivatePlatteville, WI metro

Price file

Prices published

File dated 2026-06-27

2,640 price rows for 63 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $41

$41

cash

$3 to $77

47 negotiated rates

$80

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,002

$2,002

cash

$144 to $3,732

47 negotiated rates

$3,887

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $780

$780

cash

$144 to $2,570

47 negotiated rates

$1,514

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,109

$1,109

cash

$144 to $2,570

47 negotiated rates

$2,153

list

Cataract surgery with lens implant

CPT 66984

—

cash

$776 to $4,716

10 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,172 to $5,745

8 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,976 to $18,141

10 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $172

$172

cash

$19 to $320

94 negotiated rates

$333

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $1,603

$1,603

cash

$444 to $6,169

47 negotiated rates

$3,113

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $1,603

$1,603

cash

$444 to $7,712

47 negotiated rates

$3,113

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $1,603

$1,603

cash

$444 to $7,712

47 negotiated rates

$3,113

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $38

$38

cash

$2 to $71

47 negotiated rates

$74

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $52

$52

cash

$3 to $96

47 negotiated rates

$100

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $253

$253

cash

$20 to $471

47 negotiated rates

$491

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$12 to $58

10 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $98

$98

cash

$80 to $182

72 negotiated rates

$190

list

Family psychotherapy with the patient

CPT 90847

—

cash

$72 to $352

8 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$72 to $352

8 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$1,674 to $18,136

12 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $172

$172

cash

$19 to $320

94 negotiated rates

$333

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $335

$335

cash

$107 to $624

47 negotiated rates

$650

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$17,138 to $36,497

10 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,927 to $14,751

10 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$11,024 to $23,475

10 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$1,745 to $11,569

12 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$963 to $11,569

14 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$258 to $1,266

8 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$1,111 to $5,444

8 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $65

$65

cash

$3 to $122

47 negotiated rates

$127

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $40

$40

cash

$3 to $75

47 negotiated rates

$78

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,989

$1,989

cash

$178 to $4,106

47 negotiated rates

$3,862

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,680

$1,680

cash

$107 to $4,106

47 negotiated rates

$3,262

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,621

$1,621

cash

$107 to $4,106

47 negotiated rates

$3,148

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,621

$1,621

cash

$107 to $4,106

47 negotiated rates

$3,148

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$21,691 to $46,192

10 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$337 to $1,652

8 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $90

$90

cash

$4 to $168

94 negotiated rates

$175

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 6 lines · metro median $29

$29

cash

$2 to $55

141 negotiated rates

$57

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $98

$98

cash

$58 to $113

4 negotiated rates

$191

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $367

$367

cash

$44 to $684

47 negotiated rates

$712

list

Prostate biopsy

CPT 55700

—

cash

$766 to $3,754

8 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$2,122 to $10,394

8 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $21

$21

cash

$2 to $39

94 negotiated rates

$41

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $72

$72

cash

$54 to $267

47 negotiated rates

$140

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $103

$103

cash

$60 to $296

47 negotiated rates

$200

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $124

$124

cash

$60 to $296

47 negotiated rates

$240

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$600 to $2,938

8 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $204

$204

cash

$20 to $390

47 negotiated rates

$397

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$963 to $7,474

9 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,642

$2,642

cash

$333 to $4,925

47 negotiated rates

$5,130

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$337 to $1,652

8 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$337 to $1,652

8 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $82

$82

cash

$5 to $154

47 negotiated rates

$160

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$949 to $4,649

8 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $399

$399

cash

$49 to $743

47 negotiated rates

$774

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $550

$550

cash

$73 to $1,025

47 negotiated rates

$1,068

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $1,603

$1,603

cash

$453 to $6,169

47 negotiated rates

$3,113

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,603

$1,603

cash

$453 to $6,169

47 negotiated rates

$3,113

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $15

$15

cash

$1 to $29

47 negotiated rates

$30

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,060 to $5,195

8 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,819 to $12,757

10 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,060 to $5,195

8 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $379

$379

cash

$25 to $707

47 negotiated rates

$736

list

Source files

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

https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/gundersen-boscobel
Gundersen Boscobel Area Hospital and Clinic · parsed · tall v3.0.0 · file dated 2026-06-27 · 2.6 MB · 2640 price rows read · read Nov 2026