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PricedCare

Thedacare Medical Center - New London

1405 Mill St, New London, WI 54961 · (920) 531-2000

Critical Access HospitalsVoluntary non-profit - Private

Price file

Prices published

File dated 2026-08-08

662 price rows for 62 procedures

Published prices

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

CPT 80048

$35
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines

$1,531
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$937
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$1,002
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines

$4,048
cash
Cesarean delivery with prenatal and postpartum care

CPT 59510

$5,438
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines

$143
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 5 lines

$1,149
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 5 lines

$1,251
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 5 lines

$1,584
cash
Complete blood count (CBC) with differential

CPT 85025

$32
cash
Comprehensive metabolic panel (blood test)

CPT 80053

$43
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$308
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 3 lines

$53
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines

$326
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 8 lines

$149
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 6 lines

$169
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 3 lines

$4,120
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 3 lines

$143
cash
Group psychotherapy

CPT 90853 · lowest of 6 lines

$136
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392

$2,393
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 3 lines

$3,281
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 3 lines

$2,696
cash
Left heart catheterization

CPT 93452 · lowest of 2 lines

$4,159
cash
Lipid panel (cholesterol test)

CPT 80061

$55
cash
Liver function panel

CPT 80076

$34
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$1,818
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 3 lines

$1,015
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines

$1,472
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$1,701
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 5 lines

$1,253
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines

$169
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines

$176
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines

$305
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines

$75
cash
Partial thromboplastin time (blood clotting test)

CPT 85730

$24
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines

$116
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$488
cash
Preventive visit, new patient age 18 to 39

CPT 99385

$251
cash
Preventive visit, new patient age 40 to 64

CPT 99386

$291
cash
Prostate biopsy

CPT 55700

$2,702
cash
Prostate removal (laparoscopic)

CPT 55866 · lowest of 3 lines

$6,062
cash
Prothrombin time (blood clotting test)

CPT 85610

$12
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 7 lines

$109
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 7 lines

$210
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 6 lines

$215
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 3 lines

$1,795
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines

$307
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 3 lines

$1,818
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines

$2,258
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 3 lines

$700
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 3 lines

$1,147
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$68
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 3 lines

$1,902
cash
Transvaginal ultrasound

CPT 76830 · lowest of 3 lines

$342
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$552
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 5 lines

$765
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 5 lines

$864
cash
Urinalysis with microscope

CPT 81001

$10
cash
Vaginal delivery after a previous cesarean

CPT 59610

$5,144
cash
Vaginal delivery with prenatal and postpartum care

CPT 59400

$4,965
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 3 lines

$227
cash

Source files

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