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PricedCare

Thedacare Medical Center - Shawano

100 County Rd B, Shawano, WI 54166 · (715) 526-2111

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 4/5Shawano, WI metro

Price file

Prices published

File dated 2026-08-08

670 price rows for 64 procedures

Published prices

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

CPT 80048 · metro median $35

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

CPT 74177 · lowest of 3 lines · metro median $1,531

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

CPT 70450 · lowest of 2 lines · metro median $937

$937
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,002

$1,002
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines · metro median $4,048

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

CPT 59510 · metro median $5,438

$5,438
cash
Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $16,731

$16,731
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines · metro median $143

$143
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 5 lines · metro median $1,149

$1,149
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 5 lines · metro median $1,251

$1,251
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 5 lines · metro median $1,584

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

CPT 85025 · metro median $32

$32
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $43

$43
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $308

$308
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 3 lines · metro median $53

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

CPT 99215 · lowest of 3 lines · metro median $326

$326
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 8 lines · metro median $149

$149
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 6 lines · metro median $169

$169
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 3 lines · metro median $4,120

$4,120
cash
Gonorrhea test (DNA)

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

$143
cash
Group psychotherapy

CPT 90853 · lowest of 6 lines · metro median $136

$136
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $5,253

$5,253
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 3 lines · metro median $3,281

$3,281
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 3 lines · metro median $2,696

$2,696
cash
Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $4,159

$4,159
cash
Lipid panel (cholesterol test)

CPT 80061 · metro median $55

$55
cash
Liver function panel

CPT 80076 · metro median $34

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

CPT 70553 · lowest of 2 lines · metro median $1,818

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

CPT 73721 · lowest of 3 lines · metro median $1,015

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

CPT 72148 · lowest of 2 lines · metro median $1,472

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

CPT 72141 · lowest of 2 lines · metro median $1,701

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

CPT 64483 · lowest of 5 lines · metro median $1,253

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

CPT 99203 · lowest of 3 lines · metro median $169

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

CPT 99204 · lowest of 3 lines · metro median $176

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

CPT 99205 · lowest of 3 lines · metro median $305

$305
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $75

$75
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $24

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

CPT 97110 · lowest of 2 lines · metro median $116

$116
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $488

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

CPT 99385 · metro median $251

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

CPT 99386 · metro median $291

$291
cash
Prostate biopsy

CPT 55700 · metro median $2,702

$2,702
cash
Prostate removal (laparoscopic)

CPT 55866 · lowest of 3 lines · metro median $6,062

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

CPT 85610 · metro median $12

$12
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 7 lines · metro median $109

$109
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 7 lines · metro median $210

$210
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 6 lines · metro median $215

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

CPT 19120 · lowest of 3 lines · metro median $1,795

$1,795
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $307

$307
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 3 lines · metro median $1,818

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

CPT 95810 · lowest of 3 lines · metro median $2,258

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

CPT 62322 · lowest of 3 lines · metro median $700

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

CPT 62323 · lowest of 3 lines · metro median $1,147

$1,147
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $68

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

CPT 42820 · lowest of 3 lines · metro median $1,902

$1,902
cash
Transvaginal ultrasound

CPT 76830 · lowest of 3 lines · metro median $342

$342
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $552

$552
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 5 lines · metro median $765

$765
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 5 lines · metro median $864

$864
cash
Urinalysis with microscope

CPT 81001 · metro median $10

$10
cash
Vaginal delivery after a previous cesarean

CPT 59610 · metro median $5,144

$5,144
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $6,171

$6,171
cash
Vaginal delivery with prenatal and postpartum care

CPT 59400 · metro median $4,965

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

CPT 72110 · lowest of 3 lines · metro median $227

$227
cash

Source files

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