Adventhealth Durand
1220 3Rd Ave W, Durand, WI · AdventHealth · · NPI 1285747519
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,990.92 | $3,990.92 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,254.59 | $3,254.59 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $6,956.58 | $6,956.58 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $3,562.88 | $3,562.88 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,201.46 | $1,201.46 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,081.53 | $1,081.53 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,426.83 | $1,426.83 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $303.75 | $303.75 | not published | 0 |
| Acetaminophen level CPT 80143 | $302.10 | $302.10 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $140.28 | $140.28 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $66.67 | $66.67 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $703.51 | $703.51 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $36.83 | $36.83 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $419.15 | $419.15 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $32.08 | $32.08 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $1,071.61 | $1,071.61 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $518.05 | $518.05 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $126.46 | $126.46 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $134.53 | $134.53 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $312.99 | $312.99 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $453.41 | $453.41 | not published | 0 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $301.06 | $301.06 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $478.85 | $478.85 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $194.38 | $194.38 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $150.18 | $150.18 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $71.48 | $71.48 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $16.25 | $16.25 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $336.83 | $336.83 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $197.61 | $197.61 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $227.34 | $227.34 | not published | 0 |
| Allergen egg white ige CPT 86003 | $64.02 | $64.02 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $271.79 | $271.79 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $421.20 | $421.20 | not published | 0 |
| Alt/sgpt CPT 84460 | $85.90 | $85.90 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $31.44 | $31.44 | not published | 0 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $1,434.07 | $1,434.07 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $47.44 | $47.44 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $30,131.94 | $30,131.94 | not published | 0 |
| Ammonia CPT 82140 | $222.90 | $222.90 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $385.99 | $385.99 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $213.59 | $213.59 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $442.71 | $442.71 | not published | 0 |
| Amylase CPT 82150 | $228.48 | $228.48 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $249.13 | $249.13 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $805.71 | $805.71 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $899.90 | $899.90 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $184.50 | $184.50 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $171.45 | $171.45 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $14,669.95 | $14,669.95 | not published | 0 |
| Ankle X-ray CPT 73610 | $474.26 | $474.26 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $471.02 | $471.02 | not published | 0 |
| Antibody screen rbc CPT 86850 | $227.63 | $227.63 | not published | 0 |
| Antidepressant not specified CPT 80338 | $188.32 | $188.32 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $190.70 | $190.70 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $245.03 | $245.03 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $273.68 | $273.68 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $162.06 | $162.06 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $391.74 | $391.74 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $523.11 | $523.11 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $1,798.42 | $1,798.42 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $1,064.78 | $1,064.78 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $1,578.53 | $1,578.53 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $924.21 | $924.21 | not published | 0 |
| Apply intrcav radiat compl CPT 77763 | $9,218.31 | $9,218.31 | not published | 0 |
| Apply intrcav radiat interm CPT 77762 | $7,013.06 | $7,013.06 | not published | 0 |
| Apply intrcav radiat simple CPT 77761 | $7,013.06 | $7,013.06 | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $1,790.41 | $1,790.41 | not published | 0 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $457.14 | $457.14 | not published | 0 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $772.22 | $772.22 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $852.03 | $852.03 | not published | 0 |
| Assay dir meas fr estradiol CPT 82681 | $30.81 | $30.81 | not published | 0 |
| Assay of salicylate CPT 80179 | $157.22 | $157.22 | not published | 0 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $529.91 | $529.91 | not published | 0 |
| Ast/sgot CPT 84450 | $83.96 | $83.96 | not published | 0 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $29,545.00 | $29,545.00 | not published | 0 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $46.69 | $46.69 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $653.78 | $653.78 | not published | 0 |
| Azacitidine injection HCPCS J9025 | $424.31 | $424.31 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $178.66 | $178.66 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $141.55 | $141.55 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $776.79 | $776.79 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,607.23 | $8,607.23 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $112.49 | $112.49 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $61.69 | $61.69 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $149.91 | $149.91 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $55.07 | $55.07 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $8,993.76 | $8,993.76 | not published | 0 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,927.64 | $1,927.64 | not published | 0 |
| Bevacizumab injection HCPCS C9257 | $1,738.78 | $1,738.78 | not published | 0 |
| Bilirubin direct CPT 82248 | $181.79 | $181.79 | not published | 0 |
| Bilirubin total CPT 82247 | $181.79 | $181.79 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $2,291.29 | $2,291.29 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,527.54 | $1,527.54 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $132.78 | $132.78 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $140.70 | $140.70 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $224.51 | $224.51 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $189.69 | $189.69 | not published | 0 |
| Blood Culture Test CPT 87040 | $384.36 | $384.36 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $33.48 | $33.48 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $258.01 | $258.01 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.