UnityPoint Health - Meriter Hospital
202 South Park Street, Madison, WI · UnityPoint Health · · NPI 1114920048
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 |
|---|---|---|---|---|
| Ghs spont nystagmus CPT 92541 | $286.40 | $358.00 | $2.82 – $50.75 | 13 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $340.12 | $425.15 | $97.78 – $245.44 | 14 |
| Ghs st - eval for alt comm CPT 92567 | $140.80 | $176.00 | $9.98 – $42.81 | 13 |
| Ghs strapping shoulder - 29240 CPT 29240 | $224.00 | $280.00 | $16.75 – $58.48 | 14 |
| Ghs st - re-eval for alt comm CPT 92597 | $294.89 | $368.61 | $69.04 – $205.74 | 14 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $15.22 – $65.29 | 10 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $614.52 | $768.14 | $128.15 – $381.89 | 14 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $2,348.76 | $2,935.95 | $83.03 – $916.02 | 14 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $562.40 | $703.00 | $40.25 – $427.92 | 13 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,626.40 | $2,033.00 | $281.47 – $940.11 | 13 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $4.38 – $11.35 | 9 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $1,200.00 | $1,500.00 | $138.00 – $842.73 | 14 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $4,292.80 | $5,366.00 | $213.70 – $634.63 | 14 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $14.58 – $37.81 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | $115.20 | $144.00 | $8.83 – $22.81 | 14 |
| Ghs vaginal delivery only CPT 59409 | $2,895.20 | $3,619.00 | $684.45 – $2,272.37 | 13 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,794.68 | $2,243.34 | $512.52 – $1,295.08 | 14 |
| Ghs windowing of cast CPT 29730 | $516.00 | $645.00 | $39.89 – $133.23 | 13 |
| Giardia ag if CPT 87269 | $70.40 | $88.00 | $8.17 – $32.56 | 13 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $8.83 – $22.90 | 9 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $37.67 – $124.69 | 10 |
| Gi inhouse confirmation CPT 87045 | $45.60 | $57.00 | $5.66 – $10.00 | 14 |
| Gingivoplasty each quadrant CPT 41872 | $1,778.40 | $2,223.00 | $282.18 – $942.48 | 13 |
| Gi protein loss CPT 78282 | not published | not published | $14.26 – $388.14 | 10 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $7,283.96 | $9,104.95 | $104.05 – $2,840.74 | 14 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $112.14 – $1,681.72 | 10 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $41.82 – $179.41 | 10 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $97.47 – $418.15 | 10 |
| Gjb2 gene full sequence CPT 81252 | $508.80 | $636.00 | $60.67 – $235.32 | 13 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $36.91 – $86.13 | 9 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $21.00 – $48.99 | 9 |
| Glassia injection HCPCS J0257 | not published | not published | $5.39 – $5.91 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.66 – $94.92 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.91 – $75.46 | 9 |
| Glaucoma surgery CPT 66150 | not published | not published | $803.51 – $2,683.72 | 10 |
| Glaucoma surgery CPT 66155 | not published | not published | $802.87 – $2,681.59 | 10 |
| Glaucoma surgery CPT 66160 | not published | not published | $902.11 – $3,013.05 | 10 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,002.03 – $3,346.78 | 10 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $57.64 – $133.62 | 8 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $498.99 | $623.73 | $77.97 – $195.79 | 14 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $272.16 | $340.20 | $78.25 – $144.88 | 14 |
| Glucagon plasma - sendout CPT 82943 | $164.00 | $205.00 | $8.57 – $39.76 | 14 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $27.64 – $71.67 | 9 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $30.30 – $78.55 | 9 |
| Glucagon tolerance test CPT 82946 | not published | not published | $10.66 – $24.89 | 9 |
| Glucose 1 hr post dose CPT 82950 | $64.29 | $80.36 | $4.75 – $25.53 | 14 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $64.80 | $81.00 | $3.63 – $29.97 | 13 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $47.58 | $59.47 | $3.28 – $18.55 | 14 |
| Glucose blood quantitative CPT 82947 | $47.58 | $59.47 | $3.93 – $21.09 | 14 |
| Glucose body fluid CPT 82945 | $53.26 | $66.57 | $3.93 – $20.77 | 14 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $290.45 | $363.06 | $57.38 – $180.23 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $171.64 | $214.54 | $12.87 – $66.94 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $64.26 | $80.32 | $3.92 – $25.06 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $40.36 | $50.45 | $0.35 – $0.55 | 14 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $17.50 – $27.85 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $64.36 | $80.44 | $11.03 – $24.67 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $218.52 | $273.15 | $11.15 – $85.22 | 14 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $89.05 – $230.88 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $217.61 | $272.01 | $11.11 – $84.87 | 14 |
| Gonioscopy CPT 92020 | not published | not published | $18.89 – $81.04 | 10 |
| Goniotomy CPT 65820 | not published | not published | $750.64 – $2,507.14 | 10 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $692.80 | $866.00 | $199.18 – $734.15 | 13 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $72.00 | $90.00 | $20.70 – $76.50 | 10 |
| Graft axiofill 1000mg HCPCS J3590 | $6.67 | $8.33 | $1.17 – $4.33 | 10 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $410.80 – $1,309.05 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $66.32 – $198.49 | 4 |
| Graft hand or finger tendon CPT 26416 | $4,756.80 | $5,946.00 | $682.87 – $2,791.30 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $125.80 | $157.24 | $31.11 – $133.65 | 11 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,016.79 – $1,997.50 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,056.30 | $2,570.37 | $591.19 – $2,441.85 | 10 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $71.20 | $89.00 | $20.47 – $75.65 | 10 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $272.00 | $340.00 | $78.20 – $289.00 | 10 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $956.50 – $3,194.71 | 10 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $159.20 | $199.00 | $45.77 – $169.15 | 10 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $56.00 | $70.00 | $16.10 – $59.50 | 10 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $162.08 – $162.08 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $159.20 | $199.00 | $45.77 – $174.04 | 10 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $1,720.75 | $2,150.93 | $448.50 – $1,852.50 | 10 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,149.12 | $1,436.40 | $330.37 – $1,364.58 | 10 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.09 – $4.54 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.23 – $0.45 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $135.60 – $135.60 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,935.50 – $9,804.57 | 10 |
| Great toe with reduction 28495 CPT 28495 | $1,167.82 | $1,459.77 | $75.21 – $481.56 | 14 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $458.91 – $1,532.76 | 10 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $1,313.60 | $1,642.00 | $151.11 – $1,560.68 | 13 |
| Grfg autol fat lipo ea addl CPT 15772 | $676.00 | $845.00 | $77.51 – $441.31 | 13 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $435.82 – $1,455.64 | 10 |
| Ground mileage HCPCS A0425 | not published | not published | $7.62 – $12.43 | 2 |
| Group behave couns 2-10 HCPCS G0473 | $43.64 | $54.55 | $10.64 – $31.49 | 14 |
| Group health education CPT 99078 | $186.40 | $233.00 | $53.59 – $198.05 | 10 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $89.60 | $112.00 | $14.38 – $39.20 | 13 |
| Group train without patient HCPCS G0543 | not published | not published | $10.02 – $12.93 | 8 |
| Growth hormone antibody CPT 86277 | not published | not published | $9.44 – $24.49 | 9 |
| Growth hormone panel CPT 80428 | not published | not published | $40.02 – $103.78 | 9 |
| Growth hormone panel CPT 80430 | not published | not published | $77.60 – $181.07 | 9 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $45.36 – $105.84 | 9 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $6.99 – $28.77 | 8 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $6.99 – $28.77 | 8 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $8,924.00 | $11,155.00 | $1,673.61 – $5,589.86 | 13 |
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.