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Hospital Profile Acute Care Hospitals Government - Hospital District or Authority

University of Wi Hospitals & Clinics Authority

600 HIGHLAND AVE, Madison, WI 53792

CMS Overall Rating ★★★★★
Factual Overview

University of Wi Hospitals & Clinics Authority is a Acute Care Hospitals (Government - Hospital District or Authority) operating in Madison, WI. Mapped commercial insurance prices across 94 procedures average 6.45x the Medicare baseline. The facility holds a CMS quality rating of 5/5 stars with a patient recommendation score of 82%.

Facility Overview

Setting: rural Bed Count: 671 Beds Teaching Status: Teaching Hospital Annual Discharges: 30,901

Patient Experience

Recommendation Rate: 82% High Patient Rating: 77% ER Wait Time (Med): 216 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 94 codes Avg Markup vs Medicare: 6.45x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $4,543 Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $1,236 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $3,618 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 Contact Desk Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $2,324 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $4,266 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,328 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,690 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,065 Calc
CT scan, sinuses
CPT Code: 70486
 $1,718 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,601 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,079 Calc
X-ray, chest (single view)
CPT Code: 71045
 $221 Calc
X-ray, chest (two views)
CPT Code: 71046
 $293 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,660 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $320 Calc
X-ray, lower back
CPT Code: 72110
 $512 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,671 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,759 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,452 Calc
X-ray, pelvis
CPT Code: 72170
 $304 Calc
CT scan, pelvis
CPT Code: 72192
 $1,488 Calc
X-ray, shoulder
CPT Code: 73030
 $530 Calc
X-ray, hand
CPT Code: 73130
 $490 Calc
X-ray, hip
CPT Code: 73502
 $550 Calc
X-ray, ankle
CPT Code: 73610
 $497 Calc
X-ray, foot
CPT Code: 73630
 $498 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $3,930 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,023 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,683 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $695 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,103 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $683 Calc
Ultrasound, pelvis
CPT Code: 76856
 $867 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $448 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $342 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $149 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $227 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $172 Calc
Blood test, liver function panel
CPT Code: 80076
 $124 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $35 Calc
Blood test, amylase
CPT Code: 82150
 $62 Calc
Blood test, vitamin D
CPT Code: 82306
 $147 Calc
Blood test, calcium
CPT Code: 82310
 $40 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $43 Calc
Blood test, vitamin B12
CPT Code: 82607
 $113 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $114 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $35 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $88 Calc
Blood test, lipase
CPT Code: 83690
 $65 Calc
Blood test, magnesium
CPT Code: 83735
 $60 Calc
Blood test, potassium
CPT Code: 84132
 $37 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $135 Calc
Blood test, sodium
CPT Code: 84295
 $37 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $128 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $35 Calc
Blood test, hemoglobin
CPT Code: 85018
 $30 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $81 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $31 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $55 Calc
Hepatitis C antibody test
CPT Code: 86803
 $98 Calc
Blood antibody screen
CPT Code: 86850
 $90 Calc
Culture, blood
CPT Code: 87040
 $132 Calc
Culture, bacterial
CPT Code: 87070
 $86 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $170 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $197 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $284 Calc
Family therapy session
CPT Code: 90847
 $340 Calc
Review of medical records for care
CPT Code: 90889
 $72 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $263 Calc
Speech therapy (group session)
CPT Code: 92508
 $114 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $194 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,868 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,057 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $163 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $3,570 Calc
Neurobehavioral status check
CPT Code: 96116
 $101 Calc
Psychological testing evaluation
CPT Code: 96136
 $121 Calc
Psychological testing by technician
CPT Code: 96138
 $239 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $118 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $126 Calc
Physical therapy (gait training)
CPT Code: 97116
 $112 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $118 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $118 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $111 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $103 Calc
Orthotic fitting and training
CPT Code: 97760
 $127 Calc
Prosthetic fitting and training
CPT Code: 97761
 $100 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $126 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $163 Calc