Does SSH - FOX VALLEY publish its standard charges and chargemaster?

Yes. SSH - FOX VALLEY publishes a machine-readable file with 15,843 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does SSH - FOX VALLEY charge for procedures?

SSH - FOX VALLEY (Oshkosh, WI) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · WI · CCN 520209

SSH - FOX VALLEY

Oshkosh, WI, 54904

25 beds14

Compliance grade

100/100

Rates published

15,843

last crawl 2026-05-24

Procedures tracked

149

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All WI hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://7pgcgohua4yc5gik.public.blob.vercel-storage.com/390812532-1881780302_Childrens-Hospital-of-Wisconsin_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	1	—	—	$42,386	$42,386	3.3×	$42,386
emergency
ED visit level 1	CPT	99281	32	$85	$46.75	$12.89	$68	0.49×	$107
ED visit level 2	CPT	99282	30	$180.5	$99.28	$126.35	$153.43	0.65×	$868
ED visit level 3	CPT	99283	30	$332.25	$182.74	$232.58	$282.41	0.70×	$1,905
ED visit level 4	CPT	99284	30	$565.25	$310.89	$395.68	$480.46	0.72×	$4,005
ED visit level 5	CPT	99285	30	$1,614	$887.7	$1,129.8	$1,371.9	1.3×	$4,005
Critical care, first hour	CPT	99291	30	$1,860.75	$1,023.41	$1,302.53	$1,581.64	1.5×	$5,870
imaging
CT head without contrast	CPT	70450	30	$1,127	$619.85	$788.9	$955.7	4.6×	$1,070.65
CT head with contrast	CPT	70460	30	$2,157	$1,186.35	$1,509.9	$1,829.14	7.8×	$2,049.15
CT neck with contrast	CPT	70491	30	$1,749.25	$962.09	$1,224.48	$1,483.37	5.4×	$1,661.79
MRI brain without contrast	CPT	70551	30	$4,220.25	$2,321.14	$2,954.18	$3,587.21	8.9×	$4,009.24
MRI brain with and without contrast	CPT	70553	30	$3,544	$1,949.2	$2,480.8	$3,012.4	5.1×	$3,366.8
Chest X-ray single view	CPT	71045	30	$171	$94.05	$119.7	$145.01	1.5×	$162.45
Chest X-ray 2 views	CPT	71046	30	$248.25	$136.54	$173.78	$210.52	2.1×	$235.84
CT chest without contrast	CPT	71250	30	$2,326.5	$1,279.58	$1,628.55	$1,972.88	9.2×	$2,210.18
CT chest with contrast	CPT	71260	30	$2,744.25	$1,509.34	$1,920.98	$2,327.13	8.3×	$2,607.04
CT cervical spine without contrast	CPT	72125	30	$1,394.75	$767.11	$976.33	$1,182.75	5.9×	$1,325.01
MRI cervical spine without contrast	CPT	72141	30	$3,622.5	$1,992.38	$2,535.75	$3,079.13	7.8×	$3,441.38
CT pelvis with contrast	CPT	72193	30	$2,130.75	$1,171.91	$1,491.53	$1,806.88	6.4×	$2,024.21
Humerus X-ray	CPT	73060	1	$243	$133.65	$184.92	$184.92	2.1×	$184.92
Hand X-ray 3 views	CPT	73130	30	$435.5	$239.53	$304.85	$369.31	4.0×	$413.73
Knee X-ray 1-2 views	CPT	73560	1	$320.25	$176.14	$243.71	$243.71	2.6×	$243.71
MRI lower extremity joint with and without contrast	CPT	73723	30	$5,212	$2,866.6	$3,648.4	$4,430.2	7.0×	$4,951.4
CT abdomen with contrast	CPT	74160	1	$2,713.75	$1,492.56	$2,065.16	$2,065.16	7.2×	$2,065.16
CT abdomen and pelvis without contrast	CPT	74176	30	$1,432.75	$788.01	$1,002.93	$1,214.98	3.3×	$1,361.11
CT abdomen and pelvis with contrast	CPT	74177	30	$3,648.75	$2,006.81	$2,554.13	$3,094.14	5.6×	$3,466.31
Abdominal ultrasound complete	CPT	76700	30	$722.5	$397.38	$505.75	$614.13	4.1×	$686.38
Abdominal ultrasound limited	CPT	76705	30	$786.75	$432.71	$550.73	$668.74	4.6×	$747.41
Retroperitoneal ultrasound complete	CPT	76770	30	$649.5	$357.23	$454.65	$552.08	3.8×	$617.03
Pelvic ultrasound complete	CPT	76856	30	$666.75	$366.71	$466.73	$566.74	4.0×	$633.41
Scrotal ultrasound	CPT	76870	30	$649.5	$357.23	$454.65	$552.08	4.2×	$617.03
EKG tracing only	CPT	93005	30	$267.75	$147.26	$135.8	$185.87	1.6×	$254.36
Transthoracic echocardiogram complete	CPT	93306	30	$2,110.75	$1,160.91	$1,477.53	$1,794.14	3.0×	$2,005.21
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	1	—	—	$61,024	$61,024	3.0×	$61,024
Intracranial hemorrhage/CVA w CC	MS-DRG	065	1	—	—	$30,658	$30,658	2.9×	$30,658
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	1	—	—	$20,768	$20,768	2.7×	$20,768
Respiratory infections & inflammations w MCC	MS-DRG	177	1	—	—	$47,420	$47,420	3.1×	$47,420
COPD w MCC	MS-DRG	190	1	—	—	$33,613	$33,613	3.0×	$33,613
COPD w CC	MS-DRG	191	1	—	—	$25,581	$25,581	2.9×	$25,581
COPD w/o CC/MCC	MS-DRG	192	1	—	—	$19,481	$19,481	2.8×	$19,481
Simple pneumonia & pleurisy w CC	MS-DRG	194	1	—	—	$24,455	$24,455	2.9×	$24,455
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	1	—	—	$19,072	$19,072	2.9×	$19,072
AMI discharged alive w MCC	MS-DRG	280	1	—	—	$48,676	$48,676	3.1×	$48,676
AMI discharged alive w CC	MS-DRG	281	1	—	—	$27,890	$27,890	2.9×	$27,890
AMI discharged alive w/o CC/MCC	MS-DRG	282	1	—	—	$21,942	$21,942	2.8×	$21,942
Heart failure & shock w MCC	MS-DRG	291	1	—	—	$38,957	$38,957	3.0×	$38,957
Heart failure & shock w CC	MS-DRG	292	1	—	—	$25,763	$25,763	2.9×	$25,763
Heart failure & shock w/o CC/MCC	MS-DRG	293	1	—	—	$17,175	$17,175	2.8×	$17,175
Cardiac arrhythmia w MCC	MS-DRG	308	1	—	—	$36,535	$36,535	3.0×	$36,535
Cardiac arrhythmia w CC	MS-DRG	309	1	—	—	$22,325	$22,325	2.9×	$22,325
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	1	—	—	$17,178	$17,178	2.8×	$17,178
GI hemorrhage w CC	MS-DRG	378	1	—	—	$29,759	$29,759	3.0×	$29,759
GI hemorrhage w/o CC/MCC	MS-DRG	379	1	—	—	$19,129	$19,129	2.8×	$19,129
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	1	—	—	$23,657	$23,657	2.9×	$23,657
Fractures of femur w/o MCC	MS-DRG	533	1	—	—	$47,572	$47,572	3.1×	$47,572
Kidney/UTI w MCC	MS-DRG	689	1	—	—	$35,209	$35,209	3.0×	$35,209
Kidney/UTI w/o MCC	MS-DRG	690	1	—	—	$24,564	$24,564	3.0×	$24,564
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	1	—	—	$58,945	$58,945	3.2×	$58,945
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	1	—	—	$31,052	$31,052	3.0×	$31,052
lab
Basic metabolic panel (BMP)	CPT	80048	35	$284.5	$156.48	$8.46	$227.6	7.0×	$270.28
General health panel	CPT	80050	7	—	—	$51.44	$56.07	0.52×	$64.3
Electrolyte panel	CPT	80051	35	$142	$78.1	$7.01	$113.6	4.8×	$134.9
Comprehensive metabolic panel	CPT	80053	35	$95.25	$52.39	$10.56	$76.2	1.7×	$90.49
Lipid panel	CPT	80061	35	$201.75	$110.96	$13.39	$161.4	4.2×	$191.66
Renal function panel	CPT	80069	7	—	—	$8.68	$9.46	0.35×	$10.85
Hepatic function panel	CPT	80076	35	$212.5	$116.88	$8.17	$170	6.4×	$201.88
Urinalysis non-automated	CPT	81002	38	$42	$23.1	$3.48	$15.51	2.2×	$39.9
Urinalysis automated	CPT	81003	35	$18	$9.9	$2.25	$14.4	1.0×	$17.1
Glucose quantitative	CPT	82947	35	$35.25	$19.39	$3.93	$19.91	1.1×	$33.49
Hemoglobin A1c	CPT	83036	35	$109	$59.95	$9.71	$87.2	3.2×	$103.55
Thyroid stimulating hormone (TSH)	CPT	84443	35	$190.75	$104.91	$16.8	$152.6	3.2×	$181.21
Complete blood count with automated differential	CPT	85025	35	$103.5	$56.93	$7.77	$82.8	3.1×	$98.33
Complete blood count without differential	CPT	85027	35	$87.25	$47.99	$6.47	$69.8	3.2×	$82.89
Urine culture bacterial	CPT	87086	35	$95	$52.25	$8.07	$76	3.3×	$90.25
Urine culture identification	CPT	87088	35	$45.75	$25.16	$8.09	$36.6	1.6×	$43.46
Tissue exam by pathologist level IV	CPT	88305	35	$229.75	$126.36	$65.52	$183.8	1.8×	$218.26
maternity
Fetal non-stress test	CPT	59025	1	—	—	$3,990	$3,990	21.2×	$3,990
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$8,006	$8,450	3.7×	$8,894
Vaginal delivery only	CPT	59409	2	—	—	$6,842	$7,870	3.6×	$10,500
Vaginal delivery with postpartum	CPT	59410	1	—	—	$8,006	$8,450	8.0×	$8,894
Routine obstetric care with C-section	CPT	59510	1	—	—	$8,006	$8,450	3.4×	$8,894
C-section delivery only	CPT	59514	2	—	—	$6,842	$7,870	8.2×	$8,085
C-section with postpartum	CPT	59515	2	—	—	$8,006	$8,085	6.4×	$8,894
office
Office visit, new patient, 15-29 min	CPT	99202	32	$400	$220	$48.35	$320	3.7×	$380
Office visit, new patient, 30-44 minutes	CPT	99203	32	$490	$269.5	$74.38	$392	3.2×	$465.5
Office visit, new patient, 45-59 min	CPT	99204	32	$734	$403.7	$110.94	$587.2	3.4×	$697.3
Office visit, new patient, 60-74 min	CPT	99205	32	$970	$533.5	$146.41	$776	3.5×	$921.5
Office visit, established patient, 5 min	CPT	99211	32	$216	$118.8	$15.61	$172.8	2.7×	$205.2
Office visit, established patient, 10-19 min	CPT	99212	32	$307	$168.85	$37.79	$245.6	3.1×	$291.65
Office visit, established patient, 20-29 minutes	CPT	99213	32	$387	$212.85	$60.42	$309.6	2.7×	$367.65
Office visit, established patient, 30-39 minutes	CPT	99214	32	$520	$286	$85.58	$416	2.7×	$494
Office visit, established patient, 40-54 min	CPT	99215	32	$751	$413.05	$119.97	$600.8	3.2×	$713.45
preventive
Upper GI endoscopy diagnostic	CPT	43235	2	—	—	$5,749	$6,159	6.7×	$8,190
Upper GI endoscopy with biopsy	CPT	43239	2	—	—	$5,749	$6,159	6.4×	$8,190
Sigmoidoscopy diagnostic	CPT	45330	2	—	—	$5,749	$6,159	7.3×	$7,350
Sigmoidoscopy with biopsy	CPT	45331	2	—	—	$5,749	$6,159	6.9×	$7,350
Colonoscopy diagnostic	CPT	45378	2	—	—	$5,749	$6,159	7.0×	$8,190
Colonoscopy with biopsy	CPT	45380	2	—	—	$6,842	$7,870	6.5×	$8,190
Colonoscopy with polyp removal	CPT	45385	2	—	—	$6,842	$7,870	6.5×	$8,190
surgery
Total shoulder arthroplasty	CPT	23472	2	—	—	$13,774	$13,958	3.4×	$25,306
Hip hemiarthroplasty	CPT	27125	2	—	—	$8,006	$8,894	7.1×	$18,060
Total hip replacement	CPT	27130	2	—	—	$13,774	$13,958	3.2×	$25,306
Total knee replacement	CPT	27447	2	—	—	$14,056	$15,055	3.6×	$25,306
Knee revision arthroplasty single component	CPT	27486	2	—	—	$13,774	$13,958	8.3×	$25,306
Knee revision arthroplasty all components	CPT	27487	2	—	—	$13,774	$13,958	7.0×	$25,306
Shoulder arthroscopy with decompression	CPT	29826	2	—	—	$3,990	$5,749	17.6×	$6,159
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	—	—	$13,774	$13,958	4.2×	$18,060
Knee arthroscopy with meniscectomy	CPT	29881	2	—	—	$8,006	$8,894	4.3×	$11,655
ACL reconstruction	CPT	29888	2	—	—	$13,774	$13,958	4.2×	$18,060
Major small/large bowel procedures w MCC	MS-DRG	329	1	—	—	$139,481	$139,481	3.2×	$139,481
Major small/large bowel procedures w CC	MS-DRG	330	1	—	—	$72,743	$72,743	3.1×	$72,743
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	1	—	—	$51,068	$51,068	3.1×	$51,068
CABG single arterial graft	CPT	33533	2	—	—	$8,085	$14,056	7.5×	$15,055
CABG 2 arterial grafts	CPT	33534	2	—	—	$8,085	$14,056	6.6×	$15,055
CABG 3 arterial grafts	CPT	33535	2	—	—	$8,085	$14,056	6.2×	$15,055
CABG 4+ arterial grafts	CPT	33536	2	—	—	$8,085	$14,056	5.7×	$15,055
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	1	—	—	$51,332	$51,332	3.1×	$51,332
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	1	—	—	$41,445	$41,445	3.1×	$41,445
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	1	—	—	$103,388	$103,388	3.2×	$103,388
Open appendectomy	CPT	44950	2	—	—	$8,006	$8,894	7.8×	$11,655
Laparoscopic appendectomy	CPT	44970	2	$8,211.5	$4,516.33	$6,248.95	$11,564	7.4×	$18,060
Major joint replacement w MCC	MS-DRG	469	1	—	—	$92,042	$92,042	3.1×	$92,042
Major joint replacement w/o MCC	MS-DRG	470	1	—	—	$58,532	$58,532	3.1×	$58,532
Laparoscopic cholecystectomy	CPT	47562	2	—	—	$11,290	$11,838	6.7×	$18,060
Lap cholecystectomy with cholangiography	CPT	47563	2	—	—	$11,290	$11,838	6.3×	$18,060
Hip & femur procedures except major joint w MCC	MS-DRG	480	1	—	—	$88,374	$88,374	3.2×	$88,374
Hip & femur procedures except major joint w CC	MS-DRG	481	1	—	—	$63,558	$63,558	3.1×	$63,558
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	1	—	—	$49,493	$49,493	3.1×	$49,493
Lap inguinal hernia repair	CPT	49650	2	—	—	$11,290	$11,838	10.5×	$18,060
Total abdominal hysterectomy	CPT	58150	2	—	—	$11,290	$11,655	12.0×	$11,838
Vaginal hysterectomy	CPT	58260	2	—	—	$10,196	$10,948	6.0×	$11,655
Lap-assisted vaginal hysterectomy	CPT	58550	2	—	—	$11,290	$11,838	8.0×	$18,060
Lap-assisted vaginal hysterectomy >250g	CPT	58552	2	—	—	$14,056	$15,055	6.8×	$18,060
Lap salpingo-oophorectomy	CPT	58661	2	—	—	$11,290	$11,838	5.8×	$18,060
OR procedure for obesity w MCC	MS-DRG	619	1	—	—	$87,618	$87,618	3.2×	$87,618
OR procedure for obesity w CC	MS-DRG	620	1	—	—	$48,561	$48,561	3.0×	$48,561
OR procedure for obesity w/o CC/MCC	MS-DRG	621	1	—	—	$45,772	$45,772	3.0×	$45,772
Complex cataract surgery	CPT	66982	2	—	—	$6,842	$7,870	3.5×	$10,500
Cataract surgery with lens implant	CPT	66984	2	—	—	$6,842	$7,870	3.6×	$10,500
Intravitreal injection	CPT	67028	2	—	—	$3,990	$5,749	16.8×	$6,159
Vitrectomy mechanical	CPT	67042	2	—	—	$10,196	$10,948	4.3×	$13,913
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	1	—	—	$37,649	$37,649	3.1×	$37,649
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	1	—	—	$62,180	$62,180	3.3×	$62,180
PCI single major coronary artery	CPT	92920	1	—	—	$18,060	$18,060	3.2×	$18,060
PCI with drug-eluting stent	CPT	92928	1	—	—	$18,060	$18,060	1.8×	$18,060
PCI bypass graft	CPT	92937	1	—	—	$18,060	$18,060	1.7×	$18,060
Left heart catheterization	CPT	93452	1	—	—	$13,913	$13,913	4.5×	$13,913
Coronary angiography with cath	CPT	93455	1	—	—	$13,913	$13,913	4.4×	$13,913
Coronary angiography with bypass cath	CPT	93458	1	—	—	$13,913	$13,913	4.5×	$13,913

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 30)

Payer	Codes covered	Median rate
UnitedHealthcare	146	$1,675.73
Anthem BCBS	96	$613.67
america's ppo	53	$363.45
aspirus health plan	53	$307.32
centivo	53	$315.85
advocate aurora healthcare	53	$317.67
Aetna	53	$292.38
employer health care alliance cooperative	53	$241.59
First Health	53	$396.87
froedtert health	53	$348.35
group health cooperative of south central wisconsin	53	$375.98
health partners	53	$346.28
health payment systems	53	$353.42
medical college of wisconsin	53	$292.43
Multiplan	53	$274.83
network health plan	53	$292.64
oan llc	53	$334.2
security health plan	53	$346.74
sheboygan employer's health network	53	$355.09
trilogy health solutions	53	$326.63
wps health plan	53	$336.99
Cigna	53	$375.98
common ground healthcare cooperative	53	$326.63
dean health plan	53	$334.2
prevea health network	43	$391.95
group health cooperative of eau claire	43	$348.4
healthsmart	43	$391.95
bellin thedacare	43	$391.95
praire states	43	$370.18
quartz health insurance	43	$370.18

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