▸ Hospital · WI · CCN 523028

Uw Health Rehabilitation Hospital

5115 N. BILTMORE LANE, MADISON, WI, 53718

50 beds5

Compliance grade

86/100

Rates published

773

last crawl 2026-05-24

Procedures tracked

151

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All WI hospitals JSON

Source MRF: https://bynder.uwhealth.org/m/35d806d784d4cdbd/original/391835630_University-of-Wisconsin-Hospital-and-Clinics-Authority_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	$22,335	—	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$409	$245.4	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$229	$137.4	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$199	$119.4	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$329	$197.4	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$474	$284.4	—	—	—
emergency
ED visit level 1	CPT	99281	0	$458	$274.8	—	—	—
ED visit level 2	CPT	99282	0	$736	$441.6	—	—	—
ED visit level 3	CPT	99283	0	$1,698	$1,018.8	—	—	—
ED visit level 4	CPT	99284	0	$2,373	$1,423.8	—	—	—
ED visit level 5	CPT	99285	0	$10,543	$6,325.8	—	—	—
Critical care, first hour	CPT	99291	0	$4,556	$2,733.6	—	—	—
imaging
CT head without contrast	CPT	70450	0	$2,213	$1,327.8	—	—	—
CT head with contrast	CPT	70460	0	$2,816	$1,689.6	—	—	—
CT head with and without contrast	CPT	70470	0	$3,442	$2,065.2	—	—	—
CT neck with contrast	CPT	70491	0	$3,064	$1,838.4	—	—	—
MRI brain without contrast	CPT	70551	0	$4,522	$2,713.2	—	—	—
MRI brain with contrast	CPT	70552	0	$4,812	$2,887.2	—	—	—
MRI brain with and without contrast	CPT	70553	0	$6,798	$4,078.8	—	—	—
Chest X-ray single view	CPT	71045	0	$368	$220.8	—	—	—
Chest X-ray 2 views	CPT	71046	0	$489	$293.4	—	—	—
Chest X-ray 3 views	CPT	71047	0	$641	$384.6	—	—	—
CT chest without contrast	CPT	71250	0	$2,767	$1,660.2	—	—	—
CT chest with contrast	CPT	71260	0	$3,325	$1,995	—	—	—
CT chest with and without contrast	CPT	71270	0	$3,892	$2,335.2	—	—	—
MRI chest without contrast	CPT	71550	0	$4,946	$2,967.6	—	—	—
MRI chest with and without contrast	CPT	71552	0	$5,500	$3,300	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$644	$386.4	—	—	—
CT cervical spine without contrast	CPT	72125	0	$2,785	$1,671	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$2,651	$1,590.6	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$2,931	$1,758.6	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$4,474	$2,684.4	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$4,596	$2,757.6	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$4,596	$2,757.6	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$5,374	$3,224.4	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$6,489	$3,893.4	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$6,014	$3,608.4	—	—	—
CT pelvis without contrast	CPT	72192	0	$2,480	$1,488	—	—	—
CT pelvis with contrast	CPT	72193	0	$3,164	$1,898.4	—	—	—
Shoulder X-ray	CPT	73030	0	$1,178	$706.8	—	—	—
Humerus X-ray	CPT	73060	0	$502	$301.2	—	—	—
Hand X-ray 3 views	CPT	73130	0	$1,088	$652.8	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$8,548	$5,128.8	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$11,096	$6,657.6	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$1,012	$607.2	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$1,104	$662.4	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$8,734	$5,240.4	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$11,298	$6,778.8	—	—	—
CT abdomen without contrast	CPT	74150	0	$2,976	$1,785.6	—	—	—
CT abdomen with contrast	CPT	74160	0	$3,544	$2,126.4	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$4,173	$2,503.8	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$5,039	$3,023.4	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$6,139	$3,683.4	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$7,160	$4,296	—	—	—
MRI abdomen without contrast	CPT	74181	0	$4,484	$2,690.4	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$5,772	$3,463.2	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$1,838	$1,102.8	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$1,139	$683.4	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$1,322	$793.2	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$886	$531.6	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$1,268	$760.8	—	—	—
Transvaginal ultrasound	CPT	76830	0	$1,076	$645.6	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$1,445	$867	—	—	—
Scrotal ultrasound	CPT	76870	0	$1,203	$721.8	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$629	$377.4	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$746	$447.6	—	—	—
Screening mammography bilateral	CPT	77067	0	$570	$342	—	—	—
EKG tracing only	CPT	93005	0	$323	$193.8	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$3,113	$1,867.8	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$2,256	$1,353.6	—	—	—
Stress echocardiogram	CPT	93350	0	$2,877	$1,726.2	—	—	—
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	0	$80,431	—	—	—	—
Intracranial hemorrhage/CVA w CC	MS-DRG	065	0	$54,681	—	—	—	—
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	0	$41,214	—	—	—	—
Respiratory infections & inflammations w MCC	MS-DRG	177	0	$54,062	—	—	—	—
COPD w MCC	MS-DRG	190	0	$35,132	—	—	—	—
COPD w CC	MS-DRG	191	0	$32,668	—	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	$16,256	—	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	$28,365	—	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	$16,911	—	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	$64,804	—	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	$42,932	—	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	$38,288	—	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	$48,445	—	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	$33,247	—	—	—	—
Heart failure & shock w/o CC/MCC	MS-DRG	293	0	$33,570	—	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	$52,579	—	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	$33,479	—	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	$23,711	—	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	$35,019	—	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	$25,742	—	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	$28,498	—	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	0	$23,257	—	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	$44,886	—	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	$31,067	—	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	$76,512	—	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	$38,169	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$249	$149.4	—	—	—
General health panel	CPT	80050	0	$456	$273.6	—	—	—
Electrolyte panel	CPT	80051	0	$190	$114	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$379	$227.4	—	—	—
Lipid panel	CPT	80061	0	$286	$171.6	—	—	—
Renal function panel	CPT	80069	0	$227	$136.2	—	—	—
Hepatic function panel	CPT	80076	0	$206	$123.6	—	—	—
Urinalysis non-automated	CPT	81002	0	$44.35	$26.61	—	—	—
Urinalysis automated	CPT	81003	0	$43.65	$26.19	—	—	—
Glucose quantitative	CPT	82947	0	$60.85	$36.51	—	—	—
Hemoglobin A1c	CPT	83036	0	$163	$97.8	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$214	$128.4	—	—	—
Complete blood count with automated differential	CPT	85025	0	$135	$81	—	—	—
Complete blood count without differential	CPT	85027	0	$90.6	$54.36	—	—	—
Urine culture bacterial	CPT	87086	0	$122	$73.2	—	—	—
Urine culture identification	CPT	87088	0	$92.45	$55.47	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$526	$315.6	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$454	$272.4	—	—	—
Vaginal delivery only	CPT	59409	0	$3,298	$1,978.8	—	—	—
office
Office visit, established patient, 5 min	CPT	99211	0	$64.65	$38.79	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$154	$92.4	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$210	$126	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$271	$162.6	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$676	$405.6	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$3,255	$1,953	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$8,040	$4,824	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$2,432	$1,459.2	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$3,579	$2,147.4	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$3,873	$2,323.8	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$9,480	$5,688	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$10,198	$6,118.8	—	—	—
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	0	$171,769	—	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	$97,505	—	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	$62,030	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	$81,421	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	$69,813	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	$163,323	—	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	$100,374	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	$69,177	—	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	$155,428	—	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	$112,693	—	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	$78,724	—	—	—	—
OR procedure for obesity w MCC	MS-DRG	619	0	$54,278	—	—	—	—
OR procedure for obesity w CC	MS-DRG	620	0	$84,184	—	—	—	—
OR procedure for obesity w/o CC/MCC	MS-DRG	621	0	$72,996	—	—	—	—
Intravitreal injection	CPT	67028	0	$1,384	$830.4	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	$64,844	—	—	—	—
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	0	$77,011	—	—	—	—
PCI single major coronary artery	CPT	92920	0	$14,621	$8,772.6	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$24,018	$14,411	—	—	—
PCI bypass graft	CPT	92937	0	$17,841	$10,705	—	—	—
Left heart catheterization	CPT	93452	0	$12,384	$7,430.4	—	—	—
Coronary angiography with cath	CPT	93455	0	$14,393	$8,635.8	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$18,511	$11,107	—	—	—

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

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