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Thedacare Medical Center-Waupaca

Waupaca, WI · 25 beds · 49 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 100/100 · source file ↗

49 of 49
Category
Procedure Negotiated iCash iGross i
Basic Metabolic Panel
$16$8$59
$35$62
Breast Biopsy (Ultrasound-guided)
$250
$2,243$4,006
Bunion Correction Surgery
$6,342
$5,380$9,608
Cataract Surgery with Lens Implant
$1,952$300$4.8k
$4,109$7,337
Chemotherapy Infusion (First Hour)
$580$265$1.0k
$582$1,040
Chest X-ray (2 Views)
$101$71$270
$150$268
Colonoscopy with Biopsy
$2,122$911$3.1k
$2,327$4,155
Complete Abdominal Ultrasound
$303$230$661
$569$1,016
Complete Blood Count (CBC) with Differential
$15$8$56
$32$57
Comprehensive Metabolic Panel
$20$11$73
$43$77
Critical Care, First Hour
$861$140$3.0k
$1,848$3,300
CT Abdomen and Pelvis with Contrast
$1,178$350$3.2k
$2,072$3,700
CT Cardiac Calcium Scoring
$34
$28$50
CT Chest without Contrast
$598$190$1.9k
$1,094$1,954
CT Head without Contrast
$580$242$1.7k
$946$1,690
DEXA Bone Density Scan
$159$100$379
$223$398
Diagnostic Colonoscopy
$1,835$823$3.0k
$1,746$3,118
Diagnostic Mammogram (Both Breasts)
$149$42$369
$342$611
Echocardiogram (Complete with Doppler)
$904$150$2.2k
$1,344$2,400
Emergency Room Visit (Level 3)
$319$140$1.1k
$609$1,087
Hemoglobin A1c (Diabetes Test)
$20$10$71
$41$73
HIV Antibody Test
$31$9$43
$38$68
Inguinal Hernia Repair (Open)
$2,642
$6,101$10,895
IUD Insertion
$1,685$874$2.5k
$1,587$2,835
Laparoscopic Appendectomy
$7,431$4.2k$13k
$9,007$16,083
Laparoscopic Gallbladder Removal
$7,552$4.6k$13k
$11,897$21,244
Laparoscopic Tubal Ligation
$6,470$6.3k$9.6k
$7,833$13,988
Lipid Panel (Cholesterol Test)
$25$13$93
$55$98
Lumbar Epidural Steroid Injection
$651$544$1.9k
$1,212$2,165
Lumpectomy (Partial Mastectomy)
$1,723$1.5k$1.9k
$3,623$6,469
MRI Abdomen with and without Contrast
$1,162$350$3.4k
$2,410$4,304
MRI Brain with and without Contrast
$1,071$718$2.7k
$2,364$4,221
MRI Brain without Contrast
$739$350$2.7k
$1,685$3,009
MRI Cervical Spine (Neck) without Contrast
$1,237$427$2.7k
$2,045$3,651
MRI Knee without Contrast
$1,603$427$2.7k
$1,890$3,374
MRI Lower Back (Lumbar Spine) without Contrast
$710$427$2.6k
$1,914$3,418
MRI Thoracic Spine (Mid-back) without Contrast
$1,003$427$2.7k
$1,984$3,543
Nuclear Cardiac Stress Test
$1,621$810$2.2k
$1,738$3,104
PET/CT Scan, Whole Body
$2,265$350$5.1k
$4,018$7,175
Pregnancy Ultrasound (Second or Third Trimester)
$552$178$872
$503$898
PSA Prostate Cancer Screening
$35$18$101
$75$134
Pulmonary Function Test with Bronchodilator
$254$40$694
$505$901
Screening Mammogram
$273$42$549
$319$570
Spirometry (Breathing Test)
$127$103$399
$228$407
Total Mastectomy
$4,432
$4,870$8,696
TSH Thyroid Function Test
$32$17$116
$68$122
Upper GI Endoscopy (EGD)
$705$372$2.6k
$1,741$3,109
Urinalysis with Microscopy
$5$3$15
$10$18
Vitamin D Blood Test
$56$30$205
$121$216

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.