Hospital Bill Data

Bellin Memorial Hospitalprice list

← Hospital overviewVerified from Bellin Memorial Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns
List
The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash
The discounted self-pay price for paying directly, without insurance.
Negotiated
Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

399 prices shown.

ServiceCodeList priceCash priceNegotiated rangeAllowed (median)
ABETA42 & TTAU ECLIA CEREBRAL SPINAL FLUID RATIO
Outpatient
0459U.C00-584-41180
CDM
$977$635$293 – $879
ABETA42 & TTAU ECLIA CEREBRAL SPINAL FLUID RATIO
Inpatient
0459U.C00-584-41180
CDM
$977$635$293 – $879
CT NEEDLE PLACE FOR BIOOPSY-HC
Outpatient
3507701201-584-40816
CDM
$1,084$705$325 – $976
CT NEEDLE PLACE FOR BIOOPSY-HC
Inpatient
3507701201-584-40816
CDM
$1,084$705$325 – $976
HC 3D RECONS ON AN INDEPENDENT WORKSTATION
Outpatient
3507637701-584-40819
CDM
$391$254$117 – $352
HC 3D RECONS ON AN INDEPENDENT WORKSTATION
Inpatient
3507637701-584-40819
CDM
$391$254$117 – $352
HC ABD XRAY FLAT/UPRIGHT/PA CHEST
Outpatient
3207402201-584-40927
CDM
$419$272$100 – $182
HC ABD XRAY FLAT/UPRIGHT/PA CHEST
Inpatient
3207402201-584-40927
CDM
$419$272$251 – $377
HC ANKLE X-RAY 3+ VW
Outpatient
3207361001-584-40934
CDM
$347$226$83.05 – $135
HC ANKLE X-RAY 3+ VW
Inpatient
3207361001-584-40934
CDM
$347$226$208 – $312
HC ANKLE XRAY 2 VIEW
Outpatient
3207360001-584-40935
CDM
$347$226$83.05 – $119
HC ANKLE XRAY 2 VIEW
Inpatient
3207360001-584-40935
CDM
$347$226$208 – $312
HC ARTHROGRAM HIP
Outpatient
3227352501-584-40898
CDM
$1,419$922$339 – $479
HC ARTHROGRAM HIP
Inpatient
3227352501-584-40898
CDM
$1,419$922$851 – $1,277
HC ARTHROGRAM KNEE
Outpatient
3227358001-584-40897
CDM
$1,419$922$339 – $406
HC ARTHROGRAM KNEE
Inpatient
3227358001-584-40897
CDM
$1,419$922$851 – $1,277
HC ARTHROGRAM OF ELBOW
Outpatient
3207308501-584-40957
CDM
$1,429$929$339 – $368
HC ARTHROGRAM OF ELBOW
Inpatient
3207308501-584-40957
CDM
$1,429$929$857 – $1,286
HC ARTHROGRAM SHOULDER
Outpatient
3227304001-584-40899
CDM
$1,419$922$339 – $491
HC ARTHROGRAM SHOULDER
Inpatient
3227304001-584-40899
CDM
$1,419$922$851 – $1,277
HC BREAST - TISSUE SPECIMEN
Outpatient
3207609801-584-40910
CDM
$1,938$1,260$153 – $526
HC BREAST - TISSUE SPECIMEN
Inpatient
3207609801-584-40910
CDM
$1,938$1,260$1,163 – $1,744
HC CAT SCAN OF CHEST CONTRAST (71260)
Outpatient
3507126001-584-40850
CDM
$711$462$168 – $623
HC CAT SCAN OF CHEST CONTRAST (71260)
Inpatient
3507126001-584-40850
CDM
$711$462$427 – $640
HC CERVICAL SP XRAY 4/5 VIEW
Outpatient
3207205001-584-40977
CDM
$419$272$100 – $198
HC CERVICAL SP XRAY 4/5 VIEW
Inpatient
3207205001-584-40977
CDM
$419$272$251 – $377
HC CHEMOTHERAPY INTO CNS (INTRATHECAL)
Outpatient
3319645001-584-40895
CDM
$1,291$839$271 – $323
HC CHEMOTHERAPY INTO CNS (INTRATHECAL)
Inpatient
3319645001-584-40895
CDM
$1,291$839$775 – $1,162
HC CT ABD & PELVIS W/O CONTRAST
Outpatient
3507417601-584-40827
CDM
$934$607$224 – $666
HC CT ABD & PELVIS W/O CONTRAST
Inpatient
3507417601-584-40827
CDM
$934$607$560 – $841