Marshfield Medical Center Beaver Dam Hospital — price list

← Hospital overviewVerified from Marshfield Medical Center Beaver Dam 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.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

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.

23 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ACEBUTOLOL CAP 200 MG Outpatient	55127 CDM	$6.30	$5.99	$3.20 – $6.05	—
ACYCLOVIR CAP 200 MG Outpatient	55104 CDM	$0.64	$0.61	$0.32 – $0.61	—
ALLERGEN CRANBERRY IGE-TECH Outpatient	55200 CDM	$99.00	$94.05	$4.57 – $95.04	—
AMIODARONE TAB 200 MG Outpatient	55362 CDM	$1.59	$1.51	$0.81 – $1.53	—
ASPIRIN-DIPYRIDAMOLE CAP-ER 25 MG -200 MG Outpatient	55432 CDM	$21.07	$20.02	$10.70 – $20.23	—
BACLOFEN SOLN PF 2000 MCG/ML 20 ML Outpatient	55491 CDM	$197	$187	$100 – $473	—
BUPIVACAINE-EPINEPHRINE SOLN 0.25%-1 200,000 50 ML Outpatient	55627 CDM	$0.81	$0.77	$0.41 – $0.78	—
BUPIVACAINE-EPINEPHRINE SOLN 0.5%-1 200,000 1.8 ML Outpatient	55614 CDM	$2.91	$2.76	$1.48 – $2.79	—
BUPIVACAINE-EPINEPHRINE SOLN 0.5%-1 200,000 50 ML Outpatient	55613 CDM	$1.27	$1.20	$0.64 – $1.22	—
BUPIVACAINE-EPINEPHRINE SOLN PF 0.25%-1 200,000 10 ML Outpatient	55615 CDM	$1.97	$1.88	$1.00 – $1.89	—
BUPIVACAINE-EPINEPHRINE SOLN PF 0.25%-1 200,000 30 ML Outpatient	55604 CDM	$1.65	$1.56	$0.84 – $1.58	—
BUPIVACAINE-EPINEPHRINE SOLN PF 0.5%-1 200,000 10 ML Outpatient	55829 CDM	$1.66	$1.58	$0.84 – $1.59	—
BUPIVACAINE-EPINEPHRINE SOLN PF 0.5%-1 200,000 30 ML Outpatient	55600 CDM	$0.84	$0.80	$0.43 – $0.81	—
CALCITONIN SOLN 200 UNIT/ML 2 ML MDV Outpatient	55772 CDM	$3,468	$3,295	$836 – $3,329	—
CALCIUM CARBONATE TAB-CHEW 500 MG (CA 200 MG) Outpatient	55673 CDM	$0.17	$0.16	$0.09 – $0.16	—
CARBIDOPA-LEVODOPA TAB 50 MG-200 MG Outpatient	55662 CDM	$5.99	$5.69	$3.04 – $5.75	—
CELECOXIB CAP 200 MG Outpatient	55747 CDM	$51.36	$48.79	$26.08 – $49.31	—
CERTOLIZUMAB INJECTION 200 MG/ML (CIMZIA) Outpatient	36422 CDM	$14,641	$13,909	$4.49 – $14,055	—
CIPROFLOXACIN 200 MG/100 ML PREMIX Outpatient	55805 CDM	$0.12	$0.11	$0.06 – $2.67	—
CIPROFLOXACIN 400 MG/200 ML PREMIX Outpatient	55880 CDM	$0.06	$0.06	$0.03 – $2.67	—
CITRIC ACID-SODIUM CITRATE LIQ 2000 MG-3000 MG/30 ML Outpatient	55852 CDM	$0.26	$0.24	$0.13 – $0.25	—
DEXMEDETOMIDINE 200 MCG/NS 50 ML PREMIX Outpatient	15499 CDM	$1.47	$1.39	$0.75 – $1.41	—
LAB/FFP 200 ML Outpatient	17183 CDM	$210	$200	$38.65 – $202	—