Bloomer, WI
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Aug 14, 2026 | Oct 24, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Mayo Clinic Health System’s price for it.
The codes Mayo Clinic Health System has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Blood draw from a veinCPT 36415 | $33 | $31 | $5 | 16% | 23,007–23,493 | $7 | $67 |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $50 | $66 | $63 | 95% | 18,818 | $0 | $281 |
| Sodium chloride 0.9% IV solutionHCPCS J7040 | $78 | $74 | $20 | 28% | 5,000 | $1 | $90 |
| Outpatient office visit, established patientCPT 99213 | $232 | $307 | $165 | 54% | 4,270–5,143 | $50 | $633 |
| Outpatient office visit, established patient, level 4CPT 99214 | $351 | $452 | $167 | 37% | 3,883–4,432 | $75 | $691 |
| Basic metabolic panel, total calciumCPT 80048 | $180 | $172 | $31 | 18% | 3,495–3,792 | $8 | $187 |
| Lipid panel blood testCPT 80061 | $185 | $178 | $31 | 18% | 3,220–3,517 | $13 | $193 |
| Hemoglobin A1c blood testCPT 83036 | $69 | $53 | $21 | 40% | 2,793–3,333 | $6 | $73 |
| Complete blood count with automated differentialCPT 85025 | $109 | $105 | $19 | 18% | 2,747–2,990 | $8 | $114 |
| Propofol intravenous emulsionHCPCS J2704 | $41 | $37 | $10 | 28% | 2,450 | $1 | $42 |
EIN: 390813418
Last updated: Aug 14, 2026
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Hospital ID: 652bd206f766c8fc711451fdca05a76151fb733a7ef68c7a06e7f8b6f431ce13