Western Wisconsin Health

Western Wisconsin Health
1100 Bergslien St
Baldwin, WI 54002

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Service Cost Level
Bone Density Dexa Scan Higher Cost
Cardiac (Myocardial) Perfusion Scan Higher Cost
Cesarean Section Delivery (C-Section) Higher Cost
CT Scan - Neck (Cervical Spine), without contrast Higher Cost
CT Scan - Abdomen and Pelvis, with contrast Higher Cost
CT Scan - Abdomen and Pelvis, without contrast Higher Cost
CT Scan - Chest, with contrast Higher Cost
CT Scan - Chest, without contrast Higher Cost
CT Scan - Face and Jaw (Maxillofacial Area), without contrast Higher Cost
CT Scan - Head, without contrast Higher Cost
CT Scan - Lower Extremity, without contrast Higher Cost
CT Scan - Lumbar Spine, without contrast Higher Cost
CT Scan - Neck, soft tissue, with contrast Higher Cost
CT Scan - Upper Extremity, without contrast Higher Cost
Echo Heart Exam, Doppler Higher Cost
Mammogram, screening, digital Higher Cost
MRI - Abdomen, with and without contrast Higher Cost
MRI - Back (Lumbar Spine), with contrast Higher Cost
MRI - Brain with and without contrast Higher Cost
MRI - Brain, without contrast Higher Cost
MRI - Lower Extremity, with contrast Higher Cost
MRI - Lower Extremity, without contrast Higher Cost
MRI - Neck (Cervical Spine), without contrast Higher Cost
MRI - Pelvis, with and without contrast Higher Cost
MRI - Pelvis, without contrast Higher Cost
MRI - Spine, without contrast Higher Cost
MRI - Upper Extremity, with contrast Higher Cost
MRI - Upper Extremity, without contrast Higher Cost
Ultrasound - Abdomen Higher Cost
Ultrasound - Breast Medium Cost
Ultrasound - Head and Neck Higher Cost
Ultrasound - Kidney Higher Cost
Ultrasound - Pelvic Higher Cost
Ultrasound - Scrotum Higher Cost
Ultrasound - Transabdominal, first trimester Higher Cost
Ultrasound - Transvaginal (across vaginal area) Medium Cost
Vaginal Delivery Medium Cost
X-ray - Abdomen Higher Cost
X-ray - Ankle Higher Cost
X-ray - Chest Higher Cost
X-Ray - Collar Bone Higher Cost
X-ray - Elbow Higher Cost
X-ray - Finger(s) Higher Cost
X-ray - Foot Higher Cost
X-ray - Forearm Higher Cost
X-ray - Hand Higher Cost
X-ray - Hip Higher Cost
X-ray - Neck (Cervical Spine) Higher Cost
X-ray - Pelvis Higher Cost
X-ray - Shoulder Higher Cost
X-ray - Spine Higher Cost
X-ray - Wrist Higher Cost



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