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ThedaCare Waupaca prices. From its own published file.

ThedaCare Waupaca in Waupaca, WI publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

7,400prices published
Aug 2026file last updated
$2,696cash price for knee arthroscopy (list $8,869)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$226$414$158–$2,035
Emergency visit, high (level 4)
99284
$383$701$267–$3,308
Emergency visit, highest (level 5)
99285
$556$1,017$387–$2,924
Comprehensive metabolic panel
80053
$43.06$76.90—
Basic metabolic panel
80048
$34.50$61.60—
Complete blood count (CBC)
85025
$31.81$56.80—
Blood draw (venipuncture)
36415
$7.28$14.15—
Urinalysis
81001
$10.19$18.20—
Troponin (heart test)
84484
$50.40$90.00—
EKG tracing
93005
$22.85$265$11.83–$225
Chest X-ray, 2 views
71046
$149$270$11.45–$382
CT head without contrast
70450
$335$1,690$82.46–$2,344
CT abdomen and pelvis with contrast
74177
$1,531$3,904$103–$4,413
MRI lower back without contrast
72148
$618$3,023$152–$4,013
Ultrasound, abdomen
76700
$380$1,001$93.54–$1,029
IV push, single drug
96374
$129$250$80.31–$1,047
IV fluids, first hour
96360
$121$419$80.31–$1,047
Ketorolac injection, 15 mg
J1885
$0.95$39.42$1.56–$57,437
Ondansetron injection
J2405
$0.11$38.94$1.56–$57,437
Colonoscopy, diagnostic
45378
$1,149$2,605$609–$3,190
Upper GI endoscopy with biopsy
43239
$864$2,663$601–$4,058
Knee arthroscopy
29881
$2,696$8,869$1,878–$7,308
Vaginal delivery, routine care
59400
$4,965$8,865$2,571–$7,092
Cesarean delivery, routine care
59510
$5,438$9,711$2,816–$7,768

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: ThedaCare Waupaca price transparency page.

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