WAUPUN MEMORIAL HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
81189	Cstb gene full gene sequence	—	—	$275	$481	6
81190	Cstb gene known famil vrnt	—	—	$185	$324	6
81191	Ntrk1 translocation analysis	—	—	$207	$363	6
81192	Ntrk2 translocation analysis	—	—	$207	$363	6
81193	Ntrk3 translocation analysis	—	—	$207	$363	6
81194	Ntrk translocation analysis	—	—	$518	$907	6
81195	Cytog genom-wid alys hem mal	—	—	$1,264	$2,211	6
81200	Aspa gene	—	—	$47.25	$82.69	6
81201	Apc gene full sequence	—	—	$780	$1,365	6
81202	Apc gene known fam variants	—	—	$280	$490	6
81203	Apc gene dup/delet variants	—	—	$200	$350	6
81204	Ar gene charac alleles	—	—	$137	$240	6
81205	Bckdhb gene	—	—	$94.99	$166	6
81206	Bcr/abl1 gene major bp	—	—	$164	$332	6
81207	Bcr/abl1 gene minor bp	—	—	$145	$293	6
81208	Bcr/abl1 gene other bp	—	—	$215	$376	6
81209	Blm gene	—	—	$39.31	$68.79	6
81210	Braf gene	—	—	$175	$307	6
81212	Brca1&2 185&5385&6174 var	—	—	$262	$770	6
81215	Brca1 gene known fam variant	—	—	$138	$657	6
81216	Brca2 gene full sequence	—	—	$185	$324	6
81217	Brca2 gene known fam variant	—	—	$138	$657	6
81218	Cebpa gene full sequence	—	—	$242	$489	6
81219	Calr gene com variants	—	—	$122	$246	6
81220	Cftr gene com variants	—	—	$557	$974	6
81221	Cftr gene known fam variants	—	—	$97.22	$170	6
81222	Cftr gene dup/delet variants	—	—	$435	$761	6
81223	Cftr gene full sequence	—	—	$499	$873	6
81224	Cftr gene intron poly t	—	—	$169	$295	6
81225	Cyp2c19 gene com variants	—	—	$291	$510	6
81226	Cyp2d6 gene com variants	—	—	$451	$789	6
81227	Cyp2c9 gene com variants	—	—	$175	$306	6
81228	Cytogen micrarray copy nmbr	—	—	$900	$1,575	6
81229	Cytogen m array copy no&snp	—	—	$1,160	$2,030	6
81230	Cyp3a4 gene common variants	—	—	$175	$306	6
81231	Cyp3a5 gene common variants	—	—	$175	$306	6
81232	Dpyd gene common variants	—	—	$175	$306	6
81233	Btk gene common variants	—	—	$175	$307	6
81234	Dmpk gene detc abnor allele	—	—	$137	$240	6
81235	Egfr gene com variants	—	—	$325	$568	6
81236	Ezh2 gene full gene sequence	—	—	$283	$495	6
81237	Ezh2 gene common variants	—	—	$175	$307	6
81238	F9 full gene sequence	—	—	$600	$1,050	6
81239	Dmpk gene charac alleles	—	—	$275	$481	6
81240	F2 gene	—	—	$65.69	$115	6
81241	F5 gene	—	—	$73.37	$128	6
81242	Fancc gene	—	—	$36.62	$64.09	6
81243	Fmr1 gene detection	—	—	$57.04	$99.82	6
81244	Fmr1 gene characterization	—	—	$44.89	$78.56	6
81245	Flt3 gene	—	—	$166	$290	6

Showing top 50 of 11,735 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.