ST JOSEPH'S CHIPPEWA FALLS - Price Transparency,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Site,Svc_Cd,HCPC/Cpt_Cd,CDM_Svc_Descr,Rev_Cd, Quantity/Units , Hopsital_Cdm_Chg , Self_Pay_Chg , Minimum_Negotiated_Chg , Maximum_Negotiated_Chg , AETNA HSHS , AETNA MEDICARE , AMISH COMMUNITY DISCOUNT , ANTEHM MEDICAID , ANTHEM , ANTHEM BC MEDICAID , ANTHEM BLUE PRIORITY , ANTHEM WISCONSIN INDEMNITY , CENPATICO , CHOICE CARE , CIGNA , CONTINUUS MEDICAID MANAGED , FAMILY HEALTH CENTER , FIRST HEALTH NETWORK , GOVERNMENT EMPLOYEE HEALTH ASSOCIATION , GROUP HEALTH COOP , GROUP HEALTH MEDICAID , GROUP HEALTH MEDICAID HMO , GUNDERSON HEALTH PLAN MEDICAID , HEALTH CARE ALLIANCE , HEALTH PARTNERS MEDICARE , HEALTHEOS ," HEALTHPARTNERS, INC. ", HEALTHSMART , HUMANA , HUMANA MEDICARE ADVANTAGE , IMMERGRUN INC , INTERPLAN HEALTH GROUP , MANAGED MEDICARE NO SEQUESTRATION , MEDICA , MEDICA MEDICARE ADVANTAGE , MULTIPLAN , NAPHCARE , NCHA , NETWORK HEALTH MEDICAID , PREFERRED ONE , PREFERRED ONE   ST CROIX , PREVEA 360 EMPLOYEES , PREVEA 360 HSHS EMPLOYEES , PREVEA HEALTH NETWORK ," PRIVATE HEALTHCARE SYSTEMS, INC ", QUARTZ , SECURITY HEALTH PLAN , SECURITY HEALTH PLAN NARROW NETWORK , SECURITY HEALTH PLAN OF WISCONSIN , SECURITY HEATLH MEDICAID , SELECT CARE ," UCARE WISCONSIN, INC ", UHC MEDICAID , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , UNITED HEALTHCARE BEHAVIORAL HEALTH , VESTICA , WEA INSURANCE CORPORATION , WEA INSURANCE CORPORATION                         1 , WEA INSURANCE CORPORATION                         2 , WEA NORTHWEST , WEA NORTHWEST CHIP , WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION , WPS PREFERRED ADV PLUS STATE WIDE , WPS PREFERRED HEALTH PLAN , WPS_INDEMNITY 
ST. JOSEPH'S - CHIPPEWA FALLS,N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$45,388.28 ","$3,313.94 ","$73,945.58 ","$38,973.40 ","$70,424.36 ","$36,310.62 ","$3,313.94 ","$60,517.70 ","$3,593.01 ","$60,517.70 ","$57,491.82 ","$3,488.36 ","$48,414.16 ","$55,071.11 ","$3,313.94 ", N/A ,"$57,491.82 ","$54,465.93 ","$51,440.05 ","$3,488.36 ","$3,488.36 ","$3,488.36 ","$44,177.92 ","$70,424.36 ","$53,860.75 ","$54,465.93 ","$54,465.93 ","$48,414.16 ","$68,102.92 ","$33,284.74 ","$54,465.93 ","$70,424.36 ","$54,465.93 ","$70,424.36 ","$57,491.82 ","$60,517.70 ","$55,676.28 ","$3,697.66 ","$55,071.11 ","$70,424.36 ","$60,517.70 ","$38,973.40 ","$60,517.70 ","$54,465.93 ","$54,465.93 ","$54,465.93 ","$54,465.93 ","$71,128.61 ","$3,662.78 ","$56,584.05 ","$73,945.58 ","$3,488.36 ","$52,650.40 ","$70,424.36 ","$54,465.93 ","$71,861.59 ","$54,465.93 ","$54,465.93 ","$54,465.93 ","$58,702.17 ","$49,019.34 ","$54,465.93 ","$54,465.93 ","$54,465.93 ","$54,465.93 "
ST. JOSEPH'S - CHIPPEWA FALLS,N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$11,479.28 ","$3,313.94 ","$19,533.95 ","$9,856.87 ","$18,603.76 ","$10,713.99 ","$3,313.94 ","$15,305.70 ","$3,593.01 ","$15,305.70 ","$14,540.42 ","$3,488.36 ","$12,244.56 ","$13,928.19 ","$3,313.94 ", N/A ,"$14,540.42 ","$13,775.13 ","$13,009.85 ","$3,488.36 ","$3,488.36 ","$3,488.36 ","$11,173.16 ","$18,603.76 ","$13,622.07 ","$13,775.13 ","$13,775.13 ","$12,244.56 ","$18,017.55 ","$8,418.14 ","$13,775.13 ","$18,603.76 ","$13,775.13 ","$18,603.76 ","$14,540.42 ","$15,305.70 ","$14,081.24 ","$3,697.66 ","$13,928.19 ","$18,603.76 ","$15,305.70 ","$9,856.87 ","$15,305.70 ","$13,775.13 ","$13,775.13 ","$13,775.13 ","$13,775.13 ","$18,789.80 ","$3,662.78 ","$14,310.83 ","$19,533.95 ","$3,488.36 ","$13,315.96 ","$18,603.76 ","$13,775.13 ","$18,603.76 ","$13,775.13 ","$13,775.13 ","$13,775.13 ","$14,846.53 ","$12,397.62 ","$13,775.13 ","$13,775.13 ","$13,775.13 ","$13,775.13 "
ST. JOSEPH'S - CHIPPEWA FALLS,N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$8,591.37 ","$3,313.94 ","$14,771.91 ","$7,377.12 ","$14,068.49 ","$8,018.61 ","$3,313.94 ","$11,455.16 ","$3,593.01 ","$11,455.16 ","$10,882.40 ","$3,488.36 ","$9,164.13 ","$10,424.20 ","$3,313.94 ", N/A ,"$10,882.40 ","$10,309.64 ","$9,736.89 ","$3,488.36 ","$3,488.36 ","$3,488.36 ","$8,362.27 ","$14,068.49 ","$10,195.09 ","$10,309.64 ","$10,309.64 ","$9,164.13 ","$13,634.09 ","$6,300.34 ","$10,309.64 ","$14,068.49 ","$10,309.64 ","$14,068.49 ","$10,882.40 ","$11,455.16 ","$10,538.75 ","$3,697.66 ","$10,424.20 ","$14,068.49 ","$11,455.16 ","$7,377.12 ","$11,455.16 ","$10,309.64 ","$10,309.64 ","$10,309.64 ","$10,309.64 ","$14,209.17 ","$3,662.78 ","$10,710.57 ","$14,771.91 ","$3,488.36 ","$9,965.99 ","$14,068.49 ","$10,309.64 ","$14,068.49 ","$10,309.64 ","$10,309.64 ","$10,309.64 ","$11,111.51 ","$9,278.68 ","$10,309.64 ","$10,309.64 ","$10,309.64 ","$10,309.64 "
ST. JOSEPH'S - CHIPPEWA FALLS,N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$17,770.93 ","$3,313.94 ","$29,311.97 ","$15,259.30 ","$27,916.16 ","$16,586.20 ","$3,313.94 ","$23,694.57 ","$3,593.01 ","$23,694.57 ","$22,509.84 ","$3,488.36 ","$18,955.66 ","$21,562.06 ","$3,313.94 ", N/A ,"$22,509.84 ","$21,325.11 ","$20,140.38 ","$3,488.36 ","$3,488.36 ","$3,488.36 ","$17,297.04 ","$27,916.16 ","$21,088.17 ","$21,325.11 ","$21,325.11 ","$18,955.66 ","$27,017.54 ","$13,032.01 ","$21,325.11 ","$27,916.16 ","$21,325.11 ","$27,916.16 ","$22,509.84 ","$23,694.57 ","$21,799.00 ","$3,697.66 ","$21,562.06 ","$27,916.16 ","$23,694.57 ","$15,259.30 ","$23,694.57 ","$21,325.11 ","$21,325.11 ","$21,325.11 ","$21,325.11 ","$28,195.33 ","$3,662.78 ","$22,154.42 ","$29,311.97 ","$3,488.36 ","$20,614.28 ","$27,916.16 ","$21,325.11 ","$28,485.88 ","$21,325.11 ","$21,325.11 ","$21,325.11 ","$22,983.73 ","$19,192.60 ","$21,325.11 ","$21,325.11 ","$21,325.11 ","$21,325.11 "
ST. JOSEPH'S - CHIPPEWA FALLS,N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$5,121.46 ","$3,313.94 ","$9,049.60 ","$4,397.62 ","$8,618.67 ","$4,780.03 ","$3,313.94 ","$6,828.61 ","$3,593.01 ","$6,828.61 ","$6,487.18 ","$3,488.36 ","$5,462.89 ","$6,214.04 ","$3,313.94 ", N/A ,"$6,487.18 ","$6,145.75 ","$5,804.32 ","$3,488.36 ","$3,488.36 ","$3,488.36 ","$4,984.89 ","$8,618.67 ","$6,077.46 ","$6,145.75 ","$6,145.75 ","$5,462.89 ","$8,366.68 ","$3,755.74 ","$6,145.75 ","$8,618.67 ","$6,145.75 ","$8,618.67 ","$6,487.18 ","$6,828.61 ","$6,282.32 ","$3,697.66 ","$6,214.04 ","$8,618.67 ","$6,828.61 ","$4,397.62 ","$6,828.61 ","$6,145.75 ","$6,145.75 ","$6,145.75 ","$6,145.75 ","$8,704.86 ","$3,662.78 ","$6,384.75 ","$9,049.60 ","$3,488.36 ","$5,940.89 ","$8,618.67 ","$6,145.75 ","$8,618.67 ","$6,145.75 ","$6,145.75 ","$6,145.75 ","$6,623.75 ","$5,531.17 ","$6,145.75 ","$6,145.75 ","$6,145.75 ","$6,145.75 "
ST. JOSEPH'S - CHIPPEWA FALLS,10020001,N/A,HC DAILY BEHAVIORAL HLTH RESIDENTIAL CDP,100,1 ,$331.00 ,$248.25 ,$182.05 ,$331.00 ,$213.16 , Inpatient Medicare ,$231.70 , Inpatient Medicaid +3% ,"$20,474.00 ", Inpatient Medicaid +3% ,"$16,380.00 ",$314.45 , Inpatient Medicaid ,$264.80 ,$301.21 , Inpatient Medicaid , N/A ,$314.45 ,$297.90 ,$281.35 , Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,$241.63 , Inpatient Medicare ,$294.59 ,$297.90 ,$297.90 ,$264.80 , Inpatient Medicare +3% ,$182.05 ,$297.90 , Inpatient Medicare ,$297.90 , Inpatient Medicare ,$314.45 , Inpatient Medicare +100% ,$304.52 , Inpatient Medicaid +6% ,$301.21 , Inpatient Medicare ,"$13,265.10 ",$213.16 ,"$13,265.10 ",$297.90 ,$297.90 ,"$16,613.61 ","$15,809.74 ", Inpatient Medicaid , Inpatient Medicaid +5% ,$297.90 , Inpatient Medicare +5% , Inpatient Mediaid ,$287.97 , Inpatient Medicare , N/A , Inpatient Medicare ,$297.90 ,$297.90 ,$297.90 ,$321.07 ,$268.11 ,$297.90 ,$297.90 ,$297.90 ,$297.90 
ST. JOSEPH'S - CHIPPEWA FALLS,12000001,N/A,HC DAILY SERVICE GENERAL,120,1 ,"$1,114.00 ",$835.50 ,$612.70 ,"$1,114.00 ",$717.42 , Inpatient Medicare ,$779.80 , Inpatient Medicaid +3% ,"$20,474.00 ", Inpatient Medicaid +3% ,"$16,380.00 ","$1,058.30 ", Inpatient Medicaid ,$891.20 ,"$1,013.74 ", Inpatient Medicaid , N/A ,"$1,058.30 ","$1,002.60 ",$946.90 , Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,$813.22 , Inpatient Medicare ,$991.46 ,"$1,002.60 ","$1,002.60 ",$891.20 , Inpatient Medicare +3% ,$612.70 ,"$1,002.60 ", Inpatient Medicare ,"$1,002.60 ", Inpatient Medicare ,"$1,058.30 ", Inpatient Medicare +100% ,"$1,024.88 ", Inpatient Medicaid +6% ,"$1,013.74 ", Inpatient Medicare ,"$13,265.10 ",$717.42 ,"$13,265.10 ","$1,002.60 ","$1,002.60 ","$16,613.61 ","$15,809.74 ", Inpatient Medicaid , Inpatient Medicaid +5% ,"$1,002.60 ", Inpatient Medicare +5% , Inpatient Mediaid ,$969.18 , Inpatient Medicare ,"$1,002.60 ", Inpatient Medicare ,"$1,002.60 ","$1,002.60 ","$1,002.60 ","$1,080.58 ",$902.34 ,"$1,002.60 ","$1,002.60 ","$1,002.60 ","$1,002.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,12200001,N/A,HC DAILY SERVICE OBSTETRICS,122,1 ,"$1,114.00 ",$835.50 ,$612.70 ,"$1,114.00 ",$717.42 , Inpatient Medicare ,$779.80 , Inpatient Medicaid +3% ,"$20,474.00 ", Inpatient Medicaid +3% ,"$16,380.00 ","$1,058.30 ", Inpatient Medicaid ,$891.20 ,"$1,013.74 ", Inpatient Medicaid , N/A ,"$1,058.30 ","$1,002.60 ",$946.90 , Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,$813.22 , Inpatient Medicare ,$991.46 ,"$1,002.60 ","$1,002.60 ",$891.20 , Inpatient Medicare +3% ,$612.70 ,"$1,002.60 ", Inpatient Medicare ,"$1,002.60 ", Inpatient Medicare ,"$1,058.30 ", Inpatient Medicare +100% ,"$1,024.88 ", Inpatient Medicaid +6% ,"$1,013.74 ", Inpatient Medicare ,"$13,265.10 ",$717.42 ,"$13,265.10 ","$1,002.60 ","$1,002.60 ","$16,613.61 ","$15,809.74 ", Inpatient Medicaid , Inpatient Medicaid +5% ,"$1,002.60 ", Inpatient Medicare +5% , Inpatient Mediaid ,$969.18 , Inpatient Medicare , N/A , Inpatient Medicare ,"$1,002.60 ","$1,002.60 ","$1,002.60 ","$1,080.58 ",$902.34 ,"$1,002.60 ","$1,002.60 ","$1,002.60 ","$1,002.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,12600001,N/A,HC DAILY SERVICE DETOXIFICATION,126,1 ,"$1,755.00 ","$1,316.25 ",$965.25 ,"$1,755.00 ","$1,130.22 ", Inpatient Medicare ,"$1,228.50 ", Inpatient Medicaid +3% ,"$1,715.00 ", Inpatient Medicaid +3% ,"$1,372.00 ","$1,667.25 ", Inpatient Medicaid ,"$1,404.00 ","$1,597.05 ", Inpatient Medicaid , N/A ,"$1,667.25 ","$1,579.50 ","$1,491.75 ", Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,"$1,281.15 ", Inpatient Medicare ,"$1,561.95 ","$1,579.50 ","$1,579.50 ","$1,404.00 ", Inpatient Medicare +3% ,$965.25 ,"$1,579.50 ", Inpatient Medicare ,"$1,579.50 ", Inpatient Medicare ,"$1,667.25 ", Inpatient Medicare +100% ,"$1,614.60 ", Inpatient Medicaid +6% ,"$1,597.05 ", Inpatient Medicare ,"$13,265.10 ","$1,130.22 ","$13,265.10 ","$1,579.50 ","$1,579.50 ","$1,309.75 ","$1,680.65 ", Inpatient Medicaid , Inpatient Medicaid +5% ,"$1,579.50 ", Inpatient Medicare +5% , Inpatient Mediaid ,"$1,526.85 ", Inpatient Medicare ,"$1,579.50 ", Inpatient Medicare ,"$1,579.50 ","$1,579.50 ","$1,579.50 ","$1,702.35 ","$1,421.55 ","$1,579.50 ","$1,579.50 ","$1,579.50 ","$1,579.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,12800003,N/A,HC DAILY BEHAVIORAL HLTH MEDICAL MGMT,128,1 ,"$1,363.00 ","$1,022.25 ",$749.65 ,"$1,363.00 ",$877.77 , Inpatient Medicare ,$954.10 , Inpatient Medicaid +3% ,"$2,841.00 ", Inpatient Medicaid +3% ,"$2,273.00 ","$1,294.85 ", Inpatient Medicaid ,"$1,090.40 ","$1,240.33 ", Inpatient Medicaid , N/A ,"$1,294.85 ","$1,226.70 ","$1,158.55 ", Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,$994.99 , Inpatient Medicare ,$323.07 ,"$1,226.70 ","$1,226.70 ","$1,090.40 ", Inpatient Medicare +3% ,$749.65 ,"$1,226.70 ", Inpatient Medicare ,"$1,226.70 ", Inpatient Medicare ,"$1,294.85 ", Inpatient Medicare +100% ,"$1,253.96 ", Inpatient Medicaid +6% ,"$1,240.33 ", Inpatient Medicare ,"$13,265.10 ",$877.77 ,"$13,265.10 ","$1,226.70 ","$1,226.70 ","$16,613.61 ","$2,036.51 ", Inpatient Medicaid , Inpatient Medicaid +5% ,"$1,226.70 ", Inpatient Medicare +5% , Inpatient Mediaid ,"$1,185.81 ", Inpatient Medicare ,"$1,226.70 ", Inpatient Medicare ,"$1,226.70 ","$1,226.70 ","$1,226.70 ","$1,322.11 ","$1,104.03 ","$1,226.70 ","$1,226.70 ","$1,226.70 ","$1,226.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,16900000,N/A,HC DAILY SERVICE PROLONGED STAY,169,1 ,$466.00 ,$349.50 ,$256.30 ,$466.00 ,$300.10 , Inpatient Medicare ,$326.20 , Inpatient Medicaid +3% ,"$20,474.00 ", Inpatient Medicaid +3% ,"$16,380.00 ",$442.70 , Inpatient Medicaid ,$372.80 ,$424.06 , Inpatient Medicaid , N/A ,$442.70 ,$419.40 ,$396.10 , Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,$340.18 , Inpatient Medicare ,$414.74 ,$419.40 ,$419.40 ,$372.80 , Inpatient Medicare +3% ,$256.30 ,$419.40 , Inpatient Medicare ,$419.40 , Inpatient Medicare ,$442.70 , Inpatient Medicare +100% ,$428.72 , Inpatient Medicaid +6% ,$424.06 , Inpatient Medicare ,"$13,265.10 ",$300.10 ,"$13,265.10 ",$419.40 ,$419.40 ,"$16,613.61 ","$15,809.74 ", Inpatient Medicaid , Inpatient Medicaid +5% ,$419.40 , Inpatient Medicare +5% , Inpatient Mediaid ,$405.42 , Inpatient Medicare , N/A , Inpatient Medicare ,$419.40 ,$419.40 ,$419.40 ,$452.02 ,$377.46 ,$419.40 ,$419.40 ,$419.40 ,$419.40 
ST. JOSEPH'S - CHIPPEWA FALLS,20000001,N/A,HC DAILY SERVICE ICU,200,1 ,"$3,012.00 ","$2,259.00 ","$1,656.60 ","$3,012.00 ","$1,939.73 ", Inpatient Medicare ,"$2,108.40 ", Inpatient Medicaid +3% ,"$20,474.00 ", Inpatient Medicaid +3% ,"$16,380.00 ","$2,861.40 ", Inpatient Medicaid ,"$2,409.60 ","$2,740.92 ", Inpatient Medicaid , N/A ,"$2,861.40 ","$2,710.80 ","$25,060.20 ", Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,"$2,198.76 ", Inpatient Medicare ,"$2,680.68 ","$2,710.80 ","$2,710.80 ","$2,409.60 ", Inpatient Medicare +3% ,"$1,656.60 ","$2,710.80 ", Inpatient Medicare ,"$2,710.80 ", Inpatient Medicare ,"$2,861.40 ", Inpatient Medicare +100% ,"$2,771.04 ", Inpatient Medicaid +6% ,"$2,740.92 ", Inpatient Medicare ,"$13,265.10 ","$1,939.73 ","$13,265.10 ","$2,710.80 ","$2,710.80 ","$16,613.61 ","$15,809.74 ", Inpatient Medicaid , Inpatient Medicaid +5% ,"$2,710.80 ", Inpatient Medicare +5% , Inpatient Mediaid ,"$2,620.44 ", Inpatient Medicare ,"$2,710.80 ", Inpatient Medicare ,"$2,710.80 ","$2,710.80 ","$2,710.80 ","$2,921.64 ","$2,439.72 ","$2,710.80 ","$2,710.80 ","$2,710.80 ","$2,710.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,20600002,N/A,HC DAILY SERVICE IMCU,206,1 ,"$2,454.00 ","$1,840.50 ","$1,349.70 ","$2,454.00 ","$1,580.38 ", Inpatient Medicare ,"$1,717.80 ", Inpatient Medicaid +3% ,"$20,474.00 ", Inpatient Medicaid +3% ,"$16,380.00 ","$2,331.30 ", Inpatient Medicaid ,"$1,963.20 ","$2,233.14 ", Inpatient Medicaid , N/A ,"$2,331.30 ","$2,208.60 ","$2,085.90 ", Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,"$1,791.42 ", Inpatient Medicare ,"$2,184.06 ","$2,208.60 ","$2,208.60 ","$1,963.20 ", Inpatient Medicare +3% ,"$1,349.70 ","$2,208.60 ", Inpatient Medicare ,"$2,208.60 ", Inpatient Medicare ,"$2,331.30 ", Inpatient Medicare +100% ,"$2,257.68 ", Inpatient Medicaid +6% ,"$2,233.14 ", Inpatient Medicare ,"$13,265.10 ","$1,580.38 ","$13,265.10 ","$2,208.60 ","$2,208.60 ","$16,613.61 ","$15,809.74 ", Inpatient Medicaid , Inpatient Medicaid +5% ,"$2,208.60 ", Inpatient Medicare +5% , Inpatient Mediaid ,"$2,134.98 ", Inpatient Medicare , N/A , Inpatient Medicare ,"$2,208.60 ","$2,208.60 ","$2,208.60 ","$2,380.38 ","$1,987.74 ","$2,208.60 ","$2,208.60 ","$2,208.60 ","$2,208.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,21000001,N/A,HC DAILY SERVICE W/TELEMETRY,210,1 ,"$1,908.00 ","$1,431.00 ","$1,049.40 ","$1,908.00 ","$1,228.75 ", Inpatient Medicare ,"$1,335.60 ", Inpatient Medicaid +3% ,"$20,474.00 ", Inpatient Medicaid +3% ,"$16,380.00 ","$1,812.60 ", Inpatient Medicaid ,"$1,526.40 ","$1,736.28 ", Inpatient Medicaid , N/A ,"$1,812.60 ","$1,717.20 ","$1,621.80 ", Inpatient Medicaid , Inpatient Medicaid , Inpatient Medicaid ,"$1,392.84 ", Inpatient Medicare ,"$1,698.12 ","$1,717.20 ","$1,717.20 ","$1,526.40 ", Inpatient Medicare +3% ,"$1,049.40 ","$1,717.20 ", Inpatient Medicare ,"$1,717.20 ", Inpatient Medicare ,"$1,812.60 ", Inpatient Medicare +100% ,"$1,755.36 ", Inpatient Medicaid +6% ,"$1,736.28 ", Inpatient Medicare ,"$13,265.10 ","$1,228.75 ","$13,265.10 ","$1,717.20 ","$1,717.20 ","$16,613.61 ","$15,809.74 ", Inpatient Medicaid , Inpatient Medicaid +5% ,"$1,717.20 ", Inpatient Medicare +5% , Inpatient Mediaid ,"$1,659.96 ", Inpatient Medicare ,"$1,717.20 ", Inpatient Medicare ,"$1,717.20 ","$1,717.20 ","$1,717.20 ","$1,850.76 ","$1,545.48 ","$1,717.20 ","$1,717.20 ","$1,717.20 ","$1,717.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,23100002,N/A,HC CARDIAC/RESP MONITOR,231,1 ,$347.00 ,$260.25 ,$190.85 ,$347.00 ,$223.47 , N/A ,$242.90 , N/A ,$288.01 , N/A ,$229.02 ,$329.65 , N/A ,$277.60 ,$315.77 , N/A ,$326.18 ,$329.65 ,$312.30 ,$294.95 , N/A , N/A , N/A ,$253.31 , N/A ,$308.83 ,$312.30 ,$312.30 ,$277.60 , N/A ,$190.85 ,$312.30 , N/A ,$312.30 , N/A ,$329.65 , N/A ,$319.24 , N/A ,$315.77 , N/A ,$213.54 ,$223.47 ,$213.54 ,$312.30 ,$312.30 ,$258.97 ,$241.69 , N/A , N/A ,$324.45 , N/A , N/A ,$301.89 , N/A ,$312.30 , N/A ,$312.30 ,$312.30 ,$312.30 ,$336.59 ,$281.07 ,$312.30 ,$312.30 ,$312.30 ,$312.30 
ST. JOSEPH'S - CHIPPEWA FALLS,26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$464.87 ,$348.65 ,$95.17 ,$475.00 ,$299.38 ,$211.11 ,$325.41 ,$95.17 ,$385.84 ,$98.03 ,$306.81 ,$441.63 , N/A ,$371.90 ,$423.03 ,$95.17 ,$436.98 ,$441.63 ,$418.38 ,$395.14 ,$95.17 ,$95.17 ,$95.17 ,$339.36 ,$211.11 ,$413.73 ,$418.38 ,$418.38 ,$371.90 ,$217.44 ,$255.68 ,$418.38 ,$211.11 ,$418.38 ,$211.11 ,$441.63 ,$475.00 ,$427.68 ,$100.88 ,$423.03 ,$211.11 ,$286.08 ,$299.38 ,$286.08 ,$418.38 ,$418.38 ,$346.93 ,$323.78 ,$213.22 ,$99.93 ,$434.65 ,$221.67 ,$95.17 ,$404.44 ,$211.11 ,$418.38 ,$211.11 ,$418.38 ,$418.38 ,$418.38 ,$450.92 ,$376.54 ,$418.38 ,$418.38 ,$418.38 ,$418.38 
ST. JOSEPH'S - CHIPPEWA FALLS,26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$229.98 ,$172.49 ,$41.30 ,$229.98 ,$148.11 ,$41.30 ,$160.99 ,$161.07 ,$190.88 ,$165.90 ,$151.79 ,$218.48 , N/A ,$183.98 ,$209.28 ,$161.07 ,$216.18 ,$218.48 ,$206.98 ,$195.48 ,$161.07 ,$161.07 ,$161.07 ,$167.89 ,$41.30 ,$204.68 ,$206.98 ,$206.98 ,$183.98 ,$42.54 ,$126.49 ,$206.98 ,$41.30 ,$206.98 ,$41.30 ,$218.48 ,$92.92 ,$211.58 ,$170.73 ,$209.28 ,$41.30 ,$141.53 ,$148.11 ,$141.53 ,$206.98 ,$206.98 ,$171.63 ,$160.18 ,$41.71 ,$169.12 ,$215.03 ,$43.37 ,$161.07 ,$200.08 ,$41.30 ,$206.98 ,$41.30 ,$206.98 ,$206.98 ,$206.98 ,$223.08 ,$186.28 ,$206.98 ,$206.98 ,$206.98 ,$206.98 
ST. JOSEPH'S - CHIPPEWA FALLS,26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$475.02 ,$356.27 ,$95.17 ,$475.02 ,$305.91 ,$211.11 ,$332.51 ,$95.17 ,$394.27 ,$98.03 ,$313.51 ,$451.27 , N/A ,$380.02 ,$432.27 ,$95.17 ,$446.52 ,$451.27 ,$427.52 ,$403.77 ,$95.17 ,$95.17 ,$95.17 ,$346.76 ,$211.11 ,$422.77 ,$427.52 ,$427.52 ,$380.02 ,$217.44 ,$261.26 ,$427.52 ,$211.11 ,$427.52 ,$211.11 ,$451.27 ,$475.00 ,$437.02 ,$100.88 ,$432.27 ,$211.11 ,$292.33 ,$305.91 ,$292.33 ,$427.52 ,$427.52 ,$354.51 ,$330.85 ,$213.22 ,$99.93 ,$444.14 ,$221.67 ,$95.17 ,$413.27 ,$211.11 ,$427.52 ,$211.11 ,$427.52 ,$427.52 ,$427.52 ,$460.77 ,$384.77 ,$427.52 ,$427.52 ,$427.52 ,$427.52 
ST. JOSEPH'S - CHIPPEWA FALLS,26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$232.24 ,$174.18 ,$41.30 ,$232.24 ,$149.56 ,$41.30 ,$162.57 ,$161.07 ,$192.76 ,$165.90 ,$153.28 ,$220.63 , N/A ,$185.79 ,$211.34 ,$161.07 ,$218.31 ,$220.63 ,$209.02 ,$197.40 ,$161.07 ,$161.07 ,$161.07 ,$169.54 ,$41.30 ,$206.69 ,$209.02 ,$209.02 ,$185.79 ,$42.54 ,$127.73 ,$209.02 ,$41.30 ,$209.02 ,$41.30 ,$220.63 ,$92.92 ,$213.66 ,$170.73 ,$211.34 ,$41.30 ,$142.92 ,$149.56 ,$142.92 ,$209.02 ,$209.02 ,$173.32 ,$161.76 ,$41.71 ,$169.12 ,$217.14 ,$43.37 ,$161.07 ,$202.05 ,$41.30 ,$209.02 ,$41.30 ,$209.02 ,$209.02 ,$209.02 ,$225.27 ,$188.11 ,$209.02 ,$209.02 ,$209.02 ,$209.02 
ST. JOSEPH'S - CHIPPEWA FALLS,26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$232.24 ,$174.18 ,$63.98 ,$232.24 ,$149.56 ,$63.98 ,$162.57 ,$95.17 ,$192.76 ,$98.03 ,$153.28 ,$220.63 , N/A ,$185.79 ,$211.34 ,$95.17 ,$218.31 ,$220.63 ,$209.02 ,$197.40 ,$95.17 ,$95.17 ,$95.17 ,$169.54 ,$63.98 ,$206.69 ,$209.02 ,$209.02 ,$185.79 ,$65.90 ,$127.73 ,$209.02 ,$63.98 ,$209.02 ,$63.98 ,$220.63 ,$143.96 ,$213.66 ,$100.88 ,$211.34 ,$63.98 ,$142.92 ,$149.56 ,$142.92 ,$209.02 ,$209.02 ,$173.32 ,$161.76 ,$64.62 ,$99.93 ,$217.14 ,$67.18 ,$95.17 ,$202.05 ,$63.98 ,$209.02 ,$63.98 ,$209.02 ,$209.02 ,$209.02 ,$225.27 ,$188.11 ,$209.02 ,$209.02 ,$209.02 ,$209.02 
ST. JOSEPH'S - CHIPPEWA FALLS,26000005,96368,HC INFUS CONCURRENT,260,1 ,$232.24 ,$174.18 ,$95.17 ,$232.24 ,$149.56 , N/A ,$162.57 ,$95.17 ,$192.76 ,$98.03 ,$153.28 ,$220.63 , N/A ,$185.79 ,$211.34 ,$95.17 ,$218.31 ,$220.63 ,$209.02 ,$197.40 ,$95.17 ,$95.17 ,$95.17 ,$169.54 , N/A ,$206.69 ,$209.02 ,$209.02 ,$185.79 , N/A ,$127.73 ,$209.02 , N/A ,$209.02 , N/A ,$220.63 , N/A ,$213.66 ,$100.88 ,$211.34 , N/A ,$142.92 ,$149.56 ,$142.92 ,$209.02 ,$209.02 ,$173.32 ,$161.76 , N/A ,$99.93 ,$217.14 , N/A ,$95.17 ,$202.05 , N/A ,$209.02 , N/A ,$209.02 ,$209.02 ,$209.02 ,$225.27 ,$188.11 ,$209.02 ,$209.02 ,$209.02 ,$209.02 
ST. JOSEPH'S - CHIPPEWA FALLS,26000006,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$464.87 ,$348.65 ,$95.17 ,$475.00 ,$299.38 ,$211.11 ,$325.41 ,$95.17 ,$385.84 ,$98.03 ,$306.81 ,$441.63 , N/A ,$371.90 ,$423.03 ,$95.17 ,$436.98 ,$441.63 ,$418.38 ,$395.14 ,$95.17 ,$95.17 ,$95.17 ,$339.36 ,$211.11 ,$413.73 ,$418.38 ,$418.38 ,$371.90 ,$217.44 ,$255.68 ,$418.38 ,$211.11 ,$418.38 ,$211.11 ,$441.63 ,$475.00 ,$427.68 ,$100.88 ,$423.03 ,$211.11 ,$286.08 ,$299.38 ,$286.08 ,$418.38 ,$418.38 ,$346.93 ,$323.78 ,$213.22 ,$99.93 ,$434.65 ,$221.67 ,$95.17 ,$404.44 ,$211.11 ,$418.38 ,$211.11 ,$418.38 ,$418.38 ,$418.38 ,$450.92 ,$376.54 ,$418.38 ,$418.38 ,$418.38 ,$418.38 
ST. JOSEPH'S - CHIPPEWA FALLS,26000007,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$475.02 ,$356.27 ,$95.17 ,$475.02 ,$305.91 ,$211.11 ,$332.51 ,$95.17 ,$394.27 ,$98.03 ,$313.51 ,$451.27 , N/A ,$380.02 ,$432.27 ,$95.17 ,$446.52 ,$451.27 ,$427.52 ,$403.77 ,$95.17 ,$95.17 ,$95.17 ,$346.76 ,$211.11 ,$422.77 ,$427.52 ,$427.52 ,$380.02 ,$217.44 ,$261.26 ,$427.52 ,$211.11 ,$427.52 ,$211.11 ,$451.27 ,$475.00 ,$437.02 ,$100.88 ,$432.27 ,$211.11 ,$292.33 ,$305.91 ,$292.33 ,$427.52 ,$427.52 ,$354.51 ,$330.85 ,$213.22 ,$99.93 ,$444.14 ,$221.67 ,$95.17 ,$413.27 ,$211.11 ,$427.52 ,$211.11 ,$427.52 ,$427.52 ,$427.52 ,$460.77 ,$384.77 ,$427.52 ,$427.52 ,$427.52 ,$427.52 
ST. JOSEPH'S - CHIPPEWA FALLS,26000008,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$201.78 ,$151.34 ,$13.88 ,$201.78 ,$129.95 ,$41.30 ,$141.25 ,$13.88 ,$167.48 ,$14.30 ,$133.17 ,$191.69 , N/A ,$161.42 ,$183.62 ,$13.88 ,$189.67 ,$191.69 ,$181.60 ,$171.51 ,$13.88 ,$13.88 ,$13.88 ,$147.30 ,$41.30 ,$179.58 ,$181.60 ,$181.60 ,$161.42 ,$42.54 ,$110.98 ,$181.60 ,$41.30 ,$181.60 ,$41.30 ,$191.69 ,$92.92 ,$185.64 ,$14.71 ,$183.62 ,$41.30 ,$124.18 ,$129.95 ,$124.18 ,$181.60 ,$181.60 ,$150.59 ,$140.54 ,$41.71 ,$14.57 ,$188.66 ,$43.37 ,$13.88 ,$175.55 ,$41.30 ,$181.60 ,$41.30 ,$181.60 ,$181.60 ,$181.60 ,$195.73 ,$163.44 ,$181.60 ,$181.60 ,$181.60 ,$181.60 
ST. JOSEPH'S - CHIPPEWA FALLS,26000009,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$163.20 ,$122.40 ,$13.88 ,$163.20 ,$105.10 , N/A ,$114.24 ,$13.88 ,$135.46 ,$14.30 ,$107.71 ,$155.04 , N/A ,$130.56 ,$148.51 ,$13.88 ,$153.41 ,$155.04 ,$146.88 ,$138.72 ,$13.88 ,$13.88 ,$13.88 ,$119.14 , N/A ,$145.25 ,$146.88 ,$146.88 ,$130.56 , N/A ,$89.76 ,$146.88 , N/A ,$146.88 , N/A ,$155.04 , N/A ,$150.14 ,$14.71 ,$148.51 , N/A ,$100.43 ,$105.10 ,$100.43 ,$146.88 ,$146.88 ,$121.80 ,$113.67 , N/A ,$14.57 ,$152.59 , N/A ,$13.88 ,$141.98 , N/A ,$146.88 , N/A ,$146.88 ,$146.88 ,$146.88 ,$158.30 ,$132.19 ,$146.88 ,$146.88 ,$146.88 ,$146.88 
ST. JOSEPH'S - CHIPPEWA FALLS,26000013,C8957,HC IV INFUSION THERAPY/DX >8 HRS W/IMPLANT PUMP,260,1 ,$972.00 ,$729.00 ,$161.07 ,$972.00 ,$625.97 ,$329.04 ,$680.40 ,$161.07 ,$806.76 ,$165.90 ,$641.52 ,$923.40 , N/A ,$777.60 ,$884.52 ,$161.07 ,$913.68 ,$923.40 ,$874.80 ,$826.20 ,$161.07 ,$161.07 ,$161.07 ,$709.56 ,$329.04 ,$865.08 ,$874.80 ,$874.80 ,$777.60 ,$338.91 ,$534.60 ,$874.80 ,$329.04 ,$874.80 ,$329.04 ,$923.40 ,$740.34 ,$894.24 ,$170.73 ,$884.52 ,$329.04 ,$598.17 ,$625.97 ,$598.17 ,$874.80 ,$874.80 ,$725.40 ,$677.00 ,$332.33 ,$169.12 ,$908.82 ,$345.49 ,$161.07 ,$845.64 ,$329.04 ,$874.80 ,$329.04 ,$874.80 ,$874.80 ,$874.80 ,$942.84 ,$787.32 ,$874.80 ,$874.80 ,$874.80 ,$874.80 
ST. JOSEPH'S - CHIPPEWA FALLS,27000001,N/A,HC HELMET PROTECTIVE,270,1 ,$438.00 ,$328.50 ,$240.90 ,$438.00 ,$282.07 , N/A ,$306.60 , N/A ,$363.54 , N/A ,$289.08 ,$416.10 , N/A ,$350.40 ,$398.58 , N/A ,$411.72 ,$416.10 ,$394.20 ,$372.30 , N/A , N/A , N/A ,$319.74 , N/A ,$389.82 ,$394.20 ,$394.20 ,$350.40 , N/A ,$240.90 ,$394.20 , N/A ,$394.20 , N/A ,$416.10 , N/A ,$402.96 , N/A ,$398.58 , N/A ,$269.55 ,$282.07 ,$269.55 ,$394.20 ,$394.20 ,$326.88 ,$305.07 , N/A , N/A ,$409.53 , N/A , N/A ,$381.06 , N/A ,$394.20 , N/A ,$394.20 ,$394.20 ,$394.20 ,$424.86 ,$354.78 ,$394.20 ,$394.20 ,$394.20 ,$394.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27000013,N/A,HC PUMP BREAST,270,1 ,$29.00 ,$21.75 ,$15.95 ,$29.00 ,$18.68 , N/A ,$20.30 , N/A ,$24.07 , N/A ,$19.14 ,$27.55 , N/A ,$23.20 ,$26.39 , N/A ,$27.26 ,$27.55 ,$26.10 ,$24.65 , N/A , N/A , N/A ,$21.17 , N/A ,$25.81 ,$26.10 ,$26.10 ,$23.20 , N/A ,$15.95 ,$26.10 , N/A ,$26.10 , N/A ,$27.55 , N/A ,$26.68 , N/A ,$26.39 , N/A ,$17.85 ,$18.68 ,$17.85 ,$26.10 ,$26.10 ,$21.64 ,$20.20 , N/A , N/A ,$27.12 , N/A , N/A ,$25.23 , N/A ,$26.10 , N/A ,$26.10 ,$26.10 ,$26.10 ,$28.13 ,$23.49 ,$26.10 ,$26.10 ,$26.10 ,$26.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27000021,N/A,HC TRAY ARTHROGRAM,270,1 ,$64.00 ,$48.00 ,$35.20 ,$64.00 ,$41.22 , N/A ,$44.80 , N/A ,$53.12 , N/A ,$42.24 ,$60.80 , N/A ,$51.20 ,$58.24 , N/A ,$60.16 ,$60.80 ,$57.60 ,$54.40 , N/A , N/A , N/A ,$46.72 , N/A ,$56.96 ,$57.60 ,$57.60 ,$51.20 , N/A ,$35.20 ,$57.60 , N/A ,$57.60 , N/A ,$60.80 , N/A ,$58.88 , N/A ,$58.24 , N/A ,$39.39 ,$41.22 ,$39.39 ,$57.60 ,$57.60 ,$47.76 ,$44.58 , N/A , N/A ,$59.84 , N/A , N/A ,$55.68 , N/A ,$57.60 , N/A ,$57.60 ,$57.60 ,$57.60 ,$62.08 ,$51.84 ,$57.60 ,$57.60 ,$57.60 ,$57.60 
ST. JOSEPH'S - CHIPPEWA FALLS,27000022,N/A,HC TRAY BIOPSY,270,1 ,$52.00 ,$39.00 ,$28.60 ,$52.00 ,$33.49 , N/A ,$36.40 , N/A ,$43.16 , N/A ,$34.32 ,$49.40 , N/A ,$41.60 ,$47.32 , N/A ,$48.88 ,$49.40 ,$46.80 ,$44.20 , N/A , N/A , N/A ,$37.96 , N/A ,$46.28 ,$46.80 ,$46.80 ,$41.60 , N/A ,$28.60 ,$46.80 , N/A ,$46.80 , N/A ,$49.40 , N/A ,$47.84 , N/A ,$47.32 , N/A ,$32.00 ,$33.49 ,$32.00 ,$46.80 ,$46.80 ,$38.81 ,$36.22 , N/A , N/A ,$48.62 , N/A , N/A ,$45.24 , N/A ,$46.80 , N/A ,$46.80 ,$46.80 ,$46.80 ,$50.44 ,$42.12 ,$46.80 ,$46.80 ,$46.80 ,$46.80 
ST. JOSEPH'S - CHIPPEWA FALLS,27100038,N/A,HC CPAP MASK,271,1 ,$65.00 ,$48.75 ,$35.75 ,$65.00 ,$41.86 , N/A ,$45.50 , N/A ,$53.95 , N/A ,$42.90 ,$61.75 , N/A ,$52.00 ,$59.15 , N/A ,$61.10 ,$61.75 ,$58.50 ,$55.25 , N/A , N/A , N/A ,$47.45 , N/A ,$57.85 ,$58.50 ,$58.50 ,$52.00 , N/A ,$35.75 ,$58.50 , N/A ,$58.50 , N/A ,$61.75 , N/A ,$59.80 , N/A ,$59.15 , N/A ,$40.00 ,$41.86 ,$40.00 ,$58.50 ,$58.50 ,$48.51 ,$45.27 , N/A , N/A ,$60.78 , N/A , N/A ,$56.55 , N/A ,$58.50 , N/A ,$58.50 ,$58.50 ,$58.50 ,$63.05 ,$52.65 ,$58.50 ,$58.50 ,$58.50 ,$58.50 
ST. JOSEPH'S - CHIPPEWA FALLS,27100060,N/A,HC HEEL PROTECTOR WEDGE,271,1 ,$124.00 ,$93.00 ,$68.20 ,$124.00 ,$79.86 , N/A ,$86.80 , N/A ,$102.92 , N/A ,$81.84 ,$117.80 , N/A ,$99.20 ,$112.84 , N/A ,$116.56 ,$117.80 ,$111.60 ,$105.40 , N/A , N/A , N/A ,$90.52 , N/A ,$110.36 ,$111.60 ,$111.60 ,$99.20 , N/A ,$68.20 ,$111.60 , N/A ,$111.60 , N/A ,$117.80 , N/A ,$114.08 , N/A ,$112.84 , N/A ,$76.31 ,$79.86 ,$76.31 ,$111.60 ,$111.60 ,$92.54 ,$86.37 , N/A , N/A ,$115.94 , N/A , N/A ,$107.88 , N/A ,$111.60 , N/A ,$111.60 ,$111.60 ,$111.60 ,$120.28 ,$100.44 ,$111.60 ,$111.60 ,$111.60 ,$111.60 
ST. JOSEPH'S - CHIPPEWA FALLS,27100106,N/A,HC OXYGEN DAILY,271,1 ,$157.00 ,$117.75 ,$86.35 ,$157.00 ,$101.11 , N/A ,$109.90 , N/A ,$130.31 , N/A ,$103.62 ,$149.15 , N/A ,$125.60 ,$142.87 , N/A ,$147.58 ,$149.15 ,$141.30 ,$133.45 , N/A , N/A , N/A ,$114.61 , N/A ,$139.73 ,$141.30 ,$141.30 ,$125.60 , N/A ,$86.35 ,$141.30 , N/A ,$141.30 , N/A ,$149.15 , N/A ,$144.44 , N/A ,$142.87 , N/A ,$96.62 ,$101.11 ,$96.62 ,$141.30 ,$141.30 ,$117.17 ,$109.35 , N/A , N/A ,$146.80 , N/A , N/A ,$136.59 , N/A ,$141.30 , N/A ,$141.30 ,$141.30 ,$141.30 ,$152.29 ,$127.17 ,$141.30 ,$141.30 ,$141.30 ,$141.30 
ST. JOSEPH'S - CHIPPEWA FALLS,27100108,N/A,HC OXYGEN HOOD DAILY,271,1 ,$176.00 ,$132.00 ,$96.80 ,$176.00 ,$113.34 , N/A ,$123.20 , N/A ,$146.08 , N/A ,$116.16 ,$167.20 , N/A ,$140.80 ,$160.16 , N/A ,$165.44 ,$167.20 ,$158.40 ,$149.60 , N/A , N/A , N/A ,$128.48 , N/A ,$156.64 ,$158.40 ,$158.40 ,$140.80 , N/A ,$96.80 ,$158.40 , N/A ,$158.40 , N/A ,$167.20 , N/A ,$161.92 , N/A ,$160.16 , N/A ,$108.31 ,$113.34 ,$108.31 ,$158.40 ,$158.40 ,$131.35 ,$122.58 , N/A , N/A ,$164.56 , N/A , N/A ,$153.12 , N/A ,$158.40 , N/A ,$158.40 ,$158.40 ,$158.40 ,$170.72 ,$142.56 ,$158.40 ,$158.40 ,$158.40 ,$158.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27100114,N/A,HC PEAK FLOWMETER,271,1 ,$76.00 ,$57.00 ,$41.80 ,$76.00 ,$48.94 , N/A ,$53.20 , N/A ,$63.08 , N/A ,$50.16 ,$72.20 , N/A ,$60.80 ,$69.16 , N/A ,$71.44 ,$72.20 ,$68.40 ,$64.60 , N/A , N/A , N/A ,$55.48 , N/A ,$67.64 ,$68.40 ,$68.40 ,$60.80 , N/A ,$41.80 ,$68.40 , N/A ,$68.40 , N/A ,$72.20 , N/A ,$69.92 , N/A ,$69.16 , N/A ,$46.77 ,$48.94 ,$46.77 ,$68.40 ,$68.40 ,$56.72 ,$52.93 , N/A , N/A ,$71.06 , N/A , N/A ,$66.12 , N/A ,$68.40 , N/A ,$68.40 ,$68.40 ,$68.40 ,$73.72 ,$61.56 ,$68.40 ,$68.40 ,$68.40 ,$68.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27100185,N/A,HC CANNULA NASAL OXIMIZER,271,1 ,$106.00 ,$79.50 ,$58.30 ,$106.00 ,$68.26 , N/A ,$74.20 , N/A ,$87.98 , N/A ,$69.96 ,$100.70 , N/A ,$84.80 ,$96.46 , N/A ,$99.64 ,$100.70 ,$95.40 ,$90.10 , N/A , N/A , N/A ,$77.38 , N/A ,$94.34 ,$95.40 ,$95.40 ,$84.80 , N/A ,$58.30 ,$95.40 , N/A ,$95.40 , N/A ,$100.70 , N/A ,$97.52 , N/A ,$96.46 , N/A ,$65.23 ,$68.26 ,$65.23 ,$95.40 ,$95.40 ,$79.11 ,$73.83 , N/A , N/A ,$99.11 , N/A , N/A ,$92.22 , N/A ,$95.40 , N/A ,$95.40 ,$95.40 ,$95.40 ,$102.82 ,$85.86 ,$95.40 ,$95.40 ,$95.40 ,$95.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27100186,L3260,HC BOOT/SHOE SURGICAL,274,1 ,$240.00 ,$180.00 ,$132.00 ,$240.00 ,$154.56 , N/A ,$168.00 , N/A ,$199.20 , N/A ,$158.40 ,$228.00 , N/A ,$192.00 ,$218.40 , N/A ,$225.60 ,$228.00 ,$216.00 ,$204.00 , N/A , N/A , N/A ,$175.20 , N/A ,$213.60 ,$216.00 ,$216.00 ,$192.00 , N/A ,$132.00 ,$216.00 , N/A ,$216.00 , N/A ,$228.00 , N/A ,$220.80 , N/A ,$218.40 , N/A ,$147.70 ,$154.56 ,$147.70 ,$216.00 ,$216.00 ,$179.11 , N/A , N/A , N/A ,$224.40 , N/A , N/A ,$208.80 , N/A ,$216.00 , N/A ,$216.00 ,$216.00 ,$216.00 ,$232.80 ,$194.40 ,$216.00 ,$216.00 ,$216.00 ,$216.00 
ST. JOSEPH'S - CHIPPEWA FALLS,27100187,N/A,HC BAG DRAINAGE,271,1 ,$109.00 ,$81.75 ,$59.95 ,$109.00 ,$70.20 , N/A ,$76.30 , N/A ,$90.47 , N/A ,$71.94 ,$103.55 , N/A ,$87.20 ,$99.19 , N/A ,$102.46 ,$103.55 ,$98.10 ,$92.65 , N/A , N/A , N/A ,$79.57 , N/A ,$97.01 ,$98.10 ,$98.10 ,$87.20 , N/A ,$59.95 ,$98.10 , N/A ,$98.10 , N/A ,$103.55 , N/A ,$100.28 , N/A ,$99.19 , N/A ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$98.10 ,$81.35 ,$75.92 , N/A , N/A ,$101.92 , N/A , N/A ,$94.83 , N/A ,$98.10 , N/A ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27100196,N/A,HC SENSOR BIS,271,1 ,$70.00 ,$52.50 ,$38.50 ,$70.00 ,$45.08 , N/A ,$49.00 , N/A ,$58.10 , N/A ,$46.20 ,$66.50 , N/A ,$56.00 ,$63.70 , N/A ,$65.80 ,$66.50 ,$63.00 ,$59.50 , N/A , N/A , N/A ,$51.10 , N/A ,$62.30 ,$63.00 ,$63.00 ,$56.00 , N/A ,$38.50 ,$63.00 , N/A ,$63.00 , N/A ,$66.50 , N/A ,$64.40 , N/A ,$63.70 , N/A ,$43.08 ,$45.08 ,$43.08 ,$63.00 ,$63.00 ,$52.24 ,$48.76 , N/A , N/A ,$65.45 , N/A , N/A ,$60.90 , N/A ,$63.00 , N/A ,$63.00 ,$63.00 ,$63.00 ,$67.90 ,$56.70 ,$63.00 ,$63.00 ,$63.00 ,$63.00 
ST. JOSEPH'S - CHIPPEWA FALLS,27200176,C2618,HC CRYO ABLATION SYSTEM,272,1 ,"$2,818.00 ","$2,113.50 ","$1,549.90 ","$2,818.00 ","$1,814.79 ", N/A ,"$1,972.60 ", N/A ,"$2,338.94 ", N/A ,"$1,859.88 ","$2,677.10 ", N/A ,"$2,254.40 ","$2,564.38 ", N/A ,"$2,648.92 ","$2,677.10 ","$2,536.20 ","$2,395.30 ", N/A , N/A , N/A ,"$2,057.14 ", N/A ,"$2,508.02 ","$2,536.20 ","$2,536.20 ","$2,254.40 ", N/A ,"$1,549.90 ","$2,536.20 ", N/A ,"$2,536.20 ", N/A ,"$2,677.10 ", N/A ,"$2,592.56 ", N/A ,"$2,564.38 ", N/A ,"$1,734.20 ","$1,814.79 ","$1,734.20 ","$2,536.20 ","$2,536.20 ","$2,103.07 ","$1,962.74 ", N/A , N/A ,"$2,634.83 ", N/A , N/A ,"$2,451.66 ", N/A ,"$2,536.20 ", N/A ,"$2,536.20 ","$2,536.20 ","$2,536.20 ","$2,733.46 ","$2,282.58 ","$2,536.20 ","$2,536.20 ","$2,536.20 ","$2,536.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,27200338,N/A,HC BIOPSY DEVICE NEEDLE CORE,272,1 ,$110.00 ,$82.50 ,$60.50 ,$110.00 ,$70.84 , N/A ,$77.00 , N/A ,$91.30 , N/A ,$72.60 ,$104.50 , N/A ,$88.00 ,$100.10 , N/A ,$103.40 ,$104.50 ,$99.00 ,$93.50 , N/A , N/A , N/A ,$80.30 , N/A ,$97.90 ,$99.00 ,$99.00 ,$88.00 , N/A ,$60.50 ,$99.00 , N/A ,$99.00 , N/A ,$104.50 , N/A ,$101.20 , N/A ,$100.10 , N/A ,$67.69 ,$70.84 ,$67.69 ,$99.00 ,$99.00 ,$82.09 ,$76.62 , N/A , N/A ,$102.85 , N/A , N/A ,$95.70 , N/A ,$99.00 , N/A ,$99.00 ,$99.00 ,$99.00 ,$106.70 ,$89.10 ,$99.00 ,$99.00 ,$99.00 ,$99.00 
ST. JOSEPH'S - CHIPPEWA FALLS,27200801,N/A,HC CATH LEG BAG (ALL SIZES),272,1 ,$34.00 ,$25.50 ,$18.70 ,$34.00 ,$21.90 , N/A ,$23.80 , N/A ,$28.22 , N/A ,$22.44 ,$32.30 , N/A ,$27.20 ,$30.94 , N/A ,$31.96 ,$32.30 ,$30.60 ,$28.90 , N/A , N/A , N/A ,$24.82 , N/A ,$30.26 ,$30.60 ,$30.60 ,$27.20 , N/A ,$18.70 ,$30.60 , N/A ,$30.60 , N/A ,$32.30 , N/A ,$31.28 , N/A ,$30.94 , N/A ,$20.92 ,$21.90 ,$20.92 ,$30.60 ,$30.60 ,$25.37 ,$23.68 , N/A , N/A ,$31.79 , N/A , N/A ,$29.58 , N/A ,$30.60 , N/A ,$30.60 ,$30.60 ,$30.60 ,$32.98 ,$27.54 ,$30.60 ,$30.60 ,$30.60 ,$30.60 
ST. JOSEPH'S - CHIPPEWA FALLS,27200846,N/A,HC CATHETER,272,1 ,$246.00 ,$184.50 ,$135.30 ,$246.00 ,$158.42 , N/A ,$172.20 , N/A ,$204.18 , N/A ,$162.36 ,$233.70 , N/A ,$196.80 ,$223.86 , N/A ,$231.24 ,$233.70 ,$221.40 ,$209.10 , N/A , N/A , N/A ,$179.58 , N/A ,$218.94 ,$221.40 ,$221.40 ,$196.80 , N/A ,$135.30 ,$221.40 , N/A ,$221.40 , N/A ,$233.70 , N/A ,$226.32 , N/A ,$223.86 , N/A ,$151.39 ,$158.42 ,$151.39 ,$221.40 ,$221.40 ,$183.59 ,$171.34 , N/A , N/A ,$230.01 , N/A , N/A ,$214.02 , N/A ,$221.40 , N/A ,$221.40 ,$221.40 ,$221.40 ,$238.62 ,$199.26 ,$221.40 ,$221.40 ,$221.40 ,$221.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27201319,N/A,HC FOLEY CATH W/URINE METER,272,1 ,$46.00 ,$34.50 ,$25.30 ,$46.00 ,$29.62 , N/A ,$32.20 , N/A ,$38.18 , N/A ,$30.36 ,$43.70 , N/A ,$36.80 ,$41.86 , N/A ,$43.24 ,$43.70 ,$41.40 ,$39.10 , N/A , N/A , N/A ,$33.58 , N/A ,$40.94 ,$41.40 ,$41.40 ,$36.80 , N/A ,$25.30 ,$41.40 , N/A ,$41.40 , N/A ,$43.70 , N/A ,$42.32 , N/A ,$41.86 , N/A ,$28.31 ,$29.62 ,$28.31 ,$41.40 ,$41.40 ,$34.33 ,$32.04 , N/A , N/A ,$43.01 , N/A , N/A ,$40.02 , N/A ,$41.40 , N/A ,$41.40 ,$41.40 ,$41.40 ,$44.62 ,$37.26 ,$41.40 ,$41.40 ,$41.40 ,$41.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27201521,N/A,HC KIT INTRODUCER,272,1 ,$218.00 ,$163.50 ,$119.90 ,$218.00 ,$140.39 , N/A ,$152.60 , N/A ,$180.94 , N/A ,$143.88 ,$207.10 , N/A ,$174.40 ,$198.38 , N/A ,$204.92 ,$207.10 ,$196.20 ,$185.30 , N/A , N/A , N/A ,$159.14 , N/A ,$194.02 ,$196.20 ,$196.20 ,$174.40 , N/A ,$119.90 ,$196.20 , N/A ,$196.20 , N/A ,$207.10 , N/A ,$200.56 , N/A ,$198.38 , N/A ,$134.16 ,$140.39 ,$134.16 ,$196.20 ,$196.20 ,$162.69 ,$151.84 , N/A , N/A ,$203.83 , N/A , N/A ,$189.66 , N/A ,$196.20 , N/A ,$196.20 ,$196.20 ,$196.20 ,$211.46 ,$176.58 ,$196.20 ,$196.20 ,$196.20 ,$196.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27201637,N/A,HC MAMMOTOME PROBE,272,1 ,$632.00 ,$474.00 ,$347.60 ,$632.00 ,$407.01 , N/A ,$442.40 , N/A ,$524.56 , N/A ,$417.12 ,$600.40 , N/A ,$505.60 ,$575.12 , N/A ,$594.08 ,$600.40 ,$568.80 ,$537.20 , N/A , N/A , N/A ,$461.36 , N/A ,$562.48 ,$568.80 ,$568.80 ,$505.60 , N/A ,$347.60 ,$568.80 , N/A ,$568.80 , N/A ,$600.40 , N/A ,$581.44 , N/A ,$575.12 , N/A ,$388.93 ,$407.01 ,$388.93 ,$568.80 ,$568.80 ,$471.66 ,$440.19 , N/A , N/A ,$590.92 , N/A , N/A ,$549.84 , N/A ,$568.80 , N/A ,$568.80 ,$568.80 ,$568.80 ,$613.04 ,$511.92 ,$568.80 ,$568.80 ,$568.80 ,$568.80 
ST. JOSEPH'S - CHIPPEWA FALLS,27201713,N/A,HC NEEDLE SPINAL,272,1 ,$39.00 ,$29.25 ,$21.45 ,$39.00 ,$25.12 , N/A ,$27.30 , N/A ,$32.37 , N/A ,$25.74 ,$37.05 , N/A ,$31.20 ,$35.49 , N/A ,$36.66 ,$37.05 ,$35.10 ,$33.15 , N/A , N/A , N/A ,$28.47 , N/A ,$34.71 ,$35.10 ,$35.10 ,$31.20 , N/A ,$21.45 ,$35.10 , N/A ,$35.10 , N/A ,$37.05 , N/A ,$35.88 , N/A ,$35.49 , N/A ,$24.00 ,$25.12 ,$24.00 ,$35.10 ,$35.10 ,$29.11 ,$27.16 , N/A , N/A ,$36.47 , N/A , N/A ,$33.93 , N/A ,$35.10 , N/A ,$35.10 ,$35.10 ,$35.10 ,$37.83 ,$31.59 ,$35.10 ,$35.10 ,$35.10 ,$35.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27202693,N/A,HC TIP STRYKER IRRIGATION F/INTERPULSE,272,1 ,$86.00 ,$64.50 ,$47.30 ,$86.00 ,$55.38 , N/A ,$60.20 , N/A ,$71.38 , N/A ,$56.76 ,$81.70 , N/A ,$68.80 ,$78.26 , N/A ,$80.84 ,$81.70 ,$77.40 ,$73.10 , N/A , N/A , N/A ,$62.78 , N/A ,$76.54 ,$77.40 ,$77.40 ,$68.80 , N/A ,$47.30 ,$77.40 , N/A ,$77.40 , N/A ,$81.70 , N/A ,$79.12 , N/A ,$78.26 , N/A ,$52.92 ,$55.38 ,$52.92 ,$77.40 ,$77.40 ,$64.18 ,$59.90 , N/A , N/A ,$80.41 , N/A , N/A ,$74.82 , N/A ,$77.40 , N/A ,$77.40 ,$77.40 ,$77.40 ,$83.42 ,$69.66 ,$77.40 ,$77.40 ,$77.40 ,$77.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27202836,N/A,HC TRAY URETHRAL CATHETER,272,1 ,$43.00 ,$32.25 ,$23.65 ,$43.00 ,$27.69 , N/A ,$30.10 , N/A ,$35.69 , N/A ,$28.38 ,$40.85 , N/A ,$34.40 ,$39.13 , N/A ,$40.42 ,$40.85 ,$38.70 ,$36.55 , N/A , N/A , N/A ,$31.39 , N/A ,$38.27 ,$38.70 ,$38.70 ,$34.40 , N/A ,$23.65 ,$38.70 , N/A ,$38.70 , N/A ,$40.85 , N/A ,$39.56 , N/A ,$39.13 , N/A ,$26.46 ,$27.69 ,$26.46 ,$38.70 ,$38.70 ,$32.09 ,$29.95 , N/A , N/A ,$40.21 , N/A , N/A ,$37.41 , N/A ,$38.70 , N/A ,$38.70 ,$38.70 ,$38.70 ,$41.71 ,$34.83 ,$38.70 ,$38.70 ,$38.70 ,$38.70 
ST. JOSEPH'S - CHIPPEWA FALLS,27202901,N/A,HC TUBES TRACH,278,1 ,$355.00 ,$266.25 ,$195.25 ,$355.00 ,$228.62 , N/A ,$248.50 , N/A ,$294.65 , N/A ,$234.30 ,$337.25 , N/A ,$284.00 ,$323.05 , N/A ,$333.70 ,$337.25 ,$319.50 ,$301.75 , N/A , N/A , N/A ,$259.15 , N/A ,$315.95 ,$319.50 ,$319.50 ,$284.00 , N/A ,$195.25 ,$319.50 , N/A ,$319.50 , N/A ,$337.25 , N/A ,$326.60 , N/A ,$323.05 , N/A ,$218.47 ,$228.62 ,$218.47 ,$319.50 ,$319.50 ,$264.94 , N/A , N/A , N/A ,$331.93 , N/A , N/A ,$308.85 , N/A ,$319.50 , N/A ,$319.50 ,$319.50 ,$319.50 ,$344.35 ,$287.55 ,$319.50 ,$319.50 ,$319.50 ,$319.50 
ST. JOSEPH'S - CHIPPEWA FALLS,27203227,N/A,HC CATH PIGTAIL 14FR X 25CM,272,1 ,$229.00 ,$171.75 ,$125.95 ,$229.00 ,$147.48 , N/A ,$160.30 , N/A ,$190.07 , N/A ,$151.14 ,$217.55 , N/A ,$183.20 ,$208.39 , N/A ,$215.26 ,$217.55 ,$206.10 ,$194.65 , N/A , N/A , N/A ,$167.17 , N/A ,$203.81 ,$206.10 ,$206.10 ,$183.20 , N/A ,$125.95 ,$206.10 , N/A ,$206.10 , N/A ,$217.55 , N/A ,$210.68 , N/A ,$208.39 , N/A ,$140.93 ,$147.48 ,$140.93 ,$206.10 ,$206.10 ,$170.90 ,$159.50 , N/A , N/A ,$214.12 , N/A , N/A ,$199.23 , N/A ,$206.10 , N/A ,$206.10 ,$206.10 ,$206.10 ,$222.13 ,$185.49 ,$206.10 ,$206.10 ,$206.10 ,$206.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27203503,N/A,HC CANNULA NASAL HEATED HI FLOW,272,1 ,$149.00 ,$111.75 ,$81.95 ,$149.00 ,$95.96 , N/A ,$104.30 , N/A ,$123.67 , N/A ,$98.34 ,$141.55 , N/A ,$119.20 ,$135.59 , N/A ,$140.06 ,$141.55 ,$134.10 ,$126.65 , N/A , N/A , N/A ,$108.77 , N/A ,$132.61 ,$134.10 ,$134.10 ,$119.20 , N/A ,$81.95 ,$134.10 , N/A ,$134.10 , N/A ,$141.55 , N/A ,$137.08 , N/A ,$135.59 , N/A ,$91.69 ,$95.96 ,$91.69 ,$134.10 ,$134.10 ,$111.20 ,$103.78 , N/A , N/A ,$139.32 , N/A , N/A ,$129.63 , N/A ,$134.10 , N/A ,$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27203537,N/A,HC CATHETER RADIAL ARTERY,272,1 ,$46.00 ,$34.50 ,$25.30 ,$46.00 ,$29.62 , N/A ,$32.20 , N/A ,$38.18 , N/A ,$30.36 ,$43.70 , N/A ,$36.80 ,$41.86 , N/A ,$43.24 ,$43.70 ,$41.40 ,$39.10 , N/A , N/A , N/A ,$33.58 , N/A ,$40.94 ,$41.40 ,$41.40 ,$36.80 , N/A ,$25.30 ,$41.40 , N/A ,$41.40 , N/A ,$43.70 , N/A ,$42.32 , N/A ,$41.86 , N/A ,$28.31 ,$29.62 ,$28.31 ,$41.40 ,$41.40 ,$34.33 ,$32.04 , N/A , N/A ,$43.01 , N/A , N/A ,$40.02 , N/A ,$41.40 , N/A ,$41.40 ,$41.40 ,$41.40 ,$44.62 ,$37.26 ,$41.40 ,$41.40 ,$41.40 ,$41.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27203551,N/A,HC TRIPLE LUMEN CENTRAL LINE,272,1 ,"$1,422.00 ","$1,066.50 ",$782.10 ,"$1,422.00 ",$915.77 , N/A ,$995.40 , N/A ,"$1,180.26 ", N/A ,$938.52 ,"$1,350.90 ", N/A ,"$1,137.60 ","$1,294.02 ", N/A ,"$1,336.68 ","$1,350.90 ","$1,279.80 ","$1,208.70 ", N/A , N/A , N/A ,"$1,038.06 ", N/A ,"$1,265.58 ","$1,279.80 ","$1,279.80 ","$1,137.60 ", N/A ,$782.10 ,"$1,279.80 ", N/A ,"$1,279.80 ", N/A ,"$1,350.90 ", N/A ,"$1,308.24 ", N/A ,"$1,294.02 ", N/A ,$875.10 ,$915.77 ,$875.10 ,"$1,279.80 ","$1,279.80 ","$1,061.24 ",$990.42 , N/A , N/A ,"$1,329.57 ", N/A , N/A ,"$1,237.14 ", N/A ,"$1,279.80 ", N/A ,"$1,279.80 ","$1,279.80 ","$1,279.80 ","$1,379.34 ","$1,151.82 ","$1,279.80 ","$1,279.80 ","$1,279.80 ","$1,279.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,27203599,N/A,HC TUBE TRACH PEDIATRIC,272,1 ,$152.00 ,$114.00 ,$83.60 ,$152.00 ,$97.89 , N/A ,$106.40 , N/A ,$126.16 , N/A ,$100.32 ,$144.40 , N/A ,$121.60 ,$138.32 , N/A ,$142.88 ,$144.40 ,$136.80 ,$129.20 , N/A , N/A , N/A ,$110.96 , N/A ,$135.28 ,$136.80 ,$136.80 ,$121.60 , N/A ,$83.60 ,$136.80 , N/A ,$136.80 , N/A ,$144.40 , N/A ,$139.84 , N/A ,$138.32 , N/A ,$93.54 ,$97.89 ,$93.54 ,$136.80 ,$136.80 ,$113.44 ,$105.87 , N/A , N/A ,$142.12 , N/A , N/A ,$132.24 , N/A ,$136.80 , N/A ,$136.80 ,$136.80 ,$136.80 ,$147.44 ,$123.12 ,$136.80 ,$136.80 ,$136.80 ,$136.80 
ST. JOSEPH'S - CHIPPEWA FALLS,27203600,N/A,HC SUCTION WET PACK TRACH CARE,272,1 ,$8.00 ,$6.00 ,$4.40 ,$8.00 ,$5.15 , N/A ,$5.60 , N/A ,$6.64 , N/A ,$5.28 ,$7.60 , N/A ,$6.40 ,$7.28 , N/A ,$7.52 ,$7.60 ,$7.20 ,$6.80 , N/A , N/A , N/A ,$5.84 , N/A ,$7.12 ,$7.20 ,$7.20 ,$6.40 , N/A ,$4.40 ,$7.20 , N/A ,$7.20 , N/A ,$7.60 , N/A ,$7.36 , N/A ,$7.28 , N/A ,$4.92 ,$5.15 ,$4.92 ,$7.20 ,$7.20 ,$5.97 ,$5.57 , N/A , N/A ,$7.48 , N/A , N/A ,$6.96 , N/A ,$7.20 , N/A ,$7.20 ,$7.20 ,$7.20 ,$7.76 ,$6.48 ,$7.20 ,$7.20 ,$7.20 ,$7.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27203614,N/A,HC NEEDLE LOCALIZATION,272,1 ,$136.00 ,$102.00 ,$74.80 ,$136.00 ,$87.58 , N/A ,$95.20 , N/A ,$112.88 , N/A ,$89.76 ,$129.20 , N/A ,$108.80 ,$123.76 , N/A ,$127.84 ,$129.20 ,$122.40 ,$115.60 , N/A , N/A , N/A ,$99.28 , N/A ,$121.04 ,$122.40 ,$122.40 ,$108.80 , N/A ,$74.80 ,$122.40 , N/A ,$122.40 , N/A ,$129.20 , N/A ,$125.12 , N/A ,$123.76 , N/A ,$83.69 ,$87.58 ,$83.69 ,$122.40 ,$122.40 ,$101.50 ,$94.72 , N/A , N/A ,$127.16 , N/A , N/A ,$118.32 , N/A ,$122.40 , N/A ,$122.40 ,$122.40 ,$122.40 ,$131.92 ,$110.16 ,$122.40 ,$122.40 ,$122.40 ,$122.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27203636,N/A,HC TRAY MYELOGRAM,272,1 ,$220.00 ,$165.00 ,$121.00 ,$220.00 ,$141.68 , N/A ,$154.00 , N/A ,$182.60 , N/A ,$145.20 ,$209.00 , N/A ,$176.00 ,$200.20 , N/A ,$206.80 ,$209.00 ,$198.00 ,$187.00 , N/A , N/A , N/A ,$160.60 , N/A ,$195.80 ,$198.00 ,$198.00 ,$176.00 , N/A ,$121.00 ,$198.00 , N/A ,$198.00 , N/A ,$209.00 , N/A ,$202.40 , N/A ,$200.20 , N/A ,$135.39 ,$141.68 ,$135.39 ,$198.00 ,$198.00 ,$164.19 ,$153.23 , N/A , N/A ,$205.70 , N/A , N/A ,$191.40 , N/A ,$198.00 , N/A ,$198.00 ,$198.00 ,$198.00 ,$213.40 ,$178.20 ,$198.00 ,$198.00 ,$198.00 ,$198.00 
ST. JOSEPH'S - CHIPPEWA FALLS,27203641,N/A,HC NEEDLE BIOPSY,272,1 ,$103.00 ,$77.25 ,$56.65 ,$103.00 ,$66.33 , N/A ,$72.10 , N/A ,$85.49 , N/A ,$67.98 ,$97.85 , N/A ,$82.40 ,$93.73 , N/A ,$96.82 ,$97.85 ,$92.70 ,$87.55 , N/A , N/A , N/A ,$75.19 , N/A ,$91.67 ,$92.70 ,$92.70 ,$82.40 , N/A ,$56.65 ,$92.70 , N/A ,$92.70 , N/A ,$97.85 , N/A ,$94.76 , N/A ,$93.73 , N/A ,$63.39 ,$66.33 ,$63.39 ,$92.70 ,$92.70 ,$76.87 ,$71.74 , N/A , N/A ,$96.31 , N/A , N/A ,$89.61 , N/A ,$92.70 , N/A ,$92.70 ,$92.70 ,$92.70 ,$99.91 ,$83.43 ,$92.70 ,$92.70 ,$92.70 ,$92.70 
ST. JOSEPH'S - CHIPPEWA FALLS,27203657,C1769,HC GUIDEWIRE,272,1 ,$63.00 ,$47.25 ,$34.65 ,$63.00 ,$40.57 , N/A ,$44.10 , N/A ,$52.29 , N/A ,$41.58 ,$59.85 , N/A ,$50.40 ,$57.33 , N/A ,$59.22 ,$59.85 ,$56.70 ,$53.55 , N/A , N/A , N/A ,$45.99 , N/A ,$56.07 ,$56.70 ,$56.70 ,$50.40 , N/A ,$34.65 ,$56.70 , N/A ,$56.70 , N/A ,$59.85 , N/A ,$57.96 , N/A ,$57.33 , N/A ,$38.77 ,$40.57 ,$38.77 ,$56.70 ,$56.70 ,$47.02 ,$43.88 , N/A , N/A ,$58.91 , N/A , N/A ,$54.81 , N/A ,$56.70 , N/A ,$56.70 ,$56.70 ,$56.70 ,$61.11 ,$51.03 ,$56.70 ,$56.70 ,$56.70 ,$56.70 
ST. JOSEPH'S - CHIPPEWA FALLS,27203689,N/A,HC COVER PROBE,272,1 ,$79.00 ,$59.25 ,$43.45 ,$79.00 ,$50.88 , N/A ,$55.30 , N/A ,$65.57 , N/A ,$52.14 ,$75.05 , N/A ,$63.20 ,$71.89 , N/A ,$74.26 ,$75.05 ,$71.10 ,$67.15 , N/A , N/A , N/A ,$57.67 , N/A ,$70.31 ,$71.10 ,$71.10 ,$63.20 , N/A ,$43.45 ,$71.10 , N/A ,$71.10 , N/A ,$75.05 , N/A ,$72.68 , N/A ,$71.89 , N/A ,$48.62 ,$50.88 ,$48.62 ,$71.10 ,$71.10 ,$58.96 ,$55.02 , N/A , N/A ,$73.87 , N/A , N/A ,$68.73 , N/A ,$71.10 , N/A ,$71.10 ,$71.10 ,$71.10 ,$76.63 ,$63.99 ,$71.10 ,$71.10 ,$71.10 ,$71.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27203691,N/A,HC TUBE GASTROSTOMY,272,1 ,$206.00 ,$154.50 ,$113.30 ,$206.00 ,$132.66 , N/A ,$144.20 , N/A ,$170.98 , N/A ,$135.96 ,$195.70 , N/A ,$164.80 ,$187.46 , N/A ,$193.64 ,$195.70 ,$185.40 ,$175.10 , N/A , N/A , N/A ,$150.38 , N/A ,$183.34 ,$185.40 ,$185.40 ,$164.80 , N/A ,$113.30 ,$185.40 , N/A ,$185.40 , N/A ,$195.70 , N/A ,$189.52 , N/A ,$187.46 , N/A ,$126.77 ,$132.66 ,$126.77 ,$185.40 ,$185.40 ,$153.74 ,$143.48 , N/A , N/A ,$192.61 , N/A , N/A ,$179.22 , N/A ,$185.40 , N/A ,$185.40 ,$185.40 ,$185.40 ,$199.82 ,$166.86 ,$185.40 ,$185.40 ,$185.40 ,$185.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27203702,N/A,HC TRAY CATHETER PICC,272,1 ,$175.00 ,$131.25 ,$96.25 ,$175.00 ,$112.70 , N/A ,$122.50 , N/A ,$145.25 , N/A ,$115.50 ,$166.25 , N/A ,$140.00 ,$159.25 , N/A ,$164.50 ,$166.25 ,$157.50 ,$148.75 , N/A , N/A , N/A ,$127.75 , N/A ,$155.75 ,$157.50 ,$157.50 ,$140.00 , N/A ,$96.25 ,$157.50 , N/A ,$157.50 , N/A ,$166.25 , N/A ,$161.00 , N/A ,$159.25 , N/A ,$107.70 ,$112.70 ,$107.70 ,$157.50 ,$157.50 ,$130.60 ,$121.89 , N/A , N/A ,$163.63 , N/A , N/A ,$152.25 , N/A ,$157.50 , N/A ,$157.50 ,$157.50 ,$157.50 ,$169.75 ,$141.75 ,$157.50 ,$157.50 ,$157.50 ,$157.50 
ST. JOSEPH'S - CHIPPEWA FALLS,27203703,C1751,HC CATHETER PICC,272,1 ,$642.00 ,$481.50 ,$353.10 ,$642.00 ,$413.45 , N/A ,$449.40 , N/A ,$532.86 , N/A ,$423.72 ,$609.90 , N/A ,$513.60 ,$584.22 , N/A ,$603.48 ,$609.90 ,$577.80 ,$545.70 , N/A , N/A , N/A ,$468.66 , N/A ,$571.38 ,$577.80 ,$577.80 ,$513.60 , N/A ,$353.10 ,$577.80 , N/A ,$577.80 , N/A ,$609.90 , N/A ,$590.64 , N/A ,$584.22 , N/A ,$395.09 ,$413.45 ,$395.09 ,$577.80 ,$577.80 ,$479.12 ,$447.15 , N/A , N/A ,$600.27 , N/A , N/A ,$558.54 , N/A ,$577.80 , N/A ,$577.80 ,$577.80 ,$577.80 ,$622.74 ,$520.02 ,$577.80 ,$577.80 ,$577.80 ,$577.80 
ST. JOSEPH'S - CHIPPEWA FALLS,27203715,N/A,HC DILATOR NYLON,272,1 ,$98.00 ,$73.50 ,$53.90 ,$98.00 ,$63.11 , N/A ,$68.60 , N/A ,$81.34 , N/A ,$64.68 ,$93.10 , N/A ,$78.40 ,$89.18 , N/A ,$92.12 ,$93.10 ,$88.20 ,$83.30 , N/A , N/A , N/A ,$71.54 , N/A ,$87.22 ,$88.20 ,$88.20 ,$78.40 , N/A ,$53.90 ,$88.20 , N/A ,$88.20 , N/A ,$93.10 , N/A ,$90.16 , N/A ,$89.18 , N/A ,$60.31 ,$63.11 ,$60.31 ,$88.20 ,$88.20 ,$73.14 ,$68.26 , N/A , N/A ,$91.63 , N/A , N/A ,$85.26 , N/A ,$88.20 , N/A ,$88.20 ,$88.20 ,$88.20 ,$95.06 ,$79.38 ,$88.20 ,$88.20 ,$88.20 ,$88.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27203716,N/A,HC SET BLOOD COMPONENT,272,1 ,$38.00 ,$28.50 ,$20.90 ,$38.00 ,$24.47 , N/A ,$26.60 , N/A ,$31.54 , N/A ,$25.08 ,$36.10 , N/A ,$30.40 ,$34.58 , N/A ,$35.72 ,$36.10 ,$34.20 ,$32.30 , N/A , N/A , N/A ,$27.74 , N/A ,$33.82 ,$34.20 ,$34.20 ,$30.40 , N/A ,$20.90 ,$34.20 , N/A ,$34.20 , N/A ,$36.10 , N/A ,$34.96 , N/A ,$34.58 , N/A ,$23.39 ,$24.47 ,$23.39 ,$34.20 ,$34.20 ,$28.36 ,$26.47 , N/A , N/A ,$35.53 , N/A , N/A ,$33.06 , N/A ,$34.20 , N/A ,$34.20 ,$34.20 ,$34.20 ,$36.86 ,$30.78 ,$34.20 ,$34.20 ,$34.20 ,$34.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27203718,N/A,HC TRAY CENTESIS PROCEDURE,272,1 ,$79.00 ,$59.25 ,$43.45 ,$79.00 ,$50.88 , N/A ,$55.30 , N/A ,$65.57 , N/A ,$52.14 ,$75.05 , N/A ,$63.20 ,$71.89 , N/A ,$74.26 ,$75.05 ,$71.10 ,$67.15 , N/A , N/A , N/A ,$57.67 , N/A ,$70.31 ,$71.10 ,$71.10 ,$63.20 , N/A ,$43.45 ,$71.10 , N/A ,$71.10 , N/A ,$75.05 , N/A ,$72.68 , N/A ,$71.89 , N/A ,$48.62 ,$50.88 ,$48.62 ,$71.10 ,$71.10 ,$58.96 ,$55.02 , N/A , N/A ,$73.87 , N/A , N/A ,$68.73 , N/A ,$71.10 , N/A ,$71.10 ,$71.10 ,$71.10 ,$76.63 ,$63.99 ,$71.10 ,$71.10 ,$71.10 ,$71.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27203719,C1729,HC CATHETER CENTESIS ONE STEP,272,1 ,$61.00 ,$45.75 ,$33.55 ,$61.00 ,$39.28 , N/A ,$42.70 , N/A ,$50.63 , N/A ,$40.26 ,$57.95 , N/A ,$48.80 ,$55.51 , N/A ,$57.34 ,$57.95 ,$54.90 ,$51.85 , N/A , N/A , N/A ,$44.53 , N/A ,$54.29 ,$54.90 ,$54.90 ,$48.80 , N/A ,$33.55 ,$54.90 , N/A ,$54.90 , N/A ,$57.95 , N/A ,$56.12 , N/A ,$55.51 , N/A ,$37.54 ,$39.28 ,$37.54 ,$54.90 ,$54.90 ,$45.52 ,$42.49 , N/A , N/A ,$57.04 , N/A , N/A ,$53.07 , N/A ,$54.90 , N/A ,$54.90 ,$54.90 ,$54.90 ,$59.17 ,$49.41 ,$54.90 ,$54.90 ,$54.90 ,$54.90 
ST. JOSEPH'S - CHIPPEWA FALLS,27203720,N/A,HC MARKER BREAST CORE MARK,272,1 ,$197.00 ,$147.75 ,$108.35 ,$197.00 ,$126.87 , N/A ,$137.90 , N/A ,$163.51 , N/A ,$130.02 ,$187.15 , N/A ,$157.60 ,$179.27 , N/A ,$185.18 ,$187.15 ,$177.30 ,$167.45 , N/A , N/A , N/A ,$143.81 , N/A ,$175.33 ,$177.30 ,$177.30 ,$157.60 , N/A ,$108.35 ,$177.30 , N/A ,$177.30 , N/A ,$187.15 , N/A ,$181.24 , N/A ,$179.27 , N/A ,$121.23 ,$126.87 ,$121.23 ,$177.30 ,$177.30 ,$147.02 ,$137.21 , N/A , N/A ,$184.20 , N/A , N/A ,$171.39 , N/A ,$177.30 , N/A ,$177.30 ,$177.30 ,$177.30 ,$191.09 ,$159.57 ,$177.30 ,$177.30 ,$177.30 ,$177.30 
ST. JOSEPH'S - CHIPPEWA FALLS,27203722,N/A,HC CONTAINER TRANSPORT NEEDLE SPECIMEN,272,1 ,$68.00 ,$51.00 ,$37.40 ,$68.00 ,$43.79 , N/A ,$47.60 , N/A ,$56.44 , N/A ,$44.88 ,$64.60 , N/A ,$54.40 ,$61.88 , N/A ,$63.92 ,$64.60 ,$61.20 ,$57.80 , N/A , N/A , N/A ,$49.64 , N/A ,$60.52 ,$61.20 ,$61.20 ,$54.40 , N/A ,$37.40 ,$61.20 , N/A ,$61.20 , N/A ,$64.60 , N/A ,$62.56 , N/A ,$61.88 , N/A ,$41.85 ,$43.79 ,$41.85 ,$61.20 ,$61.20 ,$50.75 ,$47.36 , N/A , N/A ,$63.58 , N/A , N/A ,$59.16 , N/A ,$61.20 , N/A ,$61.20 ,$61.20 ,$61.20 ,$65.96 ,$55.08 ,$61.20 ,$61.20 ,$61.20 ,$61.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27203723,N/A,HC CUP BIOPSY ADDITIONAL,272,1 ,$168.00 ,$126.00 ,$92.40 ,$168.00 ,$108.19 , N/A ,$117.60 , N/A ,$139.44 , N/A ,$110.88 ,$159.60 , N/A ,$134.40 ,$152.88 , N/A ,$157.92 ,$159.60 ,$151.20 ,$142.80 , N/A , N/A , N/A ,$122.64 , N/A ,$149.52 ,$151.20 ,$151.20 ,$134.40 , N/A ,$92.40 ,$151.20 , N/A ,$151.20 , N/A ,$159.60 , N/A ,$154.56 , N/A ,$152.88 , N/A ,$103.39 ,$108.19 ,$103.39 ,$151.20 ,$151.20 ,$125.38 ,$117.01 , N/A , N/A ,$157.08 , N/A , N/A ,$146.16 , N/A ,$151.20 , N/A ,$151.20 ,$151.20 ,$151.20 ,$162.96 ,$136.08 ,$151.20 ,$151.20 ,$151.20 ,$151.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27203724,N/A,HC NEEDLE ELECTRODE COACCESS,272,1 ,"$2,517.00 ","$1,887.75 ","$1,384.35 ","$2,517.00 ","$1,620.95 ", N/A ,"$1,761.90 ", N/A ,"$2,089.11 ", N/A ,"$1,661.22 ","$2,391.15 ", N/A ,"$2,013.60 ","$2,290.47 ", N/A ,"$2,365.98 ","$2,391.15 ","$2,265.30 ","$2,139.45 ", N/A , N/A , N/A ,"$1,837.41 ", N/A ,"$2,240.13 ","$2,265.30 ","$2,265.30 ","$2,013.60 ", N/A ,"$1,384.35 ","$2,265.30 ", N/A ,"$2,265.30 ", N/A ,"$2,391.15 ", N/A ,"$2,315.64 ", N/A ,"$2,290.47 ", N/A ,"$1,548.96 ","$1,620.95 ","$1,548.96 ","$2,265.30 ","$2,265.30 ","$1,878.44 ","$1,753.09 ", N/A , N/A ,"$2,353.40 ", N/A , N/A ,"$2,189.79 ", N/A ,"$2,265.30 ", N/A ,"$2,265.30 ","$2,265.30 ","$2,265.30 ","$2,441.49 ","$2,038.77 ","$2,265.30 ","$2,265.30 ","$2,265.30 ","$2,265.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,27203725,N/A,HC NEEDLE ELECTRODE NON COACCESS,272,1 ,"$1,462.00 ","$1,096.50 ",$804.10 ,"$1,462.00 ",$941.53 , N/A ,"$1,023.40 ", N/A ,"$1,213.46 ", N/A ,$964.92 ,"$1,388.90 ", N/A ,"$1,169.60 ","$1,330.42 ", N/A ,"$1,374.28 ","$1,388.90 ","$1,315.80 ","$1,242.70 ", N/A , N/A , N/A ,"$1,067.26 ", N/A ,"$1,301.18 ","$1,315.80 ","$1,315.80 ","$1,169.60 ", N/A ,$804.10 ,"$1,315.80 ", N/A ,"$1,315.80 ", N/A ,"$1,388.90 ", N/A ,"$1,345.04 ", N/A ,"$1,330.42 ", N/A ,$899.71 ,$941.53 ,$899.71 ,"$1,315.80 ","$1,315.80 ","$1,091.09 ","$1,018.28 ", N/A , N/A ,"$1,366.97 ", N/A , N/A ,"$1,271.94 ", N/A ,"$1,315.80 ", N/A ,"$1,315.80 ","$1,315.80 ","$1,315.80 ","$1,418.14 ","$1,184.22 ","$1,315.80 ","$1,315.80 ","$1,315.80 ","$1,315.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,27203739,N/A,HC GLIDEWIRE,272,1 ,$124.00 ,$93.00 ,$68.20 ,$124.00 ,$79.86 , N/A ,$86.80 , N/A ,$102.92 , N/A ,$81.84 ,$117.80 , N/A ,$99.20 ,$112.84 , N/A ,$116.56 ,$117.80 ,$111.60 ,$105.40 , N/A , N/A , N/A ,$90.52 , N/A ,$110.36 ,$111.60 ,$111.60 ,$99.20 , N/A ,$68.20 ,$111.60 , N/A ,$111.60 , N/A ,$117.80 , N/A ,$114.08 , N/A ,$112.84 , N/A ,$76.31 ,$79.86 ,$76.31 ,$111.60 ,$111.60 ,$92.54 ,$86.37 , N/A , N/A ,$115.94 , N/A , N/A ,$107.88 , N/A ,$111.60 , N/A ,$111.60 ,$111.60 ,$111.60 ,$120.28 ,$100.44 ,$111.60 ,$111.60 ,$111.60 ,$111.60 
ST. JOSEPH'S - CHIPPEWA FALLS,27205022,N/A,HC SITZ MARKER,272,1 ,$207.00 ,$155.25 ,$113.85 ,$207.00 ,$133.31 , N/A ,$144.90 , N/A ,$171.81 , N/A ,$136.62 ,$196.65 , N/A ,$165.60 ,$188.37 , N/A ,$194.58 ,$196.65 ,$186.30 ,$175.95 , N/A , N/A , N/A ,$151.11 , N/A ,$184.23 ,$186.30 ,$186.30 ,$165.60 , N/A ,$113.85 ,$186.30 , N/A ,$186.30 , N/A ,$196.65 , N/A ,$190.44 , N/A ,$188.37 , N/A ,$127.39 ,$133.31 ,$127.39 ,$186.30 ,$186.30 ,$154.48 ,$144.18 , N/A , N/A ,$193.55 , N/A , N/A ,$180.09 , N/A ,$186.30 , N/A ,$186.30 ,$186.30 ,$186.30 ,$200.79 ,$167.67 ,$186.30 ,$186.30 ,$186.30 ,$186.30 
ST. JOSEPH'S - CHIPPEWA FALLS,27205366,N/A,HC SENSOR NASAL PULSE OX ALAR,272,1 ,$59.00 ,$44.25 ,$32.45 ,$59.00 ,$38.00 , N/A ,$41.30 , N/A ,$48.97 , N/A ,$38.94 ,$56.05 , N/A ,$47.20 ,$53.69 , N/A ,$55.46 ,$56.05 ,$53.10 ,$50.15 , N/A , N/A , N/A ,$43.07 , N/A ,$52.51 ,$53.10 ,$53.10 ,$47.20 , N/A ,$32.45 ,$53.10 , N/A ,$53.10 , N/A ,$56.05 , N/A ,$54.28 , N/A ,$53.69 , N/A ,$36.31 ,$38.00 ,$36.31 ,$53.10 ,$53.10 ,$44.03 ,$41.09 , N/A , N/A ,$55.17 , N/A , N/A ,$51.33 , N/A ,$53.10 , N/A ,$53.10 ,$53.10 ,$53.10 ,$57.23 ,$47.79 ,$53.10 ,$53.10 ,$53.10 ,$53.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27205457,N/A,HC CATH GI FOOD IMPACTION,272,1 ,$776.00 ,$582.00 ,$426.80 ,$776.00 ,$499.74 , N/A ,$543.20 , N/A ,$644.08 , N/A ,$512.16 ,$737.20 , N/A ,$620.80 ,$706.16 , N/A ,$729.44 ,$737.20 ,$698.40 ,$659.60 , N/A , N/A , N/A ,$566.48 , N/A ,$690.64 ,$698.40 ,$698.40 ,$620.80 , N/A ,$426.80 ,$698.40 , N/A ,$698.40 , N/A ,$737.20 , N/A ,$713.92 , N/A ,$706.16 , N/A ,$477.55 ,$499.74 ,$477.55 ,$698.40 ,$698.40 ,$579.13 ,$540.48 , N/A , N/A ,$725.56 , N/A , N/A ,$675.12 , N/A ,$698.40 , N/A ,$698.40 ,$698.40 ,$698.40 ,$752.72 ,$628.56 ,$698.40 ,$698.40 ,$698.40 ,$698.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27205458,N/A,HC SNARE XL RND LOOP STIFF,272,1 ,$47.00 ,$35.25 ,$25.85 ,$47.00 ,$30.27 , N/A ,$32.90 , N/A ,$39.01 , N/A ,$31.02 ,$44.65 , N/A ,$37.60 ,$42.77 , N/A ,$44.18 ,$44.65 ,$42.30 ,$39.95 , N/A , N/A , N/A ,$34.31 , N/A ,$41.83 ,$42.30 ,$42.30 ,$37.60 , N/A ,$25.85 ,$42.30 , N/A ,$42.30 , N/A ,$44.65 , N/A ,$43.24 , N/A ,$42.77 , N/A ,$28.92 ,$30.27 ,$28.92 ,$42.30 ,$42.30 ,$35.08 ,$32.74 , N/A , N/A ,$43.95 , N/A , N/A ,$40.89 , N/A ,$42.30 , N/A ,$42.30 ,$42.30 ,$42.30 ,$45.59 ,$38.07 ,$42.30 ,$42.30 ,$42.30 ,$42.30 
ST. JOSEPH'S - CHIPPEWA FALLS,27205487,N/A,HC BOTTLE DRAINAGE SAFETY VAC,272,1 ,$49.00 ,$36.75 ,$26.95 ,$49.00 ,$31.56 , N/A ,$34.30 , N/A ,$40.67 , N/A ,$32.34 ,$46.55 , N/A ,$39.20 ,$44.59 , N/A ,$46.06 ,$46.55 ,$44.10 ,$41.65 , N/A , N/A , N/A ,$35.77 , N/A ,$43.61 ,$44.10 ,$44.10 ,$39.20 , N/A ,$26.95 ,$44.10 , N/A ,$44.10 , N/A ,$46.55 , N/A ,$45.08 , N/A ,$44.59 , N/A ,$30.15 ,$31.56 ,$30.15 ,$44.10 ,$44.10 ,$36.57 ,$34.13 , N/A , N/A ,$45.82 , N/A , N/A ,$42.63 , N/A ,$44.10 , N/A ,$44.10 ,$44.10 ,$44.10 ,$47.53 ,$39.69 ,$44.10 ,$44.10 ,$44.10 ,$44.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27205492,N/A,HC PERCUTANEOUS TENOTOMY SUPPLY KIT,272,1 ,"$2,500.00 ","$1,875.00 ","$1,375.00 ","$2,500.00 ","$1,610.00 ", N/A ,"$1,750.00 ", N/A ,"$2,075.00 ", N/A ,"$1,650.00 ","$2,375.00 ", N/A ,"$2,000.00 ","$2,275.00 ", N/A ,"$2,350.00 ","$2,375.00 ","$2,250.00 ","$2,125.00 ", N/A , N/A , N/A ,"$1,825.00 ", N/A ,"$2,225.00 ","$2,250.00 ","$2,250.00 ","$2,000.00 ", N/A ,"$1,375.00 ","$2,250.00 ", N/A ,"$2,250.00 ", N/A ,"$2,375.00 ", N/A ,"$2,300.00 ", N/A ,"$2,275.00 ", N/A ,"$1,538.50 ","$1,610.00 ","$1,538.50 ","$2,250.00 ","$2,250.00 ","$1,865.75 ","$1,741.25 ", N/A , N/A ,"$2,337.50 ", N/A , N/A ,"$2,175.00 ", N/A ,"$2,250.00 ", N/A ,"$2,250.00 ","$2,250.00 ","$2,250.00 ","$2,425.00 ","$2,025.00 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$2,250.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,27271729,C1729,HC CATHETER DRAINAGE,272,1 ,$189.00 ,$141.75 ,$103.95 ,$189.00 ,$121.72 , N/A ,$132.30 , N/A ,$156.87 , N/A ,$124.74 ,$179.55 , N/A ,$151.20 ,$171.99 , N/A ,$177.66 ,$179.55 ,$170.10 ,$160.65 , N/A , N/A , N/A ,$137.97 , N/A ,$168.21 ,$170.10 ,$170.10 ,$151.20 , N/A ,$103.95 ,$170.10 , N/A ,$170.10 , N/A ,$179.55 , N/A ,$173.88 , N/A ,$171.99 , N/A ,$116.31 ,$121.72 ,$116.31 ,$170.10 ,$170.10 ,$141.05 ,$131.64 , N/A , N/A ,$176.72 , N/A , N/A ,$164.43 , N/A ,$170.10 , N/A ,$170.10 ,$170.10 ,$170.10 ,$183.33 ,$153.09 ,$170.10 ,$170.10 ,$170.10 ,$170.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27271752,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT-TERM,272,1 ,$231.00 ,$173.25 ,$127.05 ,$231.00 ,$148.76 , N/A ,$161.70 , N/A ,$191.73 , N/A ,$152.46 ,$219.45 , N/A ,$184.80 ,$210.21 , N/A ,$217.14 ,$219.45 ,$207.90 ,$196.35 , N/A , N/A , N/A ,$168.63 , N/A ,$205.59 ,$207.90 ,$207.90 ,$184.80 , N/A ,$127.05 ,$207.90 , N/A ,$207.90 , N/A ,$219.45 , N/A ,$212.52 , N/A ,$210.21 , N/A ,$142.16 ,$148.76 ,$142.16 ,$207.90 ,$207.90 ,$172.40 ,$160.89 , N/A , N/A ,$215.99 , N/A , N/A ,$200.97 , N/A ,$207.90 , N/A ,$207.90 ,$207.90 ,$207.90 ,$224.07 ,$187.11 ,$207.90 ,$207.90 ,$207.90 ,$207.90 
ST. JOSEPH'S - CHIPPEWA FALLS,27282051,N/A,HC FETAL PILLOW,272,1 ,"$1,863.00 ","$1,397.25 ","$1,024.65 ","$1,863.00 ","$1,199.77 ", N/A ,"$1,304.10 ", N/A ,"$1,546.29 ", N/A ,"$1,229.58 ","$1,769.85 ", N/A ,"$1,490.40 ","$1,695.33 ", N/A ,"$1,751.22 ","$1,769.85 ","$1,676.70 ","$1,583.55 ", N/A , N/A , N/A ,"$1,359.99 ", N/A ,"$1,658.07 ","$1,676.70 ","$1,676.70 ","$1,490.40 ", N/A ,"$1,024.65 ","$1,676.70 ", N/A ,"$1,676.70 ", N/A ,"$1,769.85 ", N/A ,"$1,713.96 ", N/A ,"$1,695.33 ", N/A ,"$1,146.49 ","$1,199.77 ","$1,146.49 ","$1,676.70 ","$1,676.70 ","$1,390.36 ","$1,297.58 ", N/A , N/A ,"$1,741.91 ", N/A , N/A ,"$1,620.81 ", N/A ,"$1,676.70 ", N/A ,"$1,676.70 ","$1,676.70 ","$1,676.70 ","$1,807.11 ","$1,509.03 ","$1,676.70 ","$1,676.70 ","$1,676.70 ","$1,676.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400093,L8501,HC VALVE TRACH,274,1 ,$288.00 ,$216.00 ,$158.40 ,$358.13 ,$185.47 ,$159.17 ,$201.60 , N/A ,$239.04 , N/A ,$190.08 ,$273.60 , N/A ,$230.40 ,$262.08 , N/A ,$270.72 ,$273.60 ,$259.20 ,$244.80 , N/A , N/A , N/A ,$210.24 ,$159.17 ,$256.32 ,$259.20 ,$259.20 ,$230.40 ,$163.94 ,$158.40 ,$259.20 ,$159.17 ,$259.20 ,$159.17 ,$273.60 ,$358.13 ,$264.96 , N/A ,$262.08 ,$159.17 ,$177.24 ,$185.47 ,$177.24 ,$259.20 ,$259.20 ,$214.93 , N/A ,$160.76 , N/A ,$269.28 ,$167.13 , N/A ,$250.56 ,$159.17 ,$259.20 ,$159.17 ,$259.20 ,$259.20 ,$259.20 ,$279.36 ,$233.28 ,$259.20 ,$259.20 ,$259.20 ,$259.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27400094,L0172,HC COLLAR CERVICAL FOAM PREFAB,274,1 ,$427.00 ,$320.25 ,$204.94 ,$461.11 ,$274.99 ,$204.94 ,$298.90 , N/A ,$354.41 , N/A ,$281.82 ,$405.65 , N/A ,$341.60 ,$388.57 , N/A ,$401.38 ,$405.65 ,$384.30 ,$362.95 , N/A , N/A , N/A ,$311.71 ,$204.94 ,$380.03 ,$384.30 ,$384.30 ,$341.60 ,$211.08 ,$234.85 ,$384.30 ,$204.94 ,$384.30 ,$204.94 ,$405.65 ,$461.11 ,$392.84 , N/A ,$388.57 ,$204.94 ,$262.78 ,$274.99 ,$262.78 ,$384.30 ,$384.30 ,$318.67 , N/A ,$206.99 , N/A ,$399.25 ,$215.19 , N/A ,$371.49 ,$204.94 ,$384.30 ,$204.94 ,$384.30 ,$384.30 ,$384.30 ,$414.19 ,$345.87 ,$384.30 ,$384.30 ,$384.30 ,$384.30 
ST. JOSEPH'S - CHIPPEWA FALLS,27400095,L0472,HC BRACE BACK JEWITT,274,1 ,"$1,240.00 ",$930.00 ,$589.71 ,"$1,326.85 ",$798.56 ,$589.71 ,$868.00 , N/A ,"$1,029.20 ", N/A ,$818.40 ,"$1,178.00 ", N/A ,$992.00 ,"$1,128.40 ", N/A ,"$1,165.60 ","$1,178.00 ","$1,116.00 ","$1,054.00 ", N/A , N/A , N/A ,$905.20 ,$589.71 ,"$1,103.60 ","$1,116.00 ","$1,116.00 ",$992.00 ,$607.40 ,$682.00 ,"$1,116.00 ",$589.71 ,"$1,116.00 ",$589.71 ,"$1,178.00 ","$1,326.85 ","$1,140.80 ", N/A ,"$1,128.40 ",$589.71 ,$763.10 ,$798.56 ,$763.10 ,"$1,116.00 ","$1,116.00 ",$925.41 , N/A ,$595.61 , N/A ,"$1,159.40 ",$619.20 , N/A ,"$1,078.80 ",$589.71 ,"$1,116.00 ",$589.71 ,"$1,116.00 ","$1,116.00 ","$1,116.00 ","$1,202.80 ","$1,004.40 ","$1,116.00 ","$1,116.00 ","$1,116.00 ","$1,116.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400096,L0484,HC TLSO TRIPLANAR CONTROL CUSTOM,274,1 ,"$2,837.00 ","$2,127.75 ","$1,560.35 ","$4,736.86 ","$1,827.03 ","$2,105.27 ","$1,985.90 ", N/A ,"$2,354.71 ", N/A ,"$1,872.42 ","$2,695.15 ", N/A ,"$2,269.60 ","$2,581.67 ", N/A ,"$2,666.78 ","$2,695.15 ","$2,553.30 ","$2,411.45 ", N/A , N/A , N/A ,"$2,071.01 ","$2,105.27 ","$2,524.93 ","$2,553.30 ","$2,553.30 ","$2,269.60 ","$2,168.43 ","$1,560.35 ","$2,553.30 ","$2,105.27 ","$2,553.30 ","$2,105.27 ","$2,695.15 ","$4,736.86 ","$2,610.04 ", N/A ,"$2,581.67 ","$2,105.27 ","$1,745.89 ","$1,827.03 ","$1,745.89 ","$2,553.30 ","$2,553.30 ","$2,117.25 ", N/A ,"$2,126.32 ", N/A ,"$2,652.60 ","$2,210.53 ", N/A ,"$2,468.19 ","$2,105.27 ","$2,553.30 ","$2,105.27 ","$2,553.30 ","$2,553.30 ","$2,553.30 ","$2,751.89 ","$2,297.97 ","$2,553.30 ","$2,553.30 ","$2,553.30 ","$2,553.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400097,L0627,HC ORTHOSIS LUMBAR SAGITTAL PREFAB,274,1 ,"$1,258.00 ",$943.50 ,$598.50 ,"$1,346.63 ",$810.15 ,$598.50 ,$880.60 , N/A ,"$1,044.14 ", N/A ,$830.28 ,"$1,195.10 ", N/A ,"$1,006.40 ","$1,144.78 ", N/A ,"$1,182.52 ","$1,195.10 ","$1,132.20 ","$1,069.30 ", N/A , N/A , N/A ,$918.34 ,$598.50 ,"$1,119.62 ","$1,132.20 ","$1,132.20 ","$1,006.40 ",$616.46 ,$691.90 ,"$1,132.20 ",$598.50 ,"$1,132.20 ",$598.50 ,"$1,195.10 ","$1,346.63 ","$1,157.36 ", N/A ,"$1,144.78 ",$598.50 ,$774.17 ,$810.15 ,$774.17 ,"$1,132.20 ","$1,132.20 ",$938.85 , N/A ,$604.49 , N/A ,"$1,176.23 ",$628.43 , N/A ,"$1,094.46 ",$598.50 ,"$1,132.20 ",$598.50 ,"$1,132.20 ","$1,132.20 ","$1,132.20 ","$1,220.26 ","$1,018.98 ","$1,132.20 ","$1,132.20 ","$1,132.20 ","$1,132.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400098,L0637,HC ORTHOSIS L/S CUSTOM,274,1 ,"$1,983.00 ","$1,487.25 ","$1,090.65 ","$3,352.57 ","$1,277.05 ","$1,490.03 ","$1,388.10 ", N/A ,"$1,645.89 ", N/A ,"$1,308.78 ","$1,883.85 ", N/A ,"$1,586.40 ","$1,804.53 ", N/A ,"$1,864.02 ","$1,883.85 ","$1,784.70 ","$1,685.55 ", N/A , N/A , N/A ,"$1,447.59 ","$1,490.03 ","$1,764.87 ","$1,784.70 ","$1,784.70 ","$1,586.40 ","$1,534.73 ","$1,090.65 ","$1,784.70 ","$1,490.03 ","$1,784.70 ","$1,490.03 ","$1,883.85 ","$3,352.57 ","$1,824.36 ", N/A ,"$1,804.53 ","$1,490.03 ","$1,220.34 ","$1,277.05 ","$1,220.34 ","$1,784.70 ","$1,784.70 ","$1,479.91 ", N/A ,"$1,504.93 ", N/A ,"$1,854.11 ","$1,564.53 ", N/A ,"$1,725.21 ","$1,490.03 ","$1,784.70 ","$1,490.03 ","$1,784.70 ","$1,784.70 ","$1,784.70 ","$1,923.51 ","$1,606.23 ","$1,784.70 ","$1,784.70 ","$1,784.70 ","$1,784.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400099,L0650,HC ORTHOSIS L/S PREFAB,274,1 ,"$1,983.00 ","$1,487.25 ","$1,090.65 ","$2,507.08 ","$1,277.05 ","$1,114.26 ","$1,388.10 ", N/A ,"$1,645.89 ", N/A ,"$1,308.78 ","$1,883.85 ", N/A ,"$1,586.40 ","$1,804.53 ", N/A ,"$1,864.02 ","$1,883.85 ","$1,784.70 ","$1,685.55 ", N/A , N/A , N/A ,"$1,447.59 ","$1,114.26 ","$1,764.87 ","$1,784.70 ","$1,784.70 ","$1,586.40 ","$1,147.68 ","$1,090.65 ","$1,784.70 ","$1,114.26 ","$1,784.70 ","$1,114.26 ","$1,883.85 ","$2,507.08 ","$1,824.36 ", N/A ,"$1,804.53 ","$1,114.26 ","$1,220.34 ","$1,277.05 ","$1,220.34 ","$1,784.70 ","$1,784.70 ","$1,479.91 ", N/A ,"$1,125.40 ", N/A ,"$1,854.11 ","$1,169.97 ", N/A ,"$1,725.21 ","$1,114.26 ","$1,784.70 ","$1,114.26 ","$1,784.70 ","$1,784.70 ","$1,784.70 ","$1,923.51 ","$1,606.23 ","$1,784.70 ","$1,784.70 ","$1,784.70 ","$1,784.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400100,L0810,HC HALO VEST,274,1 ,"$4,031.00 ","$3,023.25 ","$2,217.05 ","$6,889.91 ","$2,595.96 ","$3,062.18 ","$2,821.70 ", N/A ,"$3,345.73 ", N/A ,"$2,660.46 ","$3,829.45 ", N/A ,"$3,224.80 ","$3,668.21 ", N/A ,"$3,789.14 ","$3,829.45 ","$3,627.90 ","$3,426.35 ", N/A , N/A , N/A ,"$2,942.63 ","$3,062.18 ","$3,587.59 ","$3,627.90 ","$3,627.90 ","$3,224.80 ","$3,154.05 ","$2,217.05 ","$3,627.90 ","$3,062.18 ","$3,627.90 ","$3,062.18 ","$3,829.45 ","$6,889.91 ","$3,708.52 ", N/A ,"$3,668.21 ","$3,062.18 ","$2,480.68 ","$2,595.96 ","$2,480.68 ","$3,627.90 ","$3,627.90 ","$3,008.34 ", N/A ,"$3,092.81 ", N/A ,"$3,768.99 ","$3,215.29 ", N/A ,"$3,506.97 ","$3,062.18 ","$3,627.90 ","$3,062.18 ","$3,627.90 ","$3,627.90 ","$3,627.90 ","$3,910.07 ","$3,265.11 ","$3,627.90 ","$3,627.90 ","$3,627.90 ","$3,627.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400101,L0859,HC HALO MRI COMPATIBLE SYSTEM,274,1 ,"$1,718.00 ","$1,288.50 ",$944.90 ,"$2,936.27 ","$1,106.39 ","$1,305.01 ","$1,202.60 ", N/A ,"$1,425.94 ", N/A ,"$1,133.88 ","$1,632.10 ", N/A ,"$1,374.40 ","$1,563.38 ", N/A ,"$1,614.92 ","$1,632.10 ","$1,546.20 ","$1,460.30 ", N/A , N/A , N/A ,"$1,254.14 ","$1,305.01 ","$1,529.02 ","$1,546.20 ","$1,546.20 ","$1,374.40 ","$1,344.16 ",$944.90 ,"$1,546.20 ","$1,305.01 ","$1,546.20 ","$1,305.01 ","$1,632.10 ","$2,936.27 ","$1,580.56 ", N/A ,"$1,563.38 ","$1,305.01 ","$1,057.26 ","$1,106.39 ","$1,057.26 ","$1,546.20 ","$1,546.20 ","$1,282.14 ", N/A ,"$1,318.06 ", N/A ,"$1,606.33 ","$1,370.26 ", N/A ,"$1,494.66 ","$1,305.01 ","$1,546.20 ","$1,305.01 ","$1,546.20 ","$1,546.20 ","$1,546.20 ","$1,666.46 ","$1,391.58 ","$1,546.20 ","$1,546.20 ","$1,546.20 ","$1,546.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400102,L1686,HC ORTHOSIS HIP ABDUCTION CONTROL,274,1 ,"$1,434.00 ","$1,075.50 ",$788.70 ,"$2,424.73 ",$923.50 ,"$1,077.66 ","$1,003.80 ", N/A ,"$1,190.22 ", N/A ,$946.44 ,"$1,362.30 ", N/A ,"$1,147.20 ","$1,304.94 ", N/A ,"$1,347.96 ","$1,362.30 ","$1,290.60 ","$1,218.90 ", N/A , N/A , N/A ,"$1,046.82 ","$1,077.66 ","$1,276.26 ","$1,290.60 ","$1,290.60 ","$1,147.20 ","$1,109.99 ",$788.70 ,"$1,290.60 ","$1,077.66 ","$1,290.60 ","$1,077.66 ","$1,362.30 ","$2,424.73 ","$1,319.28 ", N/A ,"$1,304.94 ","$1,077.66 ",$882.48 ,$923.50 ,$882.48 ,"$1,290.60 ","$1,290.60 ","$1,070.19 ", N/A ,"$1,088.43 ", N/A ,"$1,340.79 ","$1,131.54 ", N/A ,"$1,247.58 ","$1,077.66 ","$1,290.60 ","$1,077.66 ","$1,290.60 ","$1,290.60 ","$1,290.60 ","$1,390.98 ","$1,161.54 ","$1,290.60 ","$1,290.60 ","$1,290.60 ","$1,290.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400103,L1820,HC ORTHOSIS KNEE PREFAB,274,1 ,$429.00 ,$321.75 ,$205.75 ,$462.94 ,$276.28 ,$205.75 ,$300.30 , N/A ,$356.07 , N/A ,$283.14 ,$407.55 , N/A ,$343.20 ,$390.39 , N/A ,$403.26 ,$407.55 ,$386.10 ,$364.65 , N/A , N/A , N/A ,$313.17 ,$205.75 ,$381.81 ,$386.10 ,$386.10 ,$343.20 ,$211.92 ,$235.95 ,$386.10 ,$205.75 ,$386.10 ,$205.75 ,$407.55 ,$462.94 ,$394.68 , N/A ,$390.39 ,$205.75 ,$264.01 ,$276.28 ,$264.01 ,$386.10 ,$386.10 ,$320.16 , N/A ,$207.81 , N/A ,$401.12 ,$216.04 , N/A ,$373.23 ,$205.75 ,$386.10 ,$205.75 ,$386.10 ,$386.10 ,$386.10 ,$416.13 ,$347.49 ,$386.10 ,$386.10 ,$386.10 ,$386.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27400104,L1830,HC KNEE IMMOBILIZER,274,1 ,$183.00 ,$137.25 ,$94.28 ,$212.13 ,$117.85 ,$94.28 ,$128.10 , N/A ,$151.89 , N/A ,$120.78 ,$173.85 , N/A ,$146.40 ,$166.53 , N/A ,$172.02 ,$173.85 ,$164.70 ,$155.55 , N/A , N/A , N/A ,$133.59 ,$94.28 ,$162.87 ,$164.70 ,$164.70 ,$146.40 ,$97.11 ,$100.65 ,$164.70 ,$94.28 ,$164.70 ,$94.28 ,$173.85 ,$212.13 ,$168.36 , N/A ,$166.53 ,$94.28 ,$112.62 ,$117.85 ,$112.62 ,$164.70 ,$164.70 ,$136.57 , N/A ,$95.22 , N/A ,$171.11 ,$98.99 , N/A ,$159.21 ,$94.28 ,$164.70 ,$94.28 ,$164.70 ,$164.70 ,$164.70 ,$177.51 ,$148.23 ,$164.70 ,$164.70 ,$164.70 ,$164.70 
ST. JOSEPH'S - CHIPPEWA FALLS,27400105,L1831,HC ORTHOSIS KNEE LOCKING PREFAB,274,1 ,$888.00 ,$666.00 ,$426.01 ,$958.52 ,$571.87 ,$426.01 ,$621.60 , N/A ,$737.04 , N/A ,$586.08 ,$843.60 , N/A ,$710.40 ,$808.08 , N/A ,$834.72 ,$843.60 ,$799.20 ,$754.80 , N/A , N/A , N/A ,$648.24 ,$426.01 ,$790.32 ,$799.20 ,$799.20 ,$710.40 ,$438.79 ,$488.40 ,$799.20 ,$426.01 ,$799.20 ,$426.01 ,$843.60 ,$958.52 ,$816.96 , N/A ,$808.08 ,$426.01 ,$546.48 ,$571.87 ,$546.48 ,$799.20 ,$799.20 ,$662.71 , N/A ,$430.27 , N/A ,$830.28 ,$447.31 , N/A ,$772.56 ,$426.01 ,$799.20 ,$426.01 ,$799.20 ,$799.20 ,$799.20 ,$861.36 ,$719.28 ,$799.20 ,$799.20 ,$799.20 ,$799.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27400106,L1832,HC ORTHOSIS KNEE PREFAB,274,1 ,"$1,406.00 ","$1,054.50 ",$773.30 ,"$1,940.76 ",$905.46 ,$862.56 ,$984.20 , N/A ,"$1,166.98 ", N/A ,$927.96 ,"$1,335.70 ", N/A ,"$1,124.80 ","$1,279.46 ", N/A ,"$1,321.64 ","$1,335.70 ","$1,265.40 ","$1,195.10 ", N/A , N/A , N/A ,"$1,026.38 ",$862.56 ,"$1,251.34 ","$1,265.40 ","$1,265.40 ","$1,124.80 ",$888.44 ,$773.30 ,"$1,265.40 ",$862.56 ,"$1,265.40 ",$862.56 ,"$1,335.70 ","$1,940.76 ","$1,293.52 ", N/A ,"$1,279.46 ",$862.56 ,$865.25 ,$905.46 ,$865.25 ,"$1,265.40 ","$1,265.40 ","$1,049.30 ", N/A ,$871.19 , N/A ,"$1,314.61 ",$905.69 , N/A ,"$1,223.22 ",$862.56 ,"$1,265.40 ",$862.56 ,"$1,265.40 ","$1,265.40 ","$1,265.40 ","$1,363.82 ","$1,138.86 ","$1,265.40 ","$1,265.40 ","$1,265.40 ","$1,265.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400107,L1845,HC ORTHOSIS KNEE/THIGH/CALF PREFAB,274,1 ,"$1,685.00 ","$1,263.75 ",$926.75 ,"$2,349.02 ","$1,085.14 ","$1,044.01 ","$1,179.50 ", N/A ,"$1,398.55 ", N/A ,"$1,112.10 ","$1,600.75 ", N/A ,"$1,348.00 ","$1,533.35 ", N/A ,"$1,583.90 ","$1,600.75 ","$1,516.50 ","$1,432.25 ", N/A , N/A , N/A ,"$1,230.05 ","$1,044.01 ","$1,499.65 ","$1,516.50 ","$1,516.50 ","$1,348.00 ","$1,075.33 ",$926.75 ,"$1,516.50 ","$1,044.01 ","$1,516.50 ","$1,044.01 ","$1,600.75 ","$2,349.02 ","$1,550.20 ", N/A ,"$1,533.35 ","$1,044.01 ","$1,036.95 ","$1,085.14 ","$1,036.95 ","$1,516.50 ","$1,516.50 ","$1,257.52 ", N/A ,"$1,054.45 ", N/A ,"$1,575.48 ","$1,096.21 ", N/A ,"$1,465.95 ","$1,044.01 ","$1,516.50 ","$1,044.01 ","$1,516.50 ","$1,516.50 ","$1,516.50 ","$1,634.45 ","$1,364.85 ","$1,516.50 ","$1,516.50 ","$1,516.50 ","$1,516.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,27400108,L2620,HC PELVIC CONTROL HIP,274,1 ,$766.00 ,$574.50 ,$364.21 ,$819.47 ,$493.30 ,$364.21 ,$536.20 , N/A ,$635.78 , N/A ,$505.56 ,$727.70 , N/A ,$612.80 ,$697.06 , N/A ,$720.04 ,$727.70 ,$689.40 ,$651.10 , N/A , N/A , N/A ,$559.18 ,$364.21 ,$681.74 ,$689.40 ,$689.40 ,$612.80 ,$375.13 ,$421.30 ,$689.40 ,$364.21 ,$689.40 ,$364.21 ,$727.70 ,$819.47 ,$704.72 , N/A ,$697.06 ,$364.21 ,$471.40 ,$493.30 ,$471.40 ,$689.40 ,$689.40 ,$571.67 , N/A ,$367.85 , N/A ,$716.21 ,$382.42 , N/A ,$666.42 ,$364.21 ,$689.40 ,$364.21 ,$689.40 ,$689.40 ,$689.40 ,$743.02 ,$620.46 ,$689.40 ,$689.40 ,$689.40 ,$689.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27400109,L3702,HC ORTHOSIS ELBOW W/O JOINTS CUSTOM,274,1 ,$670.00 ,$502.50 ,$355.81 ,$800.57 ,$431.48 ,$355.81 ,$469.00 , N/A ,$556.10 , N/A ,$442.20 ,$636.50 , N/A ,$536.00 ,$609.70 , N/A ,$629.80 ,$636.50 ,$603.00 ,$569.50 , N/A , N/A , N/A ,$489.10 ,$355.81 ,$596.30 ,$603.00 ,$603.00 ,$536.00 ,$366.48 ,$368.50 ,$603.00 ,$355.81 ,$603.00 ,$355.81 ,$636.50 ,$800.57 ,$616.40 , N/A ,$609.70 ,$355.81 ,$412.32 ,$431.48 ,$412.32 ,$603.00 ,$603.00 ,$500.02 , N/A ,$359.37 , N/A ,$626.45 ,$373.60 , N/A ,$582.90 ,$355.81 ,$603.00 ,$355.81 ,$603.00 ,$603.00 ,$603.00 ,$649.90 ,$542.70 ,$603.00 ,$603.00 ,$603.00 ,$603.00 
ST. JOSEPH'S - CHIPPEWA FALLS,27400111,L3905,HC ORTHOSIS WHO W/NONTORSION JOINTS CUSTOM,274,1 ,$754.00 ,$565.50 ,$414.70 ,"$2,053.21 ",$485.58 ,$912.54 ,$527.80 , N/A ,$625.82 , N/A ,$497.64 ,$716.30 , N/A ,$603.20 ,$686.14 , N/A ,$708.76 ,$716.30 ,$678.60 ,$640.90 , N/A , N/A , N/A ,$550.42 ,$912.54 ,$671.06 ,$678.60 ,$678.60 ,$603.20 ,$939.91 ,$414.70 ,$678.60 ,$912.54 ,$678.60 ,$912.54 ,$716.30 ,"$2,053.21 ",$693.68 , N/A ,$686.14 ,$912.54 ,$464.01 ,$485.58 ,$464.01 ,$678.60 ,$678.60 ,$562.71 , N/A ,$921.66 , N/A ,$704.99 ,$958.17 , N/A ,$655.98 ,$912.54 ,$678.60 ,$912.54 ,$678.60 ,$678.60 ,$678.60 ,$731.38 ,$610.74 ,$678.60 ,$678.60 ,$678.60 ,$678.60 
ST. JOSEPH'S - CHIPPEWA FALLS,27400112,L3906,HC ORTHOSIS WHO GAUNTLET MOLDED CUSTOM,274,1 ,$504.00 ,$378.00 ,$277.20 ,"$1,102.64 ",$324.58 ,$490.06 ,$352.80 , N/A ,$418.32 , N/A ,$332.64 ,$478.80 , N/A ,$403.20 ,$458.64 , N/A ,$473.76 ,$478.80 ,$453.60 ,$428.40 , N/A , N/A , N/A ,$367.92 ,$490.06 ,$448.56 ,$453.60 ,$453.60 ,$403.20 ,$504.77 ,$277.20 ,$453.60 ,$490.06 ,$453.60 ,$490.06 ,$478.80 ,"$1,102.64 ",$463.68 , N/A ,$458.64 ,$490.06 ,$310.16 ,$324.58 ,$310.16 ,$453.60 ,$453.60 ,$376.14 , N/A ,$494.96 , N/A ,$471.24 ,$514.56 , N/A ,$438.48 ,$490.06 ,$453.60 ,$490.06 ,$453.60 ,$453.60 ,$453.60 ,$488.88 ,$408.24 ,$453.60 ,$453.60 ,$453.60 ,$453.60 
ST. JOSEPH'S - CHIPPEWA FALLS,27400114,L3913,HC ORTHOSIS HFO KNUCKLE BENDER W/OUTRG CUSTOM,274,1 ,$504.00 ,$378.00 ,$277.20 ,$694.85 ,$324.58 ,$308.82 ,$352.80 , N/A ,$418.32 , N/A ,$332.64 ,$478.80 , N/A ,$403.20 ,$458.64 , N/A ,$473.76 ,$478.80 ,$453.60 ,$428.40 , N/A , N/A , N/A ,$367.92 ,$308.82 ,$448.56 ,$453.60 ,$453.60 ,$403.20 ,$318.09 ,$277.20 ,$453.60 ,$308.82 ,$453.60 ,$308.82 ,$478.80 ,$694.85 ,$463.68 , N/A ,$458.64 ,$308.82 ,$310.16 ,$324.58 ,$310.16 ,$453.60 ,$453.60 ,$376.14 , N/A ,$311.91 , N/A ,$471.24 ,$324.26 , N/A ,$438.48 ,$308.82 ,$453.60 ,$308.82 ,$453.60 ,$453.60 ,$453.60 ,$488.88 ,$408.24 ,$453.60 ,$453.60 ,$453.60 ,$453.60 
ST. JOSEPH'S - CHIPPEWA FALLS,27400115,L3980,HC ORTHOSIS HUMERAL FRACTURE,274,1 ,"$1,078.00 ",$808.50 ,$512.76 ,"$1,153.71 ",$694.23 ,$512.76 ,$754.60 , N/A ,$894.74 , N/A ,$711.48 ,"$1,024.10 ", N/A ,$862.40 ,$980.98 , N/A ,"$1,013.32 ","$1,024.10 ",$970.20 ,$916.30 , N/A , N/A , N/A ,$786.94 ,$512.76 ,$959.42 ,$970.20 ,$970.20 ,$862.40 ,$528.14 ,$592.90 ,$970.20 ,$512.76 ,$970.20 ,$512.76 ,"$1,024.10 ","$1,153.71 ",$991.76 , N/A ,$980.98 ,$512.76 ,$663.40 ,$694.23 ,$663.40 ,$970.20 ,$970.20 ,$804.51 , N/A ,$517.89 , N/A ,"$1,007.93 ",$538.40 , N/A ,$937.86 ,$512.76 ,$970.20 ,$512.76 ,$970.20 ,$970.20 ,$970.20 ,"$1,045.66 ",$873.18 ,$970.20 ,$970.20 ,$970.20 ,$970.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27400116,L4210,HC PADS COLLAR CERVICAL,274,1 ,$214.00 ,$160.50 ,$117.70 ,$214.00 ,$137.82 , N/A ,$149.80 , N/A ,$177.62 , N/A ,$141.24 ,$203.30 , N/A ,$171.20 ,$194.74 , N/A ,$201.16 ,$203.30 ,$192.60 ,$181.90 , N/A , N/A , N/A ,$156.22 , N/A ,$190.46 ,$192.60 ,$192.60 ,$171.20 , N/A ,$117.70 ,$192.60 , N/A ,$192.60 , N/A ,$203.30 , N/A ,$196.88 , N/A ,$194.74 , N/A ,$131.70 ,$137.82 ,$131.70 ,$192.60 ,$192.60 ,$159.71 , N/A , N/A , N/A ,$200.09 , N/A , N/A ,$186.18 , N/A ,$192.60 , N/A ,$192.60 ,$192.60 ,$192.60 ,$207.58 ,$173.34 ,$192.60 ,$192.60 ,$192.60 ,$192.60 
ST. JOSEPH'S - CHIPPEWA FALLS,27400117,L8460,HC PROSTHETIC SHRINKER ABOVE KNEE,274,1 ,$203.00 ,$152.25 ,$96.64 ,$217.44 ,$130.73 ,$96.64 ,$142.10 , N/A ,$168.49 , N/A ,$133.98 ,$192.85 , N/A ,$162.40 ,$184.73 , N/A ,$190.82 ,$192.85 ,$182.70 ,$172.55 , N/A , N/A , N/A ,$148.19 ,$96.64 ,$180.67 ,$182.70 ,$182.70 ,$162.40 ,$99.54 ,$111.65 ,$182.70 ,$96.64 ,$182.70 ,$96.64 ,$192.85 ,$217.44 ,$186.76 , N/A ,$184.73 ,$96.64 ,$124.93 ,$130.73 ,$124.93 ,$182.70 ,$182.70 ,$151.50 , N/A ,$97.61 , N/A ,$189.81 ,$101.47 , N/A ,$176.61 ,$96.64 ,$182.70 ,$96.64 ,$182.70 ,$182.70 ,$182.70 ,$196.91 ,$164.43 ,$182.70 ,$182.70 ,$182.70 ,$182.70 
ST. JOSEPH'S - CHIPPEWA FALLS,27801450,C1751,HC PICC,278,1 ,$642.00 ,$481.50 ,$353.10 ,$642.00 ,$413.45 , N/A ,$449.40 , N/A ,$532.86 , N/A ,$423.72 ,$609.90 , N/A ,$513.60 ,$584.22 , N/A ,$603.48 ,$609.90 ,$577.80 ,$545.70 , N/A , N/A , N/A ,$468.66 , N/A ,$571.38 ,$577.80 ,$577.80 ,$513.60 , N/A ,$353.10 ,$577.80 , N/A ,$577.80 , N/A ,$609.90 , N/A ,$590.64 , N/A ,$584.22 , N/A ,$395.09 ,$413.45 ,$395.09 ,$577.80 ,$577.80 ,$479.12 , N/A , N/A , N/A ,$600.27 , N/A , N/A ,$558.54 , N/A ,$577.80 , N/A ,$577.80 ,$577.80 ,$577.80 ,$622.74 ,$520.02 ,$577.80 ,$577.80 ,$577.80 ,$577.80 
ST. JOSEPH'S - CHIPPEWA FALLS,27801471,C1713,HC ANCHOR SUTURE,278,1 ,$316.00 ,$237.00 ,$173.80 ,$316.00 ,$203.50 , N/A ,$221.20 , N/A ,$262.28 , N/A ,$208.56 ,$300.20 , N/A ,$252.80 ,$287.56 , N/A ,$297.04 ,$300.20 ,$284.40 ,$268.60 , N/A , N/A , N/A ,$230.68 , N/A ,$281.24 ,$284.40 ,$284.40 ,$252.80 , N/A ,$173.80 ,$284.40 , N/A ,$284.40 , N/A ,$300.20 , N/A ,$290.72 , N/A ,$287.56 , N/A ,$194.47 ,$203.50 ,$194.47 ,$284.40 ,$284.40 ,$235.83 , N/A , N/A , N/A ,$295.46 , N/A , N/A ,$274.92 , N/A ,$284.40 , N/A ,$284.40 ,$284.40 ,$284.40 ,$306.52 ,$255.96 ,$284.40 ,$284.40 ,$284.40 ,$284.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27801481,N/A,HC TUBE FEEDING,278,1 ,$9.00 ,$6.75 ,$4.95 ,$9.00 ,$5.80 , N/A ,$6.30 , N/A ,$7.47 , N/A ,$5.94 ,$8.55 , N/A ,$7.20 ,$8.19 , N/A ,$8.46 ,$8.55 ,$8.10 ,$7.65 , N/A , N/A , N/A ,$6.57 , N/A ,$8.01 ,$8.10 ,$8.10 ,$7.20 , N/A ,$4.95 ,$8.10 , N/A ,$8.10 , N/A ,$8.55 , N/A ,$8.28 , N/A ,$8.19 , N/A ,$5.54 ,$5.80 ,$5.54 ,$8.10 ,$8.10 ,$6.72 , N/A , N/A , N/A ,$8.42 , N/A , N/A ,$7.83 , N/A ,$8.10 , N/A ,$8.10 ,$8.10 ,$8.10 ,$8.73 ,$7.29 ,$8.10 ,$8.10 ,$8.10 ,$8.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27801498,C1713,HC BONE CANCELLOUS CHIPS TIER 1,278,1 ,"$1,043.00 ",$782.25 ,$573.65 ,"$1,043.00 ",$671.69 , N/A ,$730.10 , N/A ,$865.69 , N/A ,$688.38 ,$990.85 , N/A ,$834.40 ,$949.13 , N/A ,$980.42 ,$990.85 ,$938.70 ,$886.55 , N/A , N/A , N/A ,$761.39 , N/A ,$928.27 ,$938.70 ,$938.70 ,$834.40 , N/A ,$573.65 ,$938.70 , N/A ,$938.70 , N/A ,$990.85 , N/A ,$959.56 , N/A ,$949.13 , N/A ,$641.86 ,$671.69 ,$641.86 ,$938.70 ,$938.70 ,$778.39 , N/A , N/A , N/A ,$975.21 , N/A , N/A ,$907.41 , N/A ,$938.70 , N/A ,$938.70 ,$938.70 ,$938.70 ,"$1,011.71 ",$844.83 ,$938.70 ,$938.70 ,$938.70 ,$938.70 
ST. JOSEPH'S - CHIPPEWA FALLS,27801499,C1713,HC BONE CANCELLOUS CHIPS TIER 2,278,1 ,"$1,845.00 ","$1,383.75 ","$1,014.75 ","$1,845.00 ","$1,188.18 ", N/A ,"$1,291.50 ", N/A ,"$1,531.35 ", N/A ,"$1,217.70 ","$1,752.75 ", N/A ,"$1,476.00 ","$1,678.95 ", N/A ,"$1,734.30 ","$1,752.75 ","$1,660.50 ","$1,568.25 ", N/A , N/A , N/A ,"$1,346.85 ", N/A ,"$1,642.05 ","$1,660.50 ","$1,660.50 ","$1,476.00 ", N/A ,"$1,014.75 ","$1,660.50 ", N/A ,"$1,660.50 ", N/A ,"$1,752.75 ", N/A ,"$1,697.40 ", N/A ,"$1,678.95 ", N/A ,"$1,135.41 ","$1,188.18 ","$1,135.41 ","$1,660.50 ","$1,660.50 ","$1,376.92 ", N/A , N/A , N/A ,"$1,725.08 ", N/A , N/A ,"$1,605.15 ", N/A ,"$1,660.50 ", N/A ,"$1,660.50 ","$1,660.50 ","$1,660.50 ","$1,789.65 ","$1,494.45 ","$1,660.50 ","$1,660.50 ","$1,660.50 ","$1,660.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801502,C1713,HC BONE FRAGMENT FEMUR HEAD,278,1 ,"$5,831.00 ","$4,373.25 ","$3,207.05 ","$5,831.00 ","$3,755.16 ", N/A ,"$4,081.70 ", N/A ,"$4,839.73 ", N/A ,"$3,848.46 ","$5,539.45 ", N/A ,"$4,664.80 ","$5,306.21 ", N/A ,"$5,481.14 ","$5,539.45 ","$5,247.90 ","$4,956.35 ", N/A , N/A , N/A ,"$4,256.63 ", N/A ,"$5,189.59 ","$5,247.90 ","$5,247.90 ","$4,664.80 ", N/A ,"$3,207.05 ","$5,247.90 ", N/A ,"$5,247.90 ", N/A ,"$5,539.45 ", N/A ,"$5,364.52 ", N/A ,"$5,306.21 ", N/A ,"$3,588.40 ","$3,755.16 ","$3,588.40 ","$5,247.90 ","$5,247.90 ","$4,351.68 ", N/A , N/A , N/A ,"$5,451.99 ", N/A , N/A ,"$5,072.97 ", N/A ,"$5,247.90 ", N/A ,"$5,247.90 ","$5,247.90 ","$5,247.90 ","$5,656.07 ","$4,723.11 ","$5,247.90 ","$5,247.90 ","$5,247.90 ","$5,247.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801508,C1713,HC GRAFT BONE INFUSE X-SMALL,278,1 ,"$1,818.00 ","$1,363.50 ",$999.90 ,"$1,818.00 ","$1,170.79 ", N/A ,"$1,272.60 ", N/A ,"$1,508.94 ", N/A ,"$1,199.88 ","$1,727.10 ", N/A ,"$1,454.40 ","$1,654.38 ", N/A ,"$1,708.92 ","$1,727.10 ","$1,636.20 ","$1,545.30 ", N/A , N/A , N/A ,"$1,327.14 ", N/A ,"$1,618.02 ","$1,636.20 ","$1,636.20 ","$1,454.40 ", N/A ,$999.90 ,"$1,636.20 ", N/A ,"$1,636.20 ", N/A ,"$1,727.10 ", N/A ,"$1,672.56 ", N/A ,"$1,654.38 ", N/A ,"$1,118.80 ","$1,170.79 ","$1,118.80 ","$1,636.20 ","$1,636.20 ","$1,356.77 ", N/A , N/A , N/A ,"$1,699.83 ", N/A , N/A ,"$1,581.66 ", N/A ,"$1,636.20 ", N/A ,"$1,636.20 ","$1,636.20 ","$1,636.20 ","$1,763.46 ","$1,472.58 ","$1,636.20 ","$1,636.20 ","$1,636.20 ","$1,636.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801509,C1713,HC GRAFT BONE INFUSE XX-SMALL,278,1 ,"$3,582.00 ","$2,686.50 ","$1,970.10 ","$3,582.00 ","$2,306.81 ", N/A ,"$2,507.40 ", N/A ,"$2,973.06 ", N/A ,"$2,364.12 ","$3,402.90 ", N/A ,"$2,865.60 ","$3,259.62 ", N/A ,"$3,367.08 ","$3,402.90 ","$3,223.80 ","$3,044.70 ", N/A , N/A , N/A ,"$2,614.86 ", N/A ,"$3,187.98 ","$3,223.80 ","$3,223.80 ","$2,865.60 ", N/A ,"$1,970.10 ","$3,223.80 ", N/A ,"$3,223.80 ", N/A ,"$3,402.90 ", N/A ,"$3,295.44 ", N/A ,"$3,259.62 ", N/A ,"$2,204.36 ","$2,306.81 ","$2,204.36 ","$3,223.80 ","$3,223.80 ","$2,673.25 ", N/A , N/A , N/A ,"$3,349.17 ", N/A , N/A ,"$3,116.34 ", N/A ,"$3,223.80 ", N/A ,"$3,223.80 ","$3,223.80 ","$3,223.80 ","$3,474.54 ","$2,901.42 ","$3,223.80 ","$3,223.80 ","$3,223.80 ","$3,223.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801510,C1713,HC BONE MATRIX ALPHAGRAFT 2.5CC,278,1 ,$838.00 ,$628.50 ,$460.90 ,$838.00 ,$539.67 , N/A ,$586.60 , N/A ,$695.54 , N/A ,$553.08 ,$796.10 , N/A ,$670.40 ,$762.58 , N/A ,$787.72 ,$796.10 ,$754.20 ,$712.30 , N/A , N/A , N/A ,$611.74 , N/A ,$745.82 ,$754.20 ,$754.20 ,$670.40 , N/A ,$460.90 ,$754.20 , N/A ,$754.20 , N/A ,$796.10 , N/A ,$770.96 , N/A ,$762.58 , N/A ,$515.71 ,$539.67 ,$515.71 ,$754.20 ,$754.20 ,$625.40 , N/A , N/A , N/A ,$783.53 , N/A , N/A ,$729.06 , N/A ,$754.20 , N/A ,$754.20 ,$754.20 ,$754.20 ,$812.86 ,$678.78 ,$754.20 ,$754.20 ,$754.20 ,$754.20 
ST. JOSEPH'S - CHIPPEWA FALLS,27801512,C1713,HC BONE MATRIX ALPHAGRAFT 10CC,278,1 ,"$1,679.00 ","$1,259.25 ",$923.45 ,"$1,679.00 ","$1,081.28 ", N/A ,"$1,175.30 ", N/A ,"$1,393.57 ", N/A ,"$1,108.14 ","$1,595.05 ", N/A ,"$1,343.20 ","$1,527.89 ", N/A ,"$1,578.26 ","$1,595.05 ","$1,511.10 ","$1,427.15 ", N/A , N/A , N/A ,"$1,225.67 ", N/A ,"$1,494.31 ","$1,511.10 ","$1,511.10 ","$1,343.20 ", N/A ,$923.45 ,"$1,511.10 ", N/A ,"$1,511.10 ", N/A ,"$1,595.05 ", N/A ,"$1,544.68 ", N/A ,"$1,527.89 ", N/A ,"$1,033.26 ","$1,081.28 ","$1,033.26 ","$1,511.10 ","$1,511.10 ","$1,253.04 ", N/A , N/A , N/A ,"$1,569.87 ", N/A , N/A ,"$1,460.73 ", N/A ,"$1,511.10 ", N/A ,"$1,511.10 ","$1,511.10 ","$1,511.10 ","$1,628.63 ","$1,359.99 ","$1,511.10 ","$1,511.10 ","$1,511.10 ","$1,511.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801519,N/A,HC GRAFT TISSUE ILIAC CREST,278,1 ,"$3,368.00 ","$2,526.00 ","$1,852.40 ","$3,368.00 ","$2,168.99 ", N/A ,"$2,357.60 ", N/A ,"$2,795.44 ", N/A ,"$2,222.88 ","$3,199.60 ", N/A ,"$2,694.40 ","$3,064.88 ", N/A ,"$3,165.92 ","$3,199.60 ","$3,031.20 ","$2,862.80 ", N/A , N/A , N/A ,"$2,458.64 ", N/A ,"$2,997.52 ","$3,031.20 ","$3,031.20 ","$2,694.40 ", N/A ,"$1,852.40 ","$3,031.20 ", N/A ,"$3,031.20 ", N/A ,"$3,199.60 ", N/A ,"$3,098.56 ", N/A ,"$3,064.88 ", N/A ,"$2,072.67 ","$2,168.99 ","$2,072.67 ","$3,031.20 ","$3,031.20 ","$2,513.54 ", N/A , N/A , N/A ,"$3,149.08 ", N/A , N/A ,"$2,930.16 ", N/A ,"$3,031.20 ", N/A ,"$3,031.20 ","$3,031.20 ","$3,031.20 ","$3,266.96 ","$2,728.08 ","$3,031.20 ","$3,031.20 ","$3,031.20 ","$3,031.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801521,N/A,HC TISSUE MATRIX HEMOSTATIC W/THROMBIN,278,1 ,$379.00 ,$284.25 ,$208.45 ,$379.00 ,$244.08 , N/A ,$265.30 , N/A ,$314.57 , N/A ,$250.14 ,$360.05 , N/A ,$303.20 ,$344.89 , N/A ,$356.26 ,$360.05 ,$341.10 ,$322.15 , N/A , N/A , N/A ,$276.67 , N/A ,$337.31 ,$341.10 ,$341.10 ,$303.20 , N/A ,$208.45 ,$341.10 , N/A ,$341.10 , N/A ,$360.05 , N/A ,$348.68 , N/A ,$344.89 , N/A ,$233.24 ,$244.08 ,$233.24 ,$341.10 ,$341.10 ,$282.85 , N/A , N/A , N/A ,$354.37 , N/A , N/A ,$329.73 , N/A ,$341.10 , N/A ,$341.10 ,$341.10 ,$341.10 ,$367.63 ,$306.99 ,$341.10 ,$341.10 ,$341.10 ,$341.10 
ST. JOSEPH'S - CHIPPEWA FALLS,27801522,C1713,HC GRAFT MATRIX PUTTY .5CC,278,1 ,$442.00 ,$331.50 ,$243.10 ,$442.00 ,$284.65 , N/A ,$309.40 , N/A ,$366.86 , N/A ,$291.72 ,$419.90 , N/A ,$353.60 ,$402.22 , N/A ,$415.48 ,$419.90 ,$397.80 ,$375.70 , N/A , N/A , N/A ,$322.66 , N/A ,$393.38 ,$397.80 ,$397.80 ,$353.60 , N/A ,$243.10 ,$397.80 , N/A ,$397.80 , N/A ,$419.90 , N/A ,$406.64 , N/A ,$402.22 , N/A ,$272.01 ,$284.65 ,$272.01 ,$397.80 ,$397.80 ,$329.86 , N/A , N/A , N/A ,$413.27 , N/A , N/A ,$384.54 , N/A ,$397.80 , N/A ,$397.80 ,$397.80 ,$397.80 ,$428.74 ,$358.02 ,$397.80 ,$397.80 ,$397.80 ,$397.80 
ST. JOSEPH'S - CHIPPEWA FALLS,27801524,C1713,HC GRAFT MATRIX PUTTY 5CC,278,1 ,"$3,175.00 ","$2,381.25 ","$1,746.25 ","$3,175.00 ","$2,044.70 ", N/A ,"$2,222.50 ", N/A ,"$2,635.25 ", N/A ,"$2,095.50 ","$3,016.25 ", N/A ,"$2,540.00 ","$2,889.25 ", N/A ,"$2,984.50 ","$3,016.25 ","$2,857.50 ","$2,698.75 ", N/A , N/A , N/A ,"$2,317.75 ", N/A ,"$2,825.75 ","$2,857.50 ","$2,857.50 ","$2,540.00 ", N/A ,"$1,746.25 ","$2,857.50 ", N/A ,"$2,857.50 ", N/A ,"$3,016.25 ", N/A ,"$2,921.00 ", N/A ,"$2,889.25 ", N/A ,"$1,953.90 ","$2,044.70 ","$1,953.90 ","$2,857.50 ","$2,857.50 ","$2,369.50 ", N/A , N/A , N/A ,"$2,968.63 ", N/A , N/A ,"$2,762.25 ", N/A ,"$2,857.50 ", N/A ,"$2,857.50 ","$2,857.50 ","$2,857.50 ","$3,079.75 ","$2,571.75 ","$2,857.50 ","$2,857.50 ","$2,857.50 ","$2,857.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801525,C1713,HC GRAFT MATRIX PUTTY 10CC,278,1 ,"$4,533.00 ","$3,399.75 ","$2,493.15 ","$4,533.00 ","$2,919.25 ", N/A ,"$3,173.10 ", N/A ,"$3,762.39 ", N/A ,"$2,991.78 ","$4,306.35 ", N/A ,"$3,626.40 ","$4,125.03 ", N/A ,"$4,261.02 ","$4,306.35 ","$4,079.70 ","$3,853.05 ", N/A , N/A , N/A ,"$3,309.09 ", N/A ,"$4,034.37 ","$4,079.70 ","$4,079.70 ","$3,626.40 ", N/A ,"$2,493.15 ","$4,079.70 ", N/A ,"$4,079.70 ", N/A ,"$4,306.35 ", N/A ,"$4,170.36 ", N/A ,"$4,125.03 ", N/A ,"$2,789.61 ","$2,919.25 ","$2,789.61 ","$4,079.70 ","$4,079.70 ","$3,382.98 ", N/A , N/A , N/A ,"$4,238.36 ", N/A , N/A ,"$3,943.71 ", N/A ,"$4,079.70 ", N/A ,"$4,079.70 ","$4,079.70 ","$4,079.70 ","$4,397.01 ","$3,671.73 ","$4,079.70 ","$4,079.70 ","$4,079.70 ","$4,079.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801526,C1713,HC BONE MATRIX DEMINERALIZED .5CC,278,1 ,$453.00 ,$339.75 ,$249.15 ,$453.00 ,$291.73 , N/A ,$317.10 , N/A ,$375.99 , N/A ,$298.98 ,$430.35 , N/A ,$362.40 ,$412.23 , N/A ,$425.82 ,$430.35 ,$407.70 ,$385.05 , N/A , N/A , N/A ,$330.69 , N/A ,$403.17 ,$407.70 ,$407.70 ,$362.40 , N/A ,$249.15 ,$407.70 , N/A ,$407.70 , N/A ,$430.35 , N/A ,$416.76 , N/A ,$412.23 , N/A ,$278.78 ,$291.73 ,$278.78 ,$407.70 ,$407.70 ,$338.07 , N/A , N/A , N/A ,$423.56 , N/A , N/A ,$394.11 , N/A ,$407.70 , N/A ,$407.70 ,$407.70 ,$407.70 ,$439.41 ,$366.93 ,$407.70 ,$407.70 ,$407.70 ,$407.70 
ST. JOSEPH'S - CHIPPEWA FALLS,27801528,C1713,HC BONE MATRIX DEMINERALIZED 5CC,278,1 ,"$4,213.00 ","$3,159.75 ","$2,317.15 ","$4,213.00 ","$2,713.17 ", N/A ,"$2,949.10 ", N/A ,"$3,496.79 ", N/A ,"$2,780.58 ","$4,002.35 ", N/A ,"$3,370.40 ","$3,833.83 ", N/A ,"$3,960.22 ","$4,002.35 ","$3,791.70 ","$3,581.05 ", N/A , N/A , N/A ,"$3,075.49 ", N/A ,"$3,749.57 ","$3,791.70 ","$3,791.70 ","$3,370.40 ", N/A ,"$2,317.15 ","$3,791.70 ", N/A ,"$3,791.70 ", N/A ,"$4,002.35 ", N/A ,"$3,875.96 ", N/A ,"$3,833.83 ", N/A ,"$2,592.68 ","$2,713.17 ","$2,592.68 ","$3,791.70 ","$3,791.70 ","$3,144.16 ", N/A , N/A , N/A ,"$3,939.16 ", N/A , N/A ,"$3,665.31 ", N/A ,"$3,791.70 ", N/A ,"$3,791.70 ","$3,791.70 ","$3,791.70 ","$4,086.61 ","$3,412.53 ","$3,791.70 ","$3,791.70 ","$3,791.70 ","$3,791.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801541,N/A,HC SEALANT FIBRIN EVICEL/VISTASEAL TIER 1,278,1 ,"$1,235.00 ",$926.25 ,$679.25 ,"$1,235.00 ",$795.34 , N/A ,$864.50 , N/A ,"$1,025.05 ", N/A ,$815.10 ,"$1,173.25 ", N/A ,$988.00 ,"$1,123.85 ", N/A ,"$1,160.90 ","$1,173.25 ","$1,111.50 ","$1,049.75 ", N/A , N/A , N/A ,$901.55 , N/A ,"$1,099.15 ","$1,111.50 ","$1,111.50 ",$988.00 , N/A ,$679.25 ,"$1,111.50 ", N/A ,"$1,111.50 ", N/A ,"$1,173.25 ", N/A ,"$1,136.20 ", N/A ,"$1,123.85 ", N/A ,$760.02 ,$795.34 ,$760.02 ,"$1,111.50 ","$1,111.50 ",$921.68 , N/A , N/A , N/A ,"$1,154.73 ", N/A , N/A ,"$1,074.45 ", N/A ,"$1,111.50 ", N/A ,"$1,111.50 ","$1,111.50 ","$1,111.50 ","$1,197.95 ","$1,000.35 ","$1,111.50 ","$1,111.50 ","$1,111.50 ","$1,111.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,27801545,N/A,HC SEALANT FLOSEAL TIER 2,278,1 ,$686.00 ,$514.50 ,$377.30 ,$686.00 ,$441.78 , N/A ,$480.20 , N/A ,$569.38 , N/A ,$452.76 ,$651.70 , N/A ,$548.80 ,$624.26 , N/A ,$644.84 ,$651.70 ,$617.40 ,$583.10 , N/A , N/A , N/A ,$500.78 , N/A ,$610.54 ,$617.40 ,$617.40 ,$548.80 , N/A ,$377.30 ,$617.40 , N/A ,$617.40 , N/A ,$651.70 , N/A ,$631.12 , N/A ,$624.26 , N/A ,$422.16 ,$441.78 ,$422.16 ,$617.40 ,$617.40 ,$511.96 , N/A , N/A , N/A ,$641.41 , N/A , N/A ,$596.82 , N/A ,$617.40 , N/A ,$617.40 ,$617.40 ,$617.40 ,$665.42 ,$555.66 ,$617.40 ,$617.40 ,$617.40 ,$617.40 
ST. JOSEPH'S - CHIPPEWA FALLS,27802180,C1889,"HC CATH SIL DRAIN 15FR, BALLOON DEFLATED",278,1 ,$337.00 ,$252.75 ,$185.35 ,$337.00 ,$217.03 , N/A ,$235.90 , N/A ,$279.71 , N/A ,$222.42 ,$320.15 , N/A ,$269.60 ,$306.67 , N/A ,$316.78 ,$320.15 ,$303.30 ,$286.45 , N/A , N/A , N/A ,$246.01 , N/A ,$299.93 ,$303.30 ,$303.30 ,$269.60 , N/A ,$185.35 ,$303.30 , N/A ,$303.30 , N/A ,$320.15 , N/A ,$310.04 , N/A ,$306.67 , N/A ,$207.39 ,$217.03 ,$207.39 ,$303.30 ,$303.30 ,$251.50 , N/A , N/A , N/A ,$315.10 , N/A , N/A ,$293.19 , N/A ,$303.30 , N/A ,$303.30 ,$303.30 ,$303.30 ,$326.89 ,$272.97 ,$303.30 ,$303.30 ,$303.30 ,$303.30 
ST. JOSEPH'S - CHIPPEWA FALLS,27878699,L8699,HC PROSTHETIC IMPLANTS NOS,278,1 ,"$1,526.25 ","$1,144.69 ",$839.44 ,"$1,526.25 ",$982.91 , N/A ,"$1,068.38 ", N/A ,"$1,266.79 ", N/A ,"$1,007.33 ","$1,449.94 ", N/A ,"$1,221.00 ","$1,388.89 ", N/A ,"$1,434.68 ","$1,449.94 ","$1,373.63 ","$1,297.31 ", N/A , N/A , N/A ,"$1,114.16 ", N/A ,"$1,358.36 ","$1,373.63 ","$1,373.63 ","$1,221.00 ", N/A ,$839.44 ,"$1,373.63 ", N/A ,"$1,373.63 ", N/A ,"$1,449.94 ", N/A ,"$1,404.15 ", N/A ,"$1,388.89 ", N/A ,$939.25 ,$982.91 ,$939.25 ,"$1,373.63 ","$1,373.63 ","$1,139.04 ", N/A , N/A , N/A ,"$1,427.04 ", N/A , N/A ,"$1,327.84 ", N/A ,"$1,373.63 ", N/A ,"$1,373.63 ","$1,373.63 ","$1,373.63 ","$1,480.46 ","$1,236.26 ","$1,373.63 ","$1,373.63 ","$1,373.63 ","$1,373.63 "
ST. JOSEPH'S - CHIPPEWA FALLS,30000004,N/A,HC POC GLUCOSE,300,1 ,$32.00 ,$24.00 ,$17.60 ,$32.00 ,$20.61 , N/A ,$22.40 , N/A ,$26.56 , N/A ,$21.12 ,$30.40 , N/A ,$25.60 ,$29.12 , N/A ,$30.08 ,$30.40 ,$28.80 ,$27.20 , N/A , N/A , N/A ,$23.36 , N/A ,$28.48 ,$28.80 ,$28.80 ,$25.60 , N/A ,$17.60 ,$28.80 , N/A ,$28.80 , N/A ,$30.40 , N/A ,$29.44 , N/A ,$29.12 , N/A ,$19.69 ,$20.61 ,$19.69 ,$28.80 ,$28.80 ,$23.88 ,$22.29 , N/A , N/A ,$29.92 , N/A , N/A ,$27.84 , N/A ,$28.80 , N/A ,$28.80 ,$28.80 ,$28.80 ,$31.04 ,$25.92 ,$28.80 ,$28.80 ,$28.80 ,$28.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$37.82 ,$28.37 ,$0.73 ,$37.82 ,$24.36 , N/A ,$26.47 ,$0.73 ,$31.39 ,$0.75 ,$24.96 ,$35.93 , N/A ,$30.26 ,$34.42 ,$0.73 ,$35.55 ,$35.93 ,$34.04 ,$32.15 ,$0.73 ,$0.73 ,$0.73 ,$27.61 , N/A ,$33.66 ,$34.04 ,$34.04 ,$30.26 , N/A ,$20.80 ,$34.04 , N/A ,$34.04 , N/A ,$35.93 , N/A ,$34.79 ,$0.77 ,$34.42 , N/A ,$23.27 ,$24.36 ,$23.27 ,$34.04 ,$34.04 ,$28.23 ,$26.34 , N/A ,$0.77 ,$35.36 , N/A ,$0.73 ,$32.90 , N/A ,$34.04 , N/A ,$34.04 ,$34.04 ,$34.04 ,$36.69 ,$30.63 ,$34.04 ,$34.04 ,$34.04 ,$34.04 
ST. JOSEPH'S - CHIPPEWA FALLS,30000010,36415,HC VENIPUNCTURE,300,1 ,$39.10 ,$29.33 ,$0.73 ,$39.10 ,$25.18 ,$3.00 ,$27.37 ,$0.73 ,$32.45 ,$0.75 ,$25.81 ,$37.15 , N/A ,$31.28 ,$35.58 ,$0.73 ,$36.75 ,$37.15 ,$35.19 ,$33.24 ,$0.73 ,$0.73 ,$0.73 ,$28.54 ,$3.00 ,$34.80 ,$35.19 ,$35.19 ,$31.28 ,$3.09 ,$21.51 ,$35.19 ,$3.00 ,$35.19 ,$3.00 ,$37.15 ,$6.75 ,$35.97 ,$0.77 ,$35.58 ,$3.00 ,$24.06 ,$25.18 ,$24.06 ,$35.19 ,$24.83 ,$29.18 ,$15.27 ,$3.03 ,$0.77 ,$36.56 ,$3.15 ,$0.73 ,$34.02 ,$3.00 ,$35.19 ,$3.00 ,$35.19 ,$35.19 ,$35.19 ,$37.93 ,$31.67 ,$35.19 ,$35.19 ,$35.19 ,$35.19 
ST. JOSEPH'S - CHIPPEWA FALLS,30000013,36415,HC VENIPUNCTURE (DRAW FEE),300,1 ,$39.10 ,$29.33 ,$0.73 ,$39.10 ,$25.18 ,$3.00 ,$27.37 ,$0.73 ,$32.45 ,$0.75 ,$25.81 ,$37.15 , N/A ,$31.28 ,$35.58 ,$0.73 ,$36.75 ,$37.15 ,$35.19 ,$33.24 ,$0.73 ,$0.73 ,$0.73 ,$28.54 ,$3.00 ,$34.80 ,$35.19 ,$35.19 ,$31.28 ,$3.09 ,$21.51 ,$35.19 ,$3.00 ,$35.19 ,$3.00 ,$37.15 ,$6.75 ,$35.97 ,$0.77 ,$35.58 ,$3.00 ,$24.06 ,$25.18 ,$24.06 ,$35.19 ,$24.83 ,$29.18 ,$15.27 ,$3.03 ,$0.77 ,$36.56 ,$3.15 ,$0.73 ,$34.02 ,$3.00 ,$35.19 ,$3.00 ,$35.19 ,$35.19 ,$35.19 ,$37.93 ,$31.67 ,$35.19 ,$35.19 ,$35.19 ,$35.19 
ST. JOSEPH'S - CHIPPEWA FALLS,30000015,36600,HC ARTERIAL PUNCTURE,300,1 ,$284.00 ,$213.00 ,$18.43 ,$284.00 ,$182.90 ,$116.36 ,$198.80 ,$18.43 ,$235.72 ,$18.98 ,$187.44 ,$269.80 , N/A ,$227.20 ,$258.44 ,$18.43 ,$266.96 ,$269.80 ,$255.60 ,$241.40 ,$18.43 ,$18.43 ,$18.43 ,$207.32 ,$116.36 ,$252.76 ,$255.60 ,$255.60 ,$227.20 ,$119.85 ,$156.20 ,$255.60 ,$116.36 ,$255.60 ,$116.36 ,$269.80 ,$261.82 ,$261.28 ,$19.54 ,$258.44 ,$116.36 ,$174.77 ,$182.90 ,$174.77 ,$255.60 ,$255.60 ,$211.95 ,$76.28 ,$117.53 ,$19.35 ,$265.54 ,$122.18 ,$18.43 ,$247.08 ,$116.36 ,$255.60 ,$116.36 ,$255.60 ,$255.60 ,$255.60 ,$275.48 ,$230.04 ,$255.60 ,$255.60 ,$255.60 ,$255.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30000035,43752,HC PLACE TUBE NASOGASTRIC,300,1 ,$277.00 ,$207.75 ,$152.35 ,$630.17 ,$178.39 ,$280.07 ,$193.90 ,$211.20 ,$229.91 ,$217.54 ,$182.82 ,$263.15 , N/A ,$221.60 ,$252.07 ,$211.20 ,$260.38 ,$263.15 ,$249.30 ,$235.45 ,$211.20 ,$211.20 ,$211.20 ,$202.21 ,$280.07 ,$246.53 ,$249.30 ,$249.30 ,$221.60 ,$288.48 ,$152.35 ,$249.30 ,$280.07 ,$249.30 ,$280.07 ,$263.15 ,$630.17 ,$254.84 ,$223.87 ,$252.07 ,$280.07 ,$170.47 ,$178.39 ,$170.47 ,$249.30 ,$249.30 ,$206.73 ,$192.93 ,$282.87 ,$221.76 ,$259.00 ,$294.07 ,$211.20 ,$240.99 ,$280.07 ,$249.30 ,$280.07 ,$249.30 ,$249.30 ,$249.30 ,$268.69 ,$224.37 ,$249.30 ,$249.30 ,$249.30 ,$249.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30000105,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$94.93 ,$71.20 ,$7.33 ,$94.93 ,$61.13 ,$7.33 ,$66.45 ,$7.57 ,$17.17 ,$7.80 ,$13.73 ,$90.18 , N/A ,$75.94 ,$86.39 ,$7.57 ,$89.23 ,$90.18 ,$85.44 ,$80.69 ,$7.57 ,$7.57 ,$7.57 ,$69.30 ,$7.33 ,$84.49 ,$85.44 ,$85.44 ,$75.94 ,$7.55 ,$52.21 ,$85.44 ,$7.33 ,$85.44 ,$7.33 ,$90.18 ,$16.49 ,$87.34 ,$8.02 ,$86.39 ,$7.33 ,$58.42 ,$61.13 ,$58.42 ,$85.44 ,$87.89 ,$70.85 ,$44.96 ,$7.40 ,$7.95 ,$88.76 ,$7.70 ,$7.57 ,$82.59 ,$7.33 ,$85.44 ,$7.33 ,$85.44 ,$85.44 ,$85.44 ,$92.08 ,$76.89 ,$85.44 ,$85.44 ,$85.44 ,$85.44 
ST. JOSEPH'S - CHIPPEWA FALLS,30000109,89230,HC SWEAT COLLECTION,300,1 ,$434.09 ,$325.57 ,$5.52 ,$434.09 ,$279.55 ,$51.28 ,$303.86 ,$9.06 ,$6.90 ,$9.33 ,$5.52 ,$412.39 , N/A ,$347.27 ,$395.02 ,$9.06 ,$408.04 ,$412.39 ,$390.68 ,$368.98 ,$9.06 ,$9.06 ,$9.06 ,$316.89 ,$51.28 ,$386.34 ,$390.68 ,$390.68 ,$347.27 ,$52.82 ,$238.75 ,$390.68 ,$51.28 ,$390.68 ,$51.28 ,$412.39 ,$115.38 ,$399.36 ,$9.60 ,$395.02 ,$51.28 ,$267.14 ,$279.55 ,$267.14 ,$390.68 ,$128.82 ,$323.96 ,$16.45 ,$51.79 ,$9.51 ,$405.87 ,$53.84 ,$9.06 ,$377.66 ,$51.28 ,$390.68 ,$51.28 ,$390.68 ,$390.68 ,$390.68 ,$421.07 ,$351.61 ,$390.68 ,$390.68 ,$390.68 ,$390.68 
ST. JOSEPH'S - CHIPPEWA FALLS,30000112,89320,HC SEMEN ANALYSIS COMPLETE,300,1 ,$438.45 ,$328.84 ,$12.31 ,$438.45 ,$282.36 ,$12.31 ,$306.92 ,$12.72 ,$28.93 ,$13.10 ,$23.14 ,$416.53 , N/A ,$350.76 ,$398.99 ,$12.72 ,$412.14 ,$416.53 ,$394.61 ,$372.68 ,$12.72 ,$12.72 ,$12.72 ,$320.07 ,$12.31 ,$390.22 ,$394.61 ,$394.61 ,$350.76 ,$12.68 ,$241.15 ,$394.61 ,$12.31 ,$394.61 ,$12.31 ,$416.53 ,$27.70 ,$403.37 ,$13.48 ,$398.99 ,$12.31 ,$269.82 ,$282.36 ,$269.82 ,$394.61 ,$114.22 ,$327.22 ,$62.68 ,$12.43 ,$13.36 ,$409.95 ,$12.93 ,$12.72 ,$381.45 ,$12.31 ,$394.61 ,$12.31 ,$394.61 ,$394.61 ,$394.61 ,$425.30 ,$355.14 ,$394.61 ,$394.61 ,$394.61 ,$394.61 
ST. JOSEPH'S - CHIPPEWA FALLS,30000115,99001,HC SPECIMEN HAND/CONVEY OTHER,300,1 ,$35.07 ,$26.30 ,$3.92 ,$35.07 ,$22.59 , N/A ,$24.55 ,$3.92 ,$29.11 ,$4.04 ,$23.15 ,$33.32 , N/A ,$28.06 ,$31.91 ,$3.92 ,$32.97 ,$33.32 ,$31.56 ,$29.81 ,$3.92 ,$3.92 ,$3.92 ,$25.60 , N/A ,$31.21 ,$31.56 ,$31.56 ,$28.06 , N/A ,$19.29 ,$31.56 , N/A ,$31.56 , N/A ,$33.32 , N/A ,$32.26 ,$4.16 ,$31.91 , N/A ,$21.58 ,$22.59 ,$21.58 ,$31.56 ,$25.50 ,$26.17 ,$24.43 , N/A ,$4.12 ,$32.79 , N/A ,$3.92 ,$30.51 , N/A ,$31.56 , N/A ,$31.56 ,$31.56 ,$31.56 ,$34.02 ,$28.41 ,$31.56 ,$31.56 ,$31.56 ,$31.56 
ST. JOSEPH'S - CHIPPEWA FALLS,30000121,80306,HC DRUG SCREEN SGL CLASS PRESUMPTIVE INSTRMNT,300,1 ,$153.00 ,$114.75 ,$17.14 ,$153.00 ,$98.53 ,$17.14 ,$107.10 ,$17.71 ,$34.91 ,$18.24 ,$27.93 ,$145.35 , N/A ,$122.40 ,$139.23 ,$17.71 ,$143.82 ,$145.35 ,$137.70 ,$130.05 ,$17.71 ,$17.71 ,$17.71 ,$111.69 ,$17.14 ,$136.17 ,$137.70 ,$137.70 ,$122.40 ,$17.65 ,$84.15 ,$137.70 ,$17.14 ,$137.70 ,$17.14 ,$145.35 ,$38.57 ,$140.76 ,$18.77 ,$139.23 ,$17.14 ,$94.16 ,$98.53 ,$94.16 ,$137.70 ,$38.33 ,$114.18 ,$85.97 ,$17.31 ,$18.60 ,$143.06 ,$18.00 ,$17.71 ,$133.11 ,$17.14 ,$137.70 ,$17.14 ,$137.70 ,$137.70 ,$137.70 ,$148.41 ,$123.93 ,$137.70 ,$137.70 ,$137.70 ,$137.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30000214,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$104.00 ,$78.00 ,$18.43 ,$261.82 ,$66.98 ,$116.36 ,$72.80 ,$18.43 ,$86.32 ,$18.98 ,$68.64 ,$98.80 , N/A ,$83.20 ,$94.64 ,$18.43 ,$97.76 ,$98.80 ,$93.60 ,$88.40 ,$18.43 ,$18.43 ,$18.43 ,$75.92 ,$116.36 ,$92.56 ,$93.60 ,$93.60 ,$83.20 ,$119.85 ,$57.20 ,$93.60 ,$116.36 ,$93.60 ,$116.36 ,$98.80 ,$261.82 ,$95.68 ,$19.54 ,$94.64 ,$116.36 ,$64.00 ,$66.98 ,$64.00 ,$93.60 ,$93.60 ,$77.62 ,$72.44 ,$117.53 ,$19.35 ,$97.24 ,$122.18 ,$18.43 ,$90.48 ,$116.36 ,$93.60 ,$116.36 ,$93.60 ,$93.60 ,$93.60 ,$100.88 ,$84.24 ,$93.60 ,$93.60 ,$93.60 ,$93.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30000218,86927,HC FFP THAWING EACH UNIT,300,1 ,$538.58 ,$403.94 ,$8.35 ,$538.58 ,$346.85 ,$153.91 ,$377.01 ,$8.35 ,$33.02 ,$8.60 ,$26.42 ,$511.65 , N/A ,$430.86 ,$490.11 ,$8.35 ,$506.27 ,$511.65 ,$484.72 ,$457.79 ,$8.35 ,$8.35 ,$8.35 ,$393.16 ,$153.91 ,$479.34 ,$484.72 ,$484.72 ,$430.86 ,$158.53 ,$296.22 ,$484.72 ,$153.91 ,$484.72 ,$153.91 ,$511.65 ,$346.30 ,$495.49 ,$8.85 ,$490.11 ,$153.91 ,$331.44 ,$346.85 ,$331.44 ,$484.72 ,$64.67 ,$401.94 ,$375.12 ,$155.45 ,$8.77 ,$503.57 ,$161.61 ,$8.35 ,$468.56 ,$153.91 ,$484.72 ,$153.91 ,$484.72 ,$484.72 ,$484.72 ,$522.42 ,$436.25 ,$484.72 ,$484.72 ,$484.72 ,$484.72 
ST. JOSEPH'S - CHIPPEWA FALLS,30000219,86970,HC RBC PRETREAT CHEM,300,1 ,$95.38 ,$71.54 ,$8.35 ,$95.38 ,$61.42 ,$34.93 ,$66.77 ,$8.35 ,$48.04 ,$8.60 ,$38.43 ,$90.61 , N/A ,$76.30 ,$86.80 ,$8.35 ,$89.66 ,$90.61 ,$85.84 ,$81.07 ,$8.35 ,$8.35 ,$8.35 ,$69.63 ,$34.93 ,$84.89 ,$85.84 ,$85.84 ,$76.30 ,$35.98 ,$52.46 ,$85.84 ,$34.93 ,$85.84 ,$34.93 ,$90.61 ,$78.59 ,$87.75 ,$8.85 ,$86.80 ,$34.93 ,$58.70 ,$61.42 ,$58.70 ,$85.84 ,$60.39 ,$71.18 ,$66.43 ,$35.28 ,$8.77 ,$89.18 ,$36.68 ,$8.35 ,$82.98 ,$34.93 ,$85.84 ,$34.93 ,$85.84 ,$85.84 ,$85.84 ,$92.52 ,$77.26 ,$85.84 ,$85.84 ,$85.84 ,$85.84 
ST. JOSEPH'S - CHIPPEWA FALLS,30000220,86971,HC RBC PRETREAT ENZYME,300,1 ,$538.58 ,$403.94 ,$8.35 ,$676.25 ,$346.85 ,$300.56 ,$377.01 ,$8.35 ,$38.43 ,$8.60 ,$30.74 ,$511.65 , N/A ,$430.86 ,$490.11 ,$8.35 ,$506.27 ,$511.65 ,$484.72 ,$457.79 ,$8.35 ,$8.35 ,$8.35 ,$393.16 ,$300.56 ,$479.34 ,$484.72 ,$484.72 ,$430.86 ,$309.57 ,$296.22 ,$484.72 ,$300.56 ,$484.72 ,$300.56 ,$511.65 ,$676.25 ,$495.49 ,$8.85 ,$490.11 ,$300.56 ,$331.44 ,$346.85 ,$331.44 ,$484.72 ,$40.85 ,$401.94 ,$375.12 ,$303.56 ,$8.77 ,$503.57 ,$315.59 ,$8.35 ,$468.56 ,$300.56 ,$484.72 ,$300.56 ,$484.72 ,$484.72 ,$484.72 ,$522.42 ,$436.25 ,$484.72 ,$484.72 ,$484.72 ,$484.72 
ST. JOSEPH'S - CHIPPEWA FALLS,30000222,89050,HC BODY FLUID CELL COUNT,300,1 ,$96.28 ,$72.21 ,$4.72 ,$96.28 ,$62.00 ,$4.72 ,$67.40 ,$4.88 ,$11.34 ,$5.03 ,$9.07 ,$91.47 , N/A ,$77.02 ,$87.61 ,$4.88 ,$90.50 ,$91.47 ,$86.65 ,$81.84 ,$4.88 ,$4.88 ,$4.88 ,$70.28 ,$4.72 ,$85.69 ,$86.65 ,$86.65 ,$77.02 ,$4.86 ,$52.95 ,$86.65 ,$4.72 ,$86.65 ,$4.72 ,$91.47 ,$10.62 ,$88.58 ,$5.17 ,$87.61 ,$4.72 ,$59.25 ,$62.00 ,$59.25 ,$86.65 ,$76.87 ,$71.85 ,$29.68 ,$4.77 ,$5.12 ,$90.02 ,$4.96 ,$4.88 ,$83.76 ,$4.72 ,$86.65 ,$4.72 ,$86.65 ,$86.65 ,$86.65 ,$93.39 ,$77.99 ,$86.65 ,$86.65 ,$86.65 ,$86.65 
ST. JOSEPH'S - CHIPPEWA FALLS,30000223,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$114.60 ,$85.95 ,$5.60 ,$114.60 ,$73.80 ,$5.60 ,$80.22 ,$5.79 ,$13.21 ,$5.96 ,$10.57 ,$108.87 , N/A ,$91.68 ,$104.29 ,$5.79 ,$107.72 ,$108.87 ,$103.14 ,$97.41 ,$5.79 ,$5.79 ,$5.79 ,$83.66 ,$5.60 ,$101.99 ,$103.14 ,$103.14 ,$91.68 ,$5.77 ,$63.03 ,$103.14 ,$5.60 ,$103.14 ,$5.60 ,$108.87 ,$12.60 ,$105.43 ,$6.14 ,$104.29 ,$5.60 ,$70.52 ,$73.80 ,$70.52 ,$103.14 ,$87.89 ,$85.53 ,$34.62 ,$5.66 ,$6.08 ,$107.15 ,$5.88 ,$5.79 ,$99.70 ,$5.60 ,$103.14 ,$5.60 ,$103.14 ,$103.14 ,$103.14 ,$111.16 ,$92.83 ,$103.14 ,$103.14 ,$103.14 ,$103.14 
ST. JOSEPH'S - CHIPPEWA FALLS,30000224,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$59.56 ,$44.67 ,$4.27 ,$59.56 ,$38.36 ,$4.27 ,$41.69 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$56.58 , N/A ,$47.65 ,$54.20 ,$4.41 ,$55.99 ,$56.58 ,$53.60 ,$50.63 ,$4.41 ,$4.41 ,$4.41 ,$43.48 ,$4.27 ,$53.01 ,$53.60 ,$53.60 ,$47.65 ,$4.40 ,$32.76 ,$53.60 ,$4.27 ,$53.60 ,$4.27 ,$56.58 ,$9.61 ,$54.80 ,$4.67 ,$54.20 ,$4.27 ,$36.65 ,$38.36 ,$36.65 ,$53.60 ,$14.13 ,$44.45 ,$26.83 ,$4.31 ,$4.63 ,$55.69 ,$4.48 ,$4.41 ,$51.82 ,$4.27 ,$53.60 ,$4.27 ,$53.60 ,$53.60 ,$53.60 ,$57.77 ,$48.24 ,$53.60 ,$53.60 ,$53.60 ,$53.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30000225,89190,HC SMEAR NASAL EOSINOPHILS,300,1 ,$74.29 ,$55.72 ,$5.79 ,$74.29 ,$47.84 ,$5.79 ,$52.00 ,$5.98 ,$11.39 ,$6.16 ,$9.11 ,$70.58 , N/A ,$59.43 ,$67.60 ,$5.98 ,$69.83 ,$70.58 ,$66.86 ,$63.15 ,$5.98 ,$5.98 ,$5.98 ,$54.23 ,$5.79 ,$66.12 ,$66.86 ,$66.86 ,$59.43 ,$5.96 ,$40.86 ,$66.86 ,$5.79 ,$66.86 ,$5.79 ,$70.58 ,$13.03 ,$68.35 ,$6.34 ,$67.60 ,$5.79 ,$45.72 ,$47.84 ,$45.72 ,$66.86 ,$32.94 ,$55.44 ,$29.84 ,$5.85 ,$6.28 ,$69.46 ,$6.08 ,$5.98 ,$64.63 ,$5.79 ,$66.86 ,$5.79 ,$66.86 ,$66.86 ,$66.86 ,$72.06 ,$60.17 ,$66.86 ,$66.86 ,$66.86 ,$66.86 
ST. JOSEPH'S - CHIPPEWA FALLS,30000227,89321,HC SEMEN PRESENCE/MOTILITY,300,1 ,$200.24 ,$150.18 ,$12.05 ,$200.24 ,$128.95 ,$12.05 ,$140.17 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$190.23 , N/A ,$160.19 ,$182.22 ,$12.45 ,$188.23 ,$190.23 ,$180.22 ,$170.20 ,$12.45 ,$12.45 ,$12.45 ,$146.18 ,$12.05 ,$178.21 ,$180.22 ,$180.22 ,$160.19 ,$12.41 ,$110.13 ,$180.22 ,$12.05 ,$180.22 ,$12.05 ,$190.23 ,$27.11 ,$184.22 ,$13.20 ,$182.22 ,$12.05 ,$123.23 ,$128.95 ,$123.23 ,$180.22 ,$32.86 ,$149.44 ,$139.47 ,$12.17 ,$13.07 ,$187.22 ,$12.65 ,$12.45 ,$174.21 ,$12.05 ,$180.22 ,$12.05 ,$180.22 ,$180.22 ,$180.22 ,$194.23 ,$162.19 ,$180.22 ,$180.22 ,$180.22 ,$180.22 
ST. JOSEPH'S - CHIPPEWA FALLS,30000228,86078,HC INVESTIGATE TRANSFSN REACTION,300,1 ,$322.95 ,$242.21 ,$8.35 ,$346.30 ,$207.98 ,$153.91 ,$226.07 ,$8.35 ,$97.09 ,$8.60 ,$77.67 ,$306.80 , N/A ,$258.36 ,$293.88 ,$8.35 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$8.35 ,$8.35 ,$8.35 ,$235.75 ,$153.91 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$158.53 ,$177.62 ,$290.66 ,$153.91 ,$290.66 ,$153.91 ,$306.80 ,$346.30 ,$297.11 ,$8.85 ,$293.88 ,$153.91 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$147.57 ,$241.02 ,$263.18 ,$155.45 ,$8.77 ,$301.96 ,$161.61 ,$8.35 ,$280.97 ,$153.91 ,$290.66 ,$153.91 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 
ST. JOSEPH'S - CHIPPEWA FALLS,30000232,N/A,HC UA DRUG COLLECTION FEE LEVEL 2,300,1 ,$34.00 ,$25.50 ,$18.70 ,$34.00 ,$21.90 , N/A ,$23.80 , N/A ,$28.22 , N/A ,$22.44 ,$32.30 , N/A ,$27.20 ,$30.94 , N/A ,$31.96 ,$32.30 ,$30.60 ,$28.90 , N/A , N/A , N/A ,$24.82 , N/A ,$30.26 ,$30.60 ,$30.60 ,$27.20 , N/A ,$18.70 ,$30.60 , N/A ,$30.60 , N/A ,$32.30 , N/A ,$31.28 , N/A ,$30.94 , N/A ,$20.92 ,$21.90 ,$20.92 ,$30.60 ,$30.60 ,$25.37 ,$23.68 , N/A , N/A ,$31.79 , N/A , N/A ,$29.58 , N/A ,$30.60 , N/A ,$30.60 ,$30.60 ,$30.60 ,$32.98 ,$27.54 ,$30.60 ,$30.60 ,$30.60 ,$30.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30000233,N/A,HC UA DRUG COLLECTION FEE LEVEL 3,300,1 ,$46.00 ,$34.50 ,$25.30 ,$46.00 ,$29.62 , N/A ,$32.20 , N/A ,$38.18 , N/A ,$30.36 ,$43.70 , N/A ,$36.80 ,$41.86 , N/A ,$43.24 ,$43.70 ,$41.40 ,$39.10 , N/A , N/A , N/A ,$33.58 , N/A ,$40.94 ,$41.40 ,$41.40 ,$36.80 , N/A ,$25.30 ,$41.40 , N/A ,$41.40 , N/A ,$43.70 , N/A ,$42.32 , N/A ,$41.86 , N/A ,$28.31 ,$29.62 ,$28.31 ,$41.40 ,$41.40 ,$34.33 ,$32.04 , N/A , N/A ,$43.01 , N/A , N/A ,$40.02 , N/A ,$41.40 , N/A ,$41.40 ,$41.40 ,$41.40 ,$44.62 ,$37.26 ,$41.40 ,$41.40 ,$41.40 ,$41.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30000234,N/A,HC KIT RAPID DRUG TEST 10 PANEL,300,1 ,$69.00 ,$51.75 ,$37.95 ,$69.00 ,$44.44 , N/A ,$48.30 , N/A ,$57.27 , N/A ,$45.54 ,$65.55 , N/A ,$55.20 ,$62.79 , N/A ,$64.86 ,$65.55 ,$62.10 ,$58.65 , N/A , N/A , N/A ,$50.37 , N/A ,$61.41 ,$62.10 ,$62.10 ,$55.20 , N/A ,$37.95 ,$62.10 , N/A ,$62.10 , N/A ,$65.55 , N/A ,$63.48 , N/A ,$62.79 , N/A ,$42.46 ,$44.44 ,$42.46 ,$62.10 ,$62.10 ,$51.49 ,$48.06 , N/A , N/A ,$64.52 , N/A , N/A ,$60.03 , N/A ,$62.10 , N/A ,$62.10 ,$62.10 ,$62.10 ,$66.93 ,$55.89 ,$62.10 ,$62.10 ,$62.10 ,$62.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30000235,N/A,HC KIT RAPID DRUG TEST MRO,300,1 ,$69.00 ,$51.75 ,$37.95 ,$69.00 ,$44.44 , N/A ,$48.30 , N/A ,$57.27 , N/A ,$45.54 ,$65.55 , N/A ,$55.20 ,$62.79 , N/A ,$64.86 ,$65.55 ,$62.10 ,$58.65 , N/A , N/A , N/A ,$50.37 , N/A ,$61.41 ,$62.10 ,$62.10 ,$55.20 , N/A ,$37.95 ,$62.10 , N/A ,$62.10 , N/A ,$65.55 , N/A ,$63.48 , N/A ,$62.79 , N/A ,$42.46 ,$44.44 ,$42.46 ,$62.10 ,$62.10 ,$51.49 ,$48.06 , N/A , N/A ,$64.52 , N/A , N/A ,$60.03 , N/A ,$62.10 , N/A ,$62.10 ,$62.10 ,$62.10 ,$66.93 ,$55.89 ,$62.10 ,$62.10 ,$62.10 ,$62.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30002037,87631,"HC RESP VIRUS, 3-5 TARGETS",300,1 ,$478.00 ,$358.50 ,$140.78 ,$478.00 ,$307.83 ,$142.63 ,$334.60 ,$140.78 ,$307.97 ,$145.00 ,$246.37 ,$454.10 , N/A ,$382.40 ,$434.98 ,$140.78 ,$449.32 ,$454.10 ,$430.20 ,$406.30 ,$140.78 ,$140.78 ,$140.78 ,$348.94 ,$142.63 ,$425.42 ,$430.20 ,$430.20 ,$382.40 ,$146.91 ,$262.90 ,$430.20 ,$142.63 ,$430.20 ,$142.63 ,$454.10 ,$320.92 ,$439.76 ,$149.23 ,$434.98 ,$142.63 ,$294.16 ,$307.83 ,$294.16 ,$430.20 ,$354.57 ,$356.73 ,$430.20 ,$144.06 ,$147.82 ,$446.93 ,$149.76 ,$140.78 ,$415.86 ,$142.63 ,$430.20 ,$142.63 ,$430.20 ,$430.20 ,$430.20 ,$463.66 ,$387.18 ,$430.20 ,$430.20 ,$430.20 ,$430.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$228.72 ,$171.54 ,$8.46 ,$228.72 ,$147.30 ,$8.46 ,$160.10 ,$8.74 ,$20.30 ,$9.00 ,$16.24 ,$217.28 , N/A ,$182.98 ,$208.14 ,$8.74 ,$215.00 ,$217.28 ,$205.85 ,$194.41 ,$8.74 ,$8.74 ,$8.74 ,$166.97 ,$8.46 ,$203.56 ,$205.85 ,$205.85 ,$182.98 ,$8.71 ,$125.80 ,$205.85 ,$8.46 ,$205.85 ,$8.46 ,$217.28 ,$19.04 ,$210.42 ,$9.26 ,$208.14 ,$8.46 ,$140.75 ,$147.30 ,$140.75 ,$205.85 ,$32.65 ,$170.69 ,$53.16 ,$8.54 ,$9.18 ,$213.85 ,$8.88 ,$8.74 ,$198.99 ,$8.46 ,$205.85 ,$8.46 ,$205.85 ,$205.85 ,$205.85 ,$221.86 ,$185.26 ,$205.85 ,$205.85 ,$205.85 ,$205.85 
ST. JOSEPH'S - CHIPPEWA FALLS,30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$204.24 ,$153.18 ,$7.01 ,$204.24 ,$131.53 ,$7.01 ,$142.97 ,$7.24 ,$16.84 ,$7.46 ,$13.47 ,$194.03 , N/A ,$163.39 ,$185.86 ,$7.24 ,$191.99 ,$194.03 ,$183.82 ,$173.60 ,$7.24 ,$7.24 ,$7.24 ,$149.10 ,$7.01 ,$181.77 ,$183.82 ,$183.82 ,$163.39 ,$7.22 ,$112.33 ,$183.82 ,$7.01 ,$183.82 ,$7.01 ,$194.03 ,$15.77 ,$187.90 ,$7.67 ,$185.86 ,$7.01 ,$125.69 ,$131.53 ,$125.69 ,$183.82 ,$51.87 ,$152.42 ,$44.09 ,$7.08 ,$7.60 ,$190.96 ,$7.36 ,$7.24 ,$177.69 ,$7.01 ,$183.82 ,$7.01 ,$183.82 ,$183.82 ,$183.82 ,$198.11 ,$165.43 ,$183.82 ,$183.82 ,$183.82 ,$183.82 
ST. JOSEPH'S - CHIPPEWA FALLS,30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$315.54 ,$236.66 ,$10.56 ,$315.54 ,$203.21 ,$10.56 ,$220.88 ,$10.91 ,$25.36 ,$11.24 ,$20.29 ,$299.76 , N/A ,$252.43 ,$287.14 ,$10.91 ,$296.61 ,$299.76 ,$283.99 ,$268.21 ,$10.91 ,$10.91 ,$10.91 ,$230.34 ,$10.56 ,$280.83 ,$283.99 ,$283.99 ,$252.43 ,$10.88 ,$173.55 ,$283.99 ,$10.56 ,$283.99 ,$10.56 ,$299.76 ,$23.76 ,$290.30 ,$11.56 ,$287.14 ,$10.56 ,$194.18 ,$203.21 ,$194.18 ,$283.99 ,$40.83 ,$235.49 ,$66.39 ,$10.67 ,$11.46 ,$295.03 ,$11.09 ,$10.91 ,$274.52 ,$10.56 ,$283.99 ,$10.56 ,$283.99 ,$283.99 ,$283.99 ,$306.07 ,$255.59 ,$283.99 ,$283.99 ,$283.99 ,$283.99 
ST. JOSEPH'S - CHIPPEWA FALLS,30100107,80061,HC LIPID PANEL,301,1 ,$248.79 ,$186.59 ,$13.39 ,$248.79 ,$160.22 ,$13.39 ,$174.15 ,$13.84 ,$32.15 ,$14.26 ,$25.72 ,$236.35 , N/A ,$199.03 ,$226.40 ,$13.84 ,$233.86 ,$236.35 ,$223.91 ,$211.47 ,$13.84 ,$13.84 ,$13.84 ,$181.62 ,$13.39 ,$221.42 ,$223.91 ,$223.91 ,$199.03 ,$13.79 ,$136.83 ,$223.91 ,$13.39 ,$223.91 ,$13.39 ,$236.35 ,$30.13 ,$228.89 ,$14.67 ,$226.40 ,$13.39 ,$153.11 ,$160.22 ,$153.11 ,$223.91 ,$74.23 ,$185.67 ,$84.16 ,$13.52 ,$14.53 ,$232.62 ,$14.06 ,$13.84 ,$216.45 ,$13.39 ,$223.91 ,$13.39 ,$223.91 ,$223.91 ,$223.91 ,$241.33 ,$201.52 ,$223.91 ,$223.91 ,$223.91 ,$223.91 
ST. JOSEPH'S - CHIPPEWA FALLS,30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$196.52 ,$147.39 ,$8.17 ,$196.52 ,$126.56 ,$8.17 ,$137.56 ,$8.44 ,$19.62 ,$8.69 ,$15.69 ,$186.69 , N/A ,$157.22 ,$178.83 ,$8.44 ,$184.73 ,$186.69 ,$176.87 ,$167.04 ,$8.44 ,$8.44 ,$8.44 ,$143.46 ,$8.17 ,$174.90 ,$176.87 ,$176.87 ,$157.22 ,$8.42 ,$108.09 ,$176.87 ,$8.17 ,$176.87 ,$8.17 ,$186.69 ,$18.38 ,$180.80 ,$8.95 ,$178.83 ,$8.17 ,$120.94 ,$126.56 ,$120.94 ,$176.87 ,$31.65 ,$146.66 ,$51.37 ,$8.25 ,$8.86 ,$183.75 ,$8.58 ,$8.44 ,$170.97 ,$8.17 ,$176.87 ,$8.17 ,$176.87 ,$176.87 ,$176.87 ,$190.62 ,$159.18 ,$176.87 ,$176.87 ,$176.87 ,$176.87 
ST. JOSEPH'S - CHIPPEWA FALLS,30100115,80346,HC BENZODIAZEPINE GC/MS,301,1 ,$72.00 ,$54.00 ,$3.81 ,$72.00 ,$46.37 , N/A ,$50.40 ,$3.81 ,$41.42 ,$3.92 ,$33.14 ,$68.40 , N/A ,$57.60 ,$65.52 ,$3.81 ,$67.68 ,$68.40 ,$64.80 ,$61.20 ,$3.81 ,$3.81 ,$3.81 ,$52.56 , N/A ,$64.08 ,$64.80 ,$64.80 ,$57.60 , N/A ,$39.60 ,$64.80 , N/A ,$64.80 , N/A ,$68.40 , N/A ,$66.24 ,$4.04 ,$65.52 , N/A ,$44.31 ,$46.37 ,$44.31 ,$64.80 ,$47.23 ,$53.73 ,$50.15 , N/A ,$4.00 ,$67.32 , N/A ,$3.81 ,$62.64 , N/A ,$64.80 , N/A ,$64.80 ,$64.80 ,$64.80 ,$69.84 ,$58.32 ,$64.80 ,$64.80 ,$64.80 ,$64.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100116,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$165.16 ,$123.87 ,$14.57 ,$165.16 ,$106.36 ,$14.57 ,$115.61 ,$15.06 ,$34.97 ,$15.51 ,$27.97 ,$156.90 , N/A ,$132.13 ,$150.30 ,$15.06 ,$155.25 ,$156.90 ,$148.64 ,$140.39 ,$15.06 ,$15.06 ,$15.06 ,$120.57 ,$14.57 ,$146.99 ,$148.64 ,$148.64 ,$132.13 ,$15.01 ,$90.84 ,$148.64 ,$14.57 ,$148.64 ,$14.57 ,$156.90 ,$32.78 ,$151.95 ,$15.96 ,$150.30 ,$14.57 ,$101.64 ,$106.36 ,$101.64 ,$148.64 ,$88.52 ,$123.26 ,$91.55 ,$14.72 ,$15.81 ,$154.42 ,$15.30 ,$15.06 ,$143.69 ,$14.57 ,$148.64 ,$14.57 ,$148.64 ,$148.64 ,$148.64 ,$160.21 ,$133.78 ,$148.64 ,$148.64 ,$148.64 ,$148.64 
ST. JOSEPH'S - CHIPPEWA FALLS,30100117,80157,HC CARBAMAZEPINE FREE,301,1 ,$72.20 ,$54.15 ,$13.25 ,$72.20 ,$46.50 ,$13.25 ,$50.54 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$68.59 , N/A ,$57.76 ,$65.70 ,$13.69 ,$67.87 ,$68.59 ,$64.98 ,$61.37 ,$13.69 ,$13.69 ,$13.69 ,$52.71 ,$13.25 ,$64.26 ,$64.98 ,$64.98 ,$57.76 ,$13.65 ,$39.71 ,$64.98 ,$13.25 ,$64.98 ,$13.25 ,$68.59 ,$29.81 ,$66.42 ,$14.51 ,$65.70 ,$13.25 ,$44.43 ,$46.50 ,$44.43 ,$64.98 ,$50.27 ,$53.88 ,$64.98 ,$13.38 ,$14.37 ,$67.51 ,$13.91 ,$13.69 ,$62.81 ,$13.25 ,$64.98 ,$13.25 ,$64.98 ,$64.98 ,$64.98 ,$70.03 ,$58.48 ,$64.98 ,$64.98 ,$64.98 ,$64.98 
ST. JOSEPH'S - CHIPPEWA FALLS,30100120,80162,HC DIGOXIN LEVELS,301,1 ,$192.95 ,$144.71 ,$13.28 ,$192.95 ,$124.26 ,$13.28 ,$135.07 ,$13.72 ,$31.87 ,$14.13 ,$25.49 ,$183.30 , N/A ,$154.36 ,$175.58 ,$13.72 ,$181.37 ,$183.30 ,$173.66 ,$164.01 ,$13.72 ,$13.72 ,$13.72 ,$140.85 ,$13.28 ,$171.73 ,$173.66 ,$173.66 ,$154.36 ,$13.68 ,$106.12 ,$173.66 ,$13.28 ,$173.66 ,$13.28 ,$183.30 ,$29.88 ,$177.51 ,$14.54 ,$175.58 ,$13.28 ,$118.74 ,$124.26 ,$118.74 ,$173.66 ,$82.56 ,$144.00 ,$83.45 ,$13.41 ,$14.41 ,$180.41 ,$13.94 ,$13.72 ,$167.87 ,$13.28 ,$173.66 ,$13.28 ,$173.66 ,$173.66 ,$173.66 ,$187.16 ,$156.29 ,$173.66 ,$173.66 ,$173.66 ,$173.66 
ST. JOSEPH'S - CHIPPEWA FALLS,30100121,80164,HC VALPROIC ACID,301,1 ,$74.46 ,$55.85 ,$13.54 ,$74.46 ,$47.95 ,$13.54 ,$52.12 ,$13.99 ,$32.52 ,$14.41 ,$26.01 ,$70.74 , N/A ,$59.57 ,$67.76 ,$13.99 ,$69.99 ,$70.74 ,$67.01 ,$63.29 ,$13.99 ,$13.99 ,$13.99 ,$54.36 ,$13.54 ,$66.27 ,$67.01 ,$67.01 ,$59.57 ,$13.95 ,$40.95 ,$67.01 ,$13.54 ,$67.01 ,$13.54 ,$70.74 ,$30.47 ,$68.50 ,$14.83 ,$67.76 ,$13.54 ,$45.82 ,$47.95 ,$45.82 ,$67.01 ,$74.46 ,$55.57 ,$67.01 ,$13.68 ,$14.69 ,$69.62 ,$14.22 ,$13.99 ,$64.78 ,$13.54 ,$67.01 ,$13.54 ,$67.01 ,$67.01 ,$67.01 ,$72.23 ,$60.31 ,$67.01 ,$67.01 ,$67.01 ,$67.01 
ST. JOSEPH'S - CHIPPEWA FALLS,30100124,80170,HC GENTAMICIN,301,1 ,$198.65 ,$148.99 ,$16.38 ,$198.65 ,$127.93 ,$16.38 ,$139.06 ,$16.93 ,$39.32 ,$17.44 ,$31.46 ,$188.72 , N/A ,$158.92 ,$180.77 ,$16.93 ,$186.73 ,$188.72 ,$178.79 ,$168.85 ,$16.93 ,$16.93 ,$16.93 ,$145.01 ,$16.38 ,$176.80 ,$178.79 ,$178.79 ,$158.92 ,$16.87 ,$109.26 ,$178.79 ,$16.38 ,$178.79 ,$16.38 ,$188.72 ,$36.86 ,$182.76 ,$17.95 ,$180.77 ,$16.38 ,$122.25 ,$127.93 ,$122.25 ,$178.79 ,$112.00 ,$148.25 ,$102.95 ,$16.54 ,$17.78 ,$185.74 ,$17.20 ,$16.93 ,$172.83 ,$16.38 ,$178.79 ,$16.38 ,$178.79 ,$178.79 ,$178.79 ,$192.69 ,$160.91 ,$178.79 ,$178.79 ,$178.79 ,$178.79 
ST. JOSEPH'S - CHIPPEWA FALLS,30100126,80176,HC LIDOCAINE,301,1 ,$177.89 ,$133.42 ,$14.69 ,$177.89 ,$114.56 ,$14.69 ,$124.52 ,$15.18 ,$35.26 ,$15.64 ,$28.21 ,$169.00 , N/A ,$142.31 ,$161.88 ,$15.18 ,$167.22 ,$169.00 ,$160.10 ,$151.21 ,$15.18 ,$15.18 ,$15.18 ,$129.86 ,$14.69 ,$158.32 ,$160.10 ,$160.10 ,$142.31 ,$15.13 ,$97.84 ,$160.10 ,$14.69 ,$160.10 ,$14.69 ,$169.00 ,$33.05 ,$163.66 ,$16.09 ,$161.88 ,$14.69 ,$109.47 ,$114.56 ,$109.47 ,$160.10 ,$88.52 ,$132.76 ,$92.36 ,$14.84 ,$15.94 ,$166.33 ,$15.42 ,$15.18 ,$154.76 ,$14.69 ,$160.10 ,$14.69 ,$160.10 ,$160.10 ,$160.10 ,$172.55 ,$144.09 ,$160.10 ,$160.10 ,$160.10 ,$160.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100127,80178,HC LITHIUM,301,1 ,$72.56 ,$54.42 ,$6.61 ,$72.56 ,$46.73 ,$6.61 ,$50.79 ,$6.83 ,$15.87 ,$7.03 ,$12.70 ,$68.93 , N/A ,$58.05 ,$66.03 ,$6.83 ,$68.21 ,$68.93 ,$65.30 ,$61.68 ,$6.83 ,$6.83 ,$6.83 ,$52.97 ,$6.61 ,$64.58 ,$65.30 ,$65.30 ,$58.05 ,$6.81 ,$39.91 ,$65.30 ,$6.61 ,$65.30 ,$6.61 ,$68.93 ,$14.87 ,$66.76 ,$7.24 ,$66.03 ,$6.61 ,$44.65 ,$46.73 ,$44.65 ,$65.30 ,$44.14 ,$54.15 ,$41.55 ,$6.68 ,$7.17 ,$67.84 ,$6.94 ,$6.83 ,$63.13 ,$6.61 ,$65.30 ,$6.61 ,$65.30 ,$65.30 ,$65.30 ,$70.38 ,$58.77 ,$65.30 ,$65.30 ,$65.30 ,$65.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100129,80184,HC PHENOBARBITAL,301,1 ,$86.92 ,$65.19 ,$15.30 ,$86.92 ,$55.98 ,$15.30 ,$60.84 ,$15.81 ,$27.49 ,$16.28 ,$21.99 ,$82.57 , N/A ,$69.54 ,$79.10 ,$15.81 ,$81.70 ,$82.57 ,$78.23 ,$73.88 ,$15.81 ,$15.81 ,$15.81 ,$63.45 ,$15.30 ,$77.36 ,$78.23 ,$78.23 ,$69.54 ,$15.76 ,$47.81 ,$78.23 ,$15.30 ,$78.23 ,$15.30 ,$82.57 ,$34.43 ,$79.97 ,$16.76 ,$79.10 ,$15.30 ,$53.49 ,$55.98 ,$53.49 ,$78.23 ,$86.92 ,$64.87 ,$77.90 ,$15.45 ,$16.60 ,$81.27 ,$16.07 ,$15.81 ,$75.62 ,$15.30 ,$78.23 ,$15.30 ,$78.23 ,$78.23 ,$78.23 ,$84.31 ,$70.41 ,$78.23 ,$78.23 ,$78.23 ,$78.23 
ST. JOSEPH'S - CHIPPEWA FALLS,30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$145.22 ,$108.92 ,$13.25 ,$145.22 ,$93.52 ,$13.25 ,$101.65 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$137.96 , N/A ,$116.18 ,$132.15 ,$13.69 ,$136.51 ,$137.96 ,$130.70 ,$123.44 ,$13.69 ,$13.69 ,$13.69 ,$106.01 ,$13.25 ,$129.25 ,$130.70 ,$130.70 ,$116.18 ,$13.65 ,$79.87 ,$130.70 ,$13.25 ,$130.70 ,$13.25 ,$137.96 ,$29.81 ,$133.60 ,$14.51 ,$132.15 ,$13.25 ,$89.37 ,$93.52 ,$89.37 ,$130.70 ,$91.14 ,$108.38 ,$83.30 ,$13.38 ,$14.37 ,$135.78 ,$13.91 ,$13.69 ,$126.34 ,$13.25 ,$130.70 ,$13.25 ,$130.70 ,$130.70 ,$130.70 ,$140.86 ,$117.63 ,$130.70 ,$130.70 ,$130.70 ,$130.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100131,80186,HC PHENYTOIN FREE,301,1 ,$42.48 ,$31.86 ,$13.76 ,$42.48 ,$27.36 ,$13.76 ,$29.74 ,$14.22 ,$28.18 ,$14.65 ,$22.54 ,$40.36 , N/A ,$33.98 ,$38.66 ,$14.22 ,$39.93 ,$40.36 ,$38.23 ,$36.11 ,$14.22 ,$14.22 ,$14.22 ,$31.01 ,$13.76 ,$37.81 ,$38.23 ,$38.23 ,$33.98 ,$14.17 ,$23.36 ,$38.23 ,$13.76 ,$38.23 ,$13.76 ,$40.36 ,$30.96 ,$39.08 ,$15.07 ,$38.66 ,$13.76 ,$26.14 ,$27.36 ,$26.14 ,$38.23 ,$42.48 ,$31.70 ,$38.23 ,$13.90 ,$14.93 ,$39.72 ,$14.45 ,$14.22 ,$36.96 ,$13.76 ,$38.23 ,$13.76 ,$38.23 ,$38.23 ,$38.23 ,$41.21 ,$34.41 ,$38.23 ,$38.23 ,$38.23 ,$38.23 
ST. JOSEPH'S - CHIPPEWA FALLS,30100132,80188,HC PRIMIDONE,301,1 ,$51.20 ,$38.40 ,$16.59 ,$51.20 ,$32.97 ,$16.59 ,$35.84 ,$17.14 ,$39.83 ,$17.65 ,$31.86 ,$48.64 , N/A ,$40.96 ,$46.59 ,$17.14 ,$48.13 ,$48.64 ,$46.08 ,$43.52 ,$17.14 ,$17.14 ,$17.14 ,$37.38 ,$16.59 ,$45.57 ,$46.08 ,$46.08 ,$40.96 ,$17.09 ,$28.16 ,$46.08 ,$16.59 ,$46.08 ,$16.59 ,$48.64 ,$37.33 ,$47.10 ,$18.17 ,$46.59 ,$16.59 ,$31.51 ,$32.97 ,$31.51 ,$46.08 ,$51.20 ,$38.21 ,$46.08 ,$16.76 ,$18.00 ,$47.87 ,$17.42 ,$17.14 ,$44.54 ,$16.59 ,$46.08 ,$16.59 ,$46.08 ,$46.08 ,$46.08 ,$49.66 ,$41.47 ,$46.08 ,$46.08 ,$46.08 ,$46.08 
ST. JOSEPH'S - CHIPPEWA FALLS,30100133,80192,HC PROCAINEAMIDE,301,1 ,$95.85 ,$71.89 ,$16.75 ,$95.85 ,$61.73 ,$16.75 ,$67.10 ,$17.31 ,$40.22 ,$17.83 ,$32.17 ,$91.06 , N/A ,$76.68 ,$87.22 ,$17.31 ,$90.10 ,$91.06 ,$86.27 ,$81.47 ,$17.31 ,$17.31 ,$17.31 ,$69.97 ,$16.75 ,$85.31 ,$86.27 ,$86.27 ,$76.68 ,$17.25 ,$52.72 ,$86.27 ,$16.75 ,$86.27 ,$16.75 ,$91.06 ,$37.69 ,$88.18 ,$18.35 ,$87.22 ,$16.75 ,$58.99 ,$61.73 ,$58.99 ,$86.27 ,$81.28 ,$71.53 ,$86.27 ,$16.92 ,$18.18 ,$89.62 ,$17.59 ,$17.31 ,$83.39 ,$16.75 ,$86.27 ,$16.75 ,$86.27 ,$86.27 ,$86.27 ,$92.97 ,$77.64 ,$86.27 ,$86.27 ,$86.27 ,$86.27 
ST. JOSEPH'S - CHIPPEWA FALLS,30100135,80195,HC RAPAMYCIN (SIROLIMUS),301,1 ,$65.55 ,$49.16 ,$13.73 ,$65.55 ,$42.21 ,$13.73 ,$45.89 ,$14.19 ,$32.97 ,$14.62 ,$26.38 ,$62.27 , N/A ,$52.44 ,$59.65 ,$14.19 ,$61.62 ,$62.27 ,$59.00 ,$55.72 ,$14.19 ,$14.19 ,$14.19 ,$47.85 ,$13.73 ,$58.34 ,$59.00 ,$59.00 ,$52.44 ,$14.14 ,$36.05 ,$59.00 ,$13.73 ,$59.00 ,$13.73 ,$62.27 ,$30.89 ,$60.31 ,$15.04 ,$59.65 ,$13.73 ,$40.34 ,$42.21 ,$40.34 ,$59.00 ,$40.81 ,$48.92 ,$59.00 ,$13.87 ,$14.90 ,$61.29 ,$14.42 ,$14.19 ,$57.03 ,$13.73 ,$59.00 ,$13.73 ,$59.00 ,$59.00 ,$59.00 ,$63.58 ,$53.10 ,$59.00 ,$59.00 ,$59.00 ,$59.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100137,80197,HC TACROLIMUS,301,1 ,$47.83 ,$35.87 ,$13.73 ,$47.83 ,$30.80 ,$13.73 ,$33.48 ,$14.19 ,$32.97 ,$14.62 ,$26.38 ,$45.44 , N/A ,$38.26 ,$43.53 ,$14.19 ,$44.96 ,$45.44 ,$43.05 ,$40.66 ,$14.19 ,$14.19 ,$14.19 ,$34.92 ,$13.73 ,$42.57 ,$43.05 ,$43.05 ,$38.26 ,$14.14 ,$26.31 ,$43.05 ,$13.73 ,$43.05 ,$13.73 ,$45.44 ,$30.89 ,$44.00 ,$15.04 ,$43.53 ,$13.73 ,$29.43 ,$30.80 ,$29.43 ,$43.05 ,$47.83 ,$35.70 ,$43.05 ,$13.87 ,$14.90 ,$44.72 ,$14.42 ,$14.19 ,$41.61 ,$13.73 ,$43.05 ,$13.73 ,$43.05 ,$43.05 ,$43.05 ,$46.40 ,$38.74 ,$43.05 ,$43.05 ,$43.05 ,$43.05 
ST. JOSEPH'S - CHIPPEWA FALLS,30100138,80198,HC THEOPHYLLINE,301,1 ,$165.16 ,$123.87 ,$14.14 ,$165.16 ,$106.36 ,$14.14 ,$115.61 ,$14.61 ,$33.95 ,$15.05 ,$27.16 ,$156.90 , N/A ,$132.13 ,$150.30 ,$14.61 ,$155.25 ,$156.90 ,$148.64 ,$140.39 ,$14.61 ,$14.61 ,$14.61 ,$120.57 ,$14.14 ,$146.99 ,$148.64 ,$148.64 ,$132.13 ,$14.56 ,$90.84 ,$148.64 ,$14.14 ,$148.64 ,$14.14 ,$156.90 ,$31.82 ,$151.95 ,$15.49 ,$150.30 ,$14.14 ,$101.64 ,$106.36 ,$101.64 ,$148.64 ,$68.96 ,$123.26 ,$88.90 ,$14.28 ,$15.34 ,$154.42 ,$14.85 ,$14.61 ,$143.69 ,$14.14 ,$148.64 ,$14.14 ,$148.64 ,$148.64 ,$148.64 ,$160.21 ,$133.78 ,$148.64 ,$148.64 ,$148.64 ,$148.64 
ST. JOSEPH'S - CHIPPEWA FALLS,30100139,80200,HC TOBRAMYCIN,301,1 ,$199.63 ,$149.72 ,$16.13 ,$199.63 ,$128.56 ,$16.13 ,$139.74 ,$16.67 ,$38.71 ,$17.17 ,$30.97 ,$189.65 , N/A ,$159.70 ,$181.66 ,$16.67 ,$187.65 ,$189.65 ,$179.67 ,$169.69 ,$16.67 ,$16.67 ,$16.67 ,$145.73 ,$16.13 ,$177.67 ,$179.67 ,$179.67 ,$159.70 ,$16.61 ,$109.80 ,$179.67 ,$16.13 ,$179.67 ,$16.13 ,$189.65 ,$36.29 ,$183.66 ,$17.67 ,$181.66 ,$16.13 ,$122.85 ,$128.56 ,$122.85 ,$179.67 ,$106.54 ,$148.98 ,$101.37 ,$16.29 ,$17.50 ,$186.65 ,$16.94 ,$16.67 ,$173.68 ,$16.13 ,$179.67 ,$16.13 ,$179.67 ,$179.67 ,$179.67 ,$193.64 ,$161.70 ,$179.67 ,$179.67 ,$179.67 ,$179.67 
ST. JOSEPH'S - CHIPPEWA FALLS,30100140,80201,HC TOPIRAMATE,301,1 ,$72.11 ,$54.08 ,$11.92 ,$72.11 ,$46.44 ,$11.92 ,$50.48 ,$12.32 ,$28.61 ,$12.69 ,$22.89 ,$68.50 , N/A ,$57.69 ,$65.62 ,$12.32 ,$67.78 ,$68.50 ,$64.90 ,$61.29 ,$12.32 ,$12.32 ,$12.32 ,$52.64 ,$11.92 ,$64.18 ,$64.90 ,$64.90 ,$57.69 ,$12.28 ,$39.66 ,$64.90 ,$11.92 ,$64.90 ,$11.92 ,$68.50 ,$26.82 ,$66.34 ,$13.06 ,$65.62 ,$11.92 ,$44.38 ,$46.44 ,$44.38 ,$64.90 ,$72.11 ,$53.82 ,$64.90 ,$12.04 ,$12.94 ,$67.42 ,$12.52 ,$12.32 ,$62.74 ,$11.92 ,$64.90 ,$11.92 ,$64.90 ,$64.90 ,$64.90 ,$69.95 ,$58.41 ,$64.90 ,$64.90 ,$64.90 ,$64.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100141,80202,HC VANCOMYCIN,301,1 ,$190.34 ,$142.76 ,$13.54 ,$190.34 ,$122.58 ,$13.54 ,$133.24 ,$13.99 ,$32.52 ,$14.41 ,$26.01 ,$180.82 , N/A ,$152.27 ,$173.21 ,$13.99 ,$178.92 ,$180.82 ,$171.31 ,$161.79 ,$13.99 ,$13.99 ,$13.99 ,$138.95 ,$13.54 ,$169.40 ,$171.31 ,$171.31 ,$152.27 ,$13.95 ,$104.69 ,$171.31 ,$13.54 ,$171.31 ,$13.54 ,$180.82 ,$30.47 ,$175.11 ,$14.83 ,$173.21 ,$13.54 ,$117.14 ,$122.58 ,$117.14 ,$171.31 ,$134.62 ,$142.05 ,$85.13 ,$13.68 ,$14.69 ,$177.97 ,$14.22 ,$13.99 ,$165.60 ,$13.54 ,$171.31 ,$13.54 ,$171.31 ,$171.31 ,$171.31 ,$184.63 ,$154.18 ,$171.31 ,$171.31 ,$171.31 ,$171.31 
ST. JOSEPH'S - CHIPPEWA FALLS,30100150,80203,HC ZONISAMIDE,301,1 ,$128.00 ,$96.00 ,$13.25 ,$128.00 ,$82.43 ,$13.25 ,$89.60 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$121.60 , N/A ,$102.40 ,$116.48 ,$13.69 ,$120.32 ,$121.60 ,$115.20 ,$108.80 ,$13.69 ,$13.69 ,$13.69 ,$93.44 ,$13.25 ,$113.92 ,$115.20 ,$115.20 ,$102.40 ,$13.65 ,$70.40 ,$115.20 ,$13.25 ,$115.20 ,$13.25 ,$121.60 ,$29.81 ,$117.76 ,$14.51 ,$116.48 ,$13.25 ,$78.77 ,$82.43 ,$78.77 ,$115.20 ,$34.23 ,$95.53 ,$83.30 ,$13.38 ,$14.37 ,$119.68 ,$13.91 ,$13.69 ,$111.36 ,$13.25 ,$115.20 ,$13.25 ,$115.20 ,$115.20 ,$115.20 ,$124.16 ,$103.68 ,$115.20 ,$115.20 ,$115.20 ,$115.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100157,82009,HC ACETONE SERUM,301,1 ,$99.00 ,$74.25 ,$4.52 ,$99.00 ,$63.76 ,$4.52 ,$69.30 ,$4.67 ,$10.85 ,$4.81 ,$8.68 ,$94.05 , N/A ,$79.20 ,$90.09 ,$4.67 ,$93.06 ,$94.05 ,$89.10 ,$84.15 ,$4.67 ,$4.67 ,$4.67 ,$72.27 ,$4.52 ,$88.11 ,$89.10 ,$89.10 ,$79.20 ,$4.66 ,$54.45 ,$89.10 ,$4.52 ,$89.10 ,$4.52 ,$94.05 ,$10.17 ,$91.08 ,$4.95 ,$90.09 ,$4.52 ,$60.92 ,$63.76 ,$60.92 ,$89.10 ,$27.69 ,$73.88 ,$28.41 ,$4.57 ,$4.90 ,$92.57 ,$4.75 ,$4.67 ,$86.13 ,$4.52 ,$89.10 ,$4.52 ,$89.10 ,$89.10 ,$89.10 ,$96.03 ,$80.19 ,$89.10 ,$89.10 ,$89.10 ,$89.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100158,82010,HC ACETONE KETONES SERUM QN,301,1 ,$43.00 ,$32.25 ,$8.17 ,$43.00 ,$27.69 ,$8.17 ,$30.10 ,$8.44 ,$19.62 ,$8.69 ,$15.69 ,$40.85 , N/A ,$34.40 ,$39.13 ,$8.44 ,$40.42 ,$40.85 ,$38.70 ,$36.55 ,$8.44 ,$8.44 ,$8.44 ,$31.39 ,$8.17 ,$38.27 ,$38.70 ,$38.70 ,$34.40 ,$8.42 ,$23.65 ,$38.70 ,$8.17 ,$38.70 ,$8.17 ,$40.85 ,$18.38 ,$39.56 ,$8.95 ,$39.13 ,$8.17 ,$26.46 ,$27.69 ,$26.46 ,$38.70 ,$43.00 ,$32.09 ,$38.70 ,$8.25 ,$8.86 ,$40.21 ,$8.58 ,$8.44 ,$37.41 ,$8.17 ,$38.70 ,$8.17 ,$38.70 ,$38.70 ,$38.70 ,$41.71 ,$34.83 ,$38.70 ,$38.70 ,$38.70 ,$38.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100163,82024,HC ACTH,301,1 ,$126.00 ,$94.50 ,$38.62 ,$126.00 ,$81.14 ,$38.62 ,$88.20 ,$39.91 ,$92.72 ,$41.11 ,$74.17 ,$119.70 , N/A ,$100.80 ,$114.66 ,$39.91 ,$118.44 ,$119.70 ,$113.40 ,$107.10 ,$39.91 ,$39.91 ,$39.91 ,$91.98 ,$38.62 ,$112.14 ,$113.40 ,$113.40 ,$100.80 ,$39.78 ,$69.30 ,$113.40 ,$38.62 ,$113.40 ,$38.62 ,$119.70 ,$86.90 ,$115.92 ,$42.30 ,$114.66 ,$38.62 ,$77.54 ,$81.14 ,$77.54 ,$113.40 ,$126.00 ,$94.03 ,$113.40 ,$39.01 ,$41.91 ,$117.81 ,$40.55 ,$39.91 ,$109.62 ,$38.62 ,$113.40 ,$38.62 ,$113.40 ,$113.40 ,$113.40 ,$122.22 ,$102.06 ,$113.40 ,$113.40 ,$113.40 ,$113.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100164,82040,HC ALBUMIN,301,1 ,$92.00 ,$69.00 ,$4.95 ,$92.00 ,$59.25 ,$4.95 ,$64.40 ,$5.11 ,$11.88 ,$5.26 ,$9.51 ,$87.40 , N/A ,$73.60 ,$83.72 ,$5.11 ,$86.48 ,$87.40 ,$82.80 ,$78.20 ,$5.11 ,$5.11 ,$5.11 ,$67.16 ,$4.95 ,$81.88 ,$82.80 ,$82.80 ,$73.60 ,$5.10 ,$50.60 ,$82.80 ,$4.95 ,$82.80 ,$4.95 ,$87.40 ,$11.14 ,$84.64 ,$5.42 ,$83.72 ,$4.95 ,$56.62 ,$59.25 ,$56.62 ,$82.80 ,$54.24 ,$68.66 ,$31.11 ,$5.00 ,$5.37 ,$86.02 ,$5.20 ,$5.11 ,$80.04 ,$4.95 ,$82.80 ,$4.95 ,$82.80 ,$82.80 ,$82.80 ,$89.24 ,$74.52 ,$82.80 ,$82.80 ,$82.80 ,$82.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100166,82042,HC ALBUMIN BODY FLUID,301,1 ,$53.00 ,$39.75 ,$7.27 ,$53.00 ,$34.13 ,$7.78 ,$37.10 ,$7.27 ,$12.43 ,$7.49 ,$9.94 ,$50.35 , N/A ,$42.40 ,$48.23 ,$7.27 ,$49.82 ,$50.35 ,$47.70 ,$45.05 ,$7.27 ,$7.27 ,$7.27 ,$38.69 ,$7.78 ,$47.17 ,$47.70 ,$47.70 ,$42.40 ,$8.01 ,$29.15 ,$47.70 ,$7.78 ,$47.70 ,$7.78 ,$50.35 ,$17.51 ,$48.76 ,$7.71 ,$48.23 ,$7.78 ,$32.62 ,$34.13 ,$32.62 ,$47.70 ,$44.56 ,$39.55 ,$39.61 ,$7.86 ,$7.63 ,$49.56 ,$8.17 ,$7.27 ,$46.11 ,$7.78 ,$47.70 ,$7.78 ,$47.70 ,$47.70 ,$47.70 ,$51.41 ,$42.93 ,$47.70 ,$47.70 ,$47.70 ,$47.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$89.00 ,$66.75 ,$5.78 ,$89.00 ,$57.32 ,$5.78 ,$62.30 ,$5.97 ,$13.88 ,$6.15 ,$11.10 ,$84.55 , N/A ,$71.20 ,$80.99 ,$5.97 ,$83.66 ,$84.55 ,$80.10 ,$75.65 ,$5.97 ,$5.97 ,$5.97 ,$64.97 ,$5.78 ,$79.21 ,$80.10 ,$80.10 ,$71.20 ,$5.95 ,$48.95 ,$80.10 ,$5.78 ,$80.10 ,$5.78 ,$84.55 ,$13.01 ,$81.88 ,$6.33 ,$80.99 ,$5.78 ,$54.77 ,$57.32 ,$54.77 ,$80.10 ,$89.00 ,$66.42 ,$36.35 ,$5.84 ,$6.27 ,$83.22 ,$6.07 ,$5.97 ,$77.43 ,$5.78 ,$80.10 ,$5.78 ,$80.10 ,$80.10 ,$80.10 ,$86.33 ,$72.09 ,$80.10 ,$80.10 ,$80.10 ,$80.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100170,82085,HC ALDOLASE,301,1 ,$75.00 ,$56.25 ,$9.71 ,$75.00 ,$48.30 ,$9.71 ,$52.50 ,$10.03 ,$23.31 ,$10.33 ,$18.65 ,$71.25 , N/A ,$60.00 ,$68.25 ,$10.03 ,$70.50 ,$71.25 ,$67.50 ,$63.75 ,$10.03 ,$10.03 ,$10.03 ,$54.75 ,$9.71 ,$66.75 ,$67.50 ,$67.50 ,$60.00 ,$10.00 ,$41.25 ,$67.50 ,$9.71 ,$67.50 ,$9.71 ,$71.25 ,$21.85 ,$69.00 ,$10.63 ,$68.25 ,$9.71 ,$46.16 ,$48.30 ,$46.16 ,$67.50 ,$71.82 ,$55.97 ,$61.05 ,$9.81 ,$10.53 ,$70.13 ,$10.20 ,$10.03 ,$65.25 ,$9.71 ,$67.50 ,$9.71 ,$67.50 ,$67.50 ,$67.50 ,$72.75 ,$60.75 ,$67.50 ,$67.50 ,$67.50 ,$67.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100171,82088,HC ALDOSTERONE,301,1 ,$132.00 ,$99.00 ,$40.75 ,$132.00 ,$85.01 ,$40.75 ,$92.40 ,$42.11 ,$97.83 ,$43.37 ,$78.26 ,$125.40 , N/A ,$105.60 ,$120.12 ,$42.11 ,$124.08 ,$125.40 ,$118.80 ,$112.20 ,$42.11 ,$42.11 ,$42.11 ,$96.36 ,$40.75 ,$117.48 ,$118.80 ,$118.80 ,$105.60 ,$41.97 ,$72.60 ,$118.80 ,$40.75 ,$118.80 ,$40.75 ,$125.40 ,$91.69 ,$121.44 ,$44.64 ,$120.12 ,$40.75 ,$81.23 ,$85.01 ,$81.23 ,$118.80 ,$132.00 ,$98.51 ,$118.80 ,$41.16 ,$44.22 ,$123.42 ,$42.79 ,$42.11 ,$114.84 ,$40.75 ,$118.80 ,$40.75 ,$118.80 ,$118.80 ,$118.80 ,$128.04 ,$106.92 ,$118.80 ,$118.80 ,$118.80 ,$118.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100172,82103,HC ALPHA-1 ANTITRYPSIN TOTAL,301,1 ,$67.00 ,$50.25 ,$13.44 ,$67.00 ,$43.15 ,$13.44 ,$46.90 ,$13.89 ,$32.25 ,$14.31 ,$25.80 ,$63.65 , N/A ,$53.60 ,$60.97 ,$13.89 ,$62.98 ,$63.65 ,$60.30 ,$56.95 ,$13.89 ,$13.89 ,$13.89 ,$48.91 ,$13.44 ,$59.63 ,$60.30 ,$60.30 ,$53.60 ,$13.84 ,$36.85 ,$60.30 ,$13.44 ,$60.30 ,$13.44 ,$63.65 ,$30.24 ,$61.64 ,$14.72 ,$60.97 ,$13.44 ,$41.23 ,$43.15 ,$41.23 ,$60.30 ,$67.00 ,$50.00 ,$60.30 ,$13.57 ,$14.58 ,$62.65 ,$14.11 ,$13.89 ,$58.29 ,$13.44 ,$60.30 ,$13.44 ,$60.30 ,$60.30 ,$60.30 ,$64.99 ,$54.27 ,$60.30 ,$60.30 ,$60.30 ,$60.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100175,82105,HC ALPHA FETOPROTEIN SERUM,301,1 ,$56.00 ,$42.00 ,$16.77 ,$56.00 ,$36.06 ,$16.77 ,$39.20 ,$17.33 ,$40.27 ,$17.85 ,$32.21 ,$53.20 , N/A ,$44.80 ,$50.96 ,$17.33 ,$52.64 ,$53.20 ,$50.40 ,$47.60 ,$17.33 ,$17.33 ,$17.33 ,$40.88 ,$16.77 ,$49.84 ,$50.40 ,$50.40 ,$44.80 ,$17.27 ,$30.80 ,$50.40 ,$16.77 ,$50.40 ,$16.77 ,$53.20 ,$37.73 ,$51.52 ,$18.37 ,$50.96 ,$16.77 ,$34.46 ,$36.06 ,$34.46 ,$50.40 ,$56.00 ,$41.79 ,$50.40 ,$16.94 ,$18.20 ,$52.36 ,$17.61 ,$17.33 ,$48.72 ,$16.77 ,$50.40 ,$16.77 ,$50.40 ,$50.40 ,$50.40 ,$54.32 ,$45.36 ,$50.40 ,$50.40 ,$50.40 ,$50.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100186,82140,HC AMMONIA,301,1 ,$211.00 ,$158.25 ,$14.57 ,$211.00 ,$135.88 ,$14.57 ,$147.70 ,$15.06 ,$34.98 ,$15.51 ,$27.99 ,$200.45 , N/A ,$168.80 ,$192.01 ,$15.06 ,$198.34 ,$200.45 ,$189.90 ,$179.35 ,$15.06 ,$15.06 ,$15.06 ,$154.03 ,$14.57 ,$187.79 ,$189.90 ,$189.90 ,$168.80 ,$15.01 ,$116.05 ,$189.90 ,$14.57 ,$189.90 ,$14.57 ,$200.45 ,$32.78 ,$194.12 ,$15.96 ,$192.01 ,$14.57 ,$129.85 ,$135.88 ,$129.85 ,$189.90 ,$118.58 ,$157.47 ,$91.60 ,$14.72 ,$15.81 ,$197.29 ,$15.30 ,$15.06 ,$183.57 ,$14.57 ,$189.90 ,$14.57 ,$189.90 ,$189.90 ,$189.90 ,$204.67 ,$170.91 ,$189.90 ,$189.90 ,$189.90 ,$189.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100187,80324,HC AMPHETAMINE,301,1 ,$71.00 ,$53.25 ,$3.81 ,$71.00 ,$45.72 , N/A ,$49.70 ,$3.81 ,$41.42 ,$3.92 ,$33.14 ,$67.45 , N/A ,$56.80 ,$64.61 ,$3.81 ,$66.74 ,$67.45 ,$63.90 ,$60.35 ,$3.81 ,$3.81 ,$3.81 ,$51.83 , N/A ,$63.19 ,$63.90 ,$63.90 ,$56.80 , N/A ,$39.05 ,$63.90 , N/A ,$63.90 , N/A ,$67.45 , N/A ,$65.32 ,$4.04 ,$64.61 , N/A ,$43.69 ,$45.72 ,$43.69 ,$63.90 ,$47.23 ,$52.99 ,$49.45 , N/A ,$4.00 ,$66.39 , N/A ,$3.81 ,$61.77 , N/A ,$63.90 , N/A ,$63.90 ,$63.90 ,$63.90 ,$68.87 ,$57.51 ,$63.90 ,$63.90 ,$63.90 ,$63.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100188,82150,HC AMYLASE,301,1 ,$160.00 ,$120.00 ,$6.48 ,$160.00 ,$103.04 ,$6.48 ,$112.00 ,$6.70 ,$15.56 ,$6.90 ,$12.45 ,$152.00 , N/A ,$128.00 ,$145.60 ,$6.70 ,$150.40 ,$152.00 ,$144.00 ,$136.00 ,$6.70 ,$6.70 ,$6.70 ,$116.80 ,$6.48 ,$142.40 ,$144.00 ,$144.00 ,$128.00 ,$6.67 ,$88.00 ,$144.00 ,$6.48 ,$144.00 ,$6.48 ,$152.00 ,$14.58 ,$147.20 ,$7.10 ,$145.60 ,$6.48 ,$98.46 ,$103.04 ,$98.46 ,$144.00 ,$59.25 ,$119.41 ,$40.73 ,$6.54 ,$7.04 ,$149.60 ,$6.80 ,$6.70 ,$139.20 ,$6.48 ,$144.00 ,$6.48 ,$144.00 ,$144.00 ,$144.00 ,$155.20 ,$129.60 ,$144.00 ,$144.00 ,$144.00 ,$144.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100189,82157,HC ANDROSTENEDIONE,301,1 ,$227.00 ,$170.25 ,$29.28 ,$227.00 ,$146.19 ,$29.28 ,$158.90 ,$30.26 ,$70.28 ,$31.17 ,$56.22 ,$215.65 , N/A ,$181.60 ,$206.57 ,$30.26 ,$213.38 ,$215.65 ,$204.30 ,$192.95 ,$30.26 ,$30.26 ,$30.26 ,$165.71 ,$29.28 ,$202.03 ,$204.30 ,$204.30 ,$181.60 ,$30.16 ,$124.85 ,$204.30 ,$29.28 ,$204.30 ,$29.28 ,$215.65 ,$65.88 ,$208.84 ,$32.08 ,$206.57 ,$29.28 ,$139.70 ,$146.19 ,$139.70 ,$204.30 ,$227.00 ,$169.41 ,$184.01 ,$29.57 ,$31.77 ,$212.25 ,$30.74 ,$30.26 ,$197.49 ,$29.28 ,$204.30 ,$29.28 ,$204.30 ,$204.30 ,$204.30 ,$220.19 ,$183.87 ,$204.30 ,$204.30 ,$204.30 ,$204.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100191,82164,HC ANGIOTENSIN 1 ENZYME (ACE),301,1 ,$67.00 ,$50.25 ,$14.60 ,$67.00 ,$43.15 ,$14.60 ,$46.90 ,$15.09 ,$35.05 ,$15.54 ,$28.04 ,$63.65 , N/A ,$53.60 ,$60.97 ,$15.09 ,$62.98 ,$63.65 ,$60.30 ,$56.95 ,$15.09 ,$15.09 ,$15.09 ,$48.91 ,$14.60 ,$59.63 ,$60.30 ,$60.30 ,$53.60 ,$15.04 ,$36.85 ,$60.30 ,$14.60 ,$60.30 ,$14.60 ,$63.65 ,$32.85 ,$61.64 ,$16.00 ,$60.97 ,$14.60 ,$41.23 ,$43.15 ,$41.23 ,$60.30 ,$67.00 ,$50.00 ,$60.30 ,$14.75 ,$15.84 ,$62.65 ,$15.33 ,$15.09 ,$58.29 ,$14.60 ,$60.30 ,$14.60 ,$60.30 ,$60.30 ,$60.30 ,$64.99 ,$54.27 ,$60.30 ,$60.30 ,$60.30 ,$60.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$105.00 ,$78.75 ,$4.24 ,$105.00 ,$67.62 ,$5.02 ,$73.50 ,$4.24 ,$12.04 ,$4.37 ,$9.63 ,$99.75 , N/A ,$84.00 ,$95.55 ,$4.24 ,$98.70 ,$99.75 ,$94.50 ,$89.25 ,$4.24 ,$4.24 ,$4.24 ,$76.65 ,$5.02 ,$93.45 ,$94.50 ,$94.50 ,$84.00 ,$5.17 ,$57.75 ,$94.50 ,$5.02 ,$94.50 ,$5.02 ,$99.75 ,$11.30 ,$96.60 ,$4.49 ,$95.55 ,$5.02 ,$64.62 ,$67.62 ,$64.62 ,$94.50 ,$21.33 ,$78.36 ,$31.52 ,$5.07 ,$4.45 ,$98.18 ,$5.27 ,$4.24 ,$91.35 ,$5.02 ,$94.50 ,$5.02 ,$94.50 ,$94.50 ,$94.50 ,$101.85 ,$85.05 ,$94.50 ,$94.50 ,$94.50 ,$94.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$105.00 ,$78.75 ,$4.70 ,$105.00 ,$67.62 ,$5.02 ,$73.50 ,$4.70 ,$12.04 ,$4.84 ,$9.63 ,$99.75 , N/A ,$84.00 ,$95.55 ,$4.70 ,$98.70 ,$99.75 ,$94.50 ,$89.25 ,$4.70 ,$4.70 ,$4.70 ,$76.65 ,$5.02 ,$93.45 ,$94.50 ,$94.50 ,$84.00 ,$5.17 ,$57.75 ,$94.50 ,$5.02 ,$94.50 ,$5.02 ,$99.75 ,$11.30 ,$96.60 ,$4.98 ,$95.55 ,$5.02 ,$64.62 ,$67.62 ,$64.62 ,$94.50 ,$21.33 ,$78.36 ,$31.52 ,$5.07 ,$4.94 ,$98.18 ,$5.27 ,$4.70 ,$91.35 ,$5.02 ,$94.50 ,$5.02 ,$94.50 ,$94.50 ,$94.50 ,$101.85 ,$85.05 ,$94.50 ,$94.50 ,$94.50 ,$94.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100205,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$57.00 ,$42.75 ,$3.66 ,$57.00 ,$36.71 ,$4.38 ,$39.90 ,$3.66 ,$7.81 ,$3.77 ,$6.24 ,$54.15 , N/A ,$45.60 ,$51.87 ,$3.66 ,$53.58 ,$54.15 ,$51.30 ,$48.45 ,$3.66 ,$3.66 ,$3.66 ,$41.61 ,$4.38 ,$50.73 ,$51.30 ,$51.30 ,$45.60 ,$4.51 ,$31.35 ,$51.30 ,$4.38 ,$51.30 ,$4.38 ,$54.15 ,$9.86 ,$52.44 ,$3.88 ,$51.87 ,$4.38 ,$35.08 ,$36.71 ,$35.08 ,$51.30 ,$43.91 ,$42.54 ,$22.30 ,$4.42 ,$3.84 ,$53.30 ,$4.60 ,$3.66 ,$49.59 ,$4.38 ,$51.30 ,$4.38 ,$51.30 ,$51.30 ,$51.30 ,$55.29 ,$46.17 ,$51.30 ,$51.30 ,$51.30 ,$51.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100206,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$58.00 ,$43.50 ,$4.26 ,$58.00 ,$37.35 ,$5.32 ,$40.60 ,$4.26 ,$7.81 ,$4.39 ,$6.24 ,$55.10 , N/A ,$46.40 ,$52.78 ,$4.26 ,$54.52 ,$55.10 ,$52.20 ,$49.30 ,$4.26 ,$4.26 ,$4.26 ,$42.34 ,$5.32 ,$51.62 ,$52.20 ,$52.20 ,$46.40 ,$5.48 ,$31.90 ,$52.20 ,$5.32 ,$52.20 ,$5.32 ,$55.10 ,$11.97 ,$53.36 ,$4.52 ,$52.78 ,$5.32 ,$35.69 ,$37.35 ,$35.69 ,$52.20 ,$10.01 ,$43.29 ,$27.09 ,$5.37 ,$4.47 ,$54.23 ,$5.59 ,$4.26 ,$50.46 ,$5.32 ,$52.20 ,$5.32 ,$52.20 ,$52.20 ,$52.20 ,$56.26 ,$46.98 ,$52.20 ,$52.20 ,$52.20 ,$52.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100207,82272,HC OCCULT BLOOD FECAL DIAG,301,1 ,$57.00 ,$42.75 ,$4.23 ,$57.00 ,$36.71 ,$4.23 ,$39.90 ,$4.26 ,$7.81 ,$4.39 ,$6.24 ,$54.15 , N/A ,$45.60 ,$51.87 ,$4.26 ,$53.58 ,$54.15 ,$51.30 ,$48.45 ,$4.26 ,$4.26 ,$4.26 ,$41.61 ,$4.23 ,$50.73 ,$51.30 ,$51.30 ,$45.60 ,$4.36 ,$31.35 ,$51.30 ,$4.23 ,$51.30 ,$4.23 ,$54.15 ,$9.52 ,$52.44 ,$4.52 ,$51.87 ,$4.23 ,$35.08 ,$36.71 ,$35.08 ,$51.30 ,$10.01 ,$42.54 ,$21.54 ,$4.27 ,$4.47 ,$53.30 ,$4.44 ,$4.26 ,$49.59 ,$4.23 ,$51.30 ,$4.23 ,$51.30 ,$51.30 ,$51.30 ,$55.29 ,$46.17 ,$51.30 ,$51.30 ,$51.30 ,$51.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100212,82306,HC VITAMIN D 25 OH,301,1 ,$99.00 ,$74.25 ,$29.60 ,$99.00 ,$63.76 ,$29.60 ,$69.30 ,$30.59 ,$71.07 ,$31.51 ,$56.85 ,$94.05 , N/A ,$79.20 ,$90.09 ,$30.59 ,$93.06 ,$94.05 ,$89.10 ,$84.15 ,$30.59 ,$30.59 ,$30.59 ,$72.27 ,$29.60 ,$88.11 ,$89.10 ,$89.10 ,$79.20 ,$30.49 ,$54.45 ,$89.10 ,$29.60 ,$89.10 ,$29.60 ,$94.05 ,$66.60 ,$91.08 ,$32.43 ,$90.09 ,$29.60 ,$60.92 ,$63.76 ,$60.92 ,$89.10 ,$57.99 ,$73.88 ,$89.10 ,$29.90 ,$32.12 ,$92.57 ,$31.08 ,$30.59 ,$86.13 ,$29.60 ,$89.10 ,$29.60 ,$89.10 ,$89.10 ,$89.10 ,$96.03 ,$80.19 ,$89.10 ,$89.10 ,$89.10 ,$89.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100214,82310,HC CALCIUM,301,1 ,$105.00 ,$78.75 ,$5.16 ,$105.00 ,$67.62 ,$5.16 ,$73.50 ,$5.33 ,$12.39 ,$5.49 ,$9.91 ,$99.75 , N/A ,$84.00 ,$95.55 ,$5.33 ,$98.70 ,$99.75 ,$94.50 ,$89.25 ,$5.33 ,$5.33 ,$5.33 ,$76.65 ,$5.16 ,$93.45 ,$94.50 ,$94.50 ,$84.00 ,$5.31 ,$57.75 ,$94.50 ,$5.16 ,$94.50 ,$5.16 ,$99.75 ,$11.61 ,$96.60 ,$5.65 ,$95.55 ,$5.16 ,$64.62 ,$67.62 ,$64.62 ,$94.50 ,$49.41 ,$78.36 ,$32.43 ,$5.21 ,$5.60 ,$98.18 ,$5.42 ,$5.33 ,$91.35 ,$5.16 ,$94.50 ,$5.16 ,$94.50 ,$94.50 ,$94.50 ,$101.85 ,$85.05 ,$94.50 ,$94.50 ,$94.50 ,$94.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100215,82330,HC CALCIUM IONIZED,301,1 ,$123.00 ,$92.25 ,$13.68 ,$123.00 ,$79.21 ,$13.68 ,$86.10 ,$14.14 ,$32.83 ,$14.56 ,$26.26 ,$116.85 , N/A ,$98.40 ,$111.93 ,$14.14 ,$115.62 ,$116.85 ,$110.70 ,$104.55 ,$14.14 ,$14.14 ,$14.14 ,$89.79 ,$13.68 ,$109.47 ,$110.70 ,$110.70 ,$98.40 ,$14.09 ,$67.65 ,$110.70 ,$13.68 ,$110.70 ,$13.68 ,$116.85 ,$30.78 ,$113.16 ,$14.99 ,$111.93 ,$13.68 ,$75.69 ,$79.21 ,$75.69 ,$110.70 ,$87.89 ,$91.79 ,$85.95 ,$13.82 ,$14.85 ,$115.01 ,$14.36 ,$14.14 ,$107.01 ,$13.68 ,$110.70 ,$13.68 ,$110.70 ,$110.70 ,$110.70 ,$119.31 ,$99.63 ,$110.70 ,$110.70 ,$110.70 ,$110.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100216,82340,HC CALCIUM URINE QN TIMED,301,1 ,$112.00 ,$84.00 ,$6.03 ,$112.00 ,$72.13 ,$6.03 ,$78.40 ,$6.23 ,$14.47 ,$6.42 ,$11.58 ,$106.40 , N/A ,$89.60 ,$101.92 ,$6.23 ,$105.28 ,$106.40 ,$100.80 ,$95.20 ,$6.23 ,$6.23 ,$6.23 ,$81.76 ,$6.03 ,$99.68 ,$100.80 ,$100.80 ,$89.60 ,$6.21 ,$61.60 ,$100.80 ,$6.03 ,$100.80 ,$6.03 ,$106.40 ,$13.57 ,$103.04 ,$6.60 ,$101.92 ,$6.03 ,$68.92 ,$72.13 ,$68.92 ,$100.80 ,$49.41 ,$83.59 ,$37.88 ,$6.09 ,$6.54 ,$104.72 ,$6.33 ,$6.23 ,$97.44 ,$6.03 ,$100.80 ,$6.03 ,$100.80 ,$100.80 ,$100.80 ,$108.64 ,$90.72 ,$100.80 ,$100.80 ,$100.80 ,$100.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100222,82374,HC BICARBONATE,301,1 ,$94.00 ,$70.50 ,$4.88 ,$94.00 ,$60.54 ,$4.88 ,$65.80 ,$5.04 ,$11.73 ,$5.19 ,$9.38 ,$89.30 , N/A ,$75.20 ,$85.54 ,$5.04 ,$88.36 ,$89.30 ,$84.60 ,$79.90 ,$5.04 ,$5.04 ,$5.04 ,$68.62 ,$4.88 ,$83.66 ,$84.60 ,$84.60 ,$75.20 ,$5.03 ,$51.70 ,$84.60 ,$4.88 ,$84.60 ,$4.88 ,$89.30 ,$10.98 ,$86.48 ,$5.34 ,$85.54 ,$4.88 ,$57.85 ,$60.54 ,$57.85 ,$84.60 ,$49.41 ,$70.15 ,$30.70 ,$4.93 ,$5.29 ,$87.89 ,$5.12 ,$5.04 ,$81.78 ,$4.88 ,$84.60 ,$4.88 ,$84.60 ,$84.60 ,$84.60 ,$91.18 ,$76.14 ,$84.60 ,$84.60 ,$84.60 ,$84.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100224,82375,HC CARBON MONOXIDE,301,1 ,$149.00 ,$111.75 ,$12.32 ,$149.00 ,$95.96 ,$12.32 ,$104.30 ,$12.73 ,$29.58 ,$13.11 ,$23.66 ,$141.55 , N/A ,$119.20 ,$135.59 ,$12.73 ,$140.06 ,$141.55 ,$134.10 ,$126.65 ,$12.73 ,$12.73 ,$12.73 ,$108.77 ,$12.32 ,$132.61 ,$134.10 ,$134.10 ,$119.20 ,$12.69 ,$81.95 ,$134.10 ,$12.32 ,$134.10 ,$12.32 ,$141.55 ,$27.72 ,$137.08 ,$13.49 ,$135.59 ,$12.32 ,$91.69 ,$95.96 ,$91.69 ,$134.10 ,$59.95 ,$111.20 ,$77.44 ,$12.44 ,$13.37 ,$139.32 ,$12.94 ,$12.73 ,$129.63 ,$12.32 ,$134.10 ,$12.32 ,$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100226,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$93.00 ,$69.75 ,$18.96 ,$93.00 ,$59.89 ,$18.96 ,$65.10 ,$19.59 ,$45.52 ,$20.18 ,$36.41 ,$88.35 , N/A ,$74.40 ,$84.63 ,$19.59 ,$87.42 ,$88.35 ,$83.70 ,$79.05 ,$19.59 ,$19.59 ,$19.59 ,$67.89 ,$18.96 ,$82.77 ,$83.70 ,$83.70 ,$74.40 ,$19.53 ,$51.15 ,$83.70 ,$18.96 ,$83.70 ,$18.96 ,$88.35 ,$42.66 ,$85.56 ,$20.77 ,$84.63 ,$18.96 ,$57.23 ,$59.89 ,$57.23 ,$83.70 ,$93.00 ,$69.41 ,$83.70 ,$19.15 ,$20.57 ,$86.96 ,$19.91 ,$19.59 ,$80.91 ,$18.96 ,$83.70 ,$18.96 ,$83.70 ,$83.70 ,$83.70 ,$90.21 ,$75.33 ,$83.70 ,$83.70 ,$83.70 ,$83.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100231,82380,HC CAROTENE,301,1 ,$39.00 ,$29.25 ,$9.22 ,$39.00 ,$25.12 ,$9.22 ,$27.30 ,$9.53 ,$22.14 ,$9.82 ,$17.71 ,$37.05 , N/A ,$31.20 ,$35.49 ,$9.53 ,$36.66 ,$37.05 ,$35.10 ,$33.15 ,$9.53 ,$9.53 ,$9.53 ,$28.47 ,$9.22 ,$34.71 ,$35.10 ,$35.10 ,$31.20 ,$9.50 ,$21.45 ,$35.10 ,$9.22 ,$35.10 ,$9.22 ,$37.05 ,$20.75 ,$35.88 ,$10.10 ,$35.49 ,$9.22 ,$24.00 ,$25.12 ,$24.00 ,$35.10 ,$39.00 ,$29.11 ,$35.10 ,$9.31 ,$10.01 ,$36.47 ,$9.68 ,$9.53 ,$33.93 ,$9.22 ,$35.10 ,$9.22 ,$35.10 ,$35.10 ,$35.10 ,$37.83 ,$31.59 ,$35.10 ,$35.10 ,$35.10 ,$35.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100232,82384,HC CATECHOLAMINE FRACTION,301,1 ,$143.00 ,$107.25 ,$25.25 ,$143.00 ,$92.09 ,$25.25 ,$100.10 ,$26.09 ,$60.62 ,$26.87 ,$48.50 ,$135.85 , N/A ,$114.40 ,$130.13 ,$26.09 ,$134.42 ,$135.85 ,$128.70 ,$121.55 ,$26.09 ,$26.09 ,$26.09 ,$104.39 ,$25.25 ,$127.27 ,$128.70 ,$128.70 ,$114.40 ,$26.01 ,$78.65 ,$128.70 ,$25.25 ,$128.70 ,$25.25 ,$135.85 ,$56.81 ,$131.56 ,$27.66 ,$130.13 ,$25.25 ,$88.00 ,$92.09 ,$88.00 ,$128.70 ,$143.00 ,$106.72 ,$128.70 ,$25.50 ,$27.39 ,$133.71 ,$26.51 ,$26.09 ,$124.41 ,$25.25 ,$128.70 ,$25.25 ,$128.70 ,$128.70 ,$128.70 ,$138.71 ,$115.83 ,$128.70 ,$128.70 ,$128.70 ,$128.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100235,82390,HC CERULOPLASMIN,301,1 ,$63.00 ,$47.25 ,$10.74 ,$63.00 ,$40.57 ,$10.74 ,$44.10 ,$11.10 ,$25.78 ,$11.43 ,$20.62 ,$59.85 , N/A ,$50.40 ,$57.33 ,$11.10 ,$59.22 ,$59.85 ,$56.70 ,$53.55 ,$11.10 ,$11.10 ,$11.10 ,$45.99 ,$10.74 ,$56.07 ,$56.70 ,$56.70 ,$50.40 ,$11.06 ,$34.65 ,$56.70 ,$10.74 ,$56.70 ,$10.74 ,$59.85 ,$24.17 ,$57.96 ,$11.77 ,$57.33 ,$10.74 ,$38.77 ,$40.57 ,$38.77 ,$56.70 ,$63.00 ,$47.02 ,$56.70 ,$10.85 ,$11.66 ,$58.91 ,$11.28 ,$11.10 ,$54.81 ,$10.74 ,$56.70 ,$10.74 ,$56.70 ,$56.70 ,$56.70 ,$61.11 ,$51.03 ,$56.70 ,$56.70 ,$56.70 ,$56.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100237,82435,HC CHLORIDE,301,1 ,$87.00 ,$65.25 ,$4.60 ,$87.00 ,$56.03 ,$4.60 ,$60.90 ,$4.75 ,$11.04 ,$4.89 ,$8.83 ,$82.65 , N/A ,$69.60 ,$79.17 ,$4.75 ,$81.78 ,$82.65 ,$78.30 ,$73.95 ,$4.75 ,$4.75 ,$4.75 ,$63.51 ,$4.60 ,$77.43 ,$78.30 ,$78.30 ,$69.60 ,$4.74 ,$47.85 ,$78.30 ,$4.60 ,$78.30 ,$4.60 ,$82.65 ,$10.35 ,$80.04 ,$5.04 ,$79.17 ,$4.60 ,$53.54 ,$56.03 ,$53.54 ,$78.30 ,$49.41 ,$64.93 ,$28.92 ,$4.65 ,$4.99 ,$81.35 ,$4.83 ,$4.75 ,$75.69 ,$4.60 ,$78.30 ,$4.60 ,$78.30 ,$78.30 ,$78.30 ,$84.39 ,$70.47 ,$78.30 ,$78.30 ,$78.30 ,$78.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100238,82436,HC CHLORIDE URINE,301,1 ,$93.00 ,$69.75 ,$5.75 ,$93.00 ,$59.89 ,$5.75 ,$65.10 ,$5.94 ,$12.08 ,$6.12 ,$9.66 ,$88.35 , N/A ,$74.40 ,$84.63 ,$5.94 ,$87.42 ,$88.35 ,$83.70 ,$79.05 ,$5.94 ,$5.94 ,$5.94 ,$67.89 ,$5.75 ,$82.77 ,$83.70 ,$83.70 ,$74.40 ,$5.92 ,$51.15 ,$83.70 ,$5.75 ,$83.70 ,$5.75 ,$88.35 ,$12.94 ,$85.56 ,$6.30 ,$84.63 ,$5.75 ,$57.23 ,$59.89 ,$57.23 ,$83.70 ,$36.04 ,$69.41 ,$31.62 ,$5.81 ,$6.24 ,$86.96 ,$6.04 ,$5.94 ,$80.91 ,$5.75 ,$83.70 ,$5.75 ,$83.70 ,$83.70 ,$83.70 ,$90.21 ,$75.33 ,$83.70 ,$83.70 ,$83.70 ,$83.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100240,82438,HC CHLORIDE OTHER SOURCE,301,1 ,$90.00 ,$67.50 ,$5.00 ,$90.00 ,$57.96 ,$5.00 ,$63.00 ,$5.17 ,$11.73 ,$5.33 ,$9.38 ,$85.50 , N/A ,$72.00 ,$81.90 ,$5.17 ,$84.60 ,$85.50 ,$81.00 ,$76.50 ,$5.17 ,$5.17 ,$5.17 ,$65.70 ,$5.00 ,$80.10 ,$81.00 ,$81.00 ,$72.00 ,$5.15 ,$49.50 ,$81.00 ,$5.00 ,$81.00 ,$5.00 ,$85.50 ,$11.25 ,$82.80 ,$5.48 ,$81.90 ,$5.00 ,$55.39 ,$57.96 ,$55.39 ,$81.00 ,$53.78 ,$67.17 ,$30.70 ,$5.05 ,$5.43 ,$84.15 ,$5.25 ,$5.17 ,$78.30 ,$5.00 ,$81.00 ,$5.00 ,$81.00 ,$81.00 ,$81.00 ,$87.30 ,$72.90 ,$81.00 ,$81.00 ,$81.00 ,$81.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100241,82465,HC CHOLESTEROL,301,1 ,$98.00 ,$73.50 ,$4.35 ,$98.00 ,$63.11 ,$4.35 ,$68.60 ,$4.49 ,$10.45 ,$4.62 ,$8.36 ,$93.10 , N/A ,$78.40 ,$89.18 ,$4.49 ,$92.12 ,$93.10 ,$88.20 ,$83.30 ,$4.49 ,$4.49 ,$4.49 ,$71.54 ,$4.35 ,$87.22 ,$88.20 ,$88.20 ,$78.40 ,$4.48 ,$53.90 ,$88.20 ,$4.35 ,$88.20 ,$4.35 ,$93.10 ,$9.79 ,$90.16 ,$4.76 ,$89.18 ,$4.35 ,$60.31 ,$63.11 ,$60.31 ,$88.20 ,$50.50 ,$73.14 ,$27.34 ,$4.39 ,$4.71 ,$91.63 ,$4.57 ,$4.49 ,$85.26 ,$4.35 ,$88.20 ,$4.35 ,$88.20 ,$88.20 ,$88.20 ,$95.06 ,$79.38 ,$88.20 ,$88.20 ,$88.20 ,$88.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100242,82542,HC CHROMATO QN SGL COLUMN,301,1 ,$145.00 ,$108.75 ,$24.09 ,$145.00 ,$93.38 ,$24.09 ,$101.50 ,$24.89 ,$43.35 ,$25.64 ,$34.68 ,$137.75 , N/A ,$116.00 ,$131.95 ,$24.89 ,$136.30 ,$137.75 ,$130.50 ,$123.25 ,$24.89 ,$24.89 ,$24.89 ,$105.85 ,$24.09 ,$129.05 ,$130.50 ,$130.50 ,$116.00 ,$24.81 ,$79.75 ,$130.50 ,$24.09 ,$130.50 ,$24.09 ,$137.75 ,$54.20 ,$133.40 ,$26.38 ,$131.95 ,$24.09 ,$89.23 ,$93.38 ,$89.23 ,$130.50 ,$76.74 ,$108.21 ,$122.66 ,$24.33 ,$26.13 ,$135.58 ,$25.29 ,$24.89 ,$126.15 ,$24.09 ,$130.50 ,$24.09 ,$130.50 ,$130.50 ,$130.50 ,$140.65 ,$117.45 ,$130.50 ,$130.50 ,$130.50 ,$130.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100243,80299,HC CHROMATO QN MLT COLUMN,301,1 ,$86.19 ,$64.64 ,$18.64 ,$86.19 ,$55.51 ,$18.64 ,$60.33 ,$19.26 ,$32.88 ,$19.84 ,$26.31 ,$81.88 , N/A ,$68.95 ,$78.43 ,$19.26 ,$81.02 ,$81.88 ,$77.57 ,$73.26 ,$19.26 ,$19.26 ,$19.26 ,$62.92 ,$18.64 ,$76.71 ,$77.57 ,$77.57 ,$68.95 ,$19.20 ,$47.40 ,$77.57 ,$18.64 ,$77.57 ,$18.64 ,$81.88 ,$41.94 ,$79.29 ,$20.42 ,$78.43 ,$18.64 ,$53.04 ,$55.51 ,$53.04 ,$77.57 ,$86.19 ,$64.32 ,$77.57 ,$18.83 ,$20.22 ,$80.59 ,$19.57 ,$19.26 ,$74.99 ,$18.64 ,$77.57 ,$18.64 ,$77.57 ,$77.57 ,$77.57 ,$83.60 ,$69.81 ,$77.57 ,$77.57 ,$77.57 ,$77.57 
ST. JOSEPH'S - CHIPPEWA FALLS,30100246,82507,HC CITRATE,301,1 ,$115.00 ,$86.25 ,$27.80 ,$115.00 ,$74.06 ,$27.80 ,$80.50 ,$28.73 ,$66.75 ,$29.59 ,$53.40 ,$109.25 , N/A ,$92.00 ,$104.65 ,$28.73 ,$108.10 ,$109.25 ,$103.50 ,$97.75 ,$28.73 ,$28.73 ,$28.73 ,$83.95 ,$27.80 ,$102.35 ,$103.50 ,$103.50 ,$92.00 ,$28.63 ,$63.25 ,$103.50 ,$27.80 ,$103.50 ,$27.80 ,$109.25 ,$62.55 ,$105.80 ,$30.45 ,$104.65 ,$27.80 ,$70.77 ,$74.06 ,$70.77 ,$103.50 ,$115.00 ,$85.82 ,$103.50 ,$28.08 ,$30.17 ,$107.53 ,$29.19 ,$28.73 ,$100.05 ,$27.80 ,$103.50 ,$27.80 ,$103.50 ,$103.50 ,$103.50 ,$111.55 ,$93.15 ,$103.50 ,$103.50 ,$103.50 ,$103.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100252,82525,HC COPPER,301,1 ,$91.00 ,$68.25 ,$12.41 ,$91.00 ,$58.60 ,$12.41 ,$63.70 ,$12.82 ,$24.64 ,$13.20 ,$19.71 ,$86.45 , N/A ,$72.80 ,$82.81 ,$12.82 ,$85.54 ,$86.45 ,$81.90 ,$77.35 ,$12.82 ,$12.82 ,$12.82 ,$66.43 ,$12.41 ,$80.99 ,$81.90 ,$81.90 ,$72.80 ,$12.78 ,$50.05 ,$81.90 ,$12.41 ,$81.90 ,$12.41 ,$86.45 ,$27.92 ,$83.72 ,$13.59 ,$82.81 ,$12.41 ,$56.00 ,$58.60 ,$56.00 ,$81.90 ,$91.00 ,$67.91 ,$78.00 ,$12.53 ,$13.46 ,$85.09 ,$13.03 ,$12.82 ,$79.17 ,$12.41 ,$81.90 ,$12.41 ,$81.90 ,$81.90 ,$81.90 ,$88.27 ,$73.71 ,$81.90 ,$81.90 ,$81.90 ,$81.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100254,82533,HC CORTISOL TOTAL,301,1 ,$222.00 ,$166.50 ,$16.30 ,$222.00 ,$142.97 ,$16.30 ,$155.40 ,$16.84 ,$39.13 ,$17.35 ,$31.30 ,$210.90 , N/A ,$177.60 ,$202.02 ,$16.84 ,$208.68 ,$210.90 ,$199.80 ,$188.70 ,$16.84 ,$16.84 ,$16.84 ,$162.06 ,$16.30 ,$197.58 ,$199.80 ,$199.80 ,$177.60 ,$16.79 ,$122.10 ,$199.80 ,$16.30 ,$199.80 ,$16.30 ,$210.90 ,$36.68 ,$204.24 ,$17.85 ,$202.02 ,$16.30 ,$136.62 ,$142.97 ,$136.62 ,$199.80 ,$125.17 ,$165.68 ,$102.44 ,$16.46 ,$17.68 ,$207.57 ,$17.12 ,$16.84 ,$193.14 ,$16.30 ,$199.80 ,$16.30 ,$199.80 ,$199.80 ,$199.80 ,$215.34 ,$179.82 ,$199.80 ,$199.80 ,$199.80 ,$199.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$150.00 ,$112.50 ,$6.51 ,$150.00 ,$96.60 ,$6.51 ,$105.00 ,$6.73 ,$15.63 ,$6.93 ,$12.50 ,$142.50 , N/A ,$120.00 ,$136.50 ,$6.73 ,$141.00 ,$142.50 ,$135.00 ,$127.50 ,$6.73 ,$6.73 ,$6.73 ,$109.50 ,$6.51 ,$133.50 ,$135.00 ,$135.00 ,$120.00 ,$6.71 ,$82.50 ,$135.00 ,$6.51 ,$135.00 ,$6.51 ,$142.50 ,$14.65 ,$138.00 ,$7.13 ,$136.50 ,$6.51 ,$92.31 ,$96.60 ,$92.31 ,$135.00 ,$92.26 ,$111.95 ,$40.94 ,$6.58 ,$7.07 ,$140.25 ,$6.84 ,$6.73 ,$130.50 ,$6.51 ,$135.00 ,$6.51 ,$135.00 ,$135.00 ,$135.00 ,$145.50 ,$121.50 ,$135.00 ,$135.00 ,$135.00 ,$135.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$258.00 ,$193.50 ,$8.66 ,$258.00 ,$166.15 ,$11.55 ,$180.60 ,$8.66 ,$14.79 ,$8.92 ,$11.83 ,$245.10 , N/A ,$206.40 ,$234.78 ,$8.66 ,$242.52 ,$245.10 ,$232.20 ,$219.30 ,$8.66 ,$8.66 ,$8.66 ,$188.34 ,$11.55 ,$229.62 ,$232.20 ,$232.20 ,$206.40 ,$11.90 ,$141.90 ,$232.20 ,$11.55 ,$232.20 ,$11.55 ,$245.10 ,$25.99 ,$237.36 ,$9.18 ,$234.78 ,$11.55 ,$158.77 ,$166.15 ,$158.77 ,$232.20 ,$48.30 ,$192.55 ,$72.61 ,$11.67 ,$9.09 ,$241.23 ,$12.13 ,$8.66 ,$224.46 ,$11.55 ,$232.20 ,$11.55 ,$232.20 ,$232.20 ,$232.20 ,$250.26 ,$208.98 ,$232.20 ,$232.20 ,$232.20 ,$232.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100262,82565,HC CREATININE,301,1 ,$94.00 ,$70.50 ,$5.12 ,$94.00 ,$60.54 ,$5.12 ,$65.80 ,$5.29 ,$12.30 ,$5.45 ,$9.84 ,$89.30 , N/A ,$75.20 ,$85.54 ,$5.29 ,$88.36 ,$89.30 ,$84.60 ,$79.90 ,$5.29 ,$5.29 ,$5.29 ,$68.62 ,$5.12 ,$83.66 ,$84.60 ,$84.60 ,$75.20 ,$5.27 ,$51.70 ,$84.60 ,$5.12 ,$84.60 ,$5.12 ,$89.30 ,$11.52 ,$86.48 ,$5.61 ,$85.54 ,$5.12 ,$57.85 ,$60.54 ,$57.85 ,$84.60 ,$65.89 ,$70.15 ,$32.23 ,$5.17 ,$5.55 ,$87.89 ,$5.38 ,$5.29 ,$81.78 ,$5.12 ,$84.60 ,$5.12 ,$84.60 ,$84.60 ,$84.60 ,$91.18 ,$76.14 ,$84.60 ,$84.60 ,$84.60 ,$84.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100263,82570,HC CREATININE BODY FLUID,301,1 ,$92.00 ,$69.00 ,$5.18 ,$92.00 ,$59.25 ,$5.18 ,$64.40 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$87.40 , N/A ,$73.60 ,$83.72 ,$5.35 ,$86.48 ,$87.40 ,$82.80 ,$78.20 ,$5.35 ,$5.35 ,$5.35 ,$67.16 ,$5.18 ,$81.88 ,$82.80 ,$82.80 ,$73.60 ,$5.34 ,$50.60 ,$82.80 ,$5.18 ,$82.80 ,$5.18 ,$87.40 ,$11.66 ,$84.64 ,$5.67 ,$83.72 ,$5.18 ,$56.62 ,$59.25 ,$56.62 ,$82.80 ,$63.68 ,$68.66 ,$32.54 ,$5.23 ,$5.62 ,$86.02 ,$5.44 ,$5.35 ,$80.04 ,$5.18 ,$82.80 ,$5.18 ,$82.80 ,$82.80 ,$82.80 ,$89.24 ,$74.52 ,$82.80 ,$82.80 ,$82.80 ,$82.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100266,82575,HC CREATININE CLEARANCE,301,1 ,$167.00 ,$125.25 ,$9.46 ,$167.00 ,$107.55 ,$9.46 ,$116.90 ,$9.78 ,$22.70 ,$10.07 ,$18.16 ,$158.65 , N/A ,$133.60 ,$151.97 ,$9.78 ,$156.98 ,$158.65 ,$150.30 ,$141.95 ,$9.78 ,$9.78 ,$9.78 ,$121.91 ,$9.46 ,$148.63 ,$150.30 ,$150.30 ,$133.60 ,$9.74 ,$91.85 ,$150.30 ,$9.46 ,$150.30 ,$9.46 ,$158.65 ,$21.29 ,$153.64 ,$10.37 ,$151.97 ,$9.46 ,$102.77 ,$107.55 ,$102.77 ,$150.30 ,$74.67 ,$124.63 ,$59.42 ,$9.55 ,$10.27 ,$156.15 ,$9.93 ,$9.78 ,$145.29 ,$9.46 ,$150.30 ,$9.46 ,$150.30 ,$150.30 ,$150.30 ,$161.99 ,$135.27 ,$150.30 ,$150.30 ,$150.30 ,$150.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100267,82585,HC CRYOFIBRINOGEN,301,1 ,$45.00 ,$33.75 ,$9.02 ,$45.00 ,$28.98 ,$14.14 ,$31.50 ,$9.02 ,$15.40 ,$9.29 ,$12.32 ,$42.75 , N/A ,$36.00 ,$40.95 ,$9.02 ,$42.30 ,$42.75 ,$40.50 ,$38.25 ,$9.02 ,$9.02 ,$9.02 ,$32.85 ,$14.14 ,$40.05 ,$40.50 ,$40.50 ,$36.00 ,$14.56 ,$24.75 ,$40.50 ,$14.14 ,$40.50 ,$14.14 ,$42.75 ,$31.82 ,$41.40 ,$9.56 ,$40.95 ,$14.14 ,$27.69 ,$28.98 ,$27.69 ,$40.50 ,$45.00 ,$33.58 ,$40.50 ,$14.28 ,$9.47 ,$42.08 ,$14.85 ,$9.02 ,$39.15 ,$14.14 ,$40.50 ,$14.14 ,$40.50 ,$40.50 ,$40.50 ,$43.65 ,$36.45 ,$40.50 ,$40.50 ,$40.50 ,$40.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100268,82595,HC CRYOGLOBULIN,301,1 ,$61.00 ,$45.75 ,$6.47 ,$61.00 ,$39.28 ,$6.47 ,$42.70 ,$6.69 ,$15.52 ,$6.89 ,$12.42 ,$57.95 , N/A ,$48.80 ,$55.51 ,$6.69 ,$57.34 ,$57.95 ,$54.90 ,$51.85 ,$6.69 ,$6.69 ,$6.69 ,$44.53 ,$6.47 ,$54.29 ,$54.90 ,$54.90 ,$48.80 ,$6.66 ,$33.55 ,$54.90 ,$6.47 ,$54.90 ,$6.47 ,$57.95 ,$14.56 ,$56.12 ,$7.09 ,$55.51 ,$6.47 ,$37.54 ,$39.28 ,$37.54 ,$54.90 ,$46.12 ,$45.52 ,$40.63 ,$6.53 ,$7.02 ,$57.04 ,$6.79 ,$6.69 ,$53.07 ,$6.47 ,$54.90 ,$6.47 ,$54.90 ,$54.90 ,$54.90 ,$59.17 ,$49.41 ,$54.90 ,$54.90 ,$54.90 ,$54.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100269,82607,HC VITAMIN B12,301,1 ,$86.00 ,$64.50 ,$15.08 ,$86.00 ,$55.38 ,$15.08 ,$60.20 ,$15.58 ,$36.19 ,$16.05 ,$28.95 ,$81.70 , N/A ,$68.80 ,$78.26 ,$15.58 ,$80.84 ,$81.70 ,$77.40 ,$73.10 ,$15.58 ,$15.58 ,$15.58 ,$62.78 ,$15.08 ,$76.54 ,$77.40 ,$77.40 ,$68.80 ,$15.53 ,$47.30 ,$77.40 ,$15.08 ,$77.40 ,$15.08 ,$81.70 ,$33.93 ,$79.12 ,$16.51 ,$78.26 ,$15.08 ,$52.92 ,$55.38 ,$52.92 ,$77.40 ,$86.00 ,$64.18 ,$77.40 ,$15.23 ,$16.36 ,$80.41 ,$15.83 ,$15.58 ,$74.82 ,$15.08 ,$77.40 ,$15.08 ,$77.40 ,$77.40 ,$77.40 ,$83.42 ,$69.66 ,$77.40 ,$77.40 ,$77.40 ,$77.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100271,82627,HC DHEA SULFATE,301,1 ,$72.00 ,$54.00 ,$22.23 ,$72.00 ,$46.37 ,$22.23 ,$50.40 ,$22.97 ,$53.38 ,$23.66 ,$42.70 ,$68.40 , N/A ,$57.60 ,$65.52 ,$22.97 ,$67.68 ,$68.40 ,$64.80 ,$61.20 ,$22.97 ,$22.97 ,$22.97 ,$52.56 ,$22.23 ,$64.08 ,$64.80 ,$64.80 ,$57.60 ,$22.90 ,$39.60 ,$64.80 ,$22.23 ,$64.80 ,$22.23 ,$68.40 ,$50.02 ,$66.24 ,$24.35 ,$65.52 ,$22.23 ,$44.31 ,$46.37 ,$44.31 ,$64.80 ,$72.00 ,$53.73 ,$64.80 ,$22.45 ,$24.12 ,$67.32 ,$23.34 ,$22.97 ,$62.64 ,$22.23 ,$64.80 ,$22.23 ,$64.80 ,$64.80 ,$64.80 ,$69.84 ,$58.32 ,$64.80 ,$64.80 ,$64.80 ,$64.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100272,82652,HC VITAMIN D (1 25 DIHYDROXY),301,1 ,$217.00 ,$162.75 ,$38.50 ,$217.00 ,$139.75 ,$38.50 ,$151.90 ,$39.78 ,$92.42 ,$40.97 ,$73.93 ,$206.15 , N/A ,$173.60 ,$197.47 ,$39.78 ,$203.98 ,$206.15 ,$195.30 ,$184.45 ,$39.78 ,$39.78 ,$39.78 ,$158.41 ,$38.50 ,$193.13 ,$195.30 ,$195.30 ,$173.60 ,$39.66 ,$119.35 ,$195.30 ,$38.50 ,$195.30 ,$38.50 ,$206.15 ,$86.63 ,$199.64 ,$42.17 ,$197.47 ,$38.50 ,$133.54 ,$139.75 ,$133.54 ,$195.30 ,$186.68 ,$161.95 ,$195.30 ,$38.89 ,$41.77 ,$202.90 ,$40.43 ,$39.78 ,$188.79 ,$38.50 ,$195.30 ,$38.50 ,$195.30 ,$195.30 ,$195.30 ,$210.49 ,$175.77 ,$195.30 ,$195.30 ,$195.30 ,$195.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100275,82668,HC ERYTHROPOIETIN,301,1 ,$90.00 ,$67.50 ,$18.79 ,$90.00 ,$57.96 ,$18.79 ,$63.00 ,$19.42 ,$45.12 ,$20.00 ,$36.09 ,$85.50 , N/A ,$72.00 ,$81.90 ,$19.42 ,$84.60 ,$85.50 ,$81.00 ,$76.50 ,$19.42 ,$19.42 ,$19.42 ,$65.70 ,$18.79 ,$80.10 ,$81.00 ,$81.00 ,$72.00 ,$19.35 ,$49.50 ,$81.00 ,$18.79 ,$81.00 ,$18.79 ,$85.50 ,$42.28 ,$82.80 ,$20.59 ,$81.90 ,$18.79 ,$55.39 ,$57.96 ,$55.39 ,$81.00 ,$65.89 ,$67.17 ,$81.00 ,$18.98 ,$20.39 ,$84.15 ,$19.73 ,$19.42 ,$78.30 ,$18.79 ,$81.00 ,$18.79 ,$81.00 ,$81.00 ,$81.00 ,$87.30 ,$72.90 ,$81.00 ,$81.00 ,$81.00 ,$81.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100276,82670,HC ESTRADIOL,301,1 ,$177.00 ,$132.75 ,$27.94 ,$177.00 ,$113.99 ,$27.94 ,$123.90 ,$28.87 ,$67.06 ,$29.74 ,$53.65 ,$168.15 , N/A ,$141.60 ,$161.07 ,$28.87 ,$166.38 ,$168.15 ,$159.30 ,$150.45 ,$28.87 ,$28.87 ,$28.87 ,$129.21 ,$27.94 ,$157.53 ,$159.30 ,$159.30 ,$141.60 ,$28.78 ,$97.35 ,$159.30 ,$27.94 ,$159.30 ,$27.94 ,$168.15 ,$62.87 ,$162.84 ,$30.60 ,$161.07 ,$27.94 ,$108.93 ,$113.99 ,$108.93 ,$159.30 ,$177.00 ,$132.10 ,$159.30 ,$28.22 ,$30.31 ,$165.50 ,$29.34 ,$28.87 ,$153.99 ,$27.94 ,$159.30 ,$27.94 ,$159.30 ,$159.30 ,$159.30 ,$171.69 ,$143.37 ,$159.30 ,$159.30 ,$159.30 ,$159.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100278,82672,HC ESTROGEN TOTAL,301,1 ,$135.00 ,$101.25 ,$21.70 ,$135.00 ,$86.94 ,$21.70 ,$94.50 ,$22.42 ,$52.08 ,$23.09 ,$41.66 ,$128.25 , N/A ,$108.00 ,$122.85 ,$22.42 ,$126.90 ,$128.25 ,$121.50 ,$114.75 ,$22.42 ,$22.42 ,$22.42 ,$98.55 ,$21.70 ,$120.15 ,$121.50 ,$121.50 ,$108.00 ,$22.35 ,$74.25 ,$121.50 ,$21.70 ,$121.50 ,$21.70 ,$128.25 ,$48.83 ,$124.20 ,$23.77 ,$122.85 ,$21.70 ,$83.08 ,$86.94 ,$83.08 ,$121.50 ,$135.00 ,$100.75 ,$121.50 ,$21.92 ,$23.54 ,$126.23 ,$22.79 ,$22.42 ,$117.45 ,$21.70 ,$121.50 ,$21.70 ,$121.50 ,$121.50 ,$121.50 ,$130.95 ,$109.35 ,$121.50 ,$121.50 ,$121.50 ,$121.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100280,82677,HC ESTRIOL,301,1 ,$79.00 ,$59.25 ,$24.18 ,$79.00 ,$50.88 ,$24.18 ,$55.30 ,$24.99 ,$58.05 ,$25.74 ,$46.44 ,$75.05 , N/A ,$63.20 ,$71.89 ,$24.99 ,$74.26 ,$75.05 ,$71.10 ,$67.15 ,$24.99 ,$24.99 ,$24.99 ,$57.67 ,$24.18 ,$70.31 ,$71.10 ,$71.10 ,$63.20 ,$24.91 ,$43.45 ,$71.10 ,$24.18 ,$71.10 ,$24.18 ,$75.05 ,$54.41 ,$72.68 ,$26.49 ,$71.89 ,$24.18 ,$48.62 ,$50.88 ,$48.62 ,$71.10 ,$79.00 ,$58.96 ,$71.10 ,$24.42 ,$26.24 ,$73.87 ,$25.39 ,$24.99 ,$68.73 ,$24.18 ,$71.10 ,$24.18 ,$71.10 ,$71.10 ,$71.10 ,$76.63 ,$63.99 ,$71.10 ,$71.10 ,$71.10 ,$71.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100290,82728,HC FERRITIN,301,1 ,$180.00 ,$135.00 ,$13.63 ,$180.00 ,$115.92 ,$13.63 ,$126.00 ,$14.08 ,$32.73 ,$14.50 ,$26.18 ,$171.00 , N/A ,$144.00 ,$163.80 ,$14.08 ,$169.20 ,$171.00 ,$162.00 ,$153.00 ,$14.08 ,$14.08 ,$14.08 ,$131.40 ,$13.63 ,$160.20 ,$162.00 ,$162.00 ,$144.00 ,$14.04 ,$99.00 ,$162.00 ,$13.63 ,$162.00 ,$13.63 ,$171.00 ,$30.67 ,$165.60 ,$14.92 ,$163.80 ,$13.63 ,$110.77 ,$115.92 ,$110.77 ,$162.00 ,$107.64 ,$134.33 ,$85.69 ,$13.77 ,$14.78 ,$168.30 ,$14.31 ,$14.08 ,$156.60 ,$13.63 ,$162.00 ,$13.63 ,$162.00 ,$162.00 ,$162.00 ,$174.60 ,$145.80 ,$162.00 ,$162.00 ,$162.00 ,$162.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100291,82731,HC FETAL FIBRONECTIN,301,1 ,$269.00 ,$201.75 ,$63.97 ,$269.00 ,$173.24 ,$64.41 ,$188.30 ,$66.55 ,$154.63 ,$68.55 ,$123.70 ,$255.55 , N/A ,$215.20 ,$244.79 ,$66.55 ,$252.86 ,$255.55 ,$242.10 ,$228.65 ,$66.55 ,$66.55 ,$66.55 ,$196.37 ,$64.41 ,$239.41 ,$242.10 ,$242.10 ,$215.20 ,$66.34 ,$147.95 ,$242.10 ,$64.41 ,$242.10 ,$64.41 ,$255.55 ,$144.92 ,$247.48 ,$70.54 ,$244.79 ,$64.41 ,$165.54 ,$173.24 ,$165.54 ,$242.10 ,$63.97 ,$200.75 ,$242.10 ,$65.05 ,$69.88 ,$251.52 ,$67.63 ,$66.55 ,$234.03 ,$64.41 ,$242.10 ,$64.41 ,$242.10 ,$242.10 ,$242.10 ,$260.93 ,$217.89 ,$242.10 ,$242.10 ,$242.10 ,$242.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100292,82746,HC FOLIC ACID SERUM,301,1 ,$156.00 ,$117.00 ,$14.70 ,$156.00 ,$100.46 ,$14.70 ,$109.20 ,$15.19 ,$35.30 ,$15.65 ,$28.24 ,$148.20 , N/A ,$124.80 ,$141.96 ,$15.19 ,$146.64 ,$148.20 ,$140.40 ,$132.60 ,$15.19 ,$15.19 ,$15.19 ,$113.88 ,$14.70 ,$138.84 ,$140.40 ,$140.40 ,$124.80 ,$15.14 ,$85.80 ,$140.40 ,$14.70 ,$140.40 ,$14.70 ,$148.20 ,$33.08 ,$143.52 ,$16.10 ,$141.96 ,$14.70 ,$96.00 ,$100.46 ,$96.00 ,$140.40 ,$127.39 ,$116.42 ,$92.41 ,$14.85 ,$15.95 ,$145.86 ,$15.44 ,$15.19 ,$135.72 ,$14.70 ,$140.40 ,$14.70 ,$140.40 ,$140.40 ,$140.40 ,$151.32 ,$126.36 ,$140.40 ,$140.40 ,$140.40 ,$140.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100295,82784,HC GAMMAGLOBULIN,301,1 ,$47.00 ,$35.25 ,$9.30 ,$47.00 ,$30.27 ,$9.30 ,$32.90 ,$9.61 ,$22.33 ,$9.90 ,$17.86 ,$44.65 , N/A ,$37.60 ,$42.77 ,$9.61 ,$44.18 ,$44.65 ,$42.30 ,$39.95 ,$9.61 ,$9.61 ,$9.61 ,$34.31 ,$9.30 ,$41.83 ,$42.30 ,$42.30 ,$37.60 ,$9.58 ,$25.85 ,$42.30 ,$9.30 ,$42.30 ,$9.30 ,$44.65 ,$20.93 ,$43.24 ,$10.19 ,$42.77 ,$9.30 ,$28.92 ,$30.27 ,$28.92 ,$42.30 ,$47.00 ,$35.08 ,$42.30 ,$9.39 ,$10.09 ,$43.95 ,$9.77 ,$9.61 ,$40.89 ,$9.30 ,$42.30 ,$9.30 ,$42.30 ,$42.30 ,$42.30 ,$45.59 ,$38.07 ,$42.30 ,$42.30 ,$42.30 ,$42.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100298,82784,HC GAMMAGLOBULIN TOTAL,301,1 ,$63.00 ,$47.25 ,$9.30 ,$63.00 ,$40.57 ,$9.30 ,$44.10 ,$9.61 ,$22.33 ,$9.90 ,$17.86 ,$59.85 , N/A ,$50.40 ,$57.33 ,$9.61 ,$59.22 ,$59.85 ,$56.70 ,$53.55 ,$9.61 ,$9.61 ,$9.61 ,$45.99 ,$9.30 ,$56.07 ,$56.70 ,$56.70 ,$50.40 ,$9.58 ,$34.65 ,$56.70 ,$9.30 ,$56.70 ,$9.30 ,$59.85 ,$20.93 ,$57.96 ,$10.19 ,$57.33 ,$9.30 ,$38.77 ,$40.57 ,$38.77 ,$56.70 ,$63.00 ,$47.02 ,$56.70 ,$9.39 ,$10.09 ,$58.91 ,$9.77 ,$9.61 ,$54.81 ,$9.30 ,$56.70 ,$9.30 ,$56.70 ,$56.70 ,$56.70 ,$61.11 ,$51.03 ,$56.70 ,$56.70 ,$56.70 ,$56.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100305,82800,HC BLOOD GAS PH,301,1 ,$76.00 ,$57.00 ,$11.00 ,$76.00 ,$48.94 ,$11.00 ,$53.20 ,$11.37 ,$20.32 ,$11.71 ,$16.25 ,$72.20 , N/A ,$60.80 ,$69.16 ,$11.37 ,$71.44 ,$72.20 ,$68.40 ,$64.60 ,$11.37 ,$11.37 ,$11.37 ,$55.48 ,$11.00 ,$67.64 ,$68.40 ,$68.40 ,$60.80 ,$11.33 ,$41.80 ,$68.40 ,$11.00 ,$68.40 ,$11.00 ,$72.20 ,$24.75 ,$69.92 ,$12.05 ,$69.16 ,$11.00 ,$46.77 ,$48.94 ,$46.77 ,$68.40 ,$70.29 ,$56.72 ,$56.01 ,$11.11 ,$11.94 ,$71.06 ,$11.55 ,$11.37 ,$66.12 ,$11.00 ,$68.40 ,$11.00 ,$68.40 ,$68.40 ,$68.40 ,$73.72 ,$61.56 ,$68.40 ,$68.40 ,$68.40 ,$68.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100306,82803,HC BLOOD GAS PH PO2  AND /OR PCO2,301,1 ,$358.00 ,$268.50 ,$26.07 ,$358.00 ,$230.55 ,$26.07 ,$250.60 ,$26.94 ,$46.45 ,$27.75 ,$37.16 ,$340.10 , N/A ,$286.40 ,$325.78 ,$26.94 ,$336.52 ,$340.10 ,$322.20 ,$304.30 ,$26.94 ,$26.94 ,$26.94 ,$261.34 ,$26.07 ,$318.62 ,$322.20 ,$322.20 ,$286.40 ,$26.85 ,$196.90 ,$322.20 ,$26.07 ,$322.20 ,$26.07 ,$340.10 ,$58.66 ,$329.36 ,$28.56 ,$325.78 ,$26.07 ,$220.31 ,$230.55 ,$220.31 ,$322.20 ,$107.64 ,$267.18 ,$132.74 ,$26.33 ,$28.29 ,$334.73 ,$27.37 ,$26.94 ,$311.46 ,$26.07 ,$322.20 ,$26.07 ,$322.20 ,$322.20 ,$322.20 ,$347.26 ,$289.98 ,$322.20 ,$322.20 ,$322.20 ,$322.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100307,82805,HC BLOOD GASES W/O2 SAT,301,1 ,$369.00 ,$276.75 ,$39.91 ,$369.00 ,$237.64 ,$78.77 ,$258.30 ,$39.91 ,$68.11 ,$41.11 ,$54.49 ,$350.55 , N/A ,$295.20 ,$335.79 ,$39.91 ,$346.86 ,$350.55 ,$332.10 ,$313.65 ,$39.91 ,$39.91 ,$39.91 ,$269.37 ,$78.77 ,$328.41 ,$332.10 ,$332.10 ,$295.20 ,$81.13 ,$202.95 ,$332.10 ,$78.77 ,$332.10 ,$78.77 ,$350.55 ,$177.23 ,$339.48 ,$42.30 ,$335.79 ,$78.77 ,$227.08 ,$237.64 ,$227.08 ,$332.10 ,$131.77 ,$275.38 ,$332.10 ,$79.56 ,$41.91 ,$345.02 ,$82.71 ,$39.91 ,$321.03 ,$78.77 ,$332.10 ,$78.77 ,$332.10 ,$332.10 ,$332.10 ,$357.93 ,$298.89 ,$332.10 ,$332.10 ,$332.10 ,$332.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100309,82941,HC GASTRIN,301,1 ,$104.00 ,$78.00 ,$17.63 ,$104.00 ,$66.98 ,$17.63 ,$72.80 ,$18.22 ,$42.33 ,$18.77 ,$33.87 ,$98.80 , N/A ,$83.20 ,$94.64 ,$18.22 ,$97.76 ,$98.80 ,$93.60 ,$88.40 ,$18.22 ,$18.22 ,$18.22 ,$75.92 ,$17.63 ,$92.56 ,$93.60 ,$93.60 ,$83.20 ,$18.16 ,$57.20 ,$93.60 ,$17.63 ,$93.60 ,$17.63 ,$98.80 ,$39.67 ,$95.68 ,$19.31 ,$94.64 ,$17.63 ,$64.00 ,$66.98 ,$64.00 ,$93.60 ,$54.90 ,$77.62 ,$93.60 ,$17.81 ,$19.13 ,$97.24 ,$18.51 ,$18.22 ,$90.48 ,$17.63 ,$93.60 ,$17.63 ,$93.60 ,$93.60 ,$93.60 ,$100.88 ,$84.24 ,$93.60 ,$93.60 ,$93.60 ,$93.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100311,82945,HC GLUCOSE BODY FLUID,301,1 ,$107.00 ,$80.25 ,$3.93 ,$107.00 ,$68.91 ,$3.93 ,$74.90 ,$4.06 ,$9.43 ,$4.18 ,$7.55 ,$101.65 , N/A ,$85.60 ,$97.37 ,$4.06 ,$100.58 ,$101.65 ,$96.30 ,$90.95 ,$4.06 ,$4.06 ,$4.06 ,$78.11 ,$3.93 ,$95.23 ,$96.30 ,$96.30 ,$85.60 ,$4.05 ,$58.85 ,$96.30 ,$3.93 ,$96.30 ,$3.93 ,$101.65 ,$8.84 ,$98.44 ,$4.30 ,$97.37 ,$3.93 ,$65.85 ,$68.91 ,$65.85 ,$96.30 ,$53.15 ,$79.85 ,$24.69 ,$3.97 ,$4.26 ,$100.05 ,$4.13 ,$4.06 ,$93.09 ,$3.93 ,$96.30 ,$3.93 ,$96.30 ,$96.30 ,$96.30 ,$103.79 ,$86.67 ,$96.30 ,$96.30 ,$96.30 ,$96.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100312,82947,HC GLUCOSE,301,1 ,$79.00 ,$59.25 ,$3.93 ,$79.00 ,$50.88 ,$3.93 ,$55.30 ,$4.06 ,$9.43 ,$4.18 ,$7.55 ,$75.05 , N/A ,$63.20 ,$71.89 ,$4.06 ,$74.26 ,$75.05 ,$71.10 ,$67.15 ,$4.06 ,$4.06 ,$4.06 ,$57.67 ,$3.93 ,$70.31 ,$71.10 ,$71.10 ,$63.20 ,$4.05 ,$43.45 ,$71.10 ,$3.93 ,$71.10 ,$3.93 ,$75.05 ,$8.84 ,$72.68 ,$4.30 ,$71.89 ,$3.93 ,$48.62 ,$50.88 ,$48.62 ,$71.10 ,$54.90 ,$58.96 ,$24.69 ,$3.97 ,$4.26 ,$73.87 ,$4.13 ,$4.06 ,$68.73 ,$3.93 ,$71.10 ,$3.93 ,$71.10 ,$71.10 ,$71.10 ,$76.63 ,$63.99 ,$71.10 ,$71.10 ,$71.10 ,$71.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100313,82950,HC GLUCOSE SCREEN,301,1 ,$88.00 ,$66.00 ,$4.75 ,$88.00 ,$56.67 ,$4.75 ,$61.60 ,$4.91 ,$11.39 ,$5.06 ,$9.11 ,$83.60 , N/A ,$70.40 ,$80.08 ,$4.91 ,$82.72 ,$83.60 ,$79.20 ,$74.80 ,$4.91 ,$4.91 ,$4.91 ,$64.24 ,$4.75 ,$78.32 ,$79.20 ,$79.20 ,$70.40 ,$4.89 ,$48.40 ,$79.20 ,$4.75 ,$79.20 ,$4.75 ,$83.60 ,$10.69 ,$80.96 ,$5.20 ,$80.08 ,$4.75 ,$54.16 ,$56.67 ,$54.16 ,$79.20 ,$74.67 ,$65.67 ,$29.84 ,$4.80 ,$5.16 ,$82.28 ,$4.99 ,$4.91 ,$76.56 ,$4.75 ,$79.20 ,$4.75 ,$79.20 ,$79.20 ,$79.20 ,$85.36 ,$71.28 ,$79.20 ,$79.20 ,$79.20 ,$79.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$170.00 ,$127.50 ,$12.87 ,$170.00 ,$109.48 ,$12.87 ,$119.00 ,$13.30 ,$30.91 ,$13.70 ,$24.72 ,$161.50 , N/A ,$136.00 ,$154.70 ,$13.30 ,$159.80 ,$161.50 ,$153.00 ,$144.50 ,$13.30 ,$13.30 ,$13.30 ,$124.10 ,$12.87 ,$151.30 ,$153.00 ,$153.00 ,$136.00 ,$13.26 ,$93.50 ,$153.00 ,$12.87 ,$153.00 ,$12.87 ,$161.50 ,$28.96 ,$156.40 ,$14.10 ,$154.70 ,$12.87 ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$139.47 ,$126.87 ,$80.91 ,$13.00 ,$13.97 ,$158.95 ,$13.51 ,$13.30 ,$147.90 ,$12.87 ,$153.00 ,$12.87 ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100315,82952,HC GLUCOSE TOLERANCE ADDL SPEC,301,1 ,$100.00 ,$75.00 ,$3.92 ,$100.00 ,$64.40 ,$3.92 ,$70.00 ,$4.05 ,$9.42 ,$4.17 ,$7.53 ,$95.00 , N/A ,$80.00 ,$91.00 ,$4.05 ,$94.00 ,$95.00 ,$90.00 ,$85.00 ,$4.05 ,$4.05 ,$4.05 ,$73.00 ,$3.92 ,$89.00 ,$90.00 ,$90.00 ,$80.00 ,$4.04 ,$55.00 ,$90.00 ,$3.92 ,$90.00 ,$3.92 ,$95.00 ,$8.82 ,$92.00 ,$4.29 ,$91.00 ,$3.92 ,$61.54 ,$64.40 ,$61.54 ,$90.00 ,$57.09 ,$74.63 ,$24.64 ,$3.96 ,$4.25 ,$93.50 ,$4.12 ,$4.05 ,$87.00 ,$3.92 ,$90.00 ,$3.92 ,$90.00 ,$90.00 ,$90.00 ,$97.00 ,$81.00 ,$90.00 ,$90.00 ,$90.00 ,$90.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100319,82977,HC GGT/GGTP,301,1 ,$159.00 ,$119.25 ,$7.20 ,$159.00 ,$102.40 ,$7.20 ,$111.30 ,$7.44 ,$17.29 ,$7.66 ,$13.83 ,$151.05 , N/A ,$127.20 ,$144.69 ,$7.44 ,$149.46 ,$151.05 ,$143.10 ,$135.15 ,$7.44 ,$7.44 ,$7.44 ,$116.07 ,$7.20 ,$141.51 ,$143.10 ,$143.10 ,$127.20 ,$7.42 ,$87.45 ,$143.10 ,$7.20 ,$143.10 ,$7.20 ,$151.05 ,$16.20 ,$146.28 ,$7.89 ,$144.69 ,$7.20 ,$97.85 ,$102.40 ,$97.85 ,$143.10 ,$69.62 ,$118.66 ,$45.26 ,$7.27 ,$7.81 ,$148.67 ,$7.56 ,$7.44 ,$138.33 ,$7.20 ,$143.10 ,$7.20 ,$143.10 ,$143.10 ,$143.10 ,$154.23 ,$128.79 ,$143.10 ,$143.10 ,$143.10 ,$143.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100322,83001,HC FSH,301,1 ,$153.00 ,$114.75 ,$18.58 ,$153.00 ,$98.53 ,$18.58 ,$107.10 ,$19.20 ,$44.61 ,$19.78 ,$35.69 ,$145.35 , N/A ,$122.40 ,$139.23 ,$19.20 ,$143.82 ,$145.35 ,$137.70 ,$130.05 ,$19.20 ,$19.20 ,$19.20 ,$111.69 ,$18.58 ,$136.17 ,$137.70 ,$137.70 ,$122.40 ,$19.14 ,$84.15 ,$137.70 ,$18.58 ,$137.70 ,$18.58 ,$145.35 ,$41.81 ,$140.76 ,$20.35 ,$139.23 ,$18.58 ,$94.16 ,$98.53 ,$94.16 ,$137.70 ,$153.00 ,$114.18 ,$116.80 ,$18.77 ,$20.16 ,$143.06 ,$19.51 ,$19.20 ,$133.11 ,$18.58 ,$137.70 ,$18.58 ,$137.70 ,$137.70 ,$137.70 ,$148.41 ,$123.93 ,$137.70 ,$137.70 ,$137.70 ,$137.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100325,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$150.00 ,$112.50 ,$18.52 ,$150.00 ,$96.60 ,$18.52 ,$105.00 ,$19.14 ,$44.45 ,$19.71 ,$35.56 ,$142.50 , N/A ,$120.00 ,$136.50 ,$19.14 ,$141.00 ,$142.50 ,$135.00 ,$127.50 ,$19.14 ,$19.14 ,$19.14 ,$109.50 ,$18.52 ,$133.50 ,$135.00 ,$135.00 ,$120.00 ,$19.08 ,$82.50 ,$135.00 ,$18.52 ,$135.00 ,$18.52 ,$142.50 ,$41.67 ,$138.00 ,$20.29 ,$136.50 ,$18.52 ,$92.31 ,$96.60 ,$92.31 ,$135.00 ,$150.00 ,$111.95 ,$116.39 ,$18.71 ,$20.10 ,$140.25 ,$19.45 ,$19.14 ,$130.50 ,$18.52 ,$135.00 ,$18.52 ,$135.00 ,$135.00 ,$135.00 ,$145.50 ,$121.50 ,$135.00 ,$135.00 ,$135.00 ,$135.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100327,83010,HC HAPTOGLOBIN,301,1 ,$109.00 ,$81.75 ,$12.58 ,$109.00 ,$70.20 ,$12.58 ,$76.30 ,$13.00 ,$30.19 ,$13.39 ,$24.15 ,$103.55 , N/A ,$87.20 ,$99.19 ,$13.00 ,$102.46 ,$103.55 ,$98.10 ,$92.65 ,$13.00 ,$13.00 ,$13.00 ,$79.57 ,$12.58 ,$97.01 ,$98.10 ,$98.10 ,$87.20 ,$12.96 ,$59.95 ,$98.10 ,$12.58 ,$98.10 ,$12.58 ,$103.55 ,$28.31 ,$100.28 ,$13.78 ,$99.19 ,$12.58 ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$109.00 ,$81.35 ,$79.07 ,$12.71 ,$13.65 ,$101.92 ,$13.21 ,$13.00 ,$94.83 ,$12.58 ,$98.10 ,$12.58 ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100337,83036,HC GLYCOSYLATED HGB,301,1 ,$61.00 ,$45.75 ,$9.71 ,$61.00 ,$39.28 ,$9.71 ,$42.70 ,$10.03 ,$23.31 ,$10.33 ,$18.65 ,$57.95 , N/A ,$48.80 ,$55.51 ,$10.03 ,$57.34 ,$57.95 ,$54.90 ,$51.85 ,$10.03 ,$10.03 ,$10.03 ,$44.53 ,$9.71 ,$54.29 ,$54.90 ,$54.90 ,$48.80 ,$10.00 ,$33.55 ,$54.90 ,$9.71 ,$54.90 ,$9.71 ,$57.95 ,$21.85 ,$56.12 ,$10.63 ,$55.51 ,$9.71 ,$37.54 ,$39.28 ,$37.54 ,$54.90 ,$61.00 ,$45.52 ,$54.90 ,$9.81 ,$10.53 ,$57.04 ,$10.20 ,$10.03 ,$53.07 ,$9.71 ,$54.90 ,$9.71 ,$54.90 ,$54.90 ,$54.90 ,$59.17 ,$49.41 ,$54.90 ,$54.90 ,$54.90 ,$54.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100338,83050,HC METHEMOGLOBIN,301,1 ,$116.00 ,$87.00 ,$4.12 ,$116.00 ,$74.70 ,$8.20 ,$81.20 ,$4.12 ,$7.04 ,$4.24 ,$5.63 ,$110.20 , N/A ,$92.80 ,$105.56 ,$4.12 ,$109.04 ,$110.20 ,$104.40 ,$98.60 ,$4.12 ,$4.12 ,$4.12 ,$84.68 ,$8.20 ,$103.24 ,$104.40 ,$104.40 ,$92.80 ,$8.45 ,$63.80 ,$104.40 ,$8.20 ,$104.40 ,$8.20 ,$110.20 ,$18.45 ,$106.72 ,$4.37 ,$105.56 ,$8.20 ,$71.39 ,$74.70 ,$71.39 ,$104.40 ,$74.67 ,$86.57 ,$46.08 ,$8.28 ,$4.33 ,$108.46 ,$8.61 ,$4.12 ,$100.92 ,$8.20 ,$104.40 ,$8.20 ,$104.40 ,$104.40 ,$104.40 ,$112.52 ,$93.96 ,$104.40 ,$104.40 ,$104.40 ,$104.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100346,83090,HC HOMOCYSTEINE,301,1 ,$72.00 ,$54.00 ,$17.92 ,$72.00 ,$46.37 ,$17.92 ,$50.40 ,$18.52 ,$40.50 ,$19.08 ,$32.40 ,$68.40 , N/A ,$57.60 ,$65.52 ,$18.52 ,$67.68 ,$68.40 ,$64.80 ,$61.20 ,$18.52 ,$18.52 ,$18.52 ,$52.56 ,$17.92 ,$64.08 ,$64.80 ,$64.80 ,$57.60 ,$18.46 ,$39.60 ,$64.80 ,$17.92 ,$64.80 ,$17.92 ,$68.40 ,$40.32 ,$66.24 ,$19.63 ,$65.52 ,$17.92 ,$44.31 ,$46.37 ,$44.31 ,$64.80 ,$35.74 ,$53.73 ,$64.80 ,$18.10 ,$19.45 ,$67.32 ,$18.82 ,$18.52 ,$62.64 ,$17.92 ,$64.80 ,$17.92 ,$64.80 ,$64.80 ,$64.80 ,$69.84 ,$58.32 ,$64.80 ,$64.80 ,$64.80 ,$64.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100350,83497,HC HYDROXYINDOLACET 5 (HIAA),301,1 ,$88.00 ,$66.00 ,$12.90 ,$88.00 ,$56.67 ,$12.90 ,$61.60 ,$13.33 ,$30.96 ,$13.73 ,$24.77 ,$83.60 , N/A ,$70.40 ,$80.08 ,$13.33 ,$82.72 ,$83.60 ,$79.20 ,$74.80 ,$13.33 ,$13.33 ,$13.33 ,$64.24 ,$12.90 ,$78.32 ,$79.20 ,$79.20 ,$70.40 ,$13.29 ,$48.40 ,$79.20 ,$12.90 ,$79.20 ,$12.90 ,$83.60 ,$29.03 ,$80.96 ,$14.13 ,$80.08 ,$12.90 ,$54.16 ,$56.67 ,$54.16 ,$79.20 ,$88.00 ,$65.67 ,$79.20 ,$13.03 ,$14.00 ,$82.28 ,$13.55 ,$13.33 ,$76.56 ,$12.90 ,$79.20 ,$12.90 ,$79.20 ,$79.20 ,$79.20 ,$85.36 ,$71.28 ,$79.20 ,$79.20 ,$79.20 ,$79.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100352,83498,HC HYDROXYPROGESTERONE 17D,301,1 ,$91.00 ,$68.25 ,$27.17 ,$91.00 ,$58.60 ,$27.17 ,$63.70 ,$28.07 ,$65.22 ,$28.91 ,$52.18 ,$86.45 , N/A ,$72.80 ,$82.81 ,$28.07 ,$85.54 ,$86.45 ,$81.90 ,$77.35 ,$28.07 ,$28.07 ,$28.07 ,$66.43 ,$27.17 ,$80.99 ,$81.90 ,$81.90 ,$72.80 ,$27.99 ,$50.05 ,$81.90 ,$27.17 ,$81.90 ,$27.17 ,$86.45 ,$61.13 ,$83.72 ,$29.75 ,$82.81 ,$27.17 ,$56.00 ,$58.60 ,$56.00 ,$81.90 ,$91.00 ,$67.91 ,$81.90 ,$27.44 ,$29.47 ,$85.09 ,$28.53 ,$28.07 ,$79.17 ,$27.17 ,$81.90 ,$27.17 ,$81.90 ,$81.90 ,$81.90 ,$88.27 ,$73.71 ,$81.90 ,$81.90 ,$81.90 ,$81.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100355,83516,HC IMMUNO QL/SQ MLT,301,1 ,$58.00 ,$43.50 ,$11.53 ,$58.00 ,$37.35 ,$11.53 ,$40.60 ,$11.91 ,$27.69 ,$12.27 ,$22.15 ,$55.10 , N/A ,$46.40 ,$52.78 ,$11.91 ,$54.52 ,$55.10 ,$52.20 ,$49.30 ,$11.91 ,$11.91 ,$11.91 ,$42.34 ,$11.53 ,$51.62 ,$52.20 ,$52.20 ,$46.40 ,$11.88 ,$31.90 ,$52.20 ,$11.53 ,$52.20 ,$11.53 ,$55.10 ,$25.94 ,$53.36 ,$12.62 ,$52.78 ,$11.53 ,$35.69 ,$37.35 ,$35.69 ,$52.20 ,$48.30 ,$43.29 ,$52.20 ,$11.65 ,$12.51 ,$54.23 ,$12.11 ,$11.91 ,$50.46 ,$11.53 ,$52.20 ,$11.53 ,$52.20 ,$52.20 ,$52.20 ,$56.26 ,$46.98 ,$52.20 ,$52.20 ,$52.20 ,$52.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100366,86341,HC ISLET CELL AUTO AB,301,1 ,$61.08 ,$45.81 ,$19.88 ,$61.08 ,$39.34 ,$23.57 ,$42.76 ,$19.88 ,$33.93 ,$20.48 ,$27.15 ,$58.03 , N/A ,$48.86 ,$55.58 ,$19.88 ,$57.42 ,$58.03 ,$54.97 ,$51.92 ,$19.88 ,$19.88 ,$19.88 ,$44.59 ,$23.57 ,$54.36 ,$54.97 ,$54.97 ,$48.86 ,$24.28 ,$33.59 ,$54.97 ,$23.57 ,$54.97 ,$23.57 ,$58.03 ,$53.03 ,$56.19 ,$21.07 ,$55.58 ,$23.57 ,$37.59 ,$39.34 ,$37.59 ,$54.97 ,$61.08 ,$45.58 ,$54.97 ,$23.81 ,$20.87 ,$57.11 ,$24.75 ,$19.88 ,$53.14 ,$23.57 ,$54.97 ,$23.57 ,$54.97 ,$54.97 ,$54.97 ,$59.25 ,$49.47 ,$54.97 ,$54.97 ,$54.97 ,$54.97 
ST. JOSEPH'S - CHIPPEWA FALLS,30100392,83525,HC INSULIN TOTAL,301,1 ,$90.00 ,$67.50 ,$11.43 ,$90.00 ,$57.96 ,$11.43 ,$63.00 ,$11.81 ,$27.44 ,$12.16 ,$21.95 ,$85.50 , N/A ,$72.00 ,$81.90 ,$11.81 ,$84.60 ,$85.50 ,$81.00 ,$76.50 ,$11.81 ,$11.81 ,$11.81 ,$65.70 ,$11.43 ,$80.10 ,$81.00 ,$81.00 ,$72.00 ,$11.77 ,$49.50 ,$81.00 ,$11.43 ,$81.00 ,$11.43 ,$85.50 ,$25.72 ,$82.80 ,$12.52 ,$81.90 ,$11.43 ,$55.39 ,$57.96 ,$55.39 ,$81.00 ,$90.00 ,$67.17 ,$71.84 ,$11.54 ,$12.40 ,$84.15 ,$12.00 ,$11.81 ,$78.30 ,$11.43 ,$81.00 ,$11.43 ,$81.00 ,$81.00 ,$81.00 ,$87.30 ,$72.90 ,$81.00 ,$81.00 ,$81.00 ,$81.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100393,83540,HC IRON TOTAL,301,1 ,$65.00 ,$48.75 ,$6.47 ,$65.00 ,$41.86 ,$6.47 ,$45.50 ,$6.69 ,$15.54 ,$6.89 ,$12.43 ,$61.75 , N/A ,$52.00 ,$59.15 ,$6.69 ,$61.10 ,$61.75 ,$58.50 ,$55.25 ,$6.69 ,$6.69 ,$6.69 ,$47.45 ,$6.47 ,$57.85 ,$58.50 ,$58.50 ,$52.00 ,$6.66 ,$35.75 ,$58.50 ,$6.47 ,$58.50 ,$6.47 ,$61.75 ,$14.56 ,$59.80 ,$7.09 ,$59.15 ,$6.47 ,$40.00 ,$41.86 ,$40.00 ,$58.50 ,$65.00 ,$48.51 ,$40.68 ,$6.53 ,$7.02 ,$60.78 ,$6.79 ,$6.69 ,$56.55 ,$6.47 ,$58.50 ,$6.47 ,$58.50 ,$58.50 ,$58.50 ,$63.05 ,$52.65 ,$58.50 ,$58.50 ,$58.50 ,$58.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$28.00 ,$21.00 ,$8.74 ,$28.00 ,$18.03 ,$8.74 ,$19.60 ,$9.03 ,$20.98 ,$9.30 ,$16.79 ,$26.60 , N/A ,$22.40 ,$25.48 ,$9.03 ,$26.32 ,$26.60 ,$25.20 ,$23.80 ,$9.03 ,$9.03 ,$9.03 ,$20.44 ,$8.74 ,$24.92 ,$25.20 ,$25.20 ,$22.40 ,$9.00 ,$15.40 ,$25.20 ,$8.74 ,$25.20 ,$8.74 ,$26.60 ,$19.67 ,$25.76 ,$9.57 ,$25.48 ,$8.74 ,$17.23 ,$18.03 ,$17.23 ,$25.20 ,$28.00 ,$20.90 ,$25.20 ,$8.83 ,$9.48 ,$26.18 ,$9.18 ,$9.03 ,$24.36 ,$8.74 ,$25.20 ,$8.74 ,$25.20 ,$25.20 ,$25.20 ,$27.16 ,$22.68 ,$25.20 ,$25.20 ,$25.20 ,$25.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$105.00 ,$78.75 ,$11.57 ,$105.00 ,$67.62 ,$11.57 ,$73.50 ,$11.96 ,$25.64 ,$12.32 ,$20.51 ,$99.75 , N/A ,$84.00 ,$95.55 ,$11.96 ,$98.70 ,$99.75 ,$94.50 ,$89.25 ,$11.96 ,$11.96 ,$11.96 ,$76.65 ,$11.57 ,$93.45 ,$94.50 ,$94.50 ,$84.00 ,$11.92 ,$57.75 ,$94.50 ,$11.57 ,$94.50 ,$11.57 ,$99.75 ,$26.03 ,$96.60 ,$12.68 ,$95.55 ,$11.57 ,$64.62 ,$67.62 ,$64.62 ,$94.50 ,$39.99 ,$78.36 ,$67.16 ,$11.69 ,$12.56 ,$98.18 ,$12.15 ,$11.96 ,$91.35 ,$11.57 ,$94.50 ,$11.57 ,$94.50 ,$94.50 ,$94.50 ,$101.85 ,$85.05 ,$94.50 ,$94.50 ,$94.50 ,$94.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$112.00 ,$84.00 ,$6.04 ,$112.00 ,$72.13 ,$6.04 ,$78.40 ,$6.24 ,$14.49 ,$6.43 ,$11.59 ,$106.40 , N/A ,$89.60 ,$101.92 ,$6.24 ,$105.28 ,$106.40 ,$100.80 ,$95.20 ,$6.24 ,$6.24 ,$6.24 ,$81.76 ,$6.04 ,$99.68 ,$100.80 ,$100.80 ,$89.60 ,$6.22 ,$61.60 ,$100.80 ,$6.04 ,$100.80 ,$6.04 ,$106.40 ,$13.59 ,$103.04 ,$6.61 ,$101.92 ,$6.04 ,$68.92 ,$72.13 ,$68.92 ,$100.80 ,$65.89 ,$83.59 ,$37.93 ,$6.10 ,$6.55 ,$104.72 ,$6.34 ,$6.24 ,$97.44 ,$6.04 ,$100.80 ,$6.04 ,$100.80 ,$100.80 ,$100.80 ,$108.64 ,$90.72 ,$100.80 ,$100.80 ,$100.80 ,$100.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100401,83655,HC LEAD,301,1 ,$44.00 ,$33.00 ,$12.11 ,$44.00 ,$28.34 ,$12.11 ,$30.80 ,$12.51 ,$29.07 ,$12.89 ,$23.25 ,$41.80 , N/A ,$35.20 ,$40.04 ,$12.51 ,$41.36 ,$41.80 ,$39.60 ,$37.40 ,$12.51 ,$12.51 ,$12.51 ,$32.12 ,$12.11 ,$39.16 ,$39.60 ,$39.60 ,$35.20 ,$12.47 ,$24.20 ,$39.60 ,$12.11 ,$39.60 ,$12.11 ,$41.80 ,$27.25 ,$40.48 ,$13.26 ,$40.04 ,$12.11 ,$27.08 ,$28.34 ,$27.08 ,$39.60 ,$44.00 ,$32.84 ,$39.60 ,$12.23 ,$13.14 ,$41.14 ,$12.72 ,$12.51 ,$38.28 ,$12.11 ,$39.60 ,$12.11 ,$39.60 ,$39.60 ,$39.60 ,$42.68 ,$35.64 ,$39.60 ,$39.60 ,$39.60 ,$39.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100408,83663,HC FETAL LUNG MATURITY,301,1 ,$174.00 ,$130.50 ,$13.65 ,$174.00 ,$112.06 ,$18.91 ,$121.80 ,$13.65 ,$45.40 ,$14.06 ,$36.32 ,$165.30 , N/A ,$139.20 ,$158.34 ,$13.65 ,$163.56 ,$165.30 ,$156.60 ,$147.90 ,$13.65 ,$13.65 ,$13.65 ,$127.02 ,$18.91 ,$154.86 ,$156.60 ,$156.60 ,$139.20 ,$19.48 ,$95.70 ,$156.60 ,$18.91 ,$156.60 ,$18.91 ,$165.30 ,$42.55 ,$160.08 ,$14.47 ,$158.34 ,$18.91 ,$107.08 ,$112.06 ,$107.08 ,$156.60 ,$30.93 ,$129.86 ,$118.89 ,$19.10 ,$14.33 ,$162.69 ,$19.86 ,$13.65 ,$151.38 ,$18.91 ,$156.60 ,$18.91 ,$156.60 ,$156.60 ,$156.60 ,$168.78 ,$140.94 ,$156.60 ,$156.60 ,$156.60 ,$156.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100409,83690,HC LIPASE,301,1 ,$166.00 ,$124.50 ,$6.89 ,$166.00 ,$106.90 ,$6.89 ,$116.20 ,$7.12 ,$16.54 ,$7.33 ,$13.23 ,$157.70 , N/A ,$132.80 ,$151.06 ,$7.12 ,$156.04 ,$157.70 ,$149.40 ,$141.10 ,$7.12 ,$7.12 ,$7.12 ,$121.18 ,$6.89 ,$147.74 ,$149.40 ,$149.40 ,$132.80 ,$7.10 ,$91.30 ,$149.40 ,$6.89 ,$149.40 ,$6.89 ,$157.70 ,$15.50 ,$152.72 ,$7.55 ,$151.06 ,$6.89 ,$102.16 ,$106.90 ,$102.16 ,$149.40 ,$59.25 ,$123.89 ,$43.33 ,$6.96 ,$7.48 ,$155.21 ,$7.23 ,$7.12 ,$144.42 ,$6.89 ,$149.40 ,$6.89 ,$149.40 ,$149.40 ,$149.40 ,$161.02 ,$134.46 ,$149.40 ,$149.40 ,$149.40 ,$149.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100413,83704,HC LP FRACTN ION MOBILITY,301,1 ,$193.00 ,$144.75 ,$34.19 ,$193.00 ,$124.29 ,$34.19 ,$135.10 ,$35.33 ,$75.74 ,$36.39 ,$60.59 ,$183.35 , N/A ,$154.40 ,$175.63 ,$35.33 ,$181.42 ,$183.35 ,$173.70 ,$164.05 ,$35.33 ,$35.33 ,$35.33 ,$140.89 ,$34.19 ,$171.77 ,$173.70 ,$173.70 ,$154.40 ,$35.22 ,$106.15 ,$173.70 ,$34.19 ,$173.70 ,$34.19 ,$183.35 ,$76.93 ,$177.56 ,$37.45 ,$175.63 ,$34.19 ,$118.77 ,$124.29 ,$118.77 ,$173.70 ,$93.92 ,$144.04 ,$173.70 ,$34.53 ,$37.10 ,$180.46 ,$35.90 ,$35.33 ,$167.91 ,$34.19 ,$173.70 ,$34.19 ,$173.70 ,$173.70 ,$173.70 ,$187.21 ,$156.33 ,$173.70 ,$173.70 ,$173.70 ,$173.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100415,83718,HC CHOLESTEROL HDL,301,1 ,$130.00 ,$97.50 ,$8.19 ,$130.00 ,$83.72 ,$8.19 ,$91.00 ,$8.46 ,$19.67 ,$8.71 ,$15.74 ,$123.50 , N/A ,$104.00 ,$118.30 ,$8.46 ,$122.20 ,$123.50 ,$117.00 ,$110.50 ,$8.46 ,$8.46 ,$8.46 ,$94.90 ,$8.19 ,$115.70 ,$117.00 ,$117.00 ,$104.00 ,$8.44 ,$71.50 ,$117.00 ,$8.19 ,$117.00 ,$8.19 ,$123.50 ,$18.43 ,$119.60 ,$8.97 ,$118.30 ,$8.19 ,$80.00 ,$83.72 ,$80.00 ,$117.00 ,$72.48 ,$97.02 ,$51.53 ,$8.27 ,$8.88 ,$121.55 ,$8.60 ,$8.46 ,$113.10 ,$8.19 ,$117.00 ,$8.19 ,$117.00 ,$117.00 ,$117.00 ,$126.10 ,$105.30 ,$117.00 ,$117.00 ,$117.00 ,$117.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100417,83735,HC MAGNESIUM,301,1 ,$137.00 ,$102.75 ,$6.70 ,$137.00 ,$88.23 ,$6.70 ,$95.90 ,$6.92 ,$16.08 ,$7.13 ,$12.87 ,$130.15 , N/A ,$109.60 ,$124.67 ,$6.92 ,$128.78 ,$130.15 ,$123.30 ,$116.45 ,$6.92 ,$6.92 ,$6.92 ,$100.01 ,$6.70 ,$121.93 ,$123.30 ,$123.30 ,$109.60 ,$6.90 ,$75.35 ,$123.30 ,$6.70 ,$123.30 ,$6.70 ,$130.15 ,$15.08 ,$126.04 ,$7.34 ,$124.67 ,$6.70 ,$84.31 ,$88.23 ,$84.31 ,$123.30 ,$59.25 ,$102.24 ,$42.11 ,$6.77 ,$7.27 ,$128.10 ,$7.04 ,$6.92 ,$119.19 ,$6.70 ,$123.30 ,$6.70 ,$123.30 ,$123.30 ,$123.30 ,$132.89 ,$110.97 ,$123.30 ,$123.30 ,$123.30 ,$123.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100421,82542,HC BILE ACIDS,301,1 ,$42.00 ,$31.50 ,$23.10 ,$54.20 ,$27.05 ,$24.09 ,$29.40 ,$24.89 ,$42.00 ,$25.64 ,$34.68 ,$39.90 , N/A ,$33.60 ,$38.22 ,$24.89 ,$39.48 ,$39.90 ,$37.80 ,$35.70 ,$24.89 ,$24.89 ,$24.89 ,$30.66 ,$24.09 ,$37.38 ,$37.80 ,$37.80 ,$33.60 ,$24.81 ,$23.10 ,$37.80 ,$24.09 ,$37.80 ,$24.09 ,$39.90 ,$54.20 ,$38.64 ,$26.38 ,$38.22 ,$24.09 ,$25.85 ,$27.05 ,$25.85 ,$37.80 ,$42.00 ,$31.34 ,$37.80 ,$24.33 ,$26.13 ,$39.27 ,$25.29 ,$24.89 ,$36.54 ,$24.09 ,$37.80 ,$24.09 ,$37.80 ,$37.80 ,$37.80 ,$40.74 ,$34.02 ,$37.80 ,$37.80 ,$37.80 ,$37.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100424,80183,HC TRILEPTAL,301,1 ,$79.00 ,$59.25 ,$13.25 ,$79.00 ,$50.88 ,$13.25 ,$55.30 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$75.05 , N/A ,$63.20 ,$71.89 ,$13.69 ,$74.26 ,$75.05 ,$71.10 ,$67.15 ,$13.69 ,$13.69 ,$13.69 ,$57.67 ,$13.25 ,$70.31 ,$71.10 ,$71.10 ,$63.20 ,$13.65 ,$43.45 ,$71.10 ,$13.25 ,$71.10 ,$13.25 ,$75.05 ,$29.81 ,$72.68 ,$14.51 ,$71.89 ,$13.25 ,$48.62 ,$50.88 ,$48.62 ,$71.10 ,$34.23 ,$58.96 ,$71.10 ,$13.38 ,$14.37 ,$73.87 ,$13.91 ,$13.69 ,$68.73 ,$13.25 ,$71.10 ,$13.25 ,$71.10 ,$71.10 ,$71.10 ,$76.63 ,$63.99 ,$71.10 ,$71.10 ,$71.10 ,$71.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100430,83835,HC METANEPHRINES,301,1 ,$122.00 ,$91.50 ,$16.94 ,$122.00 ,$78.57 ,$16.94 ,$85.40 ,$17.50 ,$40.67 ,$18.03 ,$32.54 ,$115.90 , N/A ,$97.60 ,$111.02 ,$17.50 ,$114.68 ,$115.90 ,$109.80 ,$103.70 ,$17.50 ,$17.50 ,$17.50 ,$89.06 ,$16.94 ,$108.58 ,$109.80 ,$109.80 ,$97.60 ,$17.45 ,$67.10 ,$109.80 ,$16.94 ,$109.80 ,$16.94 ,$115.90 ,$38.12 ,$112.24 ,$18.55 ,$111.02 ,$16.94 ,$75.08 ,$78.57 ,$75.08 ,$109.80 ,$122.00 ,$91.05 ,$106.52 ,$17.11 ,$18.38 ,$114.07 ,$17.79 ,$17.50 ,$106.14 ,$16.94 ,$109.80 ,$16.94 ,$109.80 ,$109.80 ,$109.80 ,$118.34 ,$98.82 ,$109.80 ,$109.80 ,$109.80 ,$109.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100434,83873,HC MYELIN BASIC PROTEIN,301,1 ,$144.00 ,$108.00 ,$17.20 ,$144.00 ,$92.74 ,$17.20 ,$100.80 ,$17.77 ,$41.30 ,$18.30 ,$33.04 ,$136.80 , N/A ,$115.20 ,$131.04 ,$17.77 ,$135.36 ,$136.80 ,$129.60 ,$122.40 ,$17.77 ,$17.77 ,$17.77 ,$105.12 ,$17.20 ,$128.16 ,$129.60 ,$129.60 ,$115.20 ,$17.72 ,$79.20 ,$129.60 ,$17.20 ,$129.60 ,$17.20 ,$136.80 ,$38.70 ,$132.48 ,$18.84 ,$131.04 ,$17.20 ,$88.62 ,$92.74 ,$88.62 ,$129.60 ,$128.72 ,$107.47 ,$108.15 ,$17.37 ,$18.66 ,$134.64 ,$18.06 ,$17.77 ,$125.28 ,$17.20 ,$129.60 ,$17.20 ,$129.60 ,$129.60 ,$129.60 ,$139.68 ,$116.64 ,$129.60 ,$129.60 ,$129.60 ,$129.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100435,83874,HC MYOGLOBIN,301,1 ,$107.00 ,$80.25 ,$12.92 ,$107.00 ,$68.91 ,$12.92 ,$74.90 ,$13.35 ,$31.01 ,$13.75 ,$24.81 ,$101.65 , N/A ,$85.60 ,$97.37 ,$13.35 ,$100.58 ,$101.65 ,$96.30 ,$90.95 ,$13.35 ,$13.35 ,$13.35 ,$78.11 ,$12.92 ,$95.23 ,$96.30 ,$96.30 ,$85.60 ,$13.31 ,$58.85 ,$96.30 ,$12.92 ,$96.30 ,$12.92 ,$101.65 ,$29.07 ,$98.44 ,$14.15 ,$97.37 ,$12.92 ,$65.85 ,$68.91 ,$65.85 ,$96.30 ,$105.84 ,$79.85 ,$81.21 ,$13.05 ,$14.02 ,$100.05 ,$13.57 ,$13.35 ,$93.09 ,$12.92 ,$96.30 ,$12.92 ,$96.30 ,$96.30 ,$96.30 ,$103.79 ,$86.67 ,$96.30 ,$96.30 ,$96.30 ,$96.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$248.00 ,$186.00 ,$39.26 ,$248.00 ,$159.71 ,$39.26 ,$173.60 ,$40.57 ,$81.48 ,$41.79 ,$65.18 ,$235.60 , N/A ,$198.40 ,$225.68 ,$40.57 ,$233.12 ,$235.60 ,$223.20 ,$210.80 ,$40.57 ,$40.57 ,$40.57 ,$181.04 ,$39.26 ,$220.72 ,$223.20 ,$223.20 ,$198.40 ,$40.44 ,$136.40 ,$223.20 ,$39.26 ,$223.20 ,$39.26 ,$235.60 ,$88.34 ,$228.16 ,$43.00 ,$225.68 ,$39.26 ,$152.62 ,$159.71 ,$152.62 ,$223.20 ,$113.82 ,$185.08 ,$213.34 ,$39.65 ,$42.60 ,$231.88 ,$41.22 ,$40.57 ,$215.76 ,$39.26 ,$223.20 ,$39.26 ,$223.20 ,$223.20 ,$223.20 ,$240.56 ,$200.88 ,$223.20 ,$223.20 ,$223.20 ,$223.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100439,83883,HC NEPHELOMETRY EA ANALYTE,301,1 ,$146.00 ,$109.50 ,$13.60 ,$146.00 ,$94.02 ,$13.60 ,$102.20 ,$14.05 ,$32.64 ,$14.47 ,$26.11 ,$138.70 , N/A ,$116.80 ,$132.86 ,$14.05 ,$137.24 ,$138.70 ,$131.40 ,$124.10 ,$14.05 ,$14.05 ,$14.05 ,$106.58 ,$13.60 ,$129.94 ,$131.40 ,$131.40 ,$116.80 ,$14.01 ,$80.30 ,$131.40 ,$13.60 ,$131.40 ,$13.60 ,$138.70 ,$30.60 ,$134.32 ,$14.89 ,$132.86 ,$13.60 ,$89.85 ,$94.02 ,$89.85 ,$131.40 ,$21.56 ,$108.96 ,$85.49 ,$13.74 ,$14.75 ,$136.51 ,$14.28 ,$14.05 ,$127.02 ,$13.60 ,$131.40 ,$13.60 ,$131.40 ,$131.40 ,$131.40 ,$141.62 ,$118.26 ,$131.40 ,$131.40 ,$131.40 ,$131.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100441,86160,HC C1 ESTERASE INHIB PRO QU,301,1 ,$224.10 ,$168.08 ,$12.00 ,$224.10 ,$144.32 ,$12.00 ,$156.87 ,$12.40 ,$28.81 ,$12.77 ,$23.04 ,$212.90 , N/A ,$179.28 ,$203.93 ,$12.40 ,$210.65 ,$212.90 ,$201.69 ,$190.49 ,$12.40 ,$12.40 ,$12.40 ,$163.59 ,$12.00 ,$199.45 ,$201.69 ,$201.69 ,$179.28 ,$12.36 ,$123.26 ,$201.69 ,$12.00 ,$201.69 ,$12.00 ,$212.90 ,$27.00 ,$206.17 ,$13.14 ,$203.93 ,$12.00 ,$137.91 ,$144.32 ,$137.91 ,$201.69 ,$109.82 ,$167.25 ,$75.41 ,$12.12 ,$13.02 ,$209.53 ,$12.60 ,$12.40 ,$194.97 ,$12.00 ,$201.69 ,$12.00 ,$201.69 ,$201.69 ,$201.69 ,$217.38 ,$181.52 ,$201.69 ,$201.69 ,$201.69 ,$201.69 
ST. JOSEPH'S - CHIPPEWA FALLS,30100637,83921,HC ORGANIC ACID SNG QN(METHYL),301,1 ,$175.00 ,$131.25 ,$21.21 ,$175.00 ,$112.70 ,$21.21 ,$122.50 ,$21.92 ,$39.50 ,$22.58 ,$31.60 ,$166.25 , N/A ,$140.00 ,$159.25 ,$21.92 ,$164.50 ,$166.25 ,$157.50 ,$148.75 ,$21.92 ,$21.92 ,$21.92 ,$127.75 ,$21.21 ,$155.75 ,$157.50 ,$157.50 ,$140.00 ,$21.85 ,$96.25 ,$157.50 ,$21.21 ,$157.50 ,$21.21 ,$166.25 ,$47.72 ,$161.00 ,$23.24 ,$159.25 ,$21.21 ,$107.70 ,$112.70 ,$107.70 ,$157.50 ,$62.83 ,$130.60 ,$107.99 ,$21.42 ,$23.02 ,$163.63 ,$22.27 ,$21.92 ,$152.25 ,$21.21 ,$157.50 ,$21.21 ,$157.50 ,$157.50 ,$157.50 ,$169.75 ,$141.75 ,$157.50 ,$157.50 ,$157.50 ,$157.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100661,83916,HC OLIGOCLONAL BANDS,301,1 ,$94.00 ,$70.50 ,$27.39 ,$94.00 ,$60.54 ,$27.39 ,$65.80 ,$28.28 ,$48.28 ,$29.13 ,$38.63 ,$89.30 , N/A ,$75.20 ,$85.54 ,$28.28 ,$88.36 ,$89.30 ,$84.60 ,$79.90 ,$28.28 ,$28.28 ,$28.28 ,$68.62 ,$27.39 ,$83.66 ,$84.60 ,$84.60 ,$75.20 ,$28.21 ,$51.70 ,$84.60 ,$27.39 ,$84.60 ,$27.39 ,$89.30 ,$61.63 ,$86.48 ,$29.98 ,$85.54 ,$27.39 ,$57.85 ,$60.54 ,$57.85 ,$84.60 ,$94.00 ,$70.15 ,$84.60 ,$27.66 ,$29.69 ,$87.89 ,$28.76 ,$28.28 ,$81.78 ,$27.39 ,$84.60 ,$27.39 ,$84.60 ,$84.60 ,$84.60 ,$91.18 ,$76.14 ,$84.60 ,$84.60 ,$84.60 ,$84.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100668,83930,HC OSMOLALITY BLOOD,301,1 ,$120.00 ,$90.00 ,$6.61 ,$120.00 ,$77.28 ,$6.61 ,$84.00 ,$6.83 ,$15.87 ,$7.03 ,$12.70 ,$114.00 , N/A ,$96.00 ,$109.20 ,$6.83 ,$112.80 ,$114.00 ,$108.00 ,$102.00 ,$6.83 ,$6.83 ,$6.83 ,$87.60 ,$6.61 ,$106.80 ,$108.00 ,$108.00 ,$96.00 ,$6.81 ,$66.00 ,$108.00 ,$6.61 ,$108.00 ,$6.61 ,$114.00 ,$14.87 ,$110.40 ,$7.24 ,$109.20 ,$6.61 ,$73.85 ,$77.28 ,$73.85 ,$108.00 ,$103.23 ,$89.56 ,$41.55 ,$6.68 ,$7.17 ,$112.20 ,$6.94 ,$6.83 ,$104.40 ,$6.61 ,$108.00 ,$6.61 ,$108.00 ,$108.00 ,$108.00 ,$116.40 ,$97.20 ,$108.00 ,$108.00 ,$108.00 ,$108.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100669,83935,HC OSMOLALITY URINE,301,1 ,$120.00 ,$90.00 ,$6.82 ,$120.00 ,$77.28 ,$6.82 ,$84.00 ,$7.05 ,$16.36 ,$7.26 ,$13.09 ,$114.00 , N/A ,$96.00 ,$109.20 ,$7.05 ,$112.80 ,$114.00 ,$108.00 ,$102.00 ,$7.05 ,$7.05 ,$7.05 ,$87.60 ,$6.82 ,$106.80 ,$108.00 ,$108.00 ,$96.00 ,$7.02 ,$66.00 ,$108.00 ,$6.82 ,$108.00 ,$6.82 ,$114.00 ,$15.35 ,$110.40 ,$7.47 ,$109.20 ,$6.82 ,$73.85 ,$77.28 ,$73.85 ,$108.00 ,$81.28 ,$89.56 ,$42.87 ,$6.89 ,$7.40 ,$112.20 ,$7.16 ,$7.05 ,$104.40 ,$6.82 ,$108.00 ,$6.82 ,$108.00 ,$108.00 ,$108.00 ,$116.40 ,$97.20 ,$108.00 ,$108.00 ,$108.00 ,$108.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100672,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$274.00 ,$205.50 ,$41.28 ,$274.00 ,$176.46 ,$41.28 ,$191.80 ,$42.65 ,$99.09 ,$43.93 ,$79.27 ,$260.30 , N/A ,$219.20 ,$249.34 ,$42.65 ,$257.56 ,$260.30 ,$246.60 ,$232.90 ,$42.65 ,$42.65 ,$42.65 ,$200.02 ,$41.28 ,$243.86 ,$246.60 ,$246.60 ,$219.20 ,$42.52 ,$150.70 ,$246.60 ,$41.28 ,$246.60 ,$41.28 ,$260.30 ,$92.88 ,$252.08 ,$45.21 ,$249.34 ,$41.28 ,$168.62 ,$176.46 ,$168.62 ,$246.60 ,$274.00 ,$204.49 ,$246.60 ,$41.69 ,$44.78 ,$256.19 ,$43.34 ,$42.65 ,$238.38 ,$41.28 ,$246.60 ,$41.28 ,$246.60 ,$246.60 ,$246.60 ,$265.78 ,$221.94 ,$246.60 ,$246.60 ,$246.60 ,$246.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100673,83986,HC PH BODY FLUID,301,1 ,$116.00 ,$87.00 ,$3.58 ,$116.00 ,$74.70 ,$3.58 ,$81.20 ,$3.70 ,$8.59 ,$3.81 ,$6.87 ,$110.20 , N/A ,$92.80 ,$105.56 ,$3.70 ,$109.04 ,$110.20 ,$104.40 ,$98.60 ,$3.70 ,$3.70 ,$3.70 ,$84.68 ,$3.58 ,$103.24 ,$104.40 ,$104.40 ,$92.80 ,$3.69 ,$63.80 ,$104.40 ,$3.58 ,$104.40 ,$3.58 ,$110.20 ,$8.06 ,$106.72 ,$3.92 ,$105.56 ,$3.58 ,$71.39 ,$74.70 ,$71.39 ,$104.40 ,$70.29 ,$86.57 ,$22.50 ,$3.62 ,$3.89 ,$108.46 ,$3.76 ,$3.70 ,$100.92 ,$3.58 ,$104.40 ,$3.58 ,$104.40 ,$104.40 ,$104.40 ,$112.52 ,$93.96 ,$104.40 ,$104.40 ,$104.40 ,$104.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100676,84030,HC NEWBORN SCREEN PKU,301,1 ,$154.00 ,$115.50 ,$5.50 ,$154.00 ,$99.18 ,$5.50 ,$107.80 ,$5.68 ,$13.20 ,$5.85 ,$10.56 ,$146.30 , N/A ,$123.20 ,$140.14 ,$5.68 ,$144.76 ,$146.30 ,$138.60 ,$130.90 ,$5.68 ,$5.68 ,$5.68 ,$112.42 ,$5.50 ,$137.06 ,$138.60 ,$138.60 ,$123.20 ,$5.67 ,$84.70 ,$138.60 ,$5.50 ,$138.60 ,$5.50 ,$146.30 ,$12.38 ,$141.68 ,$6.02 ,$140.14 ,$5.50 ,$94.77 ,$99.18 ,$94.77 ,$138.60 ,$76.87 ,$114.93 ,$34.57 ,$5.56 ,$5.96 ,$143.99 ,$5.78 ,$5.68 ,$133.98 ,$5.50 ,$138.60 ,$5.50 ,$138.60 ,$138.60 ,$138.60 ,$149.38 ,$124.74 ,$138.60 ,$138.60 ,$138.60 ,$138.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$112.00 ,$84.00 ,$5.18 ,$112.00 ,$72.13 ,$5.18 ,$78.40 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$106.40 , N/A ,$89.60 ,$101.92 ,$5.35 ,$105.28 ,$106.40 ,$100.80 ,$95.20 ,$5.35 ,$5.35 ,$5.35 ,$81.76 ,$5.18 ,$99.68 ,$100.80 ,$100.80 ,$89.60 ,$5.34 ,$61.60 ,$100.80 ,$5.18 ,$100.80 ,$5.18 ,$106.40 ,$11.66 ,$103.04 ,$5.67 ,$101.92 ,$5.18 ,$68.92 ,$72.13 ,$68.92 ,$100.80 ,$65.89 ,$83.59 ,$32.54 ,$5.23 ,$5.62 ,$104.72 ,$5.44 ,$5.35 ,$97.44 ,$5.18 ,$100.80 ,$5.18 ,$100.80 ,$100.80 ,$100.80 ,$108.64 ,$90.72 ,$100.80 ,$100.80 ,$100.80 ,$100.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100681,84080,HC ALK PHOS ISOENZ,301,1 ,$66.00 ,$49.50 ,$14.78 ,$66.00 ,$42.50 ,$14.78 ,$46.20 ,$15.27 ,$35.49 ,$15.73 ,$28.39 ,$62.70 , N/A ,$52.80 ,$60.06 ,$15.27 ,$62.04 ,$62.70 ,$59.40 ,$56.10 ,$15.27 ,$15.27 ,$15.27 ,$48.18 ,$14.78 ,$58.74 ,$59.40 ,$59.40 ,$52.80 ,$15.22 ,$36.30 ,$59.40 ,$14.78 ,$59.40 ,$14.78 ,$62.70 ,$33.26 ,$60.72 ,$16.19 ,$60.06 ,$14.78 ,$40.62 ,$42.50 ,$40.62 ,$59.40 ,$66.00 ,$49.26 ,$59.40 ,$14.93 ,$16.03 ,$61.71 ,$15.52 ,$15.27 ,$57.42 ,$14.78 ,$59.40 ,$14.78 ,$59.40 ,$59.40 ,$59.40 ,$64.02 ,$53.46 ,$59.40 ,$59.40 ,$59.40 ,$59.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100684,84100,HC PHOSPHORUS,301,1 ,$99.00 ,$74.25 ,$4.74 ,$99.00 ,$63.76 ,$4.74 ,$69.30 ,$4.90 ,$11.38 ,$5.05 ,$9.10 ,$94.05 , N/A ,$79.20 ,$90.09 ,$4.90 ,$93.06 ,$94.05 ,$89.10 ,$84.15 ,$4.90 ,$4.90 ,$4.90 ,$72.27 ,$4.74 ,$88.11 ,$89.10 ,$89.10 ,$79.20 ,$4.88 ,$54.45 ,$89.10 ,$4.74 ,$89.10 ,$4.74 ,$94.05 ,$10.67 ,$91.08 ,$5.19 ,$90.09 ,$4.74 ,$60.92 ,$63.76 ,$60.92 ,$89.10 ,$61.49 ,$73.88 ,$29.79 ,$4.79 ,$5.15 ,$92.57 ,$4.98 ,$4.90 ,$86.13 ,$4.74 ,$89.10 ,$4.74 ,$89.10 ,$89.10 ,$89.10 ,$96.03 ,$80.19 ,$89.10 ,$89.10 ,$89.10 ,$89.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100685,84105,HC PHOSPHORUS URINE,301,1 ,$109.00 ,$81.75 ,$5.78 ,$109.00 ,$70.20 ,$5.78 ,$76.30 ,$5.97 ,$12.43 ,$6.15 ,$9.94 ,$103.55 , N/A ,$87.20 ,$99.19 ,$5.97 ,$102.46 ,$103.55 ,$98.10 ,$92.65 ,$5.97 ,$5.97 ,$5.97 ,$79.57 ,$5.78 ,$97.01 ,$98.10 ,$98.10 ,$87.20 ,$5.95 ,$59.95 ,$98.10 ,$5.78 ,$98.10 ,$5.78 ,$103.55 ,$13.01 ,$100.28 ,$6.33 ,$99.19 ,$5.78 ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$61.49 ,$81.35 ,$32.54 ,$5.84 ,$6.27 ,$101.92 ,$6.07 ,$5.97 ,$94.83 ,$5.78 ,$98.10 ,$5.78 ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100686,84110,HC PORPHOBILINOGEN QN,301,1 ,$39.00 ,$29.25 ,$8.44 ,$39.00 ,$25.12 ,$8.44 ,$27.30 ,$8.72 ,$20.27 ,$8.98 ,$16.21 ,$37.05 , N/A ,$31.20 ,$35.49 ,$8.72 ,$36.66 ,$37.05 ,$35.10 ,$33.15 ,$8.72 ,$8.72 ,$8.72 ,$28.47 ,$8.44 ,$34.71 ,$35.10 ,$35.10 ,$31.20 ,$8.69 ,$21.45 ,$35.10 ,$8.44 ,$35.10 ,$8.44 ,$37.05 ,$18.99 ,$35.88 ,$9.24 ,$35.49 ,$8.44 ,$24.00 ,$25.12 ,$24.00 ,$35.10 ,$39.00 ,$29.11 ,$35.10 ,$8.52 ,$9.16 ,$36.47 ,$8.86 ,$8.72 ,$33.93 ,$8.44 ,$35.10 ,$8.44 ,$35.10 ,$35.10 ,$35.10 ,$37.83 ,$31.59 ,$35.10 ,$35.10 ,$35.10 ,$35.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100688,84112,HC PLACENTAL ALPHA MICROGLOBULIN,301,1 ,$258.00 ,$193.50 ,$90.57 ,$258.00 ,$166.15 ,$98.11 ,$180.60 ,$90.57 ,$154.63 ,$93.29 ,$123.70 ,$245.10 , N/A ,$206.40 ,$234.78 ,$90.57 ,$242.52 ,$245.10 ,$232.20 ,$219.30 ,$90.57 ,$90.57 ,$90.57 ,$188.34 ,$98.11 ,$229.62 ,$232.20 ,$232.20 ,$206.40 ,$101.05 ,$141.90 ,$232.20 ,$98.11 ,$232.20 ,$98.11 ,$245.10 ,$220.75 ,$237.36 ,$96.00 ,$234.78 ,$98.11 ,$158.77 ,$166.15 ,$158.77 ,$232.20 ,$182.76 ,$192.55 ,$232.20 ,$99.09 ,$95.10 ,$241.23 ,$103.02 ,$90.57 ,$224.46 ,$98.11 ,$232.20 ,$98.11 ,$232.20 ,$232.20 ,$232.20 ,$250.26 ,$208.98 ,$232.20 ,$232.20 ,$232.20 ,$232.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100691,84132,HC POTASSIUM,301,1 ,$98.00 ,$73.50 ,$4.76 ,$98.00 ,$63.11 ,$4.76 ,$68.60 ,$4.92 ,$11.04 ,$5.07 ,$8.83 ,$93.10 , N/A ,$78.40 ,$89.18 ,$4.92 ,$92.12 ,$93.10 ,$88.20 ,$83.30 ,$4.92 ,$4.92 ,$4.92 ,$71.54 ,$4.76 ,$87.22 ,$88.20 ,$88.20 ,$78.40 ,$4.90 ,$53.90 ,$88.20 ,$4.76 ,$88.20 ,$4.76 ,$93.10 ,$10.71 ,$90.16 ,$5.22 ,$89.18 ,$4.76 ,$60.31 ,$63.11 ,$60.31 ,$88.20 ,$39.53 ,$73.14 ,$28.92 ,$4.81 ,$5.17 ,$91.63 ,$5.00 ,$4.92 ,$85.26 ,$4.76 ,$88.20 ,$4.76 ,$88.20 ,$88.20 ,$88.20 ,$95.06 ,$79.38 ,$88.20 ,$88.20 ,$88.20 ,$88.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100694,84133,HC POTASSIUM URINE,301,1 ,$98.00 ,$73.50 ,$4.73 ,$98.00 ,$63.11 ,$4.73 ,$68.60 ,$4.89 ,$10.34 ,$5.04 ,$8.27 ,$93.10 , N/A ,$78.40 ,$89.18 ,$4.89 ,$92.12 ,$93.10 ,$88.20 ,$83.30 ,$4.89 ,$4.89 ,$4.89 ,$71.54 ,$4.73 ,$87.22 ,$88.20 ,$88.20 ,$78.40 ,$4.87 ,$53.90 ,$88.20 ,$4.73 ,$88.20 ,$4.73 ,$93.10 ,$10.64 ,$90.16 ,$5.18 ,$89.18 ,$4.73 ,$60.31 ,$63.11 ,$60.31 ,$88.20 ,$39.53 ,$73.14 ,$27.09 ,$4.78 ,$5.13 ,$91.63 ,$4.97 ,$4.89 ,$85.26 ,$4.73 ,$88.20 ,$4.73 ,$88.20 ,$88.20 ,$88.20 ,$95.06 ,$79.38 ,$88.20 ,$88.20 ,$88.20 ,$88.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100695,84134,HC PREALBUMIN,301,1 ,$62.00 ,$46.50 ,$7.85 ,$62.00 ,$39.93 ,$14.59 ,$43.40 ,$7.85 ,$13.41 ,$8.09 ,$10.72 ,$58.90 , N/A ,$49.60 ,$56.42 ,$7.85 ,$58.28 ,$58.90 ,$55.80 ,$52.70 ,$7.85 ,$7.85 ,$7.85 ,$45.26 ,$14.59 ,$55.18 ,$55.80 ,$55.80 ,$49.60 ,$15.03 ,$34.10 ,$55.80 ,$14.59 ,$55.80 ,$14.59 ,$58.90 ,$32.83 ,$57.04 ,$8.32 ,$56.42 ,$14.59 ,$38.15 ,$39.93 ,$38.15 ,$55.80 ,$62.00 ,$46.27 ,$55.80 ,$14.74 ,$8.24 ,$57.97 ,$15.32 ,$7.85 ,$53.94 ,$14.59 ,$55.80 ,$14.59 ,$55.80 ,$55.80 ,$55.80 ,$60.14 ,$50.22 ,$55.80 ,$55.80 ,$55.80 ,$55.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100696,84144,HC PROGESTERONE,301,1 ,$137.00 ,$102.75 ,$20.86 ,$137.00 ,$88.23 ,$20.86 ,$95.90 ,$21.55 ,$44.68 ,$22.20 ,$35.74 ,$130.15 , N/A ,$109.60 ,$124.67 ,$21.55 ,$128.78 ,$130.15 ,$123.30 ,$116.45 ,$21.55 ,$21.55 ,$21.55 ,$100.01 ,$20.86 ,$121.93 ,$123.30 ,$123.30 ,$109.60 ,$21.49 ,$75.35 ,$123.30 ,$20.86 ,$123.30 ,$20.86 ,$130.15 ,$46.94 ,$126.04 ,$22.84 ,$124.67 ,$20.86 ,$84.31 ,$88.23 ,$84.31 ,$123.30 ,$137.00 ,$102.24 ,$123.30 ,$21.07 ,$22.63 ,$128.10 ,$21.90 ,$21.55 ,$119.19 ,$20.86 ,$123.30 ,$20.86 ,$123.30 ,$123.30 ,$123.30 ,$132.89 ,$110.97 ,$123.30 ,$123.30 ,$123.30 ,$123.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100697,84146,HC PROLACTIN,301,1 ,$94.00 ,$70.50 ,$19.38 ,$94.00 ,$60.54 ,$19.38 ,$65.80 ,$20.03 ,$46.52 ,$20.63 ,$37.21 ,$89.30 , N/A ,$75.20 ,$85.54 ,$20.03 ,$88.36 ,$89.30 ,$84.60 ,$79.90 ,$20.03 ,$20.03 ,$20.03 ,$68.62 ,$19.38 ,$83.66 ,$84.60 ,$84.60 ,$75.20 ,$19.96 ,$51.70 ,$84.60 ,$19.38 ,$84.60 ,$19.38 ,$89.30 ,$43.61 ,$86.48 ,$21.23 ,$85.54 ,$19.38 ,$57.85 ,$60.54 ,$57.85 ,$84.60 ,$94.00 ,$70.15 ,$84.60 ,$19.57 ,$21.03 ,$87.89 ,$20.35 ,$20.03 ,$81.78 ,$19.38 ,$84.60 ,$19.38 ,$84.60 ,$84.60 ,$84.60 ,$91.18 ,$76.14 ,$84.60 ,$84.60 ,$84.60 ,$84.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100698,84153,HC PSA TOTAL,301,1 ,$210.00 ,$157.50 ,$18.39 ,$210.00 ,$135.24 ,$18.39 ,$147.00 ,$19.00 ,$44.15 ,$19.57 ,$35.32 ,$199.50 , N/A ,$168.00 ,$191.10 ,$19.00 ,$197.40 ,$199.50 ,$189.00 ,$178.50 ,$19.00 ,$19.00 ,$19.00 ,$153.30 ,$18.39 ,$186.90 ,$189.00 ,$189.00 ,$168.00 ,$18.94 ,$115.50 ,$189.00 ,$18.39 ,$189.00 ,$18.39 ,$199.50 ,$41.38 ,$193.20 ,$20.14 ,$191.10 ,$18.39 ,$129.23 ,$135.24 ,$129.23 ,$189.00 ,$139.47 ,$156.72 ,$115.63 ,$18.57 ,$19.95 ,$196.35 ,$19.31 ,$19.00 ,$182.70 ,$18.39 ,$189.00 ,$18.39 ,$189.00 ,$189.00 ,$189.00 ,$203.70 ,$170.10 ,$189.00 ,$189.00 ,$189.00 ,$189.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100699,84154,HC PSA FREE,301,1 ,$60.00 ,$45.00 ,$18.39 ,$60.00 ,$38.64 ,$18.39 ,$42.00 ,$19.00 ,$44.15 ,$19.57 ,$35.32 ,$57.00 , N/A ,$48.00 ,$54.60 ,$19.00 ,$56.40 ,$57.00 ,$54.00 ,$51.00 ,$19.00 ,$19.00 ,$19.00 ,$43.80 ,$18.39 ,$53.40 ,$54.00 ,$54.00 ,$48.00 ,$18.94 ,$33.00 ,$54.00 ,$18.39 ,$54.00 ,$18.39 ,$57.00 ,$41.38 ,$55.20 ,$20.14 ,$54.60 ,$18.39 ,$36.92 ,$38.64 ,$36.92 ,$54.00 ,$60.00 ,$44.78 ,$54.00 ,$18.57 ,$19.95 ,$56.10 ,$19.31 ,$19.00 ,$52.20 ,$18.39 ,$54.00 ,$18.39 ,$54.00 ,$54.00 ,$54.00 ,$58.20 ,$48.60 ,$54.00 ,$54.00 ,$54.00 ,$54.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100700,84155,HC PROTEIN TOTAL,301,1 ,$91.00 ,$68.25 ,$3.67 ,$91.00 ,$58.60 ,$3.67 ,$63.70 ,$3.79 ,$8.80 ,$3.90 ,$7.04 ,$86.45 , N/A ,$72.80 ,$82.81 ,$3.79 ,$85.54 ,$86.45 ,$81.90 ,$77.35 ,$3.79 ,$3.79 ,$3.79 ,$66.43 ,$3.67 ,$80.99 ,$81.90 ,$81.90 ,$72.80 ,$3.78 ,$50.05 ,$81.90 ,$3.67 ,$81.90 ,$3.67 ,$86.45 ,$8.26 ,$83.72 ,$4.02 ,$82.81 ,$3.67 ,$56.00 ,$58.60 ,$56.00 ,$81.90 ,$43.91 ,$67.91 ,$23.06 ,$3.71 ,$3.98 ,$85.09 ,$3.85 ,$3.79 ,$79.17 ,$3.67 ,$81.90 ,$3.67 ,$81.90 ,$81.90 ,$81.90 ,$88.27 ,$73.71 ,$81.90 ,$81.90 ,$81.90 ,$81.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$118.00 ,$88.50 ,$3.67 ,$118.00 ,$75.99 ,$3.67 ,$82.60 ,$3.79 ,$8.80 ,$3.90 ,$7.04 ,$112.10 , N/A ,$94.40 ,$107.38 ,$3.79 ,$110.92 ,$112.10 ,$106.20 ,$100.30 ,$3.79 ,$3.79 ,$3.79 ,$86.14 ,$3.67 ,$105.02 ,$106.20 ,$106.20 ,$94.40 ,$3.78 ,$64.90 ,$106.20 ,$3.67 ,$106.20 ,$3.67 ,$112.10 ,$8.26 ,$108.56 ,$4.02 ,$107.38 ,$3.67 ,$72.62 ,$75.99 ,$72.62 ,$106.20 ,$11.26 ,$88.06 ,$23.06 ,$3.71 ,$3.98 ,$110.33 ,$3.85 ,$3.79 ,$102.66 ,$3.67 ,$106.20 ,$3.67 ,$106.20 ,$106.20 ,$106.20 ,$114.46 ,$95.58 ,$106.20 ,$106.20 ,$106.20 ,$106.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100703,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$118.00 ,$88.50 ,$4.00 ,$118.00 ,$75.99 ,$4.00 ,$82.60 ,$4.13 ,$8.80 ,$4.25 ,$7.04 ,$112.10 , N/A ,$94.40 ,$107.38 ,$4.13 ,$110.92 ,$112.10 ,$106.20 ,$100.30 ,$4.13 ,$4.13 ,$4.13 ,$86.14 ,$4.00 ,$105.02 ,$106.20 ,$106.20 ,$94.40 ,$4.12 ,$64.90 ,$106.20 ,$4.00 ,$106.20 ,$4.00 ,$112.10 ,$9.00 ,$108.56 ,$4.38 ,$107.38 ,$4.00 ,$72.62 ,$75.99 ,$72.62 ,$106.20 ,$11.26 ,$88.06 ,$23.06 ,$4.04 ,$4.34 ,$110.33 ,$4.20 ,$4.13 ,$102.66 ,$4.00 ,$106.20 ,$4.00 ,$106.20 ,$106.20 ,$106.20 ,$114.46 ,$95.58 ,$106.20 ,$106.20 ,$106.20 ,$106.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100705,84165,HC PROTEIN ELECTROPHORESIS,301,1 ,$42.00 ,$31.50 ,$10.74 ,$42.00 ,$27.05 ,$10.74 ,$29.40 ,$11.10 ,$25.78 ,$11.43 ,$20.62 ,$39.90 , N/A ,$33.60 ,$38.22 ,$11.10 ,$39.48 ,$39.90 ,$37.80 ,$35.70 ,$11.10 ,$11.10 ,$11.10 ,$30.66 ,$10.74 ,$37.38 ,$37.80 ,$37.80 ,$33.60 ,$11.06 ,$23.10 ,$37.80 ,$10.74 ,$37.80 ,$10.74 ,$39.90 ,$24.17 ,$38.64 ,$11.77 ,$38.22 ,$10.74 ,$25.85 ,$27.05 ,$25.85 ,$37.80 ,$42.00 ,$31.34 ,$37.80 ,$10.85 ,$11.66 ,$39.27 ,$11.28 ,$11.10 ,$36.54 ,$10.74 ,$37.80 ,$10.74 ,$37.80 ,$37.80 ,$37.80 ,$40.74 ,$34.02 ,$37.80 ,$37.80 ,$37.80 ,$37.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100706,84166,HC PROTEIN EP OTH FLUID,301,1 ,$56.00 ,$42.00 ,$17.83 ,$56.00 ,$36.06 ,$17.83 ,$39.20 ,$18.42 ,$42.81 ,$18.97 ,$34.24 ,$53.20 , N/A ,$44.80 ,$50.96 ,$18.42 ,$52.64 ,$53.20 ,$50.40 ,$47.60 ,$18.42 ,$18.42 ,$18.42 ,$40.88 ,$17.83 ,$49.84 ,$50.40 ,$50.40 ,$44.80 ,$18.36 ,$30.80 ,$50.40 ,$17.83 ,$50.40 ,$17.83 ,$53.20 ,$40.12 ,$51.52 ,$19.53 ,$50.96 ,$17.83 ,$34.46 ,$36.06 ,$34.46 ,$50.40 ,$51.79 ,$41.79 ,$50.40 ,$18.01 ,$19.34 ,$52.36 ,$18.72 ,$18.42 ,$48.72 ,$17.83 ,$50.40 ,$17.83 ,$50.40 ,$50.40 ,$50.40 ,$54.32 ,$45.36 ,$50.40 ,$50.40 ,$50.40 ,$50.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100709,84202,HC PROTOPORPHYRIN,301,1 ,$84.00 ,$63.00 ,$14.35 ,$84.00 ,$54.10 ,$14.35 ,$58.80 ,$14.83 ,$34.44 ,$15.27 ,$27.55 ,$79.80 , N/A ,$67.20 ,$76.44 ,$14.83 ,$78.96 ,$79.80 ,$75.60 ,$71.40 ,$14.83 ,$14.83 ,$14.83 ,$61.32 ,$14.35 ,$74.76 ,$75.60 ,$75.60 ,$67.20 ,$14.78 ,$46.20 ,$75.60 ,$14.35 ,$75.60 ,$14.35 ,$79.80 ,$32.29 ,$77.28 ,$15.72 ,$76.44 ,$14.35 ,$51.69 ,$54.10 ,$51.69 ,$75.60 ,$84.00 ,$62.69 ,$75.60 ,$14.49 ,$15.57 ,$78.54 ,$15.07 ,$14.83 ,$73.08 ,$14.35 ,$75.60 ,$14.35 ,$75.60 ,$75.60 ,$75.60 ,$81.48 ,$68.04 ,$75.60 ,$75.60 ,$75.60 ,$75.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100715,84244,HC RENIN,301,1 ,$71.00 ,$53.25 ,$21.99 ,$71.00 ,$45.72 ,$21.99 ,$49.70 ,$22.72 ,$52.80 ,$23.40 ,$42.24 ,$67.45 , N/A ,$56.80 ,$64.61 ,$22.72 ,$66.74 ,$67.45 ,$63.90 ,$60.35 ,$22.72 ,$22.72 ,$22.72 ,$51.83 ,$21.99 ,$63.19 ,$63.90 ,$63.90 ,$56.80 ,$22.65 ,$39.05 ,$63.90 ,$21.99 ,$63.90 ,$21.99 ,$67.45 ,$49.48 ,$65.32 ,$24.08 ,$64.61 ,$21.99 ,$43.69 ,$45.72 ,$43.69 ,$63.90 ,$71.00 ,$52.99 ,$63.90 ,$22.21 ,$23.86 ,$66.39 ,$23.09 ,$22.72 ,$61.77 ,$21.99 ,$63.90 ,$21.99 ,$63.90 ,$63.90 ,$63.90 ,$68.87 ,$57.51 ,$63.90 ,$63.90 ,$63.90 ,$63.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100718,84260,HC SEROTONIN,301,1 ,$107.00 ,$80.25 ,$30.98 ,$107.00 ,$68.91 ,$30.98 ,$74.90 ,$32.01 ,$74.38 ,$32.97 ,$59.50 ,$101.65 , N/A ,$85.60 ,$97.37 ,$32.01 ,$100.58 ,$101.65 ,$96.30 ,$90.95 ,$32.01 ,$32.01 ,$32.01 ,$78.11 ,$30.98 ,$95.23 ,$96.30 ,$96.30 ,$85.60 ,$31.91 ,$58.85 ,$96.30 ,$30.98 ,$96.30 ,$30.98 ,$101.65 ,$69.71 ,$98.44 ,$33.93 ,$97.37 ,$30.98 ,$65.85 ,$68.91 ,$65.85 ,$96.30 ,$107.00 ,$79.85 ,$96.30 ,$31.29 ,$33.61 ,$100.05 ,$32.53 ,$32.01 ,$93.09 ,$30.98 ,$96.30 ,$30.98 ,$96.30 ,$96.30 ,$96.30 ,$103.79 ,$86.67 ,$96.30 ,$96.30 ,$96.30 ,$96.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100720,84270,HC SEX HORMONE BIND GLOB,301,1 ,$73.00 ,$54.75 ,$21.73 ,$73.00 ,$47.01 ,$21.73 ,$51.10 ,$22.45 ,$52.17 ,$23.12 ,$41.73 ,$69.35 , N/A ,$58.40 ,$66.43 ,$22.45 ,$68.62 ,$69.35 ,$65.70 ,$62.05 ,$22.45 ,$22.45 ,$22.45 ,$53.29 ,$21.73 ,$64.97 ,$65.70 ,$65.70 ,$58.40 ,$22.38 ,$40.15 ,$65.70 ,$21.73 ,$65.70 ,$21.73 ,$69.35 ,$48.89 ,$67.16 ,$23.80 ,$66.43 ,$21.73 ,$44.92 ,$47.01 ,$44.92 ,$65.70 ,$73.00 ,$54.48 ,$65.70 ,$21.95 ,$23.57 ,$68.26 ,$22.82 ,$22.45 ,$63.51 ,$21.73 ,$65.70 ,$21.73 ,$65.70 ,$65.70 ,$65.70 ,$70.81 ,$59.13 ,$65.70 ,$65.70 ,$65.70 ,$65.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100721,84295,HC SODIUM,301,1 ,$98.00 ,$73.50 ,$4.81 ,$98.00 ,$63.11 ,$4.81 ,$68.60 ,$4.97 ,$11.55 ,$5.12 ,$9.24 ,$93.10 , N/A ,$78.40 ,$89.18 ,$4.97 ,$92.12 ,$93.10 ,$88.20 ,$83.30 ,$4.97 ,$4.97 ,$4.97 ,$71.54 ,$4.81 ,$87.22 ,$88.20 ,$88.20 ,$78.40 ,$4.95 ,$53.90 ,$88.20 ,$4.81 ,$88.20 ,$4.81 ,$93.10 ,$10.82 ,$90.16 ,$5.27 ,$89.18 ,$4.81 ,$60.31 ,$63.11 ,$60.31 ,$88.20 ,$41.75 ,$73.14 ,$30.24 ,$4.86 ,$5.22 ,$91.63 ,$5.05 ,$4.97 ,$85.26 ,$4.81 ,$88.20 ,$4.81 ,$88.20 ,$88.20 ,$88.20 ,$95.06 ,$79.38 ,$88.20 ,$88.20 ,$88.20 ,$88.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100724,84300,HC SODIUM URINE,301,1 ,$98.00 ,$73.50 ,$5.06 ,$98.00 ,$63.11 ,$5.06 ,$68.60 ,$5.23 ,$11.67 ,$5.39 ,$9.34 ,$93.10 , N/A ,$78.40 ,$89.18 ,$5.23 ,$92.12 ,$93.10 ,$88.20 ,$83.30 ,$5.23 ,$5.23 ,$5.23 ,$71.54 ,$5.06 ,$87.22 ,$88.20 ,$88.20 ,$78.40 ,$5.21 ,$53.90 ,$88.20 ,$5.06 ,$88.20 ,$5.06 ,$93.10 ,$11.39 ,$90.16 ,$5.54 ,$89.18 ,$5.06 ,$60.31 ,$63.11 ,$60.31 ,$88.20 ,$41.75 ,$73.14 ,$30.55 ,$5.11 ,$5.49 ,$91.63 ,$5.31 ,$5.23 ,$85.26 ,$5.06 ,$88.20 ,$5.06 ,$88.20 ,$88.20 ,$88.20 ,$95.06 ,$79.38 ,$88.20 ,$88.20 ,$88.20 ,$88.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100725,84302,HC SODIUM OTHER FLUID,301,1 ,$35.00 ,$26.25 ,$4.86 ,$35.00 ,$22.54 ,$4.86 ,$24.50 ,$5.02 ,$11.67 ,$5.17 ,$9.34 ,$33.25 , N/A ,$28.00 ,$31.85 ,$5.02 ,$32.90 ,$33.25 ,$31.50 ,$29.75 ,$5.02 ,$5.02 ,$5.02 ,$25.55 ,$4.86 ,$31.15 ,$31.50 ,$31.50 ,$28.00 ,$5.01 ,$19.25 ,$31.50 ,$4.86 ,$31.50 ,$4.86 ,$33.25 ,$10.94 ,$32.20 ,$5.32 ,$31.85 ,$4.86 ,$21.54 ,$22.54 ,$21.54 ,$31.50 ,$16.60 ,$26.12 ,$30.55 ,$4.91 ,$5.27 ,$32.73 ,$5.10 ,$5.02 ,$30.45 ,$4.86 ,$31.50 ,$4.86 ,$31.50 ,$31.50 ,$31.50 ,$33.95 ,$28.35 ,$31.50 ,$31.50 ,$31.50 ,$31.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100732,84402,HC TESTOSTERONE FREE,301,1 ,$83.00 ,$62.25 ,$25.47 ,$83.00 ,$53.45 ,$25.47 ,$58.10 ,$26.32 ,$61.15 ,$27.11 ,$48.92 ,$78.85 , N/A ,$66.40 ,$75.53 ,$26.32 ,$78.02 ,$78.85 ,$74.70 ,$70.55 ,$26.32 ,$26.32 ,$26.32 ,$60.59 ,$25.47 ,$73.87 ,$74.70 ,$74.70 ,$66.40 ,$26.23 ,$45.65 ,$74.70 ,$25.47 ,$74.70 ,$25.47 ,$78.85 ,$57.31 ,$76.36 ,$27.90 ,$75.53 ,$25.47 ,$51.08 ,$53.45 ,$51.08 ,$74.70 ,$83.00 ,$61.94 ,$74.70 ,$25.72 ,$27.64 ,$77.61 ,$26.74 ,$26.32 ,$72.21 ,$25.47 ,$74.70 ,$25.47 ,$74.70 ,$74.70 ,$74.70 ,$80.51 ,$67.23 ,$74.70 ,$74.70 ,$74.70 ,$74.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100733,84403,HC TESTOSTERONE TOTAL,301,1 ,$84.00 ,$63.00 ,$25.81 ,$84.00 ,$54.10 ,$25.81 ,$58.80 ,$26.67 ,$60.50 ,$27.47 ,$48.40 ,$79.80 , N/A ,$67.20 ,$76.44 ,$26.67 ,$78.96 ,$79.80 ,$75.60 ,$71.40 ,$26.67 ,$26.67 ,$26.67 ,$61.32 ,$25.81 ,$74.76 ,$75.60 ,$75.60 ,$67.20 ,$26.58 ,$46.20 ,$75.60 ,$25.81 ,$75.60 ,$25.81 ,$79.80 ,$58.07 ,$77.28 ,$28.27 ,$76.44 ,$25.81 ,$51.69 ,$54.10 ,$51.69 ,$75.60 ,$84.00 ,$62.69 ,$75.60 ,$26.07 ,$28.00 ,$78.54 ,$27.10 ,$26.67 ,$73.08 ,$25.81 ,$75.60 ,$25.81 ,$75.60 ,$75.60 ,$75.60 ,$81.48 ,$68.04 ,$75.60 ,$75.60 ,$75.60 ,$75.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100735,84425,HC VITAMIN B1,301,1 ,$134.00 ,$100.50 ,$21.23 ,$134.00 ,$86.30 ,$21.23 ,$93.80 ,$21.94 ,$50.96 ,$22.60 ,$40.77 ,$127.30 , N/A ,$107.20 ,$121.94 ,$21.94 ,$125.96 ,$127.30 ,$120.60 ,$113.90 ,$21.94 ,$21.94 ,$21.94 ,$97.82 ,$21.23 ,$119.26 ,$120.60 ,$120.60 ,$107.20 ,$21.87 ,$73.70 ,$120.60 ,$21.23 ,$120.60 ,$21.23 ,$127.30 ,$47.77 ,$123.28 ,$23.26 ,$121.94 ,$21.23 ,$82.46 ,$86.30 ,$82.46 ,$120.60 ,$134.00 ,$100.00 ,$120.60 ,$21.44 ,$23.04 ,$125.29 ,$22.29 ,$21.94 ,$116.58 ,$21.23 ,$120.60 ,$21.23 ,$120.60 ,$120.60 ,$120.60 ,$129.98 ,$108.54 ,$120.60 ,$120.60 ,$120.60 ,$120.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30100737,84432,HC THYROGLOBULIN,301,1 ,$52.00 ,$39.00 ,$16.06 ,$52.00 ,$33.49 ,$16.06 ,$36.40 ,$16.59 ,$38.55 ,$17.09 ,$30.84 ,$49.40 , N/A ,$41.60 ,$47.32 ,$16.59 ,$48.88 ,$49.40 ,$46.80 ,$44.20 ,$16.59 ,$16.59 ,$16.59 ,$37.96 ,$16.06 ,$46.28 ,$46.80 ,$46.80 ,$41.60 ,$16.54 ,$28.60 ,$46.80 ,$16.06 ,$46.80 ,$16.06 ,$49.40 ,$36.14 ,$47.84 ,$17.59 ,$47.32 ,$16.06 ,$32.00 ,$33.49 ,$32.00 ,$46.80 ,$43.91 ,$38.81 ,$46.80 ,$16.22 ,$17.42 ,$48.62 ,$16.86 ,$16.59 ,$45.24 ,$16.06 ,$46.80 ,$16.06 ,$46.80 ,$46.80 ,$46.80 ,$50.44 ,$42.12 ,$46.80 ,$46.80 ,$46.80 ,$46.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100739,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$35.00 ,$26.25 ,$6.87 ,$35.00 ,$22.54 ,$6.87 ,$24.50 ,$7.10 ,$16.49 ,$7.31 ,$13.19 ,$33.25 , N/A ,$28.00 ,$31.85 ,$7.10 ,$32.90 ,$33.25 ,$31.50 ,$29.75 ,$7.10 ,$7.10 ,$7.10 ,$25.55 ,$6.87 ,$31.15 ,$31.50 ,$31.50 ,$28.00 ,$7.08 ,$19.25 ,$31.50 ,$6.87 ,$31.50 ,$6.87 ,$33.25 ,$15.46 ,$32.20 ,$7.53 ,$31.85 ,$6.87 ,$21.54 ,$22.54 ,$21.54 ,$31.50 ,$35.00 ,$26.12 ,$31.50 ,$6.94 ,$7.46 ,$32.73 ,$7.21 ,$7.10 ,$30.45 ,$6.87 ,$31.50 ,$6.87 ,$31.50 ,$31.50 ,$31.50 ,$33.95 ,$28.35 ,$31.50 ,$31.50 ,$31.50 ,$31.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100740,84439,HC T4 FREE,301,1 ,$115.00 ,$86.25 ,$9.02 ,$115.00 ,$74.06 ,$9.02 ,$80.50 ,$9.32 ,$21.65 ,$9.60 ,$17.32 ,$109.25 , N/A ,$92.00 ,$104.65 ,$9.32 ,$108.10 ,$109.25 ,$103.50 ,$97.75 ,$9.32 ,$9.32 ,$9.32 ,$83.95 ,$9.02 ,$102.35 ,$103.50 ,$103.50 ,$92.00 ,$9.29 ,$63.25 ,$103.50 ,$9.02 ,$103.50 ,$9.02 ,$109.25 ,$20.30 ,$105.80 ,$9.88 ,$104.65 ,$9.02 ,$70.77 ,$74.06 ,$70.77 ,$103.50 ,$92.26 ,$85.82 ,$56.67 ,$9.11 ,$9.79 ,$107.53 ,$9.47 ,$9.32 ,$100.05 ,$9.02 ,$103.50 ,$9.02 ,$103.50 ,$103.50 ,$103.50 ,$111.55 ,$93.15 ,$103.50 ,$103.50 ,$103.50 ,$103.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100742,84442,HC THYROXINE BIND GLOB,301,1 ,$193.00 ,$144.75 ,$14.78 ,$193.00 ,$124.29 ,$14.78 ,$135.10 ,$15.27 ,$35.49 ,$15.73 ,$28.39 ,$183.35 , N/A ,$154.40 ,$175.63 ,$15.27 ,$181.42 ,$183.35 ,$173.70 ,$164.05 ,$15.27 ,$15.27 ,$15.27 ,$140.89 ,$14.78 ,$171.77 ,$173.70 ,$173.70 ,$154.40 ,$15.22 ,$106.15 ,$173.70 ,$14.78 ,$173.70 ,$14.78 ,$183.35 ,$33.26 ,$177.56 ,$16.19 ,$175.63 ,$14.78 ,$118.77 ,$124.29 ,$118.77 ,$173.70 ,$151.53 ,$144.04 ,$92.92 ,$14.93 ,$16.03 ,$180.46 ,$15.52 ,$15.27 ,$167.91 ,$14.78 ,$173.70 ,$14.78 ,$173.70 ,$173.70 ,$173.70 ,$187.21 ,$156.33 ,$173.70 ,$173.70 ,$173.70 ,$173.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$202.00 ,$151.50 ,$16.80 ,$202.00 ,$130.09 ,$16.80 ,$141.40 ,$17.36 ,$40.34 ,$17.88 ,$32.27 ,$191.90 , N/A ,$161.60 ,$183.82 ,$17.36 ,$189.88 ,$191.90 ,$181.80 ,$171.70 ,$17.36 ,$17.36 ,$17.36 ,$147.46 ,$16.80 ,$179.78 ,$181.80 ,$181.80 ,$161.60 ,$17.30 ,$111.10 ,$181.80 ,$16.80 ,$181.80 ,$16.80 ,$191.90 ,$37.80 ,$185.84 ,$18.40 ,$183.82 ,$16.80 ,$124.31 ,$130.09 ,$124.31 ,$181.80 ,$127.39 ,$150.75 ,$105.65 ,$16.97 ,$18.23 ,$188.87 ,$17.64 ,$17.36 ,$175.74 ,$16.80 ,$181.80 ,$16.80 ,$181.80 ,$181.80 ,$181.80 ,$195.94 ,$163.62 ,$181.80 ,$181.80 ,$181.80 ,$181.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100744,84445,HC THYROID STIM IMMUNO GLOB,301,1 ,$183.00 ,$137.25 ,$32.70 ,$183.00 ,$117.85 ,$50.86 ,$128.10 ,$32.70 ,$55.83 ,$33.68 ,$44.66 ,$173.85 , N/A ,$146.40 ,$166.53 ,$32.70 ,$172.02 ,$173.85 ,$164.70 ,$155.55 ,$32.70 ,$32.70 ,$32.70 ,$133.59 ,$50.86 ,$162.87 ,$164.70 ,$164.70 ,$146.40 ,$52.39 ,$100.65 ,$164.70 ,$50.86 ,$164.70 ,$50.86 ,$173.85 ,$114.44 ,$168.36 ,$34.66 ,$166.53 ,$50.86 ,$112.62 ,$117.85 ,$112.62 ,$164.70 ,$127.39 ,$136.57 ,$164.70 ,$51.37 ,$34.34 ,$171.11 ,$53.40 ,$32.70 ,$159.21 ,$50.86 ,$164.70 ,$50.86 ,$164.70 ,$164.70 ,$164.70 ,$177.51 ,$148.23 ,$164.70 ,$164.70 ,$164.70 ,$164.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100746,84450,HC AST,301,1 ,$112.00 ,$84.00 ,$5.18 ,$112.00 ,$72.13 ,$5.18 ,$78.40 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$106.40 , N/A ,$89.60 ,$101.92 ,$5.35 ,$105.28 ,$106.40 ,$100.80 ,$95.20 ,$5.35 ,$5.35 ,$5.35 ,$81.76 ,$5.18 ,$99.68 ,$100.80 ,$100.80 ,$89.60 ,$5.34 ,$61.60 ,$100.80 ,$5.18 ,$100.80 ,$5.18 ,$106.40 ,$11.66 ,$103.04 ,$5.67 ,$101.92 ,$5.18 ,$68.92 ,$72.13 ,$68.92 ,$100.80 ,$48.30 ,$83.59 ,$32.54 ,$5.23 ,$5.62 ,$104.72 ,$5.44 ,$5.35 ,$97.44 ,$5.18 ,$100.80 ,$5.18 ,$100.80 ,$100.80 ,$100.80 ,$108.64 ,$90.72 ,$100.80 ,$100.80 ,$100.80 ,$100.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30100747,84460,HC ALT,301,1 ,$128.00 ,$96.00 ,$5.30 ,$128.00 ,$82.43 ,$5.30 ,$89.60 ,$5.48 ,$12.72 ,$5.64 ,$10.18 ,$121.60 , N/A ,$102.40 ,$116.48 ,$5.48 ,$120.32 ,$121.60 ,$115.20 ,$108.80 ,$5.48 ,$5.48 ,$5.48 ,$93.44 ,$5.30 ,$113.92 ,$115.20 ,$115.20 ,$102.40 ,$5.46 ,$70.40 ,$115.20 ,$5.30 ,$115.20 ,$5.30 ,$121.60 ,$11.93 ,$117.76 ,$5.81 ,$116.48 ,$5.30 ,$78.77 ,$82.43 ,$78.77 ,$115.20 ,$52.72 ,$95.53 ,$33.30 ,$5.35 ,$5.75 ,$119.68 ,$5.57 ,$5.48 ,$111.36 ,$5.30 ,$115.20 ,$5.30 ,$115.20 ,$115.20 ,$115.20 ,$124.16 ,$103.68 ,$115.20 ,$115.20 ,$115.20 ,$115.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100748,84466,HC TRANSFERRIN,301,1 ,$140.00 ,$105.00 ,$12.76 ,$140.00 ,$90.16 ,$12.76 ,$98.00 ,$13.18 ,$30.64 ,$13.58 ,$24.51 ,$133.00 , N/A ,$112.00 ,$127.40 ,$13.18 ,$131.60 ,$133.00 ,$126.00 ,$119.00 ,$13.18 ,$13.18 ,$13.18 ,$102.20 ,$12.76 ,$124.60 ,$126.00 ,$126.00 ,$112.00 ,$13.14 ,$77.00 ,$126.00 ,$12.76 ,$126.00 ,$12.76 ,$133.00 ,$28.71 ,$128.80 ,$13.97 ,$127.40 ,$12.76 ,$86.16 ,$90.16 ,$86.16 ,$126.00 ,$109.82 ,$104.48 ,$80.24 ,$12.89 ,$13.84 ,$130.90 ,$13.40 ,$13.18 ,$121.80 ,$12.76 ,$126.00 ,$12.76 ,$126.00 ,$126.00 ,$126.00 ,$135.80 ,$113.40 ,$126.00 ,$126.00 ,$126.00 ,$126.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100750,84478,HC TRIGLYCERIDES,301,1 ,$150.00 ,$112.50 ,$5.74 ,$150.00 ,$96.60 ,$5.74 ,$105.00 ,$5.93 ,$13.79 ,$6.11 ,$11.03 ,$142.50 , N/A ,$120.00 ,$136.50 ,$5.93 ,$141.00 ,$142.50 ,$135.00 ,$127.50 ,$5.93 ,$5.93 ,$5.93 ,$109.50 ,$5.74 ,$133.50 ,$135.00 ,$135.00 ,$120.00 ,$5.91 ,$82.50 ,$135.00 ,$5.74 ,$135.00 ,$5.74 ,$142.50 ,$12.92 ,$138.00 ,$6.29 ,$136.50 ,$5.74 ,$92.31 ,$96.60 ,$92.31 ,$135.00 ,$54.90 ,$111.95 ,$36.10 ,$5.80 ,$6.23 ,$140.25 ,$6.03 ,$5.93 ,$130.50 ,$5.74 ,$135.00 ,$5.74 ,$135.00 ,$135.00 ,$135.00 ,$145.50 ,$121.50 ,$135.00 ,$135.00 ,$135.00 ,$135.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100753,84479,HC T3 UPTAKE,301,1 ,$60.00 ,$45.00 ,$6.47 ,$60.00 ,$38.64 ,$6.47 ,$42.00 ,$6.69 ,$15.52 ,$6.89 ,$12.42 ,$57.00 , N/A ,$48.00 ,$54.60 ,$6.69 ,$56.40 ,$57.00 ,$54.00 ,$51.00 ,$6.69 ,$6.69 ,$6.69 ,$43.80 ,$6.47 ,$53.40 ,$54.00 ,$54.00 ,$48.00 ,$6.66 ,$33.00 ,$54.00 ,$6.47 ,$54.00 ,$6.47 ,$57.00 ,$14.56 ,$55.20 ,$7.09 ,$54.60 ,$6.47 ,$36.92 ,$38.64 ,$36.92 ,$54.00 ,$60.00 ,$44.78 ,$40.63 ,$6.53 ,$7.02 ,$56.10 ,$6.79 ,$6.69 ,$52.20 ,$6.47 ,$54.00 ,$6.47 ,$54.00 ,$54.00 ,$54.00 ,$58.20 ,$48.60 ,$54.00 ,$54.00 ,$54.00 ,$54.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100754,84480,HC T3 TOTAL,301,1 ,$150.00 ,$112.50 ,$14.18 ,$150.00 ,$96.60 ,$14.18 ,$105.00 ,$14.65 ,$34.04 ,$15.09 ,$27.23 ,$142.50 , N/A ,$120.00 ,$136.50 ,$14.65 ,$141.00 ,$142.50 ,$135.00 ,$127.50 ,$14.65 ,$14.65 ,$14.65 ,$109.50 ,$14.18 ,$133.50 ,$135.00 ,$135.00 ,$120.00 ,$14.61 ,$82.50 ,$135.00 ,$14.18 ,$135.00 ,$14.18 ,$142.50 ,$31.91 ,$138.00 ,$15.53 ,$136.50 ,$14.18 ,$92.31 ,$96.60 ,$92.31 ,$135.00 ,$92.26 ,$111.95 ,$89.15 ,$14.32 ,$15.38 ,$140.25 ,$14.89 ,$14.65 ,$130.50 ,$14.18 ,$135.00 ,$14.18 ,$135.00 ,$135.00 ,$135.00 ,$145.50 ,$121.50 ,$135.00 ,$135.00 ,$135.00 ,$135.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100755,84481,HC T3 FREE,301,1 ,$55.00 ,$41.25 ,$16.62 ,$55.00 ,$35.42 ,$16.94 ,$38.50 ,$16.62 ,$28.37 ,$17.12 ,$22.69 ,$52.25 , N/A ,$44.00 ,$50.05 ,$16.62 ,$51.70 ,$52.25 ,$49.50 ,$46.75 ,$16.62 ,$16.62 ,$16.62 ,$40.15 ,$16.94 ,$48.95 ,$49.50 ,$49.50 ,$44.00 ,$17.45 ,$30.25 ,$49.50 ,$16.94 ,$49.50 ,$16.94 ,$52.25 ,$38.12 ,$50.60 ,$17.62 ,$50.05 ,$16.94 ,$33.85 ,$35.42 ,$33.85 ,$49.50 ,$55.00 ,$41.05 ,$49.50 ,$17.11 ,$17.45 ,$51.43 ,$17.79 ,$16.62 ,$47.85 ,$16.94 ,$49.50 ,$16.94 ,$49.50 ,$49.50 ,$49.50 ,$53.35 ,$44.55 ,$49.50 ,$49.50 ,$49.50 ,$49.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100757,84482,HC T3 REVERSE,301,1 ,$103.00 ,$77.25 ,$10.82 ,$103.00 ,$66.33 ,$15.76 ,$72.10 ,$10.82 ,$18.46 ,$11.14 ,$14.77 ,$97.85 , N/A ,$82.40 ,$93.73 ,$10.82 ,$96.82 ,$97.85 ,$92.70 ,$87.55 ,$10.82 ,$10.82 ,$10.82 ,$75.19 ,$15.76 ,$91.67 ,$92.70 ,$92.70 ,$82.40 ,$16.23 ,$56.65 ,$92.70 ,$15.76 ,$92.70 ,$15.76 ,$97.85 ,$35.46 ,$94.76 ,$11.47 ,$93.73 ,$15.76 ,$63.39 ,$66.33 ,$63.39 ,$92.70 ,$103.00 ,$76.87 ,$92.70 ,$15.92 ,$11.36 ,$96.31 ,$16.55 ,$10.82 ,$89.61 ,$15.76 ,$92.70 ,$15.76 ,$92.70 ,$92.70 ,$92.70 ,$99.91 ,$83.43 ,$92.70 ,$92.70 ,$92.70 ,$92.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30100758,84484,HC TROPONIN QN,301,1 ,$270.00 ,$202.50 ,$12.47 ,$270.00 ,$173.88 ,$12.47 ,$189.00 ,$12.89 ,$23.63 ,$13.28 ,$18.90 ,$256.50 , N/A ,$216.00 ,$245.70 ,$12.89 ,$253.80 ,$256.50 ,$243.00 ,$229.50 ,$12.89 ,$12.89 ,$12.89 ,$197.10 ,$12.47 ,$240.30 ,$243.00 ,$243.00 ,$216.00 ,$12.84 ,$148.50 ,$243.00 ,$12.47 ,$243.00 ,$12.47 ,$256.50 ,$28.06 ,$248.40 ,$13.66 ,$245.70 ,$12.47 ,$166.16 ,$173.88 ,$166.16 ,$243.00 ,$34.79 ,$201.50 ,$63.49 ,$12.59 ,$13.53 ,$252.45 ,$13.09 ,$12.89 ,$234.90 ,$12.47 ,$243.00 ,$12.47 ,$243.00 ,$243.00 ,$243.00 ,$261.90 ,$218.70 ,$243.00 ,$243.00 ,$243.00 ,$243.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100761,84520,HC BUN,301,1 ,$91.00 ,$68.25 ,$3.95 ,$91.00 ,$58.60 ,$3.95 ,$63.70 ,$4.08 ,$9.49 ,$4.20 ,$7.59 ,$86.45 , N/A ,$72.80 ,$82.81 ,$4.08 ,$85.54 ,$86.45 ,$81.90 ,$77.35 ,$4.08 ,$4.08 ,$4.08 ,$66.43 ,$3.95 ,$80.99 ,$81.90 ,$81.90 ,$72.80 ,$4.07 ,$50.05 ,$81.90 ,$3.95 ,$81.90 ,$3.95 ,$86.45 ,$8.89 ,$83.72 ,$4.32 ,$82.81 ,$3.95 ,$56.00 ,$58.60 ,$56.00 ,$81.90 ,$46.12 ,$67.91 ,$24.85 ,$3.99 ,$4.28 ,$85.09 ,$4.15 ,$4.08 ,$79.17 ,$3.95 ,$81.90 ,$3.95 ,$81.90 ,$81.90 ,$81.90 ,$88.27 ,$73.71 ,$81.90 ,$81.90 ,$81.90 ,$81.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100764,84540,HC UREA URINE,301,1 ,$78.00 ,$58.50 ,$5.56 ,$78.00 ,$50.23 ,$5.56 ,$54.60 ,$5.75 ,$11.39 ,$5.92 ,$9.11 ,$74.10 , N/A ,$62.40 ,$70.98 ,$5.75 ,$73.32 ,$74.10 ,$70.20 ,$66.30 ,$5.75 ,$5.75 ,$5.75 ,$56.94 ,$5.56 ,$69.42 ,$70.20 ,$70.20 ,$62.40 ,$5.73 ,$42.90 ,$70.20 ,$5.56 ,$70.20 ,$5.56 ,$74.10 ,$12.51 ,$71.76 ,$6.10 ,$70.98 ,$5.56 ,$48.00 ,$50.23 ,$48.00 ,$70.20 ,$46.12 ,$58.21 ,$29.84 ,$5.62 ,$6.04 ,$72.93 ,$5.84 ,$5.75 ,$67.86 ,$5.56 ,$70.20 ,$5.56 ,$70.20 ,$70.20 ,$70.20 ,$75.66 ,$63.18 ,$70.20 ,$70.20 ,$70.20 ,$70.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100765,84550,HC URIC ACID,301,1 ,$158.00 ,$118.50 ,$4.52 ,$158.00 ,$101.75 ,$4.52 ,$110.60 ,$4.67 ,$10.85 ,$4.81 ,$8.68 ,$150.10 , N/A ,$126.40 ,$143.78 ,$4.67 ,$148.52 ,$150.10 ,$142.20 ,$134.30 ,$4.67 ,$4.67 ,$4.67 ,$115.34 ,$4.52 ,$140.62 ,$142.20 ,$142.20 ,$126.40 ,$4.66 ,$86.90 ,$142.20 ,$4.52 ,$142.20 ,$4.52 ,$150.10 ,$10.17 ,$145.36 ,$4.95 ,$143.78 ,$4.52 ,$97.23 ,$101.75 ,$97.23 ,$142.20 ,$63.68 ,$117.92 ,$28.41 ,$4.57 ,$4.90 ,$147.73 ,$4.75 ,$4.67 ,$137.46 ,$4.52 ,$142.20 ,$4.52 ,$142.20 ,$142.20 ,$142.20 ,$153.26 ,$127.98 ,$142.20 ,$142.20 ,$142.20 ,$142.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100766,84560,HC URIC ACID OTH SRC,301,1 ,$159.00 ,$119.25 ,$5.08 ,$159.00 ,$102.40 ,$5.08 ,$111.30 ,$5.25 ,$11.39 ,$5.41 ,$9.11 ,$151.05 , N/A ,$127.20 ,$144.69 ,$5.25 ,$149.46 ,$151.05 ,$143.10 ,$135.15 ,$5.25 ,$5.25 ,$5.25 ,$116.07 ,$5.08 ,$141.51 ,$143.10 ,$143.10 ,$127.20 ,$5.23 ,$87.45 ,$143.10 ,$5.08 ,$143.10 ,$5.08 ,$151.05 ,$11.43 ,$146.28 ,$5.57 ,$144.69 ,$5.08 ,$97.85 ,$102.40 ,$97.85 ,$143.10 ,$48.30 ,$118.66 ,$29.84 ,$5.13 ,$5.51 ,$148.67 ,$5.33 ,$5.25 ,$138.33 ,$5.08 ,$143.10 ,$5.08 ,$143.10 ,$143.10 ,$143.10 ,$154.23 ,$128.79 ,$143.10 ,$143.10 ,$143.10 ,$143.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100768,84585,HC VANILLYLMAND AC (VMA),301,1 ,$90.00 ,$67.50 ,$15.50 ,$90.00 ,$57.96 ,$15.50 ,$63.00 ,$16.02 ,$37.21 ,$16.50 ,$29.76 ,$85.50 , N/A ,$72.00 ,$81.90 ,$16.02 ,$84.60 ,$85.50 ,$81.00 ,$76.50 ,$16.02 ,$16.02 ,$16.02 ,$65.70 ,$15.50 ,$80.10 ,$81.00 ,$81.00 ,$72.00 ,$15.97 ,$49.50 ,$81.00 ,$15.50 ,$81.00 ,$15.50 ,$85.50 ,$34.88 ,$82.80 ,$16.98 ,$81.90 ,$15.50 ,$55.39 ,$57.96 ,$55.39 ,$81.00 ,$90.00 ,$67.17 ,$81.00 ,$15.66 ,$16.82 ,$84.15 ,$16.28 ,$16.02 ,$78.30 ,$15.50 ,$81.00 ,$15.50 ,$81.00 ,$81.00 ,$81.00 ,$87.30 ,$72.90 ,$81.00 ,$81.00 ,$81.00 ,$81.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100773,80320,HC VOLATILES,301,1 ,$298.00 ,$223.50 ,$3.81 ,$298.00 ,$191.91 , N/A ,$208.60 ,$3.81 ,$41.42 ,$3.92 ,$33.14 ,$283.10 , N/A ,$238.40 ,$271.18 ,$3.81 ,$280.12 ,$283.10 ,$268.20 ,$253.30 ,$3.81 ,$3.81 ,$3.81 ,$217.54 , N/A ,$265.22 ,$268.20 ,$268.20 ,$238.40 , N/A ,$163.90 ,$268.20 , N/A ,$268.20 , N/A ,$283.10 , N/A ,$274.16 ,$4.04 ,$271.18 , N/A ,$183.39 ,$191.91 ,$183.39 ,$268.20 ,$47.23 ,$222.40 ,$207.56 , N/A ,$4.00 ,$278.63 , N/A ,$3.81 ,$259.26 , N/A ,$268.20 , N/A ,$268.20 ,$268.20 ,$268.20 ,$289.06 ,$241.38 ,$268.20 ,$268.20 ,$268.20 ,$268.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30100776,84630,HC ZINC,301,1 ,$109.00 ,$81.75 ,$11.39 ,$109.00 ,$70.20 ,$11.39 ,$76.30 ,$11.77 ,$24.87 ,$12.12 ,$19.89 ,$103.55 , N/A ,$87.20 ,$99.19 ,$11.77 ,$102.46 ,$103.55 ,$98.10 ,$92.65 ,$11.77 ,$11.77 ,$11.77 ,$79.57 ,$11.39 ,$97.01 ,$98.10 ,$98.10 ,$87.20 ,$11.73 ,$59.95 ,$98.10 ,$11.39 ,$98.10 ,$11.39 ,$103.55 ,$25.63 ,$100.28 ,$12.48 ,$99.19 ,$11.39 ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$48.73 ,$81.35 ,$71.59 ,$11.50 ,$12.36 ,$101.92 ,$11.96 ,$11.77 ,$94.83 ,$11.39 ,$98.10 ,$11.39 ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100801,84681,HC C PEPTIDE,301,1 ,$77.00 ,$57.75 ,$7.34 ,$77.00 ,$49.59 ,$20.81 ,$53.90 ,$7.34 ,$12.53 ,$7.56 ,$10.02 ,$73.15 , N/A ,$61.60 ,$70.07 ,$7.34 ,$72.38 ,$73.15 ,$69.30 ,$65.45 ,$7.34 ,$7.34 ,$7.34 ,$56.21 ,$20.81 ,$68.53 ,$69.30 ,$69.30 ,$61.60 ,$21.43 ,$42.35 ,$69.30 ,$20.81 ,$69.30 ,$20.81 ,$73.15 ,$46.82 ,$70.84 ,$7.78 ,$70.07 ,$20.81 ,$47.39 ,$49.59 ,$47.39 ,$69.30 ,$36.22 ,$57.47 ,$69.30 ,$21.02 ,$7.71 ,$72.00 ,$21.85 ,$7.34 ,$66.99 ,$20.81 ,$69.30 ,$20.81 ,$69.30 ,$69.30 ,$69.30 ,$74.69 ,$62.37 ,$69.30 ,$69.30 ,$69.30 ,$69.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100802,84702,HC HCG QN,301,1 ,$245.00 ,$183.75 ,$15.05 ,$245.00 ,$157.78 ,$15.05 ,$171.50 ,$15.55 ,$36.14 ,$16.02 ,$28.91 ,$232.75 , N/A ,$196.00 ,$222.95 ,$15.55 ,$230.30 ,$232.75 ,$220.50 ,$208.25 ,$15.55 ,$15.55 ,$15.55 ,$178.85 ,$15.05 ,$218.05 ,$220.50 ,$220.50 ,$196.00 ,$15.50 ,$134.75 ,$220.50 ,$15.05 ,$220.50 ,$15.05 ,$232.75 ,$33.86 ,$225.40 ,$16.48 ,$222.95 ,$15.05 ,$150.77 ,$157.78 ,$150.77 ,$220.50 ,$65.02 ,$182.84 ,$94.65 ,$15.20 ,$16.33 ,$229.08 ,$15.80 ,$15.55 ,$213.15 ,$15.05 ,$220.50 ,$15.05 ,$220.50 ,$220.50 ,$220.50 ,$237.65 ,$198.45 ,$220.50 ,$220.50 ,$220.50 ,$220.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100808,84703,HC HCG QL,301,1 ,$207.00 ,$155.25 ,$7.52 ,$207.00 ,$133.31 ,$7.52 ,$144.90 ,$7.77 ,$18.06 ,$8.00 ,$14.45 ,$196.65 , N/A ,$165.60 ,$188.37 ,$7.77 ,$194.58 ,$196.65 ,$186.30 ,$175.95 ,$7.77 ,$7.77 ,$7.77 ,$151.11 ,$7.52 ,$184.23 ,$186.30 ,$186.30 ,$165.60 ,$7.75 ,$113.85 ,$186.30 ,$7.52 ,$186.30 ,$7.52 ,$196.65 ,$16.92 ,$190.44 ,$8.24 ,$188.37 ,$7.52 ,$127.39 ,$133.31 ,$127.39 ,$186.30 ,$67.41 ,$154.48 ,$47.30 ,$7.60 ,$8.16 ,$193.55 ,$7.90 ,$7.77 ,$180.09 ,$7.52 ,$186.30 ,$7.52 ,$186.30 ,$186.30 ,$186.30 ,$200.79 ,$167.67 ,$186.30 ,$186.30 ,$186.30 ,$186.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100809,84999,HC CHEMISTRY UNLISTED,301,1 ,$80.00 ,$60.00 ,$3.81 ,$80.00 ,$51.52 , N/A ,$56.00 ,$3.81 ,$66.40 ,$3.92 ,$52.80 ,$76.00 , N/A ,$64.00 ,$72.80 ,$3.81 ,$75.20 ,$76.00 ,$72.00 ,$68.00 ,$3.81 ,$3.81 ,$3.81 ,$58.40 , N/A ,$71.20 ,$72.00 ,$72.00 ,$64.00 , N/A ,$44.00 ,$72.00 , N/A ,$72.00 , N/A ,$76.00 ,$48.00 ,$73.60 ,$4.04 ,$72.80 , N/A ,$49.23 ,$51.52 ,$49.23 ,$72.00 ,$72.00 ,$59.70 ,$55.72 ,$65.60 ,$4.00 ,$74.80 , N/A ,$3.81 ,$69.60 , N/A ,$72.00 , N/A ,$72.00 ,$72.00 ,$72.00 ,$77.60 ,$64.80 ,$72.00 ,$72.00 ,$72.00 ,$72.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100810,88720,HC BILICHECK TEST,301,1 ,$106.00 ,$79.50 ,$3.63 ,$106.00 ,$68.26 ,$5.02 ,$74.20 ,$3.63 ,$12.04 ,$3.74 ,$9.63 ,$100.70 , N/A ,$84.80 ,$96.46 ,$3.63 ,$99.64 ,$100.70 ,$95.40 ,$90.10 ,$3.63 ,$3.63 ,$3.63 ,$77.38 ,$5.02 ,$94.34 ,$95.40 ,$95.40 ,$84.80 ,$5.17 ,$58.30 ,$95.40 ,$5.02 ,$95.40 ,$5.02 ,$100.70 ,$11.30 ,$97.52 ,$3.85 ,$96.46 ,$5.02 ,$65.23 ,$68.26 ,$65.23 ,$95.40 ,$30.80 ,$79.11 ,$31.52 ,$5.07 ,$3.81 ,$99.11 ,$5.27 ,$3.63 ,$92.22 ,$5.02 ,$95.40 ,$5.02 ,$95.40 ,$95.40 ,$95.40 ,$102.82 ,$85.86 ,$95.40 ,$95.40 ,$95.40 ,$95.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100845,82948,HC GLUCOSE BLOOD REAGENT STRIP,301,1 ,$26.00 ,$19.50 ,$4.45 ,$26.00 ,$16.74 ,$5.04 ,$18.20 ,$4.45 ,$7.61 ,$4.58 ,$6.09 ,$24.70 , N/A ,$20.80 ,$23.66 ,$4.45 ,$24.44 ,$24.70 ,$23.40 ,$22.10 ,$4.45 ,$4.45 ,$4.45 ,$18.98 ,$5.04 ,$23.14 ,$23.40 ,$23.40 ,$20.80 ,$5.19 ,$14.30 ,$23.40 ,$5.04 ,$23.40 ,$5.04 ,$24.70 ,$11.34 ,$23.92 ,$4.72 ,$23.66 ,$5.04 ,$16.00 ,$16.74 ,$16.00 ,$23.40 ,$21.96 ,$19.40 ,$23.40 ,$5.09 ,$4.67 ,$24.31 ,$5.29 ,$4.45 ,$22.62 ,$5.04 ,$23.40 ,$5.04 ,$23.40 ,$23.40 ,$23.40 ,$25.22 ,$21.06 ,$23.40 ,$23.40 ,$23.40 ,$23.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30100860,84145,HC PROCALCITONIN,301,1 ,$167.00 ,$125.25 ,$27.22 ,$167.00 ,$107.55 ,$27.22 ,$116.90 ,$28.13 ,$64.31 ,$28.97 ,$51.45 ,$158.65 , N/A ,$133.60 ,$151.97 ,$28.13 ,$156.98 ,$158.65 ,$150.30 ,$141.95 ,$28.13 ,$28.13 ,$28.13 ,$121.91 ,$27.22 ,$148.63 ,$150.30 ,$150.30 ,$133.60 ,$28.04 ,$91.85 ,$150.30 ,$27.22 ,$150.30 ,$27.22 ,$158.65 ,$61.25 ,$153.64 ,$29.82 ,$151.97 ,$27.22 ,$102.77 ,$107.55 ,$102.77 ,$150.30 ,$75.98 ,$124.63 ,$150.30 ,$27.49 ,$29.54 ,$156.15 ,$28.58 ,$28.13 ,$145.29 ,$27.22 ,$150.30 ,$27.22 ,$150.30 ,$150.30 ,$150.30 ,$161.99 ,$135.27 ,$150.30 ,$150.30 ,$150.30 ,$150.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30100961,83993,HC CALPROTECTIN STOOL,301,1 ,$200.00 ,$150.00 ,$19.63 ,$200.00 ,$128.80 ,$19.63 ,$140.00 ,$20.28 ,$47.13 ,$20.89 ,$37.70 ,$190.00 , N/A ,$160.00 ,$182.00 ,$20.28 ,$188.00 ,$190.00 ,$180.00 ,$170.00 ,$20.28 ,$20.28 ,$20.28 ,$146.00 ,$19.63 ,$178.00 ,$180.00 ,$180.00 ,$160.00 ,$20.22 ,$110.00 ,$180.00 ,$19.63 ,$180.00 ,$19.63 ,$190.00 ,$44.17 ,$184.00 ,$21.50 ,$182.00 ,$19.63 ,$123.08 ,$128.80 ,$123.08 ,$180.00 ,$57.25 ,$149.26 ,$123.42 ,$19.83 ,$21.29 ,$187.00 ,$20.61 ,$20.28 ,$174.00 ,$19.63 ,$180.00 ,$19.63 ,$180.00 ,$180.00 ,$180.00 ,$194.00 ,$162.00 ,$180.00 ,$180.00 ,$180.00 ,$180.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30100969,82705,HC FECAL FAT QUALITATIVE,301,1 ,$61.00 ,$45.75 ,$5.10 ,$61.00 ,$39.28 ,$5.10 ,$42.70 ,$5.27 ,$12.23 ,$5.43 ,$9.79 ,$57.95 , N/A ,$48.80 ,$55.51 ,$5.27 ,$57.34 ,$57.95 ,$54.90 ,$51.85 ,$5.27 ,$5.27 ,$5.27 ,$44.53 ,$5.10 ,$54.29 ,$54.90 ,$54.90 ,$48.80 ,$5.25 ,$33.55 ,$54.90 ,$5.10 ,$54.90 ,$5.10 ,$57.95 ,$11.48 ,$56.12 ,$5.59 ,$55.51 ,$5.10 ,$37.54 ,$39.28 ,$37.54 ,$54.90 ,$61.00 ,$45.52 ,$32.03 ,$5.15 ,$5.53 ,$57.04 ,$5.36 ,$5.27 ,$53.07 ,$5.10 ,$54.90 ,$5.10 ,$54.90 ,$54.90 ,$54.90 ,$59.17 ,$49.41 ,$54.90 ,$54.90 ,$54.90 ,$54.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30100995,82017,HC ACYLCARNITINES QN EA SPEC,301,1 ,$55.00 ,$41.25 ,$16.87 ,$55.00 ,$35.42 ,$16.87 ,$38.50 ,$17.43 ,$34.60 ,$17.95 ,$27.68 ,$52.25 , N/A ,$44.00 ,$50.05 ,$17.43 ,$51.70 ,$52.25 ,$49.50 ,$46.75 ,$17.43 ,$17.43 ,$17.43 ,$40.15 ,$16.87 ,$48.95 ,$49.50 ,$49.50 ,$44.00 ,$17.38 ,$30.25 ,$49.50 ,$16.87 ,$49.50 ,$16.87 ,$52.25 ,$37.96 ,$50.60 ,$18.48 ,$50.05 ,$16.87 ,$33.85 ,$35.42 ,$33.85 ,$49.50 ,$55.00 ,$41.05 ,$49.50 ,$17.04 ,$18.30 ,$51.43 ,$17.71 ,$17.43 ,$47.85 ,$16.87 ,$49.50 ,$16.87 ,$49.50 ,$49.50 ,$49.50 ,$53.35 ,$44.55 ,$49.50 ,$49.50 ,$49.50 ,$49.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30100996,82075,HC ALCOHOL BREATH,301,1 ,$79.00 ,$59.25 ,$16.95 ,$79.00 ,$50.88 ,$30.00 ,$55.30 ,$16.95 ,$28.93 ,$17.46 ,$23.14 ,$75.05 , N/A ,$63.20 ,$71.89 ,$16.95 ,$74.26 ,$75.05 ,$71.10 ,$67.15 ,$16.95 ,$16.95 ,$16.95 ,$57.67 ,$30.00 ,$70.31 ,$71.10 ,$71.10 ,$63.20 ,$30.90 ,$43.45 ,$71.10 ,$30.00 ,$71.10 ,$30.00 ,$75.05 ,$67.50 ,$72.68 ,$17.97 ,$71.89 ,$30.00 ,$48.62 ,$50.88 ,$48.62 ,$71.10 ,$79.00 ,$58.96 ,$71.10 ,$30.30 ,$17.80 ,$73.87 ,$31.50 ,$16.95 ,$68.73 ,$30.00 ,$71.10 ,$30.00 ,$71.10 ,$71.10 ,$71.10 ,$76.63 ,$63.99 ,$71.10 ,$71.10 ,$71.10 ,$71.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30100998,82128,HC AMINO ACIDS MULT QL EA SPECIMEN,301,1 ,$196.00 ,$147.00 ,$13.87 ,$196.00 ,$126.22 ,$13.87 ,$137.20 ,$14.33 ,$33.30 ,$14.76 ,$26.64 ,$186.20 , N/A ,$156.80 ,$178.36 ,$14.33 ,$184.24 ,$186.20 ,$176.40 ,$166.60 ,$14.33 ,$14.33 ,$14.33 ,$143.08 ,$13.87 ,$174.44 ,$176.40 ,$176.40 ,$156.80 ,$14.29 ,$107.80 ,$176.40 ,$13.87 ,$176.40 ,$13.87 ,$186.20 ,$31.21 ,$180.32 ,$15.19 ,$178.36 ,$13.87 ,$120.62 ,$126.22 ,$120.62 ,$176.40 ,$65.89 ,$146.27 ,$87.22 ,$14.01 ,$15.05 ,$183.26 ,$14.56 ,$14.33 ,$170.52 ,$13.87 ,$176.40 ,$13.87 ,$176.40 ,$176.40 ,$176.40 ,$190.12 ,$158.76 ,$176.40 ,$176.40 ,$176.40 ,$176.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30101000,82261,HC BIOTINIDASE,301,1 ,$55.00 ,$41.25 ,$16.87 ,$55.00 ,$35.42 ,$16.87 ,$38.50 ,$17.43 ,$34.60 ,$17.95 ,$27.68 ,$52.25 , N/A ,$44.00 ,$50.05 ,$17.43 ,$51.70 ,$52.25 ,$49.50 ,$46.75 ,$17.43 ,$17.43 ,$17.43 ,$40.15 ,$16.87 ,$48.95 ,$49.50 ,$49.50 ,$44.00 ,$17.38 ,$30.25 ,$49.50 ,$16.87 ,$49.50 ,$16.87 ,$52.25 ,$37.96 ,$50.60 ,$18.48 ,$50.05 ,$16.87 ,$33.85 ,$35.42 ,$33.85 ,$49.50 ,$55.00 ,$41.05 ,$49.50 ,$17.04 ,$18.30 ,$51.43 ,$17.71 ,$17.43 ,$47.85 ,$16.87 ,$49.50 ,$16.87 ,$49.50 ,$49.50 ,$49.50 ,$53.35 ,$44.55 ,$49.50 ,$49.50 ,$49.50 ,$49.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30101001,82355,HC CALCULUS ANALYSIS QL,301,1 ,$90.00 ,$67.50 ,$11.58 ,$90.00 ,$57.96 ,$11.58 ,$63.00 ,$11.97 ,$27.79 ,$12.33 ,$22.23 ,$85.50 , N/A ,$72.00 ,$81.90 ,$11.97 ,$84.60 ,$85.50 ,$81.00 ,$76.50 ,$11.97 ,$11.97 ,$11.97 ,$65.70 ,$11.58 ,$80.10 ,$81.00 ,$81.00 ,$72.00 ,$11.93 ,$49.50 ,$81.00 ,$11.58 ,$81.00 ,$11.58 ,$85.50 ,$26.06 ,$82.80 ,$12.69 ,$81.90 ,$11.58 ,$55.39 ,$57.96 ,$55.39 ,$81.00 ,$90.00 ,$67.17 ,$72.76 ,$11.70 ,$12.57 ,$84.15 ,$12.16 ,$11.97 ,$78.30 ,$11.58 ,$81.00 ,$11.58 ,$81.00 ,$81.00 ,$81.00 ,$87.30 ,$72.90 ,$81.00 ,$81.00 ,$81.00 ,$81.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30101002,82355,HC CALCULUS ANALYSIS QL,301,1 ,$90.00 ,$67.50 ,$11.58 ,$90.00 ,$57.96 ,$11.58 ,$63.00 ,$11.97 ,$27.79 ,$12.33 ,$22.23 ,$85.50 , N/A ,$72.00 ,$81.90 ,$11.97 ,$84.60 ,$85.50 ,$81.00 ,$76.50 ,$11.97 ,$11.97 ,$11.97 ,$65.70 ,$11.58 ,$80.10 ,$81.00 ,$81.00 ,$72.00 ,$11.93 ,$49.50 ,$81.00 ,$11.58 ,$81.00 ,$11.58 ,$85.50 ,$26.06 ,$82.80 ,$12.69 ,$81.90 ,$11.58 ,$55.39 ,$57.96 ,$55.39 ,$81.00 ,$90.00 ,$67.17 ,$72.76 ,$11.70 ,$12.57 ,$84.15 ,$12.16 ,$11.97 ,$78.30 ,$11.58 ,$81.00 ,$11.58 ,$81.00 ,$81.00 ,$81.00 ,$87.30 ,$72.90 ,$81.00 ,$81.00 ,$81.00 ,$81.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30101005,82760,HC GLACTOSE,301,1 ,$36.00 ,$27.00 ,$11.20 ,$36.00 ,$23.18 ,$11.20 ,$25.20 ,$11.57 ,$26.88 ,$11.92 ,$21.50 ,$34.20 , N/A ,$28.80 ,$32.76 ,$11.57 ,$33.84 ,$34.20 ,$32.40 ,$30.60 ,$11.57 ,$11.57 ,$11.57 ,$26.28 ,$11.20 ,$32.04 ,$32.40 ,$32.40 ,$28.80 ,$11.54 ,$19.80 ,$32.40 ,$11.20 ,$32.40 ,$11.20 ,$34.20 ,$25.20 ,$33.12 ,$12.26 ,$32.76 ,$11.20 ,$22.15 ,$23.18 ,$22.15 ,$32.40 ,$36.00 ,$26.87 ,$32.40 ,$11.31 ,$12.15 ,$33.66 ,$11.76 ,$11.57 ,$31.32 ,$11.20 ,$32.40 ,$11.20 ,$32.40 ,$32.40 ,$32.40 ,$34.92 ,$29.16 ,$32.40 ,$32.40 ,$32.40 ,$32.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30101006,82787,HC IMMUNOGLOBULIN SUBCLASSES,301,1 ,$54.00 ,$40.50 ,$5.90 ,$54.00 ,$34.78 ,$8.02 ,$37.80 ,$5.90 ,$10.08 ,$6.08 ,$8.06 ,$51.30 , N/A ,$43.20 ,$49.14 ,$5.90 ,$50.76 ,$51.30 ,$48.60 ,$45.90 ,$5.90 ,$5.90 ,$5.90 ,$39.42 ,$8.02 ,$48.06 ,$48.60 ,$48.60 ,$43.20 ,$8.26 ,$29.70 ,$48.60 ,$8.02 ,$48.60 ,$8.02 ,$51.30 ,$18.05 ,$49.68 ,$6.25 ,$49.14 ,$8.02 ,$33.23 ,$34.78 ,$33.23 ,$48.60 ,$54.00 ,$40.30 ,$48.60 ,$8.10 ,$6.20 ,$50.49 ,$8.42 ,$5.90 ,$46.98 ,$8.02 ,$48.60 ,$8.02 ,$48.60 ,$48.60 ,$48.60 ,$52.38 ,$43.74 ,$48.60 ,$48.60 ,$48.60 ,$48.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30101007,83015,HC HEAVY METAL SCREEN,301,1 ,$433.00 ,$324.75 ,$20.94 ,$433.00 ,$278.85 ,$20.94 ,$303.10 ,$21.64 ,$45.20 ,$22.29 ,$36.16 ,$411.35 , N/A ,$346.40 ,$394.03 ,$21.64 ,$407.02 ,$411.35 ,$389.70 ,$368.05 ,$21.64 ,$21.64 ,$21.64 ,$316.09 ,$20.94 ,$385.37 ,$389.70 ,$389.70 ,$346.40 ,$21.57 ,$238.15 ,$389.70 ,$20.94 ,$389.70 ,$20.94 ,$411.35 ,$47.12 ,$398.36 ,$22.94 ,$394.03 ,$20.94 ,$266.47 ,$278.85 ,$266.47 ,$389.70 ,$210.85 ,$323.15 ,$118.38 ,$21.15 ,$22.72 ,$404.86 ,$21.99 ,$21.64 ,$376.71 ,$20.94 ,$389.70 ,$20.94 ,$389.70 ,$389.70 ,$389.70 ,$420.01 ,$350.73 ,$389.70 ,$389.70 ,$389.70 ,$389.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30101008,83020,HC HGB ELECTROPHORESIS,301,1 ,$42.00 ,$31.50 ,$6.41 ,$42.00 ,$27.05 ,$12.87 ,$29.40 ,$6.41 ,$10.94 ,$6.60 ,$8.75 ,$39.90 , N/A ,$33.60 ,$38.22 ,$6.41 ,$39.48 ,$39.90 ,$37.80 ,$35.70 ,$6.41 ,$6.41 ,$6.41 ,$30.66 ,$12.87 ,$37.38 ,$37.80 ,$37.80 ,$33.60 ,$13.26 ,$23.10 ,$37.80 ,$12.87 ,$37.80 ,$12.87 ,$39.90 ,$28.96 ,$38.64 ,$6.79 ,$38.22 ,$12.87 ,$25.85 ,$27.05 ,$25.85 ,$37.80 ,$32.94 ,$31.34 ,$37.80 ,$13.00 ,$6.73 ,$39.27 ,$13.51 ,$6.41 ,$36.54 ,$12.87 ,$37.80 ,$12.87 ,$37.80 ,$37.80 ,$37.80 ,$40.74 ,$34.02 ,$37.80 ,$37.80 ,$37.80 ,$37.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30101009,83060,HC SULFHEMOGLOBIN QN,301,1 ,$100.00 ,$75.00 ,$8.80 ,$100.00 ,$64.40 ,$8.80 ,$70.00 ,$9.09 ,$19.85 ,$9.36 ,$15.88 ,$95.00 , N/A ,$80.00 ,$91.00 ,$9.09 ,$94.00 ,$95.00 ,$90.00 ,$85.00 ,$9.09 ,$9.09 ,$9.09 ,$73.00 ,$8.80 ,$89.00 ,$90.00 ,$90.00 ,$80.00 ,$9.06 ,$55.00 ,$90.00 ,$8.80 ,$90.00 ,$8.80 ,$95.00 ,$19.80 ,$92.00 ,$9.64 ,$91.00 ,$8.80 ,$61.54 ,$64.40 ,$61.54 ,$90.00 ,$93.36 ,$74.63 ,$51.99 ,$8.89 ,$9.54 ,$93.50 ,$9.24 ,$9.09 ,$87.00 ,$8.80 ,$90.00 ,$8.80 ,$90.00 ,$90.00 ,$90.00 ,$97.00 ,$81.00 ,$90.00 ,$90.00 ,$90.00 ,$90.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30101010,83520,HC IMMUNOASSAY QN OTHER,301,1 ,$45.00 ,$33.75 ,$17.27 ,$45.00 ,$28.98 ,$17.27 ,$31.50 ,$17.85 ,$31.08 ,$18.39 ,$24.86 ,$42.75 , N/A ,$36.00 ,$40.95 ,$17.85 ,$42.30 ,$42.75 ,$40.50 ,$38.25 ,$17.85 ,$17.85 ,$17.85 ,$32.85 ,$17.27 ,$40.05 ,$40.50 ,$40.50 ,$36.00 ,$17.79 ,$24.75 ,$40.50 ,$17.27 ,$40.50 ,$17.27 ,$42.75 ,$38.86 ,$41.40 ,$18.92 ,$40.95 ,$17.27 ,$27.69 ,$28.98 ,$27.69 ,$40.50 ,$45.00 ,$33.58 ,$40.50 ,$17.44 ,$18.74 ,$42.08 ,$18.13 ,$17.85 ,$39.15 ,$17.27 ,$40.50 ,$17.27 ,$40.50 ,$40.50 ,$40.50 ,$43.65 ,$36.45 ,$40.50 ,$40.50 ,$40.50 ,$40.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30101011,83630,HC LACTOFERRIN FECAL QL,301,1 ,$196.00 ,$147.00 ,$16.82 ,$196.00 ,$126.22 ,$19.70 ,$137.20 ,$16.82 ,$47.13 ,$17.32 ,$37.70 ,$186.20 , N/A ,$156.80 ,$178.36 ,$16.82 ,$184.24 ,$186.20 ,$176.40 ,$166.60 ,$16.82 ,$16.82 ,$16.82 ,$143.08 ,$19.70 ,$174.44 ,$176.40 ,$176.40 ,$156.80 ,$20.29 ,$107.80 ,$176.40 ,$19.70 ,$176.40 ,$19.70 ,$186.20 ,$44.33 ,$180.32 ,$17.83 ,$178.36 ,$19.70 ,$120.62 ,$126.22 ,$120.62 ,$176.40 ,$58.51 ,$146.27 ,$123.42 ,$19.90 ,$17.66 ,$183.26 ,$20.69 ,$16.82 ,$170.52 ,$19.70 ,$176.40 ,$19.70 ,$176.40 ,$176.40 ,$176.40 ,$190.12 ,$158.76 ,$176.40 ,$176.40 ,$176.40 ,$176.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30101014,83789,HC MASS SPEC QL,301,1 ,$144.00 ,$108.00 ,$24.11 ,$144.00 ,$92.74 ,$24.11 ,$100.80 ,$24.91 ,$43.35 ,$25.66 ,$34.68 ,$136.80 , N/A ,$115.20 ,$131.04 ,$24.91 ,$135.36 ,$136.80 ,$129.60 ,$122.40 ,$24.91 ,$24.91 ,$24.91 ,$105.12 ,$24.11 ,$128.16 ,$129.60 ,$129.60 ,$115.20 ,$24.83 ,$79.20 ,$129.60 ,$24.11 ,$129.60 ,$24.11 ,$136.80 ,$54.25 ,$132.48 ,$26.40 ,$131.04 ,$24.11 ,$88.62 ,$92.74 ,$88.62 ,$129.60 ,$76.74 ,$107.47 ,$122.76 ,$24.35 ,$26.16 ,$134.64 ,$25.32 ,$24.91 ,$125.28 ,$24.11 ,$129.60 ,$24.11 ,$129.60 ,$129.60 ,$129.60 ,$139.68 ,$116.64 ,$129.60 ,$129.60 ,$129.60 ,$129.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30101017,84030,HC NEWBORN SCREENING (PKU),301,1 ,$18.00 ,$13.50 ,$5.50 ,$18.00 ,$11.59 ,$5.50 ,$12.60 ,$5.68 ,$13.20 ,$5.85 ,$10.56 ,$17.10 , N/A ,$14.40 ,$16.38 ,$5.68 ,$16.92 ,$17.10 ,$16.20 ,$15.30 ,$5.68 ,$5.68 ,$5.68 ,$13.14 ,$5.50 ,$16.02 ,$16.20 ,$16.20 ,$14.40 ,$5.67 ,$9.90 ,$16.20 ,$5.50 ,$16.20 ,$5.50 ,$17.10 ,$12.38 ,$16.56 ,$6.02 ,$16.38 ,$5.50 ,$11.08 ,$11.59 ,$11.08 ,$16.20 ,$18.00 ,$13.43 ,$16.20 ,$5.56 ,$5.96 ,$16.83 ,$5.78 ,$5.68 ,$15.66 ,$5.50 ,$16.20 ,$5.50 ,$16.20 ,$16.20 ,$16.20 ,$17.46 ,$14.58 ,$16.20 ,$16.20 ,$16.20 ,$16.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30101018,84233,HC RECEPTOR ASSAY ESTROGEN,301,1 ,$468.00 ,$351.00 ,$87.88 ,$468.00 ,$301.39 ,$87.88 ,$327.60 ,$90.57 ,$154.63 ,$93.29 ,$123.70 ,$444.60 , N/A ,$374.40 ,$425.88 ,$90.57 ,$439.92 ,$444.60 ,$421.20 ,$397.80 ,$90.57 ,$90.57 ,$90.57 ,$341.64 ,$87.88 ,$416.52 ,$421.20 ,$421.20 ,$374.40 ,$90.52 ,$257.40 ,$421.20 ,$87.88 ,$421.20 ,$87.88 ,$444.60 ,$197.73 ,$430.56 ,$96.00 ,$425.88 ,$87.88 ,$288.01 ,$301.39 ,$288.01 ,$421.20 ,$241.58 ,$349.27 ,$421.20 ,$88.76 ,$95.10 ,$437.58 ,$92.27 ,$90.57 ,$407.16 ,$87.88 ,$421.20 ,$87.88 ,$421.20 ,$421.20 ,$421.20 ,$453.96 ,$379.08 ,$421.20 ,$421.20 ,$421.20 ,$421.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30101019,84234,HC RECEPTOR ASSAY PROGESTERONE,301,1 ,$468.00 ,$351.00 ,$64.88 ,$468.00 ,$301.39 ,$64.88 ,$327.60 ,$67.04 ,$155.75 ,$69.05 ,$124.60 ,$444.60 , N/A ,$374.40 ,$425.88 ,$67.04 ,$439.92 ,$444.60 ,$421.20 ,$397.80 ,$67.04 ,$67.04 ,$67.04 ,$341.64 ,$64.88 ,$416.52 ,$421.20 ,$421.20 ,$374.40 ,$66.83 ,$257.40 ,$421.20 ,$64.88 ,$421.20 ,$64.88 ,$444.60 ,$145.98 ,$430.56 ,$71.06 ,$425.88 ,$64.88 ,$288.01 ,$301.39 ,$288.01 ,$421.20 ,$241.58 ,$349.27 ,$407.84 ,$65.53 ,$70.39 ,$437.58 ,$68.12 ,$67.04 ,$407.16 ,$64.88 ,$421.20 ,$64.88 ,$421.20 ,$421.20 ,$421.20 ,$453.96 ,$379.08 ,$421.20 ,$421.20 ,$421.20 ,$421.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30101020,84510,HC TYROSINE,301,1 ,$34.00 ,$25.50 ,$10.63 ,$34.00 ,$21.90 ,$10.63 ,$23.80 ,$10.98 ,$24.97 ,$11.31 ,$19.98 ,$32.30 , N/A ,$27.20 ,$30.94 ,$10.98 ,$31.96 ,$32.30 ,$30.60 ,$28.90 ,$10.98 ,$10.98 ,$10.98 ,$24.82 ,$10.63 ,$30.26 ,$30.60 ,$30.60 ,$27.20 ,$10.95 ,$18.70 ,$30.60 ,$10.63 ,$30.60 ,$10.63 ,$32.30 ,$23.92 ,$31.28 ,$11.64 ,$30.94 ,$10.63 ,$20.92 ,$21.90 ,$20.92 ,$30.60 ,$34.00 ,$25.37 ,$30.60 ,$10.74 ,$11.53 ,$31.79 ,$11.16 ,$10.98 ,$29.58 ,$10.63 ,$30.60 ,$10.63 ,$30.60 ,$30.60 ,$30.60 ,$32.98 ,$27.54 ,$30.60 ,$30.60 ,$30.60 ,$30.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30101022,84583,HC UROBILINOGEN URINE SEMI-QN,301,1 ,$35.00 ,$26.25 ,$6.05 ,$35.00 ,$22.54 ,$6.05 ,$24.50 ,$6.25 ,$12.08 ,$6.44 ,$9.66 ,$33.25 , N/A ,$28.00 ,$31.85 ,$6.25 ,$32.90 ,$33.25 ,$31.50 ,$29.75 ,$6.25 ,$6.25 ,$6.25 ,$25.55 ,$6.05 ,$31.15 ,$31.50 ,$31.50 ,$28.00 ,$6.23 ,$19.25 ,$31.50 ,$6.05 ,$31.50 ,$6.05 ,$33.25 ,$13.61 ,$32.20 ,$6.63 ,$31.85 ,$6.05 ,$21.54 ,$22.54 ,$21.54 ,$31.50 ,$35.00 ,$26.12 ,$31.50 ,$6.11 ,$6.56 ,$32.73 ,$6.35 ,$6.25 ,$30.45 ,$6.05 ,$31.50 ,$6.05 ,$31.50 ,$31.50 ,$31.50 ,$33.95 ,$28.35 ,$31.50 ,$31.50 ,$31.50 ,$31.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$307.00 ,$230.25 ,$19.31 ,$307.00 ,$197.71 ,$19.31 ,$214.90 ,$19.95 ,$44.15 ,$20.55 ,$35.32 ,$291.65 , N/A ,$245.60 ,$279.37 ,$19.95 ,$288.58 ,$291.65 ,$276.30 ,$260.95 ,$19.95 ,$19.95 ,$19.95 ,$224.11 ,$19.31 ,$273.23 ,$276.30 ,$276.30 ,$245.60 ,$19.89 ,$168.85 ,$276.30 ,$19.31 ,$276.30 ,$19.31 ,$291.65 ,$43.45 ,$282.44 ,$21.15 ,$279.37 ,$19.31 ,$188.93 ,$197.71 ,$188.93 ,$276.30 ,$276.30 ,$229.11 ,$115.63 ,$19.50 ,$20.95 ,$287.05 ,$20.28 ,$19.95 ,$267.09 ,$19.31 ,$276.30 ,$19.31 ,$276.30 ,$276.30 ,$276.30 ,$297.79 ,$248.67 ,$276.30 ,$276.30 ,$276.30 ,$276.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30101024,G0480,HC DRUG CONFIRMATION EA PROC 1-7 CLASSES,301,1 ,$378.00 ,$283.50 ,$63.95 ,$378.00 ,$243.43 ,$114.43 ,$264.60 ,$63.95 ,$205.89 ,$65.87 ,$164.71 ,$359.10 , N/A ,$302.40 ,$343.98 ,$63.95 ,$355.32 ,$359.10 ,$340.20 ,$321.30 ,$63.95 ,$63.95 ,$63.95 ,$275.94 ,$114.43 ,$336.42 ,$340.20 ,$340.20 ,$302.40 ,$117.86 ,$207.90 ,$340.20 ,$114.43 ,$340.20 ,$114.43 ,$359.10 ,$257.47 ,$347.76 ,$67.79 ,$343.98 ,$114.43 ,$232.62 ,$243.43 ,$232.62 ,$340.20 ,$340.20 ,$282.10 ,$340.20 ,$115.57 ,$67.15 ,$353.43 ,$120.15 ,$63.95 ,$328.86 ,$114.43 ,$340.20 ,$114.43 ,$340.20 ,$340.20 ,$340.20 ,$366.66 ,$306.18 ,$340.20 ,$340.20 ,$340.20 ,$340.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30101072,80365,HC OXYCODONE,301,1 ,$31.00 ,$23.25 ,$1.53 ,$31.00 ,$19.96 , N/A ,$21.70 ,$1.53 ,$31.00 ,$1.58 ,$31.00 ,$29.45 , N/A ,$24.80 ,$28.21 ,$1.53 ,$29.14 ,$29.45 ,$27.90 ,$26.35 ,$1.53 ,$1.53 ,$1.53 ,$22.63 , N/A ,$27.59 ,$27.90 ,$27.90 ,$24.80 , N/A ,$17.05 ,$27.90 , N/A ,$27.90 , N/A ,$29.45 , N/A ,$28.52 ,$1.62 ,$28.21 , N/A ,$19.08 ,$19.96 ,$19.08 ,$27.90 ,$31.00 ,$23.14 ,$21.59 , N/A ,$1.61 ,$28.99 , N/A ,$1.53 ,$26.97 , N/A ,$27.90 , N/A ,$27.90 ,$27.90 ,$27.90 ,$30.07 ,$25.11 ,$27.90 ,$27.90 ,$27.90 ,$27.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30101089,80150,HC AMIKACIN - 90,301,1 ,$54.00 ,$40.50 ,$15.08 ,$54.00 ,$34.78 ,$15.08 ,$37.80 ,$15.58 ,$36.19 ,$16.05 ,$28.95 ,$51.30 , N/A ,$43.20 ,$49.14 ,$15.58 ,$50.76 ,$51.30 ,$48.60 ,$45.90 ,$15.58 ,$15.58 ,$15.58 ,$39.42 ,$15.08 ,$48.06 ,$48.60 ,$48.60 ,$43.20 ,$15.53 ,$29.70 ,$48.60 ,$15.08 ,$48.60 ,$15.08 ,$51.30 ,$33.93 ,$49.68 ,$16.51 ,$49.14 ,$15.08 ,$33.23 ,$34.78 ,$33.23 ,$48.60 ,$54.00 ,$40.30 ,$48.60 ,$15.23 ,$16.36 ,$50.49 ,$15.83 ,$15.58 ,$46.98 ,$15.08 ,$48.60 ,$15.08 ,$48.60 ,$48.60 ,$48.60 ,$52.38 ,$43.74 ,$48.60 ,$48.60 ,$48.60 ,$48.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30101139,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT,301,1 ,$122.00 ,$91.50 ,$62.14 ,$139.82 ,$78.57 ,$62.14 ,$85.40 ,$63.40 ,$122.00 ,$65.30 ,$111.73 ,$115.90 , N/A ,$97.60 ,$111.02 ,$63.40 ,$114.68 ,$115.90 ,$109.80 ,$103.70 ,$63.40 ,$63.40 ,$63.40 ,$89.06 ,$62.14 ,$108.58 ,$109.80 ,$109.80 ,$97.60 ,$64.00 ,$67.10 ,$109.80 ,$62.14 ,$109.80 ,$62.14 ,$115.90 ,$139.82 ,$112.24 ,$67.20 ,$111.02 ,$62.14 ,$75.08 ,$78.57 ,$75.08 ,$109.80 ,$122.00 ,$91.05 ,$84.97 ,$62.76 ,$66.57 ,$114.07 ,$65.25 ,$63.40 ,$106.14 ,$62.14 ,$109.80 ,$62.14 ,$109.80 ,$109.80 ,$109.80 ,$118.34 ,$98.82 ,$109.80 ,$109.80 ,$109.80 ,$109.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30101654,82642,HC DIHYDROTESTOSTERONE,301,1 ,$71.00 ,$53.25 ,$29.28 ,$71.00 ,$45.72 ,$29.28 ,$49.70 ,$30.26 ,$56.93 ,$31.17 ,$45.54 ,$67.45 , N/A ,$56.80 ,$64.61 ,$30.26 ,$66.74 ,$67.45 ,$63.90 ,$60.35 ,$30.26 ,$30.26 ,$30.26 ,$51.83 ,$29.28 ,$63.19 ,$63.90 ,$63.90 ,$56.80 ,$30.16 ,$39.05 ,$63.90 ,$29.28 ,$63.90 ,$29.28 ,$67.45 ,$65.88 ,$65.32 ,$32.08 ,$64.61 ,$29.28 ,$43.69 ,$45.72 ,$43.69 ,$63.90 ,$63.90 ,$52.99 ,$63.90 ,$29.57 ,$31.77 ,$66.39 ,$30.74 ,$30.26 ,$61.77 ,$29.28 ,$63.90 ,$29.28 ,$63.90 ,$63.90 ,$63.90 ,$68.87 ,$57.51 ,$63.90 ,$63.90 ,$63.90 ,$63.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30101664,80307,HC DRUG SCREEN UMBILICAL CORD-90,301,1 ,$252.00 ,$189.00 ,$62.14 ,$252.00 ,$162.29 ,$62.14 ,$176.40 ,$63.40 ,$139.67 ,$65.30 ,$111.73 ,$239.40 , N/A ,$201.60 ,$229.32 ,$63.40 ,$236.88 ,$239.40 ,$226.80 ,$214.20 ,$63.40 ,$63.40 ,$63.40 ,$183.96 ,$62.14 ,$224.28 ,$226.80 ,$226.80 ,$201.60 ,$64.00 ,$138.60 ,$226.80 ,$62.14 ,$226.80 ,$62.14 ,$239.40 ,$139.82 ,$231.84 ,$67.20 ,$229.32 ,$62.14 ,$155.08 ,$162.29 ,$155.08 ,$226.80 ,$151.96 ,$188.07 ,$175.52 ,$62.76 ,$66.57 ,$235.62 ,$65.25 ,$63.40 ,$219.24 ,$62.14 ,$226.80 ,$62.14 ,$226.80 ,$226.80 ,$226.80 ,$244.44 ,$204.12 ,$226.80 ,$226.80 ,$226.80 ,$226.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30101673,80353,HC COCAINE QN,301,1 ,$67.00 ,$50.25 ,$1.53 ,$67.00 ,$43.15 , N/A ,$46.90 ,$1.53 ,$41.42 ,$1.58 ,$33.14 ,$63.65 , N/A ,$53.60 ,$60.97 ,$1.53 ,$62.98 ,$63.65 ,$60.30 ,$56.95 ,$1.53 ,$1.53 ,$1.53 ,$48.91 , N/A ,$59.63 ,$60.30 ,$60.30 ,$53.60 , N/A ,$36.85 ,$60.30 , N/A ,$60.30 , N/A ,$63.65 , N/A ,$61.64 ,$1.62 ,$60.97 , N/A ,$41.23 ,$43.15 ,$41.23 ,$60.30 ,$47.23 ,$50.00 ,$46.67 , N/A ,$1.61 ,$62.65 , N/A ,$1.53 ,$58.29 , N/A ,$60.30 , N/A ,$60.30 ,$60.30 ,$60.30 ,$64.99 ,$54.27 ,$60.30 ,$60.30 ,$60.30 ,$60.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30101687,80353,HC COCAINE,301,1 ,$67.00 ,$50.25 ,$1.53 ,$67.00 ,$43.15 , N/A ,$46.90 ,$1.53 ,$41.42 ,$1.58 ,$33.14 ,$63.65 , N/A ,$53.60 ,$60.97 ,$1.53 ,$62.98 ,$63.65 ,$60.30 ,$56.95 ,$1.53 ,$1.53 ,$1.53 ,$48.91 , N/A ,$59.63 ,$60.30 ,$60.30 ,$53.60 , N/A ,$36.85 ,$60.30 , N/A ,$60.30 , N/A ,$63.65 , N/A ,$61.64 ,$1.62 ,$60.97 , N/A ,$41.23 ,$43.15 ,$41.23 ,$60.30 ,$47.23 ,$50.00 ,$46.67 , N/A ,$1.61 ,$62.65 , N/A ,$1.53 ,$58.29 , N/A ,$60.30 , N/A ,$60.30 ,$60.30 ,$60.30 ,$64.99 ,$54.27 ,$60.30 ,$60.30 ,$60.30 ,$60.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30101737,82784,HC IMMUNOGLOBIN G,301,1 ,$217.00 ,$162.75 ,$9.30 ,$217.00 ,$139.75 ,$9.30 ,$151.90 ,$9.61 ,$22.33 ,$9.90 ,$17.86 ,$206.15 , N/A ,$173.60 ,$197.47 ,$9.61 ,$203.98 ,$206.15 ,$195.30 ,$184.45 ,$9.61 ,$9.61 ,$9.61 ,$158.41 ,$9.30 ,$193.13 ,$195.30 ,$195.30 ,$173.60 ,$9.58 ,$119.35 ,$195.30 ,$9.30 ,$195.30 ,$9.30 ,$206.15 ,$20.93 ,$199.64 ,$10.19 ,$197.47 ,$9.30 ,$133.54 ,$139.75 ,$133.54 ,$195.30 ,$139.47 ,$161.95 ,$58.45 ,$9.39 ,$10.09 ,$202.90 ,$9.77 ,$9.61 ,$188.79 ,$9.30 ,$195.30 ,$9.30 ,$195.30 ,$195.30 ,$195.30 ,$210.49 ,$175.77 ,$195.30 ,$195.30 ,$195.30 ,$195.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30101761,83520,HC PHOSPHOLIPASE A2 RECPT ANTIBODY,301,1 ,$270.00 ,$202.50 ,$17.27 ,$270.00 ,$173.88 ,$17.27 ,$189.00 ,$17.85 ,$31.08 ,$18.39 ,$24.86 ,$256.50 , N/A ,$216.00 ,$245.70 ,$17.85 ,$253.80 ,$256.50 ,$243.00 ,$229.50 ,$17.85 ,$17.85 ,$17.85 ,$197.10 ,$17.27 ,$240.30 ,$243.00 ,$243.00 ,$216.00 ,$17.79 ,$148.50 ,$243.00 ,$17.27 ,$243.00 ,$17.27 ,$256.50 ,$38.86 ,$248.40 ,$18.92 ,$245.70 ,$17.27 ,$166.16 ,$173.88 ,$166.16 ,$243.00 ,$109.82 ,$201.50 ,$87.93 ,$17.44 ,$18.74 ,$252.45 ,$18.13 ,$17.85 ,$234.90 ,$17.27 ,$243.00 ,$17.27 ,$243.00 ,$243.00 ,$243.00 ,$261.90 ,$218.70 ,$243.00 ,$243.00 ,$243.00 ,$243.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30101764,80358,HC METHADONE QUANT SERUM- REF,301,1 ,$55.00 ,$41.25 ,$1.53 ,$55.00 ,$35.42 , N/A ,$38.50 ,$1.53 ,$41.42 ,$1.58 ,$33.14 ,$52.25 , N/A ,$44.00 ,$50.05 ,$1.53 ,$51.70 ,$52.25 ,$49.50 ,$46.75 ,$1.53 ,$1.53 ,$1.53 ,$40.15 , N/A ,$48.95 ,$49.50 ,$49.50 ,$44.00 , N/A ,$30.25 ,$49.50 , N/A ,$49.50 , N/A ,$52.25 , N/A ,$50.60 ,$1.62 ,$50.05 , N/A ,$33.85 ,$35.42 ,$33.85 ,$49.50 ,$47.23 ,$41.05 ,$38.31 , N/A ,$1.61 ,$51.43 , N/A ,$1.53 ,$47.85 , N/A ,$49.50 , N/A ,$49.50 ,$49.50 ,$49.50 ,$53.35 ,$44.55 ,$49.50 ,$49.50 ,$49.50 ,$49.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30101772,83521,HC IMMUNO LIGHT CHAINS FREE EA,301,1 ,$146.00 ,$109.50 ,$3.81 ,$146.00 ,$94.02 ,$17.27 ,$102.20 ,$3.81 ,$30.22 ,$3.92 ,$96.36 ,$138.70 , N/A ,$116.80 ,$132.86 ,$3.81 ,$137.24 ,$138.70 ,$131.40 ,$124.10 ,$3.81 ,$3.81 ,$3.81 ,$106.58 ,$17.27 ,$129.94 ,$131.40 ,$131.40 ,$116.80 ,$17.79 ,$80.30 ,$131.40 ,$17.27 ,$131.40 ,$17.27 ,$138.70 ,$38.86 ,$134.32 ,$4.04 ,$132.86 ,$17.27 ,$89.85 ,$94.02 ,$89.85 ,$131.40 ,$131.40 ,$108.96 ,$101.69 ,$17.44 ,$4.00 ,$136.51 ,$18.13 ,$3.81 ,$127.02 ,$17.27 ,$131.40 ,$17.27 ,$131.40 ,$131.40 ,$131.40 ,$141.62 ,$118.26 ,$131.40 ,$131.40 ,$131.40 ,$131.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30101773,83529,HC INTERLEUKIN- 6,301,1 ,$45.00 ,$33.75 ,$3.81 ,$45.00 ,$28.98 ,$17.27 ,$31.50 ,$3.81 ,$30.22 ,$3.92 ,$29.70 ,$42.75 , N/A ,$36.00 ,$40.95 ,$3.81 ,$42.30 ,$42.75 ,$40.50 ,$38.25 ,$3.81 ,$3.81 ,$3.81 ,$32.85 ,$17.27 ,$40.05 ,$40.50 ,$40.50 ,$36.00 ,$17.79 ,$24.75 ,$40.50 ,$17.27 ,$40.50 ,$17.27 ,$42.75 ,$38.86 ,$41.40 ,$4.04 ,$40.95 ,$17.27 ,$27.69 ,$28.98 ,$27.69 ,$40.50 ,$40.50 ,$33.58 ,$31.34 ,$17.44 ,$4.00 ,$42.08 ,$18.13 ,$3.81 ,$39.15 ,$17.27 ,$40.50 ,$17.27 ,$40.50 ,$40.50 ,$40.50 ,$43.65 ,$36.45 ,$40.50 ,$40.50 ,$40.50 ,$40.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30108000,84620,HC XYLOSE TOLERANCE TEST,301,1 ,$149.00 ,$111.75 ,$12.91 ,$149.00 ,$95.96 ,$12.91 ,$104.30 ,$13.34 ,$28.44 ,$13.74 ,$22.75 ,$141.55 , N/A ,$119.20 ,$135.59 ,$13.34 ,$140.06 ,$141.55 ,$134.10 ,$126.65 ,$13.34 ,$13.34 ,$13.34 ,$108.77 ,$12.91 ,$132.61 ,$134.10 ,$134.10 ,$119.20 ,$13.30 ,$81.95 ,$134.10 ,$12.91 ,$134.10 ,$12.91 ,$141.55 ,$29.05 ,$137.08 ,$14.14 ,$135.59 ,$12.91 ,$91.69 ,$95.96 ,$91.69 ,$134.10 ,$48.73 ,$111.20 ,$74.49 ,$13.04 ,$14.01 ,$139.32 ,$13.56 ,$13.34 ,$129.63 ,$12.91 ,$134.10 ,$12.91 ,$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30140189,82157,HC ANDROSTENEDIONE-REF,301,1 ,$95.00 ,$71.25 ,$29.28 ,$95.00 ,$61.18 ,$29.28 ,$66.50 ,$30.26 ,$70.28 ,$31.17 ,$56.22 ,$90.25 , N/A ,$76.00 ,$86.45 ,$30.26 ,$89.30 ,$90.25 ,$85.50 ,$80.75 ,$30.26 ,$30.26 ,$30.26 ,$69.35 ,$29.28 ,$84.55 ,$85.50 ,$85.50 ,$76.00 ,$30.16 ,$52.25 ,$85.50 ,$29.28 ,$85.50 ,$29.28 ,$90.25 ,$65.88 ,$87.40 ,$32.08 ,$86.45 ,$29.28 ,$58.46 ,$61.18 ,$58.46 ,$85.50 ,$95.00 ,$70.90 ,$85.50 ,$29.57 ,$31.77 ,$88.83 ,$30.74 ,$30.26 ,$82.65 ,$29.28 ,$85.50 ,$29.28 ,$85.50 ,$85.50 ,$85.50 ,$92.15 ,$76.95 ,$85.50 ,$85.50 ,$85.50 ,$85.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30140302,82785,HC GAMMAGLOBULIN IGE-REF,301,1 ,$47.00 ,$35.25 ,$16.46 ,$47.00 ,$30.27 ,$16.46 ,$32.90 ,$17.01 ,$39.52 ,$17.52 ,$31.61 ,$44.65 , N/A ,$37.60 ,$42.77 ,$17.01 ,$44.18 ,$44.65 ,$42.30 ,$39.95 ,$17.01 ,$17.01 ,$17.01 ,$34.31 ,$16.46 ,$41.83 ,$42.30 ,$42.30 ,$37.60 ,$16.95 ,$25.85 ,$42.30 ,$16.46 ,$42.30 ,$16.46 ,$44.65 ,$37.04 ,$43.24 ,$18.03 ,$42.77 ,$16.46 ,$28.92 ,$30.27 ,$28.92 ,$42.30 ,$47.00 ,$35.08 ,$42.30 ,$16.62 ,$17.86 ,$43.95 ,$17.28 ,$17.01 ,$40.89 ,$16.46 ,$42.30 ,$16.46 ,$42.30 ,$42.30 ,$42.30 ,$45.59 ,$38.07 ,$42.30 ,$42.30 ,$42.30 ,$42.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30140424,80183,HC TRILEPTAL-REF,301,1 ,$79.00 ,$59.25 ,$13.25 ,$79.00 ,$50.88 ,$13.25 ,$55.30 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$75.05 , N/A ,$63.20 ,$71.89 ,$13.69 ,$74.26 ,$75.05 ,$71.10 ,$67.15 ,$13.69 ,$13.69 ,$13.69 ,$57.67 ,$13.25 ,$70.31 ,$71.10 ,$71.10 ,$63.20 ,$13.65 ,$43.45 ,$71.10 ,$13.25 ,$71.10 ,$13.25 ,$75.05 ,$29.81 ,$72.68 ,$14.51 ,$71.89 ,$13.25 ,$48.62 ,$50.88 ,$48.62 ,$71.10 ,$34.23 ,$58.96 ,$71.10 ,$13.38 ,$14.37 ,$73.87 ,$13.91 ,$13.69 ,$68.73 ,$13.25 ,$71.10 ,$13.25 ,$71.10 ,$71.10 ,$71.10 ,$76.63 ,$63.99 ,$71.10 ,$71.10 ,$71.10 ,$71.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30140670,83945,HC OXALATE-REF,301,1 ,$92.00 ,$69.00 ,$14.45 ,$92.00 ,$59.25 ,$14.45 ,$64.40 ,$14.93 ,$30.91 ,$15.38 ,$24.72 ,$87.40 , N/A ,$73.60 ,$83.72 ,$14.93 ,$86.48 ,$87.40 ,$82.80 ,$78.20 ,$14.93 ,$14.93 ,$14.93 ,$67.16 ,$14.45 ,$81.88 ,$82.80 ,$82.80 ,$73.60 ,$14.88 ,$50.60 ,$82.80 ,$14.45 ,$82.80 ,$14.45 ,$87.40 ,$32.51 ,$84.64 ,$15.83 ,$83.72 ,$14.45 ,$56.62 ,$59.25 ,$56.62 ,$82.80 ,$92.00 ,$68.66 ,$80.91 ,$14.59 ,$15.68 ,$86.02 ,$15.17 ,$14.93 ,$80.04 ,$14.45 ,$82.80 ,$14.45 ,$82.80 ,$82.80 ,$82.80 ,$89.24 ,$74.52 ,$82.80 ,$82.80 ,$82.80 ,$82.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30200102,86003,HC ALLERGEN IGE QN EA,302,1 ,$68.69 ,$51.52 ,$4.57 ,$68.69 ,$44.24 ,$5.22 ,$48.08 ,$4.57 ,$7.79 ,$4.71 ,$6.23 ,$65.26 , N/A ,$54.95 ,$62.51 ,$4.57 ,$64.57 ,$65.26 ,$61.82 ,$58.39 ,$4.57 ,$4.57 ,$4.57 ,$50.14 ,$5.22 ,$61.13 ,$61.82 ,$61.82 ,$54.95 ,$5.38 ,$37.78 ,$61.82 ,$5.22 ,$61.82 ,$5.22 ,$65.26 ,$11.75 ,$63.19 ,$4.84 ,$62.51 ,$5.22 ,$42.27 ,$44.24 ,$42.27 ,$61.82 ,$68.69 ,$51.26 ,$32.79 ,$5.27 ,$4.80 ,$64.23 ,$5.48 ,$4.57 ,$59.76 ,$5.22 ,$61.82 ,$5.22 ,$61.82 ,$61.82 ,$61.82 ,$66.63 ,$55.64 ,$61.82 ,$61.82 ,$61.82 ,$61.82 
ST. JOSEPH'S - CHIPPEWA FALLS,30200103,86021,HC LEUKO AB ID,302,1 ,$138.65 ,$103.99 ,$15.05 ,$138.65 ,$89.29 ,$15.05 ,$97.06 ,$15.55 ,$36.14 ,$16.02 ,$28.91 ,$131.72 , N/A ,$110.92 ,$126.17 ,$15.55 ,$130.33 ,$131.72 ,$124.79 ,$117.85 ,$15.55 ,$15.55 ,$15.55 ,$101.21 ,$15.05 ,$123.40 ,$124.79 ,$124.79 ,$110.92 ,$15.50 ,$76.26 ,$124.79 ,$15.05 ,$124.79 ,$15.05 ,$131.72 ,$33.86 ,$127.56 ,$16.48 ,$126.17 ,$15.05 ,$85.33 ,$89.29 ,$85.33 ,$124.79 ,$138.65 ,$103.47 ,$94.65 ,$15.20 ,$16.33 ,$129.64 ,$15.80 ,$15.55 ,$120.63 ,$15.05 ,$124.79 ,$15.05 ,$124.79 ,$124.79 ,$124.79 ,$134.49 ,$112.31 ,$124.79 ,$124.79 ,$124.79 ,$124.79 
ST. JOSEPH'S - CHIPPEWA FALLS,30200108,86022,HC PLATELET AB ID (HIT),302,1 ,$228.70 ,$171.53 ,$18.37 ,$228.70 ,$147.28 ,$18.37 ,$160.09 ,$18.98 ,$44.10 ,$19.55 ,$35.28 ,$217.27 , N/A ,$182.96 ,$208.12 ,$18.98 ,$214.98 ,$217.27 ,$205.83 ,$194.40 ,$18.98 ,$18.98 ,$18.98 ,$166.95 ,$18.37 ,$203.54 ,$205.83 ,$205.83 ,$182.96 ,$18.92 ,$125.79 ,$205.83 ,$18.37 ,$205.83 ,$18.37 ,$217.27 ,$41.33 ,$210.40 ,$20.12 ,$208.12 ,$18.37 ,$140.74 ,$147.28 ,$140.74 ,$205.83 ,$228.70 ,$170.68 ,$115.48 ,$18.55 ,$19.93 ,$213.83 ,$19.29 ,$18.98 ,$198.97 ,$18.37 ,$205.83 ,$18.37 ,$205.83 ,$205.83 ,$205.83 ,$221.84 ,$185.25 ,$205.83 ,$205.83 ,$205.83 ,$205.83 
ST. JOSEPH'S - CHIPPEWA FALLS,30200119,86038,HC ANA SCREEN,302,1 ,$41.93 ,$31.45 ,$12.09 ,$41.93 ,$27.00 ,$12.09 ,$29.35 ,$12.49 ,$25.01 ,$12.86 ,$20.01 ,$39.83 , N/A ,$33.54 ,$38.16 ,$12.49 ,$39.41 ,$39.83 ,$37.74 ,$35.64 ,$12.49 ,$12.49 ,$12.49 ,$30.61 ,$12.09 ,$37.32 ,$37.74 ,$37.74 ,$33.54 ,$12.45 ,$23.06 ,$37.74 ,$12.09 ,$37.74 ,$12.09 ,$39.83 ,$27.20 ,$38.58 ,$13.24 ,$38.16 ,$12.09 ,$25.80 ,$27.00 ,$25.80 ,$37.74 ,$41.93 ,$31.29 ,$37.74 ,$12.21 ,$13.11 ,$39.20 ,$12.69 ,$12.49 ,$36.48 ,$12.09 ,$37.74 ,$12.09 ,$37.74 ,$37.74 ,$37.74 ,$40.67 ,$33.96 ,$37.74 ,$37.74 ,$37.74 ,$37.74 
ST. JOSEPH'S - CHIPPEWA FALLS,30200123,86140,HC C-REACTIVE PROTEIN,302,1 ,$109.70 ,$82.28 ,$5.18 ,$109.70 ,$70.65 ,$5.18 ,$76.79 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$104.22 , N/A ,$87.76 ,$99.83 ,$5.35 ,$103.12 ,$104.22 ,$98.73 ,$93.25 ,$5.35 ,$5.35 ,$5.35 ,$80.08 ,$5.18 ,$97.63 ,$98.73 ,$98.73 ,$87.76 ,$5.34 ,$60.34 ,$98.73 ,$5.18 ,$98.73 ,$5.18 ,$104.22 ,$11.66 ,$100.92 ,$5.67 ,$99.83 ,$5.18 ,$67.51 ,$70.65 ,$67.51 ,$98.73 ,$65.89 ,$81.87 ,$32.54 ,$5.23 ,$5.62 ,$102.57 ,$5.44 ,$5.35 ,$95.44 ,$5.18 ,$98.73 ,$5.18 ,$98.73 ,$98.73 ,$98.73 ,$106.41 ,$88.86 ,$98.73 ,$98.73 ,$98.73 ,$98.73 
ST. JOSEPH'S - CHIPPEWA FALLS,30200124,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$205.95 ,$154.46 ,$12.95 ,$205.95 ,$132.63 ,$12.95 ,$144.17 ,$13.38 ,$31.08 ,$13.78 ,$24.86 ,$195.65 , N/A ,$164.76 ,$187.41 ,$13.38 ,$193.59 ,$195.65 ,$185.36 ,$175.06 ,$13.38 ,$13.38 ,$13.38 ,$150.34 ,$12.95 ,$183.30 ,$185.36 ,$185.36 ,$164.76 ,$13.34 ,$113.27 ,$185.36 ,$12.95 ,$185.36 ,$12.95 ,$195.65 ,$29.14 ,$189.47 ,$14.18 ,$187.41 ,$12.95 ,$126.74 ,$132.63 ,$126.74 ,$185.36 ,$35.26 ,$153.70 ,$81.36 ,$13.08 ,$14.05 ,$192.56 ,$13.60 ,$13.38 ,$179.18 ,$12.95 ,$185.36 ,$12.95 ,$185.36 ,$185.36 ,$185.36 ,$199.77 ,$166.82 ,$185.36 ,$185.36 ,$185.36 ,$185.36 
ST. JOSEPH'S - CHIPPEWA FALLS,30200126,86147,HC CARDIOLIPIN AB EA,302,1 ,$78.55 ,$58.91 ,$8.17 ,$78.55 ,$50.59 ,$25.45 ,$54.99 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$74.62 , N/A ,$62.84 ,$71.48 ,$8.17 ,$73.84 ,$74.62 ,$70.70 ,$66.77 ,$8.17 ,$8.17 ,$8.17 ,$57.34 ,$25.45 ,$69.91 ,$70.70 ,$70.70 ,$62.84 ,$26.21 ,$43.20 ,$70.70 ,$25.45 ,$70.70 ,$25.45 ,$74.62 ,$57.26 ,$72.27 ,$8.66 ,$71.48 ,$25.45 ,$48.34 ,$50.59 ,$48.34 ,$70.70 ,$78.55 ,$58.62 ,$70.70 ,$25.70 ,$8.58 ,$73.44 ,$26.72 ,$8.17 ,$68.34 ,$25.45 ,$70.70 ,$25.45 ,$70.70 ,$70.70 ,$70.70 ,$76.19 ,$63.63 ,$70.70 ,$70.70 ,$70.70 ,$70.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30200133,86161,HC C1 ESTERASE INHIBITOR,302,1 ,$216.98 ,$162.74 ,$12.00 ,$216.98 ,$139.74 ,$12.00 ,$151.89 ,$12.40 ,$28.81 ,$12.77 ,$23.04 ,$206.13 , N/A ,$173.58 ,$197.45 ,$12.40 ,$203.96 ,$206.13 ,$195.28 ,$184.43 ,$12.40 ,$12.40 ,$12.40 ,$158.40 ,$12.00 ,$193.11 ,$195.28 ,$195.28 ,$173.58 ,$12.36 ,$119.34 ,$195.28 ,$12.00 ,$195.28 ,$12.00 ,$206.13 ,$27.00 ,$199.62 ,$13.14 ,$197.45 ,$12.00 ,$133.53 ,$139.74 ,$133.53 ,$195.28 ,$109.82 ,$161.93 ,$75.41 ,$12.12 ,$13.02 ,$202.88 ,$12.60 ,$12.40 ,$188.77 ,$12.00 ,$195.28 ,$12.00 ,$195.28 ,$195.28 ,$195.28 ,$210.47 ,$175.75 ,$195.28 ,$195.28 ,$195.28 ,$195.28 
ST. JOSEPH'S - CHIPPEWA FALLS,30200137,86225,HC DNA DOUBLE STRAND AB,302,1 ,$42.43 ,$31.82 ,$13.74 ,$42.43 ,$27.32 ,$13.74 ,$29.70 ,$14.20 ,$32.99 ,$14.63 ,$26.39 ,$40.31 , N/A ,$33.94 ,$38.61 ,$14.20 ,$39.88 ,$40.31 ,$38.19 ,$36.07 ,$14.20 ,$14.20 ,$14.20 ,$30.97 ,$13.74 ,$37.76 ,$38.19 ,$38.19 ,$33.94 ,$14.15 ,$23.34 ,$38.19 ,$13.74 ,$38.19 ,$13.74 ,$40.31 ,$30.92 ,$39.04 ,$15.05 ,$38.61 ,$13.74 ,$26.11 ,$27.32 ,$26.11 ,$38.19 ,$42.43 ,$31.67 ,$38.19 ,$13.88 ,$14.91 ,$39.67 ,$14.43 ,$14.20 ,$36.91 ,$13.74 ,$38.19 ,$13.74 ,$38.19 ,$38.19 ,$38.19 ,$41.16 ,$34.37 ,$38.19 ,$38.19 ,$38.19 ,$38.19 
ST. JOSEPH'S - CHIPPEWA FALLS,30200138,86235,HC ENA AB,302,1 ,$78.00 ,$58.50 ,$17.93 ,$78.00 ,$50.23 ,$17.93 ,$54.60 ,$18.53 ,$43.05 ,$19.09 ,$34.44 ,$74.10 , N/A ,$62.40 ,$70.98 ,$18.53 ,$73.32 ,$74.10 ,$70.20 ,$66.30 ,$18.53 ,$18.53 ,$18.53 ,$56.94 ,$17.93 ,$69.42 ,$70.20 ,$70.20 ,$62.40 ,$18.47 ,$42.90 ,$70.20 ,$17.93 ,$70.20 ,$17.93 ,$74.10 ,$40.34 ,$71.76 ,$19.64 ,$70.98 ,$17.93 ,$48.00 ,$50.23 ,$48.00 ,$70.20 ,$78.00 ,$58.21 ,$70.20 ,$18.11 ,$19.46 ,$72.93 ,$18.83 ,$18.53 ,$67.86 ,$17.93 ,$70.20 ,$17.93 ,$70.20 ,$70.20 ,$70.20 ,$75.66 ,$63.18 ,$70.20 ,$70.20 ,$70.20 ,$70.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30200158,86300,HC TUMOR AG CA 15-3 (27.29),302,1 ,$38.69 ,$29.02 ,$20.81 ,$46.82 ,$24.92 ,$20.81 ,$27.08 ,$21.50 ,$38.69 ,$22.15 ,$38.69 ,$36.76 , N/A ,$30.95 ,$35.21 ,$21.50 ,$36.37 ,$36.76 ,$34.82 ,$32.89 ,$21.50 ,$21.50 ,$21.50 ,$28.24 ,$20.81 ,$34.43 ,$34.82 ,$34.82 ,$30.95 ,$21.43 ,$21.28 ,$34.82 ,$20.81 ,$34.82 ,$20.81 ,$36.76 ,$46.82 ,$35.59 ,$22.79 ,$35.21 ,$20.81 ,$23.81 ,$24.92 ,$23.81 ,$34.82 ,$38.69 ,$28.87 ,$34.82 ,$21.02 ,$22.58 ,$36.18 ,$21.85 ,$21.50 ,$33.66 ,$20.81 ,$34.82 ,$20.81 ,$34.82 ,$34.82 ,$34.82 ,$37.53 ,$31.34 ,$34.82 ,$34.82 ,$34.82 ,$34.82 
ST. JOSEPH'S - CHIPPEWA FALLS,30200160,86301,HC TUMOR AG CA 19-9,302,1 ,$202.16 ,$151.62 ,$20.81 ,$202.16 ,$130.19 ,$20.81 ,$141.51 ,$21.50 ,$49.96 ,$22.15 ,$39.97 ,$192.05 , N/A ,$161.73 ,$183.97 ,$21.50 ,$190.03 ,$192.05 ,$181.94 ,$171.84 ,$21.50 ,$21.50 ,$21.50 ,$147.58 ,$20.81 ,$179.92 ,$181.94 ,$181.94 ,$161.73 ,$21.43 ,$111.19 ,$181.94 ,$20.81 ,$181.94 ,$20.81 ,$192.05 ,$46.82 ,$185.99 ,$22.79 ,$183.97 ,$20.81 ,$124.41 ,$130.19 ,$124.41 ,$181.94 ,$73.45 ,$150.87 ,$130.85 ,$21.02 ,$22.58 ,$189.02 ,$21.85 ,$21.50 ,$175.88 ,$20.81 ,$181.94 ,$20.81 ,$181.94 ,$181.94 ,$181.94 ,$196.10 ,$163.75 ,$181.94 ,$181.94 ,$181.94 ,$181.94 
ST. JOSEPH'S - CHIPPEWA FALLS,30200162,86304,HC TUMOR AG CA 125,302,1 ,$179.77 ,$134.83 ,$20.81 ,$179.77 ,$115.77 ,$20.81 ,$125.84 ,$21.50 ,$49.96 ,$22.15 ,$39.97 ,$170.78 , N/A ,$143.82 ,$163.59 ,$21.50 ,$168.98 ,$170.78 ,$161.79 ,$152.80 ,$21.50 ,$21.50 ,$21.50 ,$131.23 ,$20.81 ,$160.00 ,$161.79 ,$161.79 ,$143.82 ,$21.43 ,$98.87 ,$161.79 ,$20.81 ,$161.79 ,$20.81 ,$170.78 ,$46.82 ,$165.39 ,$22.79 ,$163.59 ,$20.81 ,$110.63 ,$115.77 ,$110.63 ,$161.79 ,$73.45 ,$134.16 ,$130.85 ,$21.02 ,$22.58 ,$168.09 ,$21.85 ,$21.50 ,$156.40 ,$20.81 ,$161.79 ,$20.81 ,$161.79 ,$161.79 ,$161.79 ,$174.38 ,$145.61 ,$161.79 ,$161.79 ,$161.79 ,$161.79 
ST. JOSEPH'S - CHIPPEWA FALLS,30200163,86308,HC HETEROPHILE SCR MONO,302,1 ,$142.89 ,$107.17 ,$5.18 ,$142.89 ,$92.02 ,$5.18 ,$100.02 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$135.75 , N/A ,$114.31 ,$130.03 ,$5.35 ,$134.32 ,$135.75 ,$128.60 ,$121.46 ,$5.35 ,$5.35 ,$5.35 ,$104.31 ,$5.18 ,$127.17 ,$128.60 ,$128.60 ,$114.31 ,$5.34 ,$78.59 ,$128.60 ,$5.18 ,$128.60 ,$5.18 ,$135.75 ,$11.66 ,$131.46 ,$5.67 ,$130.03 ,$5.18 ,$87.93 ,$92.02 ,$87.93 ,$128.60 ,$51.17 ,$106.64 ,$32.54 ,$5.23 ,$5.62 ,$133.60 ,$5.44 ,$5.35 ,$124.31 ,$5.18 ,$128.60 ,$5.18 ,$128.60 ,$128.60 ,$128.60 ,$138.60 ,$115.74 ,$128.60 ,$128.60 ,$128.60 ,$128.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30200167,86331,HC IMMUNODIFF EL EA AG AB QL,302,1 ,$43.41 ,$32.56 ,$11.98 ,$43.41 ,$27.96 ,$11.98 ,$30.39 ,$12.38 ,$28.75 ,$12.75 ,$23.00 ,$41.24 , N/A ,$34.73 ,$39.50 ,$12.38 ,$40.81 ,$41.24 ,$39.07 ,$36.90 ,$12.38 ,$12.38 ,$12.38 ,$31.69 ,$11.98 ,$38.63 ,$39.07 ,$39.07 ,$34.73 ,$12.34 ,$23.88 ,$39.07 ,$11.98 ,$39.07 ,$11.98 ,$41.24 ,$26.96 ,$39.94 ,$13.12 ,$39.50 ,$11.98 ,$26.71 ,$27.96 ,$26.71 ,$39.07 ,$43.41 ,$32.40 ,$39.07 ,$12.10 ,$13.00 ,$40.59 ,$12.58 ,$12.38 ,$37.77 ,$11.98 ,$39.07 ,$11.98 ,$39.07 ,$39.07 ,$39.07 ,$42.11 ,$35.16 ,$39.07 ,$39.07 ,$39.07 ,$39.07 
ST. JOSEPH'S - CHIPPEWA FALLS,30200169,86334,HC IMMUNOFIX ELECTRO SERUM,302,1 ,$68.98 ,$51.74 ,$22.34 ,$68.98 ,$44.42 ,$22.34 ,$48.29 ,$23.08 ,$53.64 ,$23.77 ,$42.91 ,$65.53 , N/A ,$55.18 ,$62.77 ,$23.08 ,$64.84 ,$65.53 ,$62.08 ,$58.63 ,$23.08 ,$23.08 ,$23.08 ,$50.36 ,$22.34 ,$61.39 ,$62.08 ,$62.08 ,$55.18 ,$23.01 ,$37.94 ,$62.08 ,$22.34 ,$62.08 ,$22.34 ,$65.53 ,$50.27 ,$63.46 ,$24.46 ,$62.77 ,$22.34 ,$42.45 ,$44.42 ,$42.45 ,$62.08 ,$68.98 ,$51.48 ,$62.08 ,$22.56 ,$24.23 ,$64.50 ,$23.46 ,$23.08 ,$60.01 ,$22.34 ,$62.08 ,$22.34 ,$62.08 ,$62.08 ,$62.08 ,$66.91 ,$55.87 ,$62.08 ,$62.08 ,$62.08 ,$62.08 
ST. JOSEPH'S - CHIPPEWA FALLS,30200171,86335,HC IMMUNOFIX ELECTRO OTH,302,1 ,$90.58 ,$67.94 ,$29.35 ,$90.58 ,$58.33 ,$29.35 ,$63.41 ,$30.33 ,$70.46 ,$31.24 ,$56.36 ,$86.05 , N/A ,$72.46 ,$82.43 ,$30.33 ,$85.15 ,$86.05 ,$81.52 ,$76.99 ,$30.33 ,$30.33 ,$30.33 ,$66.12 ,$29.35 ,$80.62 ,$81.52 ,$81.52 ,$72.46 ,$30.23 ,$49.82 ,$81.52 ,$29.35 ,$81.52 ,$29.35 ,$86.05 ,$66.04 ,$83.33 ,$32.15 ,$82.43 ,$29.35 ,$55.74 ,$58.33 ,$55.74 ,$81.52 ,$84.76 ,$67.60 ,$81.52 ,$29.64 ,$31.85 ,$84.69 ,$30.82 ,$30.33 ,$78.80 ,$29.35 ,$81.52 ,$29.35 ,$81.52 ,$81.52 ,$81.52 ,$87.86 ,$73.37 ,$81.52 ,$81.52 ,$81.52 ,$81.52 
ST. JOSEPH'S - CHIPPEWA FALLS,30200173,86336,HC INHIBIN A,302,1 ,$48.10 ,$36.08 ,$15.59 ,$48.10 ,$30.98 ,$15.59 ,$33.67 ,$16.11 ,$37.42 ,$16.59 ,$29.93 ,$45.70 , N/A ,$38.48 ,$43.77 ,$16.11 ,$45.21 ,$45.70 ,$43.29 ,$40.89 ,$16.11 ,$16.11 ,$16.11 ,$35.11 ,$15.59 ,$42.81 ,$43.29 ,$43.29 ,$38.48 ,$16.06 ,$26.46 ,$43.29 ,$15.59 ,$43.29 ,$15.59 ,$45.70 ,$35.08 ,$44.25 ,$17.08 ,$43.77 ,$15.59 ,$29.60 ,$30.98 ,$29.60 ,$43.29 ,$48.10 ,$35.90 ,$43.29 ,$15.75 ,$16.92 ,$44.97 ,$16.37 ,$16.11 ,$41.85 ,$15.59 ,$43.29 ,$15.59 ,$43.29 ,$43.29 ,$43.29 ,$46.66 ,$38.96 ,$43.29 ,$43.29 ,$43.29 ,$43.29 
ST. JOSEPH'S - CHIPPEWA FALLS,30200184,86360,HC ABS T CELLS CD4 CD8 RATIO,302,1 ,$220.08 ,$165.06 ,$46.98 ,$220.08 ,$141.73 ,$46.98 ,$154.06 ,$48.54 ,$112.79 ,$50.00 ,$90.23 ,$209.08 , N/A ,$176.06 ,$200.27 ,$48.54 ,$206.88 ,$209.08 ,$198.07 ,$187.07 ,$48.54 ,$48.54 ,$48.54 ,$160.66 ,$46.98 ,$195.87 ,$198.07 ,$198.07 ,$176.06 ,$48.39 ,$121.04 ,$198.07 ,$46.98 ,$198.07 ,$46.98 ,$209.08 ,$105.71 ,$202.47 ,$51.45 ,$200.27 ,$46.98 ,$135.44 ,$141.73 ,$135.44 ,$198.07 ,$220.08 ,$164.25 ,$198.07 ,$47.45 ,$50.97 ,$205.77 ,$49.33 ,$48.54 ,$191.47 ,$46.98 ,$198.07 ,$46.98 ,$198.07 ,$198.07 ,$198.07 ,$213.48 ,$178.26 ,$198.07 ,$198.07 ,$198.07 ,$198.07 
ST. JOSEPH'S - CHIPPEWA FALLS,30200189,86376,HC MICROSOMAL AB,302,1 ,$86.96 ,$65.22 ,$14.55 ,$86.96 ,$56.00 ,$14.55 ,$60.87 ,$15.03 ,$34.93 ,$15.48 ,$27.94 ,$82.61 , N/A ,$69.57 ,$79.13 ,$15.03 ,$81.74 ,$82.61 ,$78.26 ,$73.92 ,$15.03 ,$15.03 ,$15.03 ,$63.48 ,$14.55 ,$77.39 ,$78.26 ,$78.26 ,$69.57 ,$14.99 ,$47.83 ,$78.26 ,$14.55 ,$78.26 ,$14.55 ,$82.61 ,$32.74 ,$80.00 ,$15.93 ,$79.13 ,$14.55 ,$53.52 ,$56.00 ,$53.52 ,$78.26 ,$86.96 ,$64.90 ,$78.26 ,$14.70 ,$15.78 ,$81.31 ,$15.28 ,$15.03 ,$75.66 ,$14.55 ,$78.26 ,$14.55 ,$78.26 ,$78.26 ,$78.26 ,$84.35 ,$70.44 ,$78.26 ,$78.26 ,$78.26 ,$78.26 
ST. JOSEPH'S - CHIPPEWA FALLS,30200197,86430,HC RHEUMATOID FACTOR,302,1 ,$231.46 ,$173.60 ,$6.14 ,$231.46 ,$149.06 ,$6.14 ,$162.02 ,$6.34 ,$13.62 ,$6.53 ,$10.89 ,$219.89 , N/A ,$185.17 ,$210.63 ,$6.34 ,$217.57 ,$219.89 ,$208.31 ,$196.74 ,$6.34 ,$6.34 ,$6.34 ,$168.97 ,$6.14 ,$206.00 ,$208.31 ,$208.31 ,$185.17 ,$6.32 ,$127.30 ,$208.31 ,$6.14 ,$208.31 ,$6.14 ,$219.89 ,$13.82 ,$212.94 ,$6.72 ,$210.63 ,$6.14 ,$142.44 ,$149.06 ,$142.44 ,$208.31 ,$57.09 ,$172.74 ,$35.64 ,$6.20 ,$6.66 ,$216.42 ,$6.45 ,$6.34 ,$201.37 ,$6.14 ,$208.31 ,$6.14 ,$208.31 ,$208.31 ,$208.31 ,$224.52 ,$187.48 ,$208.31 ,$208.31 ,$208.31 ,$208.31 
ST. JOSEPH'S - CHIPPEWA FALLS,30200198,86431,HC RHEUMATOID FACTOR QN,302,1 ,$235.59 ,$176.69 ,$5.67 ,$235.59 ,$151.72 ,$5.67 ,$164.91 ,$5.86 ,$13.62 ,$6.04 ,$10.89 ,$223.81 , N/A ,$188.47 ,$214.39 ,$5.86 ,$221.45 ,$223.81 ,$212.03 ,$200.25 ,$5.86 ,$5.86 ,$5.86 ,$171.98 ,$5.67 ,$209.68 ,$212.03 ,$212.03 ,$188.47 ,$5.84 ,$129.57 ,$212.03 ,$5.67 ,$212.03 ,$5.67 ,$223.81 ,$12.76 ,$216.74 ,$6.21 ,$214.39 ,$5.67 ,$144.98 ,$151.72 ,$144.98 ,$212.03 ,$74.23 ,$175.82 ,$35.64 ,$5.73 ,$6.15 ,$220.28 ,$5.95 ,$5.86 ,$204.96 ,$5.67 ,$212.03 ,$5.67 ,$212.03 ,$212.03 ,$212.03 ,$228.52 ,$190.83 ,$212.03 ,$212.03 ,$212.03 ,$212.03 
ST. JOSEPH'S - CHIPPEWA FALLS,30200199,86480,HC TB QUANTIFERON GOLD,302,1 ,$99.00 ,$74.25 ,$54.45 ,$139.46 ,$63.76 ,$61.98 ,$69.30 ,$64.04 ,$99.00 ,$65.96 ,$99.00 ,$94.05 , N/A ,$79.20 ,$90.09 ,$64.04 ,$93.06 ,$94.05 ,$89.10 ,$84.15 ,$64.04 ,$64.04 ,$64.04 ,$72.27 ,$61.98 ,$88.11 ,$89.10 ,$89.10 ,$79.20 ,$63.84 ,$54.45 ,$89.10 ,$61.98 ,$89.10 ,$61.98 ,$94.05 ,$139.46 ,$91.08 ,$67.88 ,$90.09 ,$61.98 ,$60.92 ,$63.76 ,$60.92 ,$89.10 ,$99.00 ,$73.88 ,$89.10 ,$62.60 ,$67.24 ,$92.57 ,$65.08 ,$64.04 ,$86.13 ,$61.98 ,$89.10 ,$61.98 ,$89.10 ,$89.10 ,$89.10 ,$96.03 ,$80.19 ,$89.10 ,$89.10 ,$89.10 ,$89.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30200201,86592,HC SYPHILIS VDRL RPR QL,302,1 ,$57.43 ,$43.07 ,$4.27 ,$57.43 ,$36.98 ,$4.27 ,$40.20 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$54.56 , N/A ,$45.94 ,$52.26 ,$4.41 ,$53.98 ,$54.56 ,$51.69 ,$48.82 ,$4.41 ,$4.41 ,$4.41 ,$41.92 ,$4.27 ,$51.11 ,$51.69 ,$51.69 ,$45.94 ,$4.40 ,$31.59 ,$51.69 ,$4.27 ,$51.69 ,$4.27 ,$54.56 ,$9.61 ,$52.84 ,$4.67 ,$52.26 ,$4.27 ,$35.34 ,$36.98 ,$35.34 ,$51.69 ,$43.91 ,$42.86 ,$26.83 ,$4.31 ,$4.63 ,$53.70 ,$4.48 ,$4.41 ,$49.96 ,$4.27 ,$51.69 ,$4.27 ,$51.69 ,$51.69 ,$51.69 ,$55.71 ,$46.52 ,$51.69 ,$51.69 ,$51.69 ,$51.69 
ST. JOSEPH'S - CHIPPEWA FALLS,30200207,86606,HC ASPERGILLUS AB,302,1 ,$46.48 ,$34.86 ,$8.17 ,$46.48 ,$29.93 ,$15.05 ,$32.54 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$44.16 , N/A ,$37.18 ,$42.30 ,$8.17 ,$43.69 ,$44.16 ,$41.83 ,$39.51 ,$8.17 ,$8.17 ,$8.17 ,$33.93 ,$15.05 ,$41.37 ,$41.83 ,$41.83 ,$37.18 ,$15.50 ,$25.56 ,$41.83 ,$15.05 ,$41.83 ,$15.05 ,$44.16 ,$33.86 ,$42.76 ,$8.66 ,$42.30 ,$15.05 ,$28.60 ,$29.93 ,$28.60 ,$41.83 ,$46.48 ,$34.69 ,$41.83 ,$15.20 ,$8.58 ,$43.46 ,$15.80 ,$8.17 ,$40.44 ,$15.05 ,$41.83 ,$15.05 ,$41.83 ,$41.83 ,$41.83 ,$45.09 ,$37.65 ,$41.83 ,$41.83 ,$41.83 ,$41.83 
ST. JOSEPH'S - CHIPPEWA FALLS,30200211,86609,HC BACTERIUM AB NOS,302,1 ,$39.75 ,$29.81 ,$8.17 ,$39.75 ,$25.60 ,$12.88 ,$27.83 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$37.76 , N/A ,$31.80 ,$36.17 ,$8.17 ,$37.37 ,$37.76 ,$35.78 ,$33.79 ,$8.17 ,$8.17 ,$8.17 ,$29.02 ,$12.88 ,$35.38 ,$35.78 ,$35.78 ,$31.80 ,$13.27 ,$21.86 ,$35.78 ,$12.88 ,$35.78 ,$12.88 ,$37.76 ,$28.98 ,$36.57 ,$8.66 ,$36.17 ,$12.88 ,$24.46 ,$25.60 ,$24.46 ,$35.78 ,$39.75 ,$29.67 ,$35.78 ,$13.01 ,$8.58 ,$37.17 ,$13.52 ,$8.17 ,$34.58 ,$12.88 ,$35.78 ,$12.88 ,$35.78 ,$35.78 ,$35.78 ,$38.56 ,$32.20 ,$35.78 ,$35.78 ,$35.78 ,$35.78 
ST. JOSEPH'S - CHIPPEWA FALLS,30200212,86611,HC BARTONELLA SCREEN AB,302,1 ,$47.09 ,$35.32 ,$8.17 ,$47.09 ,$30.33 ,$10.18 ,$32.96 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$44.74 , N/A ,$37.67 ,$42.85 ,$8.17 ,$44.26 ,$44.74 ,$42.38 ,$40.03 ,$8.17 ,$8.17 ,$8.17 ,$34.38 ,$10.18 ,$41.91 ,$42.38 ,$42.38 ,$37.67 ,$10.49 ,$25.90 ,$42.38 ,$10.18 ,$42.38 ,$10.18 ,$44.74 ,$22.91 ,$43.32 ,$8.66 ,$42.85 ,$10.18 ,$28.98 ,$30.33 ,$28.98 ,$42.38 ,$47.09 ,$35.14 ,$42.38 ,$10.28 ,$8.58 ,$44.03 ,$10.69 ,$8.17 ,$40.97 ,$10.18 ,$42.38 ,$10.18 ,$42.38 ,$42.38 ,$42.38 ,$45.68 ,$38.14 ,$42.38 ,$42.38 ,$42.38 ,$42.38 
ST. JOSEPH'S - CHIPPEWA FALLS,30200213,86612,HC BLASTOMYCES AB,302,1 ,$84.54 ,$63.41 ,$8.17 ,$84.54 ,$54.44 ,$12.90 ,$59.18 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$80.31 , N/A ,$67.63 ,$76.93 ,$8.17 ,$79.47 ,$80.31 ,$76.09 ,$71.86 ,$8.17 ,$8.17 ,$8.17 ,$61.71 ,$12.90 ,$75.24 ,$76.09 ,$76.09 ,$67.63 ,$13.29 ,$46.50 ,$76.09 ,$12.90 ,$76.09 ,$12.90 ,$80.31 ,$29.03 ,$77.78 ,$8.66 ,$76.93 ,$12.90 ,$52.03 ,$54.44 ,$52.03 ,$76.09 ,$43.91 ,$63.09 ,$76.09 ,$13.03 ,$8.58 ,$79.04 ,$13.55 ,$8.17 ,$73.55 ,$12.90 ,$76.09 ,$12.90 ,$76.09 ,$76.09 ,$76.09 ,$82.00 ,$68.48 ,$76.09 ,$76.09 ,$76.09 ,$76.09 
ST. JOSEPH'S - CHIPPEWA FALLS,30200217,86617,HC LYME DISEASE AB CONFIRM (IGG),302,1 ,$104.10 ,$78.08 ,$15.49 ,$104.10 ,$67.04 ,$15.49 ,$72.87 ,$16.01 ,$37.19 ,$16.49 ,$29.75 ,$98.90 , N/A ,$83.28 ,$94.73 ,$16.01 ,$97.85 ,$98.90 ,$93.69 ,$88.49 ,$16.01 ,$16.01 ,$16.01 ,$75.99 ,$15.49 ,$92.65 ,$93.69 ,$93.69 ,$83.28 ,$15.95 ,$57.26 ,$93.69 ,$15.49 ,$93.69 ,$15.49 ,$98.90 ,$34.85 ,$95.77 ,$16.97 ,$94.73 ,$15.49 ,$64.06 ,$67.04 ,$64.06 ,$93.69 ,$104.10 ,$77.69 ,$93.69 ,$15.64 ,$16.81 ,$97.33 ,$16.26 ,$16.01 ,$90.57 ,$15.49 ,$93.69 ,$15.49 ,$93.69 ,$93.69 ,$93.69 ,$100.98 ,$84.32 ,$93.69 ,$93.69 ,$93.69 ,$93.69 
ST. JOSEPH'S - CHIPPEWA FALLS,30200219,86618,HC LYME AB,302,1 ,$47.00 ,$35.25 ,$17.03 ,$47.00 ,$30.27 ,$17.03 ,$32.90 ,$17.60 ,$40.88 ,$18.13 ,$32.70 ,$44.65 , N/A ,$37.60 ,$42.77 ,$17.60 ,$44.18 ,$44.65 ,$42.30 ,$39.95 ,$17.60 ,$17.60 ,$17.60 ,$34.31 ,$17.03 ,$41.83 ,$42.30 ,$42.30 ,$37.60 ,$17.54 ,$25.85 ,$42.30 ,$17.03 ,$42.30 ,$17.03 ,$44.65 ,$38.32 ,$43.24 ,$18.66 ,$42.77 ,$17.03 ,$28.92 ,$30.27 ,$28.92 ,$42.30 ,$47.00 ,$35.08 ,$42.30 ,$17.20 ,$18.48 ,$43.95 ,$17.88 ,$17.60 ,$40.89 ,$17.03 ,$42.30 ,$17.03 ,$42.30 ,$42.30 ,$42.30 ,$45.59 ,$38.07 ,$42.30 ,$42.30 ,$42.30 ,$42.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30200222,86628,HC CANDIDA AB,302,1 ,$37.05 ,$27.79 ,$8.17 ,$37.05 ,$23.86 ,$12.01 ,$25.94 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$35.20 , N/A ,$29.64 ,$33.72 ,$8.17 ,$34.83 ,$35.20 ,$33.35 ,$31.49 ,$8.17 ,$8.17 ,$8.17 ,$27.05 ,$12.01 ,$32.97 ,$33.35 ,$33.35 ,$29.64 ,$12.37 ,$20.38 ,$33.35 ,$12.01 ,$33.35 ,$12.01 ,$35.20 ,$27.02 ,$34.09 ,$8.66 ,$33.72 ,$12.01 ,$22.80 ,$23.86 ,$22.80 ,$33.35 ,$37.05 ,$27.65 ,$33.35 ,$12.13 ,$8.58 ,$34.64 ,$12.61 ,$8.17 ,$32.23 ,$12.01 ,$33.35 ,$12.01 ,$33.35 ,$33.35 ,$33.35 ,$35.94 ,$30.01 ,$33.35 ,$33.35 ,$33.35 ,$33.35 
ST. JOSEPH'S - CHIPPEWA FALLS,30200223,86631,HC CHLAMYDIA AB,302,1 ,$105.10 ,$78.83 ,$8.17 ,$105.10 ,$67.68 ,$11.82 ,$73.57 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$99.85 , N/A ,$84.08 ,$95.64 ,$8.17 ,$98.79 ,$99.85 ,$94.59 ,$89.34 ,$8.17 ,$8.17 ,$8.17 ,$76.72 ,$11.82 ,$93.54 ,$94.59 ,$94.59 ,$84.08 ,$12.17 ,$57.81 ,$94.59 ,$11.82 ,$94.59 ,$11.82 ,$99.85 ,$26.60 ,$96.69 ,$8.66 ,$95.64 ,$11.82 ,$64.68 ,$67.68 ,$64.68 ,$94.59 ,$56.01 ,$78.44 ,$74.34 ,$11.94 ,$8.58 ,$98.27 ,$12.41 ,$8.17 ,$91.44 ,$11.82 ,$94.59 ,$11.82 ,$94.59 ,$94.59 ,$94.59 ,$101.95 ,$85.13 ,$94.59 ,$94.59 ,$94.59 ,$94.59 
ST. JOSEPH'S - CHIPPEWA FALLS,30200230,86632,HC CHLAMYDIA AB IGM,302,1 ,$39.15 ,$29.36 ,$8.17 ,$39.15 ,$25.21 ,$12.68 ,$27.41 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$37.19 , N/A ,$31.32 ,$35.63 ,$8.17 ,$36.80 ,$37.19 ,$35.24 ,$33.28 ,$8.17 ,$8.17 ,$8.17 ,$28.58 ,$12.68 ,$34.84 ,$35.24 ,$35.24 ,$31.32 ,$13.06 ,$21.53 ,$35.24 ,$12.68 ,$35.24 ,$12.68 ,$37.19 ,$28.53 ,$36.02 ,$8.66 ,$35.63 ,$12.68 ,$24.09 ,$25.21 ,$24.09 ,$35.24 ,$39.15 ,$29.22 ,$35.24 ,$12.81 ,$8.58 ,$36.61 ,$13.31 ,$8.17 ,$34.06 ,$12.68 ,$35.24 ,$12.68 ,$35.24 ,$35.24 ,$35.24 ,$37.98 ,$31.71 ,$35.24 ,$35.24 ,$35.24 ,$35.24 
ST. JOSEPH'S - CHIPPEWA FALLS,30200231,86635,HC COCCIDIOIDES AB,302,1 ,$84.54 ,$63.41 ,$8.17 ,$84.54 ,$54.44 ,$11.47 ,$59.18 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$80.31 , N/A ,$67.63 ,$76.93 ,$8.17 ,$79.47 ,$80.31 ,$76.09 ,$71.86 ,$8.17 ,$8.17 ,$8.17 ,$61.71 ,$11.47 ,$75.24 ,$76.09 ,$76.09 ,$67.63 ,$11.81 ,$46.50 ,$76.09 ,$11.47 ,$76.09 ,$11.47 ,$80.31 ,$25.81 ,$77.78 ,$8.66 ,$76.93 ,$11.47 ,$52.03 ,$54.44 ,$52.03 ,$76.09 ,$35.16 ,$63.09 ,$72.15 ,$11.58 ,$8.58 ,$79.04 ,$12.04 ,$8.17 ,$73.55 ,$11.47 ,$76.09 ,$11.47 ,$76.09 ,$76.09 ,$76.09 ,$82.00 ,$68.48 ,$76.09 ,$76.09 ,$76.09 ,$76.09 
ST. JOSEPH'S - CHIPPEWA FALLS,30200247,86666,HC EHRICHIA AB,302,1 ,$114.75 ,$86.06 ,$8.17 ,$114.75 ,$73.90 ,$10.18 ,$80.33 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$109.01 , N/A ,$91.80 ,$104.42 ,$8.17 ,$107.87 ,$109.01 ,$103.28 ,$97.54 ,$8.17 ,$8.17 ,$8.17 ,$83.77 ,$10.18 ,$102.13 ,$103.28 ,$103.28 ,$91.80 ,$10.49 ,$63.11 ,$103.28 ,$10.18 ,$103.28 ,$10.18 ,$109.01 ,$22.91 ,$105.57 ,$8.66 ,$104.42 ,$10.18 ,$70.62 ,$73.90 ,$70.62 ,$103.28 ,$63.79 ,$85.64 ,$63.95 ,$10.28 ,$8.58 ,$107.29 ,$10.69 ,$8.17 ,$99.83 ,$10.18 ,$103.28 ,$10.18 ,$103.28 ,$103.28 ,$103.28 ,$111.31 ,$92.95 ,$103.28 ,$103.28 ,$103.28 ,$103.28 
ST. JOSEPH'S - CHIPPEWA FALLS,30200261,86695,HC HERPES SIMPLEX AB I,302,1 ,$81.22 ,$60.92 ,$13.19 ,$81.22 ,$52.31 ,$13.19 ,$56.85 ,$13.63 ,$31.66 ,$14.04 ,$25.33 ,$77.16 , N/A ,$64.98 ,$73.91 ,$13.63 ,$76.35 ,$77.16 ,$73.10 ,$69.04 ,$13.63 ,$13.63 ,$13.63 ,$59.29 ,$13.19 ,$72.29 ,$73.10 ,$73.10 ,$64.98 ,$13.59 ,$44.67 ,$73.10 ,$13.19 ,$73.10 ,$13.19 ,$77.16 ,$29.68 ,$74.72 ,$14.45 ,$73.91 ,$13.19 ,$49.98 ,$52.31 ,$49.98 ,$73.10 ,$76.87 ,$60.61 ,$73.10 ,$13.32 ,$14.31 ,$75.94 ,$13.85 ,$13.63 ,$70.66 ,$13.19 ,$73.10 ,$13.19 ,$73.10 ,$73.10 ,$73.10 ,$78.78 ,$65.79 ,$73.10 ,$73.10 ,$73.10 ,$73.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30200263,86696,HC HERPES SIMPLEX AB II,302,1 ,$115.90 ,$86.93 ,$19.35 ,$115.90 ,$74.64 ,$19.35 ,$81.13 ,$19.99 ,$46.46 ,$20.59 ,$37.17 ,$110.11 , N/A ,$92.72 ,$105.47 ,$19.99 ,$108.95 ,$110.11 ,$104.31 ,$98.52 ,$19.99 ,$19.99 ,$19.99 ,$84.61 ,$19.35 ,$103.15 ,$104.31 ,$104.31 ,$92.72 ,$19.93 ,$63.75 ,$104.31 ,$19.35 ,$104.31 ,$19.35 ,$110.11 ,$43.54 ,$106.63 ,$21.19 ,$105.47 ,$19.35 ,$71.32 ,$74.64 ,$71.32 ,$104.31 ,$62.83 ,$86.50 ,$104.31 ,$19.54 ,$20.99 ,$108.37 ,$20.32 ,$19.99 ,$100.83 ,$19.35 ,$104.31 ,$19.35 ,$104.31 ,$104.31 ,$104.31 ,$112.42 ,$93.88 ,$104.31 ,$104.31 ,$104.31 ,$104.31 
ST. JOSEPH'S - CHIPPEWA FALLS,30200265,86698,HC HISTOPLASMA AB,302,1 ,$41.24 ,$30.93 ,$13.79 ,$41.24 ,$26.56 ,$13.79 ,$28.87 ,$14.25 ,$26.95 ,$14.68 ,$21.56 ,$39.18 , N/A ,$32.99 ,$37.53 ,$14.25 ,$38.77 ,$39.18 ,$37.12 ,$35.05 ,$14.25 ,$14.25 ,$14.25 ,$30.11 ,$13.79 ,$36.70 ,$37.12 ,$37.12 ,$32.99 ,$14.20 ,$22.68 ,$37.12 ,$13.79 ,$37.12 ,$13.79 ,$39.18 ,$31.03 ,$37.94 ,$15.11 ,$37.53 ,$13.79 ,$25.38 ,$26.56 ,$25.38 ,$37.12 ,$41.24 ,$30.78 ,$37.12 ,$13.93 ,$14.96 ,$38.56 ,$14.48 ,$14.25 ,$35.88 ,$13.79 ,$37.12 ,$13.79 ,$37.12 ,$37.12 ,$37.12 ,$40.00 ,$33.40 ,$37.12 ,$37.12 ,$37.12 ,$37.12 
ST. JOSEPH'S - CHIPPEWA FALLS,30200282,86735,HC MUMPS AB,302,1 ,$106.02 ,$79.52 ,$13.05 ,$106.02 ,$68.28 ,$13.05 ,$74.21 ,$13.48 ,$31.33 ,$13.88 ,$25.06 ,$100.72 , N/A ,$84.82 ,$96.48 ,$13.48 ,$99.66 ,$100.72 ,$95.42 ,$90.12 ,$13.48 ,$13.48 ,$13.48 ,$77.39 ,$13.05 ,$94.36 ,$95.42 ,$95.42 ,$84.82 ,$13.44 ,$58.31 ,$95.42 ,$13.05 ,$95.42 ,$13.05 ,$100.72 ,$29.36 ,$97.54 ,$14.29 ,$96.48 ,$13.05 ,$65.24 ,$68.28 ,$65.24 ,$95.42 ,$65.02 ,$79.12 ,$82.03 ,$13.18 ,$14.15 ,$99.13 ,$13.70 ,$13.48 ,$92.24 ,$13.05 ,$95.42 ,$13.05 ,$95.42 ,$95.42 ,$95.42 ,$102.84 ,$85.88 ,$95.42 ,$95.42 ,$95.42 ,$95.42 
ST. JOSEPH'S - CHIPPEWA FALLS,30200285,86744,HC NOCARDIA AB,302,1 ,$40.70 ,$30.53 ,$8.17 ,$40.70 ,$26.21 ,$15.99 ,$28.49 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$38.67 , N/A ,$32.56 ,$37.04 ,$8.17 ,$38.26 ,$38.67 ,$36.63 ,$34.60 ,$8.17 ,$8.17 ,$8.17 ,$29.71 ,$15.99 ,$36.22 ,$36.63 ,$36.63 ,$32.56 ,$16.47 ,$22.39 ,$36.63 ,$15.99 ,$36.63 ,$15.99 ,$38.67 ,$35.98 ,$37.44 ,$8.66 ,$37.04 ,$15.99 ,$25.05 ,$26.21 ,$25.05 ,$36.63 ,$40.70 ,$30.37 ,$36.63 ,$16.15 ,$8.58 ,$38.05 ,$16.79 ,$8.17 ,$35.41 ,$15.99 ,$36.63 ,$15.99 ,$36.63 ,$36.63 ,$36.63 ,$39.48 ,$32.97 ,$36.63 ,$36.63 ,$36.63 ,$36.63 
ST. JOSEPH'S - CHIPPEWA FALLS,30200288,86762,HC RUBELLA AB,302,1 ,$162.58 ,$121.94 ,$14.39 ,$162.58 ,$104.70 ,$14.39 ,$113.81 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$154.45 , N/A ,$130.06 ,$147.95 ,$14.87 ,$152.83 ,$154.45 ,$146.32 ,$138.19 ,$14.87 ,$14.87 ,$14.87 ,$118.68 ,$14.39 ,$144.70 ,$146.32 ,$146.32 ,$130.06 ,$14.82 ,$89.42 ,$146.32 ,$14.39 ,$146.32 ,$14.39 ,$154.45 ,$32.38 ,$149.57 ,$15.76 ,$147.95 ,$14.39 ,$100.05 ,$104.70 ,$100.05 ,$146.32 ,$60.62 ,$121.33 ,$72.18 ,$14.53 ,$15.61 ,$152.01 ,$15.11 ,$14.87 ,$141.44 ,$14.39 ,$146.32 ,$14.39 ,$146.32 ,$146.32 ,$146.32 ,$157.70 ,$131.69 ,$146.32 ,$146.32 ,$146.32 ,$146.32 
ST. JOSEPH'S - CHIPPEWA FALLS,30200291,86765,HC RUBEOLA AB,302,1 ,$79.38 ,$59.54 ,$12.88 ,$79.38 ,$51.12 ,$12.88 ,$55.57 ,$13.31 ,$30.92 ,$13.71 ,$24.74 ,$75.41 , N/A ,$63.50 ,$72.24 ,$13.31 ,$74.62 ,$75.41 ,$71.44 ,$67.47 ,$13.31 ,$13.31 ,$13.31 ,$57.95 ,$12.88 ,$70.65 ,$71.44 ,$71.44 ,$63.50 ,$13.27 ,$43.66 ,$71.44 ,$12.88 ,$71.44 ,$12.88 ,$75.41 ,$28.98 ,$73.03 ,$14.11 ,$72.24 ,$12.88 ,$48.85 ,$51.12 ,$48.85 ,$71.44 ,$57.99 ,$59.24 ,$71.44 ,$13.01 ,$13.98 ,$74.22 ,$13.52 ,$13.31 ,$69.06 ,$12.88 ,$71.44 ,$12.88 ,$71.44 ,$71.44 ,$71.44 ,$77.00 ,$64.30 ,$71.44 ,$71.44 ,$71.44 ,$71.44 
ST. JOSEPH'S - CHIPPEWA FALLS,30200298,86780,HC TREPONEMA P AB CONFIRM,302,1 ,$105.68 ,$79.26 ,$11.13 ,$105.68 ,$68.06 ,$13.24 ,$73.98 ,$11.13 ,$19.01 ,$11.46 ,$15.20 ,$100.40 , N/A ,$84.54 ,$96.17 ,$11.13 ,$99.34 ,$100.40 ,$95.11 ,$89.83 ,$11.13 ,$11.13 ,$11.13 ,$77.15 ,$13.24 ,$94.06 ,$95.11 ,$95.11 ,$84.54 ,$13.64 ,$58.12 ,$95.11 ,$13.24 ,$95.11 ,$13.24 ,$100.40 ,$29.79 ,$97.23 ,$11.80 ,$96.17 ,$13.24 ,$65.04 ,$68.06 ,$65.04 ,$95.11 ,$49.28 ,$78.87 ,$83.20 ,$13.37 ,$11.69 ,$98.81 ,$13.90 ,$11.13 ,$91.94 ,$13.24 ,$95.11 ,$13.24 ,$95.11 ,$95.11 ,$95.11 ,$102.51 ,$85.60 ,$95.11 ,$95.11 ,$95.11 ,$95.11 
ST. JOSEPH'S - CHIPPEWA FALLS,30200299,86787,HC VARICELLA ZOSTER ATB,302,1 ,$108.89 ,$81.67 ,$8.17 ,$108.89 ,$70.13 ,$12.88 ,$76.22 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$103.45 , N/A ,$87.11 ,$99.09 ,$8.17 ,$102.36 ,$103.45 ,$98.00 ,$92.56 ,$8.17 ,$8.17 ,$8.17 ,$79.49 ,$12.88 ,$96.91 ,$98.00 ,$98.00 ,$87.11 ,$13.27 ,$59.89 ,$98.00 ,$12.88 ,$98.00 ,$12.88 ,$103.45 ,$28.98 ,$100.18 ,$8.66 ,$99.09 ,$12.88 ,$67.01 ,$70.13 ,$67.01 ,$98.00 ,$43.91 ,$81.26 ,$80.96 ,$13.01 ,$8.58 ,$101.81 ,$13.52 ,$8.17 ,$94.73 ,$12.88 ,$98.00 ,$12.88 ,$98.00 ,$98.00 ,$98.00 ,$105.62 ,$88.20 ,$98.00 ,$98.00 ,$98.00 ,$98.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30200303,86788,HC WEST NILE VIRUS AB IGM,302,1 ,$52.00 ,$39.00 ,$8.17 ,$52.00 ,$33.49 ,$16.85 ,$36.40 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$49.40 , N/A ,$41.60 ,$47.32 ,$8.17 ,$48.88 ,$49.40 ,$46.80 ,$44.20 ,$8.17 ,$8.17 ,$8.17 ,$37.96 ,$16.85 ,$46.28 ,$46.80 ,$46.80 ,$41.60 ,$17.36 ,$28.60 ,$46.80 ,$16.85 ,$46.80 ,$16.85 ,$49.40 ,$37.91 ,$47.84 ,$8.66 ,$47.32 ,$16.85 ,$32.00 ,$33.49 ,$32.00 ,$46.80 ,$45.41 ,$38.81 ,$46.80 ,$17.02 ,$8.58 ,$48.62 ,$17.69 ,$8.17 ,$45.24 ,$16.85 ,$46.80 ,$16.85 ,$46.80 ,$46.80 ,$46.80 ,$50.44 ,$42.12 ,$46.80 ,$46.80 ,$46.80 ,$46.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30200304,86789,HC WEST NILE AB,302,1 ,$100.52 ,$75.39 ,$14.39 ,$100.52 ,$64.73 ,$14.39 ,$70.36 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$95.49 , N/A ,$80.42 ,$91.47 ,$14.87 ,$94.49 ,$95.49 ,$90.47 ,$85.44 ,$14.87 ,$14.87 ,$14.87 ,$73.38 ,$14.39 ,$89.46 ,$90.47 ,$90.47 ,$80.42 ,$14.82 ,$55.29 ,$90.47 ,$14.39 ,$90.47 ,$14.39 ,$95.49 ,$32.38 ,$92.48 ,$15.76 ,$91.47 ,$14.39 ,$61.86 ,$64.73 ,$61.86 ,$90.47 ,$38.81 ,$75.02 ,$90.47 ,$14.53 ,$15.61 ,$93.99 ,$15.11 ,$14.87 ,$87.45 ,$14.39 ,$90.47 ,$14.39 ,$90.47 ,$90.47 ,$90.47 ,$97.50 ,$81.42 ,$90.47 ,$90.47 ,$90.47 ,$90.47 
ST. JOSEPH'S - CHIPPEWA FALLS,30200312,86800,HC THYROGLOBULIN AB,302,1 ,$86.84 ,$65.13 ,$15.91 ,$86.84 ,$55.93 ,$15.91 ,$60.79 ,$16.44 ,$38.19 ,$16.93 ,$30.55 ,$82.50 , N/A ,$69.47 ,$79.02 ,$16.44 ,$81.63 ,$82.50 ,$78.16 ,$73.81 ,$16.44 ,$16.44 ,$16.44 ,$63.39 ,$15.91 ,$77.29 ,$78.16 ,$78.16 ,$69.47 ,$16.39 ,$47.76 ,$78.16 ,$15.91 ,$78.16 ,$15.91 ,$82.50 ,$35.80 ,$79.89 ,$17.43 ,$79.02 ,$15.91 ,$53.44 ,$55.93 ,$53.44 ,$78.16 ,$86.84 ,$64.81 ,$78.16 ,$16.07 ,$17.26 ,$81.20 ,$16.71 ,$16.44 ,$75.55 ,$15.91 ,$78.16 ,$15.91 ,$78.16 ,$78.16 ,$78.16 ,$84.23 ,$70.34 ,$78.16 ,$78.16 ,$78.16 ,$78.16 
ST. JOSEPH'S - CHIPPEWA FALLS,30200314,86803,HC HEP C AB,302,1 ,$152.89 ,$114.67 ,$14.27 ,$152.89 ,$98.46 ,$14.27 ,$107.02 ,$14.75 ,$34.25 ,$15.19 ,$27.40 ,$145.25 , N/A ,$122.31 ,$139.13 ,$14.75 ,$143.72 ,$145.25 ,$137.60 ,$129.96 ,$14.75 ,$14.75 ,$14.75 ,$111.61 ,$14.27 ,$136.07 ,$137.60 ,$137.60 ,$122.31 ,$14.70 ,$84.09 ,$137.60 ,$14.27 ,$137.60 ,$14.27 ,$145.25 ,$32.11 ,$140.66 ,$15.64 ,$139.13 ,$14.27 ,$94.09 ,$98.46 ,$94.09 ,$137.60 ,$71.73 ,$114.10 ,$89.66 ,$14.41 ,$15.49 ,$142.95 ,$14.98 ,$14.75 ,$133.01 ,$14.27 ,$137.60 ,$14.27 ,$137.60 ,$137.60 ,$137.60 ,$148.30 ,$123.84 ,$137.60 ,$137.60 ,$137.60 ,$137.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30200502,87272,HC CRYPTOSPORIDIUM,302,1 ,$43.00 ,$32.25 ,$11.98 ,$43.00 ,$27.69 ,$11.98 ,$30.10 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$40.85 , N/A ,$34.40 ,$39.13 ,$12.38 ,$40.42 ,$40.85 ,$38.70 ,$36.55 ,$12.38 ,$12.38 ,$12.38 ,$31.39 ,$11.98 ,$38.27 ,$38.70 ,$38.70 ,$34.40 ,$12.34 ,$23.65 ,$38.70 ,$11.98 ,$38.70 ,$11.98 ,$40.85 ,$26.96 ,$39.56 ,$13.12 ,$39.13 ,$11.98 ,$26.46 ,$27.69 ,$26.46 ,$38.70 ,$43.00 ,$32.09 ,$38.70 ,$12.10 ,$13.00 ,$40.21 ,$12.58 ,$12.38 ,$37.41 ,$11.98 ,$38.70 ,$11.98 ,$38.70 ,$38.70 ,$38.70 ,$41.71 ,$34.83 ,$38.70 ,$38.70 ,$38.70 ,$38.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30200505,86039,HC ANA TITER,302,1 ,$41.93 ,$31.45 ,$11.16 ,$41.93 ,$27.00 ,$11.16 ,$29.35 ,$11.53 ,$26.79 ,$11.88 ,$21.43 ,$39.83 , N/A ,$33.54 ,$38.16 ,$11.53 ,$39.41 ,$39.83 ,$37.74 ,$35.64 ,$11.53 ,$11.53 ,$11.53 ,$30.61 ,$11.16 ,$37.32 ,$37.74 ,$37.74 ,$33.54 ,$11.49 ,$23.06 ,$37.74 ,$11.16 ,$37.74 ,$11.16 ,$39.83 ,$25.11 ,$38.58 ,$12.22 ,$38.16 ,$11.16 ,$25.80 ,$27.00 ,$25.80 ,$37.74 ,$41.93 ,$31.29 ,$37.74 ,$11.27 ,$12.11 ,$39.20 ,$11.72 ,$11.53 ,$36.48 ,$11.16 ,$37.74 ,$11.16 ,$37.74 ,$37.74 ,$37.74 ,$40.67 ,$33.96 ,$37.74 ,$37.74 ,$37.74 ,$37.74 
ST. JOSEPH'S - CHIPPEWA FALLS,30200506,86060,HC ASO,302,1 ,$120.50 ,$90.38 ,$7.30 ,$120.50 ,$77.60 ,$7.30 ,$84.35 ,$7.54 ,$17.52 ,$7.77 ,$14.01 ,$114.48 , N/A ,$96.40 ,$109.66 ,$7.54 ,$113.27 ,$114.48 ,$108.45 ,$102.43 ,$7.54 ,$7.54 ,$7.54 ,$87.97 ,$7.30 ,$107.25 ,$108.45 ,$108.45 ,$96.40 ,$7.52 ,$66.28 ,$108.45 ,$7.30 ,$108.45 ,$7.30 ,$114.48 ,$16.43 ,$110.86 ,$7.99 ,$109.66 ,$7.30 ,$74.16 ,$77.60 ,$74.16 ,$108.45 ,$69.19 ,$89.93 ,$45.88 ,$7.37 ,$7.92 ,$112.67 ,$7.67 ,$7.54 ,$104.84 ,$7.30 ,$108.45 ,$7.30 ,$108.45 ,$108.45 ,$108.45 ,$116.89 ,$97.61 ,$108.45 ,$108.45 ,$108.45 ,$108.45 
ST. JOSEPH'S - CHIPPEWA FALLS,30200507,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$205.95 ,$154.46 ,$12.95 ,$205.95 ,$132.63 ,$12.95 ,$144.17 ,$13.38 ,$31.08 ,$13.78 ,$24.86 ,$195.65 , N/A ,$164.76 ,$187.41 ,$13.38 ,$193.59 ,$195.65 ,$185.36 ,$175.06 ,$13.38 ,$13.38 ,$13.38 ,$150.34 ,$12.95 ,$183.30 ,$185.36 ,$185.36 ,$164.76 ,$13.34 ,$113.27 ,$185.36 ,$12.95 ,$185.36 ,$12.95 ,$195.65 ,$29.14 ,$189.47 ,$14.18 ,$187.41 ,$12.95 ,$126.74 ,$132.63 ,$126.74 ,$185.36 ,$35.26 ,$153.70 ,$81.36 ,$13.08 ,$14.05 ,$192.56 ,$13.60 ,$13.38 ,$179.18 ,$12.95 ,$185.36 ,$12.95 ,$185.36 ,$185.36 ,$185.36 ,$199.77 ,$166.82 ,$185.36 ,$185.36 ,$185.36 ,$185.36 
ST. JOSEPH'S - CHIPPEWA FALLS,30200508,86162,HC COMPLEMENT TOTAL,302,1 ,$112.45 ,$84.34 ,$20.32 ,$112.45 ,$72.42 ,$20.32 ,$78.72 ,$21.00 ,$45.43 ,$21.63 ,$36.34 ,$106.83 , N/A ,$89.96 ,$102.33 ,$21.00 ,$105.70 ,$106.83 ,$101.21 ,$95.58 ,$21.00 ,$21.00 ,$21.00 ,$82.09 ,$20.32 ,$100.08 ,$101.21 ,$101.21 ,$89.96 ,$20.93 ,$61.85 ,$101.21 ,$20.32 ,$101.21 ,$20.32 ,$106.83 ,$45.72 ,$103.45 ,$22.26 ,$102.33 ,$20.32 ,$69.20 ,$72.42 ,$69.20 ,$101.21 ,$112.45 ,$83.92 ,$101.21 ,$20.52 ,$22.05 ,$105.14 ,$21.34 ,$21.00 ,$97.83 ,$20.32 ,$101.21 ,$20.32 ,$101.21 ,$101.21 ,$101.21 ,$109.08 ,$91.08 ,$101.21 ,$101.21 ,$101.21 ,$101.21 
ST. JOSEPH'S - CHIPPEWA FALLS,30200509,86171,HC COMPLEMENT FIXATION EA ANTIGEN,302,1 ,$334.38 ,$250.79 ,$10.01 ,$334.38 ,$215.34 ,$10.01 ,$234.07 ,$10.34 ,$24.03 ,$10.65 ,$19.22 ,$317.66 , N/A ,$267.50 ,$304.29 ,$10.34 ,$314.32 ,$317.66 ,$300.94 ,$284.22 ,$10.34 ,$10.34 ,$10.34 ,$244.10 ,$10.01 ,$297.60 ,$300.94 ,$300.94 ,$267.50 ,$10.31 ,$183.91 ,$300.94 ,$10.01 ,$300.94 ,$10.01 ,$317.66 ,$22.52 ,$307.63 ,$10.96 ,$304.29 ,$10.01 ,$205.78 ,$215.34 ,$205.78 ,$300.94 ,$92.26 ,$249.55 ,$62.93 ,$10.11 ,$10.86 ,$312.65 ,$10.51 ,$10.34 ,$290.91 ,$10.01 ,$300.94 ,$10.01 ,$300.94 ,$300.94 ,$300.94 ,$324.35 ,$270.85 ,$300.94 ,$300.94 ,$300.94 ,$300.94 
ST. JOSEPH'S - CHIPPEWA FALLS,30200512,86255,HC FLUOR AB SCR,302,1 ,$120.80 ,$90.60 ,$12.05 ,$120.80 ,$77.80 ,$12.05 ,$84.56 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$114.76 , N/A ,$96.64 ,$109.93 ,$12.45 ,$113.55 ,$114.76 ,$108.72 ,$102.68 ,$12.45 ,$12.45 ,$12.45 ,$88.18 ,$12.05 ,$107.51 ,$108.72 ,$108.72 ,$96.64 ,$12.41 ,$66.44 ,$108.72 ,$12.05 ,$108.72 ,$12.05 ,$114.76 ,$27.11 ,$111.14 ,$13.20 ,$109.93 ,$12.05 ,$74.34 ,$77.80 ,$74.34 ,$108.72 ,$114.22 ,$90.15 ,$75.76 ,$12.17 ,$13.07 ,$112.95 ,$12.65 ,$12.45 ,$105.10 ,$12.05 ,$108.72 ,$12.05 ,$108.72 ,$108.72 ,$108.72 ,$117.18 ,$97.85 ,$108.72 ,$108.72 ,$108.72 ,$108.72 
ST. JOSEPH'S - CHIPPEWA FALLS,30200513,86256,HC FLUOR AB TITER,302,1 ,$75.24 ,$56.43 ,$12.05 ,$75.24 ,$48.45 ,$12.05 ,$52.67 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$71.48 , N/A ,$60.19 ,$68.47 ,$12.45 ,$70.73 ,$71.48 ,$67.72 ,$63.95 ,$12.45 ,$12.45 ,$12.45 ,$54.93 ,$12.05 ,$66.96 ,$67.72 ,$67.72 ,$60.19 ,$12.41 ,$41.38 ,$67.72 ,$12.05 ,$67.72 ,$12.05 ,$71.48 ,$27.11 ,$69.22 ,$13.20 ,$68.47 ,$12.05 ,$46.30 ,$48.45 ,$46.30 ,$67.72 ,$75.24 ,$56.15 ,$67.72 ,$12.17 ,$13.07 ,$70.35 ,$12.65 ,$12.45 ,$65.46 ,$12.05 ,$67.72 ,$12.05 ,$67.72 ,$67.72 ,$67.72 ,$72.98 ,$60.94 ,$67.72 ,$67.72 ,$67.72 ,$67.72 
ST. JOSEPH'S - CHIPPEWA FALLS,30200514,86280,HC MEASLES SEROLOGY (HAI),302,1 ,$85.46 ,$64.10 ,$8.19 ,$85.46 ,$55.04 ,$8.19 ,$59.82 ,$8.46 ,$18.71 ,$8.71 ,$14.97 ,$81.19 , N/A ,$68.37 ,$77.77 ,$8.46 ,$80.33 ,$81.19 ,$76.91 ,$72.64 ,$8.46 ,$8.46 ,$8.46 ,$62.39 ,$8.19 ,$76.06 ,$76.91 ,$76.91 ,$68.37 ,$8.44 ,$47.00 ,$76.91 ,$8.19 ,$76.91 ,$8.19 ,$81.19 ,$18.43 ,$78.62 ,$8.97 ,$77.77 ,$8.19 ,$52.59 ,$55.04 ,$52.59 ,$76.91 ,$68.07 ,$63.78 ,$51.53 ,$8.27 ,$8.88 ,$79.91 ,$8.60 ,$8.46 ,$74.35 ,$8.19 ,$76.91 ,$8.19 ,$76.91 ,$76.91 ,$76.91 ,$82.90 ,$69.22 ,$76.91 ,$76.91 ,$76.91 ,$76.91 
ST. JOSEPH'S - CHIPPEWA FALLS,30200515,86304,HC TUMOR AG CA 125,302,1 ,$179.77 ,$134.83 ,$20.81 ,$179.77 ,$115.77 ,$20.81 ,$125.84 ,$21.50 ,$49.96 ,$22.15 ,$39.97 ,$170.78 , N/A ,$143.82 ,$163.59 ,$21.50 ,$168.98 ,$170.78 ,$161.79 ,$152.80 ,$21.50 ,$21.50 ,$21.50 ,$131.23 ,$20.81 ,$160.00 ,$161.79 ,$161.79 ,$143.82 ,$21.43 ,$98.87 ,$161.79 ,$20.81 ,$161.79 ,$20.81 ,$170.78 ,$46.82 ,$165.39 ,$22.79 ,$163.59 ,$20.81 ,$110.63 ,$115.77 ,$110.63 ,$161.79 ,$73.45 ,$134.16 ,$130.85 ,$21.02 ,$22.58 ,$168.09 ,$21.85 ,$21.50 ,$156.40 ,$20.81 ,$161.79 ,$20.81 ,$161.79 ,$161.79 ,$161.79 ,$174.38 ,$145.61 ,$161.79 ,$161.79 ,$161.79 ,$161.79 
ST. JOSEPH'S - CHIPPEWA FALLS,30200516,86310,HC HETEROPHILE AB TITER AFTER ABSORPTION,302,1 ,$68.12 ,$51.09 ,$7.37 ,$68.12 ,$43.87 ,$7.37 ,$47.68 ,$7.62 ,$17.69 ,$7.85 ,$14.15 ,$64.71 , N/A ,$54.50 ,$61.99 ,$7.62 ,$64.03 ,$64.71 ,$61.31 ,$57.90 ,$7.62 ,$7.62 ,$7.62 ,$49.73 ,$7.37 ,$60.63 ,$61.31 ,$61.31 ,$54.50 ,$7.59 ,$37.47 ,$61.31 ,$7.37 ,$61.31 ,$7.37 ,$64.71 ,$16.58 ,$62.67 ,$8.08 ,$61.99 ,$7.37 ,$41.92 ,$43.87 ,$41.92 ,$61.31 ,$68.12 ,$50.84 ,$46.33 ,$7.44 ,$8.00 ,$63.69 ,$7.74 ,$7.62 ,$59.26 ,$7.37 ,$61.31 ,$7.37 ,$61.31 ,$61.31 ,$61.31 ,$66.08 ,$55.18 ,$61.31 ,$61.31 ,$61.31 ,$61.31 
ST. JOSEPH'S - CHIPPEWA FALLS,30200517,86316,HC TUMOR AG OTHER AG QN,302,1 ,$171.04 ,$128.28 ,$20.81 ,$171.04 ,$110.15 ,$20.81 ,$119.73 ,$21.50 ,$49.96 ,$22.15 ,$39.97 ,$162.49 , N/A ,$136.83 ,$155.65 ,$21.50 ,$160.78 ,$162.49 ,$153.94 ,$145.38 ,$21.50 ,$21.50 ,$21.50 ,$124.86 ,$20.81 ,$152.23 ,$153.94 ,$153.94 ,$136.83 ,$21.43 ,$94.07 ,$153.94 ,$20.81 ,$153.94 ,$20.81 ,$162.49 ,$46.82 ,$157.36 ,$22.79 ,$155.65 ,$20.81 ,$105.26 ,$110.15 ,$105.26 ,$153.94 ,$162.51 ,$127.65 ,$130.85 ,$21.02 ,$22.58 ,$159.92 ,$21.85 ,$21.50 ,$148.80 ,$20.81 ,$153.94 ,$20.81 ,$153.94 ,$153.94 ,$153.94 ,$165.91 ,$138.54 ,$153.94 ,$153.94 ,$153.94 ,$153.94 
ST. JOSEPH'S - CHIPPEWA FALLS,30200518,86320,HC IMMUNOELECTROPHORESIS SERUM,302,1 ,$463.49 ,$347.62 ,$29.92 ,$463.49 ,$298.49 ,$29.92 ,$324.44 ,$30.92 ,$53.81 ,$31.85 ,$43.05 ,$440.32 , N/A ,$370.79 ,$421.78 ,$30.92 ,$435.68 ,$440.32 ,$417.14 ,$393.97 ,$30.92 ,$30.92 ,$30.92 ,$338.35 ,$29.92 ,$412.51 ,$417.14 ,$417.14 ,$370.79 ,$30.82 ,$254.92 ,$417.14 ,$29.92 ,$417.14 ,$29.92 ,$440.32 ,$67.32 ,$426.41 ,$32.78 ,$421.78 ,$29.92 ,$285.23 ,$298.49 ,$285.23 ,$417.14 ,$89.87 ,$345.90 ,$152.34 ,$30.22 ,$32.47 ,$433.36 ,$31.42 ,$30.92 ,$403.24 ,$29.92 ,$417.14 ,$29.92 ,$417.14 ,$417.14 ,$417.14 ,$449.59 ,$375.43 ,$417.14 ,$417.14 ,$417.14 ,$417.14 
ST. JOSEPH'S - CHIPPEWA FALLS,30200519,86325,HC IMMUNOELECTROPHORESIS OTHER FLUIDS,302,1 ,$403.18 ,$302.39 ,$23.13 ,$403.18 ,$259.65 ,$23.13 ,$282.23 ,$23.90 ,$53.69 ,$24.62 ,$42.95 ,$383.02 , N/A ,$322.54 ,$366.89 ,$23.90 ,$378.99 ,$383.02 ,$362.86 ,$342.70 ,$23.90 ,$23.90 ,$23.90 ,$294.32 ,$23.13 ,$358.83 ,$362.86 ,$362.86 ,$322.54 ,$23.82 ,$221.75 ,$362.86 ,$23.13 ,$362.86 ,$23.13 ,$383.02 ,$52.04 ,$370.93 ,$25.33 ,$366.89 ,$23.13 ,$248.12 ,$259.65 ,$248.12 ,$362.86 ,$92.76 ,$300.89 ,$140.58 ,$23.36 ,$25.10 ,$376.97 ,$24.29 ,$23.90 ,$350.77 ,$23.13 ,$362.86 ,$23.13 ,$362.86 ,$362.86 ,$362.86 ,$391.08 ,$326.58 ,$362.86 ,$362.86 ,$362.86 ,$362.86 
ST. JOSEPH'S - CHIPPEWA FALLS,30200523,86431,HC RHEUMATOID FACTOR QN,302,1 ,$235.59 ,$176.69 ,$5.67 ,$235.59 ,$151.72 ,$5.67 ,$164.91 ,$5.86 ,$13.62 ,$6.04 ,$10.89 ,$223.81 , N/A ,$188.47 ,$214.39 ,$5.86 ,$221.45 ,$223.81 ,$212.03 ,$200.25 ,$5.86 ,$5.86 ,$5.86 ,$171.98 ,$5.67 ,$209.68 ,$212.03 ,$212.03 ,$188.47 ,$5.84 ,$129.57 ,$212.03 ,$5.67 ,$212.03 ,$5.67 ,$223.81 ,$12.76 ,$216.74 ,$6.21 ,$214.39 ,$5.67 ,$144.98 ,$151.72 ,$144.98 ,$212.03 ,$74.23 ,$175.82 ,$35.64 ,$5.73 ,$6.15 ,$220.28 ,$5.95 ,$5.86 ,$204.96 ,$5.67 ,$212.03 ,$5.67 ,$212.03 ,$212.03 ,$212.03 ,$228.52 ,$190.83 ,$212.03 ,$212.03 ,$212.03 ,$212.03 
ST. JOSEPH'S - CHIPPEWA FALLS,30200524,86480,HC TB CELL IMMUNITY MEAS GAMMA INTERF,302,1 ,$191.30 ,$143.48 ,$61.98 ,$191.30 ,$123.20 ,$61.98 ,$133.91 ,$64.04 ,$148.79 ,$65.96 ,$119.03 ,$181.74 , N/A ,$153.04 ,$174.08 ,$64.04 ,$179.82 ,$181.74 ,$172.17 ,$162.61 ,$64.04 ,$64.04 ,$64.04 ,$139.65 ,$61.98 ,$170.26 ,$172.17 ,$172.17 ,$153.04 ,$63.84 ,$105.22 ,$172.17 ,$61.98 ,$172.17 ,$61.98 ,$181.74 ,$139.46 ,$176.00 ,$67.88 ,$174.08 ,$61.98 ,$117.73 ,$123.20 ,$117.73 ,$172.17 ,$184.01 ,$142.77 ,$172.17 ,$62.60 ,$67.24 ,$178.87 ,$65.08 ,$64.04 ,$166.43 ,$61.98 ,$172.17 ,$61.98 ,$172.17 ,$172.17 ,$172.17 ,$185.56 ,$154.95 ,$172.17 ,$172.17 ,$172.17 ,$172.17 
ST. JOSEPH'S - CHIPPEWA FALLS,30200525,86485,HC SKIN TEST CANDIDA,302,1 ,$103.10 ,$77.33 ,$9.51 ,$103.10 ,$66.40 ,$25.49 ,$72.17 ,$9.51 ,$33.02 ,$9.80 ,$26.42 ,$97.95 , N/A ,$82.48 ,$93.82 ,$9.51 ,$96.91 ,$97.95 ,$92.79 ,$87.64 ,$9.51 ,$9.51 ,$9.51 ,$75.26 ,$25.49 ,$91.76 ,$92.79 ,$92.79 ,$82.48 ,$26.26 ,$56.71 ,$92.79 ,$25.49 ,$92.79 ,$25.49 ,$97.95 ,$57.36 ,$94.85 ,$10.08 ,$93.82 ,$25.49 ,$63.45 ,$66.40 ,$63.45 ,$92.79 ,$38.59 ,$76.94 ,$71.81 ,$25.75 ,$9.99 ,$96.40 ,$26.76 ,$9.51 ,$89.70 ,$25.49 ,$92.79 ,$25.49 ,$92.79 ,$92.79 ,$92.79 ,$100.01 ,$83.51 ,$92.79 ,$92.79 ,$92.79 ,$92.79 
ST. JOSEPH'S - CHIPPEWA FALLS,30200526,86486,HC SKIN TEST MUMPS,302,1 ,$103.10 ,$77.33 ,$3.28 ,$103.10 ,$66.40 ,$25.49 ,$72.17 ,$3.28 ,$8.09 ,$3.38 ,$6.47 ,$97.95 , N/A ,$82.48 ,$93.82 ,$3.28 ,$96.91 ,$97.95 ,$92.79 ,$87.64 ,$3.28 ,$3.28 ,$3.28 ,$75.26 ,$25.49 ,$91.76 ,$92.79 ,$92.79 ,$82.48 ,$26.26 ,$56.71 ,$92.79 ,$25.49 ,$92.79 ,$25.49 ,$97.95 ,$57.36 ,$94.85 ,$3.48 ,$93.82 ,$25.49 ,$63.45 ,$66.40 ,$63.45 ,$92.79 ,$10.74 ,$76.94 ,$23.42 ,$25.75 ,$3.44 ,$96.40 ,$26.76 ,$3.28 ,$89.70 ,$25.49 ,$92.79 ,$25.49 ,$92.79 ,$92.79 ,$92.79 ,$100.01 ,$83.51 ,$92.79 ,$92.79 ,$92.79 ,$92.79 
ST. JOSEPH'S - CHIPPEWA FALLS,30200527,86580,HC SKIN TEST TB INTRADERMAL,302,1 ,$104.41 ,$78.31 ,$3.28 ,$104.41 ,$67.24 ,$25.49 ,$73.09 ,$3.28 ,$13.49 ,$3.38 ,$10.79 ,$99.19 , N/A ,$83.53 ,$95.01 ,$3.28 ,$98.15 ,$99.19 ,$93.97 ,$88.75 ,$3.28 ,$3.28 ,$3.28 ,$76.22 ,$25.49 ,$92.92 ,$93.97 ,$93.97 ,$83.53 ,$26.26 ,$57.43 ,$93.97 ,$25.49 ,$93.97 ,$25.49 ,$99.19 ,$57.36 ,$96.06 ,$3.48 ,$95.01 ,$25.49 ,$64.25 ,$67.24 ,$64.25 ,$93.97 ,$32.50 ,$77.92 ,$39.21 ,$25.75 ,$3.44 ,$97.62 ,$26.76 ,$3.28 ,$90.84 ,$25.49 ,$93.97 ,$25.49 ,$93.97 ,$93.97 ,$93.97 ,$101.28 ,$84.57 ,$93.97 ,$93.97 ,$93.97 ,$93.97 
ST. JOSEPH'S - CHIPPEWA FALLS,30200529,86617,HC LYME DISEASE AB CONFIRM,302,1 ,$47.83 ,$35.87 ,$15.49 ,$47.83 ,$30.80 ,$15.49 ,$33.48 ,$16.01 ,$37.19 ,$16.49 ,$29.75 ,$45.44 , N/A ,$38.26 ,$43.53 ,$16.01 ,$44.96 ,$45.44 ,$43.05 ,$40.66 ,$16.01 ,$16.01 ,$16.01 ,$34.92 ,$15.49 ,$42.57 ,$43.05 ,$43.05 ,$38.26 ,$15.95 ,$26.31 ,$43.05 ,$15.49 ,$43.05 ,$15.49 ,$45.44 ,$34.85 ,$44.00 ,$16.97 ,$43.53 ,$15.49 ,$29.43 ,$30.80 ,$29.43 ,$43.05 ,$47.83 ,$35.70 ,$43.05 ,$15.64 ,$16.81 ,$44.72 ,$16.26 ,$16.01 ,$41.61 ,$15.49 ,$43.05 ,$15.49 ,$43.05 ,$43.05 ,$43.05 ,$46.40 ,$38.74 ,$43.05 ,$43.05 ,$43.05 ,$43.05 
ST. JOSEPH'S - CHIPPEWA FALLS,30200530,86645,HC CMV AB IGM,302,1 ,$52.00 ,$39.00 ,$8.17 ,$52.00 ,$33.49 ,$16.85 ,$36.40 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$49.40 , N/A ,$41.60 ,$47.32 ,$8.17 ,$48.88 ,$49.40 ,$46.80 ,$44.20 ,$8.17 ,$8.17 ,$8.17 ,$37.96 ,$16.85 ,$46.28 ,$46.80 ,$46.80 ,$41.60 ,$17.36 ,$28.60 ,$46.80 ,$16.85 ,$46.80 ,$16.85 ,$49.40 ,$37.91 ,$47.84 ,$8.66 ,$47.32 ,$16.85 ,$32.00 ,$33.49 ,$32.00 ,$46.80 ,$52.00 ,$38.81 ,$46.80 ,$17.02 ,$8.58 ,$48.62 ,$17.69 ,$8.17 ,$45.24 ,$16.85 ,$46.80 ,$16.85 ,$46.80 ,$46.80 ,$46.80 ,$50.44 ,$42.12 ,$46.80 ,$46.80 ,$46.80 ,$46.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30200531,86651,HC ENCEPHALITIS CALIFORNIA AB,302,1 ,$75.12 ,$56.34 ,$8.17 ,$75.12 ,$48.38 ,$13.19 ,$52.58 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$71.36 , N/A ,$60.10 ,$68.36 ,$8.17 ,$70.61 ,$71.36 ,$67.61 ,$63.85 ,$8.17 ,$8.17 ,$8.17 ,$54.84 ,$13.19 ,$66.86 ,$67.61 ,$67.61 ,$60.10 ,$13.59 ,$41.32 ,$67.61 ,$13.19 ,$67.61 ,$13.19 ,$71.36 ,$29.68 ,$69.11 ,$8.66 ,$68.36 ,$13.19 ,$46.23 ,$48.38 ,$46.23 ,$67.61 ,$64.67 ,$56.06 ,$67.61 ,$13.32 ,$8.58 ,$70.24 ,$13.85 ,$8.17 ,$65.35 ,$13.19 ,$67.61 ,$13.19 ,$67.61 ,$67.61 ,$67.61 ,$72.87 ,$60.85 ,$67.61 ,$67.61 ,$67.61 ,$67.61 
ST. JOSEPH'S - CHIPPEWA FALLS,30200532,86652,HC ENCEPHALITIS EQUINE AB,302,1 ,$75.12 ,$56.34 ,$8.17 ,$75.12 ,$48.38 ,$13.19 ,$52.58 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$71.36 , N/A ,$60.10 ,$68.36 ,$8.17 ,$70.61 ,$71.36 ,$67.61 ,$63.85 ,$8.17 ,$8.17 ,$8.17 ,$54.84 ,$13.19 ,$66.86 ,$67.61 ,$67.61 ,$60.10 ,$13.59 ,$41.32 ,$67.61 ,$13.19 ,$67.61 ,$13.19 ,$71.36 ,$29.68 ,$69.11 ,$8.66 ,$68.36 ,$13.19 ,$46.23 ,$48.38 ,$46.23 ,$67.61 ,$64.67 ,$56.06 ,$67.61 ,$13.32 ,$8.58 ,$70.24 ,$13.85 ,$8.17 ,$65.35 ,$13.19 ,$67.61 ,$13.19 ,$67.61 ,$67.61 ,$67.61 ,$72.87 ,$60.85 ,$67.61 ,$67.61 ,$67.61 ,$67.61 
ST. JOSEPH'S - CHIPPEWA FALLS,30200533,86653,HC ENCEPHALITIS ST LOUIS AB,302,1 ,$75.12 ,$56.34 ,$8.17 ,$75.12 ,$48.38 ,$13.19 ,$52.58 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$71.36 , N/A ,$60.10 ,$68.36 ,$8.17 ,$70.61 ,$71.36 ,$67.61 ,$63.85 ,$8.17 ,$8.17 ,$8.17 ,$54.84 ,$13.19 ,$66.86 ,$67.61 ,$67.61 ,$60.10 ,$13.59 ,$41.32 ,$67.61 ,$13.19 ,$67.61 ,$13.19 ,$71.36 ,$29.68 ,$69.11 ,$8.66 ,$68.36 ,$13.19 ,$46.23 ,$48.38 ,$46.23 ,$67.61 ,$64.67 ,$56.06 ,$67.61 ,$13.32 ,$8.58 ,$70.24 ,$13.85 ,$8.17 ,$65.35 ,$13.19 ,$67.61 ,$13.19 ,$67.61 ,$67.61 ,$67.61 ,$72.87 ,$60.85 ,$67.61 ,$67.61 ,$67.61 ,$67.61 
ST. JOSEPH'S - CHIPPEWA FALLS,30200534,86654,HC ENCEPHALITIS WEST EQUINE AB,302,1 ,$75.12 ,$56.34 ,$8.17 ,$75.12 ,$48.38 ,$13.19 ,$52.58 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$71.36 , N/A ,$60.10 ,$68.36 ,$8.17 ,$70.61 ,$71.36 ,$67.61 ,$63.85 ,$8.17 ,$8.17 ,$8.17 ,$54.84 ,$13.19 ,$66.86 ,$67.61 ,$67.61 ,$60.10 ,$13.59 ,$41.32 ,$67.61 ,$13.19 ,$67.61 ,$13.19 ,$71.36 ,$29.68 ,$69.11 ,$8.66 ,$68.36 ,$13.19 ,$46.23 ,$48.38 ,$46.23 ,$67.61 ,$64.67 ,$56.06 ,$67.61 ,$13.32 ,$8.58 ,$70.24 ,$13.85 ,$8.17 ,$65.35 ,$13.19 ,$67.61 ,$13.19 ,$67.61 ,$67.61 ,$67.61 ,$72.87 ,$60.85 ,$67.61 ,$67.61 ,$67.61 ,$67.61 
ST. JOSEPH'S - CHIPPEWA FALLS,30200536,86663,HC EBV EARLY AG,302,1 ,$76.73 ,$57.55 ,$13.12 ,$76.73 ,$49.41 ,$13.12 ,$53.71 ,$13.56 ,$31.50 ,$13.97 ,$25.20 ,$72.89 , N/A ,$61.38 ,$69.82 ,$13.56 ,$72.13 ,$72.89 ,$69.06 ,$65.22 ,$13.56 ,$13.56 ,$13.56 ,$56.01 ,$13.12 ,$68.29 ,$69.06 ,$69.06 ,$61.38 ,$13.51 ,$42.20 ,$69.06 ,$13.12 ,$69.06 ,$13.12 ,$72.89 ,$29.52 ,$70.59 ,$14.37 ,$69.82 ,$13.12 ,$47.22 ,$49.41 ,$47.22 ,$69.06 ,$64.67 ,$57.26 ,$69.06 ,$13.25 ,$14.24 ,$71.74 ,$13.78 ,$13.56 ,$66.76 ,$13.12 ,$69.06 ,$13.12 ,$69.06 ,$69.06 ,$69.06 ,$74.43 ,$62.15 ,$69.06 ,$69.06 ,$69.06 ,$69.06 
ST. JOSEPH'S - CHIPPEWA FALLS,30200539,86677,HC H PYLORI AB,302,1 ,$134.51 ,$100.88 ,$8.17 ,$134.51 ,$86.62 ,$16.85 ,$94.16 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$127.78 , N/A ,$107.61 ,$122.40 ,$8.17 ,$126.44 ,$127.78 ,$121.06 ,$114.33 ,$8.17 ,$8.17 ,$8.17 ,$98.19 ,$16.85 ,$119.71 ,$121.06 ,$121.06 ,$107.61 ,$17.36 ,$73.98 ,$121.06 ,$16.85 ,$121.06 ,$16.85 ,$127.78 ,$37.91 ,$123.75 ,$8.66 ,$122.40 ,$16.85 ,$82.78 ,$86.62 ,$82.78 ,$121.06 ,$134.51 ,$100.38 ,$91.19 ,$17.02 ,$8.58 ,$125.77 ,$17.69 ,$8.17 ,$117.02 ,$16.85 ,$121.06 ,$16.85 ,$121.06 ,$121.06 ,$121.06 ,$130.47 ,$108.95 ,$121.06 ,$121.06 ,$121.06 ,$121.06 
ST. JOSEPH'S - CHIPPEWA FALLS,30200540,86701,HC HIV-1 AB,302,1 ,$258.80 ,$194.10 ,$8.89 ,$258.80 ,$166.67 ,$8.89 ,$181.16 ,$9.19 ,$21.33 ,$9.47 ,$17.07 ,$245.86 , N/A ,$207.04 ,$235.51 ,$9.19 ,$243.27 ,$245.86 ,$232.92 ,$219.98 ,$9.19 ,$9.19 ,$9.19 ,$188.92 ,$8.89 ,$230.33 ,$232.92 ,$232.92 ,$207.04 ,$9.16 ,$142.34 ,$232.92 ,$8.89 ,$232.92 ,$8.89 ,$245.86 ,$20.00 ,$238.10 ,$9.74 ,$235.51 ,$8.89 ,$159.27 ,$166.67 ,$159.27 ,$232.92 ,$83.70 ,$193.14 ,$55.85 ,$8.98 ,$9.65 ,$241.98 ,$9.33 ,$9.19 ,$225.16 ,$8.89 ,$232.92 ,$8.89 ,$232.92 ,$232.92 ,$232.92 ,$251.04 ,$209.63 ,$232.92 ,$232.92 ,$232.92 ,$232.92 
ST. JOSEPH'S - CHIPPEWA FALLS,30200542,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$90.11 ,$67.58 ,$13.71 ,$90.11 ,$58.03 ,$13.71 ,$63.08 ,$14.17 ,$32.90 ,$14.60 ,$26.32 ,$85.60 , N/A ,$72.09 ,$82.00 ,$14.17 ,$84.70 ,$85.60 ,$81.10 ,$76.59 ,$14.17 ,$14.17 ,$14.17 ,$65.78 ,$13.71 ,$80.20 ,$81.10 ,$81.10 ,$72.09 ,$14.12 ,$49.56 ,$81.10 ,$13.71 ,$81.10 ,$13.71 ,$85.60 ,$30.85 ,$82.90 ,$15.02 ,$82.00 ,$13.71 ,$55.45 ,$58.03 ,$55.45 ,$81.10 ,$79.07 ,$67.25 ,$81.10 ,$13.85 ,$14.88 ,$84.25 ,$14.40 ,$14.17 ,$78.40 ,$13.71 ,$81.10 ,$13.71 ,$81.10 ,$81.10 ,$81.10 ,$87.41 ,$72.99 ,$81.10 ,$81.10 ,$81.10 ,$81.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30200543,86704,HC HEP CORE AB,302,1 ,$189.41 ,$142.06 ,$12.05 ,$189.41 ,$121.98 ,$12.05 ,$132.59 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$179.94 , N/A ,$151.53 ,$172.36 ,$12.45 ,$178.05 ,$179.94 ,$170.47 ,$161.00 ,$12.45 ,$12.45 ,$12.45 ,$138.27 ,$12.05 ,$168.57 ,$170.47 ,$170.47 ,$151.53 ,$12.41 ,$104.18 ,$170.47 ,$12.05 ,$170.47 ,$12.05 ,$179.94 ,$27.11 ,$174.26 ,$13.20 ,$172.36 ,$12.05 ,$116.56 ,$121.98 ,$116.56 ,$170.47 ,$62.90 ,$141.36 ,$75.76 ,$12.17 ,$13.07 ,$177.10 ,$12.65 ,$12.45 ,$164.79 ,$12.05 ,$170.47 ,$12.05 ,$170.47 ,$170.47 ,$170.47 ,$183.73 ,$153.42 ,$170.47 ,$170.47 ,$170.47 ,$170.47 
ST. JOSEPH'S - CHIPPEWA FALLS,30200545,86706,HC HEP B SURFACE AB,302,1 ,$176.10 ,$132.08 ,$10.74 ,$176.10 ,$113.41 ,$10.74 ,$123.27 ,$11.10 ,$25.78 ,$11.43 ,$20.62 ,$167.30 , N/A ,$140.88 ,$160.25 ,$11.10 ,$165.53 ,$167.30 ,$158.49 ,$149.69 ,$11.10 ,$11.10 ,$11.10 ,$128.55 ,$10.74 ,$156.73 ,$158.49 ,$158.49 ,$140.88 ,$11.06 ,$96.86 ,$158.49 ,$10.74 ,$158.49 ,$10.74 ,$167.30 ,$24.17 ,$162.01 ,$11.77 ,$160.25 ,$10.74 ,$108.37 ,$113.41 ,$108.37 ,$158.49 ,$48.56 ,$131.42 ,$67.51 ,$10.85 ,$11.66 ,$164.65 ,$11.28 ,$11.10 ,$153.21 ,$10.74 ,$158.49 ,$10.74 ,$158.49 ,$158.49 ,$158.49 ,$170.82 ,$142.64 ,$158.49 ,$158.49 ,$158.49 ,$158.49 
ST. JOSEPH'S - CHIPPEWA FALLS,30200546,86707,HC HEP B E AB,302,1 ,$81.45 ,$61.09 ,$11.57 ,$81.45 ,$52.45 ,$11.57 ,$57.02 ,$11.96 ,$27.77 ,$12.32 ,$22.22 ,$77.38 , N/A ,$65.16 ,$74.12 ,$11.96 ,$76.56 ,$77.38 ,$73.31 ,$69.23 ,$11.96 ,$11.96 ,$11.96 ,$59.46 ,$11.57 ,$72.49 ,$73.31 ,$73.31 ,$65.16 ,$11.92 ,$44.80 ,$73.31 ,$11.57 ,$73.31 ,$11.57 ,$77.38 ,$26.03 ,$74.93 ,$12.68 ,$74.12 ,$11.57 ,$50.12 ,$52.45 ,$50.12 ,$73.31 ,$52.97 ,$60.79 ,$72.71 ,$11.69 ,$12.56 ,$76.16 ,$12.15 ,$11.96 ,$70.86 ,$11.57 ,$73.31 ,$11.57 ,$73.31 ,$73.31 ,$73.31 ,$79.01 ,$65.97 ,$73.31 ,$73.31 ,$73.31 ,$73.31 
ST. JOSEPH'S - CHIPPEWA FALLS,30200547,86708,HC HEP A AB TOTAL,302,1 ,$62.38 ,$46.79 ,$12.39 ,$62.38 ,$40.17 ,$12.39 ,$43.67 ,$12.80 ,$29.73 ,$13.18 ,$23.79 ,$59.26 , N/A ,$49.90 ,$56.77 ,$12.80 ,$58.64 ,$59.26 ,$56.14 ,$53.02 ,$12.80 ,$12.80 ,$12.80 ,$45.54 ,$12.39 ,$55.52 ,$56.14 ,$56.14 ,$49.90 ,$12.76 ,$34.31 ,$56.14 ,$12.39 ,$56.14 ,$12.39 ,$59.26 ,$27.88 ,$57.39 ,$13.57 ,$56.77 ,$12.39 ,$38.39 ,$40.17 ,$38.39 ,$56.14 ,$60.69 ,$46.55 ,$56.14 ,$12.51 ,$13.44 ,$58.33 ,$13.01 ,$12.80 ,$54.27 ,$12.39 ,$56.14 ,$12.39 ,$56.14 ,$56.14 ,$56.14 ,$60.51 ,$50.53 ,$56.14 ,$56.14 ,$56.14 ,$56.14 
ST. JOSEPH'S - CHIPPEWA FALLS,30200548,86709,HC HEP A AB IGM,302,1 ,$202.39 ,$151.79 ,$11.26 ,$202.39 ,$130.34 ,$11.26 ,$141.67 ,$11.63 ,$27.02 ,$11.98 ,$21.62 ,$192.27 , N/A ,$161.91 ,$184.17 ,$11.63 ,$190.25 ,$192.27 ,$182.15 ,$172.03 ,$11.63 ,$11.63 ,$11.63 ,$147.74 ,$11.26 ,$180.13 ,$182.15 ,$182.15 ,$161.91 ,$11.60 ,$111.31 ,$182.15 ,$11.26 ,$182.15 ,$11.26 ,$192.27 ,$25.34 ,$186.20 ,$12.33 ,$184.17 ,$11.26 ,$124.55 ,$130.34 ,$124.55 ,$182.15 ,$56.28 ,$151.04 ,$70.77 ,$11.37 ,$12.21 ,$189.23 ,$11.82 ,$11.63 ,$176.08 ,$11.26 ,$182.15 ,$11.26 ,$182.15 ,$182.15 ,$182.15 ,$196.32 ,$163.94 ,$182.15 ,$182.15 ,$182.15 ,$182.15 
ST. JOSEPH'S - CHIPPEWA FALLS,30200549,86713,HC LEGIONELLA AB,302,1 ,$202.16 ,$151.62 ,$15.30 ,$202.16 ,$130.19 ,$15.30 ,$141.51 ,$15.81 ,$36.73 ,$16.28 ,$29.39 ,$192.05 , N/A ,$161.73 ,$183.97 ,$15.81 ,$190.03 ,$192.05 ,$181.94 ,$171.84 ,$15.81 ,$15.81 ,$15.81 ,$147.58 ,$15.30 ,$179.92 ,$181.94 ,$181.94 ,$161.73 ,$15.76 ,$111.19 ,$181.94 ,$15.30 ,$181.94 ,$15.30 ,$192.05 ,$34.43 ,$185.99 ,$16.76 ,$183.97 ,$15.30 ,$124.41 ,$130.19 ,$124.41 ,$181.94 ,$92.92 ,$150.87 ,$96.18 ,$15.45 ,$16.60 ,$189.02 ,$16.07 ,$15.81 ,$175.88 ,$15.30 ,$181.94 ,$15.30 ,$181.94 ,$181.94 ,$181.94 ,$196.10 ,$163.75 ,$181.94 ,$181.94 ,$181.94 ,$181.94 
ST. JOSEPH'S - CHIPPEWA FALLS,30200550,86727,HC LYMPH CHORIOMENINGITIS AB,302,1 ,$39.73 ,$29.80 ,$8.17 ,$39.73 ,$25.59 ,$12.87 ,$27.81 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$37.74 , N/A ,$31.78 ,$36.15 ,$8.17 ,$37.35 ,$37.74 ,$35.76 ,$33.77 ,$8.17 ,$8.17 ,$8.17 ,$29.00 ,$12.87 ,$35.36 ,$35.76 ,$35.76 ,$31.78 ,$13.26 ,$21.85 ,$35.76 ,$12.87 ,$35.76 ,$12.87 ,$37.74 ,$28.96 ,$36.55 ,$8.66 ,$36.15 ,$12.87 ,$24.45 ,$25.59 ,$24.45 ,$35.76 ,$39.73 ,$29.65 ,$35.76 ,$13.00 ,$8.58 ,$37.15 ,$13.51 ,$8.17 ,$34.57 ,$12.87 ,$35.76 ,$12.87 ,$35.76 ,$35.76 ,$35.76 ,$38.54 ,$32.18 ,$35.76 ,$35.76 ,$35.76 ,$35.76 
ST. JOSEPH'S - CHIPPEWA FALLS,30200551,86738,HC MYCOPLASMA AB,302,1 ,$67.77 ,$50.83 ,$13.24 ,$67.77 ,$43.64 ,$13.24 ,$47.44 ,$13.68 ,$31.78 ,$14.09 ,$25.42 ,$64.38 , N/A ,$54.22 ,$61.67 ,$13.68 ,$63.70 ,$64.38 ,$60.99 ,$57.60 ,$13.68 ,$13.68 ,$13.68 ,$49.47 ,$13.24 ,$60.32 ,$60.99 ,$60.99 ,$54.22 ,$13.64 ,$37.27 ,$60.99 ,$13.24 ,$60.99 ,$13.24 ,$64.38 ,$29.79 ,$62.35 ,$14.50 ,$61.67 ,$13.24 ,$41.71 ,$43.64 ,$41.71 ,$60.99 ,$67.77 ,$50.58 ,$60.99 ,$13.37 ,$14.36 ,$63.37 ,$13.90 ,$13.68 ,$58.96 ,$13.24 ,$60.99 ,$13.24 ,$60.99 ,$60.99 ,$60.99 ,$65.74 ,$54.89 ,$60.99 ,$60.99 ,$60.99 ,$60.99 
ST. JOSEPH'S - CHIPPEWA FALLS,30200552,86747,HC PARVOVIRUS AB,302,1 ,$104.30 ,$78.23 ,$15.03 ,$104.30 ,$67.17 ,$15.03 ,$73.01 ,$15.53 ,$36.09 ,$16.00 ,$28.87 ,$99.09 , N/A ,$83.44 ,$94.91 ,$15.53 ,$98.04 ,$99.09 ,$93.87 ,$88.66 ,$15.53 ,$15.53 ,$15.53 ,$76.14 ,$15.03 ,$92.83 ,$93.87 ,$93.87 ,$83.44 ,$15.48 ,$57.37 ,$93.87 ,$15.03 ,$93.87 ,$15.03 ,$99.09 ,$33.82 ,$95.96 ,$16.46 ,$94.91 ,$15.03 ,$64.19 ,$67.17 ,$64.19 ,$93.87 ,$87.89 ,$77.84 ,$93.87 ,$15.18 ,$16.31 ,$97.52 ,$15.78 ,$15.53 ,$90.74 ,$15.03 ,$93.87 ,$15.03 ,$93.87 ,$93.87 ,$93.87 ,$101.17 ,$84.48 ,$93.87 ,$93.87 ,$93.87 ,$93.87 
ST. JOSEPH'S - CHIPPEWA FALLS,30200553,86753,HC PROTOZOA AB NOS,302,1 ,$68.46 ,$51.35 ,$8.17 ,$68.46 ,$44.09 ,$12.39 ,$47.92 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$65.04 , N/A ,$54.77 ,$62.30 ,$8.17 ,$64.35 ,$65.04 ,$61.61 ,$58.19 ,$8.17 ,$8.17 ,$8.17 ,$49.98 ,$12.39 ,$60.93 ,$61.61 ,$61.61 ,$54.77 ,$12.76 ,$37.65 ,$61.61 ,$12.39 ,$61.61 ,$12.39 ,$65.04 ,$27.88 ,$62.98 ,$8.66 ,$62.30 ,$12.39 ,$42.13 ,$44.09 ,$42.13 ,$61.61 ,$60.17 ,$51.09 ,$61.61 ,$12.51 ,$8.58 ,$64.01 ,$13.01 ,$8.17 ,$59.56 ,$12.39 ,$61.61 ,$12.39 ,$61.61 ,$61.61 ,$61.61 ,$66.41 ,$55.45 ,$61.61 ,$61.61 ,$61.61 ,$61.61 
ST. JOSEPH'S - CHIPPEWA FALLS,30200554,86777,HC TOXOPLASMA AB,302,1 ,$46.98 ,$35.24 ,$14.39 ,$46.98 ,$30.26 ,$14.39 ,$32.89 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$44.63 , N/A ,$37.58 ,$42.75 ,$14.87 ,$44.16 ,$44.63 ,$42.28 ,$39.93 ,$14.87 ,$14.87 ,$14.87 ,$34.30 ,$14.39 ,$41.81 ,$42.28 ,$42.28 ,$37.58 ,$14.82 ,$25.84 ,$42.28 ,$14.39 ,$42.28 ,$14.39 ,$44.63 ,$32.38 ,$43.22 ,$15.76 ,$42.75 ,$14.39 ,$28.91 ,$30.26 ,$28.91 ,$42.28 ,$46.55 ,$35.06 ,$42.28 ,$14.53 ,$15.61 ,$43.93 ,$15.11 ,$14.87 ,$40.87 ,$14.39 ,$42.28 ,$14.39 ,$42.28 ,$42.28 ,$42.28 ,$45.57 ,$38.05 ,$42.28 ,$42.28 ,$42.28 ,$42.28 
ST. JOSEPH'S - CHIPPEWA FALLS,30200555,86778,HC TOXOPLASMA AB IGM,302,1 ,$46.98 ,$35.24 ,$14.41 ,$46.98 ,$30.26 ,$14.41 ,$32.89 ,$14.89 ,$30.68 ,$15.34 ,$24.54 ,$44.63 , N/A ,$37.58 ,$42.75 ,$14.89 ,$44.16 ,$44.63 ,$42.28 ,$39.93 ,$14.89 ,$14.89 ,$14.89 ,$34.30 ,$14.41 ,$41.81 ,$42.28 ,$42.28 ,$37.58 ,$14.84 ,$25.84 ,$42.28 ,$14.41 ,$42.28 ,$14.41 ,$44.63 ,$32.42 ,$43.22 ,$15.78 ,$42.75 ,$14.41 ,$28.91 ,$30.26 ,$28.91 ,$42.28 ,$46.55 ,$35.06 ,$42.28 ,$14.55 ,$15.63 ,$43.93 ,$15.13 ,$14.89 ,$40.87 ,$14.41 ,$42.28 ,$14.41 ,$42.28 ,$42.28 ,$42.28 ,$45.57 ,$38.05 ,$42.28 ,$42.28 ,$42.28 ,$42.28 
ST. JOSEPH'S - CHIPPEWA FALLS,30200558,86812,HC HLA TYPING SINGLE A/B/C,302,1 ,$149.55 ,$112.16 ,$25.81 ,$149.55 ,$96.31 ,$25.81 ,$104.69 ,$26.67 ,$61.95 ,$27.47 ,$49.56 ,$142.07 , N/A ,$119.64 ,$136.09 ,$26.67 ,$140.58 ,$142.07 ,$134.60 ,$127.12 ,$26.67 ,$26.67 ,$26.67 ,$109.17 ,$25.81 ,$133.10 ,$134.60 ,$134.60 ,$119.64 ,$26.58 ,$82.25 ,$134.60 ,$25.81 ,$134.60 ,$25.81 ,$142.07 ,$58.07 ,$137.59 ,$28.27 ,$136.09 ,$25.81 ,$92.03 ,$96.31 ,$92.03 ,$134.60 ,$149.55 ,$111.61 ,$134.60 ,$26.07 ,$28.00 ,$139.83 ,$27.10 ,$26.67 ,$130.11 ,$25.81 ,$134.60 ,$25.81 ,$134.60 ,$134.60 ,$134.60 ,$145.06 ,$121.14 ,$134.60 ,$134.60 ,$134.60 ,$134.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30200559,86850,HC AB SCREEN,302,1 ,$263.53 ,$197.65 ,$5.38 ,$263.53 ,$169.71 ,$51.28 ,$184.47 ,$5.38 ,$9.19 ,$5.54 ,$7.35 ,$250.35 , N/A ,$210.82 ,$239.81 ,$5.38 ,$247.72 ,$250.35 ,$237.18 ,$224.00 ,$5.38 ,$5.38 ,$5.38 ,$192.38 ,$51.28 ,$234.54 ,$237.18 ,$237.18 ,$210.82 ,$52.82 ,$144.94 ,$237.18 ,$51.28 ,$237.18 ,$51.28 ,$250.35 ,$115.38 ,$242.45 ,$5.70 ,$239.81 ,$51.28 ,$162.18 ,$169.71 ,$162.18 ,$237.18 ,$67.41 ,$196.67 ,$49.74 ,$51.79 ,$5.65 ,$246.40 ,$53.84 ,$5.38 ,$229.27 ,$51.28 ,$237.18 ,$51.28 ,$237.18 ,$237.18 ,$237.18 ,$255.62 ,$213.46 ,$237.18 ,$237.18 ,$237.18 ,$237.18 
ST. JOSEPH'S - CHIPPEWA FALLS,30200560,86860,HC ELUTION,302,1 ,$322.95 ,$242.21 ,$8.23 ,$346.30 ,$207.98 ,$153.91 ,$226.07 ,$8.23 ,$52.24 ,$8.48 ,$41.79 ,$306.80 , N/A ,$258.36 ,$293.88 ,$8.23 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$8.23 ,$8.23 ,$8.23 ,$235.75 ,$153.91 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$158.53 ,$177.62 ,$290.66 ,$153.91 ,$290.66 ,$153.91 ,$306.80 ,$346.30 ,$297.11 ,$8.72 ,$293.88 ,$153.91 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$197.64 ,$241.02 ,$224.93 ,$155.45 ,$8.64 ,$301.96 ,$161.61 ,$8.23 ,$280.97 ,$153.91 ,$290.66 ,$153.91 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 
ST. JOSEPH'S - CHIPPEWA FALLS,30200561,86870,HC RBC AB ID PANEL,302,1 ,$538.58 ,$403.94 ,$8.23 ,$676.25 ,$346.85 ,$300.56 ,$377.01 ,$8.23 ,$71.45 ,$8.48 ,$57.16 ,$511.65 , N/A ,$430.86 ,$490.11 ,$8.23 ,$506.27 ,$511.65 ,$484.72 ,$457.79 ,$8.23 ,$8.23 ,$8.23 ,$393.16 ,$300.56 ,$479.34 ,$484.72 ,$484.72 ,$430.86 ,$309.57 ,$296.22 ,$484.72 ,$300.56 ,$484.72 ,$300.56 ,$511.65 ,$676.25 ,$495.49 ,$8.72 ,$490.11 ,$300.56 ,$331.44 ,$346.85 ,$331.44 ,$484.72 ,$197.64 ,$401.94 ,$375.12 ,$303.56 ,$8.64 ,$503.57 ,$315.59 ,$8.23 ,$468.56 ,$300.56 ,$484.72 ,$300.56 ,$484.72 ,$484.72 ,$484.72 ,$522.42 ,$436.25 ,$484.72 ,$484.72 ,$484.72 ,$484.72 
ST. JOSEPH'S - CHIPPEWA FALLS,30200562,86880,HC COOMBS DIRECT,302,1 ,$110.39 ,$82.79 ,$5.57 ,$129.25 ,$71.09 ,$57.44 ,$77.27 ,$5.57 ,$10.33 ,$5.74 ,$8.26 ,$104.87 , N/A ,$88.31 ,$100.45 ,$5.57 ,$103.77 ,$104.87 ,$99.35 ,$93.83 ,$5.57 ,$5.57 ,$5.57 ,$80.58 ,$57.44 ,$98.25 ,$99.35 ,$99.35 ,$88.31 ,$59.17 ,$60.71 ,$99.35 ,$57.44 ,$99.35 ,$57.44 ,$104.87 ,$129.25 ,$101.56 ,$5.90 ,$100.45 ,$57.44 ,$67.93 ,$71.09 ,$67.93 ,$99.35 ,$32.94 ,$82.38 ,$33.86 ,$58.02 ,$5.85 ,$103.21 ,$60.31 ,$5.57 ,$96.04 ,$57.44 ,$99.35 ,$57.44 ,$99.35 ,$99.35 ,$99.35 ,$107.08 ,$89.42 ,$99.35 ,$99.35 ,$99.35 ,$99.35 
ST. JOSEPH'S - CHIPPEWA FALLS,30200565,86900,HC BLOOD TYPING ABO,302,1 ,$61.94 ,$46.46 ,$3.09 ,$261.82 ,$39.89 ,$116.36 ,$43.36 ,$3.09 ,$6.58 ,$3.18 ,$5.26 ,$58.84 , N/A ,$49.55 ,$56.37 ,$3.09 ,$58.22 ,$58.84 ,$55.75 ,$52.65 ,$3.09 ,$3.09 ,$3.09 ,$45.22 ,$116.36 ,$55.13 ,$55.75 ,$55.75 ,$49.55 ,$119.85 ,$34.07 ,$55.75 ,$116.36 ,$55.75 ,$116.36 ,$58.84 ,$261.82 ,$56.98 ,$3.28 ,$56.37 ,$116.36 ,$38.12 ,$39.89 ,$38.12 ,$55.75 ,$50.50 ,$46.23 ,$18.79 ,$117.53 ,$3.24 ,$57.91 ,$122.18 ,$3.09 ,$53.89 ,$116.36 ,$55.75 ,$116.36 ,$55.75 ,$55.75 ,$55.75 ,$60.08 ,$50.17 ,$55.75 ,$55.75 ,$55.75 ,$55.75 
ST. JOSEPH'S - CHIPPEWA FALLS,30200566,86901,HC BLOOD TYPING RH,302,1 ,$78.00 ,$58.50 ,$3.09 ,$78.59 ,$50.23 ,$34.93 ,$54.60 ,$3.09 ,$6.58 ,$3.18 ,$5.26 ,$74.10 , N/A ,$62.40 ,$70.98 ,$3.09 ,$73.32 ,$74.10 ,$70.20 ,$66.30 ,$3.09 ,$3.09 ,$3.09 ,$56.94 ,$34.93 ,$69.42 ,$70.20 ,$70.20 ,$62.40 ,$35.98 ,$42.90 ,$70.20 ,$34.93 ,$70.20 ,$34.93 ,$74.10 ,$78.59 ,$71.76 ,$3.28 ,$70.98 ,$34.93 ,$48.00 ,$50.23 ,$48.00 ,$70.20 ,$50.50 ,$58.21 ,$18.79 ,$35.28 ,$3.24 ,$72.93 ,$36.68 ,$3.09 ,$67.86 ,$34.93 ,$70.20 ,$34.93 ,$70.20 ,$70.20 ,$70.20 ,$75.66 ,$63.18 ,$70.20 ,$70.20 ,$70.20 ,$70.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30200567,86902,HC RBC AG SCR RGT SERUM,302,1 ,$146.78 ,$110.09 ,$5.37 ,$676.25 ,$94.53 ,$300.56 ,$102.75 ,$5.37 ,$9.19 ,$5.53 ,$7.35 ,$139.44 , N/A ,$117.42 ,$133.57 ,$5.37 ,$137.97 ,$139.44 ,$132.10 ,$124.76 ,$5.37 ,$5.37 ,$5.37 ,$107.15 ,$300.56 ,$130.63 ,$132.10 ,$132.10 ,$117.42 , N/A ,$80.73 ,$132.10 ,$300.56 ,$132.10 ,$300.56 ,$139.44 ,$676.25 ,$135.04 ,$5.69 ,$133.57 ,$300.56 ,$90.33 ,$94.53 ,$90.33 ,$132.10 ,$10.95 ,$109.54 ,$32.33 ,$303.56 ,$5.64 ,$137.24 , N/A ,$5.37 ,$127.70 ,$300.56 ,$132.10 ,$300.56 ,$132.10 ,$132.10 ,$132.10 ,$142.38 ,$118.89 ,$132.10 ,$132.10 ,$132.10 ,$132.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$206.06 ,$154.55 ,$3.96 ,$676.25 ,$132.70 ,$300.56 ,$144.24 ,$3.96 ,$9.19 ,$4.08 ,$7.35 ,$195.76 , N/A ,$164.85 ,$187.51 ,$3.96 ,$193.70 ,$195.76 ,$185.45 ,$175.15 ,$3.96 ,$3.96 ,$3.96 ,$150.42 ,$300.56 ,$183.39 ,$185.45 ,$185.45 ,$164.85 ,$309.57 ,$113.33 ,$185.45 ,$300.56 ,$185.45 ,$300.56 ,$195.76 ,$676.25 ,$189.58 ,$4.20 ,$187.51 ,$300.56 ,$126.81 ,$132.70 ,$126.81 ,$185.45 ,$57.09 ,$153.78 ,$24.08 ,$303.56 ,$4.16 ,$192.67 ,$315.59 ,$3.96 ,$179.27 ,$300.56 ,$185.45 ,$300.56 ,$185.45 ,$185.45 ,$185.45 ,$199.88 ,$166.91 ,$185.45 ,$185.45 ,$185.45 ,$185.45 
ST. JOSEPH'S - CHIPPEWA FALLS,30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$322.95 ,$242.21 ,$7.15 ,$346.30 ,$207.98 ,$153.91 ,$226.07 ,$7.15 ,$57.65 ,$7.36 ,$46.12 ,$306.80 , N/A ,$258.36 ,$293.88 ,$7.15 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$7.15 ,$7.15 ,$7.15 ,$235.75 ,$153.91 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$158.53 ,$177.62 ,$290.66 ,$153.91 ,$290.66 ,$153.91 ,$306.80 ,$346.30 ,$297.11 ,$7.58 ,$293.88 ,$153.91 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$30.75 ,$241.02 ,$224.93 ,$155.45 ,$7.51 ,$301.96 ,$161.61 ,$7.15 ,$280.97 ,$153.91 ,$290.66 ,$153.91 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 
ST. JOSEPH'S - CHIPPEWA FALLS,30200571,86922,HC CROSSMATCH AHG,302,1 ,$322.95 ,$242.21 ,$8.23 ,$346.30 ,$207.98 ,$153.91 ,$226.07 ,$8.23 ,$61.85 ,$8.48 ,$49.48 ,$306.80 , N/A ,$258.36 ,$293.88 ,$8.23 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$8.23 ,$8.23 ,$8.23 ,$235.75 ,$153.91 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$158.53 ,$177.62 ,$290.66 ,$153.91 ,$290.66 ,$153.91 ,$306.80 ,$346.30 ,$297.11 ,$8.72 ,$293.88 ,$153.91 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$90.47 ,$241.02 ,$224.93 ,$155.45 ,$8.64 ,$301.96 ,$161.61 ,$8.23 ,$280.97 ,$153.91 ,$290.66 ,$153.91 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 
ST. JOSEPH'S - CHIPPEWA FALLS,30200573,86978,HC RBC PRETREAT ABSOR,302,1 ,$143.21 ,$107.41 ,$8.35 ,$143.21 ,$92.23 ,$34.93 ,$100.25 ,$8.35 ,$57.65 ,$8.60 ,$46.12 ,$136.05 , N/A ,$114.57 ,$130.32 ,$8.35 ,$134.62 ,$136.05 ,$128.89 ,$121.73 ,$8.35 ,$8.35 ,$8.35 ,$104.54 ,$34.93 ,$127.46 ,$128.89 ,$128.89 ,$114.57 ,$35.98 ,$78.77 ,$128.89 ,$34.93 ,$128.89 ,$34.93 ,$136.05 ,$78.59 ,$131.75 ,$8.85 ,$130.32 ,$34.93 ,$88.13 ,$92.23 ,$88.13 ,$128.89 ,$87.89 ,$106.88 ,$99.75 ,$35.28 ,$8.77 ,$133.90 ,$36.68 ,$8.35 ,$124.59 ,$34.93 ,$128.89 ,$34.93 ,$128.89 ,$128.89 ,$128.89 ,$138.91 ,$116.00 ,$128.89 ,$128.89 ,$128.89 ,$128.89 
ST. JOSEPH'S - CHIPPEWA FALLS,30200574,87272,HC CRYPTOSPORIDIUM,302,1 ,$372.00 ,$279.00 ,$11.98 ,$372.00 ,$239.57 ,$11.98 ,$260.40 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$353.40 , N/A ,$297.60 ,$338.52 ,$12.38 ,$349.68 ,$353.40 ,$334.80 ,$316.20 ,$12.38 ,$12.38 ,$12.38 ,$271.56 ,$11.98 ,$331.08 ,$334.80 ,$334.80 ,$297.60 ,$12.34 ,$204.60 ,$334.80 ,$11.98 ,$334.80 ,$11.98 ,$353.40 ,$26.96 ,$342.24 ,$13.12 ,$338.52 ,$11.98 ,$228.93 ,$239.57 ,$228.93 ,$334.80 ,$51.16 ,$277.62 ,$75.36 ,$12.10 ,$13.00 ,$347.82 ,$12.58 ,$12.38 ,$323.64 ,$11.98 ,$334.80 ,$11.98 ,$334.80 ,$334.80 ,$334.80 ,$360.84 ,$301.32 ,$334.80 ,$334.80 ,$334.80 ,$334.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30200575,87801,HC INFECT MLT  ORG AMP,302,1 ,$444.00 ,$333.00 ,$50.62 ,$444.00 ,$285.94 ,$70.20 ,$310.80 ,$50.62 ,$168.51 ,$52.14 ,$134.81 ,$421.80 , N/A ,$355.20 ,$404.04 ,$50.62 ,$417.36 ,$421.80 ,$399.60 ,$377.40 ,$50.62 ,$50.62 ,$50.62 ,$324.12 ,$70.20 ,$395.16 ,$399.60 ,$399.60 ,$355.20 ,$72.31 ,$244.20 ,$399.60 ,$70.20 ,$399.60 ,$70.20 ,$421.80 ,$157.95 ,$408.48 ,$53.66 ,$404.04 ,$70.20 ,$273.24 ,$285.94 ,$273.24 ,$399.60 ,$122.72 ,$331.36 ,$399.60 ,$70.90 ,$53.15 ,$415.14 ,$73.71 ,$50.62 ,$386.28 ,$70.20 ,$399.60 ,$70.20 ,$399.60 ,$399.60 ,$399.60 ,$430.68 ,$359.64 ,$399.60 ,$399.60 ,$399.60 ,$399.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30200576,87804,HC INFLUENZA ASSAY W/OPTIC,302,1 ,$156.00 ,$117.00 ,$16.55 ,$156.00 ,$100.46 ,$16.55 ,$109.20 ,$16.86 ,$28.77 ,$17.37 ,$23.02 ,$148.20 , N/A ,$124.80 ,$141.96 ,$16.86 ,$146.64 ,$148.20 ,$140.40 ,$132.60 ,$16.86 ,$16.86 ,$16.86 ,$113.88 ,$16.55 ,$138.84 ,$140.40 ,$140.40 ,$124.80 ,$17.05 ,$85.80 ,$140.40 ,$16.55 ,$140.40 ,$16.55 ,$148.20 ,$37.24 ,$143.52 ,$17.87 ,$141.96 ,$16.55 ,$96.00 ,$100.46 ,$96.00 ,$140.40 ,$65.98 ,$116.42 ,$84.27 ,$16.72 ,$17.70 ,$145.86 ,$17.38 ,$16.86 ,$135.72 ,$16.55 ,$140.40 ,$16.55 ,$140.40 ,$140.40 ,$140.40 ,$151.32 ,$126.36 ,$140.40 ,$140.40 ,$140.40 ,$140.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30200577,86481,HC TB ANTIGEN RESPONSE GAMMA INTER T-CELL SUSP,302,1 ,$250.00 ,$187.50 ,$90.12 ,$250.00 ,$161.00 ,$100.00 ,$175.00 ,$90.12 ,$179.88 ,$92.82 ,$143.91 ,$237.50 , N/A ,$200.00 ,$227.50 ,$90.12 ,$235.00 ,$237.50 ,$225.00 ,$212.50 ,$90.12 ,$90.12 ,$90.12 ,$182.50 ,$100.00 ,$222.50 ,$225.00 ,$225.00 ,$200.00 ,$103.00 ,$137.50 ,$225.00 ,$100.00 ,$225.00 ,$100.00 ,$237.50 ,$225.00 ,$230.00 ,$95.53 ,$227.50 ,$100.00 ,$153.85 ,$161.00 ,$153.85 ,$225.00 ,$175.92 ,$186.58 ,$225.00 ,$101.00 ,$94.63 ,$233.75 ,$105.00 ,$90.12 ,$217.50 ,$100.00 ,$225.00 ,$100.00 ,$225.00 ,$225.00 ,$225.00 ,$242.50 ,$202.50 ,$225.00 ,$225.00 ,$225.00 ,$225.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30200581,87801,HC INFECT MLT  ORG AMP -52,302,1 ,$377.00 ,$282.75 ,$50.62 ,$377.00 ,$242.79 ,$70.20 ,$263.90 ,$50.62 ,$168.51 ,$52.14 ,$134.81 ,$358.15 , N/A ,$301.60 ,$343.07 ,$50.62 ,$354.38 ,$358.15 ,$339.30 ,$320.45 ,$50.62 ,$50.62 ,$50.62 ,$275.21 ,$70.20 ,$335.53 ,$339.30 ,$339.30 ,$301.60 ,$72.31 ,$207.35 ,$339.30 ,$70.20 ,$339.30 ,$70.20 ,$358.15 ,$157.95 ,$346.84 ,$53.66 ,$343.07 ,$70.20 ,$232.01 ,$242.79 ,$232.01 ,$339.30 ,$122.72 ,$281.36 ,$339.30 ,$70.90 ,$53.15 ,$352.50 ,$73.71 ,$50.62 ,$327.99 ,$70.20 ,$339.30 ,$70.20 ,$339.30 ,$339.30 ,$339.30 ,$365.69 ,$305.37 ,$339.30 ,$339.30 ,$339.30 ,$339.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30200824,86644,HC CMV AB,302,1 ,$44.43 ,$33.32 ,$14.39 ,$44.43 ,$28.61 ,$14.39 ,$31.10 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$42.21 , N/A ,$35.54 ,$40.43 ,$14.87 ,$41.76 ,$42.21 ,$39.99 ,$37.77 ,$14.87 ,$14.87 ,$14.87 ,$32.43 ,$14.39 ,$39.54 ,$39.99 ,$39.99 ,$35.54 ,$14.82 ,$24.44 ,$39.99 ,$14.39 ,$39.99 ,$14.39 ,$42.21 ,$32.38 ,$40.88 ,$15.76 ,$40.43 ,$14.39 ,$27.34 ,$28.61 ,$27.34 ,$39.99 ,$44.43 ,$33.16 ,$39.99 ,$14.53 ,$15.61 ,$41.54 ,$15.11 ,$14.87 ,$38.65 ,$14.39 ,$39.99 ,$14.39 ,$39.99 ,$39.99 ,$39.99 ,$43.10 ,$35.99 ,$39.99 ,$39.99 ,$39.99 ,$39.99 
ST. JOSEPH'S - CHIPPEWA FALLS,30201083,86353,HC LYMPHOCYTE TRANFORM MITOGENS,302,1 ,$55.00 ,$41.25 ,$30.25 ,$110.32 ,$35.42 ,$49.03 ,$38.50 ,$50.66 ,$55.00 ,$52.18 ,$55.00 ,$52.25 , N/A ,$44.00 ,$50.05 ,$50.66 ,$51.70 ,$52.25 ,$49.50 ,$46.75 ,$50.66 ,$50.66 ,$50.66 ,$40.15 ,$49.03 ,$48.95 ,$49.50 ,$49.50 ,$44.00 ,$50.50 ,$30.25 ,$49.50 ,$49.03 ,$49.50 ,$49.03 ,$52.25 ,$110.32 ,$50.60 ,$53.70 ,$50.05 ,$49.03 ,$33.85 ,$35.42 ,$33.85 ,$49.50 ,$55.00 ,$41.05 ,$49.50 ,$49.52 ,$53.19 ,$51.43 ,$51.48 ,$50.66 ,$47.85 ,$49.03 ,$49.50 ,$49.03 ,$49.50 ,$49.50 ,$49.50 ,$53.35 ,$44.55 ,$49.50 ,$49.50 ,$49.50 ,$49.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30201087,86317,HC INFECTIOUS STREPTOCOCCUS PNEUMONIAE EA AB,302,1 ,$136.00 ,$102.00 ,$14.99 ,$136.00 ,$87.58 ,$14.99 ,$95.20 ,$15.49 ,$35.98 ,$15.95 ,$28.78 ,$129.20 , N/A ,$108.80 ,$123.76 ,$15.49 ,$127.84 ,$129.20 ,$122.40 ,$115.60 ,$15.49 ,$15.49 ,$15.49 ,$99.28 ,$14.99 ,$121.04 ,$122.40 ,$122.40 ,$108.80 ,$15.44 ,$74.80 ,$122.40 ,$14.99 ,$122.40 ,$14.99 ,$129.20 ,$33.73 ,$125.12 ,$16.42 ,$123.76 ,$14.99 ,$83.69 ,$87.58 ,$83.69 ,$122.40 ,$81.28 ,$101.50 ,$94.19 ,$15.14 ,$16.26 ,$127.16 ,$15.74 ,$15.49 ,$118.32 ,$14.99 ,$122.40 ,$14.99 ,$122.40 ,$122.40 ,$122.40 ,$131.92 ,$110.16 ,$122.40 ,$122.40 ,$122.40 ,$122.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30201179,86255,HC PHOSPHOLIPASE A2 RECPT ANTIBODY,302,1 ,$270.00 ,$202.50 ,$12.05 ,$270.00 ,$173.88 ,$12.05 ,$189.00 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$256.50 , N/A ,$216.00 ,$245.70 ,$12.45 ,$253.80 ,$256.50 ,$243.00 ,$229.50 ,$12.45 ,$12.45 ,$12.45 ,$197.10 ,$12.05 ,$240.30 ,$243.00 ,$243.00 ,$216.00 ,$12.41 ,$148.50 ,$243.00 ,$12.05 ,$243.00 ,$12.05 ,$256.50 ,$27.11 ,$248.40 ,$13.20 ,$245.70 ,$12.05 ,$166.16 ,$173.88 ,$166.16 ,$243.00 ,$114.22 ,$201.50 ,$75.76 ,$12.17 ,$13.07 ,$252.45 ,$12.65 ,$12.45 ,$234.90 ,$12.05 ,$243.00 ,$12.05 ,$243.00 ,$243.00 ,$243.00 ,$261.90 ,$218.70 ,$243.00 ,$243.00 ,$243.00 ,$243.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30201196,86015,HC ACTIN ANTIBODY,302,1 ,$58.00 ,$43.50 ,$3.28 ,$58.00 ,$37.35 ,$11.53 ,$40.60 ,$3.28 ,$20.18 ,$3.38 ,$38.28 ,$55.10 , N/A ,$46.40 ,$52.78 ,$3.28 ,$54.52 ,$55.10 ,$52.20 ,$49.30 ,$3.28 ,$3.28 ,$3.28 ,$42.34 ,$11.53 ,$51.62 ,$52.20 ,$52.20 ,$46.40 ,$11.88 ,$31.90 ,$52.20 ,$11.53 ,$52.20 ,$11.53 ,$55.10 ,$25.94 ,$53.36 ,$3.48 ,$52.78 ,$11.53 ,$35.69 ,$37.35 ,$35.69 ,$52.20 ,$52.20 ,$43.29 ,$40.40 ,$11.65 ,$3.44 ,$54.23 ,$12.11 ,$3.28 ,$50.46 ,$11.53 ,$52.20 ,$11.53 ,$52.20 ,$52.20 ,$52.20 ,$56.26 ,$46.98 ,$52.20 ,$52.20 ,$52.20 ,$52.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30201197,86015,HC EMA ANTIBODY EA IGG,302,1 ,$121.00 ,$90.75 ,$3.28 ,$121.00 ,$77.92 ,$11.53 ,$84.70 ,$3.28 ,$20.18 ,$3.38 ,$79.86 ,$114.95 , N/A ,$96.80 ,$110.11 ,$3.28 ,$113.74 ,$114.95 ,$108.90 ,$102.85 ,$3.28 ,$3.28 ,$3.28 ,$88.33 ,$11.53 ,$107.69 ,$108.90 ,$108.90 ,$96.80 ,$11.88 ,$66.55 ,$108.90 ,$11.53 ,$108.90 ,$11.53 ,$114.95 ,$25.94 ,$111.32 ,$3.48 ,$110.11 ,$11.53 ,$74.46 ,$77.92 ,$74.46 ,$108.90 ,$108.90 ,$90.30 ,$84.28 ,$11.65 ,$3.44 ,$113.14 ,$12.11 ,$3.28 ,$105.27 ,$11.53 ,$108.90 ,$11.53 ,$108.90 ,$108.90 ,$108.90 ,$117.37 ,$98.01 ,$108.90 ,$108.90 ,$108.90 ,$108.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30201198,86258,HC GLIADIN AB IGG IGA,302,1 ,$58.00 ,$43.50 ,$3.28 ,$58.00 ,$37.35 ,$11.53 ,$40.60 ,$3.28 ,$20.18 ,$3.38 ,$38.28 ,$55.10 , N/A ,$46.40 ,$52.78 ,$3.28 ,$54.52 ,$55.10 ,$52.20 ,$49.30 ,$3.28 ,$3.28 ,$3.28 ,$42.34 ,$11.53 ,$51.62 ,$52.20 ,$52.20 ,$46.40 ,$11.88 ,$31.90 ,$52.20 ,$11.53 ,$52.20 ,$11.53 ,$55.10 ,$25.94 ,$53.36 ,$3.48 ,$52.78 ,$11.53 ,$35.69 ,$37.35 ,$35.69 ,$52.20 ,$52.20 ,$43.29 ,$40.40 ,$11.65 ,$3.44 ,$54.23 ,$12.11 ,$3.28 ,$50.46 ,$11.53 ,$52.20 ,$11.53 ,$52.20 ,$52.20 ,$52.20 ,$56.26 ,$46.98 ,$52.20 ,$52.20 ,$52.20 ,$52.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30201199,83516,HC TTG AB IGG IGA,302,1 ,$58.00 ,$43.50 ,$11.53 ,$58.00 ,$37.35 ,$11.53 ,$40.60 ,$11.91 ,$27.69 ,$12.27 ,$22.15 ,$55.10 , N/A ,$46.40 ,$52.78 ,$11.91 ,$54.52 ,$55.10 ,$52.20 ,$49.30 ,$11.91 ,$11.91 ,$11.91 ,$42.34 ,$11.53 ,$51.62 ,$52.20 ,$52.20 ,$46.40 ,$11.88 ,$31.90 ,$52.20 ,$11.53 ,$52.20 ,$11.53 ,$55.10 ,$25.94 ,$53.36 ,$12.62 ,$52.78 ,$11.53 ,$35.69 ,$37.35 ,$35.69 ,$52.20 ,$48.30 ,$43.29 ,$52.20 ,$11.65 ,$12.51 ,$54.23 ,$12.11 ,$11.91 ,$50.46 ,$11.53 ,$52.20 ,$11.53 ,$52.20 ,$52.20 ,$52.20 ,$56.26 ,$46.98 ,$52.20 ,$52.20 ,$52.20 ,$52.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30240102,86003,HC ALLERGEN IGE QN EA-REF,302,1 ,$69.89 ,$52.42 ,$4.57 ,$69.89 ,$45.01 ,$5.22 ,$48.92 ,$4.57 ,$7.79 ,$4.71 ,$6.23 ,$66.40 , N/A ,$55.91 ,$63.60 ,$4.57 ,$65.70 ,$66.40 ,$62.90 ,$59.41 ,$4.57 ,$4.57 ,$4.57 ,$51.02 ,$5.22 ,$62.20 ,$62.90 ,$62.90 ,$55.91 ,$5.38 ,$38.44 ,$62.90 ,$5.22 ,$62.90 ,$5.22 ,$66.40 ,$11.75 ,$64.30 ,$4.84 ,$63.60 ,$5.22 ,$43.01 ,$45.01 ,$43.01 ,$62.90 ,$69.89 ,$52.16 ,$32.79 ,$5.27 ,$4.80 ,$65.35 ,$5.48 ,$4.57 ,$60.80 ,$5.22 ,$62.90 ,$5.22 ,$62.90 ,$62.90 ,$62.90 ,$67.79 ,$56.61 ,$62.90 ,$62.90 ,$62.90 ,$62.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$76.27 ,$57.20 ,$3.80 ,$76.27 ,$49.12 ,$3.80 ,$53.39 ,$3.93 ,$8.24 ,$4.05 ,$6.59 ,$72.46 , N/A ,$61.02 ,$69.41 ,$3.93 ,$71.69 ,$72.46 ,$68.64 ,$64.83 ,$3.93 ,$3.93 ,$3.93 ,$55.68 ,$3.80 ,$67.88 ,$68.64 ,$68.64 ,$61.02 ,$3.91 ,$41.95 ,$68.64 ,$3.80 ,$68.64 ,$3.80 ,$72.46 ,$8.55 ,$70.17 ,$4.17 ,$69.41 ,$3.80 ,$46.94 ,$49.12 ,$46.94 ,$68.64 ,$43.91 ,$56.92 ,$21.59 ,$3.84 ,$4.13 ,$71.31 ,$3.99 ,$3.93 ,$66.35 ,$3.80 ,$68.64 ,$3.80 ,$68.64 ,$68.64 ,$68.64 ,$73.98 ,$61.78 ,$68.64 ,$68.64 ,$68.64 ,$68.64 
ST. JOSEPH'S - CHIPPEWA FALLS,30500104,85014,HC HEMATOCRIT,305,1 ,$31.41 ,$23.56 ,$2.37 ,$31.41 ,$20.23 ,$2.37 ,$21.99 ,$2.45 ,$5.69 ,$2.52 ,$4.55 ,$29.84 , N/A ,$25.13 ,$28.58 ,$2.45 ,$29.53 ,$29.84 ,$28.27 ,$26.70 ,$2.45 ,$2.45 ,$2.45 ,$22.93 ,$2.37 ,$27.95 ,$28.27 ,$28.27 ,$25.13 ,$2.44 ,$17.28 ,$28.27 ,$2.37 ,$28.27 ,$2.37 ,$29.84 ,$5.33 ,$28.90 ,$2.60 ,$28.58 ,$2.37 ,$19.33 ,$20.23 ,$19.33 ,$28.27 ,$29.66 ,$23.44 ,$14.92 ,$2.39 ,$2.57 ,$29.37 ,$2.49 ,$2.45 ,$27.33 ,$2.37 ,$28.27 ,$2.37 ,$28.27 ,$28.27 ,$28.27 ,$30.47 ,$25.44 ,$28.27 ,$28.27 ,$28.27 ,$28.27 
ST. JOSEPH'S - CHIPPEWA FALLS,30500106,85018,HC HGB,305,1 ,$32.36 ,$24.27 ,$2.37 ,$32.36 ,$20.84 ,$2.37 ,$22.65 ,$2.45 ,$5.69 ,$2.52 ,$4.55 ,$30.74 , N/A ,$25.89 ,$29.45 ,$2.45 ,$30.42 ,$30.74 ,$29.12 ,$27.51 ,$2.45 ,$2.45 ,$2.45 ,$23.62 ,$2.37 ,$28.80 ,$29.12 ,$29.12 ,$25.89 ,$2.44 ,$17.80 ,$29.12 ,$2.37 ,$29.12 ,$2.37 ,$30.74 ,$5.33 ,$29.77 ,$2.60 ,$29.45 ,$2.37 ,$19.91 ,$20.84 ,$19.91 ,$29.12 ,$32.36 ,$24.15 ,$14.92 ,$2.39 ,$2.57 ,$30.26 ,$2.49 ,$2.45 ,$28.15 ,$2.37 ,$29.12 ,$2.37 ,$29.12 ,$29.12 ,$29.12 ,$31.39 ,$26.21 ,$29.12 ,$29.12 ,$29.12 ,$29.12 
ST. JOSEPH'S - CHIPPEWA FALLS,30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$145.46 ,$109.10 ,$7.77 ,$145.46 ,$93.68 ,$7.77 ,$101.82 ,$8.03 ,$18.66 ,$8.27 ,$14.92 ,$138.19 , N/A ,$116.37 ,$132.37 ,$8.03 ,$136.73 ,$138.19 ,$130.91 ,$123.64 ,$8.03 ,$8.03 ,$8.03 ,$106.19 ,$7.77 ,$129.46 ,$130.91 ,$130.91 ,$116.37 ,$8.00 ,$80.00 ,$130.91 ,$7.77 ,$130.91 ,$7.77 ,$138.19 ,$17.48 ,$133.82 ,$8.51 ,$132.37 ,$7.77 ,$89.52 ,$93.68 ,$89.52 ,$130.91 ,$76.87 ,$108.56 ,$48.83 ,$7.85 ,$8.43 ,$136.01 ,$8.16 ,$8.03 ,$126.55 ,$7.77 ,$130.91 ,$7.77 ,$130.91 ,$130.91 ,$130.91 ,$141.10 ,$117.82 ,$130.91 ,$130.91 ,$130.91 ,$130.91 
ST. JOSEPH'S - CHIPPEWA FALLS,30500108,85027,HC CBC W/O DIFF,305,1 ,$93.83 ,$70.37 ,$6.47 ,$93.83 ,$60.43 ,$6.47 ,$65.68 ,$6.69 ,$15.52 ,$6.89 ,$12.42 ,$89.14 , N/A ,$75.06 ,$85.39 ,$6.69 ,$88.20 ,$89.14 ,$84.45 ,$79.76 ,$6.69 ,$6.69 ,$6.69 ,$68.50 ,$6.47 ,$83.51 ,$84.45 ,$84.45 ,$75.06 ,$6.66 ,$51.61 ,$84.45 ,$6.47 ,$84.45 ,$6.47 ,$89.14 ,$14.56 ,$86.32 ,$7.09 ,$85.39 ,$6.47 ,$57.74 ,$60.43 ,$57.74 ,$84.45 ,$76.87 ,$70.03 ,$40.63 ,$6.53 ,$7.02 ,$87.73 ,$6.79 ,$6.69 ,$81.63 ,$6.47 ,$84.45 ,$6.47 ,$84.45 ,$84.45 ,$84.45 ,$91.02 ,$76.00 ,$84.45 ,$84.45 ,$84.45 ,$84.45 
ST. JOSEPH'S - CHIPPEWA FALLS,30500110,85044,HC RETIC COUNT MANUAL,305,1 ,$75.79 ,$56.84 ,$4.31 ,$75.79 ,$48.81 ,$4.31 ,$53.05 ,$4.45 ,$10.34 ,$4.58 ,$8.27 ,$72.00 , N/A ,$60.63 ,$68.97 ,$4.45 ,$71.24 ,$72.00 ,$68.21 ,$64.42 ,$4.45 ,$4.45 ,$4.45 ,$55.33 ,$4.31 ,$67.45 ,$68.21 ,$68.21 ,$60.63 ,$4.44 ,$41.68 ,$68.21 ,$4.31 ,$68.21 ,$4.31 ,$72.00 ,$9.70 ,$69.73 ,$4.72 ,$68.97 ,$4.31 ,$46.64 ,$48.81 ,$46.64 ,$68.21 ,$41.75 ,$56.56 ,$27.09 ,$4.35 ,$4.67 ,$70.86 ,$4.53 ,$4.45 ,$65.94 ,$4.31 ,$68.21 ,$4.31 ,$68.21 ,$68.21 ,$68.21 ,$73.52 ,$61.39 ,$68.21 ,$68.21 ,$68.21 ,$68.21 
ST. JOSEPH'S - CHIPPEWA FALLS,30500112,85048,HC BLOOD COUNT LEUKO AUTO,305,1 ,$36.08 ,$27.06 ,$2.54 ,$36.08 ,$23.24 ,$2.54 ,$25.26 ,$2.62 ,$6.09 ,$2.70 ,$4.87 ,$34.28 , N/A ,$28.86 ,$32.83 ,$2.62 ,$33.92 ,$34.28 ,$32.47 ,$30.67 ,$2.62 ,$2.62 ,$2.62 ,$26.34 ,$2.54 ,$32.11 ,$32.47 ,$32.47 ,$28.86 ,$2.62 ,$19.84 ,$32.47 ,$2.54 ,$32.47 ,$2.54 ,$34.28 ,$5.72 ,$33.19 ,$2.78 ,$32.83 ,$2.54 ,$22.20 ,$23.24 ,$22.20 ,$32.47 ,$30.75 ,$26.93 ,$15.94 ,$2.57 ,$2.75 ,$33.73 ,$2.67 ,$2.62 ,$31.39 ,$2.54 ,$32.47 ,$2.54 ,$32.47 ,$32.47 ,$32.47 ,$35.00 ,$29.22 ,$32.47 ,$32.47 ,$32.47 ,$32.47 
ST. JOSEPH'S - CHIPPEWA FALLS,30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$76.74 ,$57.56 ,$4.48 ,$76.74 ,$49.42 ,$4.48 ,$53.72 ,$4.63 ,$10.75 ,$4.77 ,$8.60 ,$72.90 , N/A ,$61.39 ,$69.83 ,$4.63 ,$72.14 ,$72.90 ,$69.07 ,$65.23 ,$4.63 ,$4.63 ,$4.63 ,$56.02 ,$4.48 ,$68.30 ,$69.07 ,$69.07 ,$61.39 ,$4.61 ,$42.21 ,$69.07 ,$4.48 ,$69.07 ,$4.48 ,$72.90 ,$10.08 ,$70.60 ,$4.91 ,$69.83 ,$4.48 ,$47.23 ,$49.42 ,$47.23 ,$69.07 ,$14.95 ,$57.27 ,$28.16 ,$4.52 ,$4.86 ,$71.75 ,$4.70 ,$4.63 ,$66.76 ,$4.48 ,$69.07 ,$4.48 ,$69.07 ,$69.07 ,$69.07 ,$74.44 ,$62.16 ,$69.07 ,$69.07 ,$69.07 ,$69.07 
ST. JOSEPH'S - CHIPPEWA FALLS,30500115,85060,HC BLOOD SMEAR INTERP,305,1 ,$61.78 ,$46.34 ,$3.81 ,$61.78 ,$39.79 , N/A ,$43.25 ,$3.81 ,$43.24 ,$3.92 ,$34.59 ,$58.69 , N/A ,$49.42 ,$56.22 ,$3.81 ,$58.07 ,$58.69 ,$55.60 ,$52.51 ,$3.81 ,$3.81 ,$3.81 ,$45.10 , N/A ,$54.98 ,$55.60 ,$55.60 ,$49.42 , N/A ,$33.98 ,$55.60 , N/A ,$55.60 , N/A ,$58.69 , N/A ,$56.84 ,$4.04 ,$56.22 , N/A ,$38.02 ,$39.79 ,$38.02 ,$55.60 ,$61.78 ,$46.11 ,$55.60 , N/A ,$4.00 ,$57.76 , N/A ,$3.81 ,$53.75 , N/A ,$55.60 , N/A ,$55.60 ,$55.60 ,$55.60 ,$59.93 ,$50.04 ,$55.60 ,$55.60 ,$55.60 ,$55.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30500130,85245,HC FACTOR VIII VW RISTO,305,1 ,$181.45 ,$136.09 ,$22.94 ,$181.45 ,$116.85 ,$22.94 ,$127.02 ,$23.70 ,$55.07 ,$24.41 ,$44.06 ,$172.38 , N/A ,$145.16 ,$165.12 ,$23.70 ,$170.56 ,$172.38 ,$163.31 ,$154.23 ,$23.70 ,$23.70 ,$23.70 ,$132.46 ,$22.94 ,$161.49 ,$163.31 ,$163.31 ,$145.16 ,$23.63 ,$99.80 ,$163.31 ,$22.94 ,$163.31 ,$22.94 ,$172.38 ,$51.62 ,$166.93 ,$25.12 ,$165.12 ,$22.94 ,$111.66 ,$116.85 ,$111.66 ,$163.31 ,$181.45 ,$135.42 ,$144.19 ,$23.17 ,$24.89 ,$169.66 ,$24.09 ,$23.70 ,$157.86 ,$22.94 ,$163.31 ,$22.94 ,$163.31 ,$163.31 ,$163.31 ,$176.01 ,$146.97 ,$163.31 ,$163.31 ,$163.31 ,$163.31 
ST. JOSEPH'S - CHIPPEWA FALLS,30500132,85246,HC FACTOR VIII VW AG,305,1 ,$157.02 ,$117.77 ,$22.94 ,$157.02 ,$101.12 ,$22.94 ,$109.91 ,$23.70 ,$55.07 ,$24.41 ,$44.06 ,$149.17 , N/A ,$125.62 ,$142.89 ,$23.70 ,$147.60 ,$149.17 ,$141.32 ,$133.47 ,$23.70 ,$23.70 ,$23.70 ,$114.62 ,$22.94 ,$139.75 ,$141.32 ,$141.32 ,$125.62 ,$23.63 ,$86.36 ,$141.32 ,$22.94 ,$141.32 ,$22.94 ,$149.17 ,$51.62 ,$144.46 ,$25.12 ,$142.89 ,$22.94 ,$96.63 ,$101.12 ,$96.63 ,$141.32 ,$157.02 ,$117.18 ,$141.32 ,$23.17 ,$24.89 ,$146.81 ,$24.09 ,$23.70 ,$136.61 ,$22.94 ,$141.32 ,$22.94 ,$141.32 ,$141.32 ,$141.32 ,$152.31 ,$127.19 ,$141.32 ,$141.32 ,$141.32 ,$141.32 
ST. JOSEPH'S - CHIPPEWA FALLS,30500149,85300,HC ANTITHROMBIN III ACT,305,1 ,$88.49 ,$66.37 ,$11.85 ,$88.49 ,$56.99 ,$11.85 ,$61.94 ,$12.24 ,$28.46 ,$12.61 ,$22.76 ,$84.07 , N/A ,$70.79 ,$80.53 ,$12.24 ,$83.18 ,$84.07 ,$79.64 ,$75.22 ,$12.24 ,$12.24 ,$12.24 ,$64.60 ,$11.85 ,$78.76 ,$79.64 ,$79.64 ,$70.79 ,$12.21 ,$48.67 ,$79.64 ,$11.85 ,$79.64 ,$11.85 ,$84.07 ,$26.66 ,$81.41 ,$12.97 ,$80.53 ,$11.85 ,$54.46 ,$56.99 ,$54.46 ,$79.64 ,$88.49 ,$66.04 ,$74.49 ,$11.97 ,$12.85 ,$82.74 ,$12.44 ,$12.24 ,$76.99 ,$11.85 ,$79.64 ,$11.85 ,$79.64 ,$79.64 ,$79.64 ,$85.84 ,$71.68 ,$79.64 ,$79.64 ,$79.64 ,$79.64 
ST. JOSEPH'S - CHIPPEWA FALLS,30500153,85302,HC PROTEIN C AG,305,1 ,$45.73 ,$34.30 ,$12.01 ,$45.73 ,$29.45 ,$12.01 ,$32.01 ,$12.41 ,$28.84 ,$12.78 ,$23.07 ,$43.44 , N/A ,$36.58 ,$41.61 ,$12.41 ,$42.99 ,$43.44 ,$41.16 ,$38.87 ,$12.41 ,$12.41 ,$12.41 ,$33.38 ,$12.01 ,$40.70 ,$41.16 ,$41.16 ,$36.58 ,$12.37 ,$25.15 ,$41.16 ,$12.01 ,$41.16 ,$12.01 ,$43.44 ,$27.02 ,$42.07 ,$13.15 ,$41.61 ,$12.01 ,$28.14 ,$29.45 ,$28.14 ,$41.16 ,$45.73 ,$34.13 ,$41.16 ,$12.13 ,$13.03 ,$42.76 ,$12.61 ,$12.41 ,$39.79 ,$12.01 ,$41.16 ,$12.01 ,$41.16 ,$41.16 ,$41.16 ,$44.36 ,$37.04 ,$41.16 ,$41.16 ,$41.16 ,$41.16 
ST. JOSEPH'S - CHIPPEWA FALLS,30500154,85303,HC PROTEIN C ACTIVITY,305,1 ,$42.70 ,$32.03 ,$13.84 ,$42.70 ,$27.50 ,$13.84 ,$29.89 ,$14.30 ,$33.22 ,$14.73 ,$26.57 ,$40.57 , N/A ,$34.16 ,$38.86 ,$14.30 ,$40.14 ,$40.57 ,$38.43 ,$36.30 ,$14.30 ,$14.30 ,$14.30 ,$31.17 ,$13.84 ,$38.00 ,$38.43 ,$38.43 ,$34.16 ,$14.26 ,$23.49 ,$38.43 ,$13.84 ,$38.43 ,$13.84 ,$40.57 ,$31.14 ,$39.28 ,$15.16 ,$38.86 ,$13.84 ,$26.28 ,$27.50 ,$26.28 ,$38.43 ,$42.70 ,$31.87 ,$38.43 ,$13.98 ,$15.02 ,$39.92 ,$14.53 ,$14.30 ,$37.15 ,$13.84 ,$38.43 ,$13.84 ,$38.43 ,$38.43 ,$38.43 ,$41.42 ,$34.59 ,$38.43 ,$38.43 ,$38.43 ,$38.43 
ST. JOSEPH'S - CHIPPEWA FALLS,30500156,85305,HC PROTEIN S TOTAL,305,1 ,$45.73 ,$34.30 ,$11.61 ,$45.73 ,$29.45 ,$11.61 ,$32.01 ,$12.00 ,$27.86 ,$12.36 ,$22.29 ,$43.44 , N/A ,$36.58 ,$41.61 ,$12.00 ,$42.99 ,$43.44 ,$41.16 ,$38.87 ,$12.00 ,$12.00 ,$12.00 ,$33.38 ,$11.61 ,$40.70 ,$41.16 ,$41.16 ,$36.58 ,$11.96 ,$25.15 ,$41.16 ,$11.61 ,$41.16 ,$11.61 ,$43.44 ,$26.12 ,$42.07 ,$12.72 ,$41.61 ,$11.61 ,$28.14 ,$29.45 ,$28.14 ,$41.16 ,$45.73 ,$34.13 ,$41.16 ,$11.73 ,$12.60 ,$42.76 ,$12.19 ,$12.00 ,$39.79 ,$11.61 ,$41.16 ,$11.61 ,$41.16 ,$41.16 ,$41.16 ,$44.36 ,$37.04 ,$41.16 ,$41.16 ,$41.16 ,$41.16 
ST. JOSEPH'S - CHIPPEWA FALLS,30500159,85306,HC PROTEIN S FREE,305,1 ,$47.30 ,$35.48 ,$15.32 ,$47.30 ,$30.46 ,$15.32 ,$33.11 ,$15.83 ,$34.30 ,$16.30 ,$27.44 ,$44.94 , N/A ,$37.84 ,$43.04 ,$15.83 ,$44.46 ,$44.94 ,$42.57 ,$40.21 ,$15.83 ,$15.83 ,$15.83 ,$34.53 ,$15.32 ,$42.10 ,$42.57 ,$42.57 ,$37.84 ,$15.78 ,$26.02 ,$42.57 ,$15.32 ,$42.57 ,$15.32 ,$44.94 ,$34.47 ,$43.52 ,$16.78 ,$43.04 ,$15.32 ,$29.11 ,$30.46 ,$29.11 ,$42.57 ,$47.30 ,$35.30 ,$42.57 ,$15.47 ,$16.62 ,$44.23 ,$16.09 ,$15.83 ,$41.15 ,$15.32 ,$42.57 ,$15.32 ,$42.57 ,$42.57 ,$42.57 ,$45.88 ,$38.31 ,$42.57 ,$42.57 ,$42.57 ,$42.57 
ST. JOSEPH'S - CHIPPEWA FALLS,30500172,85347,HC ACTIVATED CLOTTING TIME (HRACT),305,1 ,$91.81 ,$68.86 ,$4.28 ,$91.81 ,$59.13 ,$4.28 ,$64.27 ,$4.42 ,$10.22 ,$4.55 ,$8.18 ,$87.22 , N/A ,$73.45 ,$83.55 ,$4.42 ,$86.30 ,$87.22 ,$82.63 ,$78.04 ,$4.42 ,$4.42 ,$4.42 ,$67.02 ,$4.28 ,$81.71 ,$82.63 ,$82.63 ,$73.45 ,$4.41 ,$50.50 ,$82.63 ,$4.28 ,$82.63 ,$4.28 ,$87.22 ,$9.63 ,$84.47 ,$4.69 ,$83.55 ,$4.28 ,$56.50 ,$59.13 ,$56.50 ,$82.63 ,$34.73 ,$68.52 ,$26.78 ,$4.32 ,$4.64 ,$85.84 ,$4.49 ,$4.42 ,$79.87 ,$4.28 ,$82.63 ,$4.28 ,$82.63 ,$82.63 ,$82.63 ,$89.06 ,$74.37 ,$82.63 ,$82.63 ,$82.63 ,$82.63 
ST. JOSEPH'S - CHIPPEWA FALLS,30500176,85384,HC FIBRINOGEN,305,1 ,$199.97 ,$149.98 ,$9.72 ,$199.97 ,$128.78 ,$9.72 ,$139.98 ,$10.04 ,$20.39 ,$10.34 ,$16.31 ,$189.97 , N/A ,$159.98 ,$181.97 ,$10.04 ,$187.97 ,$189.97 ,$179.97 ,$169.97 ,$10.04 ,$10.04 ,$10.04 ,$145.98 ,$9.72 ,$177.97 ,$179.97 ,$179.97 ,$159.98 ,$10.01 ,$109.98 ,$179.97 ,$9.72 ,$179.97 ,$9.72 ,$189.97 ,$21.87 ,$183.97 ,$10.64 ,$181.97 ,$9.72 ,$123.06 ,$128.78 ,$123.06 ,$179.97 ,$55.76 ,$149.24 ,$53.41 ,$9.82 ,$10.54 ,$186.97 ,$10.21 ,$10.04 ,$173.97 ,$9.72 ,$179.97 ,$9.72 ,$179.97 ,$179.97 ,$179.97 ,$193.97 ,$161.98 ,$179.97 ,$179.97 ,$179.97 ,$179.97 
ST. JOSEPH'S - CHIPPEWA FALLS,30500185,85460,HC FETAL HGB KLEIHAUER BETKE,305,1 ,$62.04 ,$46.53 ,$7.73 ,$62.04 ,$39.95 ,$7.73 ,$43.43 ,$7.99 ,$18.57 ,$8.23 ,$14.85 ,$58.94 , N/A ,$49.63 ,$56.46 ,$7.99 ,$58.32 ,$58.94 ,$55.84 ,$52.73 ,$7.99 ,$7.99 ,$7.99 ,$45.29 ,$7.73 ,$55.22 ,$55.84 ,$55.84 ,$49.63 ,$7.96 ,$34.12 ,$55.84 ,$7.73 ,$55.84 ,$7.73 ,$58.94 ,$17.39 ,$57.08 ,$8.47 ,$56.46 ,$7.73 ,$38.18 ,$39.95 ,$38.18 ,$55.84 ,$57.09 ,$46.30 ,$48.62 ,$7.81 ,$8.39 ,$58.01 ,$8.12 ,$7.99 ,$53.97 ,$7.73 ,$55.84 ,$7.73 ,$55.84 ,$55.84 ,$55.84 ,$60.18 ,$50.25 ,$55.84 ,$55.84 ,$55.84 ,$55.84 
ST. JOSEPH'S - CHIPPEWA FALLS,30500186,85461,HC FETAL HGB ROSETTE,305,1 ,$156.83 ,$117.62 ,$9.33 ,$156.83 ,$101.00 ,$9.36 ,$109.78 ,$9.33 ,$15.93 ,$9.61 ,$12.74 ,$148.99 , N/A ,$125.46 ,$142.72 ,$9.33 ,$147.42 ,$148.99 ,$141.15 ,$133.31 ,$9.33 ,$9.33 ,$9.33 ,$114.49 ,$9.36 ,$139.58 ,$141.15 ,$141.15 ,$125.46 ,$9.64 ,$86.26 ,$141.15 ,$9.36 ,$141.15 ,$9.36 ,$148.99 ,$21.06 ,$144.28 ,$9.89 ,$142.72 ,$9.36 ,$96.51 ,$101.00 ,$96.51 ,$141.15 ,$34.07 ,$117.04 ,$47.66 ,$9.45 ,$9.80 ,$146.64 ,$9.83 ,$9.33 ,$136.44 ,$9.36 ,$141.15 ,$9.36 ,$141.15 ,$141.15 ,$141.15 ,$152.13 ,$127.03 ,$141.15 ,$141.15 ,$141.15 ,$141.15 
ST. JOSEPH'S - CHIPPEWA FALLS,30500187,85520,HC HEPARIN ASSAY,305,1 ,$157.49 ,$118.12 ,$13.09 ,$157.49 ,$101.42 ,$13.09 ,$110.24 ,$13.53 ,$26.83 ,$13.94 ,$21.46 ,$149.62 , N/A ,$125.99 ,$143.32 ,$13.53 ,$148.04 ,$149.62 ,$141.74 ,$133.87 ,$13.53 ,$13.53 ,$13.53 ,$114.97 ,$13.09 ,$140.17 ,$141.74 ,$141.74 ,$125.99 ,$13.48 ,$86.62 ,$141.74 ,$13.09 ,$141.74 ,$13.09 ,$149.62 ,$29.45 ,$144.89 ,$14.34 ,$143.32 ,$13.09 ,$96.92 ,$101.42 ,$96.92 ,$141.74 ,$84.12 ,$117.53 ,$82.28 ,$13.22 ,$14.21 ,$147.25 ,$13.74 ,$13.53 ,$137.02 ,$13.09 ,$141.74 ,$13.09 ,$141.74 ,$141.74 ,$141.74 ,$152.77 ,$127.57 ,$141.74 ,$141.74 ,$141.74 ,$141.74 
ST. JOSEPH'S - CHIPPEWA FALLS,30500190,85540,HC LEUKOCYTE ALK PHOS,305,1 ,$93.92 ,$70.44 ,$8.60 ,$93.92 ,$60.48 ,$8.60 ,$65.74 ,$8.89 ,$20.65 ,$9.16 ,$16.52 ,$89.22 , N/A ,$75.14 ,$85.47 ,$8.89 ,$88.28 ,$89.22 ,$84.53 ,$79.83 ,$8.89 ,$8.89 ,$8.89 ,$68.56 ,$8.60 ,$83.59 ,$84.53 ,$84.53 ,$75.14 ,$8.86 ,$51.66 ,$84.53 ,$8.60 ,$84.53 ,$8.60 ,$89.22 ,$19.35 ,$86.41 ,$9.42 ,$85.47 ,$8.60 ,$57.80 ,$60.48 ,$57.80 ,$84.53 ,$93.92 ,$70.09 ,$54.07 ,$8.69 ,$9.33 ,$87.82 ,$9.03 ,$8.89 ,$81.71 ,$8.60 ,$84.53 ,$8.60 ,$84.53 ,$84.53 ,$84.53 ,$91.10 ,$76.08 ,$84.53 ,$84.53 ,$84.53 ,$84.53 
ST. JOSEPH'S - CHIPPEWA FALLS,30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$76.46 ,$57.35 ,$4.29 ,$76.46 ,$49.24 ,$4.29 ,$53.52 ,$4.43 ,$9.43 ,$4.56 ,$7.55 ,$72.64 , N/A ,$61.17 ,$69.58 ,$4.43 ,$71.87 ,$72.64 ,$68.81 ,$64.99 ,$4.43 ,$4.43 ,$4.43 ,$55.82 ,$4.29 ,$68.05 ,$68.81 ,$68.81 ,$61.17 ,$4.42 ,$42.05 ,$68.81 ,$4.29 ,$68.81 ,$4.29 ,$72.64 ,$9.65 ,$70.34 ,$4.70 ,$69.58 ,$4.29 ,$47.05 ,$49.24 ,$47.05 ,$68.81 ,$47.68 ,$57.06 ,$24.69 ,$4.33 ,$4.65 ,$71.49 ,$4.50 ,$4.43 ,$66.52 ,$4.29 ,$68.81 ,$4.29 ,$68.81 ,$68.81 ,$68.81 ,$74.17 ,$61.93 ,$68.81 ,$68.81 ,$68.81 ,$68.81 
ST. JOSEPH'S - CHIPPEWA FALLS,30500202,85613,HC RUSSELL VIPER VENOM DIL,305,1 ,$69.78 ,$52.34 ,$9.58 ,$69.78 ,$44.94 ,$9.58 ,$48.85 ,$9.90 ,$23.00 ,$10.20 ,$18.40 ,$66.29 , N/A ,$55.82 ,$63.50 ,$9.90 ,$65.59 ,$66.29 ,$62.80 ,$59.31 ,$9.90 ,$9.90 ,$9.90 ,$50.94 ,$9.58 ,$62.10 ,$62.80 ,$62.80 ,$55.82 ,$9.87 ,$38.38 ,$62.80 ,$9.58 ,$62.80 ,$9.58 ,$66.29 ,$21.56 ,$64.20 ,$10.49 ,$63.50 ,$9.58 ,$42.94 ,$44.94 ,$42.94 ,$62.80 ,$47.68 ,$52.08 ,$60.23 ,$9.68 ,$10.40 ,$65.24 ,$10.06 ,$9.90 ,$60.71 ,$9.58 ,$62.80 ,$9.58 ,$62.80 ,$62.80 ,$62.80 ,$67.69 ,$56.52 ,$62.80 ,$62.80 ,$62.80 ,$62.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30500205,85652,HC SED RATE AUTO,305,1 ,$60.71 ,$45.53 ,$2.70 ,$60.71 ,$39.10 ,$2.70 ,$42.50 ,$2.79 ,$6.48 ,$2.87 ,$5.18 ,$57.67 , N/A ,$48.57 ,$55.25 ,$2.79 ,$57.07 ,$57.67 ,$54.64 ,$51.60 ,$2.79 ,$2.79 ,$2.79 ,$44.32 ,$2.70 ,$54.03 ,$54.64 ,$54.64 ,$48.57 ,$2.78 ,$33.39 ,$54.64 ,$2.70 ,$54.64 ,$2.70 ,$57.67 ,$6.08 ,$55.85 ,$2.96 ,$55.25 ,$2.70 ,$37.36 ,$39.10 ,$37.36 ,$54.64 ,$25.24 ,$45.31 ,$16.96 ,$2.73 ,$2.93 ,$56.76 ,$2.84 ,$2.79 ,$52.82 ,$2.70 ,$54.64 ,$2.70 ,$54.64 ,$54.64 ,$54.64 ,$58.89 ,$49.18 ,$54.64 ,$54.64 ,$54.64 ,$54.64 
ST. JOSEPH'S - CHIPPEWA FALLS,30500207,85670,HC THROMBIN TIME PLASMA,305,1 ,$33.12 ,$24.84 ,$1.16 ,$33.12 ,$21.33 ,$5.77 ,$23.18 ,$1.16 ,$13.84 ,$1.19 ,$11.07 ,$31.46 , N/A ,$26.50 ,$30.14 ,$1.16 ,$31.13 ,$31.46 ,$29.81 ,$28.15 ,$1.16 ,$1.16 ,$1.16 ,$24.18 ,$5.77 ,$29.48 ,$29.81 ,$29.81 ,$26.50 ,$5.94 ,$18.22 ,$29.81 ,$5.77 ,$29.81 ,$5.77 ,$31.46 ,$12.98 ,$30.47 ,$1.23 ,$30.14 ,$5.77 ,$20.38 ,$21.33 ,$20.38 ,$29.81 ,$33.12 ,$24.72 ,$29.81 ,$5.83 ,$1.22 ,$30.97 ,$6.06 ,$1.16 ,$28.81 ,$5.77 ,$29.81 ,$5.77 ,$29.81 ,$29.81 ,$29.81 ,$32.13 ,$26.83 ,$29.81 ,$29.81 ,$29.81 ,$29.81 
ST. JOSEPH'S - CHIPPEWA FALLS,30500211,85730,HC PTT,305,1 ,$116.93 ,$87.70 ,$6.01 ,$116.93 ,$75.30 ,$6.01 ,$81.85 ,$6.21 ,$14.42 ,$6.40 ,$11.54 ,$111.08 , N/A ,$93.54 ,$106.41 ,$6.21 ,$109.91 ,$111.08 ,$105.24 ,$99.39 ,$6.21 ,$6.21 ,$6.21 ,$85.36 ,$6.01 ,$104.07 ,$105.24 ,$105.24 ,$93.54 ,$6.19 ,$64.31 ,$105.24 ,$6.01 ,$105.24 ,$6.01 ,$111.08 ,$13.52 ,$107.58 ,$6.58 ,$106.41 ,$6.01 ,$71.96 ,$75.30 ,$71.96 ,$105.24 ,$49.41 ,$87.26 ,$37.78 ,$6.07 ,$6.52 ,$109.33 ,$6.31 ,$6.21 ,$101.73 ,$6.01 ,$105.24 ,$6.01 ,$105.24 ,$105.24 ,$105.24 ,$113.42 ,$94.71 ,$105.24 ,$105.24 ,$105.24 ,$105.24 
ST. JOSEPH'S - CHIPPEWA FALLS,30500213,85732,HC PTT MIXING STUDY,305,1 ,$88.49 ,$66.37 ,$6.47 ,$88.49 ,$56.99 ,$6.47 ,$61.94 ,$6.69 ,$15.52 ,$6.89 ,$12.42 ,$84.07 , N/A ,$70.79 ,$80.53 ,$6.69 ,$83.18 ,$84.07 ,$79.64 ,$75.22 ,$6.69 ,$6.69 ,$6.69 ,$64.60 ,$6.47 ,$78.76 ,$79.64 ,$79.64 ,$70.79 ,$6.66 ,$48.67 ,$79.64 ,$6.47 ,$79.64 ,$6.47 ,$84.07 ,$14.56 ,$81.41 ,$7.09 ,$80.53 ,$6.47 ,$54.46 ,$56.99 ,$54.46 ,$79.64 ,$69.19 ,$66.04 ,$40.63 ,$6.53 ,$7.02 ,$82.74 ,$6.79 ,$6.69 ,$76.99 ,$6.47 ,$79.64 ,$6.47 ,$79.64 ,$79.64 ,$79.64 ,$85.84 ,$71.68 ,$79.64 ,$79.64 ,$79.64 ,$79.64 
ST. JOSEPH'S - CHIPPEWA FALLS,30500323,85008,HC BLOOD COUNT W/O MAN DIFF WBC,305,1 ,$27.46 ,$20.60 ,$3.43 ,$27.46 ,$17.68 ,$3.43 ,$19.22 ,$3.54 ,$8.24 ,$3.65 ,$6.59 ,$26.09 , N/A ,$21.97 ,$24.99 ,$3.54 ,$25.81 ,$26.09 ,$24.71 ,$23.34 ,$3.54 ,$3.54 ,$3.54 ,$20.05 ,$3.43 ,$24.44 ,$24.71 ,$24.71 ,$21.97 ,$3.53 ,$15.10 ,$24.71 ,$3.43 ,$24.71 ,$3.43 ,$26.09 ,$7.72 ,$25.26 ,$3.75 ,$24.99 ,$3.43 ,$16.90 ,$17.68 ,$16.90 ,$24.71 ,$27.46 ,$20.49 ,$21.59 ,$3.46 ,$3.72 ,$25.68 ,$3.60 ,$3.54 ,$23.89 ,$3.43 ,$24.71 ,$3.43 ,$24.71 ,$24.71 ,$24.71 ,$26.64 ,$22.24 ,$24.71 ,$24.71 ,$24.71 ,$24.71 
ST. JOSEPH'S - CHIPPEWA FALLS,30500324,85009,HC BLOOD COUNT MAN DIFF WBC BUFFY COAT,305,1 ,$62.77 ,$47.08 ,$5.07 ,$62.77 ,$40.42 ,$5.07 ,$43.94 ,$5.23 ,$8.94 ,$5.39 ,$7.15 ,$59.63 , N/A ,$50.22 ,$57.12 ,$5.23 ,$59.00 ,$59.63 ,$56.49 ,$53.35 ,$5.23 ,$5.23 ,$5.23 ,$45.82 ,$5.07 ,$55.87 ,$56.49 ,$56.49 ,$50.22 ,$5.22 ,$34.52 ,$56.49 ,$5.07 ,$56.49 ,$5.07 ,$59.63 ,$11.41 ,$57.75 ,$5.54 ,$57.12 ,$5.07 ,$38.63 ,$40.42 ,$38.63 ,$56.49 ,$38.66 ,$46.85 ,$25.81 ,$5.12 ,$5.49 ,$58.69 ,$5.32 ,$5.23 ,$54.61 ,$5.07 ,$56.49 ,$5.07 ,$56.49 ,$56.49 ,$56.49 ,$60.89 ,$50.84 ,$56.49 ,$56.49 ,$56.49 ,$56.49 
ST. JOSEPH'S - CHIPPEWA FALLS,30500326,85014,HC HEMATOCRIT,305,1 ,$31.41 ,$23.56 ,$2.37 ,$31.41 ,$20.23 ,$2.37 ,$21.99 ,$2.45 ,$5.69 ,$2.52 ,$4.55 ,$29.84 , N/A ,$25.13 ,$28.58 ,$2.45 ,$29.53 ,$29.84 ,$28.27 ,$26.70 ,$2.45 ,$2.45 ,$2.45 ,$22.93 ,$2.37 ,$27.95 ,$28.27 ,$28.27 ,$25.13 ,$2.44 ,$17.28 ,$28.27 ,$2.37 ,$28.27 ,$2.37 ,$29.84 ,$5.33 ,$28.90 ,$2.60 ,$28.58 ,$2.37 ,$19.33 ,$20.23 ,$19.33 ,$28.27 ,$29.66 ,$23.44 ,$14.92 ,$2.39 ,$2.57 ,$29.37 ,$2.49 ,$2.45 ,$27.33 ,$2.37 ,$28.27 ,$2.37 ,$28.27 ,$28.27 ,$28.27 ,$30.47 ,$25.44 ,$28.27 ,$28.27 ,$28.27 ,$28.27 
ST. JOSEPH'S - CHIPPEWA FALLS,30500329,85345,HC CLOTTING TIME LEE  AND  WHITE,305,1 ,$70.61 ,$52.96 ,$4.69 ,$70.61 ,$45.47 ,$4.69 ,$49.43 ,$4.85 ,$9.89 ,$5.00 ,$7.91 ,$67.08 , N/A ,$56.49 ,$64.26 ,$4.85 ,$66.37 ,$67.08 ,$63.55 ,$60.02 ,$4.85 ,$4.85 ,$4.85 ,$51.55 ,$4.69 ,$62.84 ,$63.55 ,$63.55 ,$56.49 ,$4.83 ,$38.84 ,$63.55 ,$4.69 ,$63.55 ,$4.69 ,$67.08 ,$10.55 ,$64.96 ,$5.14 ,$64.26 ,$4.69 ,$43.45 ,$45.47 ,$43.45 ,$63.55 ,$39.53 ,$52.70 ,$27.09 ,$4.74 ,$5.09 ,$66.02 ,$4.92 ,$4.85 ,$61.43 ,$4.69 ,$63.55 ,$4.69 ,$63.55 ,$63.55 ,$63.55 ,$68.49 ,$57.19 ,$63.55 ,$63.55 ,$63.55 ,$63.55 
ST. JOSEPH'S - CHIPPEWA FALLS,30500331,85378,HC FDP (D-DIMER) QL/SEMI-QN,305,1 ,$199.97 ,$149.98 ,$9.72 ,$199.97 ,$128.78 ,$9.72 ,$139.98 ,$10.03 ,$17.13 ,$10.33 ,$13.71 ,$189.97 , N/A ,$159.98 ,$181.97 ,$10.03 ,$187.97 ,$189.97 ,$179.97 ,$169.97 ,$10.03 ,$10.03 ,$10.03 ,$145.98 ,$9.72 ,$177.97 ,$179.97 ,$179.97 ,$159.98 ,$10.01 ,$109.98 ,$179.97 ,$9.72 ,$179.97 ,$9.72 ,$189.97 ,$21.87 ,$183.97 ,$10.63 ,$181.97 ,$9.72 ,$123.06 ,$128.78 ,$123.06 ,$179.97 ,$38.59 ,$149.24 ,$49.49 ,$9.82 ,$10.53 ,$186.97 ,$10.21 ,$10.03 ,$173.97 ,$9.72 ,$179.97 ,$9.72 ,$179.97 ,$179.97 ,$179.97 ,$193.97 ,$161.98 ,$179.97 ,$179.97 ,$179.97 ,$179.97 
ST. JOSEPH'S - CHIPPEWA FALLS,30500342,85597,HC PLATELET NEUTRALIZATION,305,1 ,$55.48 ,$41.61 ,$17.98 ,$55.48 ,$35.73 ,$17.98 ,$38.84 ,$18.58 ,$43.16 ,$19.14 ,$34.52 ,$52.71 , N/A ,$44.38 ,$50.49 ,$18.58 ,$52.15 ,$52.71 ,$49.93 ,$47.16 ,$18.58 ,$18.58 ,$18.58 ,$40.50 ,$17.98 ,$49.38 ,$49.93 ,$49.93 ,$44.38 ,$18.52 ,$30.51 ,$49.93 ,$17.98 ,$49.93 ,$17.98 ,$52.71 ,$40.46 ,$51.04 ,$19.69 ,$50.49 ,$17.98 ,$34.14 ,$35.73 ,$34.14 ,$49.93 ,$55.48 ,$41.40 ,$49.93 ,$18.16 ,$19.51 ,$51.87 ,$18.88 ,$18.58 ,$48.27 ,$17.98 ,$49.93 ,$17.98 ,$49.93 ,$49.93 ,$49.93 ,$53.82 ,$44.94 ,$49.93 ,$49.93 ,$49.93 ,$49.93 
ST. JOSEPH'S - CHIPPEWA FALLS,30600101,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$55.00 ,$41.25 ,$5.25 ,$55.00 ,$35.42 ,$6.68 ,$38.50 ,$5.25 ,$8.98 ,$5.41 ,$7.18 ,$52.25 , N/A ,$44.00 ,$50.05 ,$5.25 ,$51.70 ,$52.25 ,$49.50 ,$46.75 ,$5.25 ,$5.25 ,$5.25 ,$40.15 ,$6.68 ,$48.95 ,$49.50 ,$49.50 ,$44.00 ,$6.88 ,$30.25 ,$49.50 ,$6.68 ,$49.50 ,$6.68 ,$52.25 ,$15.03 ,$50.60 ,$5.57 ,$50.05 ,$6.68 ,$33.85 ,$35.42 ,$33.85 ,$49.50 ,$55.00 ,$41.05 ,$41.95 ,$6.75 ,$5.51 ,$51.43 ,$7.01 ,$5.25 ,$47.85 ,$6.68 ,$49.50 ,$6.68 ,$49.50 ,$49.50 ,$49.50 ,$53.35 ,$44.55 ,$49.50 ,$49.50 ,$49.50 ,$49.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600102,87040,HC BLOOD CULTURE,306,1 ,$291.00 ,$218.25 ,$10.32 ,$291.00 ,$187.40 ,$10.32 ,$203.70 ,$10.66 ,$24.78 ,$10.98 ,$19.82 ,$276.45 , N/A ,$232.80 ,$264.81 ,$10.66 ,$273.54 ,$276.45 ,$261.90 ,$247.35 ,$10.66 ,$10.66 ,$10.66 ,$212.43 ,$10.32 ,$258.99 ,$261.90 ,$261.90 ,$232.80 ,$10.63 ,$160.05 ,$261.90 ,$10.32 ,$261.90 ,$10.32 ,$276.45 ,$23.22 ,$267.72 ,$11.30 ,$264.81 ,$10.32 ,$179.08 ,$187.40 ,$179.08 ,$261.90 ,$81.28 ,$217.17 ,$64.87 ,$10.42 ,$11.19 ,$272.09 ,$10.84 ,$10.66 ,$253.17 ,$10.32 ,$261.90 ,$10.32 ,$261.90 ,$261.90 ,$261.90 ,$282.27 ,$235.71 ,$261.90 ,$261.90 ,$261.90 ,$261.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600103,87045,HC STOOL CULTURE,306,1 ,$150.00 ,$112.50 ,$9.44 ,$150.00 ,$96.60 ,$9.44 ,$105.00 ,$9.75 ,$22.66 ,$10.04 ,$18.13 ,$142.50 , N/A ,$120.00 ,$136.50 ,$9.75 ,$141.00 ,$142.50 ,$135.00 ,$127.50 ,$9.75 ,$9.75 ,$9.75 ,$109.50 ,$9.44 ,$133.50 ,$135.00 ,$135.00 ,$120.00 ,$9.72 ,$82.50 ,$135.00 ,$9.44 ,$135.00 ,$9.44 ,$142.50 ,$21.24 ,$138.00 ,$10.34 ,$136.50 ,$9.44 ,$92.31 ,$96.60 ,$92.31 ,$135.00 ,$92.92 ,$111.95 ,$59.37 ,$9.53 ,$10.24 ,$140.25 ,$9.91 ,$9.75 ,$130.50 ,$9.44 ,$135.00 ,$9.44 ,$135.00 ,$135.00 ,$135.00 ,$145.50 ,$121.50 ,$135.00 ,$135.00 ,$135.00 ,$135.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30600104,87046,HC STOOL CULTURE ADD ISO,306,1 ,$119.00 ,$89.25 ,$3.40 ,$119.00 ,$76.64 ,$9.44 ,$83.30 ,$3.40 ,$22.66 ,$3.50 ,$18.13 ,$113.05 , N/A ,$95.20 ,$108.29 ,$3.40 ,$111.86 ,$113.05 ,$107.10 ,$101.15 ,$3.40 ,$3.40 ,$3.40 ,$86.87 ,$9.44 ,$105.91 ,$107.10 ,$107.10 ,$95.20 ,$9.72 ,$65.45 ,$107.10 ,$9.44 ,$107.10 ,$9.44 ,$113.05 ,$21.24 ,$109.48 ,$3.60 ,$108.29 ,$9.44 ,$73.23 ,$76.64 ,$73.23 ,$107.10 ,$36.72 ,$88.81 ,$59.37 ,$9.53 ,$3.57 ,$111.27 ,$9.91 ,$3.40 ,$103.53 ,$9.44 ,$107.10 ,$9.44 ,$107.10 ,$107.10 ,$107.10 ,$115.43 ,$96.39 ,$107.10 ,$107.10 ,$107.10 ,$107.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30600109,87070,HC BODY FLUID CULTURE,306,1 ,$211.00 ,$158.25 ,$8.62 ,$211.00 ,$135.88 ,$8.62 ,$147.70 ,$8.91 ,$20.69 ,$9.18 ,$16.55 ,$200.45 , N/A ,$168.80 ,$192.01 ,$8.91 ,$198.34 ,$200.45 ,$189.90 ,$179.35 ,$8.91 ,$8.91 ,$8.91 ,$154.03 ,$8.62 ,$187.79 ,$189.90 ,$189.90 ,$168.80 ,$8.88 ,$116.05 ,$189.90 ,$8.62 ,$189.90 ,$8.62 ,$200.45 ,$19.40 ,$194.12 ,$9.44 ,$192.01 ,$8.62 ,$129.85 ,$135.88 ,$129.85 ,$189.90 ,$90.06 ,$157.47 ,$54.17 ,$8.71 ,$9.36 ,$197.29 ,$9.05 ,$8.91 ,$183.57 ,$8.62 ,$189.90 ,$8.62 ,$189.90 ,$189.90 ,$189.90 ,$204.67 ,$170.91 ,$189.90 ,$189.90 ,$189.90 ,$189.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600119,87075,HC CULTURE ANAEROBIC,306,1 ,$230.00 ,$172.50 ,$9.47 ,$230.00 ,$148.12 ,$9.47 ,$161.00 ,$9.79 ,$22.73 ,$10.08 ,$18.19 ,$218.50 , N/A ,$184.00 ,$209.30 ,$9.79 ,$216.20 ,$218.50 ,$207.00 ,$195.50 ,$9.79 ,$9.79 ,$9.79 ,$167.90 ,$9.47 ,$204.70 ,$207.00 ,$207.00 ,$184.00 ,$9.75 ,$126.50 ,$207.00 ,$9.47 ,$207.00 ,$9.47 ,$218.50 ,$21.31 ,$211.60 ,$10.38 ,$209.30 ,$9.47 ,$141.54 ,$148.12 ,$141.54 ,$207.00 ,$87.89 ,$171.65 ,$59.52 ,$9.56 ,$10.28 ,$215.05 ,$9.94 ,$9.79 ,$200.10 ,$9.47 ,$207.00 ,$9.47 ,$207.00 ,$207.00 ,$207.00 ,$223.10 ,$186.30 ,$207.00 ,$207.00 ,$207.00 ,$207.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30600121,87076,HC CULTURE ANAEROBIC ID,306,1 ,$168.00 ,$126.00 ,$8.08 ,$168.00 ,$108.19 ,$8.08 ,$117.60 ,$8.35 ,$19.39 ,$8.60 ,$15.51 ,$159.60 , N/A ,$134.40 ,$152.88 ,$8.35 ,$157.92 ,$159.60 ,$151.20 ,$142.80 ,$8.35 ,$8.35 ,$8.35 ,$122.64 ,$8.08 ,$149.52 ,$151.20 ,$151.20 ,$134.40 ,$8.32 ,$92.40 ,$151.20 ,$8.08 ,$151.20 ,$8.08 ,$159.60 ,$18.18 ,$154.56 ,$8.85 ,$152.88 ,$8.08 ,$103.39 ,$108.19 ,$103.39 ,$151.20 ,$92.26 ,$125.38 ,$50.76 ,$8.16 ,$8.77 ,$157.08 ,$8.48 ,$8.35 ,$146.16 ,$8.08 ,$151.20 ,$8.08 ,$151.20 ,$151.20 ,$151.20 ,$162.96 ,$136.08 ,$151.20 ,$151.20 ,$151.20 ,$151.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30600123,87077,HC CULTURE AEROBIC ID ADDL,306,1 ,$88.00 ,$66.00 ,$8.08 ,$88.00 ,$56.67 ,$8.08 ,$61.60 ,$8.35 ,$19.39 ,$8.60 ,$15.51 ,$83.60 , N/A ,$70.40 ,$80.08 ,$8.35 ,$82.72 ,$83.60 ,$79.20 ,$74.80 ,$8.35 ,$8.35 ,$8.35 ,$64.24 ,$8.08 ,$78.32 ,$79.20 ,$79.20 ,$70.40 ,$8.32 ,$48.40 ,$79.20 ,$8.08 ,$79.20 ,$8.08 ,$83.60 ,$18.18 ,$80.96 ,$8.85 ,$80.08 ,$8.08 ,$54.16 ,$56.67 ,$54.16 ,$79.20 ,$40.59 ,$65.67 ,$50.76 ,$8.16 ,$8.77 ,$82.28 ,$8.48 ,$8.35 ,$76.56 ,$8.08 ,$79.20 ,$8.08 ,$79.20 ,$79.20 ,$79.20 ,$85.36 ,$71.28 ,$79.20 ,$79.20 ,$79.20 ,$79.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30600134,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$144.00 ,$108.00 ,$8.07 ,$144.00 ,$92.74 ,$8.07 ,$100.80 ,$8.34 ,$19.37 ,$8.59 ,$15.50 ,$136.80 , N/A ,$115.20 ,$131.04 ,$8.34 ,$135.36 ,$136.80 ,$129.60 ,$122.40 ,$8.34 ,$8.34 ,$8.34 ,$105.12 ,$8.07 ,$128.16 ,$129.60 ,$129.60 ,$115.20 ,$8.31 ,$79.20 ,$129.60 ,$8.07 ,$129.60 ,$8.07 ,$136.80 ,$18.16 ,$132.48 ,$8.84 ,$131.04 ,$8.07 ,$88.62 ,$92.74 ,$88.62 ,$129.60 ,$70.29 ,$107.47 ,$50.71 ,$8.15 ,$8.76 ,$134.64 ,$8.47 ,$8.34 ,$125.28 ,$8.07 ,$129.60 ,$8.07 ,$129.60 ,$129.60 ,$129.60 ,$139.68 ,$116.64 ,$129.60 ,$129.60 ,$129.60 ,$129.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30600135,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$151.00 ,$113.25 ,$8.09 ,$151.00 ,$97.24 ,$8.09 ,$105.70 ,$8.36 ,$19.43 ,$8.61 ,$15.54 ,$143.45 , N/A ,$120.80 ,$137.41 ,$8.36 ,$141.94 ,$143.45 ,$135.90 ,$128.35 ,$8.36 ,$8.36 ,$8.36 ,$110.23 ,$8.09 ,$134.39 ,$135.90 ,$135.90 ,$120.80 ,$8.33 ,$83.05 ,$135.90 ,$8.09 ,$135.90 ,$8.09 ,$143.45 ,$18.20 ,$138.92 ,$8.86 ,$137.41 ,$8.09 ,$92.93 ,$97.24 ,$92.93 ,$135.90 ,$57.99 ,$112.69 ,$50.87 ,$8.17 ,$8.78 ,$141.19 ,$8.49 ,$8.36 ,$131.37 ,$8.09 ,$135.90 ,$8.09 ,$135.90 ,$135.90 ,$135.90 ,$146.47 ,$122.31 ,$135.90 ,$135.90 ,$135.90 ,$135.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600136,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL,306,1 ,$133.00 ,$99.75 ,$7.71 ,$133.00 ,$85.65 ,$7.71 ,$93.10 ,$7.97 ,$18.50 ,$8.21 ,$14.80 ,$126.35 , N/A ,$106.40 ,$121.03 ,$7.97 ,$125.02 ,$126.35 ,$119.70 ,$113.05 ,$7.97 ,$7.97 ,$7.97 ,$97.09 ,$7.71 ,$118.37 ,$119.70 ,$119.70 ,$106.40 ,$7.94 ,$73.15 ,$119.70 ,$7.71 ,$119.70 ,$7.71 ,$126.35 ,$17.35 ,$122.36 ,$8.45 ,$121.03 ,$7.71 ,$81.85 ,$85.65 ,$81.85 ,$119.70 ,$74.04 ,$99.26 ,$48.42 ,$7.79 ,$8.37 ,$124.36 ,$8.10 ,$7.97 ,$115.71 ,$7.71 ,$119.70 ,$7.71 ,$119.70 ,$119.70 ,$119.70 ,$129.01 ,$107.73 ,$119.70 ,$119.70 ,$119.70 ,$119.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30600138,87102,HC CULTURE FUNGUS OTHER,306,1 ,$142.00 ,$106.50 ,$8.41 ,$142.00 ,$91.45 ,$8.41 ,$99.40 ,$8.69 ,$20.18 ,$8.95 ,$16.14 ,$134.90 , N/A ,$113.60 ,$129.22 ,$8.69 ,$133.48 ,$134.90 ,$127.80 ,$120.70 ,$8.69 ,$8.69 ,$8.69 ,$103.66 ,$8.41 ,$126.38 ,$127.80 ,$127.80 ,$113.60 ,$8.66 ,$78.10 ,$127.80 ,$8.41 ,$127.80 ,$8.41 ,$134.90 ,$18.92 ,$130.64 ,$9.21 ,$129.22 ,$8.41 ,$87.39 ,$91.45 ,$87.39 ,$127.80 ,$74.04 ,$105.97 ,$52.85 ,$8.49 ,$9.12 ,$132.77 ,$8.83 ,$8.69 ,$123.54 ,$8.41 ,$127.80 ,$8.41 ,$127.80 ,$127.80 ,$127.80 ,$137.74 ,$115.02 ,$127.80 ,$127.80 ,$127.80 ,$127.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30600141,87106,HC CULTURE FUNGUS ID (ORGANISM),306,1 ,$115.00 ,$86.25 ,$10.32 ,$115.00 ,$74.06 ,$10.32 ,$80.50 ,$10.66 ,$24.78 ,$10.98 ,$19.82 ,$109.25 , N/A ,$92.00 ,$104.65 ,$10.66 ,$108.10 ,$109.25 ,$103.50 ,$97.75 ,$10.66 ,$10.66 ,$10.66 ,$83.95 ,$10.32 ,$102.35 ,$103.50 ,$103.50 ,$92.00 ,$10.63 ,$63.25 ,$103.50 ,$10.32 ,$103.50 ,$10.32 ,$109.25 ,$23.22 ,$105.80 ,$11.30 ,$104.65 ,$10.32 ,$70.77 ,$74.06 ,$70.77 ,$103.50 ,$98.81 ,$85.82 ,$64.87 ,$10.42 ,$11.19 ,$107.53 ,$10.84 ,$10.66 ,$100.05 ,$10.32 ,$103.50 ,$10.32 ,$103.50 ,$103.50 ,$103.50 ,$111.55 ,$93.15 ,$103.50 ,$103.50 ,$103.50 ,$103.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600147,87110,HC CULTURE CHLAMYDIA,306,1 ,$195.00 ,$146.25 ,$19.60 ,$195.00 ,$125.58 ,$19.60 ,$136.50 ,$20.25 ,$47.04 ,$20.86 ,$37.63 ,$185.25 , N/A ,$156.00 ,$177.45 ,$20.25 ,$183.30 ,$185.25 ,$175.50 ,$165.75 ,$20.25 ,$20.25 ,$20.25 ,$142.35 ,$19.60 ,$173.55 ,$175.50 ,$175.50 ,$156.00 ,$20.19 ,$107.25 ,$175.50 ,$19.60 ,$175.50 ,$19.60 ,$185.25 ,$44.10 ,$179.40 ,$21.47 ,$177.45 ,$19.60 ,$120.00 ,$125.58 ,$120.00 ,$175.50 ,$98.81 ,$145.53 ,$123.17 ,$19.80 ,$21.26 ,$182.33 ,$20.58 ,$20.25 ,$169.65 ,$19.60 ,$175.50 ,$19.60 ,$175.50 ,$175.50 ,$175.50 ,$189.15 ,$157.95 ,$175.50 ,$175.50 ,$175.50 ,$175.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600148,87116,HC CULTURE AFB/TB/MYCOBACT,306,1 ,$281.00 ,$210.75 ,$10.80 ,$281.00 ,$180.96 ,$10.80 ,$196.70 ,$11.16 ,$25.94 ,$11.49 ,$20.75 ,$266.95 , N/A ,$224.80 ,$255.71 ,$11.16 ,$264.14 ,$266.95 ,$252.90 ,$238.85 ,$11.16 ,$11.16 ,$11.16 ,$205.13 ,$10.80 ,$250.09 ,$252.90 ,$252.90 ,$224.80 ,$11.12 ,$154.55 ,$252.90 ,$10.80 ,$252.90 ,$10.80 ,$266.95 ,$24.30 ,$258.52 ,$11.83 ,$255.71 ,$10.80 ,$172.93 ,$180.96 ,$172.93 ,$252.90 ,$76.87 ,$209.71 ,$67.92 ,$10.91 ,$11.72 ,$262.74 ,$11.34 ,$11.16 ,$244.47 ,$10.80 ,$252.90 ,$10.80 ,$252.90 ,$252.90 ,$252.90 ,$272.57 ,$227.61 ,$252.90 ,$252.90 ,$252.90 ,$252.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600159,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$41.00 ,$30.75 ,$5.18 ,$41.00 ,$26.40 ,$5.18 ,$28.70 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$38.95 , N/A ,$32.80 ,$37.31 ,$5.35 ,$38.54 ,$38.95 ,$36.90 ,$34.85 ,$5.35 ,$5.35 ,$5.35 ,$29.93 ,$5.18 ,$36.49 ,$36.90 ,$36.90 ,$32.80 ,$5.34 ,$22.55 ,$36.90 ,$5.18 ,$36.90 ,$5.18 ,$38.95 ,$11.66 ,$37.72 ,$5.67 ,$37.31 ,$5.18 ,$25.23 ,$26.40 ,$25.23 ,$36.90 ,$41.00 ,$30.60 ,$32.54 ,$5.23 ,$5.62 ,$38.34 ,$5.44 ,$5.35 ,$35.67 ,$5.18 ,$36.90 ,$5.18 ,$36.90 ,$36.90 ,$36.90 ,$39.77 ,$33.21 ,$36.90 ,$36.90 ,$36.90 ,$36.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600160,87150,HC ID NUCLEAR ACID PROBE,306,1 ,$157.00 ,$117.75 ,$35.09 ,$157.00 ,$101.11 ,$35.09 ,$109.90 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$149.15 , N/A ,$125.60 ,$142.87 ,$36.26 ,$147.58 ,$149.15 ,$141.30 ,$133.45 ,$36.26 ,$36.26 ,$36.26 ,$114.61 ,$35.09 ,$139.73 ,$141.30 ,$141.30 ,$125.60 ,$36.14 ,$86.35 ,$141.30 ,$35.09 ,$141.30 ,$35.09 ,$149.15 ,$78.95 ,$144.44 ,$38.44 ,$142.87 ,$35.09 ,$96.62 ,$101.11 ,$96.62 ,$141.30 ,$57.50 ,$117.17 ,$141.30 ,$35.44 ,$38.07 ,$146.80 ,$36.84 ,$36.26 ,$136.59 ,$35.09 ,$141.30 ,$35.09 ,$141.30 ,$141.30 ,$141.30 ,$152.29 ,$127.17 ,$141.30 ,$141.30 ,$141.30 ,$141.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600161,87168,HC EXAM ARTHROPOD,306,1 ,$71.00 ,$53.25 ,$4.27 ,$71.00 ,$45.72 ,$4.27 ,$49.70 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$67.45 , N/A ,$56.80 ,$64.61 ,$4.41 ,$66.74 ,$67.45 ,$63.90 ,$60.35 ,$4.41 ,$4.41 ,$4.41 ,$51.83 ,$4.27 ,$63.19 ,$63.90 ,$63.90 ,$56.80 ,$4.40 ,$39.05 ,$63.90 ,$4.27 ,$63.90 ,$4.27 ,$67.45 ,$9.61 ,$65.32 ,$4.67 ,$64.61 ,$4.27 ,$43.69 ,$45.72 ,$43.69 ,$63.90 ,$10.63 ,$52.99 ,$26.83 ,$4.31 ,$4.63 ,$66.39 ,$4.48 ,$4.41 ,$61.77 ,$4.27 ,$63.90 ,$4.27 ,$63.90 ,$63.90 ,$63.90 ,$68.87 ,$57.51 ,$63.90 ,$63.90 ,$63.90 ,$63.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600162,87169,HC PARASITE ID,306,1 ,$71.00 ,$53.25 ,$4.31 ,$71.00 ,$45.72 ,$4.31 ,$49.70 ,$4.45 ,$10.26 ,$4.58 ,$8.20 ,$67.45 , N/A ,$56.80 ,$64.61 ,$4.45 ,$66.74 ,$67.45 ,$63.90 ,$60.35 ,$4.45 ,$4.45 ,$4.45 ,$51.83 ,$4.31 ,$63.19 ,$63.90 ,$63.90 ,$56.80 ,$4.44 ,$39.05 ,$63.90 ,$4.31 ,$63.90 ,$4.31 ,$67.45 ,$9.70 ,$65.32 ,$4.72 ,$64.61 ,$4.31 ,$43.69 ,$45.72 ,$43.69 ,$63.90 ,$10.63 ,$52.99 ,$26.83 ,$4.35 ,$4.67 ,$66.39 ,$4.53 ,$4.45 ,$61.77 ,$4.31 ,$63.90 ,$4.31 ,$63.90 ,$63.90 ,$63.90 ,$68.87 ,$57.51 ,$63.90 ,$63.90 ,$63.90 ,$63.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600163,87172,HC PINWORM EXAM,306,1 ,$89.00 ,$66.75 ,$4.27 ,$89.00 ,$57.32 ,$4.27 ,$62.30 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$84.55 , N/A ,$71.20 ,$80.99 ,$4.41 ,$83.66 ,$84.55 ,$80.10 ,$75.65 ,$4.41 ,$4.41 ,$4.41 ,$64.97 ,$4.27 ,$79.21 ,$80.10 ,$80.10 ,$71.20 ,$4.40 ,$48.95 ,$80.10 ,$4.27 ,$80.10 ,$4.27 ,$84.55 ,$9.61 ,$81.88 ,$4.67 ,$80.99 ,$4.27 ,$54.77 ,$57.32 ,$54.77 ,$80.10 ,$10.63 ,$66.42 ,$26.83 ,$4.31 ,$4.63 ,$83.22 ,$4.48 ,$4.41 ,$77.43 ,$4.27 ,$80.10 ,$4.27 ,$80.10 ,$80.10 ,$80.10 ,$86.33 ,$72.09 ,$80.10 ,$80.10 ,$80.10 ,$80.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30600164,87177,HC SMEAR OVA PARASITE CONC/ID,306,1 ,$156.00 ,$117.00 ,$8.90 ,$156.00 ,$100.46 ,$8.90 ,$109.20 ,$9.20 ,$21.37 ,$9.48 ,$17.09 ,$148.20 , N/A ,$124.80 ,$141.96 ,$9.20 ,$146.64 ,$148.20 ,$140.40 ,$132.60 ,$9.20 ,$9.20 ,$9.20 ,$113.88 ,$8.90 ,$138.84 ,$140.40 ,$140.40 ,$124.80 ,$9.17 ,$85.80 ,$140.40 ,$8.90 ,$140.40 ,$8.90 ,$148.20 ,$20.03 ,$143.52 ,$9.75 ,$141.96 ,$8.90 ,$96.00 ,$100.46 ,$96.00 ,$140.40 ,$83.44 ,$116.42 ,$55.96 ,$8.99 ,$9.66 ,$145.86 ,$9.35 ,$9.20 ,$135.72 ,$8.90 ,$140.40 ,$8.90 ,$140.40 ,$140.40 ,$140.40 ,$151.32 ,$126.36 ,$140.40 ,$140.40 ,$140.40 ,$140.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600166,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$90.00 ,$67.50 ,$4.75 ,$90.00 ,$57.96 ,$4.75 ,$63.00 ,$4.91 ,$11.39 ,$5.06 ,$9.11 ,$85.50 , N/A ,$72.00 ,$81.90 ,$4.91 ,$84.60 ,$85.50 ,$81.00 ,$76.50 ,$4.91 ,$4.91 ,$4.91 ,$65.70 ,$4.75 ,$80.10 ,$81.00 ,$81.00 ,$72.00 ,$4.89 ,$49.50 ,$81.00 ,$4.75 ,$81.00 ,$4.75 ,$85.50 ,$10.69 ,$82.80 ,$5.20 ,$81.90 ,$4.75 ,$55.39 ,$57.96 ,$55.39 ,$81.00 ,$49.41 ,$67.17 ,$29.84 ,$4.80 ,$5.16 ,$84.15 ,$4.99 ,$4.91 ,$78.30 ,$4.75 ,$81.00 ,$4.75 ,$81.00 ,$81.00 ,$81.00 ,$87.30 ,$72.90 ,$81.00 ,$81.00 ,$81.00 ,$81.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30600169,87184,HC SENSITIVITY DISK KB,306,1 ,$125.00 ,$93.75 ,$7.48 ,$125.00 ,$80.50 ,$7.48 ,$87.50 ,$7.73 ,$16.56 ,$7.96 ,$13.24 ,$118.75 , N/A ,$100.00 ,$113.75 ,$7.73 ,$117.50 ,$118.75 ,$112.50 ,$106.25 ,$7.73 ,$7.73 ,$7.73 ,$91.25 ,$7.48 ,$111.25 ,$112.50 ,$112.50 ,$100.00 ,$7.70 ,$68.75 ,$112.50 ,$7.48 ,$112.50 ,$7.48 ,$118.75 ,$16.83 ,$115.00 ,$8.19 ,$113.75 ,$7.48 ,$76.93 ,$80.50 ,$76.93 ,$112.50 ,$57.99 ,$93.29 ,$43.33 ,$7.55 ,$8.12 ,$116.88 ,$7.85 ,$7.73 ,$108.75 ,$7.48 ,$112.50 ,$7.48 ,$112.50 ,$112.50 ,$112.50 ,$121.25 ,$101.25 ,$112.50 ,$112.50 ,$112.50 ,$112.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600171,87185,HC BETA LACTAMASE,306,1 ,$92.00 ,$69.00 ,$4.75 ,$92.00 ,$59.25 ,$4.75 ,$64.40 ,$4.91 ,$11.39 ,$5.06 ,$9.11 ,$87.40 , N/A ,$73.60 ,$83.72 ,$4.91 ,$86.48 ,$87.40 ,$82.80 ,$78.20 ,$4.91 ,$4.91 ,$4.91 ,$67.16 ,$4.75 ,$81.88 ,$82.80 ,$82.80 ,$73.60 ,$4.89 ,$50.60 ,$82.80 ,$4.75 ,$82.80 ,$4.75 ,$87.40 ,$10.69 ,$84.64 ,$5.20 ,$83.72 ,$4.75 ,$56.62 ,$59.25 ,$56.62 ,$82.80 ,$26.09 ,$68.66 ,$29.84 ,$4.80 ,$5.16 ,$86.02 ,$4.99 ,$4.91 ,$80.04 ,$4.75 ,$82.80 ,$4.75 ,$82.80 ,$82.80 ,$82.80 ,$89.24 ,$74.52 ,$82.80 ,$82.80 ,$82.80 ,$82.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30600172,87186,HC SENSITIVITY MIC,306,1 ,$166.00 ,$124.50 ,$8.65 ,$166.00 ,$106.90 ,$8.65 ,$116.20 ,$8.94 ,$20.76 ,$9.21 ,$16.60 ,$157.70 , N/A ,$132.80 ,$151.06 ,$8.94 ,$156.04 ,$157.70 ,$149.40 ,$141.10 ,$8.94 ,$8.94 ,$8.94 ,$121.18 ,$8.65 ,$147.74 ,$149.40 ,$149.40 ,$132.80 ,$8.91 ,$91.30 ,$149.40 ,$8.65 ,$149.40 ,$8.65 ,$157.70 ,$19.46 ,$152.72 ,$9.48 ,$151.06 ,$8.65 ,$102.16 ,$106.90 ,$102.16 ,$149.40 ,$79.70 ,$123.89 ,$54.33 ,$8.74 ,$9.39 ,$155.21 ,$9.08 ,$8.94 ,$144.42 ,$8.65 ,$149.40 ,$8.65 ,$149.40 ,$149.40 ,$149.40 ,$161.02 ,$134.46 ,$149.40 ,$149.40 ,$149.40 ,$149.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$115.00 ,$86.25 ,$4.27 ,$115.00 ,$74.06 ,$4.27 ,$80.50 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$109.25 , N/A ,$92.00 ,$104.65 ,$4.41 ,$108.10 ,$109.25 ,$103.50 ,$97.75 ,$4.41 ,$4.41 ,$4.41 ,$83.95 ,$4.27 ,$102.35 ,$103.50 ,$103.50 ,$92.00 ,$4.40 ,$63.25 ,$103.50 ,$4.27 ,$103.50 ,$4.27 ,$109.25 ,$9.61 ,$105.80 ,$4.67 ,$104.65 ,$4.27 ,$70.77 ,$74.06 ,$70.77 ,$103.50 ,$36.04 ,$85.82 ,$26.83 ,$4.31 ,$4.63 ,$107.53 ,$4.48 ,$4.41 ,$100.05 ,$4.27 ,$103.50 ,$4.27 ,$103.50 ,$103.50 ,$103.50 ,$111.55 ,$93.15 ,$103.50 ,$103.50 ,$103.50 ,$103.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600176,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$76.00 ,$57.00 ,$5.39 ,$76.00 ,$48.94 ,$5.39 ,$53.20 ,$5.57 ,$12.93 ,$5.74 ,$10.35 ,$72.20 , N/A ,$60.80 ,$69.16 ,$5.57 ,$71.44 ,$72.20 ,$68.40 ,$64.60 ,$5.57 ,$5.57 ,$5.57 ,$55.48 ,$5.39 ,$67.64 ,$68.40 ,$68.40 ,$60.80 ,$5.55 ,$41.80 ,$68.40 ,$5.39 ,$68.40 ,$5.39 ,$72.20 ,$12.13 ,$69.92 ,$5.90 ,$69.16 ,$5.39 ,$46.77 ,$48.94 ,$46.77 ,$68.40 ,$62.87 ,$56.72 ,$33.86 ,$5.44 ,$5.85 ,$71.06 ,$5.66 ,$5.57 ,$66.12 ,$5.39 ,$68.40 ,$5.39 ,$68.40 ,$68.40 ,$68.40 ,$73.72 ,$61.56 ,$68.40 ,$68.40 ,$68.40 ,$68.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600182,87209,HC OVA  AND  PARASITE W/STAIN,306,1 ,$64.00 ,$48.00 ,$17.98 ,$64.00 ,$41.22 ,$17.98 ,$44.80 ,$18.58 ,$43.16 ,$19.14 ,$34.52 ,$60.80 , N/A ,$51.20 ,$58.24 ,$18.58 ,$60.16 ,$60.80 ,$57.60 ,$54.40 ,$18.58 ,$18.58 ,$18.58 ,$46.72 ,$17.98 ,$56.96 ,$57.60 ,$57.60 ,$51.20 ,$18.52 ,$35.20 ,$57.60 ,$17.98 ,$57.60 ,$17.98 ,$60.80 ,$40.46 ,$58.88 ,$19.69 ,$58.24 ,$17.98 ,$39.39 ,$41.22 ,$39.39 ,$57.60 ,$53.13 ,$47.76 ,$57.60 ,$18.16 ,$19.51 ,$59.84 ,$18.88 ,$18.58 ,$55.68 ,$17.98 ,$57.60 ,$17.98 ,$57.60 ,$57.60 ,$57.60 ,$62.08 ,$51.84 ,$57.60 ,$57.60 ,$57.60 ,$57.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30600183,87210,HC SMEAR WET MOUNT,306,1 ,$105.00 ,$78.75 ,$5.82 ,$105.00 ,$67.62 ,$5.82 ,$73.50 ,$6.00 ,$10.26 ,$6.18 ,$8.20 ,$99.75 , N/A ,$84.00 ,$95.55 ,$6.00 ,$98.70 ,$99.75 ,$94.50 ,$89.25 ,$6.00 ,$6.00 ,$6.00 ,$76.65 ,$5.82 ,$93.45 ,$94.50 ,$94.50 ,$84.00 ,$5.99 ,$57.75 ,$94.50 ,$5.82 ,$94.50 ,$5.82 ,$99.75 ,$13.10 ,$96.60 ,$6.36 ,$95.55 ,$5.82 ,$64.62 ,$67.62 ,$64.62 ,$94.50 ,$48.30 ,$78.36 ,$29.63 ,$5.88 ,$6.30 ,$98.18 ,$6.11 ,$6.00 ,$91.35 ,$5.82 ,$94.50 ,$5.82 ,$94.50 ,$94.50 ,$94.50 ,$101.85 ,$85.05 ,$94.50 ,$94.50 ,$94.50 ,$94.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600185,87220,HC TISSUE KOH PREP,306,1 ,$140.00 ,$105.00 ,$4.27 ,$140.00 ,$90.16 ,$4.27 ,$98.00 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$133.00 , N/A ,$112.00 ,$127.40 ,$4.41 ,$131.60 ,$133.00 ,$126.00 ,$119.00 ,$4.41 ,$4.41 ,$4.41 ,$102.20 ,$4.27 ,$124.60 ,$126.00 ,$126.00 ,$112.00 ,$4.40 ,$77.00 ,$126.00 ,$4.27 ,$126.00 ,$4.27 ,$133.00 ,$9.61 ,$128.80 ,$4.67 ,$127.40 ,$4.27 ,$86.16 ,$90.16 ,$86.16 ,$126.00 ,$34.07 ,$104.48 ,$26.83 ,$4.31 ,$4.63 ,$130.90 ,$4.48 ,$4.41 ,$121.80 ,$4.27 ,$126.00 ,$4.27 ,$126.00 ,$126.00 ,$126.00 ,$135.80 ,$113.40 ,$126.00 ,$126.00 ,$126.00 ,$126.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$66.00 ,$49.50 ,$11.98 ,$66.00 ,$42.50 ,$11.98 ,$46.20 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$62.70 , N/A ,$52.80 ,$60.06 ,$12.38 ,$62.04 ,$62.70 ,$59.40 ,$56.10 ,$12.38 ,$12.38 ,$12.38 ,$48.18 ,$11.98 ,$58.74 ,$59.40 ,$59.40 ,$52.80 ,$12.34 ,$36.30 ,$59.40 ,$11.98 ,$59.40 ,$11.98 ,$62.70 ,$26.96 ,$60.72 ,$13.12 ,$60.06 ,$11.98 ,$40.62 ,$42.50 ,$40.62 ,$59.40 ,$51.16 ,$49.26 ,$59.40 ,$12.10 ,$13.00 ,$61.71 ,$12.58 ,$12.38 ,$57.42 ,$11.98 ,$59.40 ,$11.98 ,$59.40 ,$59.40 ,$59.40 ,$64.02 ,$53.46 ,$59.40 ,$59.40 ,$59.40 ,$59.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600216,87329,HC EIA QL GIARDIA AG,306,1 ,$218.00 ,$163.50 ,$11.98 ,$218.00 ,$140.39 ,$11.98 ,$152.60 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$207.10 , N/A ,$174.40 ,$198.38 ,$12.38 ,$204.92 ,$207.10 ,$196.20 ,$185.30 ,$12.38 ,$12.38 ,$12.38 ,$159.14 ,$11.98 ,$194.02 ,$196.20 ,$196.20 ,$174.40 ,$12.34 ,$119.90 ,$196.20 ,$11.98 ,$196.20 ,$11.98 ,$207.10 ,$26.96 ,$200.56 ,$13.12 ,$198.38 ,$11.98 ,$134.16 ,$140.39 ,$134.16 ,$196.20 ,$36.23 ,$162.69 ,$75.36 ,$12.10 ,$13.00 ,$203.83 ,$12.58 ,$12.38 ,$189.66 ,$11.98 ,$196.20 ,$11.98 ,$196.20 ,$196.20 ,$196.20 ,$211.46 ,$176.58 ,$196.20 ,$196.20 ,$196.20 ,$196.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30600217,87338,HC EIA QL H PYLORI AG STOOL,306,1 ,$518.00 ,$388.50 ,$14.38 ,$518.00 ,$333.59 ,$14.38 ,$362.60 ,$14.86 ,$34.53 ,$15.31 ,$27.62 ,$492.10 , N/A ,$414.40 ,$471.38 ,$14.86 ,$486.92 ,$492.10 ,$466.20 ,$440.30 ,$14.86 ,$14.86 ,$14.86 ,$378.14 ,$14.38 ,$461.02 ,$466.20 ,$466.20 ,$414.40 ,$14.81 ,$284.90 ,$466.20 ,$14.38 ,$466.20 ,$14.38 ,$492.10 ,$32.36 ,$476.56 ,$15.75 ,$471.38 ,$14.38 ,$318.78 ,$333.59 ,$318.78 ,$466.20 ,$49.72 ,$386.58 ,$90.43 ,$14.52 ,$15.60 ,$484.33 ,$15.10 ,$14.86 ,$450.66 ,$14.38 ,$466.20 ,$14.38 ,$466.20 ,$466.20 ,$466.20 ,$502.46 ,$419.58 ,$466.20 ,$466.20 ,$466.20 ,$466.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30600225,87400,HC EIA QL INFLUENZA A/B AG,306,1 ,$227.00 ,$170.25 ,$8.66 ,$227.00 ,$146.19 ,$14.13 ,$158.90 ,$8.66 ,$28.77 ,$8.92 ,$23.02 ,$215.65 , N/A ,$181.60 ,$206.57 ,$8.66 ,$213.38 ,$215.65 ,$204.30 ,$192.95 ,$8.66 ,$8.66 ,$8.66 ,$165.71 ,$14.13 ,$202.03 ,$204.30 ,$204.30 ,$181.60 ,$14.55 ,$124.85 ,$204.30 ,$14.13 ,$204.30 ,$14.13 ,$215.65 ,$31.79 ,$208.84 ,$9.18 ,$206.57 ,$14.13 ,$139.70 ,$146.19 ,$139.70 ,$204.30 ,$28.98 ,$169.41 ,$75.36 ,$14.27 ,$9.09 ,$212.25 ,$14.84 ,$8.66 ,$197.49 ,$14.13 ,$204.30 ,$14.13 ,$204.30 ,$204.30 ,$204.30 ,$220.19 ,$183.87 ,$204.30 ,$204.30 ,$204.30 ,$204.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600227,87425,HC EIA QL ROTAVIRUS AG,306,1 ,$298.00 ,$223.50 ,$11.98 ,$298.00 ,$191.91 ,$11.98 ,$208.60 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$283.10 , N/A ,$238.40 ,$271.18 ,$12.38 ,$280.12 ,$283.10 ,$268.20 ,$253.30 ,$12.38 ,$12.38 ,$12.38 ,$217.54 ,$11.98 ,$265.22 ,$268.20 ,$268.20 ,$238.40 ,$12.34 ,$163.90 ,$268.20 ,$11.98 ,$268.20 ,$11.98 ,$283.10 ,$26.96 ,$274.16 ,$13.12 ,$271.18 ,$11.98 ,$183.39 ,$191.91 ,$183.39 ,$268.20 ,$51.16 ,$222.40 ,$75.36 ,$12.10 ,$13.00 ,$278.63 ,$12.58 ,$12.38 ,$259.26 ,$11.98 ,$268.20 ,$11.98 ,$268.20 ,$268.20 ,$268.20 ,$289.06 ,$241.38 ,$268.20 ,$268.20 ,$268.20 ,$268.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30600228,87430,HC RAPID STREP,306,1 ,$71.00 ,$53.25 ,$16.81 ,$71.00 ,$45.72 ,$16.81 ,$49.70 ,$16.86 ,$28.77 ,$17.37 ,$23.02 ,$67.45 , N/A ,$56.80 ,$64.61 ,$16.86 ,$66.74 ,$67.45 ,$63.90 ,$60.35 ,$16.86 ,$16.86 ,$16.86 ,$51.83 ,$16.81 ,$63.19 ,$63.90 ,$63.90 ,$56.80 ,$17.31 ,$39.05 ,$63.90 ,$16.81 ,$63.90 ,$16.81 ,$67.45 ,$37.82 ,$65.32 ,$17.87 ,$64.61 ,$16.81 ,$43.69 ,$45.72 ,$43.69 ,$63.90 ,$24.36 ,$52.99 ,$63.90 ,$16.98 ,$17.70 ,$66.39 ,$17.65 ,$16.86 ,$61.77 ,$16.81 ,$63.90 ,$16.81 ,$63.90 ,$63.90 ,$63.90 ,$68.87 ,$57.51 ,$63.90 ,$63.90 ,$63.90 ,$63.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600236,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$231.00 ,$173.25 ,$35.09 ,$231.00 ,$148.76 ,$35.09 ,$161.70 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$219.45 , N/A ,$184.80 ,$210.21 ,$36.26 ,$217.14 ,$219.45 ,$207.90 ,$196.35 ,$36.26 ,$36.26 ,$36.26 ,$168.63 ,$35.09 ,$205.59 ,$207.90 ,$207.90 ,$184.80 ,$36.14 ,$127.05 ,$207.90 ,$35.09 ,$207.90 ,$35.09 ,$219.45 ,$78.95 ,$212.52 ,$38.44 ,$210.21 ,$35.09 ,$142.16 ,$148.76 ,$142.16 ,$207.90 ,$149.23 ,$172.40 ,$207.90 ,$35.44 ,$38.07 ,$215.99 ,$36.84 ,$36.26 ,$200.97 ,$35.09 ,$207.90 ,$35.09 ,$207.90 ,$207.90 ,$207.90 ,$224.07 ,$187.11 ,$207.90 ,$207.90 ,$207.90 ,$207.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600237,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$149.00 ,$111.75 ,$37.27 ,$149.00 ,$95.96 ,$37.27 ,$104.30 ,$38.51 ,$84.25 ,$39.67 ,$67.40 ,$141.55 , N/A ,$119.20 ,$135.59 ,$38.51 ,$140.06 ,$141.55 ,$134.10 ,$126.65 ,$38.51 ,$38.51 ,$38.51 ,$108.77 ,$37.27 ,$132.61 ,$134.10 ,$134.10 ,$119.20 ,$38.39 ,$81.95 ,$134.10 ,$37.27 ,$134.10 ,$37.27 ,$141.55 ,$83.86 ,$137.08 ,$40.82 ,$135.59 ,$37.27 ,$91.69 ,$95.96 ,$91.69 ,$134.10 ,$104.04 ,$111.20 ,$134.10 ,$37.64 ,$40.44 ,$139.32 ,$39.13 ,$38.51 ,$129.63 ,$37.27 ,$134.10 ,$37.27 ,$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30600238,87497,HC CMV QN,306,1 ,$399.00 ,$299.25 ,$42.84 ,$399.00 ,$256.96 ,$42.84 ,$279.30 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$379.05 , N/A ,$319.20 ,$363.09 ,$44.27 ,$375.06 ,$379.05 ,$359.10 ,$339.15 ,$44.27 ,$44.27 ,$44.27 ,$291.27 ,$42.84 ,$355.11 ,$359.10 ,$359.10 ,$319.20 ,$44.13 ,$219.45 ,$359.10 ,$42.84 ,$359.10 ,$42.84 ,$379.05 ,$96.39 ,$367.08 ,$46.93 ,$363.09 ,$42.84 ,$245.54 ,$256.96 ,$245.54 ,$359.10 ,$181.23 ,$297.77 ,$269.24 ,$43.27 ,$46.48 ,$373.07 ,$44.98 ,$44.27 ,$347.13 ,$42.84 ,$359.10 ,$42.84 ,$359.10 ,$359.10 ,$359.10 ,$387.03 ,$323.19 ,$359.10 ,$359.10 ,$359.10 ,$359.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30600244,87529,HC HERPES SIMPLEX AMP,306,1 ,$56.00 ,$42.00 ,$30.80 ,$78.95 ,$36.06 ,$35.09 ,$39.20 ,$36.26 ,$56.00 ,$37.35 ,$56.00 ,$53.20 , N/A ,$44.80 ,$50.96 ,$36.26 ,$52.64 ,$53.20 ,$50.40 ,$47.60 ,$36.26 ,$36.26 ,$36.26 ,$40.88 ,$35.09 ,$49.84 ,$50.40 ,$50.40 ,$44.80 ,$36.14 ,$30.80 ,$50.40 ,$35.09 ,$50.40 ,$35.09 ,$53.20 ,$78.95 ,$51.52 ,$38.44 ,$50.96 ,$35.09 ,$34.46 ,$36.06 ,$34.46 ,$50.40 ,$56.00 ,$41.79 ,$50.40 ,$35.44 ,$38.07 ,$52.36 ,$36.84 ,$36.26 ,$48.72 ,$35.09 ,$50.40 ,$35.09 ,$50.40 ,$50.40 ,$50.40 ,$54.32 ,$45.36 ,$50.40 ,$50.40 ,$50.40 ,$50.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600249,87591,HC NEISSERIA AMP,306,1 ,$231.00 ,$173.25 ,$35.09 ,$231.00 ,$148.76 ,$35.09 ,$161.70 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$219.45 , N/A ,$184.80 ,$210.21 ,$36.26 ,$217.14 ,$219.45 ,$207.90 ,$196.35 ,$36.26 ,$36.26 ,$36.26 ,$168.63 ,$35.09 ,$205.59 ,$207.90 ,$207.90 ,$184.80 ,$36.14 ,$127.05 ,$207.90 ,$35.09 ,$207.90 ,$35.09 ,$219.45 ,$78.95 ,$212.52 ,$38.44 ,$210.21 ,$35.09 ,$142.16 ,$148.76 ,$142.16 ,$207.90 ,$149.23 ,$172.40 ,$207.90 ,$35.44 ,$38.07 ,$215.99 ,$36.84 ,$36.26 ,$200.97 ,$35.09 ,$207.90 ,$35.09 ,$207.90 ,$207.90 ,$207.90 ,$224.07 ,$187.11 ,$207.90 ,$207.90 ,$207.90 ,$207.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600252,87624,HC HPV AMP,306,1 ,$157.00 ,$117.75 ,$35.09 ,$157.00 ,$101.11 ,$35.09 ,$109.90 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$149.15 , N/A ,$125.60 ,$142.87 ,$36.26 ,$147.58 ,$149.15 ,$141.30 ,$133.45 ,$36.26 ,$36.26 ,$36.26 ,$114.61 ,$35.09 ,$139.73 ,$141.30 ,$141.30 ,$125.60 ,$36.14 ,$86.35 ,$141.30 ,$35.09 ,$141.30 ,$35.09 ,$149.15 ,$78.95 ,$144.44 ,$38.44 ,$142.87 ,$35.09 ,$96.62 ,$101.11 ,$96.62 ,$141.30 ,$91.72 ,$117.17 ,$141.30 ,$35.44 ,$38.07 ,$146.80 ,$36.84 ,$36.26 ,$136.59 ,$35.09 ,$141.30 ,$35.09 ,$141.30 ,$141.30 ,$141.30 ,$152.29 ,$127.17 ,$141.30 ,$141.30 ,$141.30 ,$141.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600255,87641,HC MRSA AMP,306,1 ,$425.00 ,$318.75 ,$35.09 ,$425.00 ,$273.70 ,$35.09 ,$297.50 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$403.75 , N/A ,$340.00 ,$386.75 ,$36.26 ,$399.50 ,$403.75 ,$382.50 ,$361.25 ,$36.26 ,$36.26 ,$36.26 ,$310.25 ,$35.09 ,$378.25 ,$382.50 ,$382.50 ,$340.00 ,$36.14 ,$233.75 ,$382.50 ,$35.09 ,$382.50 ,$35.09 ,$403.75 ,$78.95 ,$391.00 ,$38.44 ,$386.75 ,$35.09 ,$261.55 ,$273.70 ,$261.55 ,$382.50 ,$94.47 ,$317.18 ,$220.62 ,$35.44 ,$38.07 ,$397.38 ,$36.84 ,$36.26 ,$369.75 ,$35.09 ,$382.50 ,$35.09 ,$382.50 ,$382.50 ,$382.50 ,$412.25 ,$344.25 ,$382.50 ,$382.50 ,$382.50 ,$382.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600256,87798,HC INFECT AMP (BORDETELLA),306,1 ,$335.00 ,$251.25 ,$35.09 ,$335.00 ,$215.74 ,$35.09 ,$234.50 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$318.25 , N/A ,$268.00 ,$304.85 ,$36.26 ,$314.90 ,$318.25 ,$301.50 ,$284.75 ,$36.26 ,$36.26 ,$36.26 ,$244.55 ,$35.09 ,$298.15 ,$301.50 ,$301.50 ,$268.00 ,$36.14 ,$184.25 ,$301.50 ,$35.09 ,$301.50 ,$35.09 ,$318.25 ,$78.95 ,$308.20 ,$38.44 ,$304.85 ,$35.09 ,$206.16 ,$215.74 ,$206.16 ,$301.50 ,$149.23 ,$250.01 ,$220.62 ,$35.44 ,$38.07 ,$313.23 ,$36.84 ,$36.26 ,$291.45 ,$35.09 ,$301.50 ,$35.09 ,$301.50 ,$301.50 ,$301.50 ,$324.95 ,$271.35 ,$301.50 ,$301.50 ,$301.50 ,$301.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600257,87653,HC INFECT AMP (GRP B STREP),306,1 ,$176.00 ,$132.00 ,$35.09 ,$176.00 ,$113.34 ,$35.09 ,$123.20 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$167.20 , N/A ,$140.80 ,$160.16 ,$36.26 ,$165.44 ,$167.20 ,$158.40 ,$149.60 ,$36.26 ,$36.26 ,$36.26 ,$128.48 ,$35.09 ,$156.64 ,$158.40 ,$158.40 ,$140.80 ,$36.14 ,$96.80 ,$158.40 ,$35.09 ,$158.40 ,$35.09 ,$167.20 ,$78.95 ,$161.92 ,$38.44 ,$160.16 ,$35.09 ,$108.31 ,$113.34 ,$108.31 ,$158.40 ,$94.47 ,$131.35 ,$158.40 ,$35.44 ,$38.07 ,$164.56 ,$36.84 ,$36.26 ,$153.12 ,$35.09 ,$158.40 ,$35.09 ,$158.40 ,$158.40 ,$158.40 ,$170.72 ,$142.56 ,$158.40 ,$158.40 ,$158.40 ,$158.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600258,87798,HC INFECT AMP (PNEUMO),306,1 ,$220.00 ,$165.00 ,$35.09 ,$220.00 ,$141.68 ,$35.09 ,$154.00 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$209.00 , N/A ,$176.00 ,$200.20 ,$36.26 ,$206.80 ,$209.00 ,$198.00 ,$187.00 ,$36.26 ,$36.26 ,$36.26 ,$160.60 ,$35.09 ,$195.80 ,$198.00 ,$198.00 ,$176.00 ,$36.14 ,$121.00 ,$198.00 ,$35.09 ,$198.00 ,$35.09 ,$209.00 ,$78.95 ,$202.40 ,$38.44 ,$200.20 ,$35.09 ,$135.39 ,$141.68 ,$135.39 ,$198.00 ,$149.23 ,$164.19 ,$198.00 ,$35.44 ,$38.07 ,$205.70 ,$36.84 ,$36.26 ,$191.40 ,$35.09 ,$198.00 ,$35.09 ,$198.00 ,$198.00 ,$198.00 ,$213.40 ,$178.20 ,$198.00 ,$198.00 ,$198.00 ,$198.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30600259,87798,HC INFECT AMP (WEST NILE),306,1 ,$298.00 ,$223.50 ,$35.09 ,$298.00 ,$191.91 ,$35.09 ,$208.60 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$283.10 , N/A ,$238.40 ,$271.18 ,$36.26 ,$280.12 ,$283.10 ,$268.20 ,$253.30 ,$36.26 ,$36.26 ,$36.26 ,$217.54 ,$35.09 ,$265.22 ,$268.20 ,$268.20 ,$238.40 ,$36.14 ,$163.90 ,$268.20 ,$35.09 ,$268.20 ,$35.09 ,$283.10 ,$78.95 ,$274.16 ,$38.44 ,$271.18 ,$35.09 ,$183.39 ,$191.91 ,$183.39 ,$268.20 ,$149.23 ,$222.40 ,$220.62 ,$35.44 ,$38.07 ,$278.63 ,$36.84 ,$36.26 ,$259.26 ,$35.09 ,$268.20 ,$35.09 ,$268.20 ,$268.20 ,$268.20 ,$289.06 ,$241.38 ,$268.20 ,$268.20 ,$268.20 ,$268.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30600266,87798,HC INFECT AMP,306,1 ,$125.00 ,$93.75 ,$35.09 ,$125.00 ,$80.50 ,$35.09 ,$87.50 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$118.75 , N/A ,$100.00 ,$113.75 ,$36.26 ,$117.50 ,$118.75 ,$112.50 ,$106.25 ,$36.26 ,$36.26 ,$36.26 ,$91.25 ,$35.09 ,$111.25 ,$112.50 ,$112.50 ,$100.00 ,$36.14 ,$68.75 ,$112.50 ,$35.09 ,$112.50 ,$35.09 ,$118.75 ,$78.95 ,$115.00 ,$38.44 ,$113.75 ,$35.09 ,$76.93 ,$80.50 ,$76.93 ,$112.50 ,$125.00 ,$93.29 ,$112.50 ,$35.44 ,$38.07 ,$116.88 ,$36.84 ,$36.26 ,$108.75 ,$35.09 ,$112.50 ,$35.09 ,$112.50 ,$112.50 ,$112.50 ,$121.25 ,$101.25 ,$112.50 ,$112.50 ,$112.50 ,$112.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600267,87799,HC INFECT AGENT QN,306,1 ,$443.00 ,$332.25 ,$42.84 ,$443.00 ,$285.29 ,$42.84 ,$310.10 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$420.85 , N/A ,$354.40 ,$403.13 ,$44.27 ,$416.42 ,$420.85 ,$398.70 ,$376.55 ,$44.27 ,$44.27 ,$44.27 ,$323.39 ,$42.84 ,$394.27 ,$398.70 ,$398.70 ,$354.40 ,$44.13 ,$243.65 ,$398.70 ,$42.84 ,$398.70 ,$42.84 ,$420.85 ,$96.39 ,$407.56 ,$46.93 ,$403.13 ,$42.84 ,$272.62 ,$285.29 ,$272.62 ,$398.70 ,$181.23 ,$330.61 ,$269.24 ,$43.27 ,$46.48 ,$414.21 ,$44.98 ,$44.27 ,$385.41 ,$42.84 ,$398.70 ,$42.84 ,$398.70 ,$398.70 ,$398.70 ,$429.71 ,$358.83 ,$398.70 ,$398.70 ,$398.70 ,$398.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30600269,87807,HC QL RSV,306,1 ,$141.00 ,$105.75 ,$13.10 ,$141.00 ,$90.80 ,$13.10 ,$98.70 ,$13.54 ,$28.77 ,$13.95 ,$23.02 ,$133.95 , N/A ,$112.80 ,$128.31 ,$13.54 ,$132.54 ,$133.95 ,$126.90 ,$119.85 ,$13.54 ,$13.54 ,$13.54 ,$102.93 ,$13.10 ,$125.49 ,$126.90 ,$126.90 ,$112.80 ,$13.49 ,$77.55 ,$126.90 ,$13.10 ,$126.90 ,$13.10 ,$133.95 ,$29.48 ,$129.72 ,$14.35 ,$128.31 ,$13.10 ,$86.77 ,$90.80 ,$86.77 ,$126.90 ,$53.13 ,$105.23 ,$75.36 ,$13.23 ,$14.22 ,$131.84 ,$13.76 ,$13.54 ,$122.67 ,$13.10 ,$126.90 ,$13.10 ,$126.90 ,$126.90 ,$126.90 ,$136.77 ,$114.21 ,$126.90 ,$126.90 ,$126.90 ,$126.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600271,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$105.00 ,$78.75 ,$16.07 ,$105.00 ,$67.62 ,$16.07 ,$73.50 ,$16.61 ,$28.77 ,$17.11 ,$23.02 ,$99.75 , N/A ,$84.00 ,$95.55 ,$16.61 ,$98.70 ,$99.75 ,$94.50 ,$89.25 ,$16.61 ,$16.61 ,$16.61 ,$76.65 ,$16.07 ,$93.45 ,$94.50 ,$94.50 ,$84.00 ,$16.55 ,$57.75 ,$94.50 ,$16.07 ,$94.50 ,$16.07 ,$99.75 ,$36.16 ,$96.60 ,$17.61 ,$95.55 ,$16.07 ,$64.62 ,$67.62 ,$64.62 ,$94.50 ,$51.16 ,$78.36 ,$81.82 ,$16.23 ,$17.44 ,$98.18 ,$16.87 ,$16.61 ,$91.35 ,$16.07 ,$94.50 ,$16.07 ,$94.50 ,$94.50 ,$94.50 ,$101.85 ,$85.05 ,$94.50 ,$94.50 ,$94.50 ,$94.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600275,87153,HC MYCOBACTERIA ID BY DNA SEQUENCING,306,1 ,$215.00 ,$161.25 ,$60.92 ,$259.56 ,$138.46 ,$115.36 ,$150.50 ,$119.20 ,$215.00 ,$122.78 ,$215.00 ,$204.25 , N/A ,$172.00 ,$195.65 ,$119.20 ,$202.10 ,$204.25 ,$193.50 ,$182.75 ,$119.20 ,$119.20 ,$119.20 ,$156.95 ,$115.36 ,$191.35 ,$193.50 ,$193.50 ,$172.00 ,$118.82 ,$118.25 ,$193.50 ,$115.36 ,$193.50 ,$115.36 ,$204.25 ,$259.56 ,$197.80 ,$126.35 ,$195.65 ,$115.36 ,$132.31 ,$138.46 ,$132.31 ,$193.50 ,$60.92 ,$160.45 ,$193.50 ,$116.51 ,$125.16 ,$201.03 ,$121.13 ,$119.20 ,$187.05 ,$115.36 ,$193.50 ,$115.36 ,$193.50 ,$193.50 ,$193.50 ,$208.55 ,$174.15 ,$193.50 ,$193.50 ,$193.50 ,$193.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600286,87625,HC HPV GENOTYPE 16 18/45,306,1 ,$157.00 ,$117.75 ,$38.30 ,$157.00 ,$101.11 ,$40.55 ,$109.90 ,$38.30 ,$84.25 ,$39.45 ,$67.40 ,$149.15 , N/A ,$125.60 ,$142.87 ,$38.30 ,$147.58 ,$149.15 ,$141.30 ,$133.45 ,$38.30 ,$38.30 ,$38.30 ,$114.61 ,$40.55 ,$139.73 ,$141.30 ,$141.30 ,$125.60 ,$41.77 ,$86.35 ,$141.30 ,$40.55 ,$141.30 ,$40.55 ,$149.15 ,$91.24 ,$144.44 ,$40.60 ,$142.87 ,$40.55 ,$96.62 ,$101.11 ,$96.62 ,$141.30 ,$91.72 ,$117.17 ,$141.30 ,$40.96 ,$40.22 ,$146.80 ,$42.58 ,$38.30 ,$136.59 ,$40.55 ,$141.30 ,$40.55 ,$141.30 ,$141.30 ,$141.30 ,$152.29 ,$127.17 ,$141.30 ,$141.30 ,$141.30 ,$141.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600299,87071,HC CULTURE AEROBIC OTHER SOURCE QN,306,1 ,$157.00 ,$117.75 ,$6.81 ,$157.00 ,$101.11 ,$9.89 ,$109.90 ,$6.81 ,$22.66 ,$7.01 ,$18.13 ,$149.15 , N/A ,$125.60 ,$142.87 ,$6.81 ,$147.58 ,$149.15 ,$141.30 ,$133.45 ,$6.81 ,$6.81 ,$6.81 ,$114.61 ,$9.89 ,$139.73 ,$141.30 ,$141.30 ,$125.60 ,$10.19 ,$86.35 ,$141.30 ,$9.89 ,$141.30 ,$9.89 ,$149.15 ,$22.25 ,$144.44 ,$7.22 ,$142.87 ,$9.89 ,$96.62 ,$101.11 ,$96.62 ,$141.30 ,$36.72 ,$117.17 ,$59.37 ,$9.99 ,$7.15 ,$146.80 ,$10.38 ,$6.81 ,$136.59 ,$9.89 ,$141.30 ,$9.89 ,$141.30 ,$141.30 ,$141.30 ,$152.29 ,$127.17 ,$141.30 ,$141.30 ,$141.30 ,$141.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600300,87081,HC CULTURE SCR PRESUMP PATHOGENS,306,1 ,$157.00 ,$117.75 ,$6.63 ,$157.00 ,$101.11 ,$6.63 ,$109.90 ,$6.85 ,$15.91 ,$7.06 ,$12.73 ,$149.15 , N/A ,$125.60 ,$142.87 ,$6.85 ,$147.58 ,$149.15 ,$141.30 ,$133.45 ,$6.85 ,$6.85 ,$6.85 ,$114.61 ,$6.63 ,$139.73 ,$141.30 ,$141.30 ,$125.60 ,$6.83 ,$86.35 ,$141.30 ,$6.63 ,$141.30 ,$6.63 ,$149.15 ,$14.92 ,$144.44 ,$7.26 ,$142.87 ,$6.63 ,$96.62 ,$101.11 ,$96.62 ,$141.30 ,$53.35 ,$117.17 ,$41.65 ,$6.70 ,$7.19 ,$146.80 ,$6.96 ,$6.85 ,$136.59 ,$6.63 ,$141.30 ,$6.63 ,$141.30 ,$141.30 ,$141.30 ,$152.29 ,$127.17 ,$141.30 ,$141.30 ,$141.30 ,$141.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600301,87118,HC CULTURE MYCOBACTERIA ID,306,1 ,$286.00 ,$214.50 ,$14.61 ,$286.00 ,$184.18 ,$14.61 ,$200.20 ,$15.10 ,$26.27 ,$15.55 ,$21.01 ,$271.70 , N/A ,$228.80 ,$260.26 ,$15.10 ,$268.84 ,$271.70 ,$257.40 ,$243.10 ,$15.10 ,$15.10 ,$15.10 ,$208.78 ,$14.61 ,$254.54 ,$257.40 ,$257.40 ,$228.80 ,$15.05 ,$157.30 ,$257.40 ,$14.61 ,$257.40 ,$14.61 ,$271.70 ,$32.87 ,$263.12 ,$16.01 ,$260.26 ,$14.61 ,$176.00 ,$184.18 ,$176.00 ,$257.40 ,$98.81 ,$213.44 ,$74.39 ,$14.76 ,$15.86 ,$267.41 ,$15.34 ,$15.10 ,$248.82 ,$14.61 ,$257.40 ,$14.61 ,$257.40 ,$257.40 ,$257.40 ,$277.42 ,$231.66 ,$257.40 ,$257.40 ,$257.40 ,$257.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600302,87149,HC CULTURE TYPING ID NUCLEIC ACID,306,1 ,$150.00 ,$112.50 ,$20.05 ,$150.00 ,$96.60 ,$20.05 ,$105.00 ,$20.72 ,$48.14 ,$21.34 ,$38.51 ,$142.50 , N/A ,$120.00 ,$136.50 ,$20.72 ,$141.00 ,$142.50 ,$135.00 ,$127.50 ,$20.72 ,$20.72 ,$20.72 ,$109.50 ,$20.05 ,$133.50 ,$135.00 ,$135.00 ,$120.00 ,$20.65 ,$82.50 ,$135.00 ,$20.05 ,$135.00 ,$20.05 ,$142.50 ,$45.11 ,$138.00 ,$21.96 ,$136.50 ,$20.05 ,$92.31 ,$96.60 ,$92.31 ,$135.00 ,$52.19 ,$111.95 ,$126.07 ,$20.25 ,$21.76 ,$140.25 ,$21.05 ,$20.72 ,$130.50 ,$20.05 ,$135.00 ,$20.05 ,$135.00 ,$135.00 ,$135.00 ,$145.50 ,$121.50 ,$135.00 ,$135.00 ,$135.00 ,$135.00 
ST. JOSEPH'S - CHIPPEWA FALLS,30600303,87176,HC HOMOGENIZATION TISSUE,306,1 ,$56.00 ,$42.00 ,$5.88 ,$56.00 ,$36.06 ,$5.88 ,$39.20 ,$6.08 ,$14.12 ,$6.26 ,$11.30 ,$53.20 , N/A ,$44.80 ,$50.96 ,$6.08 ,$52.64 ,$53.20 ,$50.40 ,$47.60 ,$6.08 ,$6.08 ,$6.08 ,$40.88 ,$5.88 ,$49.84 ,$50.40 ,$50.40 ,$44.80 ,$6.06 ,$30.80 ,$50.40 ,$5.88 ,$50.40 ,$5.88 ,$53.20 ,$13.23 ,$51.52 ,$6.44 ,$50.96 ,$5.88 ,$34.46 ,$36.06 ,$34.46 ,$50.40 ,$56.00 ,$41.79 ,$36.97 ,$5.94 ,$6.38 ,$52.36 ,$6.17 ,$6.08 ,$48.72 ,$5.88 ,$50.40 ,$5.88 ,$50.40 ,$50.40 ,$50.40 ,$54.32 ,$45.36 ,$50.40 ,$50.40 ,$50.40 ,$50.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600304,87188,HC TB SUS MACROBROTH,306,1 ,$154.00 ,$115.50 ,$6.64 ,$154.00 ,$99.18 ,$6.64 ,$107.80 ,$6.86 ,$15.94 ,$7.07 ,$12.75 ,$146.30 , N/A ,$123.20 ,$140.14 ,$6.86 ,$144.76 ,$146.30 ,$138.60 ,$130.90 ,$6.86 ,$6.86 ,$6.86 ,$112.42 ,$6.64 ,$137.06 ,$138.60 ,$138.60 ,$123.20 ,$6.84 ,$84.70 ,$138.60 ,$6.64 ,$138.60 ,$6.64 ,$146.30 ,$14.94 ,$141.68 ,$7.27 ,$140.14 ,$6.64 ,$94.77 ,$99.18 ,$94.77 ,$138.60 ,$84.12 ,$114.93 ,$41.75 ,$6.71 ,$7.20 ,$143.99 ,$6.97 ,$6.86 ,$133.98 ,$6.64 ,$138.60 ,$6.64 ,$138.60 ,$138.60 ,$138.60 ,$149.38 ,$124.74 ,$138.60 ,$138.60 ,$138.60 ,$138.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30600305,87207,HC SPECIAL STAIN EHRLICHIA,306,1 ,$43.00 ,$32.25 ,$5.99 ,$43.00 ,$27.69 ,$5.99 ,$30.10 ,$6.19 ,$14.39 ,$6.38 ,$11.51 ,$40.85 , N/A ,$34.40 ,$39.13 ,$6.19 ,$40.42 ,$40.85 ,$38.70 ,$36.55 ,$6.19 ,$6.19 ,$6.19 ,$31.39 ,$5.99 ,$38.27 ,$38.70 ,$38.70 ,$34.40 ,$6.17 ,$23.65 ,$38.70 ,$5.99 ,$38.70 ,$5.99 ,$40.85 ,$13.48 ,$39.56 ,$6.56 ,$39.13 ,$5.99 ,$26.46 ,$27.69 ,$26.46 ,$38.70 ,$43.00 ,$32.09 ,$37.68 ,$6.05 ,$6.50 ,$40.21 ,$6.29 ,$6.19 ,$37.41 ,$5.99 ,$38.70 ,$5.99 ,$38.70 ,$38.70 ,$38.70 ,$41.71 ,$34.83 ,$38.70 ,$38.70 ,$38.70 ,$38.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30600306,87207,HC SPECIAL STAIN INCL BODIES/PARASITES,306,1 ,$127.00 ,$95.25 ,$5.99 ,$127.00 ,$81.79 ,$5.99 ,$88.90 ,$6.19 ,$14.39 ,$6.38 ,$11.51 ,$120.65 , N/A ,$101.60 ,$115.57 ,$6.19 ,$119.38 ,$120.65 ,$114.30 ,$107.95 ,$6.19 ,$6.19 ,$6.19 ,$92.71 ,$5.99 ,$113.03 ,$114.30 ,$114.30 ,$101.60 ,$6.17 ,$69.85 ,$114.30 ,$5.99 ,$114.30 ,$5.99 ,$120.65 ,$13.48 ,$116.84 ,$6.56 ,$115.57 ,$5.99 ,$78.16 ,$81.79 ,$78.16 ,$114.30 ,$52.72 ,$94.78 ,$37.68 ,$6.05 ,$6.50 ,$118.75 ,$6.29 ,$6.19 ,$110.49 ,$5.99 ,$114.30 ,$5.99 ,$114.30 ,$114.30 ,$114.30 ,$123.19 ,$102.87 ,$114.30 ,$114.30 ,$114.30 ,$114.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600307,87250,HC VIRUS ISOLATION CMV CULTURE,306,1 ,$269.00 ,$201.75 ,$19.56 ,$269.00 ,$173.24 ,$19.56 ,$188.30 ,$20.21 ,$46.95 ,$20.82 ,$37.56 ,$255.55 , N/A ,$215.20 ,$244.79 ,$20.21 ,$252.86 ,$255.55 ,$242.10 ,$228.65 ,$20.21 ,$20.21 ,$20.21 ,$196.37 ,$19.56 ,$239.41 ,$242.10 ,$242.10 ,$215.20 ,$20.15 ,$147.95 ,$242.10 ,$19.56 ,$242.10 ,$19.56 ,$255.55 ,$44.01 ,$247.48 ,$21.42 ,$244.79 ,$19.56 ,$165.54 ,$173.24 ,$165.54 ,$242.10 ,$89.19 ,$200.75 ,$122.96 ,$19.76 ,$21.22 ,$251.52 ,$20.54 ,$20.21 ,$234.03 ,$19.56 ,$242.10 ,$19.56 ,$242.10 ,$242.10 ,$242.10 ,$260.93 ,$217.89 ,$242.10 ,$242.10 ,$242.10 ,$242.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30600309,87269,HC IF GIARDIA AG,306,1 ,$166.00 ,$124.50 ,$13.61 ,$166.00 ,$106.90 ,$13.61 ,$116.20 ,$14.06 ,$28.77 ,$14.48 ,$23.02 ,$157.70 , N/A ,$132.80 ,$151.06 ,$14.06 ,$156.04 ,$157.70 ,$149.40 ,$141.10 ,$14.06 ,$14.06 ,$14.06 ,$121.18 ,$13.61 ,$147.74 ,$149.40 ,$149.40 ,$132.80 ,$14.02 ,$91.30 ,$149.40 ,$13.61 ,$149.40 ,$13.61 ,$157.70 ,$30.62 ,$152.72 ,$14.90 ,$151.06 ,$13.61 ,$102.16 ,$106.90 ,$102.16 ,$149.40 ,$36.23 ,$123.89 ,$75.36 ,$13.75 ,$14.76 ,$155.21 ,$14.29 ,$14.06 ,$144.42 ,$13.61 ,$149.40 ,$13.61 ,$149.40 ,$149.40 ,$149.40 ,$161.02 ,$134.46 ,$149.40 ,$149.40 ,$149.40 ,$149.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600312,87290,HC IF VARICELLA ZOETER AG,306,1 ,$109.00 ,$81.75 ,$13.42 ,$109.00 ,$70.20 ,$13.42 ,$76.30 ,$13.87 ,$28.77 ,$14.29 ,$23.02 ,$103.55 , N/A ,$87.20 ,$99.19 ,$13.87 ,$102.46 ,$103.55 ,$98.10 ,$92.65 ,$13.87 ,$13.87 ,$13.87 ,$79.57 ,$13.42 ,$97.01 ,$98.10 ,$98.10 ,$87.20 ,$13.82 ,$59.95 ,$98.10 ,$13.42 ,$98.10 ,$13.42 ,$103.55 ,$30.20 ,$100.28 ,$14.70 ,$99.19 ,$13.42 ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$51.16 ,$81.35 ,$75.36 ,$13.55 ,$14.56 ,$101.92 ,$14.09 ,$13.87 ,$94.83 ,$13.42 ,$98.10 ,$13.42 ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 
ST. JOSEPH'S - CHIPPEWA FALLS,30600314,87340,HC EIA QL HEPATITIS B AG,306,1 ,$124.00 ,$93.00 ,$10.33 ,$124.00 ,$79.86 ,$10.33 ,$86.80 ,$10.67 ,$24.80 ,$10.99 ,$19.84 ,$117.80 , N/A ,$99.20 ,$112.84 ,$10.67 ,$116.56 ,$117.80 ,$111.60 ,$105.40 ,$10.67 ,$10.67 ,$10.67 ,$90.52 ,$10.33 ,$110.36 ,$111.60 ,$111.60 ,$99.20 ,$10.64 ,$68.20 ,$111.60 ,$10.33 ,$111.60 ,$10.33 ,$117.80 ,$23.24 ,$114.08 ,$11.31 ,$112.84 ,$10.33 ,$76.31 ,$79.86 ,$76.31 ,$111.60 ,$43.72 ,$92.54 ,$64.92 ,$10.43 ,$11.20 ,$115.94 ,$10.85 ,$10.67 ,$107.88 ,$10.33 ,$111.60 ,$10.33 ,$111.60 ,$111.60 ,$111.60 ,$120.28 ,$100.44 ,$111.60 ,$111.60 ,$111.60 ,$111.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30600315,87350,HC HEPATITIS BE AG QL,306,1 ,$92.00 ,$69.00 ,$11.53 ,$92.00 ,$59.25 ,$11.53 ,$64.40 ,$11.91 ,$27.67 ,$12.27 ,$22.13 ,$87.40 , N/A ,$73.60 ,$83.72 ,$11.91 ,$86.48 ,$87.40 ,$82.80 ,$78.20 ,$11.91 ,$11.91 ,$11.91 ,$67.16 ,$11.53 ,$81.88 ,$82.80 ,$82.80 ,$73.60 ,$11.88 ,$50.60 ,$82.80 ,$11.53 ,$82.80 ,$11.53 ,$87.40 ,$25.94 ,$84.64 ,$12.62 ,$83.72 ,$11.53 ,$56.62 ,$59.25 ,$56.62 ,$82.80 ,$49.02 ,$68.66 ,$72.45 ,$11.65 ,$12.51 ,$86.02 ,$12.11 ,$11.91 ,$80.04 ,$11.53 ,$82.80 ,$11.53 ,$82.80 ,$82.80 ,$82.80 ,$89.24 ,$74.52 ,$82.80 ,$82.80 ,$82.80 ,$82.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30600316,87389,HC HIV-1 AG W/HIV-1  AND  HIV-2 AB,306,1 ,$85.00 ,$63.75 ,$24.08 ,$85.00 ,$54.74 ,$24.08 ,$59.50 ,$24.88 ,$57.80 ,$25.63 ,$46.24 ,$80.75 , N/A ,$68.00 ,$77.35 ,$24.88 ,$79.90 ,$80.75 ,$76.50 ,$72.25 ,$24.88 ,$24.88 ,$24.88 ,$62.05 ,$24.08 ,$75.65 ,$76.50 ,$76.50 ,$68.00 ,$24.80 ,$46.75 ,$76.50 ,$24.08 ,$76.50 ,$24.08 ,$80.75 ,$54.18 ,$78.20 ,$26.37 ,$77.35 ,$24.08 ,$52.31 ,$54.74 ,$52.31 ,$76.50 ,$68.45 ,$63.44 ,$76.50 ,$24.32 ,$26.12 ,$79.48 ,$25.28 ,$24.88 ,$73.95 ,$24.08 ,$76.50 ,$24.08 ,$76.50 ,$76.50 ,$76.50 ,$82.45 ,$68.85 ,$76.50 ,$76.50 ,$76.50 ,$76.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600317,87427,HC SHIGELLA LIKE TOXIN AG,306,1 ,$218.00 ,$163.50 ,$11.98 ,$218.00 ,$140.39 ,$11.98 ,$152.60 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$207.10 , N/A ,$174.40 ,$198.38 ,$12.38 ,$204.92 ,$207.10 ,$196.20 ,$185.30 ,$12.38 ,$12.38 ,$12.38 ,$159.14 ,$11.98 ,$194.02 ,$196.20 ,$196.20 ,$174.40 ,$12.34 ,$119.90 ,$196.20 ,$11.98 ,$196.20 ,$11.98 ,$207.10 ,$26.96 ,$200.56 ,$13.12 ,$198.38 ,$11.98 ,$134.16 ,$140.39 ,$134.16 ,$196.20 ,$28.98 ,$162.69 ,$75.36 ,$12.10 ,$13.00 ,$203.83 ,$12.58 ,$12.38 ,$189.66 ,$11.98 ,$196.20 ,$11.98 ,$196.20 ,$196.20 ,$196.20 ,$211.46 ,$176.58 ,$196.20 ,$196.20 ,$196.20 ,$196.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30600318,87449,HC EIA QL MLT AG INF,306,1 ,$66.00 ,$49.50 ,$11.98 ,$66.00 ,$42.50 ,$11.98 ,$46.20 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$62.70 , N/A ,$52.80 ,$60.06 ,$12.38 ,$62.04 ,$62.70 ,$59.40 ,$56.10 ,$12.38 ,$12.38 ,$12.38 ,$48.18 ,$11.98 ,$58.74 ,$59.40 ,$59.40 ,$52.80 ,$12.34 ,$36.30 ,$59.40 ,$11.98 ,$59.40 ,$11.98 ,$62.70 ,$26.96 ,$60.72 ,$13.12 ,$60.06 ,$11.98 ,$40.62 ,$42.50 ,$40.62 ,$59.40 ,$51.16 ,$49.26 ,$59.40 ,$12.10 ,$13.00 ,$61.71 ,$12.58 ,$12.38 ,$57.42 ,$11.98 ,$59.40 ,$11.98 ,$59.40 ,$59.40 ,$59.40 ,$64.02 ,$53.46 ,$59.40 ,$59.40 ,$59.40 ,$59.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600320,87476,HC LYMES DNA DETECT PCR,306,1 ,$357.00 ,$267.75 ,$35.09 ,$357.00 ,$229.91 ,$35.09 ,$249.90 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$339.15 , N/A ,$285.60 ,$324.87 ,$36.26 ,$335.58 ,$339.15 ,$321.30 ,$303.45 ,$36.26 ,$36.26 ,$36.26 ,$260.61 ,$35.09 ,$317.73 ,$321.30 ,$321.30 ,$285.60 ,$36.14 ,$196.35 ,$321.30 ,$35.09 ,$321.30 ,$35.09 ,$339.15 ,$78.95 ,$328.44 ,$38.44 ,$324.87 ,$35.09 ,$219.70 ,$229.91 ,$219.70 ,$321.30 ,$149.23 ,$266.43 ,$220.62 ,$35.44 ,$38.07 ,$333.80 ,$36.84 ,$36.26 ,$310.59 ,$35.09 ,$321.30 ,$35.09 ,$321.30 ,$321.30 ,$321.30 ,$346.29 ,$289.17 ,$321.30 ,$321.30 ,$321.30 ,$321.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600322,87502,HC INFLUENZA VIRUS MULTIPLE DNA/RNA,306,1 ,$483.00 ,$362.25 ,$95.80 ,$483.00 ,$311.05 ,$95.80 ,$338.10 ,$98.99 ,$204.28 ,$101.96 ,$163.42 ,$458.85 , N/A ,$386.40 ,$439.53 ,$98.99 ,$454.02 ,$458.85 ,$434.70 ,$410.55 ,$98.99 ,$98.99 ,$98.99 ,$352.59 ,$95.80 ,$429.87 ,$434.70 ,$434.70 ,$386.40 ,$98.67 ,$265.65 ,$434.70 ,$95.80 ,$434.70 ,$95.80 ,$458.85 ,$215.55 ,$444.36 ,$104.93 ,$439.53 ,$95.80 ,$297.24 ,$311.05 ,$297.24 ,$434.70 ,$240.94 ,$360.46 ,$434.70 ,$96.76 ,$103.94 ,$451.61 ,$100.59 ,$98.99 ,$420.21 ,$95.80 ,$434.70 ,$95.80 ,$434.70 ,$434.70 ,$434.70 ,$468.51 ,$391.23 ,$434.70 ,$434.70 ,$434.70 ,$434.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30600323,87503,HC INFLUENZA VIRUS MULT DNA/RNA >2 EA ADDL,306,1 ,$111.00 ,$83.25 ,$29.20 ,$111.00 ,$71.48 ,$29.22 ,$77.70 ,$29.20 ,$49.86 ,$30.08 ,$39.89 ,$105.45 , N/A ,$88.80 ,$101.01 ,$29.20 ,$104.34 ,$105.45 ,$99.90 ,$94.35 ,$29.20 ,$29.20 ,$29.20 ,$81.03 ,$29.22 ,$98.79 ,$99.90 ,$99.90 ,$88.80 ,$30.10 ,$61.05 ,$99.90 ,$29.22 ,$99.90 ,$29.22 ,$105.45 ,$65.75 ,$102.12 ,$30.95 ,$101.01 ,$29.22 ,$68.31 ,$71.48 ,$68.31 ,$99.90 ,$58.87 ,$82.84 ,$99.90 ,$29.51 ,$30.66 ,$103.79 ,$30.68 ,$29.20 ,$96.57 ,$29.22 ,$99.90 ,$29.22 ,$99.90 ,$99.90 ,$99.90 ,$107.67 ,$89.91 ,$99.90 ,$99.90 ,$99.90 ,$99.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30600324,87517,HC HEPATITIS B QN,306,1 ,$317.00 ,$237.75 ,$42.84 ,$317.00 ,$204.15 ,$42.84 ,$221.90 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$301.15 , N/A ,$253.60 ,$288.47 ,$44.27 ,$297.98 ,$301.15 ,$285.30 ,$269.45 ,$44.27 ,$44.27 ,$44.27 ,$231.41 ,$42.84 ,$282.13 ,$285.30 ,$285.30 ,$253.60 ,$44.13 ,$174.35 ,$285.30 ,$42.84 ,$285.30 ,$42.84 ,$301.15 ,$96.39 ,$291.64 ,$46.93 ,$288.47 ,$42.84 ,$195.08 ,$204.15 ,$195.08 ,$285.30 ,$181.23 ,$236.58 ,$269.24 ,$43.27 ,$46.48 ,$296.40 ,$44.98 ,$44.27 ,$275.79 ,$42.84 ,$285.30 ,$42.84 ,$285.30 ,$285.30 ,$285.30 ,$307.49 ,$256.77 ,$285.30 ,$285.30 ,$285.30 ,$285.30 
ST. JOSEPH'S - CHIPPEWA FALLS,30600326,87522,HC HEPATITIS C QN,306,1 ,$554.00 ,$415.50 ,$42.84 ,$554.00 ,$356.78 ,$42.84 ,$387.80 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$526.30 , N/A ,$443.20 ,$504.14 ,$44.27 ,$520.76 ,$526.30 ,$498.60 ,$470.90 ,$44.27 ,$44.27 ,$44.27 ,$404.42 ,$42.84 ,$493.06 ,$498.60 ,$498.60 ,$443.20 ,$44.13 ,$304.70 ,$498.60 ,$42.84 ,$498.60 ,$42.84 ,$526.30 ,$96.39 ,$509.68 ,$46.93 ,$504.14 ,$42.84 ,$340.93 ,$356.78 ,$340.93 ,$498.60 ,$181.23 ,$413.45 ,$269.24 ,$43.27 ,$46.48 ,$517.99 ,$44.98 ,$44.27 ,$481.98 ,$42.84 ,$498.60 ,$42.84 ,$498.60 ,$498.60 ,$498.60 ,$537.38 ,$448.74 ,$498.60 ,$498.60 ,$498.60 ,$498.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30600327,87529,HC HERPES SIMPLEX AMP,306,1 ,$275.00 ,$206.25 ,$35.09 ,$275.00 ,$177.10 ,$35.09 ,$192.50 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$261.25 , N/A ,$220.00 ,$250.25 ,$36.26 ,$258.50 ,$261.25 ,$247.50 ,$233.75 ,$36.26 ,$36.26 ,$36.26 ,$200.75 ,$35.09 ,$244.75 ,$247.50 ,$247.50 ,$220.00 ,$36.14 ,$151.25 ,$247.50 ,$35.09 ,$247.50 ,$35.09 ,$261.25 ,$78.95 ,$253.00 ,$38.44 ,$250.25 ,$35.09 ,$169.24 ,$177.10 ,$169.24 ,$247.50 ,$149.23 ,$205.23 ,$220.62 ,$35.44 ,$38.07 ,$257.13 ,$36.84 ,$36.26 ,$239.25 ,$35.09 ,$247.50 ,$35.09 ,$247.50 ,$247.50 ,$247.50 ,$266.75 ,$222.75 ,$247.50 ,$247.50 ,$247.50 ,$247.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600332,87651,HC INFECT AMP (GRP A STREP),306,1 ,$162.00 ,$121.50 ,$35.09 ,$162.00 ,$104.33 ,$35.09 ,$113.40 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$153.90 , N/A ,$129.60 ,$147.42 ,$36.26 ,$152.28 ,$153.90 ,$145.80 ,$137.70 ,$36.26 ,$36.26 ,$36.26 ,$118.26 ,$35.09 ,$144.18 ,$145.80 ,$145.80 ,$129.60 ,$36.14 ,$89.10 ,$145.80 ,$35.09 ,$145.80 ,$35.09 ,$153.90 ,$78.95 ,$149.04 ,$38.44 ,$147.42 ,$35.09 ,$99.69 ,$104.33 ,$99.69 ,$145.80 ,$149.23 ,$120.90 ,$145.80 ,$35.44 ,$38.07 ,$151.47 ,$36.84 ,$36.26 ,$140.94 ,$35.09 ,$145.80 ,$35.09 ,$145.80 ,$145.80 ,$145.80 ,$157.14 ,$131.22 ,$145.80 ,$145.80 ,$145.80 ,$145.80 
ST. JOSEPH'S - CHIPPEWA FALLS,30600333,87808,HC TRICHOMONAS VAGINITIS OPTICAL,306,1 ,$44.00 ,$33.00 ,$15.29 ,$44.00 ,$28.34 ,$15.29 ,$30.80 ,$15.80 ,$28.77 ,$16.27 ,$23.02 ,$41.80 , N/A ,$35.20 ,$40.04 ,$15.80 ,$41.36 ,$41.80 ,$39.60 ,$37.40 ,$15.80 ,$15.80 ,$15.80 ,$32.12 ,$15.29 ,$39.16 ,$39.60 ,$39.60 ,$35.20 ,$15.75 ,$24.20 ,$39.60 ,$15.29 ,$39.60 ,$15.29 ,$41.80 ,$34.40 ,$40.48 ,$16.75 ,$40.04 ,$15.29 ,$27.08 ,$28.34 ,$27.08 ,$39.60 ,$32.23 ,$32.84 ,$39.60 ,$15.44 ,$16.59 ,$41.14 ,$16.05 ,$15.80 ,$38.28 ,$15.29 ,$39.60 ,$15.29 ,$39.60 ,$39.60 ,$39.60 ,$42.68 ,$35.64 ,$39.60 ,$39.60 ,$39.60 ,$39.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30600334,87902,HC GENTOYPE HEP C,306,1 ,$913.00 ,$684.75 ,$257.45 ,$913.00 ,$587.97 ,$257.45 ,$639.10 ,$266.02 ,$618.01 ,$274.00 ,$494.41 ,$867.35 , N/A ,$730.40 ,$830.83 ,$266.02 ,$858.22 ,$867.35 ,$821.70 ,$776.05 ,$266.02 ,$266.02 ,$266.02 ,$666.49 ,$257.45 ,$812.57 ,$821.70 ,$821.70 ,$730.40 ,$265.17 ,$502.15 ,$821.70 ,$257.45 ,$821.70 ,$257.45 ,$867.35 ,$579.26 ,$839.96 ,$281.98 ,$830.83 ,$257.45 ,$561.86 ,$587.97 ,$561.86 ,$821.70 ,$888.60 ,$681.37 ,$821.70 ,$260.02 ,$279.32 ,$853.66 ,$270.32 ,$266.02 ,$794.31 ,$257.45 ,$821.70 ,$257.45 ,$821.70 ,$821.70 ,$821.70 ,$885.61 ,$739.53 ,$821.70 ,$821.70 ,$821.70 ,$821.70 
ST. JOSEPH'S - CHIPPEWA FALLS,30600336,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,"$1,035.00 ",$776.25 ,$416.78 ,"$1,035.00 ",$666.54 ,$416.78 ,$724.50 ,$430.66 ,"$1,000.51 ",$443.58 ,$800.41 ,$983.25 , N/A ,$828.00 ,$941.85 ,$430.66 ,$972.90 ,$983.25 ,$931.50 ,$879.75 ,$430.66 ,$430.66 ,$430.66 ,$755.55 ,$416.78 ,$921.15 ,$931.50 ,$931.50 ,$828.00 ,$429.28 ,$569.25 ,$931.50 ,$416.78 ,$931.50 ,$416.78 ,$983.25 ,$937.76 ,$952.20 ,$456.50 ,$941.85 ,$416.78 ,$636.94 ,$666.54 ,$636.94 ,$931.50 ,"$1,035.00 ",$772.42 ,$931.50 ,$420.95 ,$452.19 ,$967.73 ,$437.62 ,$430.66 ,$900.45 ,$416.78 ,$931.50 ,$416.78 ,$931.50 ,$931.50 ,$931.50 ,"$1,003.95 ",$838.35 ,$931.50 ,$931.50 ,$931.50 ,$931.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30600348,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,"$1,479.00 ","$1,109.25 ",$333.42 ,"$1,479.00 ",$952.48 ,$416.78 ,"$1,035.30 ",$333.42 ,"$1,000.51 ",$343.42 ,$800.41 ,"$1,405.05 ", N/A ,"$1,183.20 ","$1,345.89 ",$333.42 ,"$1,390.26 ","$1,405.05 ","$1,331.10 ","$1,257.15 ",$333.42 ,$333.42 ,$333.42 ,"$1,079.67 ",$416.78 ,"$1,316.31 ","$1,331.10 ","$1,331.10 ","$1,183.20 ",$429.28 ,$813.45 ,"$1,331.10 ",$416.78 ,"$1,331.10 ",$416.78 ,"$1,405.05 ",$937.76 ,"$1,360.68 ",$353.43 ,"$1,345.89 ",$416.78 ,$910.18 ,$952.48 ,$910.18 ,"$1,331.10 ","$1,090.41 ","$1,103.78 ","$1,030.12 ",$420.95 ,$350.09 ,"$1,382.87 ",$437.62 ,$333.42 ,"$1,286.73 ",$416.78 ,"$1,331.10 ",$416.78 ,"$1,331.10 ","$1,331.10 ","$1,331.10 ","$1,434.63 ","$1,197.99 ","$1,331.10 ","$1,331.10 ","$1,331.10 ","$1,331.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,30600500,87254,HC VIRUS ISOL SHELL RESP RAPID CULTURE W/REFLEX,306,1 ,$126.00 ,$94.50 ,$7.06 ,$126.00 ,$81.14 ,$19.56 ,$88.20 ,$7.06 ,$46.95 ,$7.27 ,$37.56 ,$119.70 , N/A ,$100.80 ,$114.66 ,$7.06 ,$118.44 ,$119.70 ,$113.40 ,$107.10 ,$7.06 ,$7.06 ,$7.06 ,$91.98 ,$19.56 ,$112.14 ,$113.40 ,$113.40 ,$100.80 ,$20.15 ,$69.30 ,$113.40 ,$19.56 ,$113.40 ,$19.56 ,$119.70 ,$44.01 ,$115.92 ,$7.48 ,$114.66 ,$19.56 ,$77.54 ,$81.14 ,$77.54 ,$113.40 ,$65.70 ,$94.03 ,$113.40 ,$19.76 ,$7.41 ,$117.81 ,$20.54 ,$7.06 ,$109.62 ,$19.56 ,$113.40 ,$19.56 ,$113.40 ,$113.40 ,$113.40 ,$122.22 ,$102.06 ,$113.40 ,$113.40 ,$113.40 ,$113.40 
ST. JOSEPH'S - CHIPPEWA FALLS,30600635,87637,HC 4PLEX COVID/RSV/FLU PCR,306,1 ,$268.00 ,$201.00 ,$142.63 ,$320.92 ,$172.59 ,$142.63 ,$187.60 ,$142.63 ,$249.60 ,$146.91 ,$214.94 ,$254.60 , N/A ,$214.40 ,$243.88 ,$142.63 ,$251.92 ,$254.60 ,$241.20 ,$227.80 ,$142.63 ,$142.63 ,$142.63 ,$195.64 ,$142.63 ,$238.52 ,$241.20 ,$241.20 ,$214.40 ,$146.91 ,$147.40 ,$241.20 ,$142.63 ,$241.20 ,$142.63 ,$254.60 ,$320.92 ,$246.56 ,$151.19 ,$243.88 ,$142.63 ,$164.93 ,$172.59 ,$164.93 ,$241.20 ,$241.20 ,$200.01 ,$186.66 ,$144.06 ,$149.76 ,$250.58 ,$149.76 ,$142.63 ,$233.16 ,$142.63 ,$241.20 ,$142.63 ,$241.20 ,$241.20 ,$241.20 ,$259.96 ,$217.08 ,$241.20 ,$241.20 ,$241.20 ,$241.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30600636,87811,HC COVID ANTIGEN TEST,306,1 ,$104.00 ,$78.00 ,$41.38 ,$104.00 ,$66.98 ,$41.38 ,$72.80 ,$41.38 ,$78.16 ,$42.62 ,$62.52 ,$98.80 , N/A ,$83.20 ,$94.64 ,$41.38 ,$97.76 ,$98.80 ,$93.60 ,$88.40 ,$41.38 ,$41.38 ,$41.38 ,$75.92 ,$41.38 ,$92.56 ,$93.60 ,$93.60 ,$83.20 ,$42.62 ,$57.20 ,$93.60 ,$41.38 ,$93.60 ,$41.38 ,$98.80 ,$93.11 ,$95.68 ,$43.86 ,$94.64 ,$41.38 ,$64.00 ,$66.98 ,$64.00 ,$93.60 ,$93.60 ,$77.62 ,$72.44 ,$41.79 ,$43.45 ,$97.24 ,$43.45 ,$41.38 ,$90.48 ,$41.38 ,$93.60 ,$41.38 ,$93.60 ,$93.60 ,$93.60 ,$100.88 ,$84.24 ,$93.60 ,$93.60 ,$93.60 ,$93.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30600637,87635,HC COVID-19 LAB PCR TEST,306,1 ,$164.00 ,$123.00 ,$51.31 ,$164.00 ,$105.62 ,$51.31 ,$114.80 ,$51.31 ,$89.79 ,$52.85 ,$77.18 ,$155.80 , N/A ,$131.20 ,$149.24 ,$51.31 ,$154.16 ,$155.80 ,$147.60 ,$139.40 ,$51.31 ,$51.31 ,$51.31 ,$119.72 ,$51.31 ,$145.96 ,$147.60 ,$147.60 ,$131.20 ,$52.85 ,$90.20 ,$147.60 ,$51.31 ,$147.60 ,$51.31 ,$155.80 ,$115.45 ,$150.88 ,$54.39 ,$149.24 ,$51.31 ,$100.93 ,$105.62 ,$100.93 ,$147.60 ,$147.60 ,$122.39 ,$114.23 ,$51.82 ,$53.88 ,$153.34 ,$53.88 ,$51.31 ,$142.68 ,$51.31 ,$147.60 ,$51.31 ,$147.60 ,$147.60 ,$147.60 ,$159.08 ,$132.84 ,$147.60 ,$147.60 ,$147.60 ,$147.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30600646,0241U,HC SARS-COV-2/FLU/RSV,306,1 ,$268.00 ,$201.00 ,$35.91 ,$320.92 ,$172.59 ,$142.63 ,$187.60 ,$35.91 ,$249.60 ,$36.99 ,$176.88 ,$254.60 , N/A ,$214.40 ,$243.88 ,$35.91 ,$251.92 ,$254.60 ,$241.20 ,$227.80 ,$35.91 ,$35.91 ,$35.91 ,$195.64 ,$142.63 ,$238.52 ,$241.20 ,$241.20 ,$214.40 ,$146.91 ,$147.40 ,$241.20 ,$142.63 ,$241.20 ,$142.63 ,$254.60 ,$320.92 ,$246.56 ,$38.06 ,$243.88 ,$142.63 ,$164.93 ,$172.59 ,$164.93 ,$241.20 ,$241.20 ,$200.01 ,$186.66 ,$144.06 ,$37.71 ,$250.58 ,$149.76 ,$35.91 ,$233.16 ,$142.63 ,$241.20 ,$142.63 ,$241.20 ,$241.20 ,$241.20 ,$259.96 ,$217.08 ,$241.20 ,$241.20 ,$241.20 ,$241.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30682011,87635,HC COVID-19 LAB TEST NON-CDC,306,1 ,$164.00 ,$123.00 ,$51.31 ,$164.00 ,$105.62 ,$51.31 ,$114.80 ,$51.31 ,$89.79 ,$52.85 ,$77.18 ,$155.80 , N/A ,$131.20 ,$149.24 ,$51.31 ,$154.16 ,$155.80 ,$147.60 ,$139.40 ,$51.31 ,$51.31 ,$51.31 ,$119.72 ,$51.31 ,$145.96 ,$147.60 ,$147.60 ,$131.20 ,$52.85 ,$90.20 ,$147.60 ,$51.31 ,$147.60 ,$51.31 ,$155.80 ,$115.45 ,$150.88 ,$54.39 ,$149.24 ,$51.31 ,$100.93 ,$105.62 ,$100.93 ,$147.60 ,$147.60 ,$122.39 ,$114.23 ,$51.82 ,$53.88 ,$153.34 ,$53.88 ,$51.31 ,$142.68 ,$51.31 ,$147.60 ,$51.31 ,$147.60 ,$147.60 ,$147.60 ,$159.08 ,$132.84 ,$147.60 ,$147.60 ,$147.60 ,$147.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30682013,87635,HC COVID-19 LAB TEST,306,1 ,$164.00 ,$123.00 ,$51.31 ,$164.00 ,$105.62 ,$51.31 ,$114.80 ,$51.31 ,$89.79 ,$52.85 ,$77.18 ,$155.80 , N/A ,$131.20 ,$149.24 ,$51.31 ,$154.16 ,$155.80 ,$147.60 ,$139.40 ,$51.31 ,$51.31 ,$51.31 ,$119.72 ,$51.31 ,$145.96 ,$147.60 ,$147.60 ,$131.20 ,$52.85 ,$90.20 ,$147.60 ,$51.31 ,$147.60 ,$51.31 ,$155.80 ,$115.45 ,$150.88 ,$54.39 ,$149.24 ,$51.31 ,$100.93 ,$105.62 ,$100.93 ,$147.60 ,$147.60 ,$122.39 ,$114.23 ,$51.82 ,$53.88 ,$153.34 ,$53.88 ,$51.31 ,$142.68 ,$51.31 ,$147.60 ,$51.31 ,$147.60 ,$147.60 ,$147.60 ,$159.08 ,$132.84 ,$147.60 ,$147.60 ,$147.60 ,$147.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30682014,86769,HC SARS-COV-2 COVID-19 ANTIBODY,306,1 ,$104.00 ,$78.00 ,$42.13 ,$104.00 ,$66.98 ,$42.13 ,$72.80 ,$42.13 ,$73.73 ,$43.39 ,$63.50 ,$98.80 , N/A ,$83.20 ,$94.64 ,$42.13 ,$97.76 ,$98.80 ,$93.60 ,$88.40 ,$42.13 ,$42.13 ,$42.13 ,$75.92 ,$42.13 ,$92.56 ,$93.60 ,$93.60 ,$83.20 ,$43.39 ,$57.20 ,$93.60 ,$42.13 ,$93.60 ,$42.13 ,$98.80 ,$94.79 ,$95.68 ,$44.66 ,$94.64 ,$42.13 ,$64.00 ,$66.98 ,$64.00 ,$93.60 ,$93.60 ,$77.62 ,$72.44 ,$42.55 ,$44.24 ,$97.24 ,$44.24 ,$42.13 ,$90.48 ,$42.13 ,$93.60 ,$42.13 ,$93.60 ,$93.60 ,$93.60 ,$100.88 ,$84.24 ,$93.60 ,$93.60 ,$93.60 ,$93.60 
ST. JOSEPH'S - CHIPPEWA FALLS,30682021,86769,HC SARS-COV-2 COVID-19 ANTIBODY IN-HOUSE,306,1 ,$78.00 ,$58.50 ,$42.13 ,$94.79 ,$50.23 ,$42.13 ,$54.60 ,$42.13 ,$73.73 ,$43.39 ,$63.50 ,$74.10 , N/A ,$62.40 ,$70.98 ,$42.13 ,$73.32 ,$74.10 ,$70.20 ,$66.30 ,$42.13 ,$42.13 ,$42.13 ,$56.94 ,$42.13 ,$69.42 ,$70.20 ,$70.20 ,$62.40 ,$43.39 ,$42.90 ,$70.20 ,$42.13 ,$70.20 ,$42.13 ,$74.10 ,$94.79 ,$71.76 ,$44.66 ,$70.98 ,$42.13 ,$48.00 ,$50.23 ,$48.00 ,$70.20 ,$70.20 ,$58.21 ,$54.33 ,$42.55 ,$44.24 ,$72.93 ,$44.24 ,$42.13 ,$67.86 ,$42.13 ,$70.20 ,$42.13 ,$70.20 ,$70.20 ,$70.20 ,$75.66 ,$63.18 ,$70.20 ,$70.20 ,$70.20 ,$70.20 
ST. JOSEPH'S - CHIPPEWA FALLS,30682023,87426,HC SARS COVID ANTIGEN TEST,306,1 ,$75.00 ,$56.25 ,$35.33 ,$79.49 ,$48.30 ,$35.33 ,$52.50 ,$35.33 ,$75.00 ,$36.39 ,$68.39 ,$71.25 , N/A ,$60.00 ,$68.25 ,$35.33 ,$70.50 ,$71.25 ,$67.50 ,$63.75 ,$35.33 ,$35.33 ,$35.33 ,$54.75 ,$35.33 ,$66.75 ,$67.50 ,$67.50 ,$60.00 ,$36.39 ,$41.25 ,$67.50 ,$35.33 ,$67.50 ,$35.33 ,$71.25 ,$79.49 ,$69.00 ,$37.45 ,$68.25 ,$35.33 ,$46.16 ,$48.30 ,$46.16 ,$67.50 ,$67.50 ,$55.97 ,$52.24 ,$35.68 ,$37.10 ,$70.13 ,$37.10 ,$35.33 ,$65.25 ,$35.33 ,$67.50 ,$35.33 ,$67.50 ,$67.50 ,$67.50 ,$72.75 ,$60.75 ,$67.50 ,$67.50 ,$67.50 ,$67.50 
ST. JOSEPH'S - CHIPPEWA FALLS,30682024,87635,HC SARS-COV-2 COVID-19 TEST,306,1 ,$121.00 ,$90.75 ,$51.31 ,$121.00 ,$77.92 ,$51.31 ,$84.70 ,$51.31 ,$89.79 ,$52.85 ,$77.18 ,$114.95 , N/A ,$96.80 ,$110.11 ,$51.31 ,$113.74 ,$114.95 ,$108.90 ,$102.85 ,$51.31 ,$51.31 ,$51.31 ,$88.33 ,$51.31 ,$107.69 ,$108.90 ,$108.90 ,$96.80 ,$52.85 ,$66.55 ,$108.90 ,$51.31 ,$108.90 ,$51.31 ,$114.95 ,$115.45 ,$111.32 ,$54.39 ,$110.11 ,$51.31 ,$74.46 ,$77.92 ,$74.46 ,$108.90 ,$108.90 ,$90.30 ,$84.28 ,$51.82 ,$53.88 ,$113.14 ,$53.88 ,$51.31 ,$105.27 ,$51.31 ,$108.90 ,$51.31 ,$108.90 ,$108.90 ,$108.90 ,$117.37 ,$98.01 ,$108.90 ,$108.90 ,$108.90 ,$108.90 
ST. JOSEPH'S - CHIPPEWA FALLS,30700104,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$42.60 ,$31.95 ,$2.25 ,$42.60 ,$27.43 ,$2.25 ,$29.82 ,$2.32 ,$5.39 ,$2.39 ,$4.31 ,$40.47 , N/A ,$34.08 ,$38.77 ,$2.32 ,$40.04 ,$40.47 ,$38.34 ,$36.21 ,$2.32 ,$2.32 ,$2.32 ,$31.10 ,$2.25 ,$37.91 ,$38.34 ,$38.34 ,$34.08 ,$2.32 ,$23.43 ,$38.34 ,$2.25 ,$38.34 ,$2.25 ,$40.47 ,$5.06 ,$39.19 ,$2.46 ,$38.77 ,$2.25 ,$26.22 ,$27.43 ,$26.22 ,$38.34 ,$41.31 ,$31.79 ,$14.10 ,$2.27 ,$2.44 ,$39.83 ,$2.36 ,$2.32 ,$37.06 ,$2.25 ,$38.34 ,$2.25 ,$38.34 ,$38.34 ,$38.34 ,$41.32 ,$34.51 ,$38.34 ,$38.34 ,$38.34 ,$38.34 
ST. JOSEPH'S - CHIPPEWA FALLS,30700116,81025,HC URINE PREGNANCY TEST,307,1 ,$126.50 ,$94.88 ,$8.61 ,$126.50 ,$81.47 ,$8.61 ,$88.55 ,$8.90 ,$15.17 ,$9.17 ,$12.14 ,$120.18 , N/A ,$101.20 ,$115.12 ,$8.90 ,$118.91 ,$120.18 ,$113.85 ,$107.53 ,$8.90 ,$8.90 ,$8.90 ,$92.35 ,$8.61 ,$112.59 ,$113.85 ,$113.85 ,$101.20 ,$8.87 ,$69.58 ,$113.85 ,$8.61 ,$113.85 ,$8.61 ,$120.18 ,$19.37 ,$116.38 ,$9.43 ,$115.12 ,$8.61 ,$77.85 ,$81.47 ,$77.85 ,$113.85 ,$39.09 ,$94.41 ,$43.84 ,$8.70 ,$9.35 ,$118.28 ,$9.04 ,$8.90 ,$110.06 ,$8.61 ,$113.85 ,$8.61 ,$113.85 ,$113.85 ,$113.85 ,$122.71 ,$102.47 ,$113.85 ,$113.85 ,$113.85 ,$113.85 
ST. JOSEPH'S - CHIPPEWA FALLS,30700118,81000,HC URINALYSIS W/MICRO NON AUTO,307,1 ,$87.97 ,$65.98 ,$4.02 ,$87.97 ,$56.65 ,$4.02 ,$61.58 ,$4.15 ,$7.61 ,$4.27 ,$6.09 ,$83.57 , N/A ,$70.38 ,$80.05 ,$4.15 ,$82.69 ,$83.57 ,$79.17 ,$74.77 ,$4.15 ,$4.15 ,$4.15 ,$64.22 ,$4.02 ,$78.29 ,$79.17 ,$79.17 ,$70.38 ,$4.14 ,$48.38 ,$79.17 ,$4.02 ,$79.17 ,$4.02 ,$83.57 ,$9.05 ,$80.93 ,$4.40 ,$80.05 ,$4.02 ,$54.14 ,$56.65 ,$54.14 ,$79.17 ,$29.66 ,$65.65 ,$20.47 ,$4.06 ,$4.36 ,$82.25 ,$4.22 ,$4.15 ,$76.53 ,$4.02 ,$79.17 ,$4.02 ,$79.17 ,$79.17 ,$79.17 ,$85.33 ,$71.26 ,$79.17 ,$79.17 ,$79.17 ,$79.17 
ST. JOSEPH'S - CHIPPEWA FALLS,30700119,81005,HC URINALYSIS QL/SEMI QN,307,1 ,$58.84 ,$44.13 ,$2.17 ,$58.84 ,$37.89 ,$2.17 ,$41.19 ,$2.24 ,$5.20 ,$2.31 ,$4.16 ,$55.90 , N/A ,$47.07 ,$53.54 ,$2.24 ,$55.31 ,$55.90 ,$52.96 ,$50.01 ,$2.24 ,$2.24 ,$2.24 ,$42.95 ,$2.17 ,$52.37 ,$52.96 ,$52.96 ,$47.07 ,$2.24 ,$32.36 ,$52.96 ,$2.17 ,$52.96 ,$2.17 ,$55.90 ,$4.88 ,$54.13 ,$2.37 ,$53.54 ,$2.17 ,$36.21 ,$37.89 ,$36.21 ,$52.96 ,$29.85 ,$43.91 ,$13.59 ,$2.19 ,$2.35 ,$55.02 ,$2.28 ,$2.24 ,$51.19 ,$2.17 ,$52.96 ,$2.17 ,$52.96 ,$52.96 ,$52.96 ,$57.07 ,$47.66 ,$52.96 ,$52.96 ,$52.96 ,$52.96 
ST. JOSEPH'S - CHIPPEWA FALLS,30700120,81002,HC URANALYSIS NON AUTO W/O MICRO,307,1 ,$42.60 ,$31.95 ,$3.48 ,$42.60 ,$27.43 ,$3.48 ,$29.82 ,$3.60 ,$6.13 ,$3.71 ,$4.90 ,$40.47 , N/A ,$34.08 ,$38.77 ,$3.60 ,$40.04 ,$40.47 ,$38.34 ,$36.21 ,$3.60 ,$3.60 ,$3.60 ,$31.10 ,$3.48 ,$37.91 ,$38.34 ,$38.34 ,$34.08 ,$3.58 ,$23.43 ,$38.34 ,$3.48 ,$38.34 ,$3.48 ,$40.47 ,$7.83 ,$39.19 ,$3.82 ,$38.77 ,$3.48 ,$26.22 ,$27.43 ,$26.22 ,$38.34 ,$24.57 ,$31.79 ,$17.72 ,$3.51 ,$3.78 ,$39.83 ,$3.65 ,$3.60 ,$37.06 ,$3.48 ,$38.34 ,$3.48 ,$38.34 ,$38.34 ,$38.34 ,$41.32 ,$34.51 ,$38.34 ,$38.34 ,$38.34 ,$38.34 
ST. JOSEPH'S - CHIPPEWA FALLS,31000059,81240,HC F2 GENE ANAL 20210G A VAR,310,1 ,$469.00 ,$351.75 ,$53.70 ,$469.00 ,$302.04 ,$65.69 ,$328.30 ,$53.70 ,$118.13 ,$55.31 ,$94.50 ,$445.55 , N/A ,$375.20 ,$426.79 ,$53.70 ,$440.86 ,$445.55 ,$422.10 ,$398.65 ,$53.70 ,$53.70 ,$53.70 ,$342.37 ,$65.69 ,$417.41 ,$422.10 ,$422.10 ,$375.20 ,$67.66 ,$257.95 ,$422.10 ,$65.69 ,$422.10 ,$65.69 ,$445.55 ,$147.80 ,$431.48 ,$56.92 ,$426.79 ,$65.69 ,$288.62 ,$302.04 ,$288.62 ,$422.10 ,$128.00 ,$350.01 ,$334.47 ,$66.35 ,$56.39 ,$438.52 ,$68.97 ,$53.70 ,$408.03 ,$65.69 ,$422.10 ,$65.69 ,$422.10 ,$422.10 ,$422.10 ,$454.93 ,$379.89 ,$422.10 ,$422.10 ,$422.10 ,$422.10 
ST. JOSEPH'S - CHIPPEWA FALLS,31000060,81241,HC F5 GENE ANAL LEIDEN VAR,310,1 ,$279.00 ,$209.25 ,$66.70 ,$279.00 ,$179.68 ,$73.37 ,$195.30 ,$66.70 ,$146.69 ,$68.70 ,$117.35 ,$265.05 , N/A ,$223.20 ,$253.89 ,$66.70 ,$262.26 ,$265.05 ,$251.10 ,$237.15 ,$66.70 ,$66.70 ,$66.70 ,$203.67 ,$73.37 ,$248.31 ,$251.10 ,$251.10 ,$223.20 ,$75.57 ,$153.45 ,$251.10 ,$73.37 ,$251.10 ,$73.37 ,$265.05 ,$165.08 ,$256.68 ,$70.70 ,$253.89 ,$73.37 ,$171.70 ,$179.68 ,$171.70 ,$251.10 ,$159.49 ,$208.22 ,$251.10 ,$74.10 ,$70.04 ,$260.87 ,$77.04 ,$66.70 ,$242.73 ,$73.37 ,$251.10 ,$73.37 ,$251.10 ,$251.10 ,$251.10 ,$270.63 ,$225.99 ,$251.10 ,$251.10 ,$251.10 ,$251.10 
ST. JOSEPH'S - CHIPPEWA FALLS,31000067,88341,HC IMMUNOHISTOCHEM AB EACH ADDL,310,1 ,$289.49 ,$217.12 ,$12.70 ,$289.49 ,$186.43 , N/A ,$202.64 ,$12.70 ,$104.48 ,$13.08 ,$83.58 ,$275.02 , N/A ,$231.59 ,$263.44 ,$12.70 ,$272.12 ,$275.02 ,$260.54 ,$246.07 ,$12.70 ,$12.70 ,$12.70 ,$211.33 , N/A ,$257.65 ,$260.54 ,$260.54 ,$231.59 , N/A ,$159.22 ,$260.54 , N/A ,$260.54 , N/A ,$275.02 , N/A ,$266.33 ,$13.46 ,$263.44 , N/A ,$178.15 ,$186.43 ,$178.15 ,$260.54 ,$129.37 ,$216.05 ,$260.54 , N/A ,$13.34 ,$270.67 , N/A ,$12.70 ,$251.86 , N/A ,$260.54 , N/A ,$260.54 ,$260.54 ,$260.54 ,$280.81 ,$234.49 ,$260.54 ,$260.54 ,$260.54 ,$260.54 
ST. JOSEPH'S - CHIPPEWA FALLS,31000068,88341,HC IMMUNOHISTOCHEM AB EA ADDL REPEAT,310,1 ,$289.49 ,$217.12 ,$12.70 ,$289.49 ,$186.43 , N/A ,$202.64 ,$12.70 ,$104.48 ,$13.08 ,$83.58 ,$275.02 , N/A ,$231.59 ,$263.44 ,$12.70 ,$272.12 ,$275.02 ,$260.54 ,$246.07 ,$12.70 ,$12.70 ,$12.70 ,$211.33 , N/A ,$257.65 ,$260.54 ,$260.54 ,$231.59 , N/A ,$159.22 ,$260.54 , N/A ,$260.54 , N/A ,$275.02 , N/A ,$266.33 ,$13.46 ,$263.44 , N/A ,$178.15 ,$186.43 ,$178.15 ,$260.54 ,$129.37 ,$216.05 ,$260.54 , N/A ,$13.34 ,$270.67 , N/A ,$12.70 ,$251.86 , N/A ,$260.54 , N/A ,$260.54 ,$260.54 ,$260.54 ,$280.81 ,$234.49 ,$260.54 ,$260.54 ,$260.54 ,$260.54 
ST. JOSEPH'S - CHIPPEWA FALLS,31000069,88342,HC IMMUNOHISTOCHEM AB-INITIAL,310,1 ,$570.22 ,$427.67 ,$12.70 ,$570.22 ,$367.22 ,$153.91 ,$399.15 ,$12.70 ,$118.56 ,$13.08 ,$94.85 ,$541.71 , N/A ,$456.18 ,$518.90 ,$12.70 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$12.70 ,$12.70 ,$12.70 ,$416.26 ,$153.91 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$158.53 ,$313.62 ,$513.20 ,$153.91 ,$513.20 ,$153.91 ,$541.71 ,$346.30 ,$524.60 ,$13.46 ,$518.90 ,$153.91 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$87.89 ,$425.56 ,$360.23 ,$155.45 ,$13.34 ,$533.16 ,$161.61 ,$12.70 ,$496.09 ,$153.91 ,$513.20 ,$153.91 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31000070,88367,HC FISH HER-2NEU,310,1 ,$570.22 ,$427.67 ,$12.70 ,$676.25 ,$367.22 ,$300.56 ,$399.15 ,$12.70 ,$118.56 ,$13.08 ,$94.85 ,$541.71 , N/A ,$456.18 ,$518.90 ,$12.70 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$12.70 ,$12.70 ,$12.70 ,$416.26 ,$300.56 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$309.57 ,$313.62 ,$513.20 ,$300.56 ,$513.20 ,$300.56 ,$541.71 ,$676.25 ,$524.60 ,$13.46 ,$518.90 ,$300.56 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$284.89 ,$425.56 ,$354.99 ,$303.56 ,$13.34 ,$533.16 ,$315.59 ,$12.70 ,$496.09 ,$300.56 ,$513.20 ,$300.56 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31000071,88367,HC MORPHO ANALYSIS INSITU HYBRID,310,1 ,$570.22 ,$427.67 ,$12.70 ,$676.25 ,$367.22 ,$300.56 ,$399.15 ,$12.70 ,$118.56 ,$13.08 ,$94.85 ,$541.71 , N/A ,$456.18 ,$518.90 ,$12.70 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$12.70 ,$12.70 ,$12.70 ,$416.26 ,$300.56 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$309.57 ,$313.62 ,$513.20 ,$300.56 ,$513.20 ,$300.56 ,$541.71 ,$676.25 ,$524.60 ,$13.46 ,$518.90 ,$300.56 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$284.89 ,$425.56 ,$354.99 ,$303.56 ,$13.34 ,$533.16 ,$315.59 ,$12.70 ,$496.09 ,$300.56 ,$513.20 ,$300.56 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31000072,88285,HC CHROMOSOME ADDL CELLS COUNTED EA STUDY,310,1 ,$67.28 ,$50.46 ,$26.72 ,$67.28 ,$43.33 ,$26.91 ,$47.10 ,$26.72 ,$45.61 ,$27.52 ,$36.48 ,$63.92 , N/A ,$53.82 ,$61.22 ,$26.72 ,$63.24 ,$63.92 ,$60.55 ,$57.19 ,$26.72 ,$26.72 ,$26.72 ,$49.11 ,$26.91 ,$59.88 ,$60.55 ,$60.55 ,$53.82 ,$27.72 ,$37.00 ,$60.55 ,$26.91 ,$60.55 ,$26.91 ,$63.92 ,$60.55 ,$61.90 ,$28.32 ,$61.22 ,$26.91 ,$41.40 ,$43.33 ,$41.40 ,$60.55 ,$49.41 ,$50.21 ,$60.55 ,$27.18 ,$28.06 ,$62.91 ,$28.26 ,$26.72 ,$58.53 ,$26.91 ,$60.55 ,$26.91 ,$60.55 ,$60.55 ,$60.55 ,$65.26 ,$54.50 ,$60.55 ,$60.55 ,$60.55 ,$60.55 
ST. JOSEPH'S - CHIPPEWA FALLS,31100102,88108,HC CYTOPATH CONCENTRATION,311,1 ,$223.69 ,$167.77 ,$3.02 ,$223.69 ,$144.06 ,$34.93 ,$156.58 ,$3.02 ,$66.33 ,$3.11 ,$53.06 ,$212.51 , N/A ,$178.95 ,$203.56 ,$3.02 ,$210.27 ,$212.51 ,$201.32 ,$190.14 ,$3.02 ,$3.02 ,$3.02 ,$163.29 ,$34.93 ,$199.08 ,$201.32 ,$201.32 ,$178.95 ,$35.98 ,$123.03 ,$201.32 ,$34.93 ,$201.32 ,$34.93 ,$212.51 ,$78.59 ,$205.79 ,$3.20 ,$203.56 ,$34.93 ,$137.66 ,$144.06 ,$137.66 ,$201.32 ,$131.77 ,$166.94 ,$186.56 ,$35.28 ,$3.17 ,$209.15 ,$36.68 ,$3.02 ,$194.61 ,$34.93 ,$201.32 ,$34.93 ,$201.32 ,$201.32 ,$201.32 ,$216.98 ,$181.19 ,$201.32 ,$201.32 ,$201.32 ,$201.32 
ST. JOSEPH'S - CHIPPEWA FALLS,31100104,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$141.13 ,$105.85 ,$9.06 ,$141.13 ,$90.89 ,$51.28 ,$98.79 ,$9.06 ,$66.33 ,$9.33 ,$53.06 ,$134.07 , N/A ,$112.90 ,$128.43 ,$9.06 ,$132.66 ,$134.07 ,$127.02 ,$119.96 ,$9.06 ,$9.06 ,$9.06 ,$103.02 ,$51.28 ,$125.61 ,$127.02 ,$127.02 ,$112.90 ,$52.82 ,$77.62 ,$127.02 ,$51.28 ,$127.02 ,$51.28 ,$134.07 ,$115.38 ,$129.84 ,$9.60 ,$128.43 ,$51.28 ,$86.85 ,$90.89 ,$86.85 ,$127.02 ,$140.92 ,$105.33 ,$127.02 ,$51.79 ,$9.51 ,$131.96 ,$53.84 ,$9.06 ,$122.78 ,$51.28 ,$127.02 ,$51.28 ,$127.02 ,$127.02 ,$127.02 ,$136.90 ,$114.32 ,$127.02 ,$127.02 ,$127.02 ,$127.02 
ST. JOSEPH'S - CHIPPEWA FALLS,31100107,88142,HC THINPREP PAP,311,1 ,$192.24 ,$144.18 ,$20.26 ,$192.24 ,$123.80 ,$20.26 ,$134.57 ,$20.93 ,$48.63 ,$21.56 ,$38.91 ,$182.63 , N/A ,$153.79 ,$174.94 ,$20.93 ,$180.71 ,$182.63 ,$173.02 ,$163.40 ,$20.93 ,$20.93 ,$20.93 ,$140.34 ,$20.26 ,$171.09 ,$173.02 ,$173.02 ,$153.79 ,$20.87 ,$105.73 ,$173.02 ,$20.26 ,$173.02 ,$20.26 ,$182.63 ,$45.59 ,$176.86 ,$22.19 ,$174.94 ,$20.26 ,$118.30 ,$123.80 ,$118.30 ,$173.02 ,$51.87 ,$143.47 ,$127.34 ,$20.46 ,$21.98 ,$179.74 ,$21.27 ,$20.93 ,$167.25 ,$20.26 ,$173.02 ,$20.26 ,$173.02 ,$173.02 ,$173.02 ,$186.47 ,$155.71 ,$173.02 ,$173.02 ,$173.02 ,$173.02 
ST. JOSEPH'S - CHIPPEWA FALLS,31100113,88164,HC CYTOPATH SCR BETHESDA,311,1 ,$93.51 ,$70.13 ,$14.86 ,$93.51 ,$60.22 ,$15.92 ,$65.46 ,$14.86 ,$25.36 ,$15.31 ,$20.29 ,$88.83 , N/A ,$74.81 ,$85.09 ,$14.86 ,$87.90 ,$88.83 ,$84.16 ,$79.48 ,$14.86 ,$14.86 ,$14.86 ,$68.26 ,$15.92 ,$83.22 ,$84.16 ,$84.16 ,$74.81 ,$16.40 ,$51.43 ,$84.16 ,$15.92 ,$84.16 ,$15.92 ,$88.83 ,$35.82 ,$86.03 ,$15.75 ,$85.09 ,$15.92 ,$57.55 ,$60.22 ,$57.55 ,$84.16 ,$22.38 ,$69.79 ,$74.59 ,$16.08 ,$15.60 ,$87.43 ,$16.72 ,$14.86 ,$81.35 ,$15.92 ,$84.16 ,$15.92 ,$84.16 ,$84.16 ,$84.16 ,$90.70 ,$75.74 ,$84.16 ,$84.16 ,$84.16 ,$84.16 
ST. JOSEPH'S - CHIPPEWA FALLS,31100114,88172,HC FINE NEEDLE EVAL,311,1 ,$341.92 ,$256.44 ,$12.46 ,$346.30 ,$220.20 ,$153.91 ,$239.34 ,$12.46 ,$33.30 ,$12.83 ,$26.64 ,$324.82 , N/A ,$273.54 ,$311.15 ,$12.46 ,$321.40 ,$324.82 ,$307.73 ,$290.63 ,$12.46 ,$12.46 ,$12.46 ,$249.60 ,$153.91 ,$304.31 ,$307.73 ,$307.73 ,$273.54 ,$158.53 ,$188.06 ,$307.73 ,$153.91 ,$307.73 ,$153.91 ,$324.82 ,$346.30 ,$314.57 ,$13.21 ,$311.15 ,$153.91 ,$210.42 ,$220.20 ,$210.42 ,$307.73 ,$186.68 ,$255.17 ,$100.61 ,$155.45 ,$13.08 ,$319.70 ,$161.61 ,$12.46 ,$297.47 ,$153.91 ,$307.73 ,$153.91 ,$307.73 ,$307.73 ,$307.73 ,$331.66 ,$276.96 ,$307.73 ,$307.73 ,$307.73 ,$307.73 
ST. JOSEPH'S - CHIPPEWA FALLS,31100115,88173,HC FINE NEEDLE INTERP,311,1 ,$245.86 ,$184.40 ,$11.57 ,$245.86 ,$158.33 ,$51.28 ,$172.10 ,$11.57 ,$135.66 ,$11.92 ,$108.53 ,$233.57 , N/A ,$196.69 ,$223.73 ,$11.57 ,$231.11 ,$233.57 ,$221.27 ,$208.98 ,$11.57 ,$11.57 ,$11.57 ,$179.48 ,$51.28 ,$218.82 ,$221.27 ,$221.27 ,$196.69 ,$52.82 ,$135.22 ,$221.27 ,$51.28 ,$221.27 ,$51.28 ,$233.57 ,$115.38 ,$226.19 ,$12.26 ,$223.73 ,$51.28 ,$151.30 ,$158.33 ,$151.30 ,$221.27 ,$197.64 ,$183.49 ,$221.27 ,$51.79 ,$12.15 ,$229.88 ,$53.84 ,$11.57 ,$213.90 ,$51.28 ,$221.27 ,$51.28 ,$221.27 ,$221.27 ,$221.27 ,$238.48 ,$199.15 ,$221.27 ,$221.27 ,$221.27 ,$221.27 
ST. JOSEPH'S - CHIPPEWA FALLS,31100121,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$570.22 ,$427.67 ,$9.06 ,$676.25 ,$367.22 ,$300.56 ,$399.15 ,$9.06 ,$102.95 ,$9.33 ,$82.36 ,$541.71 , N/A ,$456.18 ,$518.90 ,$9.06 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$9.06 ,$9.06 ,$9.06 ,$416.26 ,$300.56 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$309.57 ,$313.62 ,$513.20 ,$300.56 ,$513.20 ,$300.56 ,$541.71 ,$676.25 ,$524.60 ,$9.60 ,$518.90 ,$300.56 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$103.17 ,$425.56 ,$329.27 ,$303.56 ,$9.51 ,$533.16 ,$315.59 ,$9.06 ,$496.09 ,$300.56 ,$513.20 ,$300.56 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31100126,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$56.89 ,$42.67 ,$12.46 ,$56.89 ,$36.64 , N/A ,$39.82 ,$12.46 ,$56.89 ,$12.83 ,$50.44 ,$54.05 , N/A ,$45.51 ,$51.77 ,$12.46 ,$53.48 ,$54.05 ,$51.20 ,$48.36 ,$12.46 ,$12.46 ,$12.46 ,$41.53 , N/A ,$50.63 ,$51.20 ,$51.20 ,$45.51 , N/A ,$31.29 ,$51.20 , N/A ,$51.20 , N/A ,$54.05 , N/A ,$52.34 ,$13.21 ,$51.77 , N/A ,$35.01 ,$36.64 ,$35.01 ,$51.20 ,$50.82 ,$42.46 ,$51.20 , N/A ,$13.08 ,$53.19 , N/A ,$12.46 ,$49.49 , N/A ,$51.20 , N/A ,$51.20 ,$51.20 ,$51.20 ,$55.18 ,$46.08 ,$51.20 ,$51.20 ,$51.20 ,$51.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31100137,88233,HC TISSUE CULT SKIN/OTH SOLID,311,1 ,$434.35 ,$325.76 ,$70.04 ,$434.35 ,$279.72 ,$140.73 ,$304.05 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$412.63 , N/A ,$347.48 ,$395.26 ,$70.04 ,$408.29 ,$412.63 ,$390.92 ,$369.20 ,$70.04 ,$70.04 ,$70.04 ,$317.08 ,$140.73 ,$386.57 ,$390.92 ,$390.92 ,$347.48 ,$144.95 ,$238.89 ,$390.92 ,$140.73 ,$390.92 ,$140.73 ,$412.63 ,$316.64 ,$399.60 ,$74.24 ,$395.26 ,$140.73 ,$267.30 ,$279.72 ,$267.30 ,$390.92 ,$175.71 ,$324.16 ,$390.92 ,$142.14 ,$73.54 ,$406.12 ,$147.77 ,$70.04 ,$377.88 ,$140.73 ,$390.92 ,$140.73 ,$390.92 ,$390.92 ,$390.92 ,$421.32 ,$351.82 ,$390.92 ,$390.92 ,$390.92 ,$390.92 
ST. JOSEPH'S - CHIPPEWA FALLS,31100143,88237,HC TISSUE CULT BONE/BLD (CHROMO),311,1 ,$389.83 ,$292.37 ,$70.04 ,$389.83 ,$251.05 ,$143.75 ,$272.88 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$370.34 , N/A ,$311.86 ,$354.75 ,$70.04 ,$366.44 ,$370.34 ,$350.85 ,$331.36 ,$70.04 ,$70.04 ,$70.04 ,$284.58 ,$143.75 ,$346.95 ,$350.85 ,$350.85 ,$311.86 ,$148.06 ,$214.41 ,$350.85 ,$143.75 ,$350.85 ,$143.75 ,$370.34 ,$323.44 ,$358.64 ,$74.24 ,$354.75 ,$143.75 ,$239.90 ,$251.05 ,$239.90 ,$350.85 ,$98.81 ,$290.93 ,$350.85 ,$145.19 ,$73.54 ,$364.49 ,$150.94 ,$70.04 ,$339.15 ,$143.75 ,$350.85 ,$143.75 ,$350.85 ,$350.85 ,$350.85 ,$378.14 ,$315.76 ,$350.85 ,$350.85 ,$350.85 ,$350.85 
ST. JOSEPH'S - CHIPPEWA FALLS,31100144,88237,HC TISSUE CULT BONE/BLD,311,1 ,$394.38 ,$295.79 ,$70.04 ,$394.38 ,$253.98 ,$143.75 ,$276.07 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$374.66 , N/A ,$315.50 ,$358.89 ,$70.04 ,$370.72 ,$374.66 ,$354.94 ,$335.22 ,$70.04 ,$70.04 ,$70.04 ,$287.90 ,$143.75 ,$351.00 ,$354.94 ,$354.94 ,$315.50 ,$148.06 ,$216.91 ,$354.94 ,$143.75 ,$354.94 ,$143.75 ,$374.66 ,$323.44 ,$362.83 ,$74.24 ,$358.89 ,$143.75 ,$242.70 ,$253.98 ,$242.70 ,$354.94 ,$98.81 ,$294.33 ,$354.94 ,$145.19 ,$73.54 ,$368.75 ,$150.94 ,$70.04 ,$343.11 ,$143.75 ,$354.94 ,$143.75 ,$354.94 ,$354.94 ,$354.94 ,$382.55 ,$319.45 ,$354.94 ,$354.94 ,$354.94 ,$354.94 
ST. JOSEPH'S - CHIPPEWA FALLS,31100145,88237,HC TISSUE CULT BONE/BLD (CHROMO 1),311,1 ,$873.00 ,$654.75 ,$70.04 ,$873.00 ,$562.21 ,$143.75 ,$611.10 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$829.35 , N/A ,$698.40 ,$794.43 ,$70.04 ,$820.62 ,$829.35 ,$785.70 ,$742.05 ,$70.04 ,$70.04 ,$70.04 ,$637.29 ,$143.75 ,$776.97 ,$785.70 ,$785.70 ,$698.40 ,$148.06 ,$480.15 ,$785.70 ,$143.75 ,$785.70 ,$143.75 ,$829.35 ,$323.44 ,$803.16 ,$74.24 ,$794.43 ,$143.75 ,$537.24 ,$562.21 ,$537.24 ,$785.70 ,$98.81 ,$651.52 ,$785.70 ,$145.19 ,$73.54 ,$816.26 ,$150.94 ,$70.04 ,$759.51 ,$143.75 ,$785.70 ,$143.75 ,$785.70 ,$785.70 ,$785.70 ,$846.81 ,$707.13 ,$785.70 ,$785.70 ,$785.70 ,$785.70 
ST. JOSEPH'S - CHIPPEWA FALLS,31100148,88239,HC TISSUE CULT TUMOR,311,1 ,$525.48 ,$394.11 ,$70.04 ,$525.48 ,$338.41 ,$147.52 ,$367.84 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$499.21 , N/A ,$420.38 ,$478.19 ,$70.04 ,$493.95 ,$499.21 ,$472.93 ,$446.66 ,$70.04 ,$70.04 ,$70.04 ,$383.60 ,$147.52 ,$467.68 ,$472.93 ,$472.93 ,$420.38 ,$151.95 ,$289.01 ,$472.93 ,$147.52 ,$472.93 ,$147.52 ,$499.21 ,$331.92 ,$483.44 ,$74.24 ,$478.19 ,$147.52 ,$323.38 ,$338.41 ,$323.38 ,$472.93 ,$490.32 ,$392.17 ,$472.93 ,$149.00 ,$73.54 ,$491.32 ,$154.90 ,$70.04 ,$457.17 ,$147.52 ,$472.93 ,$147.52 ,$472.93 ,$472.93 ,$472.93 ,$509.72 ,$425.64 ,$472.93 ,$472.93 ,$472.93 ,$472.93 
ST. JOSEPH'S - CHIPPEWA FALLS,31100161,88262,HC CHROM COUNT 15-20/2,311,1 ,$565.91 ,$424.43 ,$125.49 ,$565.91 ,$364.45 ,$125.49 ,$396.14 ,$129.67 ,$299.22 ,$133.56 ,$239.37 ,$537.61 , N/A ,$452.73 ,$514.98 ,$129.67 ,$531.96 ,$537.61 ,$509.32 ,$481.02 ,$129.67 ,$129.67 ,$129.67 ,$413.11 ,$125.49 ,$503.66 ,$509.32 ,$509.32 ,$452.73 ,$129.25 ,$311.25 ,$509.32 ,$125.49 ,$509.32 ,$125.49 ,$537.61 ,$282.35 ,$520.64 ,$137.45 ,$514.98 ,$125.49 ,$348.26 ,$364.45 ,$348.26 ,$509.32 ,$565.91 ,$422.34 ,$509.32 ,$126.74 ,$136.15 ,$529.13 ,$131.76 ,$129.67 ,$492.34 ,$125.49 ,$509.32 ,$125.49 ,$509.32 ,$509.32 ,$509.32 ,$548.93 ,$458.39 ,$509.32 ,$509.32 ,$509.32 ,$509.32 
ST. JOSEPH'S - CHIPPEWA FALLS,31100166,88264,HC CHROM ANLYS ANALYZE 20,311,1 ,$568.00 ,$426.00 ,$144.61 ,$568.00 ,$365.79 ,$144.61 ,$397.60 ,$149.43 ,$299.22 ,$153.91 ,$239.37 ,$539.60 , N/A ,$454.40 ,$516.88 ,$149.43 ,$533.92 ,$539.60 ,$511.20 ,$482.80 ,$149.43 ,$149.43 ,$149.43 ,$414.64 ,$144.61 ,$505.52 ,$511.20 ,$511.20 ,$454.40 ,$148.95 ,$312.40 ,$511.20 ,$144.61 ,$511.20 ,$144.61 ,$539.60 ,$325.37 ,$522.56 ,$158.40 ,$516.88 ,$144.61 ,$349.55 ,$365.79 ,$349.55 ,$511.20 ,$528.72 ,$423.90 ,$511.20 ,$146.06 ,$156.90 ,$531.08 ,$151.84 ,$149.43 ,$494.16 ,$144.61 ,$511.20 ,$144.61 ,$511.20 ,$511.20 ,$511.20 ,$550.96 ,$460.08 ,$511.20 ,$511.20 ,$511.20 ,$511.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31100224,88161,HC CYTOPATH SMEAR OTHER SOURCE W/PREP,311,1 ,$178.14 ,$133.61 ,$3.02 ,$178.14 ,$114.72 ,$25.49 ,$124.70 ,$3.02 ,$66.94 ,$3.11 ,$53.55 ,$169.23 , N/A ,$142.51 ,$162.11 ,$3.02 ,$167.45 ,$169.23 ,$160.33 ,$151.42 ,$3.02 ,$3.02 ,$3.02 ,$130.04 ,$25.49 ,$158.54 ,$160.33 ,$160.33 ,$142.51 ,$26.26 ,$97.98 ,$160.33 ,$25.49 ,$160.33 ,$25.49 ,$169.23 ,$57.36 ,$163.89 ,$3.20 ,$162.11 ,$25.49 ,$109.63 ,$114.72 ,$109.63 ,$160.33 ,$114.22 ,$132.95 ,$160.33 ,$25.75 ,$3.17 ,$166.56 ,$26.76 ,$3.02 ,$154.98 ,$25.49 ,$160.33 ,$25.49 ,$160.33 ,$160.33 ,$160.33 ,$172.80 ,$144.29 ,$160.33 ,$160.33 ,$160.33 ,$160.33 
ST. JOSEPH'S - CHIPPEWA FALLS,31100225,88187,HC FLOW CYTO INT 2-8 MARKERS,311,1 ,$249.48 ,$187.11 ,$9.06 ,$249.48 ,$160.67 , N/A ,$174.64 ,$9.06 ,$99.86 ,$9.33 ,$79.88 ,$237.01 , N/A ,$199.58 ,$227.03 ,$9.06 ,$234.51 ,$237.01 ,$224.53 ,$212.06 ,$9.06 ,$9.06 ,$9.06 ,$182.12 , N/A ,$222.04 ,$224.53 ,$224.53 ,$199.58 , N/A ,$137.21 ,$224.53 , N/A ,$224.53 , N/A ,$237.01 , N/A ,$229.52 ,$9.60 ,$227.03 , N/A ,$153.53 ,$160.67 ,$153.53 ,$224.53 ,$140.12 ,$186.19 ,$224.53 , N/A ,$9.51 ,$233.26 , N/A ,$9.06 ,$217.05 , N/A ,$224.53 , N/A ,$224.53 ,$224.53 ,$224.53 ,$242.00 ,$202.08 ,$224.53 ,$224.53 ,$224.53 ,$224.53 
ST. JOSEPH'S - CHIPPEWA FALLS,31100226,88188,HC FLOW CYTO INT 9-15 MARKERS,311,1 ,$314.81 ,$236.11 ,$9.06 ,$314.81 ,$202.74 , N/A ,$220.37 ,$9.06 ,$127.52 ,$9.33 ,$102.02 ,$299.07 , N/A ,$251.85 ,$286.48 ,$9.06 ,$295.92 ,$299.07 ,$283.33 ,$267.59 ,$9.06 ,$9.06 ,$9.06 ,$229.81 , N/A ,$280.18 ,$283.33 ,$283.33 ,$251.85 , N/A ,$173.15 ,$283.33 , N/A ,$283.33 , N/A ,$299.07 , N/A ,$289.63 ,$9.60 ,$286.48 , N/A ,$193.73 ,$202.74 ,$193.73 ,$283.33 ,$174.76 ,$234.94 ,$283.33 , N/A ,$9.51 ,$294.35 , N/A ,$9.06 ,$273.88 , N/A ,$283.33 , N/A ,$283.33 ,$283.33 ,$283.33 ,$305.37 ,$255.00 ,$283.33 ,$283.33 ,$283.33 ,$283.33 
ST. JOSEPH'S - CHIPPEWA FALLS,31100227,88189,HC FLOW CYTO INT >16 MARKERS,311,1 ,$416.88 ,$312.66 ,$9.06 ,$416.88 ,$268.47 , N/A ,$291.82 ,$9.06 ,$157.10 ,$9.33 ,$125.68 ,$396.04 , N/A ,$333.50 ,$379.36 ,$9.06 ,$391.87 ,$396.04 ,$375.19 ,$354.35 ,$9.06 ,$9.06 ,$9.06 ,$304.32 , N/A ,$371.02 ,$375.19 ,$375.19 ,$333.50 , N/A ,$229.28 ,$375.19 , N/A ,$375.19 , N/A ,$396.04 , N/A ,$383.53 ,$9.60 ,$379.36 , N/A ,$256.55 ,$268.47 ,$256.55 ,$375.19 ,$230.20 ,$311.12 ,$375.19 , N/A ,$9.51 ,$389.78 , N/A ,$9.06 ,$362.69 , N/A ,$375.19 , N/A ,$375.19 ,$375.19 ,$375.19 ,$404.37 ,$337.67 ,$375.19 ,$375.19 ,$375.19 ,$375.19 
ST. JOSEPH'S - CHIPPEWA FALLS,31100231,P3000,HC PAP SMEAR SCREEN (UP TO 3),311,1 ,$77.00 ,$57.75 ,$14.86 ,$77.00 ,$49.59 ,$15.92 ,$53.90 ,$14.86 ,$25.36 ,$15.31 ,$20.29 ,$73.15 , N/A ,$61.60 ,$70.07 ,$14.86 ,$72.38 ,$73.15 ,$69.30 ,$65.45 ,$14.86 ,$14.86 ,$14.86 ,$56.21 ,$15.92 ,$68.53 ,$69.30 ,$69.30 ,$61.60 ,$16.40 ,$42.35 ,$69.30 ,$15.92 ,$69.30 ,$15.92 ,$73.15 ,$35.82 ,$70.84 ,$15.75 ,$70.07 ,$15.92 ,$47.39 ,$49.59 ,$47.39 ,$69.30 ,$69.30 ,$57.47 ,$69.30 ,$16.08 ,$15.60 ,$72.00 ,$16.72 ,$14.86 ,$66.99 ,$15.92 ,$69.30 ,$15.92 ,$69.30 ,$69.30 ,$69.30 ,$74.69 ,$62.37 ,$69.30 ,$69.30 ,$69.30 ,$69.30 
ST. JOSEPH'S - CHIPPEWA FALLS,31200101,88300,HC GROSS ONLY LEVEL I,312,1 ,$91.96 ,$68.97 ,$6.95 ,$91.96 ,$59.22 ,$25.49 ,$64.37 ,$6.95 ,$19.50 ,$7.16 ,$15.60 ,$87.36 , N/A ,$73.57 ,$83.68 ,$6.95 ,$86.44 ,$87.36 ,$82.76 ,$78.17 ,$6.95 ,$6.95 ,$6.95 ,$67.13 ,$25.49 ,$81.84 ,$82.76 ,$82.76 ,$73.57 ,$26.26 ,$50.58 ,$82.76 ,$25.49 ,$82.76 ,$25.49 ,$87.36 ,$57.36 ,$84.60 ,$7.37 ,$83.68 ,$25.49 ,$56.59 ,$59.22 ,$56.59 ,$82.76 ,$91.96 ,$68.63 ,$58.50 ,$25.75 ,$7.30 ,$85.98 ,$26.76 ,$6.95 ,$80.01 ,$25.49 ,$82.76 ,$25.49 ,$82.76 ,$82.76 ,$82.76 ,$89.20 ,$74.49 ,$82.76 ,$82.76 ,$82.76 ,$82.76 
ST. JOSEPH'S - CHIPPEWA FALLS,31200102,88302,HC GROSS  AND  MICRO LEVEL II,312,1 ,$238.40 ,$178.80 ,$6.95 ,$238.40 ,$153.53 ,$25.49 ,$166.88 ,$6.95 ,$39.32 ,$7.16 ,$31.46 ,$226.48 , N/A ,$190.72 ,$216.94 ,$6.95 ,$224.10 ,$226.48 ,$214.56 ,$202.64 ,$6.95 ,$6.95 ,$6.95 ,$174.03 ,$25.49 ,$212.18 ,$214.56 ,$214.56 ,$190.72 ,$26.26 ,$131.12 ,$214.56 ,$25.49 ,$214.56 ,$25.49 ,$226.48 ,$57.36 ,$219.33 ,$7.37 ,$216.94 ,$25.49 ,$146.71 ,$153.53 ,$146.71 ,$214.56 ,$208.67 ,$177.92 ,$116.39 ,$25.75 ,$7.30 ,$222.90 ,$26.76 ,$6.95 ,$207.41 ,$25.49 ,$214.56 ,$25.49 ,$214.56 ,$214.56 ,$214.56 ,$231.25 ,$193.10 ,$214.56 ,$214.56 ,$214.56 ,$214.56 
ST. JOSEPH'S - CHIPPEWA FALLS,31200103,88304,HC GROSS  AND  MICRO LEVEL III,312,1 ,$249.84 ,$187.38 ,$6.95 ,$249.84 ,$160.90 ,$51.28 ,$174.89 ,$6.95 ,$48.91 ,$7.16 ,$39.13 ,$237.35 , N/A ,$199.87 ,$227.35 ,$6.95 ,$234.85 ,$237.35 ,$224.86 ,$212.36 ,$6.95 ,$6.95 ,$6.95 ,$182.38 ,$51.28 ,$222.36 ,$224.86 ,$224.86 ,$199.87 ,$52.82 ,$137.41 ,$224.86 ,$51.28 ,$224.86 ,$51.28 ,$237.35 ,$115.38 ,$229.85 ,$7.37 ,$227.35 ,$51.28 ,$153.75 ,$160.90 ,$153.75 ,$224.86 ,$219.64 ,$186.46 ,$142.72 ,$51.79 ,$7.30 ,$233.60 ,$53.84 ,$6.95 ,$217.36 ,$51.28 ,$224.86 ,$51.28 ,$224.86 ,$224.86 ,$224.86 ,$242.34 ,$202.37 ,$224.86 ,$224.86 ,$224.86 ,$224.86 
ST. JOSEPH'S - CHIPPEWA FALLS,31200105,88305,HC CELLIENT CELL BLOCK,312,1 ,$343.03 ,$257.27 ,$12.70 ,$343.03 ,$220.91 ,$51.28 ,$240.12 ,$12.70 ,$49.53 ,$13.08 ,$39.62 ,$325.88 , N/A ,$274.42 ,$312.16 ,$12.70 ,$322.45 ,$325.88 ,$308.73 ,$291.58 ,$12.70 ,$12.70 ,$12.70 ,$250.41 ,$51.28 ,$305.30 ,$308.73 ,$308.73 ,$274.42 ,$52.82 ,$188.67 ,$308.73 ,$51.28 ,$308.73 ,$51.28 ,$325.88 ,$115.38 ,$315.59 ,$13.46 ,$312.16 ,$51.28 ,$211.10 ,$220.91 ,$211.10 ,$308.73 ,$296.47 ,$256.00 ,$146.23 ,$51.79 ,$13.34 ,$320.73 ,$53.84 ,$12.70 ,$298.44 ,$51.28 ,$308.73 ,$51.28 ,$308.73 ,$308.73 ,$308.73 ,$332.74 ,$277.85 ,$308.73 ,$308.73 ,$308.73 ,$308.73 
ST. JOSEPH'S - CHIPPEWA FALLS,31200108,88305,HC GROSS  AND  MICRO LEVEL IV,312,1 ,$343.00 ,$257.25 ,$12.70 ,$343.00 ,$220.89 ,$51.28 ,$240.10 ,$12.70 ,$49.53 ,$13.08 ,$39.62 ,$325.85 , N/A ,$274.40 ,$312.13 ,$12.70 ,$322.42 ,$325.85 ,$308.70 ,$291.55 ,$12.70 ,$12.70 ,$12.70 ,$250.39 ,$51.28 ,$305.27 ,$308.70 ,$308.70 ,$274.40 ,$52.82 ,$188.65 ,$308.70 ,$51.28 ,$308.70 ,$51.28 ,$325.85 ,$115.38 ,$315.56 ,$13.46 ,$312.13 ,$51.28 ,$211.08 ,$220.89 ,$211.08 ,$308.70 ,$296.47 ,$255.98 ,$146.23 ,$51.79 ,$13.34 ,$320.71 ,$53.84 ,$12.70 ,$298.41 ,$51.28 ,$308.70 ,$51.28 ,$308.70 ,$308.70 ,$308.70 ,$332.71 ,$277.83 ,$308.70 ,$308.70 ,$308.70 ,$308.70 
ST. JOSEPH'S - CHIPPEWA FALLS,31200110,88307,HC GROSS  AND  MICRO LEVEL V,312,1 ,$570.22 ,$427.67 ,$12.70 ,$676.25 ,$367.22 ,$300.56 ,$399.15 ,$12.70 ,$303.78 ,$13.08 ,$243.03 ,$541.71 , N/A ,$456.18 ,$518.90 ,$12.70 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$12.70 ,$12.70 ,$12.70 ,$416.26 ,$300.56 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$309.57 ,$313.62 ,$513.20 ,$300.56 ,$513.20 ,$300.56 ,$541.71 ,$676.25 ,$524.60 ,$13.46 ,$518.90 ,$300.56 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$461.20 ,$425.56 ,$513.20 ,$303.56 ,$13.34 ,$533.16 ,$315.59 ,$12.70 ,$496.09 ,$300.56 ,$513.20 ,$300.56 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31200113,88309,HC GROSS  AND  MICRO LEVEL VI,312,1 ,"$1,431.86 ","$1,073.90 ",$12.70 ,"$1,521.62 ",$922.12 ,$676.28 ,"$1,002.30 ",$12.70 ,$431.36 ,$13.08 ,$345.09 ,"$1,360.27 ", N/A ,"$1,145.49 ","$1,302.99 ",$12.70 ,"$1,345.95 ","$1,360.27 ","$1,288.67 ","$1,217.08 ",$12.70 ,$12.70 ,$12.70 ,"$1,045.26 ",$676.28 ,"$1,274.36 ","$1,288.67 ","$1,288.67 ","$1,145.49 ",$696.57 ,$787.52 ,"$1,288.67 ",$676.28 ,"$1,288.67 ",$676.28 ,"$1,360.27 ","$1,521.62 ","$1,317.31 ",$13.46 ,"$1,302.99 ",$676.28 ,$881.17 ,$922.12 ,$881.17 ,"$1,288.67 ",$603.96 ,"$1,068.60 ","$1,235.07 ",$683.04 ,$13.34 ,"$1,338.79 ",$710.09 ,$12.70 ,"$1,245.72 ",$676.28 ,"$1,288.67 ",$676.28 ,"$1,288.67 ","$1,288.67 ","$1,288.67 ","$1,388.90 ","$1,159.81 ","$1,288.67 ","$1,288.67 ","$1,288.67 ","$1,288.67 "
ST. JOSEPH'S - CHIPPEWA FALLS,31200116,88311,HC DECALCIFICATION,312,1 ,$78.09 ,$58.57 ,$12.24 ,$78.09 ,$50.29 , N/A ,$54.66 ,$12.70 ,$15.30 ,$13.08 ,$12.24 ,$74.19 , N/A ,$62.47 ,$71.06 ,$12.70 ,$73.40 ,$74.19 ,$70.28 ,$66.38 ,$12.70 ,$12.70 ,$12.70 ,$57.01 , N/A ,$69.50 ,$70.28 ,$70.28 ,$62.47 , N/A ,$42.95 ,$70.28 , N/A ,$70.28 , N/A ,$74.19 , N/A ,$71.84 ,$13.46 ,$71.06 , N/A ,$48.06 ,$50.29 ,$48.06 ,$70.28 ,$49.41 ,$58.28 ,$44.50 , N/A ,$13.34 ,$73.01 , N/A ,$12.70 ,$67.94 , N/A ,$70.28 , N/A ,$70.28 ,$70.28 ,$70.28 ,$75.75 ,$63.25 ,$70.28 ,$70.28 ,$70.28 ,$70.28 
ST. JOSEPH'S - CHIPPEWA FALLS,31200173,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,$354.10 ,$265.58 ,$11.57 ,$354.10 ,$228.04 ,$153.91 ,$247.87 ,$11.57 ,$54.32 ,$11.92 ,$43.46 ,$336.40 , N/A ,$283.28 ,$322.23 ,$11.57 ,$332.85 ,$336.40 ,$318.69 ,$300.99 ,$11.57 ,$11.57 ,$11.57 ,$258.49 ,$153.91 ,$315.15 ,$318.69 ,$318.69 ,$283.28 ,$158.53 ,$194.76 ,$318.69 ,$153.91 ,$318.69 ,$153.91 ,$336.40 ,$346.30 ,$325.77 ,$12.26 ,$322.23 ,$153.91 ,$217.91 ,$228.04 ,$217.91 ,$318.69 ,$209.55 ,$264.26 ,$160.28 ,$155.45 ,$12.15 ,$331.08 ,$161.61 ,$11.57 ,$308.07 ,$153.91 ,$318.69 ,$153.91 ,$318.69 ,$318.69 ,$318.69 ,$343.48 ,$286.82 ,$318.69 ,$318.69 ,$318.69 ,$318.69 
ST. JOSEPH'S - CHIPPEWA FALLS,31200174,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$141.85 ,$106.39 ,$11.57 ,$141.85 ,$91.35 , N/A ,$99.30 ,$11.57 ,$34.51 ,$11.92 ,$27.61 ,$134.76 , N/A ,$113.48 ,$129.08 ,$11.57 ,$133.34 ,$134.76 ,$127.67 ,$120.57 ,$11.57 ,$11.57 ,$11.57 ,$103.55 , N/A ,$126.25 ,$127.67 ,$127.67 ,$113.48 , N/A ,$78.02 ,$127.67 , N/A ,$127.67 , N/A ,$134.76 , N/A ,$130.50 ,$12.26 ,$129.08 , N/A ,$87.29 ,$91.35 ,$87.29 ,$127.67 ,$87.89 ,$105.86 ,$104.12 , N/A ,$12.15 ,$132.63 , N/A ,$11.57 ,$123.41 , N/A ,$127.67 , N/A ,$127.67 ,$127.67 ,$127.67 ,$137.59 ,$114.90 ,$127.67 ,$127.67 ,$127.67 ,$127.67 
ST. JOSEPH'S - CHIPPEWA FALLS,31200186,88346,HC IF DIRECT,312,1 ,$570.22 ,$427.67 ,$12.70 ,$676.25 ,$367.22 ,$300.56 ,$399.15 ,$12.70 ,$96.36 ,$13.08 ,$77.08 ,$541.71 , N/A ,$456.18 ,$518.90 ,$12.70 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$12.70 ,$12.70 ,$12.70 ,$416.26 ,$300.56 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$309.57 ,$313.62 ,$513.20 ,$300.56 ,$513.20 ,$300.56 ,$541.71 ,$676.25 ,$524.60 ,$13.46 ,$518.90 ,$300.56 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$87.89 ,$425.56 ,$281.31 ,$303.56 ,$13.34 ,$533.16 ,$315.59 ,$12.70 ,$496.09 ,$300.56 ,$513.20 ,$300.56 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31200194,88360,HC MORPHO ANLYS TUMOR MAN (HER2),312,1 ,$360.00 ,$270.00 ,$12.70 ,$360.00 ,$231.84 ,$153.91 ,$252.00 ,$12.70 ,$141.38 ,$13.08 ,$113.11 ,$342.00 , N/A ,$288.00 ,$327.60 ,$12.70 ,$338.40 ,$342.00 ,$324.00 ,$306.00 ,$12.70 ,$12.70 ,$12.70 ,$262.80 ,$153.91 ,$320.40 ,$324.00 ,$324.00 ,$288.00 ,$158.53 ,$198.00 ,$324.00 ,$153.91 ,$324.00 ,$153.91 ,$342.00 ,$346.30 ,$331.20 ,$13.46 ,$327.60 ,$153.91 ,$221.54 ,$231.84 ,$221.54 ,$324.00 ,$100.46 ,$268.67 ,$324.00 ,$155.45 ,$13.34 ,$336.60 ,$161.61 ,$12.70 ,$313.20 ,$153.91 ,$324.00 ,$153.91 ,$324.00 ,$324.00 ,$324.00 ,$349.20 ,$291.60 ,$324.00 ,$324.00 ,$324.00 ,$324.00 
ST. JOSEPH'S - CHIPPEWA FALLS,31200239,88368,HC HER2 DUAL ISH,312,1 ,$800.00 ,$600.00 ,$12.70 ,$800.00 ,$515.20 ,$300.56 ,$560.00 ,$12.70 ,$126.98 ,$13.08 ,$101.58 ,$760.00 , N/A ,$640.00 ,$728.00 ,$12.70 ,$752.00 ,$760.00 ,$720.00 ,$680.00 ,$12.70 ,$12.70 ,$12.70 ,$584.00 ,$300.56 ,$712.00 ,$720.00 ,$720.00 ,$640.00 ,$309.57 ,$440.00 ,$720.00 ,$300.56 ,$720.00 ,$300.56 ,$760.00 ,$676.25 ,$736.00 ,$13.46 ,$728.00 ,$300.56 ,$492.32 ,$515.20 ,$492.32 ,$720.00 ,$232.30 ,$597.04 ,$388.29 ,$303.56 ,$13.34 ,$748.00 ,$315.59 ,$12.70 ,$696.00 ,$300.56 ,$720.00 ,$300.56 ,$720.00 ,$720.00 ,$720.00 ,$776.00 ,$648.00 ,$720.00 ,$720.00 ,$720.00 ,$720.00 
ST. JOSEPH'S - CHIPPEWA FALLS,31200246,88312,HC SPECIAL STAIN I,312,1 ,$134.02 ,$100.52 ,$6.95 ,$134.02 ,$86.31 ,$51.28 ,$93.81 ,$6.95 ,$119.18 ,$7.16 ,$95.34 ,$127.32 , N/A ,$107.22 ,$121.96 ,$6.95 ,$125.98 ,$127.32 ,$120.62 ,$113.92 ,$6.95 ,$6.95 ,$6.95 ,$97.83 ,$51.28 ,$119.28 ,$120.62 ,$120.62 ,$107.22 ,$52.82 ,$73.71 ,$120.62 ,$51.28 ,$120.62 ,$51.28 ,$127.32 ,$115.38 ,$123.30 ,$7.37 ,$121.96 ,$51.28 ,$82.48 ,$86.31 ,$82.48 ,$120.62 ,$87.89 ,$100.02 ,$120.62 ,$51.79 ,$7.30 ,$125.31 ,$53.84 ,$6.95 ,$116.60 ,$51.28 ,$120.62 ,$51.28 ,$120.62 ,$120.62 ,$120.62 ,$130.00 ,$108.56 ,$120.62 ,$120.62 ,$120.62 ,$120.62 
ST. JOSEPH'S - CHIPPEWA FALLS,31200247,88313,HC SPECIAL STAIN II,312,1 ,$84.49 ,$63.37 ,$6.95 ,$84.49 ,$54.41 ,$34.93 ,$59.14 ,$6.95 ,$84.49 ,$7.16 ,$77.56 ,$80.27 , N/A ,$67.59 ,$76.89 ,$6.95 ,$79.42 ,$80.27 ,$76.04 ,$71.82 ,$6.95 ,$6.95 ,$6.95 ,$61.68 ,$34.93 ,$75.20 ,$76.04 ,$76.04 ,$67.59 ,$35.98 ,$46.47 ,$76.04 ,$34.93 ,$76.04 ,$34.93 ,$80.27 ,$78.59 ,$77.73 ,$7.37 ,$76.89 ,$34.93 ,$52.00 ,$54.41 ,$52.00 ,$76.04 ,$74.67 ,$63.05 ,$76.04 ,$35.28 ,$7.30 ,$79.00 ,$36.68 ,$6.95 ,$73.51 ,$34.93 ,$76.04 ,$34.93 ,$76.04 ,$76.04 ,$76.04 ,$81.96 ,$68.44 ,$76.04 ,$76.04 ,$76.04 ,$76.04 
ST. JOSEPH'S - CHIPPEWA FALLS,31200248,88360,HC MORPHO ANALYSIS TUMOR MANUAL,312,1 ,$570.22 ,$427.67 ,$12.70 ,$570.22 ,$367.22 ,$153.91 ,$399.15 ,$12.70 ,$141.38 ,$13.08 ,$113.11 ,$541.71 , N/A ,$456.18 ,$518.90 ,$12.70 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$12.70 ,$12.70 ,$12.70 ,$416.26 ,$153.91 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$158.53 ,$313.62 ,$513.20 ,$153.91 ,$513.20 ,$153.91 ,$541.71 ,$346.30 ,$524.60 ,$13.46 ,$518.90 ,$153.91 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$100.46 ,$425.56 ,$435.64 ,$155.45 ,$13.34 ,$533.16 ,$161.61 ,$12.70 ,$496.09 ,$153.91 ,$513.20 ,$153.91 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 
ST. JOSEPH'S - CHIPPEWA FALLS,31200292,88377,HC MORPH ANLZ INST HYB EA MTPL,312,1 ,$261.78 ,$196.34 ,$12.70 ,$346.30 ,$168.59 ,$153.91 ,$183.25 ,$12.70 ,$261.78 ,$13.08 ,$261.78 ,$248.69 , N/A ,$209.42 ,$238.22 ,$12.70 ,$246.07 ,$248.69 ,$235.60 ,$222.51 ,$12.70 ,$12.70 ,$12.70 ,$191.10 ,$153.91 ,$232.98 ,$235.60 ,$235.60 ,$209.42 ,$158.53 ,$143.98 ,$235.60 ,$153.91 ,$235.60 ,$153.91 ,$248.69 ,$346.30 ,$240.84 ,$13.46 ,$238.22 ,$153.91 ,$161.10 ,$168.59 ,$161.10 ,$235.60 ,$261.78 ,$195.37 ,$235.60 ,$155.45 ,$13.34 ,$244.76 ,$161.61 ,$12.70 ,$227.75 ,$153.91 ,$235.60 ,$153.91 ,$235.60 ,$235.60 ,$235.60 ,$253.93 ,$212.04 ,$235.60 ,$235.60 ,$235.60 ,$235.60 
ST. JOSEPH'S - CHIPPEWA FALLS,31200321,88377,HC MORPH ANLZ INST HYB EA PROBE MNL,312,1 ,$800.00 ,$600.00 ,$12.70 ,$800.00 ,$515.20 ,$153.91 ,$560.00 ,$12.70 ,$573.97 ,$13.08 ,$459.17 ,$760.00 , N/A ,$640.00 ,$728.00 ,$12.70 ,$752.00 ,$760.00 ,$720.00 ,$680.00 ,$12.70 ,$12.70 ,$12.70 ,$584.00 ,$153.91 ,$712.00 ,$720.00 ,$720.00 ,$640.00 ,$158.53 ,$440.00 ,$720.00 ,$153.91 ,$720.00 ,$153.91 ,$760.00 ,$346.30 ,$736.00 ,$13.46 ,$728.00 ,$153.91 ,$492.32 ,$515.20 ,$492.32 ,$720.00 ,$409.33 ,$597.04 ,$720.00 ,$155.45 ,$13.34 ,$748.00 ,$161.61 ,$12.70 ,$696.00 ,$153.91 ,$720.00 ,$153.91 ,$720.00 ,$720.00 ,$720.00 ,$776.00 ,$648.00 ,$720.00 ,$720.00 ,$720.00 ,$720.00 
ST. JOSEPH'S - CHIPPEWA FALLS,31200322,88377,HC M/PHM TRC ALYS ISHQUANT/ SEMIQ,312,1 ,$862.00 ,$646.50 ,$12.70 ,$862.00 ,$555.13 ,$153.91 ,$603.40 ,$12.70 ,$573.97 ,$13.08 ,$459.17 ,$818.90 , N/A ,$689.60 ,$784.42 ,$12.70 ,$810.28 ,$818.90 ,$775.80 ,$732.70 ,$12.70 ,$12.70 ,$12.70 ,$629.26 ,$153.91 ,$767.18 ,$775.80 ,$775.80 ,$689.60 ,$158.53 ,$474.10 ,$775.80 ,$153.91 ,$775.80 ,$153.91 ,$818.90 ,$346.30 ,$793.04 ,$13.46 ,$784.42 ,$153.91 ,$530.47 ,$555.13 ,$530.47 ,$775.80 ,$409.33 ,$643.31 ,$775.80 ,$155.45 ,$13.34 ,$805.97 ,$161.61 ,$12.70 ,$749.94 ,$153.91 ,$775.80 ,$153.91 ,$775.80 ,$775.80 ,$775.80 ,$836.14 ,$698.22 ,$775.80 ,$775.80 ,$775.80 ,$775.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$537.00 ,$402.75 ,$95.13 ,$537.00 ,$345.83 , N/A ,$375.90 ,$95.13 ,$445.71 ,$97.98 ,$354.42 ,$510.15 , N/A ,$429.60 ,$488.67 ,$95.13 ,$504.78 ,$510.15 ,$483.30 ,$456.45 ,$95.13 ,$95.13 ,$95.13 ,$392.01 , N/A ,$477.93 ,$483.30 ,$483.30 ,$429.60 , N/A ,$295.35 ,$483.30 , N/A ,$483.30 , N/A ,$510.15 , N/A ,$494.04 ,$100.84 ,$488.67 , N/A ,$330.47 ,$345.83 ,$330.47 ,$483.30 ,$483.30 ,$400.76 ,$374.02 , N/A ,$99.89 ,$502.10 , N/A ,$95.13 ,$467.19 , N/A ,$483.30 , N/A ,$483.30 ,$483.30 ,$483.30 ,$520.89 ,$434.97 ,$483.30 ,$483.30 ,$483.30 ,$483.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$619.00 ,$464.25 ,$95.13 ,$619.00 ,$398.64 , N/A ,$433.30 ,$95.13 ,$513.77 ,$97.98 ,$408.54 ,$588.05 , N/A ,$495.20 ,$563.29 ,$95.13 ,$581.86 ,$588.05 ,$557.10 ,$526.15 ,$95.13 ,$95.13 ,$95.13 ,$451.87 , N/A ,$550.91 ,$557.10 ,$557.10 ,$495.20 , N/A ,$340.45 ,$557.10 , N/A ,$557.10 , N/A ,$588.05 , N/A ,$569.48 ,$100.84 ,$563.29 , N/A ,$380.93 ,$398.64 ,$380.93 ,$557.10 ,$557.10 ,$461.96 ,$431.13 , N/A ,$99.89 ,$578.77 , N/A ,$95.13 ,$538.53 , N/A ,$557.10 , N/A ,$557.10 ,$557.10 ,$557.10 ,$600.43 ,$501.39 ,$557.10 ,$557.10 ,$557.10 ,$557.10 
ST. JOSEPH'S - CHIPPEWA FALLS,32000012,27093,HC INJ ARTHROGRAM HIP W/O,320,1 ,$526.00 ,$394.50 ,$95.13 ,$526.00 ,$338.74 , N/A ,$368.20 ,$95.13 ,$436.58 ,$97.98 ,$347.16 ,$499.70 , N/A ,$420.80 ,$478.66 ,$95.13 ,$494.44 ,$499.70 ,$473.40 ,$447.10 ,$95.13 ,$95.13 ,$95.13 ,$383.98 , N/A ,$468.14 ,$473.40 ,$473.40 ,$420.80 , N/A ,$289.30 ,$473.40 , N/A ,$473.40 , N/A ,$499.70 , N/A ,$483.92 ,$100.84 ,$478.66 , N/A ,$323.70 ,$338.74 ,$323.70 ,$473.40 ,$473.40 ,$392.55 ,$366.36 , N/A ,$99.89 ,$491.81 , N/A ,$95.13 ,$457.62 , N/A ,$473.40 , N/A ,$473.40 ,$473.40 ,$473.40 ,$510.22 ,$426.06 ,$473.40 ,$473.40 ,$473.40 ,$473.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$655.00 ,$491.25 ,$95.13 ,$655.00 ,$421.82 , N/A ,$458.50 ,$95.13 ,$543.65 ,$97.98 ,$432.30 ,$622.25 , N/A ,$524.00 ,$596.05 ,$95.13 ,$615.70 ,$622.25 ,$589.50 ,$556.75 ,$95.13 ,$95.13 ,$95.13 ,$478.15 , N/A ,$582.95 ,$589.50 ,$589.50 ,$524.00 , N/A ,$360.25 ,$589.50 , N/A ,$589.50 , N/A ,$622.25 , N/A ,$602.60 ,$100.84 ,$596.05 , N/A ,$403.09 ,$421.82 ,$403.09 ,$589.50 ,$589.50 ,$488.83 ,$456.21 , N/A ,$99.89 ,$612.43 , N/A ,$95.13 ,$569.85 , N/A ,$589.50 , N/A ,$589.50 ,$589.50 ,$589.50 ,$635.35 ,$530.55 ,$589.50 ,$589.50 ,$589.50 ,$589.50 
ST. JOSEPH'S - CHIPPEWA FALLS,32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,$791.00 ,$593.25 ,$299.20 ,"$3,265.10 ",$509.40 ,"$1,451.15 ",$553.70 ,$299.20 ,$656.53 ,$308.18 ,$522.06 ,$751.45 , N/A ,$632.80 ,$719.81 ,$299.20 ,$743.54 ,$751.45 ,$711.90 ,$672.35 ,$299.20 ,$299.20 ,$299.20 ,$577.43 ,"$1,451.15 ",$703.99 ,$711.90 ,$711.90 ,$632.80 ,"$1,494.69 ",$435.05 ,$711.90 ,"$1,451.15 ",$711.90 ,"$1,451.15 ",$751.45 ,"$3,265.10 ",$727.72 ,$317.15 ,$719.81 ,"$1,451.15 ",$486.78 ,$509.40 ,$486.78 ,$711.90 ,$711.90 ,$590.32 ,$550.93 ,"$1,465.67 ",$314.16 ,$739.59 ,"$1,523.71 ",$299.20 ,$688.17 ,"$1,451.15 ",$711.90 ,"$1,451.15 ",$711.90 ,$711.90 ,$711.90 ,$767.27 ,$640.71 ,$711.90 ,$711.90 ,$711.90 ,$711.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000032,42400,HC BX GLAND SALIVARY NEEDLE,320,1 ,"$1,079.00 ",$809.25 ,$288.55 ,"$1,444.89 ",$694.88 ,$642.18 ,$755.30 ,$288.55 ,$895.57 ,$297.21 ,$712.14 ,"$1,025.05 ", N/A ,$863.20 ,$981.89 ,$288.55 ,"$1,014.26 ","$1,025.05 ",$971.10 ,$917.15 ,$288.55 ,$288.55 ,$288.55 ,$787.67 ,$642.18 ,$960.31 ,$971.10 ,$971.10 ,$863.20 ,$661.44 ,$593.45 ,$971.10 ,$642.18 ,$971.10 ,$642.18 ,"$1,025.05 ","$1,444.89 ",$992.68 ,$305.86 ,$981.89 ,$642.18 ,$664.02 ,$694.88 ,$664.02 ,$971.10 ,$971.10 ,$805.26 ,$751.52 ,$648.60 ,$302.98 ,"$1,008.87 ",$674.29 ,$288.55 ,$938.73 ,$642.18 ,$971.10 ,$642.18 ,$971.10 ,$971.10 ,$971.10 ,"$1,046.63 ",$873.99 ,$971.10 ,$971.10 ,$971.10 ,$971.10 
ST. JOSEPH'S - CHIPPEWA FALLS,32000035,43752,HC PLACE TUBE NASOGASTRIC,320,1 ,$528.00 ,$396.00 ,$211.20 ,$630.17 ,$340.03 ,$280.07 ,$369.60 ,$211.20 ,$438.24 ,$217.54 ,$348.48 ,$501.60 , N/A ,$422.40 ,$480.48 ,$211.20 ,$496.32 ,$501.60 ,$475.20 ,$448.80 ,$211.20 ,$211.20 ,$211.20 ,$385.44 ,$280.07 ,$469.92 ,$475.20 ,$475.20 ,$422.40 ,$288.48 ,$290.40 ,$475.20 ,$280.07 ,$475.20 ,$280.07 ,$501.60 ,$630.17 ,$485.76 ,$223.87 ,$480.48 ,$280.07 ,$324.93 ,$340.03 ,$324.93 ,$475.20 ,$475.20 ,$394.05 ,$367.75 ,$282.87 ,$221.76 ,$493.68 ,$294.07 ,$211.20 ,$459.36 ,$280.07 ,$475.20 ,$280.07 ,$475.20 ,$475.20 ,$475.20 ,$512.16 ,$427.68 ,$475.20 ,$475.20 ,$475.20 ,$475.20 
ST. JOSEPH'S - CHIPPEWA FALLS,32000036,43761,HC REPOSITION G-TUBE,320,1 ,$723.00 ,$542.25 ,$62.73 ,$723.00 ,$465.61 ,$274.61 ,$506.10 ,$62.73 ,$600.09 ,$64.61 ,$477.18 ,$686.85 , N/A ,$578.40 ,$657.93 ,$62.73 ,$679.62 ,$686.85 ,$650.70 ,$614.55 ,$62.73 ,$62.73 ,$62.73 ,$527.79 ,$274.61 ,$643.47 ,$650.70 ,$650.70 ,$578.40 ,$282.85 ,$397.65 ,$650.70 ,$274.61 ,$650.70 ,$274.61 ,$686.85 ,$617.87 ,$665.16 ,$66.49 ,$657.93 ,$274.61 ,$444.93 ,$465.61 ,$444.93 ,$650.70 ,$650.70 ,$539.57 ,$503.57 ,$277.35 ,$65.87 ,$676.01 ,$288.34 ,$62.73 ,$629.01 ,$274.61 ,$650.70 ,$274.61 ,$650.70 ,$650.70 ,$650.70 ,$701.31 ,$585.63 ,$650.70 ,$650.70 ,$650.70 ,$650.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000038,44500,HC INTRO TUBE GI LONG,320,1 ,$565.00 ,$423.75 ,$211.20 ,"$1,878.79 ",$363.86 ,$835.02 ,$395.50 ,$211.20 ,$468.95 ,$217.54 ,$372.90 ,$536.75 , N/A ,$452.00 ,$514.15 ,$211.20 ,$531.10 ,$536.75 ,$508.50 ,$480.25 ,$211.20 ,$211.20 ,$211.20 ,$412.45 ,$835.02 ,$502.85 ,$508.50 ,$508.50 ,$452.00 ,$860.07 ,$310.75 ,$508.50 ,$835.02 ,$508.50 ,$835.02 ,$536.75 ,"$1,878.79 ",$519.80 ,$223.87 ,$514.15 ,$835.02 ,$347.70 ,$363.86 ,$347.70 ,$508.50 ,$508.50 ,$421.66 ,$393.52 ,$843.37 ,$221.76 ,$528.28 ,$876.77 ,$211.20 ,$491.55 ,$835.02 ,$508.50 ,$835.02 ,$508.50 ,$508.50 ,$508.50 ,$548.05 ,$457.65 ,$508.50 ,$508.50 ,$508.50 ,$508.50 
ST. JOSEPH'S - CHIPPEWA FALLS,32000051,49406,HC DRN ABSC RETROPERITONEAL PERC,320,1 ,"$2,728.51 ","$2,046.38 ",$232.13 ,"$3,266.98 ","$1,757.16 ","$1,451.99 ","$1,909.96 ",$232.13 ,"$2,264.66 ",$239.09 ,"$1,800.82 ","$2,592.08 ", N/A ,"$2,182.81 ","$2,482.94 ",$232.13 ,"$2,564.80 ","$2,592.08 ","$2,455.66 ","$2,319.23 ",$232.13 ,$232.13 ,$232.13 ,"$1,991.81 ","$1,451.99 ","$2,428.37 ","$2,455.66 ","$2,455.66 ","$2,182.81 ","$1,495.55 ","$1,500.68 ","$2,455.66 ","$1,451.99 ","$2,455.66 ","$1,451.99 ","$2,592.08 ","$3,266.98 ","$2,510.23 ",$246.06 ,"$2,482.94 ","$1,451.99 ","$1,679.13 ","$1,757.16 ","$1,679.13 ","$2,455.66 ","$2,455.66 ","$2,036.29 ","$1,900.41 ","$1,466.51 ",$243.74 ,"$2,551.16 ","$1,524.59 ",$232.13 ,"$2,373.80 ","$1,451.99 ","$2,455.66 ","$1,451.99 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,646.65 ","$2,210.09 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,455.66 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000060,49450,HC RPLC G/CEC/OTH TB UNDER FLUORO,320,1 ,$961.00 ,$720.75 ,$211.20 ,"$1,878.79 ",$618.88 ,$835.02 ,$672.70 ,$211.20 ,$797.63 ,$217.54 ,$634.26 ,$912.95 , N/A ,$768.80 ,$874.51 ,$211.20 ,$903.34 ,$912.95 ,$864.90 ,$816.85 ,$211.20 ,$211.20 ,$211.20 ,$701.53 ,$835.02 ,$855.29 ,$864.90 ,$864.90 ,$768.80 ,$860.07 ,$528.55 ,$864.90 ,$835.02 ,$864.90 ,$835.02 ,$912.95 ,"$1,878.79 ",$884.12 ,$223.87 ,$874.51 ,$835.02 ,$591.40 ,$618.88 ,$591.40 ,$864.90 ,$864.90 ,$717.19 ,$669.34 ,$843.37 ,$221.76 ,$898.54 ,$876.77 ,$211.20 ,$836.07 ,$835.02 ,$864.90 ,$835.02 ,$864.90 ,$864.90 ,$864.90 ,$932.17 ,$778.41 ,$864.90 ,$864.90 ,$864.90 ,$864.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000062,49452,HC RPLC GASTRO-JEJUN TB FLUORO,361,1 ,"$1,204.00 ",$903.00 ,$211.20 ,"$1,878.79 ",$775.38 ,$835.02 ,$842.80 ,$211.20 ,"$1,204.00 ",$217.54 ,"$1,204.00 ","$1,143.80 ", N/A ,$963.20 ,"$1,095.64 ",$211.20 , N/A ,"$1,143.80 ","$1,083.60 ","$1,023.40 ",$211.20 ,$211.20 ,$211.20 ,$878.92 ,$835.02 ,"$1,071.56 ","$1,083.60 ","$1,083.60 ",$963.20 ,$860.07 ,$662.20 ,"$1,083.60 ",$835.02 ,"$1,083.60 ",$835.02 ,"$1,143.80 ","$1,878.79 ","$1,107.68 ",$223.87 ,"$1,095.64 ",$835.02 ,$740.94 ,$775.38 ,$740.94 ,"$1,083.60 ","$1,083.60 ",$898.55 ,"$1,083.60 ",$843.37 ,$221.76 ,"$1,125.74 ",$876.77 ,$211.20 ,"$1,047.48 ",$835.02 ,"$1,083.60 ",$835.02 ,"$1,083.60 ","$1,083.60 ","$1,083.60 ","$1,167.88 ",$975.24 ,"$1,083.60 ","$1,083.60 ","$1,083.60 ","$1,083.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,$327.00 ,$245.25 ,$37.92 ,$534.27 ,$210.59 ,$237.45 ,$228.90 ,$37.92 ,$271.41 ,$39.06 ,$215.82 ,$310.65 , N/A ,$261.60 ,$297.57 ,$37.92 ,$307.38 ,$310.65 ,$294.30 ,$277.95 ,$37.92 ,$37.92 ,$37.92 ,$238.71 ,$237.45 ,$291.03 ,$294.30 ,$294.30 ,$261.60 ,$244.58 ,$179.85 ,$294.30 ,$237.45 ,$294.30 ,$237.45 ,$310.65 ,$534.27 ,$300.84 ,$40.20 ,$297.57 ,$237.45 ,$201.24 ,$210.59 ,$201.24 ,$294.30 ,$294.30 ,$244.04 ,$227.76 ,$239.83 ,$39.82 ,$305.75 ,$249.32 ,$37.92 ,$284.49 ,$237.45 ,$294.30 ,$237.45 ,$294.30 ,$294.30 ,$294.30 ,$317.19 ,$264.87 ,$294.30 ,$294.30 ,$294.30 ,$294.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000066,49405,HC DRN ABSC PERIRENAL  PERC,320,1 ,"$2,242.48 ","$1,681.86 ",$232.13 ,"$3,266.98 ","$1,444.16 ","$1,451.99 ","$1,569.74 ",$232.13 ,"$1,861.26 ",$239.09 ,"$1,480.04 ","$2,130.36 ", N/A ,"$1,793.98 ","$2,040.66 ",$232.13 ,"$2,107.93 ","$2,130.36 ","$2,018.23 ","$1,906.11 ",$232.13 ,$232.13 ,$232.13 ,"$1,637.01 ","$1,451.99 ","$1,995.81 ","$2,018.23 ","$2,018.23 ","$1,793.98 ","$1,495.55 ","$1,233.36 ","$2,018.23 ","$1,451.99 ","$2,018.23 ","$1,451.99 ","$2,130.36 ","$3,266.98 ","$2,063.08 ",$246.06 ,"$2,040.66 ","$1,451.99 ","$1,380.02 ","$1,444.16 ","$1,380.02 ","$2,018.23 ","$2,018.23 ","$1,673.56 ","$1,561.89 ","$1,466.51 ",$243.74 ,"$2,096.72 ","$1,524.59 ",$232.13 ,"$1,950.96 ","$1,451.99 ","$2,018.23 ","$1,451.99 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,175.21 ","$1,816.41 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,018.23 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000085,51600,HC INJ CYSTOGRAM,320,1 ,$245.00 ,$183.75 ,$95.13 ,$245.00 ,$157.78 , N/A ,$171.50 ,$95.13 ,$203.35 ,$97.98 ,$161.70 ,$232.75 , N/A ,$196.00 ,$222.95 ,$95.13 ,$230.30 ,$232.75 ,$220.50 ,$208.25 ,$95.13 ,$95.13 ,$95.13 ,$178.85 , N/A ,$218.05 ,$220.50 ,$220.50 ,$196.00 , N/A ,$134.75 ,$220.50 , N/A ,$220.50 , N/A ,$232.75 , N/A ,$225.40 ,$100.84 ,$222.95 , N/A ,$150.77 ,$157.78 ,$150.77 ,$220.50 ,$220.50 ,$182.84 ,$170.64 , N/A ,$99.89 ,$229.08 , N/A ,$95.13 ,$213.15 , N/A ,$220.50 , N/A ,$220.50 ,$220.50 ,$220.50 ,$237.65 ,$198.45 ,$220.50 ,$220.50 ,$220.50 ,$220.50 
ST. JOSEPH'S - CHIPPEWA FALLS,32000087,58340,HC CATH/INTRO SALINE/CONTRAST SIS,320,1 ,$514.00 ,$385.50 ,$95.13 ,$514.00 ,$331.02 , N/A ,$359.80 ,$95.13 ,$426.62 ,$97.98 ,$339.24 ,$488.30 , N/A ,$411.20 ,$467.74 ,$95.13 ,$483.16 ,$488.30 ,$462.60 ,$436.90 ,$95.13 ,$95.13 ,$95.13 ,$375.22 , N/A ,$457.46 ,$462.60 ,$462.60 ,$411.20 , N/A ,$282.70 ,$462.60 , N/A ,$462.60 , N/A ,$488.30 , N/A ,$472.88 ,$100.84 ,$467.74 , N/A ,$316.32 ,$331.02 ,$316.32 ,$462.60 ,$462.60 ,$383.60 ,$358.00 , N/A ,$99.89 ,$480.59 , N/A ,$95.13 ,$447.18 , N/A ,$462.60 , N/A ,$462.60 ,$462.60 ,$462.60 ,$498.58 ,$416.34 ,$462.60 ,$462.60 ,$462.60 ,$462.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000091,62284,HC INJ MYELOGRAM,320,1 ,$577.00 ,$432.75 ,$95.13 ,$577.00 ,$371.59 , N/A ,$403.90 ,$95.13 ,$478.91 ,$97.98 ,$380.82 ,$548.15 , N/A ,$461.60 ,$525.07 ,$95.13 ,$542.38 ,$548.15 ,$519.30 ,$490.45 ,$95.13 ,$95.13 ,$95.13 ,$421.21 , N/A ,$513.53 ,$519.30 ,$519.30 ,$461.60 , N/A ,$317.35 ,$519.30 , N/A ,$519.30 , N/A ,$548.15 , N/A ,$530.84 ,$100.84 ,$525.07 , N/A ,$355.09 ,$371.59 ,$355.09 ,$519.30 ,$519.30 ,$430.62 ,$401.88 , N/A ,$99.89 ,$539.50 , N/A ,$95.13 ,$501.99 , N/A ,$519.30 , N/A ,$519.30 ,$519.30 ,$519.30 ,$559.69 ,$467.37 ,$519.30 ,$519.30 ,$519.30 ,$519.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000093,62290,HC INJ DISKOGRAM LUMBAR EA LEVEL,320,1 ,"$1,319.00 ",$989.25 ,$95.13 ,"$1,319.00 ",$849.44 , N/A ,$923.30 ,$95.13 ,"$1,094.77 ",$97.98 ,$870.54 ,"$1,253.05 ", N/A ,"$1,055.20 ","$1,200.29 ",$95.13 ,"$1,239.86 ","$1,253.05 ","$1,187.10 ","$1,121.15 ",$95.13 ,$95.13 ,$95.13 ,$962.87 , N/A ,"$1,173.91 ","$1,187.10 ","$1,187.10 ","$1,055.20 ", N/A ,$725.45 ,"$1,187.10 ", N/A ,"$1,187.10 ", N/A ,"$1,253.05 ", N/A ,"$1,213.48 ",$100.84 ,"$1,200.29 ", N/A ,$811.71 ,$849.44 ,$811.71 ,"$1,187.10 ","$1,187.10 ",$984.37 ,$918.68 , N/A ,$99.89 ,"$1,233.27 ", N/A ,$95.13 ,"$1,147.53 ", N/A ,"$1,187.10 ", N/A ,"$1,187.10 ","$1,187.10 ","$1,187.10 ","$1,279.43 ","$1,068.39 ","$1,187.10 ","$1,187.10 ","$1,187.10 ","$1,187.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000094,62291,HC INJ DISKOGRAM CERVICAL EA LVL,320,1 ,"$1,583.00 ","$1,187.25 ",$95.13 ,"$1,583.00 ","$1,019.45 ", N/A ,"$1,108.10 ",$95.13 ,"$1,313.89 ",$97.98 ,"$1,044.78 ","$1,503.85 ", N/A ,"$1,266.40 ","$1,440.53 ",$95.13 ,"$1,488.02 ","$1,503.85 ","$1,424.70 ","$1,345.55 ",$95.13 ,$95.13 ,$95.13 ,"$1,155.59 ", N/A ,"$1,408.87 ","$1,424.70 ","$1,424.70 ","$1,266.40 ", N/A ,$870.65 ,"$1,424.70 ", N/A ,"$1,424.70 ", N/A ,"$1,503.85 ", N/A ,"$1,456.36 ",$100.84 ,"$1,440.53 ", N/A ,$974.18 ,"$1,019.45 ",$974.18 ,"$1,424.70 ","$1,424.70 ","$1,181.39 ","$1,102.56 ", N/A ,$99.89 ,"$1,480.11 ", N/A ,$95.13 ,"$1,377.21 ", N/A ,"$1,424.70 ", N/A ,"$1,424.70 ","$1,424.70 ","$1,424.70 ","$1,535.51 ","$1,282.23 ","$1,424.70 ","$1,424.70 ","$1,424.70 ","$1,424.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000097,62350,HC IMPLANT/REVISE SPINAL CATHETER,320,1 ,"$8,069.00 ","$6,051.75 ","$1,461.70 ","$13,240.69 ","$5,196.44 ","$5,884.75 ","$5,648.30 ","$1,461.70 ","$6,697.27 ","$1,505.55 ","$5,325.54 ","$7,665.55 ", N/A ,"$6,455.20 ","$7,342.79 ","$1,461.70 ","$7,584.86 ","$7,665.55 ","$7,262.10 ","$6,858.65 ","$1,461.70 ","$1,461.70 ","$1,461.70 ","$5,890.37 ","$5,884.75 ","$7,181.41 ","$7,262.10 ","$7,262.10 ","$6,455.20 ","$6,061.29 ","$4,437.95 ","$7,262.10 ","$5,884.75 ","$7,262.10 ","$5,884.75 ","$7,665.55 ","$13,240.69 ","$7,423.48 ","$1,549.40 ","$7,342.79 ","$5,884.75 ","$4,965.66 ","$5,196.44 ","$4,965.66 ","$7,262.10 ","$7,262.10 ","$6,021.89 ","$5,620.06 ","$5,943.60 ","$1,534.79 ","$7,544.52 ","$6,178.99 ","$1,461.70 ","$7,020.03 ","$5,884.75 ","$7,262.10 ","$5,884.75 ","$7,262.10 ","$7,262.10 ","$7,262.10 ","$7,826.93 ","$6,535.89 ","$7,262.10 ","$7,262.10 ","$7,262.10 ","$7,262.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$296.38 ,$222.29 ,$17.98 ,$296.38 ,$190.87 ,$83.47 ,$207.47 ,$17.98 ,$32.11 ,$18.52 ,$25.69 ,$281.56 , N/A ,$237.10 ,$269.71 ,$17.98 ,$278.60 ,$281.56 ,$266.74 ,$251.92 ,$17.98 ,$17.98 ,$17.98 ,$216.36 ,$83.47 ,$263.78 ,$266.74 ,$266.74 ,$237.10 ,$85.98 ,$163.01 ,$266.74 ,$83.47 ,$266.74 ,$83.47 ,$281.56 ,$187.81 ,$272.67 ,$19.06 ,$269.71 ,$83.47 ,$182.39 ,$190.87 ,$182.39 ,$266.74 ,$119.22 ,$221.19 ,$131.49 ,$84.31 ,$18.88 ,$277.12 ,$87.64 ,$17.98 ,$257.85 ,$83.47 ,$266.74 ,$83.47 ,$266.74 ,$266.74 ,$266.74 ,$287.49 ,$240.07 ,$266.74 ,$266.74 ,$266.74 ,$266.74 
ST. JOSEPH'S - CHIPPEWA FALLS,32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,$385.00 ,$288.75 ,$17.98 ,$385.00 ,$247.94 ,$112.35 ,$269.50 ,$17.98 ,$42.32 ,$18.52 ,$33.85 ,$365.75 , N/A ,$308.00 ,$350.35 ,$17.98 ,$361.90 ,$365.75 ,$346.50 ,$327.25 ,$17.98 ,$17.98 ,$17.98 ,$281.05 ,$112.35 ,$342.65 ,$346.50 ,$346.50 ,$308.00 ,$115.72 ,$211.75 ,$346.50 ,$112.35 ,$346.50 ,$112.35 ,$365.75 ,$252.79 ,$354.20 ,$19.06 ,$350.35 ,$112.35 ,$236.93 ,$247.94 ,$236.93 ,$346.50 ,$196.00 ,$287.33 ,$170.17 ,$113.47 ,$18.88 ,$359.98 ,$117.97 ,$17.98 ,$334.95 ,$112.35 ,$346.50 ,$112.35 ,$346.50 ,$346.50 ,$346.50 ,$373.45 ,$311.85 ,$346.50 ,$346.50 ,$346.50 ,$346.50 
ST. JOSEPH'S - CHIPPEWA FALLS,32000103,70140,HC FACIAL BONES < 3 VIEWS,320,1 ,$322.00 ,$241.50 ,$17.98 ,$322.00 ,$207.37 ,$83.47 ,$225.40 ,$17.98 ,$32.11 ,$18.52 ,$25.69 ,$305.90 , N/A ,$257.60 ,$293.02 ,$17.98 ,$302.68 ,$305.90 ,$289.80 ,$273.70 ,$17.98 ,$17.98 ,$17.98 ,$235.06 ,$83.47 ,$286.58 ,$289.80 ,$289.80 ,$257.60 ,$85.98 ,$177.10 ,$289.80 ,$83.47 ,$289.80 ,$83.47 ,$305.90 ,$187.81 ,$296.24 ,$19.06 ,$293.02 ,$83.47 ,$198.16 ,$207.37 ,$198.16 ,$289.80 ,$120.46 ,$240.31 ,$129.03 ,$84.31 ,$18.88 ,$301.07 ,$87.64 ,$17.98 ,$280.14 ,$83.47 ,$289.80 ,$83.47 ,$289.80 ,$289.80 ,$289.80 ,$312.34 ,$260.82 ,$289.80 ,$289.80 ,$289.80 ,$289.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$369.00 ,$276.75 ,$17.98 ,$369.00 ,$237.64 ,$112.35 ,$258.30 ,$17.98 ,$47.13 ,$18.52 ,$37.70 ,$350.55 , N/A ,$295.20 ,$335.79 ,$17.98 ,$346.86 ,$350.55 ,$332.10 ,$313.65 ,$17.98 ,$17.98 ,$17.98 ,$269.37 ,$112.35 ,$328.41 ,$332.10 ,$332.10 ,$295.20 ,$115.72 ,$202.95 ,$332.10 ,$112.35 ,$332.10 ,$112.35 ,$350.55 ,$252.79 ,$339.48 ,$19.06 ,$335.79 ,$112.35 ,$227.08 ,$237.64 ,$227.08 ,$332.10 ,$211.73 ,$275.38 ,$189.55 ,$113.47 ,$18.88 ,$345.02 ,$117.97 ,$17.98 ,$321.03 ,$112.35 ,$332.10 ,$112.35 ,$332.10 ,$332.10 ,$332.10 ,$357.93 ,$298.89 ,$332.10 ,$332.10 ,$332.10 ,$332.10 
ST. JOSEPH'S - CHIPPEWA FALLS,32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$230.00 ,$172.50 ,$17.98 ,$230.00 ,$148.12 ,$83.47 ,$161.00 ,$17.98 ,$39.92 ,$18.52 ,$31.93 ,$218.50 , N/A ,$184.00 ,$209.30 ,$17.98 ,$216.20 ,$218.50 ,$207.00 ,$195.50 ,$17.98 ,$17.98 ,$17.98 ,$167.90 ,$83.47 ,$204.70 ,$207.00 ,$207.00 ,$184.00 ,$85.98 ,$126.50 ,$207.00 ,$83.47 ,$207.00 ,$83.47 ,$218.50 ,$187.81 ,$211.60 ,$19.06 ,$209.30 ,$83.47 ,$141.54 ,$148.12 ,$141.54 ,$207.00 ,$136.43 ,$171.65 ,$162.94 ,$84.31 ,$18.88 ,$215.05 ,$87.64 ,$17.98 ,$200.10 ,$83.47 ,$207.00 ,$83.47 ,$207.00 ,$207.00 ,$207.00 ,$223.10 ,$186.30 ,$207.00 ,$207.00 ,$207.00 ,$207.00 
ST. JOSEPH'S - CHIPPEWA FALLS,32000107,70210,HC XRAY SINUS WATERS VIEW,320,1 ,$221.00 ,$165.75 ,$17.98 ,$221.00 ,$142.32 ,$83.47 ,$154.70 ,$17.98 ,$35.11 ,$18.52 ,$28.08 ,$209.95 , N/A ,$176.80 ,$201.11 ,$17.98 ,$207.74 ,$209.95 ,$198.90 ,$187.85 ,$17.98 ,$17.98 ,$17.98 ,$161.33 ,$83.47 ,$196.69 ,$198.90 ,$198.90 ,$176.80 ,$85.98 ,$121.55 ,$198.90 ,$83.47 ,$198.90 ,$83.47 ,$209.95 ,$187.81 ,$203.32 ,$19.06 ,$201.11 ,$83.47 ,$136.00 ,$142.32 ,$136.00 ,$198.90 ,$108.82 ,$164.93 ,$141.18 ,$84.31 ,$18.88 ,$206.64 ,$87.64 ,$17.98 ,$192.27 ,$83.47 ,$198.90 ,$83.47 ,$198.90 ,$198.90 ,$198.90 ,$214.37 ,$179.01 ,$198.90 ,$198.90 ,$198.90 ,$198.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$358.00 ,$268.50 ,$17.98 ,$358.00 ,$230.55 ,$83.47 ,$250.60 ,$17.98 ,$41.72 ,$18.52 ,$33.38 ,$340.10 , N/A ,$286.40 ,$325.78 ,$17.98 ,$336.52 ,$340.10 ,$322.20 ,$304.30 ,$17.98 ,$17.98 ,$17.98 ,$261.34 ,$83.47 ,$318.62 ,$322.20 ,$322.20 ,$286.40 ,$85.98 ,$196.90 ,$322.20 ,$83.47 ,$322.20 ,$83.47 ,$340.10 ,$187.81 ,$329.36 ,$19.06 ,$325.78 ,$83.47 ,$220.31 ,$230.55 ,$220.31 ,$322.20 ,$163.88 ,$267.18 ,$167.79 ,$84.31 ,$18.88 ,$334.73 ,$87.64 ,$17.98 ,$311.46 ,$83.47 ,$322.20 ,$83.47 ,$322.20 ,$322.20 ,$322.20 ,$347.26 ,$289.98 ,$322.20 ,$322.20 ,$322.20 ,$322.20 
ST. JOSEPH'S - CHIPPEWA FALLS,32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$219.00 ,$164.25 ,$17.98 ,$252.79 ,$141.04 ,$112.35 ,$153.30 ,$17.98 ,$39.32 ,$18.52 ,$31.46 ,$208.05 , N/A ,$175.20 ,$199.29 ,$17.98 ,$205.86 ,$208.05 ,$197.10 ,$186.15 ,$17.98 ,$17.98 ,$17.98 ,$159.87 ,$112.35 ,$194.91 ,$197.10 ,$197.10 ,$175.20 ,$115.72 ,$120.45 ,$197.10 ,$112.35 ,$197.10 ,$112.35 ,$208.05 ,$252.79 ,$201.48 ,$19.06 ,$199.29 ,$112.35 ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$121.17 ,$163.44 ,$160.48 ,$113.47 ,$18.88 ,$204.77 ,$117.97 ,$17.98 ,$190.53 ,$112.35 ,$197.10 ,$112.35 ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 
ST. JOSEPH'S - CHIPPEWA FALLS,32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,$317.00 ,$237.75 ,$17.98 ,$317.00 ,$204.15 ,$112.35 ,$221.90 ,$17.98 ,$47.13 ,$18.52 ,$37.70 ,$301.15 , N/A ,$253.60 ,$288.47 ,$17.98 ,$297.98 ,$301.15 ,$285.30 ,$269.45 ,$17.98 ,$17.98 ,$17.98 ,$231.41 ,$112.35 ,$282.13 ,$285.30 ,$285.30 ,$253.60 ,$115.72 ,$174.35 ,$285.30 ,$112.35 ,$285.30 ,$112.35 ,$301.15 ,$252.79 ,$291.64 ,$19.06 ,$288.47 ,$112.35 ,$195.08 ,$204.15 ,$195.08 ,$285.30 ,$261.76 ,$236.58 ,$189.55 ,$113.47 ,$18.88 ,$296.40 ,$117.97 ,$17.98 ,$275.79 ,$112.35 ,$285.30 ,$112.35 ,$285.30 ,$285.30 ,$285.30 ,$307.49 ,$256.77 ,$285.30 ,$285.30 ,$285.30 ,$285.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000114,70336,HC MRI TMJ,320,1 ,"$3,534.00 ","$2,650.50 ",$79.99 ,"$3,534.00 ","$2,275.90 ",$237.45 ,"$2,473.80 ",$79.99 ,$418.46 ,$82.39 ,$334.77 ,"$3,357.30 ", N/A ,"$2,827.20 ","$3,215.94 ",$79.99 ,"$3,321.96 ","$3,357.30 ","$3,180.60 ","$3,003.90 ",$79.99 ,$79.99 ,$79.99 ,"$2,579.82 ",$237.45 ,"$3,145.26 ","$3,180.60 ","$3,180.60 ","$2,827.20 ",$244.58 ,"$1,943.70 ","$3,180.60 ",$237.45 ,"$3,180.60 ",$237.45 ,"$3,357.30 ",$534.27 ,"$3,251.28 ",$84.79 ,"$3,215.94 ",$237.45 ,"$2,174.82 ","$2,275.90 ","$2,174.82 ","$3,180.60 ","$1,236.87 ","$2,637.42 ","$1,697.23 ",$239.83 ,$83.99 ,"$3,304.29 ",$249.32 ,$79.99 ,"$3,074.58 ",$237.45 ,"$3,180.60 ",$237.45 ,"$3,180.60 ","$3,180.60 ","$3,180.60 ","$3,427.98 ","$2,862.54 ","$3,180.60 ","$3,180.60 ","$3,180.60 ","$3,180.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$219.90 ,$164.93 ,$17.98 ,$219.90 ,$141.62 ,$83.47 ,$153.93 ,$17.98 ,$32.71 ,$18.52 ,$26.17 ,$208.91 , N/A ,$175.92 ,$200.11 ,$17.98 ,$206.71 ,$208.91 ,$197.91 ,$186.92 ,$17.98 ,$17.98 ,$17.98 ,$160.53 ,$83.47 ,$195.71 ,$197.91 ,$197.91 ,$175.92 ,$85.98 ,$120.95 ,$197.91 ,$83.47 ,$197.91 ,$83.47 ,$208.91 ,$187.81 ,$202.31 ,$19.06 ,$200.11 ,$83.47 ,$135.33 ,$141.62 ,$135.33 ,$197.91 ,$118.95 ,$164.11 ,$133.88 ,$84.31 ,$18.88 ,$205.61 ,$87.64 ,$17.98 ,$191.31 ,$83.47 ,$197.91 ,$83.47 ,$197.91 ,$197.91 ,$197.91 ,$213.30 ,$178.12 ,$197.91 ,$197.91 ,$197.91 ,$197.91 
ST. JOSEPH'S - CHIPPEWA FALLS,32000121,71045,HC XR CHEST 1V,320,1 ,$271.52 ,$203.64 ,$14.13 ,$271.52 ,$174.86 ,$83.47 ,$190.06 ,$17.98 ,$17.66 ,$18.52 ,$14.13 ,$257.94 , N/A ,$217.22 ,$247.08 ,$17.98 ,$255.23 ,$257.94 ,$244.37 ,$230.79 ,$17.98 ,$17.98 ,$17.98 ,$198.21 ,$83.47 ,$241.65 ,$244.37 ,$244.37 ,$217.22 ,$85.98 ,$149.34 ,$244.37 ,$83.47 ,$244.37 ,$83.47 ,$257.94 ,$187.81 ,$249.80 ,$19.06 ,$247.08 ,$83.47 ,$167.09 ,$174.86 ,$167.09 ,$244.37 ,$38.33 ,$202.64 ,$172.28 ,$84.31 ,$18.88 ,$253.87 ,$87.64 ,$17.98 ,$236.22 ,$83.47 ,$244.37 ,$83.47 ,$244.37 ,$244.37 ,$244.37 ,$263.37 ,$219.93 ,$244.37 ,$244.37 ,$244.37 ,$244.37 
ST. JOSEPH'S - CHIPPEWA FALLS,32000127,71046,HC XR CHEST 2V,320,1 ,$302.70 ,$227.03 ,$17.98 ,$302.70 ,$194.94 ,$83.47 ,$211.89 ,$17.98 ,$32.67 ,$18.52 ,$26.14 ,$287.57 , N/A ,$242.16 ,$275.46 ,$17.98 ,$284.54 ,$287.57 ,$272.43 ,$257.30 ,$17.98 ,$17.98 ,$17.98 ,$220.97 ,$83.47 ,$269.40 ,$272.43 ,$272.43 ,$242.16 ,$85.98 ,$166.49 ,$272.43 ,$83.47 ,$272.43 ,$83.47 ,$287.57 ,$187.81 ,$278.48 ,$19.06 ,$275.46 ,$83.47 ,$186.28 ,$194.94 ,$186.28 ,$272.43 ,$58.87 ,$225.91 ,$211.63 ,$84.31 ,$18.88 ,$283.02 ,$87.64 ,$17.98 ,$263.35 ,$83.47 ,$272.43 ,$83.47 ,$272.43 ,$272.43 ,$272.43 ,$293.62 ,$245.19 ,$272.43 ,$272.43 ,$272.43 ,$272.43 
ST. JOSEPH'S - CHIPPEWA FALLS,32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$310.25 ,$232.69 ,$17.98 ,$310.25 ,$199.80 ,$83.47 ,$217.18 ,$17.98 ,$41.69 ,$18.52 ,$33.35 ,$294.74 , N/A ,$248.20 ,$282.33 ,$17.98 ,$291.64 ,$294.74 ,$279.23 ,$263.71 ,$17.98 ,$17.98 ,$17.98 ,$226.48 ,$83.47 ,$276.12 ,$279.23 ,$279.23 ,$248.20 ,$85.98 ,$170.64 ,$279.23 ,$83.47 ,$279.23 ,$83.47 ,$294.74 ,$187.81 ,$285.43 ,$19.06 ,$282.33 ,$83.47 ,$190.93 ,$199.80 ,$190.93 ,$279.23 ,$75.30 ,$231.54 ,$216.09 ,$84.31 ,$18.88 ,$290.08 ,$87.64 ,$17.98 ,$269.92 ,$83.47 ,$279.23 ,$83.47 ,$279.23 ,$279.23 ,$279.23 ,$300.94 ,$251.30 ,$279.23 ,$279.23 ,$279.23 ,$279.23 
ST. JOSEPH'S - CHIPPEWA FALLS,32000131,71048,HC XR CHEST PA/LAT W/OBLIQUES,320,1 ,$315.72 ,$236.79 ,$17.98 ,$315.72 ,$203.32 ,$112.35 ,$221.00 ,$17.98 ,$42.89 ,$18.52 ,$34.31 ,$299.93 , N/A ,$252.58 ,$287.31 ,$17.98 ,$296.78 ,$299.93 ,$284.15 ,$268.36 ,$17.98 ,$17.98 ,$17.98 ,$230.48 ,$112.35 ,$280.99 ,$284.15 ,$284.15 ,$252.58 ,$115.72 ,$173.65 ,$284.15 ,$112.35 ,$284.15 ,$112.35 ,$299.93 ,$252.79 ,$290.46 ,$19.06 ,$287.31 ,$112.35 ,$194.29 ,$203.32 ,$194.29 ,$284.15 ,$80.77 ,$235.62 ,$219.90 ,$113.47 ,$18.88 ,$295.20 ,$117.97 ,$17.98 ,$274.68 ,$112.35 ,$284.15 ,$112.35 ,$284.15 ,$284.15 ,$284.15 ,$306.25 ,$255.73 ,$284.15 ,$284.15 ,$284.15 ,$284.15 
ST. JOSEPH'S - CHIPPEWA FALLS,32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$295.26 ,$221.45 ,$17.98 ,$295.26 ,$190.15 ,$83.47 ,$206.68 ,$17.98 ,$32.67 ,$18.52 ,$26.14 ,$280.50 , N/A ,$236.21 ,$268.69 ,$17.98 ,$277.54 ,$280.50 ,$265.73 ,$250.97 ,$17.98 ,$17.98 ,$17.98 ,$215.54 ,$83.47 ,$262.78 ,$265.73 ,$265.73 ,$236.21 ,$85.98 ,$162.39 ,$265.73 ,$83.47 ,$265.73 ,$83.47 ,$280.50 ,$187.81 ,$271.64 ,$19.06 ,$268.69 ,$83.47 ,$181.70 ,$190.15 ,$181.70 ,$265.73 ,$58.87 ,$220.35 ,$211.63 ,$84.31 ,$18.88 ,$276.07 ,$87.64 ,$17.98 ,$256.88 ,$83.47 ,$265.73 ,$83.47 ,$265.73 ,$265.73 ,$265.73 ,$286.40 ,$239.16 ,$265.73 ,$265.73 ,$265.73 ,$265.73 
ST. JOSEPH'S - CHIPPEWA FALLS,32000137,71100,HC XR RIBS 2V UNI,320,1 ,$227.00 ,$170.25 ,$17.98 ,$227.00 ,$146.19 ,$83.47 ,$158.90 ,$17.98 ,$36.31 ,$18.52 ,$29.05 ,$215.65 , N/A ,$181.60 ,$206.57 ,$17.98 ,$213.38 ,$215.65 ,$204.30 ,$192.95 ,$17.98 ,$17.98 ,$17.98 ,$165.71 ,$83.47 ,$202.03 ,$204.30 ,$204.30 ,$181.60 ,$85.98 ,$124.85 ,$204.30 ,$83.47 ,$204.30 ,$83.47 ,$215.65 ,$187.81 ,$208.84 ,$19.06 ,$206.57 ,$83.47 ,$139.70 ,$146.19 ,$139.70 ,$204.30 ,$176.68 ,$169.41 ,$148.41 ,$84.31 ,$18.88 ,$212.25 ,$87.64 ,$17.98 ,$197.49 ,$83.47 ,$204.30 ,$83.47 ,$204.30 ,$204.30 ,$204.30 ,$220.19 ,$183.87 ,$204.30 ,$204.30 ,$204.30 ,$204.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$262.00 ,$196.50 ,$17.98 ,$262.00 ,$168.73 ,$112.35 ,$183.40 ,$17.98 ,$38.12 ,$18.52 ,$30.49 ,$248.90 , N/A ,$209.60 ,$238.42 ,$17.98 ,$246.28 ,$248.90 ,$235.80 ,$222.70 ,$17.98 ,$17.98 ,$17.98 ,$191.26 ,$112.35 ,$233.18 ,$235.80 ,$235.80 ,$209.60 ,$115.72 ,$144.10 ,$235.80 ,$112.35 ,$235.80 ,$112.35 ,$248.90 ,$252.79 ,$241.04 ,$19.06 ,$238.42 ,$112.35 ,$161.23 ,$168.73 ,$161.23 ,$235.80 ,$163.46 ,$195.53 ,$165.33 ,$113.47 ,$18.88 ,$244.97 ,$117.97 ,$17.98 ,$227.94 ,$112.35 ,$235.80 ,$112.35 ,$235.80 ,$235.80 ,$235.80 ,$254.14 ,$212.22 ,$235.80 ,$235.80 ,$235.80 ,$235.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000139,71110,HC XR RIBS 3 V BIL,320,1 ,$314.00 ,$235.50 ,$17.98 ,$314.00 ,$202.22 ,$112.35 ,$219.80 ,$17.98 ,$39.92 ,$18.52 ,$31.93 ,$298.30 , N/A ,$251.20 ,$285.74 ,$17.98 ,$295.16 ,$298.30 ,$282.60 ,$266.90 ,$17.98 ,$17.98 ,$17.98 ,$229.22 ,$112.35 ,$279.46 ,$282.60 ,$282.60 ,$251.20 ,$115.72 ,$172.70 ,$282.60 ,$112.35 ,$282.60 ,$112.35 ,$298.30 ,$252.79 ,$288.88 ,$19.06 ,$285.74 ,$112.35 ,$193.24 ,$202.22 ,$193.24 ,$282.60 ,$186.20 ,$234.34 ,$170.17 ,$113.47 ,$18.88 ,$293.59 ,$117.97 ,$17.98 ,$273.18 ,$112.35 ,$282.60 ,$112.35 ,$282.60 ,$282.60 ,$282.60 ,$304.58 ,$254.34 ,$282.60 ,$282.60 ,$282.60 ,$282.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,$444.00 ,$333.00 ,$17.98 ,$444.00 ,$285.94 ,$112.35 ,$310.80 ,$17.98 ,$53.13 ,$18.52 ,$42.50 ,$421.80 , N/A ,$355.20 ,$404.04 ,$17.98 ,$417.36 ,$421.80 ,$399.60 ,$377.40 ,$17.98 ,$17.98 ,$17.98 ,$324.12 ,$112.35 ,$395.16 ,$399.60 ,$399.60 ,$355.20 ,$115.72 ,$244.20 ,$399.60 ,$112.35 ,$399.60 ,$112.35 ,$421.80 ,$252.79 ,$408.48 ,$19.06 ,$404.04 ,$112.35 ,$273.24 ,$285.94 ,$273.24 ,$399.60 ,$180.86 ,$331.36 ,$206.47 ,$113.47 ,$18.88 ,$415.14 ,$117.97 ,$17.98 ,$386.28 ,$112.35 ,$399.60 ,$112.35 ,$399.60 ,$399.60 ,$399.60 ,$430.68 ,$359.64 ,$399.60 ,$399.60 ,$399.60 ,$399.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000141,71120,HC XR STERNUM 2+V,320,1 ,$263.00 ,$197.25 ,$17.98 ,$263.00 ,$169.37 ,$83.47 ,$184.10 ,$17.98 ,$32.11 ,$18.52 ,$25.69 ,$249.85 , N/A ,$210.40 ,$239.33 ,$17.98 ,$247.22 ,$249.85 ,$236.70 ,$223.55 ,$17.98 ,$17.98 ,$17.98 ,$191.99 ,$83.47 ,$234.07 ,$236.70 ,$236.70 ,$210.40 ,$85.98 ,$144.65 ,$236.70 ,$83.47 ,$236.70 ,$83.47 ,$249.85 ,$187.81 ,$241.96 ,$19.06 ,$239.33 ,$83.47 ,$161.85 ,$169.37 ,$161.85 ,$236.70 ,$129.23 ,$196.28 ,$131.49 ,$84.31 ,$18.88 ,$245.91 ,$87.64 ,$17.98 ,$228.81 ,$83.47 ,$236.70 ,$83.47 ,$236.70 ,$236.70 ,$236.70 ,$255.11 ,$213.03 ,$236.70 ,$236.70 ,$236.70 ,$236.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$341.00 ,$255.75 ,$17.98 ,$341.00 ,$219.60 ,$83.47 ,$238.70 ,$17.98 ,$41.11 ,$18.52 ,$32.89 ,$323.95 , N/A ,$272.80 ,$310.31 ,$17.98 ,$320.54 ,$323.95 ,$306.90 ,$289.85 ,$17.98 ,$17.98 ,$17.98 ,$248.93 ,$83.47 ,$303.49 ,$306.90 ,$306.90 ,$272.80 ,$85.98 ,$187.55 ,$306.90 ,$83.47 ,$306.90 ,$83.47 ,$323.95 ,$187.81 ,$313.72 ,$19.06 ,$310.31 ,$83.47 ,$209.85 ,$219.60 ,$209.85 ,$306.90 ,$118.29 ,$254.49 ,$167.79 ,$84.31 ,$18.88 ,$318.84 ,$87.64 ,$17.98 ,$296.67 ,$83.47 ,$306.90 ,$83.47 ,$306.90 ,$306.90 ,$306.90 ,$330.77 ,$276.21 ,$306.90 ,$306.90 ,$306.90 ,$306.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$1,764.28 ","$1,323.21 ",$36.64 ,"$1,764.28 ","$1,136.20 ",$112.35 ,"$1,235.00 ",$36.64 ,"$1,764.28 ",$37.74 ,"$1,764.28 ","$1,676.07 ", N/A ,"$1,411.42 ","$1,605.49 ",$36.64 ,"$1,658.42 ","$1,676.07 ","$1,587.85 ","$1,499.64 ",$36.64 ,$36.64 ,$36.64 ,"$1,287.92 ",$112.35 ,"$1,570.21 ","$1,587.85 ","$1,587.85 ","$1,411.42 ",$115.72 ,$970.35 ,"$1,587.85 ",$112.35 ,"$1,587.85 ",$112.35 ,"$1,676.07 ",$252.79 ,"$1,623.14 ",$38.84 ,"$1,605.49 ",$112.35 ,"$1,085.74 ","$1,136.20 ","$1,085.74 ","$1,587.85 ",$960.34 ,"$1,316.68 ","$1,587.85 ",$113.47 ,$38.47 ,"$1,649.60 ",$117.97 ,$36.64 ,"$1,534.92 ",$112.35 ,"$1,587.85 ",$112.35 ,"$1,587.85 ","$1,587.85 ","$1,587.85 ","$1,711.35 ","$1,429.07 ","$1,587.85 ","$1,587.85 ","$1,587.85 ","$1,587.85 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$2,285.38 ","$1,714.04 ",$99.26 ,"$2,285.38 ","$1,471.78 ",$184.33 ,"$1,599.77 ",$99.26 ,"$2,285.38 ",$102.24 ,"$1,929.00 ","$2,171.11 ", N/A ,"$1,828.30 ","$2,079.70 ",$99.26 ,"$2,148.26 ","$2,171.11 ","$2,056.84 ","$1,942.57 ",$99.26 ,$99.26 ,$99.26 ,"$1,668.33 ",$184.33 ,"$2,033.99 ","$2,056.84 ","$2,056.84 ","$1,828.30 ",$189.86 ,"$1,256.96 ","$2,056.84 ",$184.33 ,"$2,056.84 ",$184.33 ,"$2,171.11 ",$414.75 ,"$2,102.55 ",$105.22 ,"$2,079.70 ",$184.33 ,"$1,406.42 ","$1,471.78 ","$1,406.42 ","$2,056.84 ","$1,117.16 ","$1,705.58 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,136.83 ",$193.55 ,$99.26 ,"$1,988.28 ",$184.33 ,"$2,056.84 ",$184.33 ,"$2,056.84 ","$2,056.84 ","$2,056.84 ","$2,216.82 ","$1,851.16 ","$2,056.84 ","$2,056.84 ","$2,056.84 ","$2,056.84 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$2,339.64 ","$1,754.73 ",$99.26 ,"$2,339.64 ","$1,506.73 ",$184.33 ,"$1,637.75 ",$99.26 ,"$2,339.64 ",$102.24 ,"$1,929.00 ","$2,222.66 ", N/A ,"$1,871.71 ","$2,129.07 ",$99.26 ,"$2,199.26 ","$2,222.66 ","$2,105.68 ","$1,988.69 ",$99.26 ,$99.26 ,$99.26 ,"$1,707.94 ",$184.33 ,"$2,082.28 ","$2,105.68 ","$2,105.68 ","$1,871.71 ",$189.86 ,"$1,286.80 ","$2,105.68 ",$184.33 ,"$2,105.68 ",$184.33 ,"$2,222.66 ",$414.75 ,"$2,152.47 ",$105.22 ,"$2,129.07 ",$184.33 ,"$1,439.81 ","$1,506.73 ","$1,439.81 ","$2,105.68 ","$1,376.12 ","$1,746.07 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,187.56 ",$193.55 ,$99.26 ,"$2,035.49 ",$184.33 ,"$2,105.68 ",$184.33 ,"$2,105.68 ","$2,105.68 ","$2,105.68 ","$2,269.45 ","$1,895.11 ","$2,105.68 ","$2,105.68 ","$2,105.68 ","$2,105.68 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$4,746.70 ","$3,560.03 ",$121.52 ,"$4,746.70 ","$3,056.87 ",$184.33 ,"$3,322.69 ",$121.52 ,"$2,412.00 ",$125.17 ,"$1,929.00 ","$4,509.37 ", N/A ,"$3,797.36 ","$4,319.50 ",$121.52 ,"$4,461.90 ","$4,509.37 ","$4,272.03 ","$4,034.70 ",$121.52 ,$121.52 ,$121.52 ,"$3,465.09 ",$184.33 ,"$4,224.56 ","$4,272.03 ","$4,272.03 ","$3,797.36 ",$189.86 ,"$2,610.69 ","$4,272.03 ",$184.33 ,"$4,272.03 ",$184.33 ,"$4,509.37 ",$414.75 ,"$4,366.96 ",$128.81 ,"$4,319.50 ",$184.33 ,"$2,921.12 ","$3,056.87 ","$2,921.12 ","$4,272.03 ",$879.36 ,"$3,542.46 ","$1,929.32 ",$186.18 ,$127.60 ,"$4,438.16 ",$193.55 ,$121.52 ,"$4,129.63 ",$184.33 ,"$4,272.03 ",$184.33 ,"$4,272.03 ","$4,272.03 ","$4,272.03 ","$4,604.30 ","$3,844.83 ","$4,272.03 ","$4,272.03 ","$4,272.03 ","$4,272.03 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000151,71550,HC MRI CHEST W/O CON,610,1 ,"$3,888.00 ","$2,916.00 ",$79.99 ,"$3,888.00 ","$2,503.87 ",$237.45 ,"$2,721.60 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$3,693.60 ", N/A ,"$3,110.40 ","$3,538.08 ",$79.99 ,"$3,654.72 ","$3,693.60 ","$3,499.20 ","$3,304.80 ",$79.99 ,$79.99 ,$79.99 ,"$2,838.24 ",$237.45 ,"$3,460.32 ","$3,499.20 ","$3,499.20 ","$3,110.40 ",$244.58 ,"$2,138.40 ","$3,499.20 ",$237.45 ,"$3,499.20 ",$237.45 ,"$3,693.60 ",$534.27 ,"$3,576.96 ",$84.79 ,"$3,538.08 ",$237.45 ,"$2,392.68 ","$2,503.87 ","$2,392.68 ","$3,499.20 ","$2,080.29 ","$2,901.61 ","$2,143.69 ",$239.83 ,$83.99 ,"$3,635.28 ",$249.32 ,$79.99 ,"$3,382.56 ",$237.45 ,"$3,499.20 ",$237.45 ,"$3,499.20 ","$3,499.20 ","$3,499.20 ","$3,771.36 ","$3,149.28 ","$3,499.20 ","$3,499.20 ","$3,499.20 ","$3,499.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000152,71551,HC MRI CHEST W/CONTRAST,610,1 ,"$3,952.00 ","$2,964.00 ",$140.15 ,"$3,952.00 ","$2,545.09 ",$738.30 ,"$2,766.40 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$3,754.40 ", N/A ,"$3,161.60 ","$3,596.32 ",$140.15 ,"$3,714.88 ","$3,754.40 ","$3,556.80 ","$3,359.20 ",$140.15 ,$140.15 ,$140.15 ,"$2,884.96 ",$738.30 ,"$3,517.28 ","$3,556.80 ","$3,556.80 ","$3,161.60 ",$760.45 ,"$2,173.60 ","$3,556.80 ",$738.30 ,"$3,556.80 ",$738.30 ,"$3,754.40 ","$1,661.17 ","$3,635.84 ",$148.56 ,"$3,596.32 ",$738.30 ,"$2,432.06 ","$2,545.09 ","$2,432.06 ","$3,556.80 ","$1,330.66 ","$2,949.38 ","$2,143.69 ",$745.68 ,$147.16 ,"$3,695.12 ",$775.22 ,$140.15 ,"$3,438.24 ",$738.30 ,"$3,556.80 ",$738.30 ,"$3,556.80 ","$3,556.80 ","$3,556.80 ","$3,833.44 ","$3,201.12 ","$3,556.80 ","$3,556.80 ","$3,556.80 ","$3,556.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$4,367.00 ","$3,275.25 ",$140.15 ,"$4,367.00 ","$2,812.35 ",$380.02 ,"$3,056.90 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,148.65 ", N/A ,"$3,493.60 ","$3,973.97 ",$140.15 ,"$4,104.98 ","$4,148.65 ","$3,930.30 ","$3,711.95 ",$140.15 ,$140.15 ,$140.15 ,"$3,187.91 ",$380.02 ,"$3,886.63 ","$3,930.30 ","$3,930.30 ","$3,493.60 ",$391.42 ,"$2,401.85 ","$3,930.30 ",$380.02 ,"$3,930.30 ",$380.02 ,"$4,148.65 ",$855.04 ,"$4,017.64 ",$148.56 ,"$3,973.97 ",$380.02 ,"$2,687.45 ","$2,812.35 ","$2,687.45 ","$3,930.30 ","$2,441.93 ","$3,259.09 ","$2,143.69 ",$383.82 ,$147.16 ,"$4,083.15 ",$399.02 ,$140.15 ,"$3,799.29 ",$380.02 ,"$3,930.30 ",$380.02 ,"$3,930.30 ","$3,930.30 ","$3,930.30 ","$4,235.99 ","$3,537.27 ","$3,930.30 ","$3,930.30 ","$3,930.30 ","$3,930.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000155,72020,HC XR SPINE 1V ANY LEVEL,320,1 ,$401.00 ,$300.75 ,$17.98 ,$401.00 ,$258.24 ,$83.47 ,$280.70 ,$17.98 ,$23.70 ,$18.52 ,$18.96 ,$380.95 , N/A ,$320.80 ,$364.91 ,$17.98 ,$376.94 ,$380.95 ,$360.90 ,$340.85 ,$17.98 ,$17.98 ,$17.98 ,$292.73 ,$83.47 ,$356.89 ,$360.90 ,$360.90 ,$320.80 ,$85.98 ,$220.55 ,$360.90 ,$83.47 ,$360.90 ,$83.47 ,$380.95 ,$187.81 ,$368.92 ,$19.06 ,$364.91 ,$83.47 ,$246.78 ,$258.24 ,$246.78 ,$360.90 ,$106.75 ,$299.27 ,$97.65 ,$84.31 ,$18.88 ,$374.94 ,$87.64 ,$17.98 ,$348.87 ,$83.47 ,$360.90 ,$83.47 ,$360.90 ,$360.90 ,$360.90 ,$388.97 ,$324.81 ,$360.90 ,$360.90 ,$360.90 ,$360.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$369.00 ,$276.75 ,$17.98 ,$369.00 ,$237.64 ,$83.47 ,$258.30 ,$17.98 ,$36.31 ,$18.52 ,$29.05 ,$350.55 , N/A ,$295.20 ,$335.79 ,$17.98 ,$346.86 ,$350.55 ,$332.10 ,$313.65 ,$17.98 ,$17.98 ,$17.98 ,$269.37 ,$83.47 ,$328.41 ,$332.10 ,$332.10 ,$295.20 ,$85.98 ,$202.95 ,$332.10 ,$83.47 ,$332.10 ,$83.47 ,$350.55 ,$187.81 ,$339.48 ,$19.06 ,$335.79 ,$83.47 ,$227.08 ,$237.64 ,$227.08 ,$332.10 ,$197.66 ,$275.38 ,$148.41 ,$84.31 ,$18.88 ,$345.02 ,$87.64 ,$17.98 ,$321.03 ,$83.47 ,$332.10 ,$83.47 ,$332.10 ,$332.10 ,$332.10 ,$357.93 ,$298.89 ,$332.10 ,$332.10 ,$332.10 ,$332.10 
ST. JOSEPH'S - CHIPPEWA FALLS,32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,$433.00 ,$324.75 ,$17.98 ,$433.00 ,$278.85 ,$112.35 ,$303.10 ,$17.98 ,$49.53 ,$18.52 ,$39.62 ,$411.35 , N/A ,$346.40 ,$394.03 ,$17.98 ,$407.02 ,$411.35 ,$389.70 ,$368.05 ,$17.98 ,$17.98 ,$17.98 ,$316.09 ,$112.35 ,$385.37 ,$389.70 ,$389.70 ,$346.40 ,$115.72 ,$238.15 ,$389.70 ,$112.35 ,$389.70 ,$112.35 ,$411.35 ,$252.79 ,$398.36 ,$19.06 ,$394.03 ,$112.35 ,$266.47 ,$278.85 ,$266.47 ,$389.70 ,$198.42 ,$323.15 ,$199.24 ,$113.47 ,$18.88 ,$404.86 ,$117.97 ,$17.98 ,$376.71 ,$112.35 ,$389.70 ,$112.35 ,$389.70 ,$389.70 ,$389.70 ,$420.01 ,$350.73 ,$389.70 ,$389.70 ,$389.70 ,$389.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,$607.00 ,$455.25 ,$17.98 ,$607.00 ,$390.91 ,$112.35 ,$424.90 ,$17.98 ,$63.33 ,$18.52 ,$50.67 ,$576.65 , N/A ,$485.60 ,$552.37 ,$17.98 ,$570.58 ,$576.65 ,$546.30 ,$515.95 ,$17.98 ,$17.98 ,$17.98 ,$443.11 ,$112.35 ,$540.23 ,$546.30 ,$546.30 ,$485.60 ,$115.72 ,$333.85 ,$546.30 ,$112.35 ,$546.30 ,$112.35 ,$576.65 ,$252.79 ,$558.44 ,$19.06 ,$552.37 ,$112.35 ,$373.55 ,$390.91 ,$373.55 ,$546.30 ,$211.40 ,$453.00 ,$254.84 ,$113.47 ,$18.88 ,$567.55 ,$117.97 ,$17.98 ,$528.09 ,$112.35 ,$546.30 ,$112.35 ,$546.30 ,$546.30 ,$546.30 ,$588.79 ,$491.67 ,$546.30 ,$546.30 ,$546.30 ,$546.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000172,72070,HC XR T-SPINE 2V,320,1 ,$206.00 ,$154.50 ,$17.98 ,$252.79 ,$132.66 ,$112.35 ,$144.20 ,$17.98 ,$38.12 ,$18.52 ,$30.49 ,$195.70 , N/A ,$164.80 ,$187.46 ,$17.98 ,$193.64 ,$195.70 ,$185.40 ,$175.10 ,$17.98 ,$17.98 ,$17.98 ,$150.38 ,$112.35 ,$183.34 ,$185.40 ,$185.40 ,$164.80 ,$115.72 ,$113.30 ,$185.40 ,$112.35 ,$185.40 ,$112.35 ,$195.70 ,$252.79 ,$189.52 ,$19.06 ,$187.46 ,$112.35 ,$126.77 ,$132.66 ,$126.77 ,$185.40 ,$206.00 ,$153.74 ,$153.25 ,$113.47 ,$18.88 ,$192.61 ,$117.97 ,$17.98 ,$179.22 ,$112.35 ,$185.40 ,$112.35 ,$185.40 ,$185.40 ,$185.40 ,$199.82 ,$166.86 ,$185.40 ,$185.40 ,$185.40 ,$185.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000174,72072,HC XR T-SPINE 3V,320,1 ,$313.00 ,$234.75 ,$17.98 ,$313.00 ,$201.57 ,$112.35 ,$219.10 ,$17.98 ,$39.32 ,$18.52 ,$31.46 ,$297.35 , N/A ,$250.40 ,$284.83 ,$17.98 ,$294.22 ,$297.35 ,$281.70 ,$266.05 ,$17.98 ,$17.98 ,$17.98 ,$228.49 ,$112.35 ,$278.57 ,$281.70 ,$281.70 ,$250.40 ,$115.72 ,$172.15 ,$281.70 ,$112.35 ,$281.70 ,$112.35 ,$297.35 ,$252.79 ,$287.96 ,$19.06 ,$284.83 ,$112.35 ,$192.62 ,$201.57 ,$192.62 ,$281.70 ,$169.75 ,$233.59 ,$160.48 ,$113.47 ,$18.88 ,$292.66 ,$117.97 ,$17.98 ,$272.31 ,$112.35 ,$281.70 ,$112.35 ,$281.70 ,$281.70 ,$281.70 ,$303.61 ,$253.53 ,$281.70 ,$281.70 ,$281.70 ,$281.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$261.00 ,$195.75 ,$17.98 ,$261.00 ,$168.08 ,$112.35 ,$182.70 ,$17.98 ,$39.92 ,$18.52 ,$31.93 ,$247.95 , N/A ,$208.80 ,$237.51 ,$17.98 ,$245.34 ,$247.95 ,$234.90 ,$221.85 ,$17.98 ,$17.98 ,$17.98 ,$190.53 ,$112.35 ,$232.29 ,$234.90 ,$234.90 ,$208.80 ,$115.72 ,$143.55 ,$234.90 ,$112.35 ,$234.90 ,$112.35 ,$247.95 ,$252.79 ,$240.12 ,$19.06 ,$237.51 ,$112.35 ,$160.62 ,$168.08 ,$160.62 ,$234.90 ,$198.89 ,$194.78 ,$160.48 ,$113.47 ,$18.88 ,$244.04 ,$117.97 ,$17.98 ,$227.07 ,$112.35 ,$234.90 ,$112.35 ,$234.90 ,$234.90 ,$234.90 ,$253.17 ,$211.41 ,$234.90 ,$234.90 ,$234.90 ,$234.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000181,72110,HC XR L-SPINE 4+V,320,1 ,$380.00 ,$285.00 ,$17.98 ,$380.00 ,$244.72 ,$112.35 ,$266.00 ,$17.98 ,$55.53 ,$18.52 ,$44.42 ,$361.00 , N/A ,$304.00 ,$345.80 ,$17.98 ,$357.20 ,$361.00 ,$342.00 ,$323.00 ,$17.98 ,$17.98 ,$17.98 ,$277.40 ,$112.35 ,$338.20 ,$342.00 ,$342.00 ,$304.00 ,$115.72 ,$209.00 ,$342.00 ,$112.35 ,$342.00 ,$112.35 ,$361.00 ,$252.79 ,$349.60 ,$19.06 ,$345.80 ,$112.35 ,$233.85 ,$244.72 ,$233.85 ,$342.00 ,$230.21 ,$283.59 ,$223.39 ,$113.47 ,$18.88 ,$355.30 ,$117.97 ,$17.98 ,$330.60 ,$112.35 ,$342.00 ,$112.35 ,$342.00 ,$342.00 ,$342.00 ,$368.60 ,$307.80 ,$342.00 ,$342.00 ,$342.00 ,$342.00 
ST. JOSEPH'S - CHIPPEWA FALLS,32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,$460.00 ,$345.00 ,$17.98 ,$460.00 ,$296.24 ,$112.35 ,$322.00 ,$17.98 ,$76.55 ,$18.52 ,$61.24 ,$437.00 , N/A ,$368.00 ,$418.60 ,$17.98 ,$432.40 ,$437.00 ,$414.00 ,$391.00 ,$17.98 ,$17.98 ,$17.98 ,$335.80 ,$112.35 ,$409.40 ,$414.00 ,$414.00 ,$368.00 ,$115.72 ,$253.00 ,$414.00 ,$112.35 ,$414.00 ,$112.35 ,$437.00 ,$252.79 ,$423.20 ,$19.06 ,$418.60 ,$112.35 ,$283.08 ,$296.24 ,$283.08 ,$414.00 ,$256.15 ,$343.30 ,$305.59 ,$113.47 ,$18.88 ,$430.10 ,$117.97 ,$17.98 ,$400.20 ,$112.35 ,$414.00 ,$112.35 ,$414.00 ,$414.00 ,$414.00 ,$446.20 ,$372.60 ,$414.00 ,$414.00 ,$414.00 ,$414.00 
ST. JOSEPH'S - CHIPPEWA FALLS,32000186,72170,HC XR PELVIS 1-2V,320,1 ,$266.00 ,$199.50 ,$17.98 ,$266.00 ,$171.30 ,$112.35 ,$186.20 ,$17.98 ,$38.71 ,$18.52 ,$30.97 ,$252.70 , N/A ,$212.80 ,$242.06 ,$17.98 ,$250.04 ,$252.70 ,$239.40 ,$226.10 ,$17.98 ,$17.98 ,$17.98 ,$194.18 ,$112.35 ,$236.74 ,$239.40 ,$239.40 ,$212.80 ,$115.72 ,$146.30 ,$239.40 ,$112.35 ,$239.40 ,$112.35 ,$252.70 ,$252.79 ,$244.72 ,$19.06 ,$242.06 ,$112.35 ,$163.70 ,$171.30 ,$163.70 ,$239.40 ,$132.52 ,$198.52 ,$155.64 ,$113.47 ,$18.88 ,$248.71 ,$117.97 ,$17.98 ,$231.42 ,$112.35 ,$239.40 ,$112.35 ,$239.40 ,$239.40 ,$239.40 ,$258.02 ,$215.46 ,$239.40 ,$239.40 ,$239.40 ,$239.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$295.00 ,$221.25 ,$17.98 ,$295.00 ,$189.98 ,$112.35 ,$206.50 ,$17.98 ,$45.33 ,$18.52 ,$36.26 ,$280.25 , N/A ,$236.00 ,$268.45 ,$17.98 ,$277.30 ,$280.25 ,$265.50 ,$250.75 ,$17.98 ,$17.98 ,$17.98 ,$215.35 ,$112.35 ,$262.55 ,$265.50 ,$265.50 ,$236.00 ,$115.72 ,$162.25 ,$265.50 ,$112.35 ,$265.50 ,$112.35 ,$280.25 ,$252.79 ,$271.40 ,$19.06 ,$268.45 ,$112.35 ,$181.54 ,$189.98 ,$181.54 ,$265.50 ,$189.95 ,$220.16 ,$182.25 ,$113.47 ,$18.88 ,$275.83 ,$117.97 ,$17.98 ,$256.65 ,$112.35 ,$265.50 ,$112.35 ,$265.50 ,$265.50 ,$265.50 ,$286.15 ,$238.95 ,$265.50 ,$265.50 ,$265.50 ,$265.50 
ST. JOSEPH'S - CHIPPEWA FALLS,32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$257.00 ,$192.75 ,$17.98 ,$257.00 ,$165.51 ,$112.35 ,$179.90 ,$17.98 ,$39.32 ,$18.52 ,$31.46 ,$244.15 , N/A ,$205.60 ,$233.87 ,$17.98 ,$241.58 ,$244.15 ,$231.30 ,$218.45 ,$17.98 ,$17.98 ,$17.98 ,$187.61 ,$112.35 ,$228.73 ,$231.30 ,$231.30 ,$205.60 ,$115.72 ,$141.35 ,$231.30 ,$112.35 ,$231.30 ,$112.35 ,$244.15 ,$252.79 ,$236.44 ,$19.06 ,$233.87 ,$112.35 ,$158.16 ,$165.51 ,$158.16 ,$231.30 ,$139.72 ,$191.80 ,$158.10 ,$113.47 ,$18.88 ,$240.30 ,$117.97 ,$17.98 ,$223.59 ,$112.35 ,$231.30 ,$112.35 ,$231.30 ,$231.30 ,$231.30 ,$249.29 ,$208.17 ,$231.30 ,$231.30 ,$231.30 ,$231.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$293.00 ,$219.75 ,$17.98 ,$293.00 ,$188.69 ,$83.47 ,$205.10 ,$17.98 ,$32.11 ,$18.52 ,$25.69 ,$278.35 , N/A ,$234.40 ,$266.63 ,$17.98 ,$275.42 ,$278.35 ,$263.70 ,$249.05 ,$17.98 ,$17.98 ,$17.98 ,$213.89 ,$83.47 ,$260.77 ,$263.70 ,$263.70 ,$234.40 ,$85.98 ,$161.15 ,$263.70 ,$83.47 ,$263.70 ,$83.47 ,$278.35 ,$187.81 ,$269.56 ,$19.06 ,$266.63 ,$83.47 ,$180.31 ,$188.69 ,$180.31 ,$263.70 ,$121.03 ,$218.67 ,$131.49 ,$84.31 ,$18.88 ,$273.96 ,$87.64 ,$17.98 ,$254.91 ,$83.47 ,$263.70 ,$83.47 ,$263.70 ,$263.70 ,$263.70 ,$284.21 ,$237.33 ,$263.70 ,$263.70 ,$263.70 ,$263.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000201,73000,HC XRAY CLAVICLE,320,1 ,$258.00 ,$193.50 ,$17.98 ,$258.00 ,$166.15 ,$83.47 ,$180.60 ,$17.98 ,$32.11 ,$18.52 ,$25.69 ,$245.10 , N/A ,$206.40 ,$234.78 ,$17.98 ,$242.52 ,$245.10 ,$232.20 ,$219.30 ,$17.98 ,$17.98 ,$17.98 ,$188.34 ,$83.47 ,$229.62 ,$232.20 ,$232.20 ,$206.40 ,$85.98 ,$141.90 ,$232.20 ,$83.47 ,$232.20 ,$83.47 ,$245.10 ,$187.81 ,$237.36 ,$19.06 ,$234.78 ,$83.47 ,$158.77 ,$166.15 ,$158.77 ,$232.20 ,$113.22 ,$192.55 ,$131.49 ,$84.31 ,$18.88 ,$241.23 ,$87.64 ,$17.98 ,$224.46 ,$83.47 ,$232.20 ,$83.47 ,$232.20 ,$232.20 ,$232.20 ,$250.26 ,$208.98 ,$232.20 ,$232.20 ,$232.20 ,$232.20 
ST. JOSEPH'S - CHIPPEWA FALLS,32000204,73010,HC XRAY SCAPULA,320,1 ,$258.00 ,$193.50 ,$17.98 ,$258.00 ,$166.15 ,$112.35 ,$180.60 ,$17.98 ,$35.11 ,$18.52 ,$28.08 ,$245.10 , N/A ,$206.40 ,$234.78 ,$17.98 ,$242.52 ,$245.10 ,$232.20 ,$219.30 ,$17.98 ,$17.98 ,$17.98 ,$188.34 ,$112.35 ,$229.62 ,$232.20 ,$232.20 ,$206.40 ,$115.72 ,$141.90 ,$232.20 ,$112.35 ,$232.20 ,$112.35 ,$245.10 ,$252.79 ,$237.36 ,$19.06 ,$234.78 ,$112.35 ,$158.77 ,$166.15 ,$158.77 ,$232.20 ,$137.31 ,$192.55 ,$143.57 ,$113.47 ,$18.88 ,$241.23 ,$117.97 ,$17.98 ,$224.46 ,$112.35 ,$232.20 ,$112.35 ,$232.20 ,$232.20 ,$232.20 ,$250.26 ,$208.98 ,$232.20 ,$232.20 ,$232.20 ,$232.20 
ST. JOSEPH'S - CHIPPEWA FALLS,32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$221.00 ,$165.75 ,$17.98 ,$221.00 ,$142.32 ,$83.47 ,$154.70 ,$17.98 ,$24.90 ,$18.52 ,$19.92 ,$209.95 , N/A ,$176.80 ,$201.11 ,$17.98 ,$207.74 ,$209.95 ,$198.90 ,$187.85 ,$17.98 ,$17.98 ,$17.98 ,$161.33 ,$83.47 ,$196.69 ,$198.90 ,$198.90 ,$176.80 ,$85.98 ,$121.55 ,$198.90 ,$83.47 ,$198.90 ,$83.47 ,$209.95 ,$187.81 ,$203.32 ,$19.06 ,$201.11 ,$83.47 ,$136.00 ,$142.32 ,$136.00 ,$198.90 ,$92.22 ,$164.93 ,$100.04 ,$84.31 ,$18.88 ,$206.64 ,$87.64 ,$17.98 ,$192.27 ,$83.47 ,$198.90 ,$83.47 ,$198.90 ,$198.90 ,$198.90 ,$214.37 ,$179.01 ,$198.90 ,$198.90 ,$198.90 ,$198.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$263.00 ,$197.25 ,$17.98 ,$263.00 ,$169.37 ,$83.47 ,$184.10 ,$17.98 ,$32.71 ,$18.52 ,$26.17 ,$249.85 , N/A ,$210.40 ,$239.33 ,$17.98 ,$247.22 ,$249.85 ,$236.70 ,$223.55 ,$17.98 ,$17.98 ,$17.98 ,$191.99 ,$83.47 ,$234.07 ,$236.70 ,$236.70 ,$210.40 ,$85.98 ,$144.65 ,$236.70 ,$83.47 ,$236.70 ,$83.47 ,$249.85 ,$187.81 ,$241.96 ,$19.06 ,$239.33 ,$83.47 ,$161.85 ,$169.37 ,$161.85 ,$236.70 ,$137.87 ,$196.28 ,$133.88 ,$84.31 ,$18.88 ,$245.91 ,$87.64 ,$17.98 ,$228.81 ,$83.47 ,$236.70 ,$83.47 ,$236.70 ,$236.70 ,$236.70 ,$255.11 ,$213.03 ,$236.70 ,$236.70 ,$236.70 ,$236.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000212,73040,HC XRAY SHOULDER ARTHRO,320,1 ,$843.00 ,$632.25 ,$37.92 ,$855.04 ,$542.89 ,$380.02 ,$590.10 ,$37.92 ,$122.17 ,$39.06 ,$97.73 ,$800.85 , N/A ,$674.40 ,$767.13 ,$37.92 ,$792.42 ,$800.85 ,$758.70 ,$716.55 ,$37.92 ,$37.92 ,$37.92 ,$615.39 ,$380.02 ,$750.27 ,$758.70 ,$758.70 ,$674.40 ,$391.42 ,$463.65 ,$758.70 ,$380.02 ,$758.70 ,$380.02 ,$800.85 ,$855.04 ,$775.56 ,$40.20 ,$767.13 ,$380.02 ,$518.78 ,$542.89 ,$518.78 ,$758.70 ,$388.94 ,$629.13 ,$501.53 ,$383.82 ,$39.82 ,$788.21 ,$399.02 ,$37.92 ,$733.41 ,$380.02 ,$758.70 ,$380.02 ,$758.70 ,$758.70 ,$758.70 ,$817.71 ,$682.83 ,$758.70 ,$758.70 ,$758.70 ,$758.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$358.00 ,$268.50 ,$17.98 ,$358.00 ,$230.55 ,$83.47 ,$250.60 ,$17.98 ,$41.72 ,$18.52 ,$33.38 ,$340.10 , N/A ,$286.40 ,$325.78 ,$17.98 ,$336.52 ,$340.10 ,$322.20 ,$304.30 ,$17.98 ,$17.98 ,$17.98 ,$261.34 ,$83.47 ,$318.62 ,$322.20 ,$322.20 ,$286.40 ,$85.98 ,$196.90 ,$322.20 ,$83.47 ,$322.20 ,$83.47 ,$340.10 ,$187.81 ,$329.36 ,$19.06 ,$325.78 ,$83.47 ,$220.31 ,$230.55 ,$220.31 ,$322.20 ,$128.79 ,$267.18 ,$170.17 ,$84.31 ,$18.88 ,$334.73 ,$87.64 ,$17.98 ,$311.46 ,$83.47 ,$322.20 ,$83.47 ,$322.20 ,$322.20 ,$322.20 ,$347.26 ,$289.98 ,$322.20 ,$322.20 ,$322.20 ,$322.20 
ST. JOSEPH'S - CHIPPEWA FALLS,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$237.00 ,$177.75 ,$17.98 ,$237.00 ,$152.63 ,$83.47 ,$165.90 ,$17.98 ,$34.51 ,$18.52 ,$27.61 ,$225.15 , N/A ,$189.60 ,$215.67 ,$17.98 ,$222.78 ,$225.15 ,$213.30 ,$201.45 ,$17.98 ,$17.98 ,$17.98 ,$173.01 ,$83.47 ,$210.93 ,$213.30 ,$213.30 ,$189.60 ,$85.98 ,$130.35 ,$213.30 ,$83.47 ,$213.30 ,$83.47 ,$225.15 ,$187.81 ,$218.04 ,$19.06 ,$215.67 ,$83.47 ,$145.85 ,$152.63 ,$145.85 ,$213.30 ,$129.80 ,$176.87 ,$138.72 ,$84.31 ,$18.88 ,$221.60 ,$87.64 ,$17.98 ,$206.19 ,$83.47 ,$213.30 ,$83.47 ,$213.30 ,$213.30 ,$213.30 ,$229.89 ,$191.97 ,$213.30 ,$213.30 ,$213.30 ,$213.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$214.00 ,$160.50 ,$17.98 ,$214.00 ,$137.82 ,$83.47 ,$149.80 ,$17.98 ,$32.11 ,$18.52 ,$25.69 ,$203.30 , N/A ,$171.20 ,$194.74 ,$17.98 ,$201.16 ,$203.30 ,$192.60 ,$181.90 ,$17.98 ,$17.98 ,$17.98 ,$156.22 ,$83.47 ,$190.46 ,$192.60 ,$192.60 ,$171.20 ,$85.98 ,$117.70 ,$192.60 ,$83.47 ,$192.60 ,$83.47 ,$203.30 ,$187.81 ,$196.88 ,$19.06 ,$194.74 ,$83.47 ,$131.70 ,$137.82 ,$131.70 ,$192.60 ,$93.90 ,$159.71 ,$129.03 ,$84.31 ,$18.88 ,$200.09 ,$87.64 ,$17.98 ,$186.18 ,$83.47 ,$192.60 ,$83.47 ,$192.60 ,$192.60 ,$192.60 ,$207.58 ,$173.34 ,$192.60 ,$192.60 ,$192.60 ,$192.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$235.00 ,$176.25 ,$17.98 ,$235.00 ,$151.34 ,$83.47 ,$164.50 ,$17.98 ,$37.52 ,$18.52 ,$30.02 ,$223.25 , N/A ,$188.00 ,$213.85 ,$17.98 ,$220.90 ,$223.25 ,$211.50 ,$199.75 ,$17.98 ,$17.98 ,$17.98 ,$171.55 ,$83.47 ,$209.15 ,$211.50 ,$211.50 ,$188.00 ,$85.98 ,$129.25 ,$211.50 ,$83.47 ,$211.50 ,$83.47 ,$223.25 ,$187.81 ,$216.20 ,$19.06 ,$213.85 ,$83.47 ,$144.62 ,$151.34 ,$144.62 ,$211.50 ,$120.08 ,$175.38 ,$153.25 ,$84.31 ,$18.88 ,$219.73 ,$87.64 ,$17.98 ,$204.45 ,$83.47 ,$211.50 ,$83.47 ,$211.50 ,$211.50 ,$211.50 ,$227.95 ,$190.35 ,$211.50 ,$211.50 ,$211.50 ,$211.50 
ST. JOSEPH'S - CHIPPEWA FALLS,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$214.00 ,$160.50 ,$17.98 ,$214.00 ,$137.82 ,$83.47 ,$149.80 ,$17.98 ,$29.10 ,$18.52 ,$23.28 ,$203.30 , N/A ,$171.20 ,$194.74 ,$17.98 ,$201.16 ,$203.30 ,$192.60 ,$181.90 ,$17.98 ,$17.98 ,$17.98 ,$156.22 ,$83.47 ,$190.46 ,$192.60 ,$192.60 ,$171.20 ,$85.98 ,$117.70 ,$192.60 ,$83.47 ,$192.60 ,$83.47 ,$203.30 ,$187.81 ,$196.88 ,$19.06 ,$194.74 ,$83.47 ,$131.70 ,$137.82 ,$131.70 ,$192.60 ,$114.13 ,$159.71 ,$116.96 ,$84.31 ,$18.88 ,$200.09 ,$87.64 ,$17.98 ,$186.18 ,$83.47 ,$192.60 ,$83.47 ,$192.60 ,$192.60 ,$192.60 ,$207.58 ,$173.34 ,$192.60 ,$192.60 ,$192.60 ,$192.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$274.00 ,$205.50 ,$17.98 ,$274.00 ,$176.46 ,$112.35 ,$191.80 ,$17.98 ,$32.71 ,$18.52 ,$26.17 ,$260.30 , N/A ,$219.20 ,$249.34 ,$17.98 ,$257.56 ,$260.30 ,$246.60 ,$232.90 ,$17.98 ,$17.98 ,$17.98 ,$200.02 ,$112.35 ,$243.86 ,$246.60 ,$246.60 ,$219.20 ,$115.72 ,$150.70 ,$246.60 ,$112.35 ,$246.60 ,$112.35 ,$260.30 ,$252.79 ,$252.08 ,$19.06 ,$249.34 ,$112.35 ,$168.62 ,$176.46 ,$168.62 ,$246.60 ,$107.95 ,$204.49 ,$129.03 ,$113.47 ,$18.88 ,$256.19 ,$117.97 ,$17.98 ,$238.38 ,$112.35 ,$246.60 ,$112.35 ,$246.60 ,$246.60 ,$246.60 ,$265.78 ,$221.94 ,$246.60 ,$246.60 ,$246.60 ,$246.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$161.00 ,$120.75 ,$17.98 ,$187.81 ,$103.68 ,$83.47 ,$112.70 ,$17.98 ,$34.51 ,$18.52 ,$27.61 ,$152.95 , N/A ,$128.80 ,$146.51 ,$17.98 ,$151.34 ,$152.95 ,$144.90 ,$136.85 ,$17.98 ,$17.98 ,$17.98 ,$117.53 ,$83.47 ,$143.29 ,$144.90 ,$144.90 ,$128.80 ,$85.98 ,$88.55 ,$144.90 ,$83.47 ,$144.90 ,$83.47 ,$152.95 ,$187.81 ,$148.12 ,$19.06 ,$146.51 ,$83.47 ,$99.08 ,$103.68 ,$99.08 ,$144.90 ,$87.40 ,$120.15 ,$144.90 ,$84.31 ,$18.88 ,$150.54 ,$87.64 ,$17.98 ,$140.07 ,$83.47 ,$144.90 ,$83.47 ,$144.90 ,$144.90 ,$144.90 ,$156.17 ,$130.41 ,$144.90 ,$144.90 ,$144.90 ,$144.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$214.00 ,$160.50 ,$17.98 ,$214.00 ,$137.82 ,$83.47 ,$149.80 ,$17.98 ,$44.71 ,$18.52 ,$35.77 ,$203.30 , N/A ,$171.20 ,$194.74 ,$17.98 ,$201.16 ,$203.30 ,$192.60 ,$181.90 ,$17.98 ,$17.98 ,$17.98 ,$156.22 ,$83.47 ,$190.46 ,$192.60 ,$192.60 ,$171.20 ,$85.98 ,$117.70 ,$192.60 ,$83.47 ,$192.60 ,$83.47 ,$203.30 ,$187.81 ,$196.88 ,$19.06 ,$194.74 ,$83.47 ,$131.70 ,$137.82 ,$131.70 ,$192.60 ,$122.57 ,$159.71 ,$177.40 ,$84.31 ,$18.88 ,$200.09 ,$87.64 ,$17.98 ,$186.18 ,$83.47 ,$192.60 ,$83.47 ,$192.60 ,$192.60 ,$192.60 ,$207.58 ,$173.34 ,$192.60 ,$192.60 ,$192.60 ,$192.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000236,73115,HC XRAY WRIST ARTHRO,320,1 ,$851.00 ,$638.25 ,$37.92 ,$855.04 ,$548.04 ,$380.02 ,$595.70 ,$37.92 ,$131.18 ,$39.06 ,$104.94 ,$808.45 , N/A ,$680.80 ,$774.41 ,$37.92 ,$799.94 ,$808.45 ,$765.90 ,$723.35 ,$37.92 ,$37.92 ,$37.92 ,$621.23 ,$380.02 ,$757.39 ,$765.90 ,$765.90 ,$680.80 ,$391.42 ,$468.05 ,$765.90 ,$380.02 ,$765.90 ,$380.02 ,$808.45 ,$855.04 ,$782.92 ,$40.20 ,$774.41 ,$380.02 ,$523.71 ,$548.04 ,$523.71 ,$765.90 ,$236.70 ,$635.10 ,$532.98 ,$383.82 ,$39.82 ,$795.69 ,$399.02 ,$37.92 ,$740.37 ,$380.02 ,$765.90 ,$380.02 ,$765.90 ,$765.90 ,$765.90 ,$825.47 ,$689.31 ,$765.90 ,$765.90 ,$765.90 ,$765.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$133.00 ,$99.75 ,$17.98 ,$252.79 ,$85.65 ,$112.35 ,$93.10 ,$17.98 ,$29.72 ,$18.52 ,$23.77 ,$126.35 , N/A ,$106.40 ,$121.03 ,$17.98 ,$125.02 ,$126.35 ,$119.70 ,$113.05 ,$17.98 ,$17.98 ,$17.98 ,$97.09 ,$112.35 ,$118.37 ,$119.70 ,$119.70 ,$106.40 ,$115.72 ,$73.15 ,$119.70 ,$112.35 ,$119.70 ,$112.35 ,$126.35 ,$252.79 ,$122.36 ,$19.06 ,$121.03 ,$112.35 ,$81.85 ,$85.65 ,$81.85 ,$119.70 ,$79.37 ,$99.26 ,$119.70 ,$113.47 ,$18.88 ,$124.36 ,$117.97 ,$17.98 ,$115.71 ,$112.35 ,$119.70 ,$112.35 ,$119.70 ,$119.70 ,$119.70 ,$129.01 ,$107.73 ,$119.70 ,$119.70 ,$119.70 ,$119.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$214.00 ,$160.50 ,$17.98 ,$214.00 ,$137.82 ,$83.47 ,$149.80 ,$17.98 ,$36.91 ,$18.52 ,$29.53 ,$203.30 , N/A ,$171.20 ,$194.74 ,$17.98 ,$201.16 ,$203.30 ,$192.60 ,$181.90 ,$17.98 ,$17.98 ,$17.98 ,$156.22 ,$83.47 ,$190.46 ,$192.60 ,$192.60 ,$171.20 ,$85.98 ,$117.70 ,$192.60 ,$83.47 ,$192.60 ,$83.47 ,$203.30 ,$187.81 ,$196.88 ,$19.06 ,$194.74 ,$83.47 ,$131.70 ,$137.82 ,$131.70 ,$192.60 ,$124.65 ,$159.71 ,$155.64 ,$84.31 ,$18.88 ,$200.09 ,$87.64 ,$17.98 ,$186.18 ,$83.47 ,$192.60 ,$83.47 ,$192.60 ,$192.60 ,$192.60 ,$207.58 ,$173.34 ,$192.60 ,$192.60 ,$192.60 ,$192.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$214.00 ,$160.50 ,$17.98 ,$214.00 ,$137.82 ,$83.47 ,$149.80 ,$17.98 ,$41.11 ,$18.52 ,$32.89 ,$203.30 , N/A ,$171.20 ,$194.74 ,$17.98 ,$201.16 ,$203.30 ,$192.60 ,$181.90 ,$17.98 ,$17.98 ,$17.98 ,$156.22 ,$83.47 ,$190.46 ,$192.60 ,$192.60 ,$171.20 ,$85.98 ,$117.70 ,$192.60 ,$83.47 ,$192.60 ,$83.47 ,$203.30 ,$187.81 ,$196.88 ,$19.06 ,$194.74 ,$83.47 ,$131.70 ,$137.82 ,$131.70 ,$192.60 ,$97.88 ,$159.71 ,$170.17 ,$84.31 ,$18.88 ,$200.09 ,$87.64 ,$17.98 ,$186.18 ,$83.47 ,$192.60 ,$83.47 ,$192.60 ,$192.60 ,$192.60 ,$207.58 ,$173.34 ,$192.60 ,$192.60 ,$192.60 ,$192.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000243,73140,HC XRAY FINGER MIN 2 VIEWS MULTI,320,1 ,$214.00 ,$160.50 ,$17.98 ,$214.00 ,$137.82 ,$83.47 ,$149.80 ,$17.98 ,$41.11 ,$18.52 ,$32.89 ,$203.30 , N/A ,$171.20 ,$194.74 ,$17.98 ,$201.16 ,$203.30 ,$192.60 ,$181.90 ,$17.98 ,$17.98 ,$17.98 ,$156.22 ,$83.47 ,$190.46 ,$192.60 ,$192.60 ,$171.20 ,$85.98 ,$117.70 ,$192.60 ,$83.47 ,$192.60 ,$83.47 ,$203.30 ,$187.81 ,$196.88 ,$19.06 ,$194.74 ,$83.47 ,$131.70 ,$137.82 ,$131.70 ,$192.60 ,$97.88 ,$159.71 ,$170.17 ,$84.31 ,$18.88 ,$200.09 ,$87.64 ,$17.98 ,$186.18 ,$83.47 ,$192.60 ,$83.47 ,$192.60 ,$192.60 ,$192.60 ,$207.58 ,$173.34 ,$192.60 ,$192.60 ,$192.60 ,$192.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,$396.00 ,$297.00 ,$37.92 ,$855.04 ,$255.02 ,$380.02 ,$277.20 ,$37.92 ,$122.78 ,$39.06 ,$98.22 ,$376.20 , N/A ,$316.80 ,$360.36 ,$37.92 ,$372.24 ,$376.20 ,$356.40 ,$336.60 ,$37.92 ,$37.92 ,$37.92 ,$289.08 ,$380.02 ,$352.44 ,$356.40 ,$356.40 ,$316.80 ,$391.42 ,$217.80 ,$356.40 ,$380.02 ,$356.40 ,$380.02 ,$376.20 ,$855.04 ,$364.32 ,$40.20 ,$360.36 ,$380.02 ,$243.70 ,$255.02 ,$243.70 ,$356.40 ,$323.03 ,$295.53 ,$356.40 ,$383.82 ,$39.82 ,$370.26 ,$399.02 ,$37.92 ,$344.52 ,$380.02 ,$356.40 ,$380.02 ,$356.40 ,$356.40 ,$356.40 ,$384.12 ,$320.76 ,$356.40 ,$356.40 ,$356.40 ,$356.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$194.00 ,$145.50 ,$17.98 ,$194.00 ,$124.94 ,$83.47 ,$135.80 ,$17.98 ,$37.52 ,$18.52 ,$30.02 ,$184.30 , N/A ,$155.20 ,$176.54 ,$17.98 ,$182.36 ,$184.30 ,$174.60 ,$164.90 ,$17.98 ,$17.98 ,$17.98 ,$141.62 ,$83.47 ,$172.66 ,$174.60 ,$174.60 ,$155.20 ,$85.98 ,$106.70 ,$174.60 ,$83.47 ,$174.60 ,$83.47 ,$184.30 ,$187.81 ,$178.48 ,$19.06 ,$176.54 ,$83.47 ,$119.39 ,$124.94 ,$119.39 ,$174.60 ,$111.79 ,$144.78 ,$153.25 ,$84.31 ,$18.88 ,$181.39 ,$87.64 ,$17.98 ,$168.78 ,$83.47 ,$174.60 ,$83.47 ,$174.60 ,$174.60 ,$174.60 ,$188.18 ,$157.14 ,$174.60 ,$174.60 ,$174.60 ,$174.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000263,73562,HC XRAY KNEE (3 V),320,1 ,$226.00 ,$169.50 ,$17.98 ,$226.00 ,$145.54 ,$83.47 ,$158.20 ,$17.98 ,$44.12 ,$18.52 ,$35.29 ,$214.70 , N/A ,$180.80 ,$205.66 ,$17.98 ,$212.44 ,$214.70 ,$203.40 ,$192.10 ,$17.98 ,$17.98 ,$17.98 ,$164.98 ,$83.47 ,$201.14 ,$203.40 ,$203.40 ,$180.80 ,$85.98 ,$124.30 ,$203.40 ,$83.47 ,$203.40 ,$83.47 ,$214.70 ,$187.81 ,$207.92 ,$19.06 ,$205.66 ,$83.47 ,$139.08 ,$145.54 ,$139.08 ,$203.40 ,$120.15 ,$168.66 ,$177.40 ,$84.31 ,$18.88 ,$211.31 ,$87.64 ,$17.98 ,$196.62 ,$83.47 ,$203.40 ,$83.47 ,$203.40 ,$203.40 ,$203.40 ,$219.22 ,$183.06 ,$203.40 ,$203.40 ,$203.40 ,$203.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$284.00 ,$213.00 ,$17.98 ,$284.00 ,$182.90 ,$112.35 ,$198.80 ,$17.98 ,$47.72 ,$18.52 ,$38.18 ,$269.80 , N/A ,$227.20 ,$258.44 ,$17.98 ,$266.96 ,$269.80 ,$255.60 ,$241.40 ,$17.98 ,$17.98 ,$17.98 ,$207.32 ,$112.35 ,$252.76 ,$255.60 ,$255.60 ,$227.20 ,$115.72 ,$156.20 ,$255.60 ,$112.35 ,$255.60 ,$112.35 ,$269.80 ,$252.79 ,$261.28 ,$19.06 ,$258.44 ,$112.35 ,$174.77 ,$182.90 ,$174.77 ,$255.60 ,$127.08 ,$211.95 ,$191.94 ,$113.47 ,$18.88 ,$265.54 ,$117.97 ,$17.98 ,$247.08 ,$112.35 ,$255.60 ,$112.35 ,$255.60 ,$255.60 ,$255.60 ,$275.48 ,$230.04 ,$255.60 ,$255.60 ,$255.60 ,$255.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000267,73565,HC XR KNEE STAND,320,1 ,$186.00 ,$139.50 ,$17.98 ,$187.81 ,$119.78 ,$83.47 ,$130.20 ,$17.98 ,$45.33 ,$18.52 ,$36.26 ,$176.70 , N/A ,$148.80 ,$169.26 ,$17.98 ,$174.84 ,$176.70 ,$167.40 ,$158.10 ,$17.98 ,$17.98 ,$17.98 ,$135.78 ,$83.47 ,$165.54 ,$167.40 ,$167.40 ,$148.80 ,$85.98 ,$102.30 ,$167.40 ,$83.47 ,$167.40 ,$83.47 ,$176.70 ,$187.81 ,$171.12 ,$19.06 ,$169.26 ,$83.47 ,$114.46 ,$119.78 ,$114.46 ,$167.40 ,$140.99 ,$138.81 ,$167.40 ,$84.31 ,$18.88 ,$173.91 ,$87.64 ,$17.98 ,$161.82 ,$83.47 ,$167.40 ,$83.47 ,$167.40 ,$167.40 ,$167.40 ,$180.42 ,$150.66 ,$167.40 ,$167.40 ,$167.40 ,$167.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000268,73580,HC XRAY KNEE ARTHRO,320,1 ,$937.00 ,$702.75 ,$37.92 ,$937.00 ,$603.43 ,$380.02 ,$655.90 ,$37.92 ,$144.39 ,$39.06 ,$115.51 ,$890.15 , N/A ,$749.60 ,$852.67 ,$37.92 ,$880.78 ,$890.15 ,$843.30 ,$796.45 ,$37.92 ,$37.92 ,$37.92 ,$684.01 ,$380.02 ,$833.93 ,$843.30 ,$843.30 ,$749.60 ,$391.42 ,$515.35 ,$843.30 ,$380.02 ,$843.30 ,$380.02 ,$890.15 ,$855.04 ,$862.04 ,$40.20 ,$852.67 ,$380.02 ,$576.63 ,$603.43 ,$576.63 ,$843.30 ,$394.40 ,$699.28 ,$600.66 ,$383.82 ,$39.82 ,$876.10 ,$399.02 ,$37.92 ,$815.19 ,$380.02 ,$843.30 ,$380.02 ,$843.30 ,$843.30 ,$843.30 ,$908.89 ,$758.97 ,$843.30 ,$843.30 ,$843.30 ,$843.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$211.00 ,$158.25 ,$17.98 ,$211.00 ,$135.88 ,$83.47 ,$147.70 ,$17.98 ,$33.92 ,$18.52 ,$27.13 ,$200.45 , N/A ,$168.80 ,$192.01 ,$17.98 ,$198.34 ,$200.45 ,$189.90 ,$179.35 ,$17.98 ,$17.98 ,$17.98 ,$154.03 ,$83.47 ,$187.79 ,$189.90 ,$189.90 ,$168.80 ,$85.98 ,$116.05 ,$189.90 ,$83.47 ,$189.90 ,$83.47 ,$200.45 ,$187.81 ,$194.12 ,$19.06 ,$192.01 ,$83.47 ,$129.85 ,$135.88 ,$129.85 ,$189.90 ,$117.61 ,$157.47 ,$136.33 ,$84.31 ,$18.88 ,$197.29 ,$87.64 ,$17.98 ,$183.57 ,$83.47 ,$189.90 ,$83.47 ,$189.90 ,$189.90 ,$189.90 ,$204.67 ,$170.91 ,$189.90 ,$189.90 ,$189.90 ,$189.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,$404.00 ,$303.00 ,$17.98 ,$404.00 ,$260.18 ,$83.47 ,$282.80 ,$17.98 ,$32.71 ,$18.52 ,$26.17 ,$383.80 , N/A ,$323.20 ,$367.64 ,$17.98 ,$379.76 ,$383.80 ,$363.60 ,$343.40 ,$17.98 ,$17.98 ,$17.98 ,$294.92 ,$83.47 ,$359.56 ,$363.60 ,$363.60 ,$323.20 ,$85.98 ,$222.20 ,$363.60 ,$83.47 ,$363.60 ,$83.47 ,$383.80 ,$187.81 ,$371.68 ,$19.06 ,$367.64 ,$83.47 ,$248.62 ,$260.18 ,$248.62 ,$363.60 ,$116.95 ,$301.51 ,$129.03 ,$84.31 ,$18.88 ,$377.74 ,$87.64 ,$17.98 ,$351.48 ,$83.47 ,$363.60 ,$83.47 ,$363.60 ,$363.60 ,$363.60 ,$391.88 ,$327.24 ,$363.60 ,$363.60 ,$363.60 ,$363.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$286.00 ,$214.50 ,$17.98 ,$286.00 ,$184.18 ,$83.47 ,$200.20 ,$17.98 ,$35.72 ,$18.52 ,$28.57 ,$271.70 , N/A ,$228.80 ,$260.26 ,$17.98 ,$268.84 ,$271.70 ,$257.40 ,$243.10 ,$17.98 ,$17.98 ,$17.98 ,$208.78 ,$83.47 ,$254.54 ,$257.40 ,$257.40 ,$228.80 ,$85.98 ,$157.30 ,$257.40 ,$83.47 ,$257.40 ,$83.47 ,$271.70 ,$187.81 ,$263.12 ,$19.06 ,$260.26 ,$83.47 ,$176.00 ,$184.18 ,$176.00 ,$257.40 ,$90.50 ,$213.44 ,$143.57 ,$84.31 ,$18.88 ,$267.41 ,$87.64 ,$17.98 ,$248.82 ,$83.47 ,$257.40 ,$83.47 ,$257.40 ,$257.40 ,$257.40 ,$277.42 ,$231.66 ,$257.40 ,$257.40 ,$257.40 ,$257.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$276.00 ,$207.00 ,$17.98 ,$276.00 ,$177.74 ,$83.47 ,$193.20 ,$17.98 ,$38.12 ,$18.52 ,$30.49 ,$262.20 , N/A ,$220.80 ,$251.16 ,$17.98 ,$259.44 ,$262.20 ,$248.40 ,$234.60 ,$17.98 ,$17.98 ,$17.98 ,$201.48 ,$83.47 ,$245.64 ,$248.40 ,$248.40 ,$220.80 ,$85.98 ,$151.80 ,$248.40 ,$83.47 ,$248.40 ,$83.47 ,$262.20 ,$187.81 ,$253.92 ,$19.06 ,$251.16 ,$83.47 ,$169.85 ,$177.74 ,$169.85 ,$248.40 ,$116.80 ,$205.98 ,$153.25 ,$84.31 ,$18.88 ,$258.06 ,$87.64 ,$17.98 ,$240.12 ,$83.47 ,$248.40 ,$83.47 ,$248.40 ,$248.40 ,$248.40 ,$267.72 ,$223.56 ,$248.40 ,$248.40 ,$248.40 ,$248.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$154.00 ,$115.50 ,$17.98 ,$187.81 ,$99.18 ,$83.47 ,$107.80 ,$17.98 ,$30.31 ,$18.52 ,$24.25 ,$146.30 , N/A ,$123.20 ,$140.14 ,$17.98 ,$144.76 ,$146.30 ,$138.60 ,$130.90 ,$17.98 ,$17.98 ,$17.98 ,$112.42 ,$83.47 ,$137.06 ,$138.60 ,$138.60 ,$123.20 ,$85.98 ,$84.70 ,$138.60 ,$83.47 ,$138.60 ,$83.47 ,$146.30 ,$187.81 ,$141.68 ,$19.06 ,$140.14 ,$83.47 ,$94.77 ,$99.18 ,$94.77 ,$138.60 ,$91.12 ,$114.93 ,$124.26 ,$84.31 ,$18.88 ,$143.99 ,$87.64 ,$17.98 ,$133.98 ,$83.47 ,$138.60 ,$83.47 ,$138.60 ,$138.60 ,$138.60 ,$149.38 ,$124.74 ,$138.60 ,$138.60 ,$138.60 ,$138.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$263.00 ,$197.25 ,$17.98 ,$263.00 ,$169.37 ,$83.47 ,$184.10 ,$17.98 ,$34.51 ,$18.52 ,$27.61 ,$249.85 , N/A ,$210.40 ,$239.33 ,$17.98 ,$247.22 ,$249.85 ,$236.70 ,$223.55 ,$17.98 ,$17.98 ,$17.98 ,$191.99 ,$83.47 ,$234.07 ,$236.70 ,$236.70 ,$210.40 ,$85.98 ,$144.65 ,$236.70 ,$83.47 ,$236.70 ,$83.47 ,$249.85 ,$187.81 ,$241.96 ,$19.06 ,$239.33 ,$83.47 ,$161.85 ,$169.37 ,$161.85 ,$236.70 ,$116.54 ,$196.28 ,$141.18 ,$84.31 ,$18.88 ,$245.91 ,$87.64 ,$17.98 ,$228.81 ,$83.47 ,$236.70 ,$83.47 ,$236.70 ,$236.70 ,$236.70 ,$255.11 ,$213.03 ,$236.70 ,$236.70 ,$236.70 ,$236.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$309.00 ,$231.75 ,$17.98 ,$309.00 ,$199.00 ,$83.47 ,$216.30 ,$17.98 ,$31.52 ,$18.52 ,$25.21 ,$293.55 , N/A ,$247.20 ,$281.19 ,$17.98 ,$290.46 ,$293.55 ,$278.10 ,$262.65 ,$17.98 ,$17.98 ,$17.98 ,$225.57 ,$83.47 ,$275.01 ,$278.10 ,$278.10 ,$247.20 ,$85.98 ,$169.95 ,$278.10 ,$83.47 ,$278.10 ,$83.47 ,$293.55 ,$187.81 ,$284.28 ,$19.06 ,$281.19 ,$83.47 ,$190.16 ,$199.00 ,$190.16 ,$278.10 ,$115.08 ,$230.61 ,$129.03 ,$84.31 ,$18.88 ,$288.92 ,$87.64 ,$17.98 ,$268.83 ,$83.47 ,$278.10 ,$83.47 ,$278.10 ,$278.10 ,$278.10 ,$299.73 ,$250.29 ,$278.10 ,$278.10 ,$278.10 ,$278.10 
ST. JOSEPH'S - CHIPPEWA FALLS,32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$235.00 ,$176.25 ,$17.98 ,$235.00 ,$151.34 ,$83.47 ,$164.50 ,$17.98 ,$35.72 ,$18.52 ,$28.57 ,$223.25 , N/A ,$188.00 ,$213.85 ,$17.98 ,$220.90 ,$223.25 ,$211.50 ,$199.75 ,$17.98 ,$17.98 ,$17.98 ,$171.55 ,$83.47 ,$209.15 ,$211.50 ,$211.50 ,$188.00 ,$85.98 ,$129.25 ,$211.50 ,$83.47 ,$211.50 ,$83.47 ,$223.25 ,$187.81 ,$216.20 ,$19.06 ,$213.85 ,$83.47 ,$144.62 ,$151.34 ,$144.62 ,$211.50 ,$107.80 ,$175.38 ,$146.02 ,$84.31 ,$18.88 ,$219.73 ,$87.64 ,$17.98 ,$204.45 ,$83.47 ,$211.50 ,$83.47 ,$211.50 ,$211.50 ,$211.50 ,$227.95 ,$190.35 ,$211.50 ,$211.50 ,$211.50 ,$211.50 
ST. JOSEPH'S - CHIPPEWA FALLS,32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$269.24 ,$201.93 ,$17.98 ,$269.24 ,$173.39 ,$83.47 ,$188.47 ,$17.98 ,$30.28 ,$18.52 ,$24.22 ,$255.78 , N/A ,$215.39 ,$245.01 ,$17.98 ,$253.09 ,$255.78 ,$242.32 ,$228.85 ,$17.98 ,$17.98 ,$17.98 ,$196.55 ,$83.47 ,$239.62 ,$242.32 ,$242.32 ,$215.39 ,$85.98 ,$148.08 ,$242.32 ,$83.47 ,$242.32 ,$83.47 ,$255.78 ,$187.81 ,$247.70 ,$19.06 ,$245.01 ,$83.47 ,$165.69 ,$173.39 ,$165.69 ,$242.32 ,$52.71 ,$200.93 ,$189.73 ,$84.31 ,$18.88 ,$251.74 ,$87.64 ,$17.98 ,$234.24 ,$83.47 ,$242.32 ,$83.47 ,$242.32 ,$242.32 ,$242.32 ,$261.16 ,$218.08 ,$242.32 ,$242.32 ,$242.32 ,$242.32 
ST. JOSEPH'S - CHIPPEWA FALLS,32000294,74019,HC XRAY ABDOMEN AP  AND  LAT (2 V OR 3 V),320,1 ,$443.46 ,$332.60 ,$17.98 ,$443.46 ,$285.59 ,$112.35 ,$310.42 ,$17.98 ,$36.28 ,$18.52 ,$29.02 ,$421.29 , N/A ,$354.77 ,$403.55 ,$17.98 ,$416.85 ,$421.29 ,$399.11 ,$376.94 ,$17.98 ,$17.98 ,$17.98 ,$323.73 ,$112.35 ,$394.68 ,$399.11 ,$399.11 ,$354.77 ,$115.72 ,$243.90 ,$399.11 ,$112.35 ,$399.11 ,$112.35 ,$421.29 ,$252.79 ,$407.98 ,$19.06 ,$403.55 ,$112.35 ,$272.91 ,$285.59 ,$272.91 ,$399.11 ,$64.34 ,$330.95 ,$308.87 ,$113.47 ,$18.88 ,$414.64 ,$117.97 ,$17.98 ,$385.81 ,$112.35 ,$399.11 ,$112.35 ,$399.11 ,$399.11 ,$399.11 ,$430.16 ,$359.20 ,$399.11 ,$399.11 ,$399.11 ,$399.11 
ST. JOSEPH'S - CHIPPEWA FALLS,32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,$467.82 ,$350.87 ,$17.98 ,$467.82 ,$301.28 ,$112.35 ,$327.47 ,$17.98 ,$47.72 ,$18.52 ,$38.18 ,$444.43 , N/A ,$374.26 ,$425.72 ,$17.98 ,$439.75 ,$444.43 ,$421.04 ,$397.65 ,$17.98 ,$17.98 ,$17.98 ,$341.51 ,$112.35 ,$416.36 ,$421.04 ,$421.04 ,$374.26 ,$115.72 ,$257.30 ,$421.04 ,$112.35 ,$421.04 ,$112.35 ,$444.43 ,$252.79 ,$430.39 ,$19.06 ,$425.72 ,$112.35 ,$287.90 ,$301.28 ,$287.90 ,$421.04 ,$179.07 ,$349.13 ,$191.94 ,$113.47 ,$18.88 ,$437.41 ,$117.97 ,$17.98 ,$407.00 ,$112.35 ,$421.04 ,$112.35 ,$421.04 ,$421.04 ,$421.04 ,$453.79 ,$378.93 ,$421.04 ,$421.04 ,$421.04 ,$421.04 
ST. JOSEPH'S - CHIPPEWA FALLS,32000300,74220,HC XRAY ESOPHAGUS,320,1 ,$448.97 ,$336.73 ,$17.98 ,$448.97 ,$289.14 ,$184.33 ,$314.28 ,$17.98 ,$109.57 ,$18.52 ,$87.65 ,$426.52 , N/A ,$359.18 ,$408.56 ,$17.98 ,$422.03 ,$426.52 ,$404.07 ,$381.62 ,$17.98 ,$17.98 ,$17.98 ,$327.75 ,$184.33 ,$399.58 ,$404.07 ,$404.07 ,$359.18 ,$189.86 ,$246.93 ,$404.07 ,$184.33 ,$404.07 ,$184.33 ,$426.52 ,$414.75 ,$413.05 ,$19.06 ,$408.56 ,$184.33 ,$276.30 ,$289.14 ,$276.30 ,$404.07 ,$195.85 ,$335.07 ,$404.07 ,$186.18 ,$18.88 ,$419.79 ,$193.55 ,$17.98 ,$390.60 ,$184.33 ,$404.07 ,$184.33 ,$404.07 ,$404.07 ,$404.07 ,$435.50 ,$363.67 ,$404.07 ,$404.07 ,$404.07 ,$404.07 
ST. JOSEPH'S - CHIPPEWA FALLS,32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,$393.87 ,$295.40 ,$37.92 ,$414.75 ,$253.65 ,$184.33 ,$275.71 ,$37.92 ,$170.80 ,$39.06 ,$136.64 ,$374.18 , N/A ,$315.10 ,$358.42 ,$37.92 ,$370.24 ,$374.18 ,$354.48 ,$334.79 ,$37.92 ,$37.92 ,$37.92 ,$287.53 ,$184.33 ,$350.54 ,$354.48 ,$354.48 ,$315.10 ,$189.86 ,$216.63 ,$354.48 ,$184.33 ,$354.48 ,$184.33 ,$374.18 ,$414.75 ,$362.36 ,$40.20 ,$358.42 ,$184.33 ,$242.39 ,$253.65 ,$242.39 ,$354.48 ,$226.07 ,$293.95 ,$354.48 ,$186.18 ,$39.82 ,$368.27 ,$193.55 ,$37.92 ,$342.67 ,$184.33 ,$354.48 ,$184.33 ,$354.48 ,$354.48 ,$354.48 ,$382.05 ,$319.03 ,$354.48 ,$354.48 ,$354.48 ,$354.48 
ST. JOSEPH'S - CHIPPEWA FALLS,32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,$697.76 ,$523.32 ,$37.92 ,$697.76 ,$449.36 ,$184.33 ,$488.43 ,$37.92 ,$131.18 ,$39.06 ,$104.94 ,$662.87 , N/A ,$558.21 ,$634.96 ,$37.92 ,$655.89 ,$662.87 ,$627.98 ,$593.10 ,$37.92 ,$37.92 ,$37.92 ,$509.36 ,$184.33 ,$621.01 ,$627.98 ,$627.98 ,$558.21 ,$189.86 ,$383.77 ,$627.98 ,$184.33 ,$627.98 ,$184.33 ,$662.87 ,$414.75 ,$641.94 ,$40.20 ,$634.96 ,$184.33 ,$429.40 ,$449.36 ,$429.40 ,$627.98 ,$239.70 ,$520.74 ,$530.52 ,$186.18 ,$39.82 ,$652.41 ,$193.55 ,$37.92 ,$607.05 ,$184.33 ,$627.98 ,$184.33 ,$627.98 ,$627.98 ,$627.98 ,$676.83 ,$565.19 ,$627.98 ,$627.98 ,$627.98 ,$627.98 
ST. JOSEPH'S - CHIPPEWA FALLS,32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,$800.96 ,$600.72 ,$37.92 ,$800.96 ,$515.82 ,$184.33 ,$560.67 ,$37.92 ,$155.19 ,$39.06 ,$124.15 ,$760.91 , N/A ,$640.77 ,$728.87 ,$37.92 ,$752.90 ,$760.91 ,$720.86 ,$680.82 ,$37.92 ,$37.92 ,$37.92 ,$584.70 ,$184.33 ,$712.85 ,$720.86 ,$720.86 ,$640.77 ,$189.86 ,$440.53 ,$720.86 ,$184.33 ,$720.86 ,$184.33 ,$760.91 ,$414.75 ,$736.88 ,$40.20 ,$728.87 ,$184.33 ,$492.91 ,$515.82 ,$492.91 ,$720.86 ,$324.84 ,$597.76 ,$624.88 ,$186.18 ,$39.82 ,$748.90 ,$193.55 ,$37.92 ,$696.84 ,$184.33 ,$720.86 ,$184.33 ,$720.86 ,$720.86 ,$720.86 ,$776.93 ,$648.78 ,$720.86 ,$720.86 ,$720.86 ,$720.86 
ST. JOSEPH'S - CHIPPEWA FALLS,32000311,74250,HC XRAY SMALL BOWEL,320,1 ,$448.97 ,$336.73 ,$37.92 ,$448.97 ,$289.14 ,$184.33 ,$314.28 ,$37.92 ,$134.79 ,$39.06 ,$107.83 ,$426.52 , N/A ,$359.18 ,$408.56 ,$37.92 ,$422.03 ,$426.52 ,$404.07 ,$381.62 ,$37.92 ,$37.92 ,$37.92 ,$327.75 ,$184.33 ,$399.58 ,$404.07 ,$404.07 ,$359.18 ,$189.86 ,$246.93 ,$404.07 ,$184.33 ,$404.07 ,$184.33 ,$426.52 ,$414.75 ,$413.05 ,$40.20 ,$408.56 ,$184.33 ,$276.30 ,$289.14 ,$276.30 ,$404.07 ,$327.04 ,$335.07 ,$404.07 ,$186.18 ,$39.82 ,$419.79 ,$193.55 ,$37.92 ,$390.60 ,$184.33 ,$404.07 ,$184.33 ,$404.07 ,$404.07 ,$404.07 ,$435.50 ,$363.67 ,$404.07 ,$404.07 ,$404.07 ,$404.07 
ST. JOSEPH'S - CHIPPEWA FALLS,32000314,74251,HC SMALL BOWEL VIA ENTEROCLY TUBE,320,1 ,$520.94 ,$390.71 ,$37.92 ,$520.94 ,$335.49 ,$184.33 ,$364.66 ,$37.92 ,$520.94 ,$39.06 ,$520.44 ,$494.89 , N/A ,$416.75 ,$474.06 ,$37.92 ,$489.68 ,$494.89 ,$468.85 ,$442.80 ,$37.92 ,$37.92 ,$37.92 ,$380.29 ,$184.33 ,$463.64 ,$468.85 ,$468.85 ,$416.75 ,$189.86 ,$286.52 ,$468.85 ,$184.33 ,$468.85 ,$184.33 ,$494.89 ,$414.75 ,$479.26 ,$40.20 ,$474.06 ,$184.33 ,$320.59 ,$335.49 ,$320.59 ,$468.85 ,$149.82 ,$388.78 ,$468.85 ,$186.18 ,$39.82 ,$487.08 ,$193.55 ,$37.92 ,$453.22 ,$184.33 ,$468.85 ,$184.33 ,$468.85 ,$468.85 ,$468.85 ,$505.31 ,$421.96 ,$468.85 ,$468.85 ,$468.85 ,$468.85 
ST. JOSEPH'S - CHIPPEWA FALLS,32000315,74270,HC XRAY COLON BARIUM,320,1 ,$632.13 ,$474.10 ,$37.92 ,$632.13 ,$407.09 ,$184.33 ,$442.49 ,$37.92 ,$194.22 ,$39.06 ,$155.37 ,$600.52 , N/A ,$505.70 ,$575.24 ,$37.92 ,$594.20 ,$600.52 ,$568.92 ,$537.31 ,$37.92 ,$37.92 ,$37.92 ,$461.45 ,$184.33 ,$562.60 ,$568.92 ,$568.92 ,$505.70 ,$189.86 ,$347.67 ,$568.92 ,$184.33 ,$568.92 ,$184.33 ,$600.52 ,$414.75 ,$581.56 ,$40.20 ,$575.24 ,$184.33 ,$389.01 ,$407.09 ,$389.01 ,$568.92 ,$364.16 ,$471.76 ,$568.92 ,$186.18 ,$39.82 ,$591.04 ,$193.55 ,$37.92 ,$549.95 ,$184.33 ,$568.92 ,$184.33 ,$568.92 ,$568.92 ,$568.92 ,$613.17 ,$512.03 ,$568.92 ,$568.92 ,$568.92 ,$568.92 
ST. JOSEPH'S - CHIPPEWA FALLS,32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,$632.13 ,$474.10 ,$37.92 ,$632.13 ,$407.09 ,$184.33 ,$442.49 ,$37.92 ,$194.22 ,$39.06 ,$155.37 ,$600.52 , N/A ,$505.70 ,$575.24 ,$37.92 ,$594.20 ,$600.52 ,$568.92 ,$537.31 ,$37.92 ,$37.92 ,$37.92 ,$461.45 ,$184.33 ,$562.60 ,$568.92 ,$568.92 ,$505.70 ,$189.86 ,$347.67 ,$568.92 ,$184.33 ,$568.92 ,$184.33 ,$600.52 ,$414.75 ,$581.56 ,$40.20 ,$575.24 ,$184.33 ,$389.01 ,$407.09 ,$389.01 ,$568.92 ,$364.16 ,$471.76 ,$568.92 ,$186.18 ,$39.82 ,$591.04 ,$193.55 ,$37.92 ,$549.95 ,$184.33 ,$568.92 ,$184.33 ,$568.92 ,$568.92 ,$568.92 ,$613.17 ,$512.03 ,$568.92 ,$568.92 ,$568.92 ,$568.92 
ST. JOSEPH'S - CHIPPEWA FALLS,32000322,74283,HC THERAPEUTIC COLON,320,1 ,$303.00 ,$227.25 ,$37.92 ,$414.75 ,$195.13 ,$184.33 ,$212.10 ,$37.92 ,$177.42 ,$39.06 ,$141.93 ,$287.85 , N/A ,$242.40 ,$275.73 ,$37.92 ,$284.82 ,$287.85 ,$272.70 ,$257.55 ,$37.92 ,$37.92 ,$37.92 ,$221.19 ,$184.33 ,$269.67 ,$272.70 ,$272.70 ,$242.40 ,$189.86 ,$166.65 ,$272.70 ,$184.33 ,$272.70 ,$184.33 ,$287.85 ,$414.75 ,$278.76 ,$40.20 ,$275.73 ,$184.33 ,$186.47 ,$195.13 ,$186.47 ,$272.70 ,$233.17 ,$226.13 ,$272.70 ,$186.18 ,$39.82 ,$283.31 ,$193.55 ,$37.92 ,$263.61 ,$184.33 ,$272.70 ,$184.33 ,$272.70 ,$272.70 ,$272.70 ,$293.91 ,$245.43 ,$272.70 ,$272.70 ,$272.70 ,$272.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,$484.34 ,$363.26 ,$45.33 ,$484.34 ,$311.92 , N/A ,$339.04 ,$56.46 ,$56.67 ,$58.15 ,$45.33 ,$460.12 , N/A ,$387.47 ,$440.75 ,$56.46 ,$455.28 ,$460.12 ,$435.91 ,$411.69 ,$56.46 ,$56.46 ,$56.46 ,$353.57 , N/A ,$431.06 ,$435.91 ,$435.91 ,$387.47 , N/A ,$266.39 ,$435.91 , N/A ,$435.91 , N/A ,$460.12 , N/A ,$445.59 ,$59.85 ,$440.75 , N/A ,$298.06 ,$311.92 ,$298.06 ,$435.91 ,$137.45 ,$361.46 ,$125.03 , N/A ,$59.28 ,$452.86 , N/A ,$56.46 ,$421.38 , N/A ,$435.91 , N/A ,$435.91 ,$435.91 ,$435.91 ,$469.81 ,$392.32 ,$435.91 ,$435.91 ,$435.91 ,$435.91 
ST. JOSEPH'S - CHIPPEWA FALLS,32000325,47531,HC XRAY CHOLANGIOGRAM THRU CATH,320,1 ,$380.00 ,$285.00 ,$209.00 ,"$7,387.36 ",$244.72 ,"$3,283.27 ",$266.00 ,$380.00 ,$315.40 ,$590.79 ,$250.80 ,$361.00 , N/A ,$304.00 ,$345.80 ,$380.00 ,$357.20 ,$361.00 ,$342.00 ,$323.00 ,$573.58 ,$573.58 ,$573.58 ,$277.40 ,"$3,283.27 ",$338.20 ,$342.00 ,$342.00 ,$304.00 ,"$3,381.77 ",$209.00 ,$342.00 ,"$3,283.27 ",$342.00 ,"$3,283.27 ",$361.00 ,"$7,387.36 ",$349.60 ,$607.99 ,$345.80 ,"$3,283.27 ",$233.85 ,$244.72 ,$233.85 ,$342.00 ,$342.00 ,$283.59 ,$264.67 ,"$3,316.11 ",$602.26 ,$355.30 ,"$3,447.43 ",$380.00 ,$330.60 ,"$3,283.27 ",$342.00 ,"$3,283.27 ",$342.00 ,$342.00 ,$342.00 ,$368.60 ,$307.80 ,$342.00 ,$342.00 ,$342.00 ,$342.00 
ST. JOSEPH'S - CHIPPEWA FALLS,32000331,74340,HC INTRODUCTION LONG GI TUBE,320,1 ,"$1,418.76 ","$1,064.07 ",$56.46 ,"$1,418.76 ",$913.68 , N/A ,$993.13 ,$56.46 ,$134.94 ,$58.15 ,$107.95 ,"$1,347.82 ", N/A ,"$1,135.01 ","$1,291.07 ",$56.46 ,"$1,333.63 ","$1,347.82 ","$1,276.88 ","$1,205.95 ",$56.46 ,$56.46 ,$56.46 ,"$1,035.69 ", N/A ,"$1,262.70 ","$1,276.88 ","$1,276.88 ","$1,135.01 ", N/A ,$780.32 ,"$1,276.88 ", N/A ,"$1,276.88 ", N/A ,"$1,347.82 ", N/A ,"$1,305.26 ",$59.85 ,"$1,291.07 ", N/A ,$873.10 ,$913.68 ,$873.10 ,"$1,276.88 ",$342.29 ,"$1,058.82 ",$187.44 , N/A ,$59.28 ,"$1,326.54 ", N/A ,$56.46 ,"$1,234.32 ", N/A ,"$1,276.88 ", N/A ,"$1,276.88 ","$1,276.88 ","$1,276.88 ","$1,376.20 ","$1,149.20 ","$1,276.88 ","$1,276.88 ","$1,276.88 ","$1,276.88 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000335,74400,HC XRAY IVP W OR W/O TOMO,320,1 ,"$1,032.10 ",$774.08 ,$37.92 ,"$1,032.10 ",$664.67 ,$184.33 ,$722.47 ,$37.92 ,$144.39 ,$39.06 ,$115.51 ,$980.50 , N/A ,$825.68 ,$939.21 ,$37.92 ,$970.17 ,$980.50 ,$928.89 ,$877.29 ,$37.92 ,$37.92 ,$37.92 ,$753.43 ,$184.33 ,$918.57 ,$928.89 ,$928.89 ,$825.68 ,$189.86 ,$567.66 ,$928.89 ,$184.33 ,$928.89 ,$184.33 ,$980.50 ,$414.75 ,$949.53 ,$40.20 ,$939.21 ,$184.33 ,$635.15 ,$664.67 ,$635.15 ,$928.89 ,$400.08 ,$770.26 ,$578.89 ,$186.18 ,$39.82 ,$965.01 ,$193.55 ,$37.92 ,$897.93 ,$184.33 ,$928.89 ,$184.33 ,$928.89 ,$928.89 ,$928.89 ,"$1,001.14 ",$836.00 ,$928.89 ,$928.89 ,$928.89 ,$928.89 
ST. JOSEPH'S - CHIPPEWA FALLS,32000339,74420,HC XRAY UROGRAM RETROGRADE,320,1 ,$615.23 ,$461.42 ,$37.92 ,$855.04 ,$396.21 ,$380.02 ,$430.66 ,$37.92 ,$615.23 ,$39.06 ,$601.13 ,$584.47 , N/A ,$492.18 ,$559.86 ,$37.92 ,$578.32 ,$584.47 ,$553.71 ,$522.95 ,$37.92 ,$37.92 ,$37.92 ,$449.12 ,$380.02 ,$547.55 ,$553.71 ,$553.71 ,$492.18 ,$391.42 ,$338.38 ,$553.71 ,$380.02 ,$553.71 ,$380.02 ,$584.47 ,$855.04 ,$566.01 ,$40.20 ,$559.86 ,$380.02 ,$378.61 ,$396.21 ,$378.61 ,$553.71 ,$367.38 ,$459.15 ,$123.28 ,$383.82 ,$39.82 ,$575.24 ,$399.02 ,$37.92 ,$535.25 ,$380.02 ,$553.71 ,$380.02 ,$553.71 ,$553.71 ,$553.71 ,$596.77 ,$498.34 ,$553.71 ,$553.71 ,$553.71 ,$553.71 
ST. JOSEPH'S - CHIPPEWA FALLS,32000341,50431,HC ANGIO NEPHROSTGRAM,320,1 ,"$2,374.00 ","$1,780.50 ",$119.36 ,"$2,374.00 ","$1,528.86 ",$593.69 ,"$1,661.80 ",$119.36 ,"$1,970.42 ",$122.94 ,"$1,566.84 ","$2,255.30 ", N/A ,"$1,899.20 ","$2,160.34 ",$119.36 ,"$2,231.56 ","$2,255.30 ","$2,136.60 ","$2,017.90 ",$119.36 ,$119.36 ,$119.36 ,"$1,733.02 ",$593.69 ,"$2,112.86 ","$2,136.60 ","$2,136.60 ","$1,899.20 ",$611.50 ,"$1,305.70 ","$2,136.60 ",$593.69 ,"$2,136.60 ",$593.69 ,"$2,255.30 ","$1,335.81 ","$2,184.08 ",$126.52 ,"$2,160.34 ",$593.69 ,"$1,460.96 ","$1,528.86 ","$1,460.96 ","$2,136.60 ","$2,136.60 ","$1,771.72 ","$1,653.49 ",$599.63 ,$125.33 ,"$2,219.69 ",$623.37 ,$119.36 ,"$2,065.38 ",$593.69 ,"$2,136.60 ",$593.69 ,"$2,136.60 ","$2,136.60 ","$2,136.60 ","$2,302.78 ","$1,922.94 ","$2,136.60 ","$2,136.60 ","$2,136.60 ","$2,136.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000342,74425,HC XR UROGRAM ANTE (LOOPOGRAM SVG),320,1 ,"$1,542.06 ","$1,156.55 ",$37.92 ,"$1,542.06 ",$993.09 ,$380.02 ,"$1,079.44 ",$37.92 ,$751.42 ,$39.06 ,$601.13 ,"$1,464.96 ", N/A ,"$1,233.65 ","$1,403.27 ",$37.92 ,"$1,449.54 ","$1,464.96 ","$1,387.85 ","$1,310.75 ",$37.92 ,$37.92 ,$37.92 ,"$1,125.70 ",$380.02 ,"$1,372.43 ","$1,387.85 ","$1,387.85 ","$1,233.65 ",$391.42 ,$848.13 ,"$1,387.85 ",$380.02 ,"$1,387.85 ",$380.02 ,"$1,464.96 ",$855.04 ,"$1,418.70 ",$40.20 ,"$1,403.27 ",$380.02 ,$948.98 ,$993.09 ,$948.98 ,"$1,387.85 ",$224.91 ,"$1,150.84 ",$121.73 ,$383.82 ,$39.82 ,"$1,441.83 ",$399.02 ,$37.92 ,"$1,341.59 ",$380.02 ,"$1,387.85 ",$380.02 ,"$1,387.85 ","$1,387.85 ","$1,387.85 ","$1,495.80 ","$1,249.07 ","$1,387.85 ","$1,387.85 ","$1,387.85 ","$1,387.85 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000343,74430,HC CYSTOGRAM 3+ VIEWS,320,1 ,$615.23 ,$461.42 ,$29.05 ,$855.04 ,$396.21 ,$380.02 ,$430.66 ,$37.92 ,$36.31 ,$39.06 ,$29.05 ,$584.47 , N/A ,$492.18 ,$559.86 ,$37.92 ,$578.32 ,$584.47 ,$553.71 ,$522.95 ,$37.92 ,$37.92 ,$37.92 ,$449.12 ,$380.02 ,$547.55 ,$553.71 ,$553.71 ,$492.18 ,$391.42 ,$338.38 ,$553.71 ,$380.02 ,$553.71 ,$380.02 ,$584.47 ,$855.04 ,$566.01 ,$40.20 ,$559.86 ,$380.02 ,$378.61 ,$396.21 ,$378.61 ,$553.71 ,$177.32 ,$459.15 ,$148.41 ,$383.82 ,$39.82 ,$575.24 ,$399.02 ,$37.92 ,$535.25 ,$380.02 ,$553.71 ,$380.02 ,$553.71 ,$553.71 ,$553.71 ,$596.77 ,$498.34 ,$553.71 ,$553.71 ,$553.71 ,$553.71 
ST. JOSEPH'S - CHIPPEWA FALLS,32000346,74455,HC XRAY VOID CYSTOURETHGRAM,320,1 ,$709.39 ,$532.04 ,$37.92 ,$709.39 ,$456.85 ,$237.45 ,$496.57 ,$37.92 ,$110.16 ,$39.06 ,$88.13 ,$673.92 , N/A ,$567.51 ,$645.54 ,$37.92 ,$666.83 ,$673.92 ,$638.45 ,$602.98 ,$37.92 ,$37.92 ,$37.92 ,$517.85 ,$237.45 ,$631.36 ,$638.45 ,$638.45 ,$567.51 ,$244.58 ,$390.16 ,$638.45 ,$237.45 ,$638.45 ,$237.45 ,$673.92 ,$534.27 ,$652.64 ,$40.20 ,$645.54 ,$237.45 ,$436.56 ,$456.85 ,$436.56 ,$638.45 ,$243.48 ,$529.42 ,$448.32 ,$239.83 ,$39.82 ,$663.28 ,$249.32 ,$37.92 ,$617.17 ,$237.45 ,$638.45 ,$237.45 ,$638.45 ,$638.45 ,$638.45 ,$688.11 ,$574.61 ,$638.45 ,$638.45 ,$638.45 ,$638.45 
ST. JOSEPH'S - CHIPPEWA FALLS,32000354,74740,HC XRAY HYSTEROSALPINGOGRAP,320,1 ,"$1,349.35 ","$1,012.01 ",$37.92 ,"$1,349.35 ",$868.98 ,$237.45 ,$944.55 ,$37.92 ,$93.96 ,$39.06 ,$75.17 ,"$1,281.88 ", N/A ,"$1,079.48 ","$1,227.91 ",$37.92 ,"$1,268.39 ","$1,281.88 ","$1,214.42 ","$1,146.95 ",$37.92 ,$37.92 ,$37.92 ,$985.03 ,$237.45 ,"$1,200.92 ","$1,214.42 ","$1,214.42 ","$1,079.48 ",$244.58 ,$742.14 ,"$1,214.42 ",$237.45 ,"$1,214.42 ",$237.45 ,"$1,281.88 ",$534.27 ,"$1,241.40 ",$40.20 ,"$1,227.91 ",$237.45 ,$830.39 ,$868.98 ,$830.39 ,"$1,214.42 ",$277.54 ,"$1,007.02 ",$378.18 ,$239.83 ,$39.82 ,"$1,261.64 ",$249.32 ,$37.92 ,"$1,173.93 ",$237.45 ,"$1,214.42 ",$237.45 ,"$1,214.42 ","$1,214.42 ","$1,214.42 ","$1,308.87 ","$1,092.97 ","$1,214.42 ","$1,214.42 ","$1,214.42 ","$1,214.42 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000440,75984,HC CHANGE PERC DRAINAGE TUBE OR CATH,320,1 ,"$2,239.31 ","$1,679.48 ",$56.46 ,"$2,239.31 ","$1,442.12 ", N/A ,"$1,567.52 ",$56.46 ,$119.77 ,$58.15 ,$95.82 ,"$2,127.34 ", N/A ,"$1,791.45 ","$2,037.77 ",$56.46 ,"$2,104.95 ","$2,127.34 ","$2,015.38 ","$1,903.41 ",$56.46 ,$56.46 ,$56.46 ,"$1,634.70 ", N/A ,"$1,992.99 ","$2,015.38 ","$2,015.38 ","$1,791.45 ", N/A ,"$1,231.62 ","$2,015.38 ", N/A ,"$2,015.38 ", N/A ,"$2,127.34 ", N/A ,"$2,060.17 ",$59.85 ,"$2,037.77 ", N/A ,"$1,378.07 ","$1,442.12 ","$1,378.07 ","$2,015.38 ",$302.16 ,"$1,671.20 ",$484.61 , N/A ,$59.28 ,"$2,093.75 ", N/A ,$56.46 ,"$1,948.20 ", N/A ,"$2,015.38 ", N/A ,"$2,015.38 ","$2,015.38 ","$2,015.38 ","$2,172.13 ","$1,813.84 ","$2,015.38 ","$2,015.38 ","$2,015.38 ","$2,015.38 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000444,49406,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER,320,1 ,"$2,728.51 ","$2,046.38 ",$232.13 ,"$3,266.98 ","$1,757.16 ","$1,451.99 ","$1,909.96 ",$232.13 ,"$2,264.66 ",$239.09 ,"$1,800.82 ","$2,592.08 ", N/A ,"$2,182.81 ","$2,482.94 ",$232.13 ,"$2,564.80 ","$2,592.08 ","$2,455.66 ","$2,319.23 ",$232.13 ,$232.13 ,$232.13 ,"$1,991.81 ","$1,451.99 ","$2,428.37 ","$2,455.66 ","$2,455.66 ","$2,182.81 ","$1,495.55 ","$1,500.68 ","$2,455.66 ","$1,451.99 ","$2,455.66 ","$1,451.99 ","$2,592.08 ","$3,266.98 ","$2,510.23 ",$246.06 ,"$2,482.94 ","$1,451.99 ","$1,679.13 ","$1,757.16 ","$1,679.13 ","$2,455.66 ","$2,455.66 ","$2,036.29 ","$1,900.41 ","$1,466.51 ",$243.74 ,"$2,551.16 ","$1,524.59 ",$232.13 ,"$2,373.80 ","$1,451.99 ","$2,455.66 ","$1,451.99 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,646.65 ","$2,210.09 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,455.66 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000445,75989,HC GUID FOR PERC DRAIN ABSCESS,320,1 ,$887.64 ,$665.73 ,$56.46 ,$887.64 ,$571.64 , N/A ,$621.35 ,$56.46 ,$105.37 ,$58.15 ,$84.29 ,$843.26 , N/A ,$710.11 ,$807.75 ,$56.46 ,$834.38 ,$843.26 ,$798.88 ,$754.49 ,$56.46 ,$56.46 ,$56.46 ,$647.98 , N/A ,$790.00 ,$798.88 ,$798.88 ,$710.11 , N/A ,$488.20 ,$798.88 , N/A ,$798.88 , N/A ,$843.26 , N/A ,$816.63 ,$59.85 ,$807.75 , N/A ,$546.25 ,$571.64 ,$546.25 ,$798.88 ,$632.22 ,$662.45 ,$428.94 , N/A ,$59.28 ,$829.94 , N/A ,$56.46 ,$772.25 , N/A ,$798.88 , N/A ,$798.88 ,$798.88 ,$798.88 ,$861.01 ,$718.99 ,$798.88 ,$798.88 ,$798.88 ,$798.88 
ST. JOSEPH'S - CHIPPEWA FALLS,32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,$532.00 ,$399.00 ,$37.92 ,$534.27 ,$342.61 ,$237.45 ,$372.40 ,$37.92 ,$65.14 ,$39.06 ,$52.11 ,$505.40 , N/A ,$425.60 ,$484.12 ,$37.92 ,$500.08 ,$505.40 ,$478.80 ,$452.20 ,$37.92 ,$37.92 ,$37.92 ,$388.36 ,$237.45 ,$473.48 ,$478.80 ,$478.80 ,$425.60 ,$244.58 ,$292.60 ,$478.80 ,$237.45 ,$478.80 ,$237.45 ,$505.40 ,$534.27 ,$489.44 ,$40.20 ,$484.12 ,$237.45 ,$327.39 ,$342.61 ,$327.39 ,$478.80 ,$245.01 ,$397.03 ,$264.52 ,$239.83 ,$39.82 ,$497.42 ,$249.32 ,$37.92 ,$462.84 ,$237.45 ,$478.80 ,$237.45 ,$478.80 ,$478.80 ,$478.80 ,$516.04 ,$430.92 ,$478.80 ,$478.80 ,$478.80 ,$478.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000450,76000,HC FLUORO CARM < 1 HR,320,1 ,$532.00 ,$399.00 ,$37.92 ,$534.27 ,$342.61 ,$237.45 ,$372.40 ,$37.92 ,$65.14 ,$39.06 ,$52.11 ,$505.40 , N/A ,$425.60 ,$484.12 ,$37.92 ,$500.08 ,$505.40 ,$478.80 ,$452.20 ,$37.92 ,$37.92 ,$37.92 ,$388.36 ,$237.45 ,$473.48 ,$478.80 ,$478.80 ,$425.60 ,$244.58 ,$292.60 ,$478.80 ,$237.45 ,$478.80 ,$237.45 ,$505.40 ,$534.27 ,$489.44 ,$40.20 ,$484.12 ,$237.45 ,$327.39 ,$342.61 ,$327.39 ,$478.80 ,$245.01 ,$397.03 ,$264.52 ,$239.83 ,$39.82 ,$497.42 ,$249.32 ,$37.92 ,$462.84 ,$237.45 ,$478.80 ,$237.45 ,$478.80 ,$478.80 ,$478.80 ,$516.04 ,$430.92 ,$478.80 ,$478.80 ,$478.80 ,$478.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000465,76080,HC ABSCESS FISTULA OR SINUS TRACT,320,1 ,$778.67 ,$584.00 ,$37.92 ,"$1,121.92 ",$501.46 ,$498.63 ,$545.07 ,$37.92 ,$48.32 ,$39.06 ,$38.65 ,$739.74 , N/A ,$622.94 ,$708.59 ,$37.92 ,$731.95 ,$739.74 ,$700.80 ,$661.87 ,$37.92 ,$37.92 ,$37.92 ,$568.43 ,$498.63 ,$693.02 ,$700.80 ,$700.80 ,$622.94 ,$513.59 ,$428.27 ,$700.80 ,$498.63 ,$700.80 ,$498.63 ,$739.74 ,"$1,121.92 ",$716.38 ,$40.20 ,$708.59 ,$498.63 ,$479.19 ,$501.46 ,$479.19 ,$700.80 ,$191.94 ,$581.12 ,$194.39 ,$503.62 ,$39.82 ,$728.06 ,$523.56 ,$37.92 ,$677.44 ,$498.63 ,$700.80 ,$498.63 ,$700.80 ,$700.80 ,$700.80 ,$755.31 ,$630.72 ,$700.80 ,$700.80 ,$700.80 ,$700.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000467,76098,HC RADIOLOGICAL EXAM SURG SPEC,320,1 ,$97.21 ,$72.91 ,$11.28 ,"$1,121.92 ",$62.60 ,$498.63 ,$68.05 ,$37.92 ,$14.11 ,$39.06 ,$11.28 ,$92.35 , N/A ,$77.77 ,$88.46 ,$37.92 ,$91.38 ,$92.35 ,$87.49 ,$82.63 ,$37.92 ,$37.92 ,$37.92 ,$70.96 ,$498.63 ,$86.52 ,$87.49 ,$87.49 ,$77.77 ,$513.59 ,$53.47 ,$87.49 ,$498.63 ,$87.49 ,$498.63 ,$92.35 ,"$1,121.92 ",$89.43 ,$40.20 ,$88.46 ,$498.63 ,$59.82 ,$62.60 ,$59.82 ,$87.49 ,$95.01 ,$72.55 ,$58.90 ,$503.62 ,$39.82 ,$90.89 ,$523.56 ,$37.92 ,$84.57 ,$498.63 ,$87.49 ,$498.63 ,$87.49 ,$87.49 ,$87.49 ,$94.29 ,$78.74 ,$87.49 ,$87.49 ,$87.49 ,$87.49 
ST. JOSEPH'S - CHIPPEWA FALLS,32000475,77001,HC FLUORO CV ACCESS PLACEMENT,320,1 ,"$1,396.00 ","$1,047.00 ",$56.46 ,"$1,396.00 ",$899.02 , N/A ,$977.20 ,$56.46 ,$110.16 ,$58.15 ,$88.13 ,"$1,326.20 ", N/A ,"$1,116.80 ","$1,270.36 ",$56.46 ,"$1,312.24 ","$1,326.20 ","$1,256.40 ","$1,186.60 ",$56.46 ,$56.46 ,$56.46 ,"$1,019.08 ", N/A ,"$1,242.44 ","$1,256.40 ","$1,256.40 ","$1,116.80 ", N/A ,$767.80 ,"$1,256.40 ", N/A ,"$1,256.40 ", N/A ,"$1,326.20 ", N/A ,"$1,284.32 ",$59.85 ,"$1,270.36 ", N/A ,$859.10 ,$899.02 ,$859.10 ,"$1,256.40 ",$124.51 ,"$1,041.83 ",$445.93 , N/A ,$59.28 ,"$1,305.26 ", N/A ,$56.46 ,"$1,214.52 ", N/A ,"$1,256.40 ", N/A ,"$1,256.40 ","$1,256.40 ","$1,256.40 ","$1,354.12 ","$1,130.76 ","$1,256.40 ","$1,256.40 ","$1,256.40 ","$1,256.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$365.00 ,$273.75 ,$56.46 ,$365.00 ,$235.06 , N/A ,$255.50 ,$56.46 ,$109.57 ,$58.15 ,$87.65 ,$346.75 , N/A ,$292.00 ,$332.15 ,$56.46 ,$343.10 ,$346.75 ,$328.50 ,$310.25 ,$56.46 ,$56.46 ,$56.46 ,$266.45 , N/A ,$324.85 ,$328.50 ,$328.50 ,$292.00 , N/A ,$200.75 ,$328.50 , N/A ,$328.50 , N/A ,$346.75 , N/A ,$335.80 ,$59.85 ,$332.15 , N/A ,$224.62 ,$235.06 ,$224.62 ,$328.50 ,$95.93 ,$272.40 ,$328.50 , N/A ,$59.28 ,$341.28 , N/A ,$56.46 ,$317.55 , N/A ,$328.50 , N/A ,$328.50 ,$328.50 ,$328.50 ,$354.05 ,$295.65 ,$328.50 ,$328.50 ,$328.50 ,$328.50 
ST. JOSEPH'S - CHIPPEWA FALLS,32000481,77003,HC FLUORO NEEDLE LOCALIZATION,320,1 ,$340.00 ,$255.00 ,$56.46 ,$340.00 ,$218.96 , N/A ,$238.00 ,$56.46 ,$108.36 ,$58.15 ,$86.69 ,$323.00 , N/A ,$272.00 ,$309.40 ,$56.46 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$56.46 ,$56.46 ,$56.46 ,$248.20 , N/A ,$302.60 ,$306.00 ,$306.00 ,$272.00 , N/A ,$187.00 ,$306.00 , N/A ,$306.00 , N/A ,$323.00 , N/A ,$312.80 ,$59.85 ,$309.40 , N/A ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$87.88 ,$253.74 ,$306.00 , N/A ,$59.28 ,$317.90 , N/A ,$56.46 ,$295.80 , N/A ,$306.00 , N/A ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 
ST. JOSEPH'S - CHIPPEWA FALLS,32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$2,726.73 ","$2,045.05 ",$439.46 ,"$3,266.98 ","$1,756.01 ","$1,451.99 ","$1,908.71 ",$439.46 ,"$2,263.19 ",$452.64 ,"$1,799.64 ","$2,590.39 ", N/A ,"$2,181.38 ","$2,481.32 ",$439.46 ,"$2,563.13 ","$2,590.39 ","$2,454.06 ","$2,317.72 ",$439.46 ,$439.46 ,$439.46 ,"$1,990.51 ","$1,451.99 ","$2,426.79 ","$2,454.06 ","$2,454.06 ","$2,181.38 ","$1,495.55 ","$1,499.70 ","$2,454.06 ","$1,451.99 ","$2,454.06 ","$1,451.99 ","$2,590.39 ","$3,266.98 ","$2,508.59 ",$465.83 ,"$2,481.32 ","$1,451.99 ","$1,678.03 ","$1,756.01 ","$1,678.03 ","$2,454.06 ","$2,454.06 ","$2,034.96 ","$1,125.42 ","$1,466.51 ",$461.43 ,"$2,549.49 ","$1,524.59 ",$439.46 ,"$2,372.26 ","$1,451.99 ","$2,454.06 ","$1,451.99 ","$2,454.06 ","$2,454.06 ","$2,454.06 ","$2,644.93 ","$2,208.65 ","$2,454.06 ","$2,454.06 ","$2,454.06 ","$2,454.06 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,717.16 ","$1,287.87 ",$258.03 ,"$1,717.16 ","$1,105.85 ",$642.18 ,"$1,202.01 ",$258.03 ,"$1,425.24 ",$265.77 ,"$1,133.33 ","$1,631.30 ", N/A ,"$1,373.73 ","$1,562.62 ",$258.03 ,"$1,614.13 ","$1,631.30 ","$1,545.44 ","$1,459.59 ",$258.03 ,$258.03 ,$258.03 ,"$1,253.53 ",$642.18 ,"$1,528.27 ","$1,545.44 ","$1,545.44 ","$1,373.73 ",$661.44 ,$944.44 ,"$1,545.44 ",$642.18 ,"$1,545.44 ",$642.18 ,"$1,631.30 ","$1,444.89 ","$1,579.79 ",$273.51 ,"$1,562.62 ",$642.18 ,"$1,056.74 ","$1,105.85 ","$1,056.74 ","$1,545.44 ","$1,545.44 ","$1,281.52 ","$1,196.00 ",$648.60 ,$270.93 ,"$1,605.54 ",$674.29 ,$258.03 ,"$1,493.93 ",$642.18 ,"$1,545.44 ",$642.18 ,"$1,545.44 ","$1,545.44 ","$1,545.44 ","$1,665.65 ","$1,390.90 ","$1,545.44 ","$1,545.44 ","$1,545.44 ","$1,545.44 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000490,77053,HC GALACTOGRAM SINGLE DUCT,320,1 ,$767.54 ,$575.66 ,$37.92 ,$767.54 ,$494.30 ,$237.45 ,$537.28 ,$37.92 ,$68.13 ,$39.06 ,$54.50 ,$729.16 , N/A ,$614.03 ,$698.46 ,$37.92 ,$721.49 ,$729.16 ,$690.79 ,$652.41 ,$37.92 ,$37.92 ,$37.92 ,$560.30 ,$237.45 ,$683.11 ,$690.79 ,$690.79 ,$614.03 ,$244.58 ,$422.15 ,$690.79 ,$237.45 ,$690.79 ,$237.45 ,$729.16 ,$534.27 ,$706.14 ,$40.20 ,$698.46 ,$237.45 ,$472.34 ,$494.30 ,$472.34 ,$690.79 ,$163.31 ,$572.82 ,$274.21 ,$239.83 ,$39.82 ,$717.65 ,$249.32 ,$37.92 ,$667.76 ,$237.45 ,$690.79 ,$237.45 ,$690.79 ,$690.79 ,$690.79 ,$744.51 ,$621.71 ,$690.79 ,$690.79 ,$690.79 ,$690.79 
ST. JOSEPH'S - CHIPPEWA FALLS,32000491,77054,HC GALACTOGRAM MULTI DUCT,320,1 ,"$1,173.87 ",$880.40 ,$37.92 ,"$1,173.87 ",$755.97 ,$237.45 ,$821.71 ,$37.92 ,$92.16 ,$39.06 ,$73.72 ,"$1,115.18 ", N/A ,$939.10 ,"$1,068.22 ",$37.92 ,"$1,103.44 ","$1,115.18 ","$1,056.48 ",$997.79 ,$37.92 ,$37.92 ,$37.92 ,$856.93 ,$237.45 ,"$1,044.74 ","$1,056.48 ","$1,056.48 ",$939.10 ,$244.58 ,$645.63 ,"$1,056.48 ",$237.45 ,"$1,056.48 ",$237.45 ,"$1,115.18 ",$534.27 ,"$1,079.96 ",$40.20 ,"$1,068.22 ",$237.45 ,$722.40 ,$755.97 ,$722.40 ,"$1,056.48 ",$240.95 ,$876.06 ,$363.65 ,$239.83 ,$39.82 ,"$1,097.57 ",$249.32 ,$37.92 ,"$1,021.27 ",$237.45 ,"$1,056.48 ",$237.45 ,"$1,056.48 ","$1,056.48 ","$1,056.48 ","$1,138.65 ",$950.83 ,"$1,056.48 ","$1,056.48 ","$1,056.48 ","$1,056.48 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,$958.00 ,$718.50 ,$37.92 ,$958.00 ,$616.95 ,$112.35 ,$670.60 ,$37.92 ,$101.15 ,$39.06 ,$80.92 ,$910.10 , N/A ,$766.40 ,$871.78 ,$37.92 ,$900.52 ,$910.10 ,$862.20 ,$814.30 ,$37.92 ,$37.92 ,$37.92 ,$699.34 ,$112.35 ,$852.62 ,$862.20 ,$862.20 ,$766.40 ,$115.72 ,$526.90 ,$862.20 ,$112.35 ,$862.20 ,$112.35 ,$910.10 ,$252.79 ,$881.36 ,$40.20 ,$871.78 ,$112.35 ,$589.55 ,$616.95 ,$589.55 ,$862.20 ,$121.57 ,$714.96 ,$409.63 ,$113.47 ,$39.82 ,$895.73 ,$117.97 ,$37.92 ,$833.46 ,$112.35 ,$862.20 ,$112.35 ,$862.20 ,$862.20 ,$862.20 ,$929.26 ,$775.98 ,$862.20 ,$862.20 ,$862.20 ,$862.20 
ST. JOSEPH'S - CHIPPEWA FALLS,32000495,77076,HC OSSEOUS SURVEY INFANT,320,1 ,$224.00 ,$168.00 ,$17.98 ,$252.79 ,$144.26 ,$112.35 ,$156.80 ,$17.98 ,$103.57 ,$18.52 ,$82.85 ,$212.80 , N/A ,$179.20 ,$203.84 ,$17.98 ,$210.56 ,$212.80 ,$201.60 ,$190.40 ,$17.98 ,$17.98 ,$17.98 ,$163.52 ,$112.35 ,$199.36 ,$201.60 ,$201.60 ,$179.20 ,$115.72 ,$123.20 ,$201.60 ,$112.35 ,$201.60 ,$112.35 ,$212.80 ,$252.79 ,$206.08 ,$19.06 ,$203.84 ,$112.35 ,$137.85 ,$144.26 ,$137.85 ,$201.60 ,$75.43 ,$167.17 ,$201.60 ,$113.47 ,$18.88 ,$209.44 ,$117.97 ,$17.98 ,$194.88 ,$112.35 ,$201.60 ,$112.35 ,$201.60 ,$201.60 ,$201.60 ,$217.28 ,$181.44 ,$201.60 ,$201.60 ,$201.60 ,$201.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000496,77080,HC BONE DENSITY DXA,320,1 ,$510.00 ,$382.50 ,$24.93 ,$510.00 ,$328.44 ,$112.35 ,$357.00 ,$24.93 ,$51.92 ,$25.68 ,$41.54 ,$484.50 , N/A ,$408.00 ,$464.10 ,$24.93 ,$479.40 ,$484.50 ,$459.00 ,$433.50 ,$24.93 ,$24.93 ,$24.93 ,$372.30 ,$112.35 ,$453.90 ,$459.00 ,$459.00 ,$408.00 ,$115.72 ,$280.50 ,$459.00 ,$112.35 ,$459.00 ,$112.35 ,$484.50 ,$252.79 ,$469.20 ,$26.43 ,$464.10 ,$112.35 ,$313.85 ,$328.44 ,$313.85 ,$459.00 ,$195.54 ,$380.61 ,$216.16 ,$113.47 ,$26.18 ,$476.85 ,$117.97 ,$24.93 ,$443.70 ,$112.35 ,$459.00 ,$112.35 ,$459.00 ,$459.00 ,$459.00 ,$494.70 ,$413.10 ,$459.00 ,$459.00 ,$459.00 ,$459.00 
ST. JOSEPH'S - CHIPPEWA FALLS,32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,$423.00 ,$317.25 ,$37.92 ,$534.27 ,$272.41 ,$237.45 ,$296.10 ,$37.92 ,$65.14 ,$39.06 ,$52.11 ,$401.85 , N/A ,$338.40 ,$384.93 ,$37.92 ,$397.62 ,$401.85 ,$380.70 ,$359.55 ,$37.92 ,$37.92 ,$37.92 ,$308.79 ,$237.45 ,$376.47 ,$380.70 ,$380.70 ,$338.40 ,$244.58 ,$232.65 ,$380.70 ,$237.45 ,$380.70 ,$237.45 ,$401.85 ,$534.27 ,$389.16 ,$40.20 ,$384.93 ,$237.45 ,$260.31 ,$272.41 ,$260.31 ,$380.70 ,$245.01 ,$315.68 ,$264.52 ,$239.83 ,$39.82 ,$395.51 ,$249.32 ,$37.92 ,$368.01 ,$237.45 ,$380.70 ,$237.45 ,$380.70 ,$380.70 ,$380.70 ,$410.31 ,$342.63 ,$380.70 ,$380.70 ,$380.70 ,$380.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000503,20501,HC INJ TRACT SINOGRAM DIAG,320,1 ,$554.00 ,$415.50 ,$95.13 ,$554.00 ,$356.78 , N/A ,$387.80 ,$95.13 ,$459.82 ,$97.98 ,$365.64 ,$526.30 , N/A ,$443.20 ,$504.14 ,$95.13 ,$520.76 ,$526.30 ,$498.60 ,$470.90 ,$95.13 ,$95.13 ,$95.13 ,$404.42 , N/A ,$493.06 ,$498.60 ,$498.60 ,$443.20 , N/A ,$304.70 ,$498.60 , N/A ,$498.60 , N/A ,$526.30 , N/A ,$509.68 ,$100.84 ,$504.14 , N/A ,$340.93 ,$356.78 ,$340.93 ,$498.60 ,$498.60 ,$413.45 ,$385.86 , N/A ,$99.89 ,$517.99 , N/A ,$95.13 ,$481.98 , N/A ,$498.60 , N/A ,$498.60 ,$498.60 ,$498.60 ,$537.38 ,$448.74 ,$498.60 ,$498.60 ,$498.60 ,$498.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,$406.00 ,$304.50 ,$75.55 ,$606.64 ,$261.46 ,$269.62 ,$284.20 ,$75.55 ,$336.98 ,$77.82 ,$267.96 ,$385.70 , N/A ,$324.80 ,$369.46 ,$75.55 ,$381.64 ,$385.70 ,$365.40 ,$345.10 ,$75.55 ,$75.55 ,$75.55 ,$296.38 ,$269.62 ,$361.34 ,$365.40 ,$365.40 ,$324.80 ,$277.70 ,$223.30 ,$365.40 ,$269.62 ,$365.40 ,$269.62 ,$385.70 ,$606.64 ,$373.52 ,$80.08 ,$369.46 ,$269.62 ,$249.85 ,$261.46 ,$249.85 ,$365.40 ,$365.40 ,$303.00 ,$282.78 ,$272.31 ,$79.33 ,$379.61 ,$283.10 ,$75.55 ,$353.22 ,$269.62 ,$365.40 ,$269.62 ,$365.40 ,$365.40 ,$365.40 ,$393.82 ,$328.86 ,$365.40 ,$365.40 ,$365.40 ,$365.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000505,20552,HC INJ TRIGGER PT 1-2 MUSCLE(S),320,1 ,$672.00 ,$504.00 ,$75.55 ,$672.00 ,$432.77 ,$269.62 ,$470.40 ,$75.55 ,$557.76 ,$77.82 ,$443.52 ,$638.40 , N/A ,$537.60 ,$611.52 ,$75.55 ,$631.68 ,$638.40 ,$604.80 ,$571.20 ,$75.55 ,$75.55 ,$75.55 ,$490.56 ,$269.62 ,$598.08 ,$604.80 ,$604.80 ,$537.60 ,$277.70 ,$369.60 ,$604.80 ,$269.62 ,$604.80 ,$269.62 ,$638.40 ,$606.64 ,$618.24 ,$80.08 ,$611.52 ,$269.62 ,$413.55 ,$432.77 ,$413.55 ,$604.80 ,$604.80 ,$501.51 ,$468.05 ,$272.31 ,$79.33 ,$628.32 ,$283.10 ,$75.55 ,$584.64 ,$269.62 ,$604.80 ,$269.62 ,$604.80 ,$604.80 ,$604.80 ,$651.84 ,$544.32 ,$604.80 ,$604.80 ,$604.80 ,$604.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000506,20553,HC INJ TRIGGER PT 3+ MUSC GROUP,320,1 ,$412.00 ,$309.00 ,$75.55 ,$606.64 ,$265.33 ,$269.62 ,$288.40 ,$75.55 ,$341.96 ,$77.82 ,$271.92 ,$391.40 , N/A ,$329.60 ,$374.92 ,$75.55 ,$387.28 ,$391.40 ,$370.80 ,$350.20 ,$75.55 ,$75.55 ,$75.55 ,$300.76 ,$269.62 ,$366.68 ,$370.80 ,$370.80 ,$329.60 ,$277.70 ,$226.60 ,$370.80 ,$269.62 ,$370.80 ,$269.62 ,$391.40 ,$606.64 ,$379.04 ,$80.08 ,$374.92 ,$269.62 ,$253.54 ,$265.33 ,$253.54 ,$370.80 ,$370.80 ,$307.48 ,$286.96 ,$272.31 ,$79.33 ,$385.22 ,$283.10 ,$75.55 ,$358.44 ,$269.62 ,$370.80 ,$269.62 ,$370.80 ,$370.80 ,$370.80 ,$399.64 ,$333.72 ,$370.80 ,$370.80 ,$370.80 ,$370.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000509,77072,HC BONE AGE STUDIES,320,1 ,$337.00 ,$252.75 ,$17.98 ,$337.00 ,$217.03 ,$112.35 ,$235.90 ,$17.98 ,$22.51 ,$18.52 ,$18.00 ,$320.15 , N/A ,$269.60 ,$306.67 ,$17.98 ,$316.78 ,$320.15 ,$303.30 ,$286.45 ,$17.98 ,$17.98 ,$17.98 ,$246.01 ,$112.35 ,$299.93 ,$303.30 ,$303.30 ,$269.60 ,$115.72 ,$185.35 ,$303.30 ,$112.35 ,$303.30 ,$112.35 ,$320.15 ,$252.79 ,$310.04 ,$19.06 ,$306.67 ,$112.35 ,$207.39 ,$217.03 ,$207.39 ,$303.30 ,$26.37 ,$251.50 ,$90.35 ,$113.47 ,$18.88 ,$315.10 ,$117.97 ,$17.98 ,$293.19 ,$112.35 ,$303.30 ,$112.35 ,$303.30 ,$303.30 ,$303.30 ,$326.89 ,$272.97 ,$303.30 ,$303.30 ,$303.30 ,$303.30 
ST. JOSEPH'S - CHIPPEWA FALLS,32000523,72020,HC XR SPINE 1V (C SPINE CLEAR LAT),320,1 ,$401.00 ,$300.75 ,$17.98 ,$401.00 ,$258.24 ,$83.47 ,$280.70 ,$17.98 ,$23.70 ,$18.52 ,$18.96 ,$380.95 , N/A ,$320.80 ,$364.91 ,$17.98 ,$376.94 ,$380.95 ,$360.90 ,$340.85 ,$17.98 ,$17.98 ,$17.98 ,$292.73 ,$83.47 ,$356.89 ,$360.90 ,$360.90 ,$320.80 ,$85.98 ,$220.55 ,$360.90 ,$83.47 ,$360.90 ,$83.47 ,$380.95 ,$187.81 ,$368.92 ,$19.06 ,$364.91 ,$83.47 ,$246.78 ,$258.24 ,$246.78 ,$360.90 ,$106.75 ,$299.27 ,$97.65 ,$84.31 ,$18.88 ,$374.94 ,$87.64 ,$17.98 ,$348.87 ,$83.47 ,$360.90 ,$83.47 ,$360.90 ,$360.90 ,$360.90 ,$388.97 ,$324.81 ,$360.90 ,$360.90 ,$360.90 ,$360.90 
ST. JOSEPH'S - CHIPPEWA FALLS,32000530,32554,HC THORACENTESIS W/O IMAGING 32554,320,1 ,"$1,432.00 ","$1,074.00 ",$299.20 ,"$1,432.00 ",$922.21 ,$557.80 ,"$1,002.40 ",$299.20 ,"$1,188.56 ",$308.18 ,$945.12 ,"$1,360.40 ", N/A ,"$1,145.60 ","$1,303.12 ",$299.20 ,"$1,346.08 ","$1,360.40 ","$1,288.80 ","$1,217.20 ",$299.20 ,$299.20 ,$299.20 ,"$1,045.36 ",$557.80 ,"$1,274.48 ","$1,288.80 ","$1,288.80 ","$1,145.60 ",$574.54 ,$787.60 ,"$1,288.80 ",$557.80 ,"$1,288.80 ",$557.80 ,"$1,360.40 ","$1,255.06 ","$1,317.44 ",$317.15 ,"$1,303.12 ",$557.80 ,$881.25 ,$922.21 ,$881.25 ,"$1,288.80 ","$1,288.80 ","$1,068.70 ",$997.39 ,$563.38 ,$314.16 ,"$1,338.92 ",$585.69 ,$299.20 ,"$1,245.84 ",$557.80 ,"$1,288.80 ",$557.80 ,"$1,288.80 ","$1,288.80 ","$1,288.80 ","$1,389.04 ","$1,159.92 ","$1,288.80 ","$1,288.80 ","$1,288.80 ","$1,288.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,"$2,246.00 ","$1,684.50 ",$299.20 ,"$2,246.00 ","$1,446.42 ",$557.80 ,"$1,572.20 ",$299.20 ,"$1,864.18 ",$308.18 ,"$1,482.36 ","$2,133.70 ", N/A ,"$1,796.80 ","$2,043.86 ",$299.20 ,"$2,111.24 ","$2,133.70 ","$2,021.40 ","$1,909.10 ",$299.20 ,$299.20 ,$299.20 ,"$1,639.58 ",$557.80 ,"$1,998.94 ","$2,021.40 ","$2,021.40 ","$1,796.80 ",$574.54 ,"$1,235.30 ","$2,021.40 ",$557.80 ,"$2,021.40 ",$557.80 ,"$2,133.70 ","$1,255.06 ","$2,066.32 ",$317.15 ,"$2,043.86 ",$557.80 ,"$1,382.19 ","$1,446.42 ","$1,382.19 ","$2,021.40 ","$2,021.40 ","$1,676.19 ","$1,564.34 ",$563.38 ,$314.16 ,"$2,100.01 ",$585.69 ,$299.20 ,"$1,954.02 ",$557.80 ,"$2,021.40 ",$557.80 ,"$2,021.40 ","$2,021.40 ","$2,021.40 ","$2,178.62 ","$1,819.26 ","$2,021.40 ","$2,021.40 ","$2,021.40 ","$2,021.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000551,77077,HC XR JOINT SRVY SINGLE 2 JOINTS,320,1 ,$164.00 ,$123.00 ,$17.98 ,$252.79 ,$105.62 ,$112.35 ,$114.80 ,$17.98 ,$35.11 ,$18.52 ,$28.08 ,$155.80 , N/A ,$131.20 ,$149.24 ,$17.98 ,$154.16 ,$155.80 ,$147.60 ,$139.40 ,$17.98 ,$17.98 ,$17.98 ,$119.72 ,$112.35 ,$145.96 ,$147.60 ,$147.60 ,$131.20 ,$115.72 ,$90.20 ,$147.60 ,$112.35 ,$147.60 ,$112.35 ,$155.80 ,$252.79 ,$150.88 ,$19.06 ,$149.24 ,$112.35 ,$100.93 ,$105.62 ,$100.93 ,$147.60 ,$75.43 ,$122.39 ,$141.18 ,$113.47 ,$18.88 ,$153.34 ,$117.97 ,$17.98 ,$142.68 ,$112.35 ,$147.60 ,$112.35 ,$147.60 ,$147.60 ,$147.60 ,$159.08 ,$132.84 ,$147.60 ,$147.60 ,$147.60 ,$147.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000563,49407,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER TV OR TR,320,1 ,"$2,202.11 ","$1,651.58 ",$232.13 ,"$3,266.98 ","$1,418.16 ","$1,451.99 ","$1,541.48 ",$232.13 ,"$1,827.75 ",$239.09 ,"$1,453.39 ","$2,092.00 ", N/A ,"$1,761.69 ","$2,003.92 ",$232.13 ,"$2,069.98 ","$2,092.00 ","$1,981.90 ","$1,871.79 ",$232.13 ,$232.13 ,$232.13 ,"$1,607.54 ","$1,451.99 ","$1,959.88 ","$1,981.90 ","$1,981.90 ","$1,761.69 ","$1,495.55 ","$1,211.16 ","$1,981.90 ","$1,451.99 ","$1,981.90 ","$1,451.99 ","$2,092.00 ","$3,266.98 ","$2,025.94 ",$246.06 ,"$2,003.92 ","$1,451.99 ","$1,355.18 ","$1,418.16 ","$1,355.18 ","$1,981.90 ","$1,981.90 ","$1,643.43 ","$1,533.77 ","$1,466.51 ",$243.74 ,"$2,058.97 ","$1,524.59 ",$232.13 ,"$1,915.84 ","$1,451.99 ","$1,981.90 ","$1,451.99 ","$1,981.90 ","$1,981.90 ","$1,981.90 ","$2,136.05 ","$1,783.71 ","$1,981.90 ","$1,981.90 ","$1,981.90 ","$1,981.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$264.00 ,$198.00 ,$17.98 ,$264.00 ,$170.02 ,$83.47 ,$184.80 ,$17.98 ,$39.92 ,$18.52 ,$31.93 ,$250.80 , N/A ,$211.20 ,$240.24 ,$17.98 ,$248.16 ,$250.80 ,$237.60 ,$224.40 ,$17.98 ,$17.98 ,$17.98 ,$192.72 ,$83.47 ,$234.96 ,$237.60 ,$237.60 ,$211.20 ,$85.98 ,$145.20 ,$237.60 ,$83.47 ,$237.60 ,$83.47 ,$250.80 ,$187.81 ,$242.88 ,$19.06 ,$240.24 ,$83.47 ,$162.47 ,$170.02 ,$162.47 ,$237.60 ,$127.61 ,$197.02 ,$160.48 ,$84.31 ,$18.88 ,$246.84 ,$87.64 ,$17.98 ,$229.68 ,$83.47 ,$237.60 ,$83.47 ,$237.60 ,$237.60 ,$237.60 ,$256.08 ,$213.84 ,$237.60 ,$237.60 ,$237.60 ,$237.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000570,72081,HC XR SPINE/CERV SCOLIOSIS 1 VW,320,1 ,$266.00 ,$199.50 ,$17.98 ,$266.00 ,$171.30 ,$83.47 ,$186.20 ,$17.98 ,$42.91 ,$18.52 ,$34.33 ,$252.70 , N/A ,$212.80 ,$242.06 ,$17.98 ,$250.04 ,$252.70 ,$239.40 ,$226.10 ,$17.98 ,$17.98 ,$17.98 ,$194.18 ,$83.47 ,$236.74 ,$239.40 ,$239.40 ,$212.80 ,$85.98 ,$146.30 ,$239.40 ,$83.47 ,$239.40 ,$83.47 ,$252.70 ,$187.81 ,$244.72 ,$19.06 ,$242.06 ,$83.47 ,$163.70 ,$171.30 ,$163.70 ,$239.40 ,$48.60 ,$198.52 ,$170.17 ,$84.31 ,$18.88 ,$248.71 ,$87.64 ,$17.98 ,$231.42 ,$83.47 ,$239.40 ,$83.47 ,$239.40 ,$239.40 ,$239.40 ,$258.02 ,$215.46 ,$239.40 ,$239.40 ,$239.40 ,$239.40 
ST. JOSEPH'S - CHIPPEWA FALLS,32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,$418.00 ,$313.50 ,$17.98 ,$418.00 ,$269.19 ,$112.35 ,$292.60 ,$17.98 ,$77.74 ,$18.52 ,$62.19 ,$397.10 , N/A ,$334.40 ,$380.38 ,$17.98 ,$392.92 ,$397.10 ,$376.20 ,$355.30 ,$17.98 ,$17.98 ,$17.98 ,$305.14 ,$112.35 ,$372.02 ,$376.20 ,$376.20 ,$334.40 ,$115.72 ,$229.90 ,$376.20 ,$112.35 ,$376.20 ,$112.35 ,$397.10 ,$252.79 ,$384.56 ,$19.06 ,$380.38 ,$112.35 ,$257.24 ,$269.19 ,$257.24 ,$376.20 ,$88.30 ,$311.95 ,$312.89 ,$113.47 ,$18.88 ,$390.83 ,$117.97 ,$17.98 ,$363.66 ,$112.35 ,$376.20 ,$112.35 ,$376.20 ,$376.20 ,$376.20 ,$405.46 ,$338.58 ,$376.20 ,$376.20 ,$376.20 ,$376.20 
ST. JOSEPH'S - CHIPPEWA FALLS,32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$204.00 ,$153.00 ,$17.98 ,$204.00 ,$131.38 ,$83.47 ,$142.80 ,$17.98 ,$33.92 ,$18.52 ,$27.13 ,$193.80 , N/A ,$163.20 ,$185.64 ,$17.98 ,$191.76 ,$193.80 ,$183.60 ,$173.40 ,$17.98 ,$17.98 ,$17.98 ,$148.92 ,$83.47 ,$181.56 ,$183.60 ,$183.60 ,$163.20 ,$85.98 ,$112.20 ,$183.60 ,$83.47 ,$183.60 ,$83.47 ,$193.80 ,$187.81 ,$187.68 ,$19.06 ,$185.64 ,$83.47 ,$125.54 ,$131.38 ,$125.54 ,$183.60 ,$38.33 ,$152.25 ,$138.72 ,$84.31 ,$18.88 ,$190.74 ,$87.64 ,$17.98 ,$177.48 ,$83.47 ,$183.60 ,$83.47 ,$183.60 ,$183.60 ,$183.60 ,$197.88 ,$165.24 ,$183.60 ,$183.60 ,$183.60 ,$183.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$274.00 ,$205.50 ,$17.98 ,$274.00 ,$176.46 ,$83.47 ,$191.80 ,$17.98 ,$50.72 ,$18.52 ,$40.57 ,$260.30 , N/A ,$219.20 ,$249.34 ,$17.98 ,$257.56 ,$260.30 ,$246.60 ,$232.90 ,$17.98 ,$17.98 ,$17.98 ,$200.02 ,$83.47 ,$243.86 ,$246.60 ,$246.60 ,$219.20 ,$85.98 ,$150.70 ,$246.60 ,$83.47 ,$246.60 ,$83.47 ,$260.30 ,$187.81 ,$252.08 ,$19.06 ,$249.34 ,$83.47 ,$168.62 ,$176.46 ,$168.62 ,$246.60 ,$57.50 ,$204.49 ,$204.01 ,$84.31 ,$18.88 ,$256.19 ,$87.64 ,$17.98 ,$238.38 ,$83.47 ,$246.60 ,$83.47 ,$246.60 ,$246.60 ,$246.60 ,$265.78 ,$221.94 ,$246.60 ,$246.60 ,$246.60 ,$246.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$274.00 ,$205.50 ,$17.98 ,$274.00 ,$176.46 ,$112.35 ,$191.80 ,$17.98 ,$47.13 ,$18.52 ,$37.70 ,$260.30 , N/A ,$219.20 ,$249.34 ,$17.98 ,$257.56 ,$260.30 ,$246.60 ,$232.90 ,$17.98 ,$17.98 ,$17.98 ,$200.02 ,$112.35 ,$243.86 ,$246.60 ,$246.60 ,$219.20 ,$115.72 ,$150.70 ,$246.60 ,$112.35 ,$246.60 ,$112.35 ,$260.30 ,$252.79 ,$252.08 ,$19.06 ,$249.34 ,$112.35 ,$168.62 ,$176.46 ,$168.62 ,$246.60 ,$53.39 ,$204.49 ,$177.40 ,$113.47 ,$18.88 ,$256.19 ,$117.97 ,$17.98 ,$238.38 ,$112.35 ,$246.60 ,$112.35 ,$246.60 ,$246.60 ,$246.60 ,$265.78 ,$221.94 ,$246.60 ,$246.60 ,$246.60 ,$246.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,$323.00 ,$242.25 ,$17.98 ,$323.00 ,$208.01 ,$112.35 ,$226.10 ,$17.98 ,$56.74 ,$18.52 ,$45.39 ,$306.85 , N/A ,$258.40 ,$293.93 ,$17.98 ,$303.62 ,$306.85 ,$290.70 ,$274.55 ,$17.98 ,$17.98 ,$17.98 ,$235.79 ,$112.35 ,$287.47 ,$290.70 ,$290.70 ,$258.40 ,$115.72 ,$177.65 ,$290.70 ,$112.35 ,$290.70 ,$112.35 ,$306.85 ,$252.79 ,$297.16 ,$19.06 ,$293.93 ,$112.35 ,$198.77 ,$208.01 ,$198.77 ,$290.70 ,$64.34 ,$241.05 ,$228.23 ,$113.47 ,$18.88 ,$302.01 ,$117.97 ,$17.98 ,$281.01 ,$112.35 ,$290.70 ,$112.35 ,$290.70 ,$290.70 ,$290.70 ,$313.31 ,$261.63 ,$290.70 ,$290.70 ,$290.70 ,$290.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,$323.00 ,$242.25 ,$17.98 ,$323.00 ,$208.01 ,$112.35 ,$226.10 ,$17.98 ,$68.13 ,$18.52 ,$54.50 ,$306.85 , N/A ,$258.40 ,$293.93 ,$17.98 ,$303.62 ,$306.85 ,$290.70 ,$274.55 ,$17.98 ,$17.98 ,$17.98 ,$235.79 ,$112.35 ,$287.47 ,$290.70 ,$290.70 ,$258.40 ,$115.72 ,$177.65 ,$290.70 ,$112.35 ,$290.70 ,$112.35 ,$306.85 ,$252.79 ,$297.16 ,$19.06 ,$293.93 ,$112.35 ,$198.77 ,$208.01 ,$198.77 ,$290.70 ,$77.35 ,$241.05 ,$274.21 ,$113.47 ,$18.88 ,$302.01 ,$117.97 ,$17.98 ,$281.01 ,$112.35 ,$290.70 ,$112.35 ,$290.70 ,$290.70 ,$290.70 ,$313.31 ,$261.63 ,$290.70 ,$290.70 ,$290.70 ,$290.70 
ST. JOSEPH'S - CHIPPEWA FALLS,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$244.00 ,$183.00 ,$17.98 ,$244.00 ,$157.14 ,$83.47 ,$170.80 ,$17.98 ,$38.71 ,$18.52 ,$30.97 ,$231.80 , N/A ,$195.20 ,$222.04 ,$17.98 ,$229.36 ,$231.80 ,$219.60 ,$207.40 ,$17.98 ,$17.98 ,$17.98 ,$178.12 ,$83.47 ,$217.16 ,$219.60 ,$219.60 ,$195.20 ,$85.98 ,$134.20 ,$219.60 ,$83.47 ,$219.60 ,$83.47 ,$231.80 ,$187.81 ,$224.48 ,$19.06 ,$222.04 ,$83.47 ,$150.16 ,$157.14 ,$150.16 ,$219.60 ,$43.81 ,$182.10 ,$158.10 ,$84.31 ,$18.88 ,$228.14 ,$87.64 ,$17.98 ,$212.28 ,$83.47 ,$219.60 ,$83.47 ,$219.60 ,$219.60 ,$219.60 ,$236.68 ,$197.64 ,$219.60 ,$219.60 ,$219.60 ,$219.60 
ST. JOSEPH'S - CHIPPEWA FALLS,32000583,72200,HC XR SACROILIC JOINT <3VIEWS,320,1 ,$332.00 ,$249.00 ,$17.98 ,$332.00 ,$213.81 ,$112.35 ,$232.40 ,$17.98 ,$32.71 ,$18.52 ,$26.17 ,$315.40 , N/A ,$265.60 ,$302.12 ,$17.98 ,$312.08 ,$315.40 ,$298.80 ,$282.20 ,$17.98 ,$17.98 ,$17.98 ,$242.36 ,$112.35 ,$295.48 ,$298.80 ,$298.80 ,$265.60 ,$115.72 ,$182.60 ,$298.80 ,$112.35 ,$298.80 ,$112.35 ,$315.40 ,$252.79 ,$305.44 ,$19.06 ,$302.12 ,$112.35 ,$204.31 ,$213.81 ,$204.31 ,$298.80 ,$117.13 ,$247.77 ,$131.49 ,$113.47 ,$18.88 ,$310.42 ,$117.97 ,$17.98 ,$288.84 ,$112.35 ,$298.80 ,$112.35 ,$298.80 ,$298.80 ,$298.80 ,$322.04 ,$268.92 ,$298.80 ,$298.80 ,$298.80 ,$298.80 
ST. JOSEPH'S - CHIPPEWA FALLS,32000600,77061,HC DIGITAL BREAST TOMOSYNTHESIS UNI,320,1 ,$40.00 ,$30.00 ,$15.90 ,$40.00 ,$25.76 , N/A ,$28.00 ,$15.90 ,$40.00 ,$16.38 ,$40.00 ,$38.00 , N/A ,$32.00 ,$36.40 ,$15.90 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$15.90 ,$15.90 ,$15.90 ,$29.20 , N/A ,$35.60 ,$36.00 ,$36.00 ,$32.00 , N/A ,$22.00 ,$36.00 , N/A ,$36.00 , N/A ,$38.00 , N/A ,$36.80 ,$16.85 ,$36.40 , N/A ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$40.00 ,$29.85 ,$27.86 , N/A ,$16.70 ,$37.40 , N/A ,$15.90 ,$34.80 , N/A ,$36.00 , N/A ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 
ST. JOSEPH'S - CHIPPEWA FALLS,32000601,77062,HC DIGITAL BREAST TOMOSYNTHESIS BIL,320,1 ,$40.00 ,$30.00 ,$15.90 ,$40.00 ,$25.76 , N/A ,$28.00 ,$15.90 ,$40.00 ,$16.38 ,$40.00 ,$38.00 , N/A ,$32.00 ,$36.40 ,$15.90 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$15.90 ,$15.90 ,$15.90 ,$29.20 , N/A ,$35.60 ,$36.00 ,$36.00 ,$32.00 , N/A ,$22.00 ,$36.00 , N/A ,$36.00 , N/A ,$38.00 , N/A ,$36.80 ,$16.85 ,$36.40 , N/A ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$40.00 ,$29.85 ,$27.86 , N/A ,$16.70 ,$37.40 , N/A ,$15.90 ,$34.80 , N/A ,$36.00 , N/A ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 
ST. JOSEPH'S - CHIPPEWA FALLS,32000611,G1004,HC RAD AUC CDSM NATL DECISION SUPPORT COMPANY,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,$774.41 ,$580.81 ,$37.92 ,$774.41 ,$498.72 , N/A ,$542.09 ,$37.92 ,$79.29 ,$39.06 ,$63.43 ,$735.69 , N/A ,$619.53 ,$704.71 ,$37.92 ,$727.95 ,$735.69 ,$696.97 ,$658.25 ,$37.92 ,$37.92 ,$37.92 ,$565.32 , N/A ,$689.22 ,$696.97 ,$696.97 ,$619.53 , N/A ,$425.93 ,$696.97 , N/A ,$696.97 , N/A ,$735.69 , N/A ,$712.46 ,$40.20 ,$704.71 , N/A ,$476.57 ,$498.72 ,$476.57 ,$696.97 ,$696.97 ,$577.94 ,$552.03 , N/A ,$39.82 ,$724.07 , N/A ,$37.92 ,$673.74 , N/A ,$696.97 , N/A ,$696.97 ,$696.97 ,$696.97 ,$751.18 ,$627.27 ,$696.97 ,$696.97 ,$696.97 ,$696.97 
ST. JOSEPH'S - CHIPPEWA FALLS,32000613,G1002,HC RAD AUC CDSM MEDCURRENT,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000614,G1003,HC RAD AUC CDSM MEDICALIS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000615,G1005,HC RAD AUC CDSM NATIONAL IMAGING ASSOCIATES,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000616,G1006,HC RAD AUC CDSM TEST APPROPRIATE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000617,G1007,HC RAD AUC CDSM AIM SPECIALTY HEALTH,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000618,G1008,HC RAD AUC CDSM CRANBERRY PEAK,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000619,G1009,HC RAD AUC CDSM SAGE HEALTH MGMT SOLUTIONS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000620,G1010,HC RAD AUC CDSM STANSON,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000621,G1011,HC RAD AUC CDSM QUALIFIED TOOL NOS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,32000623,G1001,HC RAD AUC CDSM EVICORE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,33500002,96401,HC CHEMO SQ/IM NON ANTI-NEOPLAST,335,1 ,$287.00 ,$215.25 ,$13.88 ,$287.00 ,$184.83 ,$63.98 ,$200.90 ,$13.88 ,$238.21 ,$14.30 ,$189.42 ,$272.65 , N/A ,$229.60 ,$261.17 ,$13.88 ,$269.78 ,$272.65 ,$258.30 ,$243.95 ,$13.88 ,$13.88 ,$13.88 ,$209.51 ,$63.98 ,$255.43 ,$258.30 ,$258.30 ,$229.60 ,$65.90 ,$157.85 ,$258.30 ,$63.98 ,$258.30 ,$63.98 ,$272.65 ,$143.96 ,$264.04 ,$14.71 ,$261.17 ,$63.98 ,$176.62 ,$184.83 ,$176.62 ,$258.30 ,$258.30 ,$214.19 ,$199.90 ,$64.62 ,$14.57 ,$268.35 ,$67.18 ,$13.88 ,$249.69 ,$63.98 ,$258.30 ,$63.98 ,$258.30 ,$258.30 ,$258.30 ,$278.39 ,$232.47 ,$258.30 ,$258.30 ,$258.30 ,$258.30 
ST. JOSEPH'S - CHIPPEWA FALLS,33500003,96409,HC CHEMO IV PUSH SINGLE/INIT,335,1 ,$378.00 ,$283.50 ,$13.88 ,$475.00 ,$243.43 ,$211.11 ,$264.60 ,$13.88 ,$313.74 ,$14.30 ,$249.48 ,$359.10 , N/A ,$302.40 ,$343.98 ,$13.88 ,$355.32 ,$359.10 ,$340.20 ,$321.30 ,$13.88 ,$13.88 ,$13.88 ,$275.94 ,$211.11 ,$336.42 ,$340.20 ,$340.20 ,$302.40 ,$217.44 ,$207.90 ,$340.20 ,$211.11 ,$340.20 ,$211.11 ,$359.10 ,$475.00 ,$347.76 ,$14.71 ,$343.98 ,$211.11 ,$232.62 ,$243.43 ,$232.62 ,$340.20 ,$340.20 ,$282.10 ,$263.28 ,$213.22 ,$14.57 ,$353.43 ,$221.67 ,$13.88 ,$328.86 ,$211.11 ,$340.20 ,$211.11 ,$340.20 ,$340.20 ,$340.20 ,$366.66 ,$306.18 ,$340.20 ,$340.20 ,$340.20 ,$340.20 
ST. JOSEPH'S - CHIPPEWA FALLS,33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$725.00 ,$543.75 ,$95.17 ,$740.34 ,$466.90 ,$329.04 ,$507.50 ,$95.17 ,$601.75 ,$98.03 ,$478.50 ,$688.75 , N/A ,$580.00 ,$659.75 ,$95.17 ,$681.50 ,$688.75 ,$652.50 ,$616.25 ,$95.17 ,$95.17 ,$95.17 ,$529.25 ,$329.04 ,$645.25 ,$652.50 ,$652.50 ,$580.00 ,$338.91 ,$398.75 ,$652.50 ,$329.04 ,$652.50 ,$329.04 ,$688.75 ,$740.34 ,$667.00 ,$100.88 ,$659.75 ,$329.04 ,$446.17 ,$466.90 ,$446.17 ,$652.50 ,$652.50 ,$541.07 ,$504.96 ,$332.33 ,$99.93 ,$677.88 ,$345.49 ,$95.17 ,$630.75 ,$329.04 ,$652.50 ,$329.04 ,$652.50 ,$652.50 ,$652.50 ,$703.25 ,$587.25 ,$652.50 ,$652.50 ,$652.50 ,$652.50 
ST. JOSEPH'S - CHIPPEWA FALLS,33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$249.00 ,$186.75 ,$63.98 ,$249.00 ,$160.36 ,$63.98 ,$174.30 ,$161.07 ,$206.67 ,$165.90 ,$164.34 ,$236.55 , N/A ,$199.20 ,$226.59 ,$161.07 ,$234.06 ,$236.55 ,$224.10 ,$211.65 ,$161.07 ,$161.07 ,$161.07 ,$181.77 ,$63.98 ,$221.61 ,$224.10 ,$224.10 ,$199.20 ,$65.90 ,$136.95 ,$224.10 ,$63.98 ,$224.10 ,$63.98 ,$236.55 ,$143.96 ,$229.08 ,$170.73 ,$226.59 ,$63.98 ,$153.23 ,$160.36 ,$153.23 ,$224.10 ,$224.10 ,$185.83 ,$173.43 ,$64.62 ,$169.12 ,$232.82 ,$67.18 ,$161.07 ,$216.63 ,$63.98 ,$224.10 ,$63.98 ,$224.10 ,$224.10 ,$224.10 ,$241.53 ,$201.69 ,$224.10 ,$224.10 ,$224.10 ,$224.10 
ST. JOSEPH'S - CHIPPEWA FALLS,33500008,96417,HC CHEMO IV INFUSION EA ADDL <1H,335,1 ,$249.00 ,$186.75 ,$63.98 ,$249.00 ,$160.36 ,$63.98 ,$174.30 ,$95.17 ,$206.67 ,$98.03 ,$164.34 ,$236.55 , N/A ,$199.20 ,$226.59 ,$95.17 ,$234.06 ,$236.55 ,$224.10 ,$211.65 ,$95.17 ,$95.17 ,$95.17 ,$181.77 ,$63.98 ,$221.61 ,$224.10 ,$224.10 ,$199.20 ,$65.90 ,$136.95 ,$224.10 ,$63.98 ,$224.10 ,$63.98 ,$236.55 ,$143.96 ,$229.08 ,$100.88 ,$226.59 ,$63.98 ,$153.23 ,$160.36 ,$153.23 ,$224.10 ,$224.10 ,$185.83 ,$173.43 ,$64.62 ,$99.93 ,$232.82 ,$67.18 ,$95.17 ,$216.63 ,$63.98 ,$224.10 ,$63.98 ,$224.10 ,$224.10 ,$224.10 ,$241.53 ,$201.69 ,$224.10 ,$224.10 ,$224.10 ,$224.10 
ST. JOSEPH'S - CHIPPEWA FALLS,33500014,96521,HC REFILLING/MAINTENANCE PORTABLE PUMP,335,1 ,$657.00 ,$492.75 ,$13.88 ,$657.00 ,$423.11 ,$211.11 ,$459.90 ,$13.88 ,$545.31 ,$14.30 ,$433.62 ,$624.15 , N/A ,$525.60 ,$597.87 ,$13.88 ,$617.58 ,$624.15 ,$591.30 ,$558.45 ,$13.88 ,$13.88 ,$13.88 ,$479.61 ,$211.11 ,$584.73 ,$591.30 ,$591.30 ,$525.60 ,$217.44 ,$361.35 ,$591.30 ,$211.11 ,$591.30 ,$211.11 ,$624.15 ,$475.00 ,$604.44 ,$14.71 ,$597.87 ,$211.11 ,$404.32 ,$423.11 ,$404.32 ,$591.30 ,$591.30 ,$490.32 ,$457.60 ,$213.22 ,$14.57 ,$614.30 ,$221.67 ,$13.88 ,$571.59 ,$211.11 ,$591.30 ,$211.11 ,$591.30 ,$591.30 ,$591.30 ,$637.29 ,$532.17 ,$591.30 ,$591.30 ,$591.30 ,$591.30 
ST. JOSEPH'S - CHIPPEWA FALLS,34000002,78012,HC THYROID UPTAKE SGL/MULT 78012,340,1 ,$740.00 ,$555.00 ,$99.41 ,$875.27 ,$476.56 ,$389.01 ,$518.00 ,$120.53 ,$124.27 ,$124.15 ,$99.41 ,$703.00 , N/A ,$592.00 ,$673.40 ,$120.53 ,$695.60 ,$703.00 ,$666.00 ,$629.00 ,$120.53 ,$120.53 ,$120.53 ,$540.20 ,$389.01 ,$658.60 ,$666.00 ,$666.00 ,$592.00 ,$400.68 ,$407.00 ,$666.00 ,$389.01 ,$666.00 ,$389.01 ,$703.00 ,$875.27 ,$680.80 ,$127.76 ,$673.40 ,$389.01 ,$455.40 ,$476.56 ,$455.40 ,$666.00 ,$148.54 ,$552.26 ,$504.83 ,$392.90 ,$126.56 ,$691.90 ,$408.46 ,$120.53 ,$643.80 ,$389.01 ,$666.00 ,$389.01 ,$666.00 ,$666.00 ,$666.00 ,$717.80 ,$599.40 ,$666.00 ,$666.00 ,$666.00 ,$666.00 
ST. JOSEPH'S - CHIPPEWA FALLS,34000004,78014,HC NM THYROID IMAGING SGL OR MULT UPTAKE 78014,340,1 ,"$1,412.00 ","$1,059.00 ",$120.53 ,"$1,412.00 ",$909.33 ,$389.01 ,$988.40 ,$120.53 ,$380.92 ,$124.15 ,$304.74 ,"$1,341.40 ", N/A ,"$1,129.60 ","$1,284.92 ",$120.53 ,"$1,327.28 ","$1,341.40 ","$1,270.80 ","$1,200.20 ",$120.53 ,$120.53 ,$120.53 ,"$1,030.76 ",$389.01 ,"$1,256.68 ","$1,270.80 ","$1,270.80 ","$1,129.60 ",$400.68 ,$776.60 ,"$1,270.80 ",$389.01 ,"$1,270.80 ",$389.01 ,"$1,341.40 ",$875.27 ,"$1,299.04 ",$127.76 ,"$1,284.92 ",$389.01 ,$868.94 ,$909.33 ,$868.94 ,"$1,270.80 ",$440.13 ,"$1,053.78 ","$1,270.80 ",$392.90 ,$126.56 ,"$1,320.22 ",$408.46 ,$120.53 ,"$1,228.44 ",$389.01 ,"$1,270.80 ",$389.01 ,"$1,270.80 ","$1,270.80 ","$1,270.80 ","$1,369.64 ","$1,143.72 ","$1,270.80 ","$1,270.80 ","$1,270.80 ","$1,270.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000006,78013,HC NM THYROID SCAN,340,1 ,$833.00 ,$624.75 ,$120.53 ,$875.27 ,$536.45 ,$389.01 ,$583.10 ,$120.53 ,$303.47 ,$124.15 ,$242.77 ,$791.35 , N/A ,$666.40 ,$758.03 ,$120.53 ,$783.02 ,$791.35 ,$749.70 ,$708.05 ,$120.53 ,$120.53 ,$120.53 ,$608.09 ,$389.01 ,$741.37 ,$749.70 ,$749.70 ,$666.40 ,$400.68 ,$458.15 ,$749.70 ,$389.01 ,$749.70 ,$389.01 ,$791.35 ,$875.27 ,$766.36 ,$127.76 ,$758.03 ,$389.01 ,$512.63 ,$536.45 ,$512.63 ,$749.70 ,$386.74 ,$621.67 ,$749.70 ,$392.90 ,$126.56 ,$778.86 ,$408.46 ,$120.53 ,$724.71 ,$389.01 ,$749.70 ,$389.01 ,$749.70 ,$749.70 ,$749.70 ,$808.01 ,$674.73 ,$749.70 ,$749.70 ,$749.70 ,$749.70 
ST. JOSEPH'S - CHIPPEWA FALLS,34000007,78018,HC NM THYROID CA METS WHOLE BODY,340,1 ,"$1,820.00 ","$1,365.00 ",$120.53 ,"$1,820.00 ","$1,172.08 ",$505.00 ,"$1,274.00 ",$120.53 ,$477.87 ,$124.15 ,$382.30 ,"$1,729.00 ", N/A ,"$1,456.00 ","$1,656.20 ",$120.53 ,"$1,710.80 ","$1,729.00 ","$1,638.00 ","$1,547.00 ",$120.53 ,$120.53 ,$120.53 ,"$1,328.60 ",$505.00 ,"$1,619.80 ","$1,638.00 ","$1,638.00 ","$1,456.00 ",$520.15 ,"$1,001.00 ","$1,638.00 ",$505.00 ,"$1,638.00 ",$505.00 ,"$1,729.00 ","$1,136.24 ","$1,674.40 ",$127.76 ,"$1,656.20 ",$505.00 ,"$1,120.03 ","$1,172.08 ","$1,120.03 ","$1,638.00 ","$1,543.70 ","$1,358.27 ","$1,638.00 ",$510.05 ,$126.56 ,"$1,701.70 ",$530.25 ,$120.53 ,"$1,583.40 ",$505.00 ,"$1,638.00 ",$505.00 ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,765.40 ","$1,474.20 ","$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,638.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000009,78070,HC PARATHRYOID IMAGING 78070,340,1 ,"$1,389.00 ","$1,041.75 ",$302.87 ,"$1,389.00 ",$894.52 ,$389.01 ,$972.30 ,$302.87 ,$458.97 ,$311.96 ,$367.18 ,"$1,319.55 ", N/A ,"$1,111.20 ","$1,263.99 ",$302.87 ,"$1,305.66 ","$1,319.55 ","$1,250.10 ","$1,180.65 ",$302.87 ,$302.87 ,$302.87 ,"$1,013.97 ",$389.01 ,"$1,236.21 ","$1,250.10 ","$1,250.10 ","$1,111.20 ",$400.68 ,$763.95 ,"$1,250.10 ",$389.01 ,"$1,250.10 ",$389.01 ,"$1,319.55 ",$875.27 ,"$1,277.88 ",$321.04 ,"$1,263.99 ",$389.01 ,$854.79 ,$894.52 ,$854.79 ,"$1,250.10 ",$472.24 ,"$1,036.61 ","$1,250.10 ",$392.90 ,$318.01 ,"$1,298.72 ",$408.46 ,$302.87 ,"$1,208.43 ",$389.01 ,"$1,250.10 ",$389.01 ,"$1,250.10 ","$1,250.10 ","$1,250.10 ","$1,347.33 ","$1,125.09 ","$1,250.10 ","$1,250.10 ","$1,250.10 ","$1,250.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000014,78195,HC LYMPH NODE IMAGING,340,1 ,"$1,727.00 ","$1,295.25 ",$302.87 ,"$1,727.00 ","$1,112.19 ",$505.00 ,"$1,208.90 ",$302.87 ,$523.51 ,$311.96 ,$418.81 ,"$1,640.65 ", N/A ,"$1,381.60 ","$1,571.57 ",$302.87 ,"$1,623.38 ","$1,640.65 ","$1,554.30 ","$1,467.95 ",$302.87 ,$302.87 ,$302.87 ,"$1,260.71 ",$505.00 ,"$1,537.03 ","$1,554.30 ","$1,554.30 ","$1,381.60 ",$520.15 ,$949.85 ,"$1,554.30 ",$505.00 ,"$1,554.30 ",$505.00 ,"$1,640.65 ","$1,136.24 ","$1,588.84 ",$321.04 ,"$1,571.57 ",$505.00 ,"$1,062.80 ","$1,112.19 ","$1,062.80 ","$1,554.30 ",$549.48 ,"$1,288.86 ","$1,554.30 ",$510.05 ,$318.01 ,"$1,614.75 ",$530.25 ,$302.87 ,"$1,502.49 ",$505.00 ,"$1,554.30 ",$505.00 ,"$1,554.30 ","$1,554.30 ","$1,554.30 ","$1,675.19 ","$1,398.87 ","$1,554.30 ","$1,554.30 ","$1,554.30 ","$1,554.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,"$1,144.00 ",$858.00 ,$120.53 ,"$1,144.00 ",$736.74 ,$389.01 ,$800.80 ,$120.53 ,$517.51 ,$124.15 ,$414.01 ,"$1,086.80 ", N/A ,$915.20 ,"$1,041.04 ",$120.53 ,"$1,075.36 ","$1,086.80 ","$1,029.60 ",$972.40 ,$120.53 ,$120.53 ,$120.53 ,$835.12 ,$389.01 ,"$1,018.16 ","$1,029.60 ","$1,029.60 ",$915.20 ,$400.68 ,$629.20 ,"$1,029.60 ",$389.01 ,"$1,029.60 ",$389.01 ,"$1,086.80 ",$875.27 ,"$1,052.48 ",$127.76 ,"$1,041.04 ",$389.01 ,$704.02 ,$736.74 ,$704.02 ,"$1,029.60 ",$590.04 ,$853.77 ,"$1,029.60 ",$392.90 ,$126.56 ,"$1,069.64 ",$408.46 ,$120.53 ,$995.28 ,$389.01 ,"$1,029.60 ",$389.01 ,"$1,029.60 ","$1,029.60 ","$1,029.60 ","$1,109.68 ",$926.64 ,"$1,029.60 ","$1,029.60 ","$1,029.60 ","$1,029.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$1,738.00 ","$1,303.50 ",$120.53 ,"$1,738.00 ","$1,119.27 ",$389.01 ,"$1,216.60 ",$120.53 ,$522.92 ,$124.15 ,$418.33 ,"$1,651.10 ", N/A ,"$1,390.40 ","$1,581.58 ",$120.53 ,"$1,633.72 ","$1,651.10 ","$1,564.20 ","$1,477.30 ",$120.53 ,$120.53 ,$120.53 ,"$1,268.74 ",$389.01 ,"$1,546.82 ","$1,564.20 ","$1,564.20 ","$1,390.40 ",$400.68 ,$955.90 ,"$1,564.20 ",$389.01 ,"$1,564.20 ",$389.01 ,"$1,651.10 ",$875.27 ,"$1,598.96 ",$127.76 ,"$1,581.58 ",$389.01 ,"$1,069.57 ","$1,119.27 ","$1,069.57 ","$1,564.20 ",$428.76 ,"$1,297.07 ","$1,564.20 ",$392.90 ,$126.56 ,"$1,625.03 ",$408.46 ,$120.53 ,"$1,512.06 ",$389.01 ,"$1,564.20 ",$389.01 ,"$1,564.20 ","$1,564.20 ","$1,564.20 ","$1,685.86 ","$1,407.78 ","$1,564.20 ","$1,564.20 ","$1,564.20 ","$1,564.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000027,78278,HC GI BLEED SCAN,340,1 ,"$2,597.00 ","$1,947.75 ",$302.87 ,"$2,597.00 ","$1,672.47 ",$389.01 ,"$1,817.90 ",$302.87 ,$527.12 ,$311.96 ,$421.69 ,"$2,467.15 ", N/A ,"$2,077.60 ","$2,363.27 ",$302.87 ,"$2,441.18 ","$2,467.15 ","$2,337.30 ","$2,207.45 ",$302.87 ,$302.87 ,$302.87 ,"$1,895.81 ",$389.01 ,"$2,311.33 ","$2,337.30 ","$2,337.30 ","$2,077.60 ",$400.68 ,"$1,428.35 ","$2,337.30 ",$389.01 ,"$2,337.30 ",$389.01 ,"$2,467.15 ",$875.27 ,"$2,389.24 ",$321.04 ,"$2,363.27 ",$389.01 ,"$1,598.19 ","$1,672.47 ","$1,598.19 ","$2,337.30 ",$684.61 ,"$1,938.14 ","$2,131.85 ",$392.90 ,$318.01 ,"$2,428.20 ",$408.46 ,$302.87 ,"$2,259.39 ",$389.01 ,"$2,337.30 ",$389.01 ,"$2,337.30 ","$2,337.30 ","$2,337.30 ","$2,519.09 ","$2,103.57 ","$2,337.30 ","$2,337.30 ","$2,337.30 ","$2,337.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$1,648.00 ","$1,236.00 ",$120.53 ,"$1,648.00 ","$1,061.31 ",$389.01 ,"$1,153.60 ",$120.53 ,$524.11 ,$124.15 ,$419.29 ,"$1,565.60 ", N/A ,"$1,318.40 ","$1,499.68 ",$120.53 ,"$1,549.12 ","$1,565.60 ","$1,483.20 ","$1,400.80 ",$120.53 ,$120.53 ,$120.53 ,"$1,203.04 ",$389.01 ,"$1,466.72 ","$1,483.20 ","$1,483.20 ","$1,318.40 ",$400.68 ,$906.40 ,"$1,483.20 ",$389.01 ,"$1,483.20 ",$389.01 ,"$1,565.60 ",$875.27 ,"$1,516.16 ",$127.76 ,"$1,499.68 ",$389.01 ,"$1,014.18 ","$1,061.31 ","$1,014.18 ","$1,483.20 ",$448.91 ,"$1,229.90 ","$1,483.20 ",$392.90 ,$126.56 ,"$1,540.88 ",$408.46 ,$120.53 ,"$1,433.76 ",$389.01 ,"$1,483.20 ",$389.01 ,"$1,483.20 ","$1,483.20 ","$1,483.20 ","$1,598.56 ","$1,334.88 ","$1,483.20 ","$1,483.20 ","$1,483.20 ","$1,483.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$1,212.00 ",$909.00 ,$120.53 ,"$1,212.00 ",$780.53 ,$389.01 ,$848.40 ,$120.53 ,$263.85 ,$124.15 ,$211.08 ,"$1,151.40 ", N/A ,$969.60 ,"$1,102.92 ",$120.53 ,"$1,139.28 ","$1,151.40 ","$1,090.80 ","$1,030.20 ",$120.53 ,$120.53 ,$120.53 ,$884.76 ,$389.01 ,"$1,078.68 ","$1,090.80 ","$1,090.80 ",$969.60 ,$400.68 ,$666.60 ,"$1,090.80 ",$389.01 ,"$1,090.80 ",$389.01 ,"$1,151.40 ",$875.27 ,"$1,115.04 ",$127.76 ,"$1,102.92 ",$389.01 ,$745.86 ,$780.53 ,$745.86 ,"$1,090.80 ",$454.90 ,$904.52 ,"$1,090.80 ",$392.90 ,$126.56 ,"$1,133.22 ",$408.46 ,$120.53 ,"$1,054.44 ",$389.01 ,"$1,090.80 ",$389.01 ,"$1,090.80 ","$1,090.80 ","$1,090.80 ","$1,175.64 ",$981.72 ,"$1,090.80 ","$1,090.80 ","$1,090.80 ","$1,090.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,417.00 ","$1,062.75 ",$120.53 ,"$1,417.00 ",$912.55 ,$389.01 ,$991.90 ,$120.53 ,$335.30 ,$124.15 ,$268.24 ,"$1,346.15 ", N/A ,"$1,133.60 ","$1,289.47 ",$120.53 ,"$1,331.98 ","$1,346.15 ","$1,275.30 ","$1,204.45 ",$120.53 ,$120.53 ,$120.53 ,"$1,034.41 ",$389.01 ,"$1,261.13 ","$1,275.30 ","$1,275.30 ","$1,133.60 ",$400.68 ,$779.35 ,"$1,275.30 ",$389.01 ,"$1,275.30 ",$389.01 ,"$1,346.15 ",$875.27 ,"$1,303.64 ",$127.76 ,"$1,289.47 ",$389.01 ,$872.02 ,$912.55 ,$872.02 ,"$1,275.30 ",$611.45 ,"$1,057.51 ","$1,275.30 ",$392.90 ,$126.56 ,"$1,324.90 ",$408.46 ,$120.53 ,"$1,232.79 ",$389.01 ,"$1,275.30 ",$389.01 ,"$1,275.30 ","$1,275.30 ","$1,275.30 ","$1,374.49 ","$1,147.77 ","$1,275.30 ","$1,275.30 ","$1,275.30 ","$1,275.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$1,799.00 ","$1,349.25 ",$120.53 ,"$1,799.00 ","$1,158.56 ",$389.01 ,"$1,259.30 ",$120.53 ,$368.32 ,$124.15 ,$294.66 ,"$1,709.05 ", N/A ,"$1,439.20 ","$1,637.09 ",$120.53 ,"$1,691.06 ","$1,709.05 ","$1,619.10 ","$1,529.15 ",$120.53 ,$120.53 ,$120.53 ,"$1,313.27 ",$389.01 ,"$1,601.11 ","$1,619.10 ","$1,619.10 ","$1,439.20 ",$400.68 ,$989.45 ,"$1,619.10 ",$389.01 ,"$1,619.10 ",$389.01 ,"$1,709.05 ",$875.27 ,"$1,655.08 ",$127.76 ,"$1,637.09 ",$389.01 ,"$1,107.10 ","$1,158.56 ","$1,107.10 ","$1,619.10 ",$756.75 ,"$1,342.59 ","$1,619.10 ",$392.90 ,$126.56 ,"$1,682.07 ",$408.46 ,$120.53 ,"$1,565.13 ",$389.01 ,"$1,619.10 ",$389.01 ,"$1,619.10 ","$1,619.10 ","$1,619.10 ","$1,745.03 ","$1,457.19 ","$1,619.10 ","$1,619.10 ","$1,619.10 ","$1,619.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$2,253.00 ","$1,689.75 ",$120.53 ,"$2,253.00 ","$1,450.93 ",$389.01 ,"$1,577.10 ",$120.53 ,$520.50 ,$124.15 ,$416.40 ,"$2,140.35 ", N/A ,"$1,802.40 ","$2,050.23 ",$120.53 ,"$2,117.82 ","$2,140.35 ","$2,027.70 ","$1,915.05 ",$120.53 ,$120.53 ,$120.53 ,"$1,644.69 ",$389.01 ,"$2,005.17 ","$2,027.70 ","$2,027.70 ","$1,802.40 ",$400.68 ,"$1,239.15 ","$2,027.70 ",$389.01 ,"$2,027.70 ",$389.01 ,"$2,140.35 ",$875.27 ,"$2,072.76 ",$127.76 ,"$2,050.23 ",$389.01 ,"$1,386.50 ","$1,450.93 ","$1,386.50 ","$2,027.70 ",$689.08 ,"$1,681.41 ","$2,027.70 ",$392.90 ,$126.56 ,"$2,106.56 ",$408.46 ,$120.53 ,"$1,960.11 ",$389.01 ,"$2,027.70 ",$389.01 ,"$2,027.70 ","$2,027.70 ","$2,027.70 ","$2,185.41 ","$1,824.93 ","$2,027.70 ","$2,027.70 ","$2,027.70 ","$2,027.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,"$2,815.00 ","$2,111.25 ",$295.02 ,"$3,034.25 ","$1,812.86 ","$1,348.55 ","$1,970.50 ",$302.87 ,$479.68 ,$311.96 ,$383.74 ,"$2,674.25 ", N/A ,"$2,252.00 ","$2,561.65 ",$302.87 ,"$2,646.10 ","$2,674.25 ","$2,533.50 ","$2,392.75 ",$302.87 ,$302.87 ,$302.87 ,"$2,054.95 ","$1,348.55 ","$2,505.35 ","$2,533.50 ","$2,533.50 ","$2,252.00 ","$1,389.01 ","$1,548.25 ","$2,533.50 ","$1,348.55 ","$2,533.50 ","$1,348.55 ","$2,674.25 ","$3,034.25 ","$2,589.80 ",$321.04 ,"$2,561.65 ","$1,348.55 ","$1,732.35 ","$1,812.86 ","$1,732.35 ","$2,533.50 ",$295.02 ,"$2,100.83 ","$1,945.68 ","$1,362.04 ",$318.01 ,"$2,632.03 ","$1,415.98 ",$302.87 ,"$2,449.05 ","$1,348.55 ","$2,533.50 ","$1,348.55 ","$2,533.50 ","$2,533.50 ","$2,533.50 ","$2,730.55 ","$2,280.15 ","$2,533.50 ","$2,533.50 ","$2,533.50 ","$2,533.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$7,239.00 ","$5,429.25 ",$302.87 ,"$7,239.00 ","$4,661.92 ","$1,348.55 ","$5,067.30 ",$302.87 ,$691.01 ,$311.96 ,$552.80 ,"$6,877.05 ", N/A ,"$5,791.20 ","$6,587.49 ",$302.87 ,"$6,804.66 ","$6,877.05 ","$6,515.10 ","$6,153.15 ",$302.87 ,$302.87 ,$302.87 ,"$5,284.47 ","$1,348.55 ","$6,442.71 ","$6,515.10 ","$6,515.10 ","$5,791.20 ","$1,389.01 ","$3,981.45 ","$6,515.10 ","$1,348.55 ","$6,515.10 ","$1,348.55 ","$6,877.05 ","$3,034.25 ","$6,659.88 ",$321.04 ,"$6,587.49 ","$1,348.55 ","$4,454.88 ","$4,661.92 ","$4,454.88 ","$6,515.10 ",$570.19 ,"$5,402.47 ","$2,808.40 ","$1,362.04 ",$318.01 ,"$6,768.47 ","$1,415.98 ",$302.87 ,"$6,297.93 ","$1,348.55 ","$6,515.10 ","$1,348.55 ","$6,515.10 ","$6,515.10 ","$6,515.10 ","$7,021.83 ","$5,863.59 ","$6,515.10 ","$6,515.10 ","$6,515.10 ","$6,515.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000044,78472,HC MUGA RESTING SGL,340,1 ,"$2,606.00 ","$1,954.50 ",$120.53 ,"$2,606.00 ","$1,678.26 ",$389.01 ,"$1,824.20 ",$120.53 ,$317.89 ,$124.15 ,$254.31 ,"$2,475.70 ", N/A ,"$2,084.80 ","$2,371.46 ",$120.53 ,"$2,449.64 ","$2,475.70 ","$2,345.40 ","$2,215.10 ",$120.53 ,$120.53 ,$120.53 ,"$1,902.38 ",$389.01 ,"$2,319.34 ","$2,345.40 ","$2,345.40 ","$2,084.80 ",$400.68 ,"$1,433.30 ","$2,345.40 ",$389.01 ,"$2,345.40 ",$389.01 ,"$2,475.70 ",$875.27 ,"$2,397.52 ",$127.76 ,"$2,371.46 ",$389.01 ,"$1,603.73 ","$1,678.26 ","$1,603.73 ","$2,345.40 ",$816.43 ,"$1,944.86 ","$1,286.89 ",$392.90 ,$126.56 ,"$2,436.61 ",$408.46 ,$120.53 ,"$2,267.22 ",$389.01 ,"$2,345.40 ",$389.01 ,"$2,345.40 ","$2,345.40 ","$2,345.40 ","$2,527.82 ","$2,110.86 ","$2,345.40 ","$2,345.40 ","$2,345.40 ","$2,345.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000047,78580,HC LUNG PERFUS,340,1 ,"$1,937.00 ","$1,452.75 ",$285.04 ,"$1,937.00 ","$1,247.43 ",$389.01 ,"$1,355.90 ",$302.87 ,$356.30 ,$311.96 ,$285.04 ,"$1,840.15 ", N/A ,"$1,549.60 ","$1,762.67 ",$302.87 ,"$1,820.78 ","$1,840.15 ","$1,743.30 ","$1,646.45 ",$302.87 ,$302.87 ,$302.87 ,"$1,414.01 ",$389.01 ,"$1,723.93 ","$1,743.30 ","$1,743.30 ","$1,549.60 ",$400.68 ,"$1,065.35 ","$1,743.30 ",$389.01 ,"$1,743.30 ",$389.01 ,"$1,840.15 ",$875.27 ,"$1,782.04 ",$321.04 ,"$1,762.67 ",$389.01 ,"$1,192.03 ","$1,247.43 ","$1,192.03 ","$1,743.30 ",$595.26 ,"$1,445.58 ","$1,436.84 ",$392.90 ,$318.01 ,"$1,811.10 ",$408.46 ,$302.87 ,"$1,685.19 ",$389.01 ,"$1,743.30 ",$389.01 ,"$1,743.30 ","$1,743.30 ","$1,743.30 ","$1,878.89 ","$1,568.97 ","$1,743.30 ","$1,743.30 ","$1,743.30 ","$1,743.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$2,679.00 ","$2,009.25 ",$302.87 ,"$2,679.00 ","$1,725.28 ",$505.00 ,"$1,875.30 ",$302.87 ,$495.90 ,$311.96 ,$396.72 ,"$2,545.05 ", N/A ,"$2,143.20 ","$2,437.89 ",$302.87 ,"$2,518.26 ","$2,545.05 ","$2,411.10 ","$2,277.15 ",$302.87 ,$302.87 ,$302.87 ,"$1,955.67 ",$505.00 ,"$2,384.31 ","$2,411.10 ","$2,411.10 ","$2,143.20 ",$520.15 ,"$1,473.45 ","$2,411.10 ",$505.00 ,"$2,411.10 ",$505.00 ,"$2,545.05 ","$1,136.24 ","$2,464.68 ",$321.04 ,"$2,437.89 ",$505.00 ,"$1,648.66 ","$1,725.28 ","$1,648.66 ","$2,411.10 ",$546.92 ,"$1,999.34 ","$2,001.28 ",$510.05 ,$318.01 ,"$2,504.87 ",$530.25 ,$302.87 ,"$2,330.73 ",$505.00 ,"$2,411.10 ",$505.00 ,"$2,411.10 ","$2,411.10 ","$2,411.10 ","$2,598.63 ","$2,169.99 ","$2,411.10 ","$2,411.10 ","$2,411.10 ","$2,411.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000061,78701,HC KIDNEY SCAN W/FLOW,340,1 ,"$2,103.00 ","$1,577.25 ",$120.53 ,"$2,103.00 ","$1,354.33 ",$389.01 ,"$1,472.10 ",$120.53 ,$329.89 ,$124.15 ,$263.91 ,"$1,997.85 ", N/A ,"$1,682.40 ","$1,913.73 ",$120.53 ,"$1,976.82 ","$1,997.85 ","$1,892.70 ","$1,787.55 ",$120.53 ,$120.53 ,$120.53 ,"$1,535.19 ",$389.01 ,"$1,871.67 ","$1,892.70 ","$1,892.70 ","$1,682.40 ",$400.68 ,"$1,156.65 ","$1,892.70 ",$389.01 ,"$1,892.70 ",$389.01 ,"$1,997.85 ",$875.27 ,"$1,934.76 ",$127.76 ,"$1,913.73 ",$389.01 ,"$1,294.19 ","$1,354.33 ","$1,294.19 ","$1,892.70 ",$541.05 ,"$1,569.47 ","$1,352.18 ",$392.90 ,$126.56 ,"$1,966.31 ",$408.46 ,$120.53 ,"$1,829.61 ",$389.01 ,"$1,892.70 ",$389.01 ,"$1,892.70 ","$1,892.70 ","$1,892.70 ","$2,039.91 ","$1,703.43 ","$1,892.70 ","$1,892.70 ","$1,892.70 ","$1,892.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000062,78707,HC KIDNEY SCAN W/FLOW AND FUNCTION,340,1 ,"$1,751.00 ","$1,313.25 ",$120.53 ,"$1,751.00 ","$1,127.64 ",$505.00 ,"$1,225.70 ",$120.53 ,$327.50 ,$124.15 ,$262.00 ,"$1,663.45 ", N/A ,"$1,400.80 ","$1,593.41 ",$120.53 ,"$1,645.94 ","$1,663.45 ","$1,575.90 ","$1,488.35 ",$120.53 ,$120.53 ,$120.53 ,"$1,278.23 ",$505.00 ,"$1,558.39 ","$1,575.90 ","$1,575.90 ","$1,400.80 ",$520.15 ,$963.05 ,"$1,575.90 ",$505.00 ,"$1,575.90 ",$505.00 ,"$1,663.45 ","$1,136.24 ","$1,610.92 ",$127.76 ,"$1,593.41 ",$505.00 ,"$1,077.57 ","$1,127.64 ","$1,077.57 ","$1,575.90 ",$678.27 ,"$1,306.77 ","$1,323.19 ",$510.05 ,$126.56 ,"$1,637.19 ",$530.25 ,$120.53 ,"$1,523.37 ",$505.00 ,"$1,575.90 ",$505.00 ,"$1,575.90 ","$1,575.90 ","$1,575.90 ","$1,698.47 ","$1,418.31 ","$1,575.90 ","$1,575.90 ","$1,575.90 ","$1,575.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,"$1,584.00 ","$1,188.00 ",$120.53 ,"$1,584.00 ","$1,020.10 ",$505.00 ,"$1,108.80 ",$120.53 ,$205.29 ,$124.15 ,$164.23 ,"$1,504.80 ", N/A ,"$1,267.20 ","$1,441.44 ",$120.53 ,"$1,488.96 ","$1,504.80 ","$1,425.60 ","$1,346.40 ",$120.53 ,$120.53 ,$120.53 ,"$1,156.32 ",$505.00 ,"$1,409.76 ","$1,425.60 ","$1,425.60 ","$1,267.20 ",$520.15 ,$871.20 ,"$1,425.60 ",$505.00 ,"$1,425.60 ",$505.00 ,"$1,504.80 ","$1,136.24 ","$1,457.28 ",$127.76 ,"$1,441.44 ",$505.00 ,$974.79 ,"$1,020.10 ",$974.79 ,"$1,425.60 ",$500.97 ,"$1,182.14 ",$828.25 ,$510.05 ,$126.56 ,"$1,481.04 ",$530.25 ,$120.53 ,"$1,378.08 ",$505.00 ,"$1,425.60 ",$505.00 ,"$1,425.60 ","$1,425.60 ","$1,425.60 ","$1,536.48 ","$1,283.04 ","$1,425.60 ","$1,425.60 ","$1,425.60 ","$1,425.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000069,78801,HC TUMOR LOCAL MULTIPLE,340,1 ,"$2,649.00 ","$1,986.75 ",$302.87 ,"$2,649.00 ","$1,705.96 ",$389.01 ,"$1,854.30 ",$302.87 ,$391.74 ,$311.96 ,$313.39 ,"$2,516.55 ", N/A ,"$2,119.20 ","$2,410.59 ",$302.87 ,"$2,490.06 ","$2,516.55 ","$2,384.10 ","$2,251.65 ",$302.87 ,$302.87 ,$302.87 ,"$1,933.77 ",$389.01 ,"$2,357.61 ","$2,384.10 ","$2,384.10 ","$2,119.20 ",$400.68 ,"$1,456.95 ","$2,384.10 ",$389.01 ,"$2,384.10 ",$389.01 ,"$2,516.55 ",$875.27 ,"$2,437.08 ",$321.04 ,"$2,410.59 ",$389.01 ,"$1,630.19 ","$1,705.96 ","$1,630.19 ","$2,384.10 ",$597.09 ,"$1,976.95 ","$1,565.04 ",$392.90 ,$318.01 ,"$2,476.82 ",$408.46 ,$302.87 ,"$2,304.63 ",$389.01 ,"$2,384.10 ",$389.01 ,"$2,384.10 ","$2,384.10 ","$2,384.10 ","$2,569.53 ","$2,145.69 ","$2,384.10 ","$2,384.10 ","$2,384.10 ","$2,384.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000081,79005,HC NM RADIOPAHARM THRPY ORAL,340,1 ,"$1,942.00 ","$1,456.50 ",$66.75 ,"$1,942.00 ","$1,250.65 ",$261.12 ,"$1,359.40 ",$98.11 ,$83.44 ,$101.05 ,$66.75 ,"$1,844.90 ", N/A ,"$1,553.60 ","$1,767.22 ",$98.11 ,"$1,825.48 ","$1,844.90 ","$1,747.80 ","$1,650.70 ",$98.11 ,$98.11 ,$98.11 ,"$1,417.66 ",$261.12 ,"$1,728.38 ","$1,747.80 ","$1,747.80 ","$1,553.60 ",$268.95 ,"$1,068.10 ","$1,747.80 ",$261.12 ,"$1,747.80 ",$261.12 ,"$1,844.90 ",$587.52 ,"$1,786.64 ",$104.00 ,"$1,767.22 ",$261.12 ,"$1,195.11 ","$1,250.65 ","$1,195.11 ","$1,747.80 ",$216.61 ,"$1,449.31 ",$335.50 ,$263.73 ,$103.02 ,"$1,815.77 ",$274.18 ,$98.11 ,"$1,689.54 ",$261.12 ,"$1,747.80 ",$261.12 ,"$1,747.80 ","$1,747.80 ","$1,747.80 ","$1,883.74 ","$1,573.02 ","$1,747.80 ","$1,747.80 ","$1,747.80 ","$1,747.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,34000083,79101,HC NM RADIOPAHARM THRPY IV,340,1 ,$864.00 ,$648.00 ,$65.07 ,$864.00 ,$556.42 ,$261.12 ,$604.80 ,$98.11 ,$81.34 ,$101.05 ,$65.07 ,$820.80 , N/A ,$691.20 ,$786.24 ,$98.11 ,$812.16 ,$820.80 ,$777.60 ,$734.40 ,$98.11 ,$98.11 ,$98.11 ,$630.72 ,$261.12 ,$768.96 ,$777.60 ,$777.60 ,$691.20 ,$268.95 ,$475.20 ,$777.60 ,$261.12 ,$777.60 ,$261.12 ,$820.80 ,$587.52 ,$794.88 ,$104.00 ,$786.24 ,$261.12 ,$531.71 ,$556.42 ,$531.71 ,$777.60 ,$216.61 ,$644.80 ,$332.20 ,$263.73 ,$103.02 ,$807.84 ,$274.18 ,$98.11 ,$751.68 ,$261.12 ,$777.60 ,$261.12 ,$777.60 ,$777.60 ,$777.60 ,$838.08 ,$699.84 ,$777.60 ,$777.60 ,$777.60 ,$777.60 
ST. JOSEPH'S - CHIPPEWA FALLS,34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,$974.00 ,$730.50 ,$120.53 ,"$1,136.24 ",$627.26 ,$505.00 ,$681.80 ,$120.53 ,$710.54 ,$124.15 ,$568.43 ,$925.30 , N/A ,$779.20 ,$886.34 ,$120.53 ,$915.56 ,$925.30 ,$876.60 ,$827.90 ,$120.53 ,$120.53 ,$120.53 ,$711.02 ,$505.00 ,$866.86 ,$876.60 ,$876.60 ,$779.20 ,$520.15 ,$535.70 ,$876.60 ,$505.00 ,$876.60 ,$505.00 ,$925.30 ,"$1,136.24 ",$896.08 ,$127.76 ,$886.34 ,$505.00 ,$599.40 ,$627.26 ,$599.40 ,$876.60 ,$819.35 ,$726.90 ,$876.60 ,$510.05 ,$126.56 ,$910.69 ,$530.25 ,$120.53 ,$847.38 ,$505.00 ,$876.60 ,$505.00 ,$876.60 ,$876.60 ,$876.60 ,$944.78 ,$788.94 ,$876.60 ,$876.60 ,$876.60 ,$876.60 
ST. JOSEPH'S - CHIPPEWA FALLS,34000093,78071,HC PARATHYROID IMG W/SPECT 78071,340,1 ,"$2,152.00 ","$1,614.00 ",$120.53 ,"$2,152.00 ","$1,385.89 ",$389.01 ,"$1,506.40 ",$120.53 ,$525.91 ,$124.15 ,$420.73 ,"$2,044.40 ", N/A ,"$1,721.60 ","$1,958.32 ",$120.53 ,"$2,022.88 ","$2,044.40 ","$1,936.80 ","$1,829.20 ",$120.53 ,$120.53 ,$120.53 ,"$1,570.96 ",$389.01 ,"$1,915.28 ","$1,936.80 ","$1,936.80 ","$1,721.60 ",$400.68 ,"$1,183.60 ","$1,936.80 ",$389.01 ,"$1,936.80 ",$389.01 ,"$2,044.40 ",$875.27 ,"$1,979.84 ",$127.76 ,"$1,958.32 ",$389.01 ,"$1,324.34 ","$1,385.89 ","$1,324.34 ","$1,936.80 ",$614.00 ,"$1,606.04 ","$1,936.80 ",$392.90 ,$126.56 ,"$2,012.12 ",$408.46 ,$120.53 ,"$1,872.24 ",$389.01 ,"$1,936.80 ",$389.01 ,"$1,936.80 ","$1,936.80 ","$1,936.80 ","$2,087.44 ","$1,743.12 ","$1,936.80 ","$1,936.80 ","$1,936.80 ","$1,936.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,34100001,78015,HC NM THYROID CA METAST;LTD,341,1 ,$928.00 ,$696.00 ,$120.53 ,$928.00 ,$597.63 ,$389.01 ,$649.60 ,$120.53 ,$332.29 ,$124.15 ,$265.83 ,$881.60 , N/A ,$742.40 ,$844.48 ,$120.53 ,$872.32 ,$881.60 ,$835.20 ,$788.80 ,$120.53 ,$120.53 ,$120.53 ,$677.44 ,$389.01 ,$825.92 ,$835.20 ,$835.20 ,$742.40 ,$400.68 ,$510.40 ,$835.20 ,$389.01 ,$835.20 ,$389.01 ,$881.60 ,$875.27 ,$853.76 ,$127.76 ,$844.48 ,$389.01 ,$571.09 ,$597.63 ,$571.09 ,$835.20 ,$401.89 ,$692.57 ,$835.20 ,$392.90 ,$126.56 ,$867.68 ,$408.46 ,$120.53 ,$807.36 ,$389.01 ,$835.20 ,$389.01 ,$835.20 ,$835.20 ,$835.20 ,$900.16 ,$751.68 ,$835.20 ,$835.20 ,$835.20 ,$835.20 
ST. JOSEPH'S - CHIPPEWA FALLS,34100007,A9538,HC NM PYROPHOSPHATE 99M VIAL,343,1 ,$376.00 ,$282.00 ,$206.80 ,$376.00 ,$242.14 , N/A ,$263.20 , N/A ,$312.08 , N/A ,$248.16 ,$357.20 , N/A ,$300.80 ,$342.16 , N/A ,$353.44 ,$357.20 ,$338.40 ,$319.60 , N/A , N/A , N/A ,$274.48 , N/A ,$334.64 ,$338.40 ,$338.40 ,$300.80 , N/A ,$206.80 ,$338.40 , N/A ,$338.40 , N/A ,$357.20 , N/A ,$345.92 , N/A ,$342.16 , N/A ,$231.39 ,$242.14 ,$231.39 ,$338.40 ,$338.40 ,$280.61 ,$261.88 , N/A , N/A ,$351.56 , N/A , N/A ,$327.12 , N/A ,$338.40 , N/A ,$338.40 ,$338.40 ,$338.40 ,$364.72 ,$304.56 ,$338.40 ,$338.40 ,$338.40 ,$338.40 
ST. JOSEPH'S - CHIPPEWA FALLS,34100017,A9567,HC NM TECH 99 DTPA VENT,341,1 ,$297.00 ,$222.75 ,$163.35 ,$297.00 ,$191.27 , N/A ,$207.90 , N/A ,$246.51 , N/A ,$196.02 ,$282.15 , N/A ,$237.60 ,$270.27 , N/A ,$279.18 ,$282.15 ,$267.30 ,$252.45 , N/A , N/A , N/A ,$216.81 , N/A ,$264.33 ,$267.30 ,$267.30 ,$237.60 , N/A ,$163.35 ,$267.30 , N/A ,$267.30 , N/A ,$282.15 , N/A ,$273.24 , N/A ,$270.27 , N/A ,$182.77 ,$191.27 ,$182.77 ,$267.30 ,$267.30 ,$221.65 ,$206.86 , N/A , N/A ,$277.70 , N/A , N/A ,$258.39 , N/A ,$267.30 , N/A ,$267.30 ,$267.30 ,$267.30 ,$288.09 ,$240.57 ,$267.30 ,$267.30 ,$267.30 ,$267.30 
ST. JOSEPH'S - CHIPPEWA FALLS,34100033,78831,HC TUMOR LOCAL SPECT MULT AREA 1 DAY OR SGL AREA W/MULT DAYS,341,1 ,"$3,514.00 ","$2,635.50 ",$302.87 ,"$3,514.00 ","$2,263.02 ","$1,348.55 ","$2,459.80 ",$302.87 ,"$1,061.34 ",$311.96 ,$849.07 ,"$3,338.30 ", N/A ,"$2,811.20 ","$3,197.74 ",$302.87 ,"$3,303.16 ","$3,338.30 ","$3,162.60 ","$2,986.90 ",$302.87 ,$302.87 ,$302.87 ,"$2,565.22 ","$1,348.55 ","$3,127.46 ","$3,162.60 ","$3,162.60 ","$2,811.20 ","$1,389.01 ","$1,932.70 ","$3,162.60 ","$1,348.55 ","$3,162.60 ","$1,348.55 ","$3,338.30 ","$3,034.25 ","$3,232.88 ",$321.04 ,"$3,197.74 ","$1,348.55 ","$2,162.52 ","$2,263.02 ","$2,162.52 ","$3,162.60 ","$3,162.60 ","$2,622.50 ","$3,162.60 ","$1,362.04 ",$318.01 ,"$3,285.59 ","$1,415.98 ",$302.87 ,"$3,057.18 ","$1,348.55 ","$3,162.60 ","$1,348.55 ","$3,162.60 ","$3,162.60 ","$3,162.60 ","$3,408.58 ","$2,846.34 ","$3,162.60 ","$3,162.60 ","$3,162.60 ","$3,162.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,34100034,78830,HC TUMOR IMAGING SPECT W/CT SGL AREA 1 DAY,341,1 ,"$2,818.00 ","$2,113.50 ",$302.87 ,"$3,034.25 ","$1,814.79 ","$1,348.55 ","$1,972.60 ",$302.87 ,$715.30 ,$311.96 ,$572.24 ,"$2,677.10 ", N/A ,"$2,254.40 ","$2,564.38 ",$302.87 ,"$2,648.92 ","$2,677.10 ","$2,536.20 ","$2,395.30 ",$302.87 ,$302.87 ,$302.87 ,"$2,057.14 ","$1,348.55 ","$2,508.02 ","$2,536.20 ","$2,536.20 ","$2,254.40 ","$1,389.01 ","$1,549.90 ","$2,536.20 ","$1,348.55 ","$2,536.20 ","$1,348.55 ","$2,677.10 ","$3,034.25 ","$2,592.56 ",$321.04 ,"$2,564.38 ","$1,348.55 ","$1,734.20 ","$1,814.79 ","$1,734.20 ","$2,536.20 ","$2,536.20 ","$2,103.07 ","$2,536.20 ","$1,362.04 ",$318.01 ,"$2,634.83 ","$1,415.98 ",$302.87 ,"$2,451.66 ","$1,348.55 ","$2,536.20 ","$1,348.55 ","$2,536.20 ","$2,536.20 ","$2,536.20 ","$2,733.46 ","$2,282.58 ","$2,536.20 ","$2,536.20 ","$2,536.20 ","$2,536.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,34100035,78832,HC TUMOR LOCAL SPECT W/CT MULT AREA 1 DAY OR SGL AREA W/MULT DAYS,341,1 ,"$5,258.00 ","$3,943.50 ",$302.87 ,"$5,258.00 ","$3,386.15 ","$1,527.34 ","$3,680.60 ",$302.87 ,"$1,402.38 ",$311.96 ,"$1,121.90 ","$4,995.10 ", N/A ,"$4,206.40 ","$4,784.78 ",$302.87 ,"$4,942.52 ","$4,995.10 ","$4,732.20 ","$4,469.30 ",$302.87 ,$302.87 ,$302.87 ,"$3,838.34 ","$1,527.34 ","$4,679.62 ","$4,732.20 ","$4,732.20 ","$4,206.40 ","$1,573.16 ","$2,891.90 ","$4,732.20 ","$1,527.34 ","$4,732.20 ","$1,527.34 ","$4,995.10 ","$3,436.52 ","$4,837.36 ",$321.04 ,"$4,784.78 ","$1,527.34 ","$3,235.77 ","$3,386.15 ","$3,235.77 ","$4,732.20 ","$4,732.20 ","$3,924.05 ","$4,732.20 ","$1,542.61 ",$318.01 ,"$4,916.23 ","$1,603.71 ",$302.87 ,"$4,574.46 ","$1,527.34 ","$4,732.20 ","$1,527.34 ","$4,732.20 ","$4,732.20 ","$4,732.20 ","$5,100.26 ","$4,258.98 ","$4,732.20 ","$4,732.20 ","$4,732.20 ","$4,732.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,"$1,251.00 ",$938.25 ,$685.67 ,"$1,251.00 ",$805.64 , N/A ,$875.70 , N/A ,"$1,038.33 ", N/A ,$825.66 ,"$1,188.45 ", N/A ,"$1,000.80 ","$1,138.41 ", N/A ,"$1,175.94 ","$1,188.45 ","$1,125.90 ","$1,063.35 ", N/A , N/A , N/A ,$913.23 , N/A ,"$1,113.39 ","$1,125.90 ","$1,125.90 ","$1,000.80 ", N/A ,$688.05 ,"$1,125.90 ", N/A ,"$1,125.90 ", N/A ,"$1,188.45 ", N/A ,"$1,150.92 ", N/A ,"$1,138.41 ", N/A ,$769.87 ,$805.64 ,$769.87 ,"$1,125.90 ","$1,125.90 ",$933.62 ,$685.67 , N/A , N/A ,"$1,169.69 ", N/A , N/A ,"$1,088.37 ", N/A ,"$1,125.90 ", N/A ,"$1,125.90 ","$1,125.90 ","$1,125.90 ","$1,213.47 ","$1,013.31 ","$1,125.90 ","$1,125.90 ","$1,125.90 ","$1,125.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$385.00 ,$288.75 ,$211.16 ,$385.00 ,$247.94 , N/A ,$269.50 , N/A ,$319.55 , N/A ,$254.10 ,$365.75 , N/A ,$308.00 ,$350.35 , N/A ,$361.90 ,$365.75 ,$346.50 ,$327.25 , N/A , N/A , N/A ,$281.05 , N/A ,$342.65 ,$346.50 ,$346.50 ,$308.00 , N/A ,$211.75 ,$346.50 , N/A ,$346.50 , N/A ,$365.75 , N/A ,$354.20 , N/A ,$350.35 , N/A ,$236.93 ,$247.94 ,$236.93 ,$346.50 ,$346.50 ,$287.33 ,$211.16 , N/A , N/A ,$359.98 , N/A , N/A ,$334.95 , N/A ,$346.50 , N/A ,$346.50 ,$346.50 ,$346.50 ,$373.45 ,$311.85 ,$346.50 ,$346.50 ,$346.50 ,$346.50 
ST. JOSEPH'S - CHIPPEWA FALLS,34300010,A9516,HC DIAGNUCLIDE I123 CAPS 100 MICR,343,1 ,$109.00 ,$81.75 ,$59.95 ,$109.00 ,$70.20 , N/A ,$76.30 , N/A ,$90.47 , N/A ,$71.94 ,$103.55 , N/A ,$87.20 ,$99.19 , N/A ,$102.46 ,$103.55 ,$98.10 ,$92.65 , N/A , N/A , N/A ,$79.57 , N/A ,$97.01 ,$98.10 ,$98.10 ,$87.20 , N/A ,$59.95 ,$98.10 , N/A ,$98.10 , N/A ,$103.55 , N/A ,$100.28 , N/A ,$99.19 , N/A ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$98.10 ,$81.35 ,$98.10 , N/A , N/A ,$101.92 , N/A , N/A ,$94.83 , N/A ,$98.10 , N/A ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 
ST. JOSEPH'S - CHIPPEWA FALLS,34300014,A9528,HC DIAGNUCLIDE I131 NECK/CHST,343,1 ,$142.00 ,$106.50 ,$78.10 ,$142.00 ,$91.45 , N/A ,$99.40 , N/A ,$117.86 , N/A ,$93.72 ,$134.90 , N/A ,$113.60 ,$129.22 , N/A ,$133.48 ,$134.90 ,$127.80 ,$120.70 , N/A , N/A , N/A ,$103.66 , N/A ,$126.38 ,$127.80 ,$127.80 ,$113.60 , N/A ,$78.10 ,$127.80 , N/A ,$127.80 , N/A ,$134.90 , N/A ,$130.64 , N/A ,$129.22 , N/A ,$87.39 ,$91.45 ,$87.39 ,$127.80 ,$127.80 ,$105.97 ,$98.90 , N/A , N/A ,$132.77 , N/A , N/A ,$123.54 , N/A ,$127.80 , N/A ,$127.80 ,$127.80 ,$127.80 ,$137.74 ,$115.02 ,$127.80 ,$127.80 ,$127.80 ,$127.80 
ST. JOSEPH'S - CHIPPEWA FALLS,34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$436.00 ,$327.00 ,$238.79 ,$436.00 ,$280.78 , N/A ,$305.20 , N/A ,$361.88 , N/A ,$287.76 ,$414.20 , N/A ,$348.80 ,$396.76 , N/A ,$409.84 ,$414.20 ,$392.40 ,$370.60 , N/A , N/A , N/A ,$318.28 , N/A ,$388.04 ,$392.40 ,$392.40 ,$348.80 , N/A ,$239.80 ,$392.40 , N/A ,$392.40 , N/A ,$414.20 , N/A ,$401.12 , N/A ,$396.76 , N/A ,$268.31 ,$280.78 ,$268.31 ,$392.40 ,$392.40 ,$325.39 ,$238.79 , N/A , N/A ,$407.66 , N/A , N/A ,$379.32 , N/A ,$392.40 , N/A ,$392.40 ,$392.40 ,$392.40 ,$422.92 ,$353.16 ,$392.40 ,$392.40 ,$392.40 ,$392.40 
ST. JOSEPH'S - CHIPPEWA FALLS,34300017,A9539,HC DIAGNUCLIDE DTPA KIDNEY PER DOSE,343,1 ,$223.00 ,$167.25 ,$122.65 ,$223.00 ,$143.61 , N/A ,$156.10 , N/A ,$185.09 , N/A ,$147.18 ,$211.85 , N/A ,$178.40 ,$202.93 , N/A ,$209.62 ,$211.85 ,$200.70 ,$189.55 , N/A , N/A , N/A ,$162.79 , N/A ,$198.47 ,$200.70 ,$200.70 ,$178.40 , N/A ,$122.65 ,$200.70 , N/A ,$200.70 , N/A ,$211.85 , N/A ,$205.16 , N/A ,$202.93 , N/A ,$137.23 ,$143.61 ,$137.23 ,$200.70 ,$200.70 ,$166.42 ,$155.32 , N/A , N/A ,$208.51 , N/A , N/A ,$194.01 , N/A ,$200.70 , N/A ,$200.70 ,$200.70 ,$200.70 ,$216.31 ,$180.63 ,$200.70 ,$200.70 ,$200.70 ,$200.70 
ST. JOSEPH'S - CHIPPEWA FALLS,34300018,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$342.00 ,$256.50 ,$188.10 ,$342.00 ,$220.25 , N/A ,$239.40 , N/A ,$283.86 , N/A ,$225.72 ,$324.90 , N/A ,$273.60 ,$311.22 , N/A ,$321.48 ,$324.90 ,$307.80 ,$290.70 , N/A , N/A , N/A ,$249.66 , N/A ,$304.38 ,$307.80 ,$307.80 ,$273.60 , N/A ,$188.10 ,$307.80 , N/A ,$307.80 , N/A ,$324.90 , N/A ,$314.64 , N/A ,$311.22 , N/A ,$210.47 ,$220.25 ,$210.47 ,$307.80 ,$307.80 ,$255.23 ,$238.20 , N/A , N/A ,$319.77 , N/A , N/A ,$297.54 , N/A ,$307.80 , N/A ,$307.80 ,$307.80 ,$307.80 ,$331.74 ,$277.02 ,$307.80 ,$307.80 ,$307.80 ,$307.80 
ST. JOSEPH'S - CHIPPEWA FALLS,34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$342.00 ,$256.50 ,$188.10 ,$342.00 ,$220.25 , N/A ,$239.40 , N/A ,$283.86 , N/A ,$225.72 ,$324.90 , N/A ,$273.60 ,$311.22 , N/A ,$321.48 ,$324.90 ,$307.80 ,$290.70 , N/A , N/A , N/A ,$249.66 , N/A ,$304.38 ,$307.80 ,$307.80 ,$273.60 , N/A ,$188.10 ,$307.80 , N/A ,$307.80 , N/A ,$324.90 , N/A ,$314.64 , N/A ,$311.22 , N/A ,$210.47 ,$220.25 ,$210.47 ,$307.80 ,$307.80 ,$255.23 ,$238.20 , N/A , N/A ,$319.77 , N/A , N/A ,$297.54 , N/A ,$307.80 , N/A ,$307.80 ,$307.80 ,$307.80 ,$331.74 ,$277.02 ,$307.80 ,$307.80 ,$307.80 ,$307.80 
ST. JOSEPH'S - CHIPPEWA FALLS,34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,$165.00 ,$123.75 ,$90.45 ,$165.00 ,$106.26 , N/A ,$115.50 , N/A ,$136.95 , N/A ,$108.90 ,$156.75 , N/A ,$132.00 ,$150.15 , N/A ,$155.10 ,$156.75 ,$148.50 ,$140.25 , N/A , N/A , N/A ,$120.45 , N/A ,$146.85 ,$148.50 ,$148.50 ,$132.00 , N/A ,$90.75 ,$148.50 , N/A ,$148.50 , N/A ,$156.75 , N/A ,$151.80 , N/A ,$150.15 , N/A ,$101.54 ,$106.26 ,$101.54 ,$148.50 ,$148.50 ,$123.14 ,$90.45 , N/A , N/A ,$154.28 , N/A , N/A ,$143.55 , N/A ,$148.50 , N/A ,$148.50 ,$148.50 ,$148.50 ,$160.05 ,$133.65 ,$148.50 ,$148.50 ,$148.50 ,$148.50 
ST. JOSEPH'S - CHIPPEWA FALLS,34300031,A9556,HC DIAGNUCLIDE GA67 PER MCI,343,1 ,$240.00 ,$180.00 ,$132.00 ,$240.00 ,$154.56 , N/A ,$168.00 , N/A ,$199.20 , N/A ,$158.40 ,$228.00 , N/A ,$192.00 ,$218.40 , N/A ,$225.60 ,$228.00 ,$216.00 ,$204.00 , N/A , N/A , N/A ,$175.20 , N/A ,$213.60 ,$216.00 ,$216.00 ,$192.00 , N/A ,$132.00 ,$216.00 , N/A ,$216.00 , N/A ,$228.00 , N/A ,$220.80 , N/A ,$218.40 , N/A ,$147.70 ,$154.56 ,$147.70 ,$216.00 ,$216.00 ,$179.11 ,$167.16 , N/A , N/A ,$224.40 , N/A , N/A ,$208.80 , N/A ,$216.00 , N/A ,$216.00 ,$216.00 ,$216.00 ,$232.80 ,$194.40 ,$216.00 ,$216.00 ,$216.00 ,$216.00 
ST. JOSEPH'S - CHIPPEWA FALLS,34300036,A9560,HC RBC TAG KIT WITH TC99,343,1 ,$769.00 ,$576.75 ,$422.95 ,$769.00 ,$495.24 , N/A ,$538.30 , N/A ,$638.27 , N/A ,$507.54 ,$730.55 , N/A ,$615.20 ,$699.79 , N/A ,$722.86 ,$730.55 ,$692.10 ,$653.65 , N/A , N/A , N/A ,$561.37 , N/A ,$684.41 ,$692.10 ,$692.10 ,$615.20 , N/A ,$422.95 ,$692.10 , N/A ,$692.10 , N/A ,$730.55 , N/A ,$707.48 , N/A ,$699.79 , N/A ,$473.24 ,$495.24 ,$473.24 ,$692.10 ,$692.10 ,$573.90 ,$535.61 , N/A , N/A ,$719.02 , N/A , N/A ,$669.03 , N/A ,$692.10 , N/A ,$692.10 ,$692.10 ,$692.10 ,$745.93 ,$622.89 ,$692.10 ,$692.10 ,$692.10 ,$692.10 
ST. JOSEPH'S - CHIPPEWA FALLS,34300037,A9562,HC DIAG NUCLDE MAG 3 PER DOSE,343,1 ,$960.00 ,$720.00 ,$528.00 ,$960.00 ,$618.24 , N/A ,$672.00 , N/A ,$796.80 , N/A ,$633.60 ,$912.00 , N/A ,$768.00 ,$873.60 , N/A ,$902.40 ,$912.00 ,$864.00 ,$816.00 , N/A , N/A , N/A ,$700.80 , N/A ,$854.40 ,$864.00 ,$864.00 ,$768.00 , N/A ,$528.00 ,$864.00 , N/A ,$864.00 , N/A ,$912.00 , N/A ,$883.20 , N/A ,$873.60 , N/A ,$590.78 ,$618.24 ,$590.78 ,$864.00 ,$864.00 ,$716.45 ,$668.64 , N/A , N/A ,$897.60 , N/A , N/A ,$835.20 , N/A ,$864.00 , N/A ,$864.00 ,$864.00 ,$864.00 ,$931.20 ,$777.60 ,$864.00 ,$864.00 ,$864.00 ,$864.00 
ST. JOSEPH'S - CHIPPEWA FALLS,34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$109.00 ,$81.75 ,$26.29 ,$109.00 ,$70.20 , N/A ,$76.30 ,$26.29 ,$109.00 ,$27.08 ,$109.00 ,$103.55 , N/A ,$87.20 ,$99.19 ,$26.29 ,$102.46 ,$103.55 ,$98.10 ,$92.65 ,$26.29 ,$26.29 ,$26.29 ,$79.57 , N/A ,$97.01 ,$98.10 ,$98.10 ,$87.20 , N/A ,$59.95 ,$98.10 , N/A ,$98.10 , N/A ,$103.55 , N/A ,$100.28 ,$27.87 ,$99.19 , N/A ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$98.10 ,$81.35 ,$98.10 , N/A ,$27.60 ,$101.92 , N/A ,$26.29 ,$94.83 , N/A ,$98.10 , N/A ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 
ST. JOSEPH'S - CHIPPEWA FALLS,34300050,A9510,HC DIAGNUCLIDE TECHN TC-99 PER STUDY DOSE/15 MCI,343,1 ,$429.00 ,$321.75 ,$235.95 ,$429.00 ,$276.28 , N/A ,$300.30 , N/A ,$356.07 , N/A ,$283.14 ,$407.55 , N/A ,$343.20 ,$390.39 , N/A ,$403.26 ,$407.55 ,$386.10 ,$364.65 , N/A , N/A , N/A ,$313.17 , N/A ,$381.81 ,$386.10 ,$386.10 ,$343.20 , N/A ,$235.95 ,$386.10 , N/A ,$386.10 , N/A ,$407.55 , N/A ,$394.68 , N/A ,$390.39 , N/A ,$264.01 ,$276.28 ,$264.01 ,$386.10 ,$386.10 ,$320.16 ,$298.80 , N/A , N/A ,$401.12 , N/A , N/A ,$373.23 , N/A ,$386.10 , N/A ,$386.10 ,$386.10 ,$386.10 ,$416.13 ,$347.49 ,$386.10 ,$386.10 ,$386.10 ,$386.10 
ST. JOSEPH'S - CHIPPEWA FALLS,34300052,A9539,HC DIAGNUCLIDE DTPA AEROSOL,343,1 ,$223.00 ,$167.25 ,$122.65 ,$223.00 ,$143.61 , N/A ,$156.10 , N/A ,$185.09 , N/A ,$147.18 ,$211.85 , N/A ,$178.40 ,$202.93 , N/A ,$209.62 ,$211.85 ,$200.70 ,$189.55 , N/A , N/A , N/A ,$162.79 , N/A ,$198.47 ,$200.70 ,$200.70 ,$178.40 , N/A ,$122.65 ,$200.70 , N/A ,$200.70 , N/A ,$211.85 , N/A ,$205.16 , N/A ,$202.93 , N/A ,$137.23 ,$143.61 ,$137.23 ,$200.70 ,$200.70 ,$166.42 ,$155.32 , N/A , N/A ,$208.51 , N/A , N/A ,$194.01 , N/A ,$200.70 , N/A ,$200.70 ,$200.70 ,$200.70 ,$216.31 ,$180.63 ,$200.70 ,$200.70 ,$200.70 ,$200.70 
ST. JOSEPH'S - CHIPPEWA FALLS,34300071,A9592,HC COPPER CU-64 DOTATATE DIAGNOSTIC 1 MILLICURIE,343,1 ,"$2,850.00 ","$2,137.50 ",$918.52 ,"$2,850.00 ","$1,835.40 ",$918.52 ,"$1,995.00 ", N/A ,"$2,365.50 ", N/A ,"$1,881.00 ","$2,707.50 ", N/A ,"$2,280.00 ","$2,593.50 ", N/A ,"$2,679.00 ","$2,707.50 ","$2,565.00 ","$2,422.50 ", N/A , N/A , N/A ,"$2,080.50 ",$918.52 ,"$2,536.50 ","$2,565.00 ","$2,565.00 ","$2,280.00 ",$946.08 ,"$1,567.50 ","$2,565.00 ",$918.52 ,"$2,565.00 ",$918.52 ,"$2,707.50 ","$2,066.68 ","$2,622.00 ", N/A ,"$2,593.50 ",$918.52 ,"$1,753.89 ","$1,835.40 ","$1,753.89 ","$2,565.00 ","$2,565.00 ","$2,126.96 ","$1,985.03 ",$927.71 , N/A ,"$2,664.75 ",$964.45 , N/A ,"$2,479.50 ",$918.52 ,"$2,565.00 ",$918.52 ,"$2,565.00 ","$2,565.00 ","$2,565.00 ","$2,764.50 ","$2,308.50 ","$2,565.00 ","$2,565.00 ","$2,565.00 ","$2,565.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000018,47000,HC BX LIVER NEEDLE PERC,350,1 ,"$1,704.00 ","$1,278.00 ",$232.13 ,"$3,266.98 ","$1,097.38 ","$1,451.99 ","$1,192.80 ",$232.13 ,"$1,704.00 ",$239.09 ,"$1,704.00 ","$1,618.80 ", N/A ,"$1,363.20 ","$1,550.64 ",$232.13 ,"$1,601.76 ","$1,618.80 ","$1,533.60 ","$1,448.40 ",$232.13 ,$232.13 ,$232.13 ,"$1,243.92 ","$1,451.99 ","$1,516.56 ","$1,533.60 ","$1,533.60 ","$1,363.20 ","$1,495.55 ",$937.20 ,"$1,533.60 ","$1,451.99 ","$1,533.60 ","$1,451.99 ","$1,618.80 ","$3,266.98 ","$1,567.68 ",$246.06 ,"$1,550.64 ","$1,451.99 ","$1,048.64 ","$1,097.38 ","$1,048.64 ","$1,533.60 ","$1,533.60 ","$1,271.70 ","$1,533.60 ","$1,466.51 ",$243.74 ,"$1,593.24 ","$1,524.59 ",$232.13 ,"$1,482.48 ","$1,451.99 ","$1,533.60 ","$1,451.99 ","$1,533.60 ","$1,533.60 ","$1,533.60 ","$1,652.88 ","$1,380.24 ","$1,533.60 ","$1,533.60 ","$1,533.60 ","$1,533.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000020,49405,HC PERC DRN ABSC/HEM/CYST VISCERAL,350,1 ,"$2,242.48 ","$1,681.86 ",$232.13 ,"$3,266.98 ","$1,444.16 ","$1,451.99 ","$1,569.74 ",$232.13 ,"$2,242.48 ",$239.09 ,"$1,929.00 ","$2,130.36 ", N/A ,"$1,793.98 ","$2,040.66 ",$232.13 ,"$2,107.93 ","$2,130.36 ","$2,018.23 ","$1,906.11 ",$232.13 ,$232.13 ,$232.13 ,"$1,637.01 ","$1,451.99 ","$1,995.81 ","$2,018.23 ","$2,018.23 ","$1,793.98 ","$1,495.55 ","$1,233.36 ","$2,018.23 ","$1,451.99 ","$2,018.23 ","$1,451.99 ","$2,130.36 ","$3,266.98 ","$2,063.08 ",$246.06 ,"$2,040.66 ","$1,451.99 ","$1,380.02 ","$1,444.16 ","$1,380.02 ","$2,018.23 ","$2,018.23 ","$1,673.56 ","$1,929.32 ","$1,466.51 ",$243.74 ,"$2,096.72 ","$1,524.59 ",$232.13 ,"$1,950.96 ","$1,451.99 ","$2,018.23 ","$1,451.99 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,175.21 ","$1,816.41 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,018.23 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000021,47382,HC ABLATION TUMR LIVER RADIO PERC,350,1 ,$944.58 ,$708.44 ,$519.52 ,"$11,748.69 ",$608.31 ,"$5,221.64 ",$661.21 ,$944.58 ,$944.58 ,"$2,064.54 ",$944.58 ,$897.35 , N/A ,$755.66 ,$859.57 ,$944.58 ,$887.91 ,$897.35 ,$850.12 ,$802.89 ,"$2,004.41 ","$2,004.41 ","$2,004.41 ",$689.54 ,"$5,221.64 ",$840.68 ,$850.12 ,$850.12 ,$755.66 ,"$5,378.29 ",$519.52 ,$850.12 ,"$5,221.64 ",$850.12 ,"$5,221.64 ",$897.35 ,"$11,748.69 ",$869.01 ,"$2,124.67 ",$859.57 ,"$5,221.64 ",$581.29 ,$608.31 ,$581.29 ,$850.12 ,$850.12 ,$704.94 ,$850.12 ,"$5,273.86 ","$2,104.63 ",$883.18 ,"$5,482.72 ",$944.58 ,$821.78 ,"$5,221.64 ",$850.12 ,"$5,221.64 ",$850.12 ,$850.12 ,$850.12 ,$916.24 ,$765.11 ,$850.12 ,$850.12 ,$850.12 ,$850.12 
ST. JOSEPH'S - CHIPPEWA FALLS,35000023,48102,HC BX PANCREAS NEEDLE PERC,350,1 ,"$1,354.09 ","$1,015.57 ",$232.13 ,"$3,266.98 ",$872.03 ,"$1,451.99 ",$947.86 ,$232.13 ,"$1,354.09 ",$239.09 ,"$1,354.09 ","$1,286.39 ", N/A ,"$1,083.27 ","$1,232.22 ",$232.13 ,"$1,272.84 ","$1,286.39 ","$1,218.68 ","$1,150.98 ",$232.13 ,$232.13 ,$232.13 ,$988.49 ,"$1,451.99 ","$1,205.14 ","$1,218.68 ","$1,218.68 ","$1,083.27 ","$1,495.55 ",$744.75 ,"$1,218.68 ","$1,451.99 ","$1,218.68 ","$1,451.99 ","$1,286.39 ","$3,266.98 ","$1,245.76 ",$246.06 ,"$1,232.22 ","$1,451.99 ",$833.31 ,$872.03 ,$833.31 ,"$1,218.68 ","$1,218.68 ","$1,010.56 ","$1,218.68 ","$1,466.51 ",$243.74 ,"$1,266.07 ","$1,524.59 ",$232.13 ,"$1,178.06 ","$1,451.99 ","$1,218.68 ","$1,451.99 ","$1,218.68 ","$1,218.68 ","$1,218.68 ","$1,313.47 ","$1,096.81 ","$1,218.68 ","$1,218.68 ","$1,218.68 ","$1,218.68 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000025,49180,HC ABDOM/RETRO/MASS BIOP,350,1 ,"$1,379.00 ","$1,034.25 ",$232.13 ,"$3,266.98 ",$888.08 ,"$1,451.99 ",$965.30 ,$232.13 ,"$1,379.00 ",$239.09 ,"$1,379.00 ","$1,310.05 ", N/A ,"$1,103.20 ","$1,254.89 ",$232.13 ,"$1,296.26 ","$1,310.05 ","$1,241.10 ","$1,172.15 ",$232.13 ,$232.13 ,$232.13 ,"$1,006.67 ","$1,451.99 ","$1,227.31 ","$1,241.10 ","$1,241.10 ","$1,103.20 ","$1,495.55 ",$758.45 ,"$1,241.10 ","$1,451.99 ","$1,241.10 ","$1,451.99 ","$1,310.05 ","$3,266.98 ","$1,268.68 ",$246.06 ,"$1,254.89 ","$1,451.99 ",$848.64 ,$888.08 ,$848.64 ,"$1,241.10 ","$1,241.10 ","$1,029.15 ","$1,241.10 ","$1,466.51 ",$243.74 ,"$1,289.37 ","$1,524.59 ",$232.13 ,"$1,199.73 ","$1,451.99 ","$1,241.10 ","$1,451.99 ","$1,241.10 ","$1,241.10 ","$1,241.10 ","$1,337.63 ","$1,116.99 ","$1,241.10 ","$1,241.10 ","$1,241.10 ","$1,241.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000026,50200,"HC PERC BIOPSY/KIDNEY, NEEDLE",350,1 ,"$1,341.00 ","$1,005.75 ",$474.08 ,"$3,266.98 ",$863.60 ,"$1,451.99 ",$938.70 ,$474.08 ,"$1,341.00 ",$488.30 ,"$1,341.00 ","$1,273.95 ", N/A ,"$1,072.80 ","$1,220.31 ",$474.08 ,"$1,260.54 ","$1,273.95 ","$1,206.90 ","$1,139.85 ",$474.08 ,$474.08 ,$474.08 ,$978.93 ,"$1,451.99 ","$1,193.49 ","$1,206.90 ","$1,206.90 ","$1,072.80 ","$1,495.55 ",$737.55 ,"$1,206.90 ","$1,451.99 ","$1,206.90 ","$1,451.99 ","$1,273.95 ","$3,266.98 ","$1,233.72 ",$502.52 ,"$1,220.31 ","$1,451.99 ",$825.25 ,$863.60 ,$825.25 ,"$1,206.90 ","$1,206.90 ","$1,000.79 ","$1,206.90 ","$1,466.51 ",$497.78 ,"$1,253.84 ","$1,524.59 ",$474.08 ,"$1,166.67 ","$1,451.99 ","$1,206.90 ","$1,451.99 ","$1,206.90 ","$1,206.90 ","$1,206.90 ","$1,300.77 ","$1,086.21 ","$1,206.90 ","$1,206.90 ","$1,206.90 ","$1,206.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000027,50390,HC RENAL CYST/PELVIS ASP/INJ,350,1 ,"$1,142.00 ",$856.50 ,$119.36 ,"$1,444.89 ",$735.45 ,$642.18 ,$799.40 ,$119.36 ,"$1,142.00 ",$122.94 ,"$1,142.00 ","$1,084.90 ", N/A ,$913.60 ,"$1,039.22 ",$119.36 ,"$1,073.48 ","$1,084.90 ","$1,027.80 ",$970.70 ,$119.36 ,$119.36 ,$119.36 ,$833.66 ,$642.18 ,"$1,016.38 ","$1,027.80 ","$1,027.80 ",$913.60 ,$661.44 ,$628.10 ,"$1,027.80 ",$642.18 ,"$1,027.80 ",$642.18 ,"$1,084.90 ","$1,444.89 ","$1,050.64 ",$126.52 ,"$1,039.22 ",$642.18 ,$702.79 ,$735.45 ,$702.79 ,"$1,027.80 ","$1,027.80 ",$852.27 ,"$1,027.80 ",$648.60 ,$125.33 ,"$1,067.77 ",$674.29 ,$119.36 ,$993.54 ,$642.18 ,"$1,027.80 ",$642.18 ,"$1,027.80 ","$1,027.80 ","$1,027.80 ","$1,107.74 ",$925.02 ,"$1,027.80 ","$1,027.80 ","$1,027.80 ","$1,027.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000028,60100,HC BX THYROID NEEDLE PERC,350,1 ,$876.00 ,$657.00 ,$288.55 ,"$1,444.89 ",$564.14 ,$642.18 ,$613.20 ,$288.55 ,$876.00 ,$297.21 ,$876.00 ,$832.20 , N/A ,$700.80 ,$797.16 ,$288.55 ,$823.44 ,$832.20 ,$788.40 ,$744.60 ,$288.55 ,$288.55 ,$288.55 ,$639.48 ,$642.18 ,$779.64 ,$788.40 ,$788.40 ,$700.80 ,$661.44 ,$481.80 ,$788.40 ,$642.18 ,$788.40 ,$642.18 ,$832.20 ,"$1,444.89 ",$805.92 ,$305.86 ,$797.16 ,$642.18 ,$539.09 ,$564.14 ,$539.09 ,$788.40 ,$788.40 ,$653.76 ,$788.40 ,$648.60 ,$302.98 ,$819.06 ,$674.29 ,$288.55 ,$762.12 ,$642.18 ,$788.40 ,$642.18 ,$788.40 ,$788.40 ,$788.40 ,$849.72 ,$709.56 ,$788.40 ,$788.40 ,$788.40 ,$788.40 
ST. JOSEPH'S - CHIPPEWA FALLS,35000029,60699,HC UNLISTED PROCEDURE ENDOCRINE SYSTEM,350,1 ,"$1,770.62 ","$1,327.97 ",$907.87 ,"$11,748.69 ","$1,140.28 ","$5,221.64 ","$1,239.43 ",$907.87 ,"$1,770.62 ",$935.11 ,"$1,770.62 ","$1,682.09 ", N/A ,"$1,416.50 ","$1,611.26 ",$907.87 ,"$1,664.38 ","$1,682.09 ","$1,593.56 ","$1,505.03 ",$907.87 ,$907.87 ,$907.87 ,"$1,292.55 ","$5,221.64 ","$1,575.85 ","$1,593.56 ","$1,593.56 ","$1,416.50 ","$5,378.29 ",$973.84 ,"$1,593.56 ","$5,221.64 ","$1,593.56 ","$5,221.64 ","$1,682.09 ","$11,748.69 ","$1,628.97 ",$962.34 ,"$1,611.26 ","$5,221.64 ","$1,089.64 ","$1,140.28 ","$1,089.64 ","$1,593.56 ","$1,593.56 ","$1,321.41 ","$1,593.56 ","$5,273.86 ",$953.26 ,"$1,655.53 ","$5,482.72 ",$907.87 ,"$1,540.44 ","$5,221.64 ","$1,593.56 ","$5,221.64 ","$1,593.56 ","$1,593.56 ","$1,593.56 ","$1,717.50 ","$1,434.20 ","$1,593.56 ","$1,593.56 ","$1,593.56 ","$1,593.56 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000031,64425,HC INJ ANESTH; ILIOINGUINAL NERVE,350,1 ,"$1,697.00 ","$1,272.75 ",$136.73 ,"$1,697.00 ","$1,092.87 ",$655.29 ,"$1,187.90 ",$136.73 ,"$1,697.00 ",$140.83 ,"$1,697.00 ","$1,612.15 ", N/A ,"$1,357.60 ","$1,544.27 ",$136.73 ,"$1,595.18 ","$1,612.15 ","$1,527.30 ","$1,442.45 ",$136.73 ,$136.73 ,$136.73 ,"$1,238.81 ",$655.29 ,"$1,510.33 ","$1,527.30 ","$1,527.30 ","$1,357.60 ",$674.95 ,$933.35 ,"$1,527.30 ",$655.29 ,"$1,527.30 ",$655.29 ,"$1,612.15 ","$1,474.40 ","$1,561.24 ",$144.93 ,"$1,544.27 ",$655.29 ,"$1,044.33 ","$1,092.87 ","$1,044.33 ","$1,527.30 ","$1,527.30 ","$1,266.47 ","$1,527.30 ",$661.84 ,$143.57 ,"$1,586.70 ",$688.05 ,$136.73 ,"$1,476.39 ",$655.29 ,"$1,527.30 ",$655.29 ,"$1,527.30 ","$1,527.30 ","$1,527.30 ","$1,646.09 ","$1,374.57 ","$1,527.30 ","$1,527.30 ","$1,527.30 ","$1,527.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000034,64530,HC INJ CELIAC PLEXUS BLOCK,350,1 ,"$2,907.00 ","$2,180.25 ",$364.34 ,"$2,907.00 ","$1,872.11 ",$849.51 ,"$2,034.90 ",$364.34 ,"$2,412.00 ",$375.27 ,"$1,929.00 ","$2,761.65 ", N/A ,"$2,325.60 ","$2,645.37 ",$364.34 ,"$2,732.58 ","$2,761.65 ","$2,616.30 ","$2,470.95 ",$364.34 ,$364.34 ,$364.34 ,"$2,122.11 ",$849.51 ,"$2,587.23 ","$2,616.30 ","$2,616.30 ","$2,325.60 ",$874.99 ,"$1,598.85 ","$2,616.30 ",$849.51 ,"$2,616.30 ",$849.51 ,"$2,761.65 ","$1,911.39 ","$2,674.44 ",$386.20 ,"$2,645.37 ",$849.51 ,"$1,788.97 ","$1,872.11 ","$1,788.97 ","$2,616.30 ","$2,616.30 ","$2,169.49 ","$1,929.32 ",$858.00 ,$382.56 ,"$2,718.05 ",$891.99 ,$364.34 ,"$2,529.09 ",$849.51 ,"$2,616.30 ",$849.51 ,"$2,616.30 ","$2,616.30 ","$2,616.30 ","$2,819.79 ","$2,354.67 ","$2,616.30 ","$2,616.30 ","$2,616.30 ","$2,616.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000035,64680,HC DEST NERVE CELIAC PLEXUS,350,1 ,"$4,062.00 ","$3,046.50 ",$364.34 ,"$4,062.00 ","$2,615.93 ",$849.51 ,"$2,843.40 ",$364.34 ,"$2,412.00 ",$375.27 ,"$1,929.00 ","$3,858.90 ", N/A ,"$3,249.60 ","$3,696.42 ",$364.34 ,"$3,818.28 ","$3,858.90 ","$3,655.80 ","$3,452.70 ",$364.34 ,$364.34 ,$364.34 ,"$2,965.26 ",$849.51 ,"$3,615.18 ","$3,655.80 ","$3,655.80 ","$3,249.60 ",$874.99 ,"$2,234.10 ","$3,655.80 ",$849.51 ,"$3,655.80 ",$849.51 ,"$3,858.90 ","$1,911.39 ","$3,737.04 ",$386.20 ,"$3,696.42 ",$849.51 ,"$2,499.75 ","$2,615.93 ","$2,499.75 ","$3,655.80 ","$3,655.80 ","$3,031.47 ","$1,929.32 ",$858.00 ,$382.56 ,"$3,797.97 ",$891.99 ,$364.34 ,"$3,533.94 ",$849.51 ,"$3,655.80 ",$849.51 ,"$3,655.80 ","$3,655.80 ","$3,655.80 ","$3,940.14 ","$3,290.22 ","$3,655.80 ","$3,655.80 ","$3,655.80 ","$3,655.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$1,812.48 ","$1,359.36 ",$99.26 ,"$1,812.48 ","$1,167.24 ",$112.35 ,"$1,268.74 ",$99.26 ,"$1,812.48 ",$102.24 ,"$1,812.48 ","$1,721.86 ", N/A ,"$1,449.98 ","$1,649.36 ",$99.26 ,"$1,703.73 ","$1,721.86 ","$1,631.23 ","$1,540.61 ",$99.26 ,$99.26 ,$99.26 ,"$1,323.11 ",$112.35 ,"$1,613.11 ","$1,631.23 ","$1,631.23 ","$1,449.98 ",$115.72 ,$996.86 ,"$1,631.23 ",$112.35 ,"$1,631.23 ",$112.35 ,"$1,721.86 ",$252.79 ,"$1,667.48 ",$105.22 ,"$1,649.36 ",$112.35 ,"$1,115.40 ","$1,167.24 ","$1,115.40 ","$1,631.23 ",$810.12 ,"$1,352.65 ","$1,631.23 ",$113.47 ,$104.22 ,"$1,694.67 ",$117.97 ,$99.26 ,"$1,576.86 ",$112.35 ,"$1,631.23 ",$112.35 ,"$1,631.23 ","$1,631.23 ","$1,631.23 ","$1,758.11 ","$1,468.11 ","$1,631.23 ","$1,631.23 ","$1,631.23 ","$1,631.23 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$1,837.36 ","$1,378.02 ",$99.26 ,"$1,837.36 ","$1,183.26 ",$184.33 ,"$1,286.15 ",$99.26 ,"$1,837.36 ",$102.24 ,"$1,837.36 ","$1,745.49 ", N/A ,"$1,469.89 ","$1,672.00 ",$99.26 ,"$1,727.12 ","$1,745.49 ","$1,653.62 ","$1,561.76 ",$99.26 ,$99.26 ,$99.26 ,"$1,341.27 ",$184.33 ,"$1,635.25 ","$1,653.62 ","$1,653.62 ","$1,469.89 ",$189.86 ,"$1,010.55 ","$1,653.62 ",$184.33 ,"$1,653.62 ",$184.33 ,"$1,745.49 ",$414.75 ,"$1,690.37 ",$105.22 ,"$1,672.00 ",$184.33 ,"$1,130.71 ","$1,183.26 ","$1,130.71 ","$1,653.62 ","$1,045.74 ","$1,371.22 ","$1,653.62 ",$186.18 ,$104.22 ,"$1,717.93 ",$193.55 ,$99.26 ,"$1,598.50 ",$184.33 ,"$1,653.62 ",$184.33 ,"$1,653.62 ","$1,653.62 ","$1,653.62 ","$1,782.24 ","$1,488.26 ","$1,653.62 ","$1,653.62 ","$1,653.62 ","$1,653.62 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$2,446.15 ","$1,834.61 ",$99.26 ,"$2,446.15 ","$1,575.32 ",$184.33 ,"$1,712.31 ",$99.26 ,"$2,412.00 ",$102.24 ,"$1,929.00 ","$2,323.84 ", N/A ,"$1,956.92 ","$2,226.00 ",$99.26 ,"$2,299.38 ","$2,323.84 ","$2,201.54 ","$2,079.23 ",$99.26 ,$99.26 ,$99.26 ,"$1,785.69 ",$184.33 ,"$2,177.07 ","$2,201.54 ","$2,201.54 ","$1,956.92 ",$189.86 ,"$1,345.38 ","$2,201.54 ",$184.33 ,"$2,201.54 ",$184.33 ,"$2,323.84 ",$414.75 ,"$2,250.46 ",$105.22 ,"$2,226.00 ",$184.33 ,"$1,505.36 ","$1,575.32 ","$1,505.36 ","$2,201.54 ","$1,166.02 ","$1,825.56 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,287.15 ",$193.55 ,$99.26 ,"$2,128.15 ",$184.33 ,"$2,201.54 ",$184.33 ,"$2,201.54 ","$2,201.54 ","$2,201.54 ","$2,372.77 ","$1,981.38 ","$2,201.54 ","$2,201.54 ","$2,201.54 ","$2,201.54 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$1,807.17 ","$1,355.38 ",$36.64 ,"$1,807.17 ","$1,163.82 ",$112.35 ,"$1,265.02 ",$36.64 ,"$1,807.17 ",$37.74 ,"$1,807.17 ","$1,716.81 ", N/A ,"$1,445.74 ","$1,644.52 ",$36.64 ,"$1,698.74 ","$1,716.81 ","$1,626.45 ","$1,536.09 ",$36.64 ,$36.64 ,$36.64 ,"$1,319.23 ",$112.35 ,"$1,608.38 ","$1,626.45 ","$1,626.45 ","$1,445.74 ",$115.72 ,$993.94 ,"$1,626.45 ",$112.35 ,"$1,626.45 ",$112.35 ,"$1,716.81 ",$252.79 ,"$1,662.60 ",$38.84 ,"$1,644.52 ",$112.35 ,"$1,112.13 ","$1,163.82 ","$1,112.13 ","$1,626.45 ",$701.71 ,"$1,348.69 ","$1,626.45 ",$113.47 ,$38.47 ,"$1,689.70 ",$117.97 ,$36.64 ,"$1,572.24 ",$112.35 ,"$1,626.45 ",$112.35 ,"$1,626.45 ","$1,626.45 ","$1,626.45 ","$1,752.95 ","$1,463.81 ","$1,626.45 ","$1,626.45 ","$1,626.45 ","$1,626.45 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$1,542.85 ","$1,157.14 ",$99.26 ,"$1,542.85 ",$993.60 ,$184.33 ,"$1,080.00 ",$99.26 ,"$1,542.85 ",$102.24 ,"$1,542.85 ","$1,465.71 ", N/A ,"$1,234.28 ","$1,403.99 ",$99.26 ,"$1,450.28 ","$1,465.71 ","$1,388.57 ","$1,311.42 ",$99.26 ,$99.26 ,$99.26 ,"$1,126.28 ",$184.33 ,"$1,373.14 ","$1,388.57 ","$1,388.57 ","$1,234.28 ",$189.86 ,$848.57 ,"$1,388.57 ",$184.33 ,"$1,388.57 ",$184.33 ,"$1,465.71 ",$414.75 ,"$1,419.42 ",$105.22 ,"$1,403.99 ",$184.33 ,$949.47 ,$993.60 ,$949.47 ,"$1,388.57 ","$1,052.17 ","$1,151.43 ","$1,388.57 ",$186.18 ,$104.22 ,"$1,442.56 ",$193.55 ,$99.26 ,"$1,342.28 ",$184.33 ,"$1,388.57 ",$184.33 ,"$1,388.57 ","$1,388.57 ","$1,388.57 ","$1,496.56 ","$1,249.71 ","$1,388.57 ","$1,388.57 ","$1,388.57 ","$1,388.57 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$1,902.76 ","$1,427.07 ",$99.26 ,"$1,902.76 ","$1,225.38 ",$184.33 ,"$1,331.93 ",$99.26 ,"$1,902.76 ",$102.24 ,"$1,902.76 ","$1,807.62 ", N/A ,"$1,522.21 ","$1,731.51 ",$99.26 ,"$1,788.59 ","$1,807.62 ","$1,712.48 ","$1,617.35 ",$99.26 ,$99.26 ,$99.26 ,"$1,389.01 ",$184.33 ,"$1,693.46 ","$1,712.48 ","$1,712.48 ","$1,522.21 ",$189.86 ,"$1,046.52 ","$1,712.48 ",$184.33 ,"$1,712.48 ",$184.33 ,"$1,807.62 ",$414.75 ,"$1,750.54 ",$105.22 ,"$1,731.51 ",$184.33 ,"$1,170.96 ","$1,225.38 ","$1,170.96 ","$1,712.48 ","$1,134.09 ","$1,420.03 ","$1,712.48 ",$186.18 ,$104.22 ,"$1,779.08 ",$193.55 ,$99.26 ,"$1,655.40 ",$184.33 ,"$1,712.48 ",$184.33 ,"$1,712.48 ","$1,712.48 ","$1,712.48 ","$1,845.68 ","$1,541.24 ","$1,712.48 ","$1,712.48 ","$1,712.48 ","$1,712.48 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$1,855.01 ","$1,391.26 ",$36.64 ,"$1,855.01 ","$1,194.63 ",$112.35 ,"$1,298.51 ",$36.64 ,"$1,855.01 ",$37.74 ,"$1,855.01 ","$1,762.26 ", N/A ,"$1,484.01 ","$1,688.06 ",$36.64 ,"$1,743.71 ","$1,762.26 ","$1,669.51 ","$1,576.76 ",$36.64 ,$36.64 ,$36.64 ,"$1,354.16 ",$112.35 ,"$1,650.96 ","$1,669.51 ","$1,669.51 ","$1,484.01 ",$115.72 ,"$1,020.26 ","$1,669.51 ",$112.35 ,"$1,669.51 ",$112.35 ,"$1,762.26 ",$252.79 ,"$1,706.61 ",$38.84 ,"$1,688.06 ",$112.35 ,"$1,141.57 ","$1,194.63 ","$1,141.57 ","$1,669.51 ",$725.40 ,"$1,384.39 ","$1,669.51 ",$113.47 ,$38.47 ,"$1,734.43 ",$117.97 ,$36.64 ,"$1,613.86 ",$112.35 ,"$1,669.51 ",$112.35 ,"$1,669.51 ","$1,669.51 ","$1,669.51 ","$1,799.36 ","$1,502.56 ","$1,669.51 ","$1,669.51 ","$1,669.51 ","$1,669.51 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$1,868.32 ","$1,401.24 ",$99.26 ,"$1,868.32 ","$1,203.20 ",$184.33 ,"$1,307.82 ",$99.26 ,"$1,868.32 ",$102.24 ,"$1,868.32 ","$1,774.90 ", N/A ,"$1,494.66 ","$1,700.17 ",$99.26 ,"$1,756.22 ","$1,774.90 ","$1,681.49 ","$1,588.07 ",$99.26 ,$99.26 ,$99.26 ,"$1,363.87 ",$184.33 ,"$1,662.80 ","$1,681.49 ","$1,681.49 ","$1,494.66 ",$189.86 ,"$1,027.58 ","$1,681.49 ",$184.33 ,"$1,681.49 ",$184.33 ,"$1,774.90 ",$414.75 ,"$1,718.85 ",$105.22 ,"$1,700.17 ",$184.33 ,"$1,149.76 ","$1,203.20 ","$1,149.76 ","$1,681.49 ",$993.30 ,"$1,394.33 ","$1,681.49 ",$186.18 ,$104.22 ,"$1,746.88 ",$193.55 ,$99.26 ,"$1,625.44 ",$184.33 ,"$1,681.49 ",$184.33 ,"$1,681.49 ","$1,681.49 ","$1,681.49 ","$1,812.27 ","$1,513.34 ","$1,681.49 ","$1,681.49 ","$1,681.49 ","$1,681.49 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$2,030.91 ","$1,523.18 ",$99.26 ,"$2,030.91 ","$1,307.91 ",$184.33 ,"$1,421.64 ",$99.26 ,"$2,030.91 ",$102.24 ,"$1,929.00 ","$1,929.36 ", N/A ,"$1,624.73 ","$1,848.13 ",$99.26 ,"$1,909.06 ","$1,929.36 ","$1,827.82 ","$1,726.27 ",$99.26 ,$99.26 ,$99.26 ,"$1,482.56 ",$184.33 ,"$1,807.51 ","$1,827.82 ","$1,827.82 ","$1,624.73 ",$189.86 ,"$1,117.00 ","$1,827.82 ",$184.33 ,"$1,827.82 ",$184.33 ,"$1,929.36 ",$414.75 ,"$1,868.44 ",$105.22 ,"$1,848.13 ",$184.33 ,"$1,249.82 ","$1,307.91 ","$1,249.82 ","$1,827.82 ","$1,135.21 ","$1,515.67 ","$1,827.82 ",$186.18 ,$104.22 ,"$1,898.90 ",$193.55 ,$99.26 ,"$1,766.89 ",$184.33 ,"$1,827.82 ",$184.33 ,"$1,827.82 ","$1,827.82 ","$1,827.82 ","$1,969.98 ","$1,645.04 ","$1,827.82 ","$1,827.82 ","$1,827.82 ","$1,827.82 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$1,362.27 ","$1,021.70 ",$36.64 ,"$1,362.27 ",$877.30 ,$112.35 ,$953.59 ,$36.64 ,"$1,362.27 ",$37.74 ,"$1,362.27 ","$1,294.16 ", N/A ,"$1,089.82 ","$1,239.67 ",$36.64 ,"$1,280.53 ","$1,294.16 ","$1,226.04 ","$1,157.93 ",$36.64 ,$36.64 ,$36.64 ,$994.46 ,$112.35 ,"$1,212.42 ","$1,226.04 ","$1,226.04 ","$1,089.82 ",$115.72 ,$749.25 ,"$1,226.04 ",$112.35 ,"$1,226.04 ",$112.35 ,"$1,294.16 ",$252.79 ,"$1,253.29 ",$38.84 ,"$1,239.67 ",$112.35 ,$838.34 ,$877.30 ,$838.34 ,"$1,226.04 ",$721.87 ,"$1,016.66 ","$1,226.04 ",$113.47 ,$38.47 ,"$1,273.72 ",$117.97 ,$36.64 ,"$1,185.17 ",$112.35 ,"$1,226.04 ",$112.35 ,"$1,226.04 ","$1,226.04 ","$1,226.04 ","$1,321.40 ","$1,103.44 ","$1,226.04 ","$1,226.04 ","$1,226.04 ","$1,226.04 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$2,171.61 ","$1,628.71 ",$99.26 ,"$2,171.61 ","$1,398.52 ",$184.33 ,"$1,520.13 ",$99.26 ,"$2,171.61 ",$102.24 ,"$1,929.00 ","$2,063.03 ", N/A ,"$1,737.29 ","$1,976.17 ",$99.26 ,"$2,041.31 ","$2,063.03 ","$1,954.45 ","$1,845.87 ",$99.26 ,$99.26 ,$99.26 ,"$1,585.28 ",$184.33 ,"$1,932.73 ","$1,954.45 ","$1,954.45 ","$1,737.29 ",$189.86 ,"$1,194.39 ","$1,954.45 ",$184.33 ,"$1,954.45 ",$184.33 ,"$2,063.03 ",$414.75 ,"$1,997.88 ",$105.22 ,"$1,976.17 ",$184.33 ,"$1,336.41 ","$1,398.52 ","$1,336.41 ","$1,954.45 ",$955.63 ,"$1,620.67 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,030.46 ",$193.55 ,$99.26 ,"$1,889.30 ",$184.33 ,"$1,954.45 ",$184.33 ,"$1,954.45 ","$1,954.45 ","$1,954.45 ","$2,106.46 ","$1,759.00 ","$1,954.45 ","$1,954.45 ","$1,954.45 ","$1,954.45 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$2,199.39 ","$1,649.54 ",$99.26 ,"$2,199.39 ","$1,416.41 ",$184.33 ,"$1,539.57 ",$99.26 ,"$2,199.39 ",$102.24 ,"$1,929.00 ","$2,089.42 ", N/A ,"$1,759.51 ","$2,001.44 ",$99.26 ,"$2,067.43 ","$2,089.42 ","$1,979.45 ","$1,869.48 ",$99.26 ,$99.26 ,$99.26 ,"$1,605.55 ",$184.33 ,"$1,957.46 ","$1,979.45 ","$1,979.45 ","$1,759.51 ",$189.86 ,"$1,209.66 ","$1,979.45 ",$184.33 ,"$1,979.45 ",$184.33 ,"$2,089.42 ",$414.75 ,"$2,023.44 ",$105.22 ,"$2,001.44 ",$184.33 ,"$1,353.50 ","$1,416.41 ","$1,353.50 ","$1,979.45 ","$1,167.24 ","$1,641.40 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,056.43 ",$193.55 ,$99.26 ,"$1,913.47 ",$184.33 ,"$1,979.45 ",$184.33 ,"$1,979.45 ","$1,979.45 ","$1,979.45 ","$2,133.41 ","$1,781.51 ","$1,979.45 ","$1,979.45 ","$1,979.45 ","$1,979.45 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$2,766.40 ","$2,074.80 ",$121.52 ,"$2,766.40 ","$1,781.56 ",$184.33 ,"$1,936.48 ",$121.52 ,"$2,412.00 ",$125.17 ,"$1,929.00 ","$2,628.08 ", N/A ,"$2,213.12 ","$2,517.42 ",$121.52 ,"$2,600.42 ","$2,628.08 ","$2,489.76 ","$2,351.44 ",$121.52 ,$121.52 ,$121.52 ,"$2,019.47 ",$184.33 ,"$2,462.10 ","$2,489.76 ","$2,489.76 ","$2,213.12 ",$189.86 ,"$1,521.52 ","$2,489.76 ",$184.33 ,"$2,489.76 ",$184.33 ,"$2,628.08 ",$414.75 ,"$2,545.09 ",$128.81 ,"$2,517.42 ",$184.33 ,"$1,702.44 ","$1,781.56 ","$1,702.44 ","$2,489.76 ",$723.79 ,"$2,064.56 ","$1,929.32 ",$186.18 ,$127.60 ,"$2,586.58 ",$193.55 ,$121.52 ,"$2,406.77 ",$184.33 ,"$2,489.76 ",$184.33 ,"$2,489.76 ","$2,489.76 ","$2,489.76 ","$2,683.41 ","$2,240.78 ","$2,489.76 ","$2,489.76 ","$2,489.76 ","$2,489.76 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$2,766.40 ","$2,074.80 ",$121.52 ,"$2,766.40 ","$1,781.56 ",$184.33 ,"$1,936.48 ",$121.52 ,"$2,412.00 ",$125.17 ,"$1,929.00 ","$2,628.08 ", N/A ,"$2,213.12 ","$2,517.42 ",$121.52 ,"$2,600.42 ","$2,628.08 ","$2,489.76 ","$2,351.44 ",$121.52 ,$121.52 ,$121.52 ,"$2,019.47 ",$184.33 ,"$2,462.10 ","$2,489.76 ","$2,489.76 ","$2,213.12 ",$189.86 ,"$1,521.52 ","$2,489.76 ",$184.33 ,"$2,489.76 ",$184.33 ,"$2,628.08 ",$414.75 ,"$2,545.09 ",$128.81 ,"$2,517.42 ",$184.33 ,"$1,702.44 ","$1,781.56 ","$1,702.44 ","$2,489.76 ",$723.79 ,"$2,064.56 ","$1,929.32 ",$186.18 ,$127.60 ,"$2,586.58 ",$193.55 ,$121.52 ,"$2,406.77 ",$184.33 ,"$2,489.76 ",$184.33 ,"$2,489.76 ","$2,489.76 ","$2,489.76 ","$2,683.41 ","$2,240.78 ","$2,489.76 ","$2,489.76 ","$2,489.76 ","$2,489.76 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$3,790.00 ","$2,842.50 ",$79.99 ,"$3,790.00 ","$2,440.76 ",$237.45 ,"$2,653.00 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$3,600.50 ", N/A ,"$3,032.00 ","$3,448.90 ",$79.99 ,"$3,562.60 ","$3,600.50 ","$3,411.00 ","$3,221.50 ",$79.99 ,$79.99 ,$79.99 ,"$2,766.70 ",$237.45 ,"$3,373.10 ","$3,411.00 ","$3,411.00 ","$3,032.00 ",$244.58 ,"$2,084.50 ","$3,411.00 ",$237.45 ,"$3,411.00 ",$237.45 ,"$3,600.50 ",$534.27 ,"$3,486.80 ",$84.79 ,"$3,448.90 ",$237.45 ,"$2,332.37 ","$2,440.76 ","$2,332.37 ","$3,411.00 ","$2,000.62 ","$2,828.48 ","$2,143.69 ",$239.83 ,$83.99 ,"$3,543.65 ",$249.32 ,$79.99 ,"$3,297.30 ",$237.45 ,"$3,411.00 ",$237.45 ,"$3,411.00 ","$3,411.00 ","$3,411.00 ","$3,676.30 ","$3,069.90 ","$3,411.00 ","$3,411.00 ","$3,411.00 ","$3,411.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$2,274.10 ","$1,705.58 ",$36.64 ,"$2,274.10 ","$1,464.52 ",$112.35 ,"$1,591.87 ",$36.64 ,"$2,274.10 ",$37.74 ,"$1,929.00 ","$2,160.40 ", N/A ,"$1,819.28 ","$2,069.43 ",$36.64 ,"$2,137.65 ","$2,160.40 ","$2,046.69 ","$1,932.99 ",$36.64 ,$36.64 ,$36.64 ,"$1,660.09 ",$112.35 ,"$2,023.95 ","$2,046.69 ","$2,046.69 ","$1,819.28 ",$115.72 ,"$1,250.76 ","$2,046.69 ",$112.35 ,"$2,046.69 ",$112.35 ,"$2,160.40 ",$252.79 ,"$2,092.17 ",$38.84 ,"$2,069.43 ",$112.35 ,"$1,399.48 ","$1,464.52 ","$1,399.48 ","$2,046.69 ","$1,003.67 ","$1,697.16 ","$1,929.32 ",$113.47 ,$38.47 ,"$2,126.28 ",$117.97 ,$36.64 ,"$1,978.47 ",$112.35 ,"$2,046.69 ",$112.35 ,"$2,046.69 ","$2,046.69 ","$2,046.69 ","$2,205.88 ","$1,842.02 ","$2,046.69 ","$2,046.69 ","$2,046.69 ","$2,046.69 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,"$2,330.86 ","$1,748.15 ",$99.26 ,"$2,330.86 ","$1,501.07 ",$380.02 ,"$1,631.60 ",$99.26 ,"$2,330.86 ",$102.24 ,"$1,929.00 ","$2,214.32 ", N/A ,"$1,864.69 ","$2,121.08 ",$99.26 ,"$2,191.01 ","$2,214.32 ","$2,097.77 ","$1,981.23 ",$99.26 ,$99.26 ,$99.26 ,"$1,701.53 ",$380.02 ,"$2,074.47 ","$2,097.77 ","$2,097.77 ","$1,864.69 ",$391.42 ,"$1,281.97 ","$2,097.77 ",$380.02 ,"$2,097.77 ",$380.02 ,"$2,214.32 ",$855.04 ,"$2,144.39 ",$105.22 ,"$2,121.08 ",$380.02 ,"$1,434.41 ","$1,501.07 ","$1,434.41 ","$2,097.77 ","$1,029.70 ","$1,739.52 ","$1,929.32 ",$383.82 ,$104.22 ,"$2,179.35 ",$399.02 ,$99.26 ,"$2,027.85 ",$380.02 ,"$2,097.77 ",$380.02 ,"$2,097.77 ","$2,097.77 ","$2,097.77 ","$2,260.93 ","$1,888.00 ","$2,097.77 ","$2,097.77 ","$2,097.77 ","$2,097.77 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,"$2,360.28 ","$1,770.21 ",$99.26 ,"$2,360.28 ","$1,520.02 ",$184.33 ,"$1,652.20 ",$99.26 ,"$2,360.28 ",$102.24 ,"$1,929.00 ","$2,242.27 ", N/A ,"$1,888.22 ","$2,147.85 ",$99.26 ,"$2,218.66 ","$2,242.27 ","$2,124.25 ","$2,006.24 ",$99.26 ,$99.26 ,$99.26 ,"$1,723.00 ",$184.33 ,"$2,100.65 ","$2,124.25 ","$2,124.25 ","$1,888.22 ",$189.86 ,"$1,298.15 ","$2,124.25 ",$184.33 ,"$2,124.25 ",$184.33 ,"$2,242.27 ",$414.75 ,"$2,171.46 ",$105.22 ,"$2,147.85 ",$184.33 ,"$1,452.52 ","$1,520.02 ","$1,452.52 ","$2,124.25 ","$1,142.33 ","$1,761.48 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,206.86 ",$193.55 ,$99.26 ,"$2,053.44 ",$184.33 ,"$2,124.25 ",$184.33 ,"$2,124.25 ","$2,124.25 ","$2,124.25 ","$2,289.47 ","$1,911.83 ","$2,124.25 ","$2,124.25 ","$2,124.25 ","$2,124.25 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,"$1,647.78 ","$1,235.84 ",$36.64 ,"$1,647.78 ","$1,061.17 ",$112.35 ,"$1,153.45 ",$36.64 ,"$1,647.78 ",$37.74 ,"$1,647.78 ","$1,565.39 ", N/A ,"$1,318.22 ","$1,499.48 ",$36.64 ,"$1,548.91 ","$1,565.39 ","$1,483.00 ","$1,400.61 ",$36.64 ,$36.64 ,$36.64 ,"$1,202.88 ",$112.35 ,"$1,466.52 ","$1,483.00 ","$1,483.00 ","$1,318.22 ",$115.72 ,$906.28 ,"$1,483.00 ",$112.35 ,"$1,483.00 ",$112.35 ,"$1,565.39 ",$252.79 ,"$1,515.96 ",$38.84 ,"$1,499.48 ",$112.35 ,"$1,014.04 ","$1,061.17 ","$1,014.04 ","$1,483.00 ",$943.82 ,"$1,229.74 ","$1,483.00 ",$113.47 ,$38.47 ,"$1,540.67 ",$117.97 ,$36.64 ,"$1,433.57 ",$112.35 ,"$1,483.00 ",$112.35 ,"$1,483.00 ","$1,483.00 ","$1,483.00 ","$1,598.35 ","$1,334.70 ","$1,483.00 ","$1,483.00 ","$1,483.00 ","$1,483.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,"$2,058.64 ","$1,543.98 ",$99.26 ,"$2,058.64 ","$1,325.76 ",$184.33 ,"$1,441.05 ",$99.26 ,"$2,058.64 ",$102.24 ,"$1,929.00 ","$1,955.71 ", N/A ,"$1,646.91 ","$1,873.36 ",$99.26 ,"$1,935.12 ","$1,955.71 ","$1,852.78 ","$1,749.84 ",$99.26 ,$99.26 ,$99.26 ,"$1,502.81 ",$184.33 ,"$1,832.19 ","$1,852.78 ","$1,852.78 ","$1,646.91 ",$189.86 ,"$1,132.25 ","$1,852.78 ",$184.33 ,"$1,852.78 ",$184.33 ,"$1,955.71 ",$414.75 ,"$1,893.95 ",$105.22 ,"$1,873.36 ",$184.33 ,"$1,266.89 ","$1,325.76 ","$1,266.89 ","$1,852.78 ","$1,029.70 ","$1,536.36 ","$1,852.78 ",$186.18 ,$104.22 ,"$1,924.83 ",$193.55 ,$99.26 ,"$1,791.02 ",$184.33 ,"$1,852.78 ",$184.33 ,"$1,852.78 ","$1,852.78 ","$1,852.78 ","$1,996.88 ","$1,667.50 ","$1,852.78 ","$1,852.78 ","$1,852.78 ","$1,852.78 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$1,719.69 ","$1,289.77 ",$36.64 ,"$1,719.69 ","$1,107.48 ",$112.35 ,"$1,203.78 ",$36.64 ,"$1,719.69 ",$37.74 ,"$1,719.69 ","$1,633.71 ", N/A ,"$1,375.75 ","$1,564.92 ",$36.64 ,"$1,616.51 ","$1,633.71 ","$1,547.72 ","$1,461.74 ",$36.64 ,$36.64 ,$36.64 ,"$1,255.37 ",$112.35 ,"$1,530.52 ","$1,547.72 ","$1,547.72 ","$1,375.75 ",$115.72 ,$945.83 ,"$1,547.72 ",$112.35 ,"$1,547.72 ",$112.35 ,"$1,633.71 ",$252.79 ,"$1,582.11 ",$38.84 ,"$1,564.92 ",$112.35 ,"$1,058.30 ","$1,107.48 ","$1,058.30 ","$1,547.72 ","$1,003.67 ","$1,283.40 ","$1,547.72 ",$113.47 ,$38.47 ,"$1,607.91 ",$117.97 ,$36.64 ,"$1,496.13 ",$112.35 ,"$1,547.72 ",$112.35 ,"$1,547.72 ","$1,547.72 ","$1,547.72 ","$1,668.10 ","$1,392.95 ","$1,547.72 ","$1,547.72 ","$1,547.72 ","$1,547.72 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$1,725.78 ","$1,294.34 ",$99.26 ,"$1,725.78 ","$1,111.40 ",$380.02 ,"$1,208.05 ",$99.26 ,"$1,725.78 ",$102.24 ,"$1,725.78 ","$1,639.49 ", N/A ,"$1,380.62 ","$1,570.46 ",$99.26 ,"$1,622.23 ","$1,639.49 ","$1,553.20 ","$1,466.91 ",$99.26 ,$99.26 ,$99.26 ,"$1,259.82 ",$380.02 ,"$1,535.94 ","$1,553.20 ","$1,553.20 ","$1,380.62 ",$391.42 ,$949.18 ,"$1,553.20 ",$380.02 ,"$1,553.20 ",$380.02 ,"$1,639.49 ",$855.04 ,"$1,587.72 ",$105.22 ,"$1,570.46 ",$380.02 ,"$1,062.05 ","$1,111.40 ","$1,062.05 ","$1,553.20 ","$1,132.41 ","$1,287.95 ","$1,553.20 ",$383.82 ,$104.22 ,"$1,613.60 ",$399.02 ,$99.26 ,"$1,501.43 ",$380.02 ,"$1,553.20 ",$380.02 ,"$1,553.20 ","$1,553.20 ","$1,553.20 ","$1,674.01 ","$1,397.88 ","$1,553.20 ","$1,553.20 ","$1,553.20 ","$1,553.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000064,72191,HC CTA PELVIS W AND W/O CONTRAST,350,1 ,"$3,823.82 ","$2,867.87 ",$121.52 ,"$3,823.82 ","$2,462.54 ",$184.33 ,"$2,676.67 ",$121.52 ,"$2,412.00 ",$125.17 ,"$1,929.00 ","$3,632.63 ", N/A ,"$3,059.06 ","$3,479.68 ",$121.52 ,"$3,594.39 ","$3,632.63 ","$3,441.44 ","$3,250.25 ",$121.52 ,$121.52 ,$121.52 ,"$2,791.39 ",$184.33 ,"$3,403.20 ","$3,441.44 ","$3,441.44 ","$3,059.06 ",$189.86 ,"$2,103.10 ","$3,441.44 ",$184.33 ,"$3,441.44 ",$184.33 ,"$3,632.63 ",$414.75 ,"$3,517.91 ",$128.81 ,"$3,479.68 ",$184.33 ,"$2,353.18 ","$2,462.54 ","$2,353.18 ","$3,441.44 ",$845.54 ,"$2,853.72 ","$1,929.32 ",$186.18 ,$127.60 ,"$3,575.27 ",$193.55 ,$121.52 ,"$3,326.72 ",$184.33 ,"$3,441.44 ",$184.33 ,"$3,441.44 ","$3,441.44 ","$3,441.44 ","$3,709.11 ","$3,097.29 ","$3,441.44 ","$3,441.44 ","$3,441.44 ","$3,441.44 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$1,875.01 ","$1,406.26 ",$36.64 ,"$1,875.01 ","$1,207.51 ",$112.35 ,"$1,312.51 ",$36.64 ,"$1,875.01 ",$37.74 ,"$1,875.01 ","$1,781.26 ", N/A ,"$1,500.01 ","$1,706.26 ",$36.64 ,"$1,762.51 ","$1,781.26 ","$1,687.51 ","$1,593.76 ",$36.64 ,$36.64 ,$36.64 ,"$1,368.76 ",$112.35 ,"$1,668.76 ","$1,687.51 ","$1,687.51 ","$1,500.01 ",$115.72 ,"$1,031.26 ","$1,687.51 ",$112.35 ,"$1,687.51 ",$112.35 ,"$1,781.26 ",$252.79 ,"$1,725.01 ",$38.84 ,"$1,706.26 ",$112.35 ,"$1,153.88 ","$1,207.51 ","$1,153.88 ","$1,687.51 ",$856.07 ,"$1,399.32 ","$1,687.51 ",$113.47 ,$38.47 ,"$1,753.13 ",$117.97 ,$36.64 ,"$1,631.26 ",$112.35 ,"$1,687.51 ",$112.35 ,"$1,687.51 ","$1,687.51 ","$1,687.51 ","$1,818.76 ","$1,518.76 ","$1,687.51 ","$1,687.51 ","$1,687.51 ","$1,687.51 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$2,147.02 ","$1,610.27 ",$99.26 ,"$2,147.02 ","$1,382.68 ",$184.33 ,"$1,502.91 ",$99.26 ,"$2,147.02 ",$102.24 ,"$1,929.00 ","$2,039.67 ", N/A ,"$1,717.62 ","$1,953.79 ",$99.26 ,"$2,018.20 ","$2,039.67 ","$1,932.32 ","$1,824.97 ",$99.26 ,$99.26 ,$99.26 ,"$1,567.32 ",$184.33 ,"$1,910.85 ","$1,932.32 ","$1,932.32 ","$1,717.62 ",$189.86 ,"$1,180.86 ","$1,932.32 ",$184.33 ,"$1,932.32 ",$184.33 ,"$2,039.67 ",$414.75 ,"$1,975.26 ",$105.22 ,"$1,953.79 ",$184.33 ,"$1,321.28 ","$1,382.68 ","$1,321.28 ","$1,932.32 ","$1,116.43 ","$1,602.32 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,007.46 ",$193.55 ,$99.26 ,"$1,867.91 ",$184.33 ,"$1,932.32 ",$184.33 ,"$1,932.32 ","$1,932.32 ","$1,932.32 ","$2,082.61 ","$1,739.09 ","$1,932.32 ","$1,932.32 ","$1,932.32 ","$1,932.32 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$2,327.64 ","$1,745.73 ",$99.26 ,"$2,327.64 ","$1,499.00 ",$184.33 ,"$1,629.35 ",$99.26 ,"$2,327.64 ",$102.24 ,"$1,929.00 ","$2,211.26 ", N/A ,"$1,862.11 ","$2,118.15 ",$99.26 ,"$2,187.98 ","$2,211.26 ","$2,094.88 ","$1,978.49 ",$99.26 ,$99.26 ,$99.26 ,"$1,699.18 ",$184.33 ,"$2,071.60 ","$2,094.88 ","$2,094.88 ","$1,862.11 ",$189.86 ,"$1,280.20 ","$2,094.88 ",$184.33 ,"$2,094.88 ",$184.33 ,"$2,211.26 ",$414.75 ,"$2,141.43 ",$105.22 ,"$2,118.15 ",$184.33 ,"$1,432.43 ","$1,499.00 ","$1,432.43 ","$2,094.88 ","$1,217.41 ","$1,737.12 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,176.34 ",$193.55 ,$99.26 ,"$2,025.05 ",$184.33 ,"$2,094.88 ",$184.33 ,"$2,094.88 ","$2,094.88 ","$2,094.88 ","$2,257.81 ","$1,885.39 ","$2,094.88 ","$2,094.88 ","$2,094.88 ","$2,094.88 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$1,461.64 ","$1,096.23 ",$36.64 ,"$1,461.64 ",$941.30 ,$112.35 ,"$1,023.15 ",$36.64 ,"$1,461.64 ",$37.74 ,"$1,461.64 ","$1,388.56 ", N/A ,"$1,169.31 ","$1,330.09 ",$36.64 ,"$1,373.94 ","$1,388.56 ","$1,315.48 ","$1,242.39 ",$36.64 ,$36.64 ,$36.64 ,"$1,067.00 ",$112.35 ,"$1,300.86 ","$1,315.48 ","$1,315.48 ","$1,169.31 ",$115.72 ,$803.90 ,"$1,315.48 ",$112.35 ,"$1,315.48 ",$112.35 ,"$1,388.56 ",$252.79 ,"$1,344.71 ",$38.84 ,"$1,330.09 ",$112.35 ,$899.49 ,$941.30 ,$899.49 ,"$1,315.48 ",$771.29 ,"$1,090.82 ","$1,315.48 ",$113.47 ,$38.47 ,"$1,366.63 ",$117.97 ,$36.64 ,"$1,271.63 ",$112.35 ,"$1,315.48 ",$112.35 ,"$1,315.48 ","$1,315.48 ","$1,315.48 ","$1,417.79 ","$1,183.93 ","$1,315.48 ","$1,315.48 ","$1,315.48 ","$1,315.48 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$1,272.81 ",$954.61 ,$99.26 ,"$1,272.81 ",$819.69 ,$380.02 ,$890.97 ,$99.26 ,"$1,272.81 ",$102.24 ,"$1,272.81 ","$1,209.17 ", N/A ,"$1,018.25 ","$1,158.26 ",$99.26 ,"$1,196.44 ","$1,209.17 ","$1,145.53 ","$1,081.89 ",$99.26 ,$99.26 ,$99.26 ,$929.15 ,$380.02 ,"$1,132.80 ","$1,145.53 ","$1,145.53 ","$1,018.25 ",$391.42 ,$700.05 ,"$1,145.53 ",$380.02 ,"$1,145.53 ",$380.02 ,"$1,209.17 ",$855.04 ,"$1,170.99 ",$105.22 ,"$1,158.26 ",$380.02 ,$783.29 ,$819.69 ,$783.29 ,"$1,145.53 ","$1,036.30 ",$949.90 ,"$1,145.53 ",$383.82 ,$104.22 ,"$1,190.08 ",$399.02 ,$99.26 ,"$1,107.34 ",$380.02 ,"$1,145.53 ",$380.02 ,"$1,145.53 ","$1,145.53 ","$1,145.53 ","$1,234.63 ","$1,030.98 ","$1,145.53 ","$1,145.53 ","$1,145.53 ","$1,145.53 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$1,345.43 ","$1,009.07 ",$99.26 ,"$1,345.43 ",$866.46 ,$184.33 ,$941.80 ,$99.26 ,"$1,345.43 ",$102.24 ,"$1,345.43 ","$1,278.16 ", N/A ,"$1,076.34 ","$1,224.34 ",$99.26 ,"$1,264.70 ","$1,278.16 ","$1,210.89 ","$1,143.62 ",$99.26 ,$99.26 ,$99.26 ,$982.16 ,$184.33 ,"$1,197.43 ","$1,210.89 ","$1,210.89 ","$1,076.34 ",$189.86 ,$739.99 ,"$1,210.89 ",$184.33 ,"$1,210.89 ",$184.33 ,"$1,278.16 ",$414.75 ,"$1,237.80 ",$105.22 ,"$1,224.34 ",$184.33 ,$827.98 ,$866.46 ,$827.98 ,"$1,210.89 ","$1,162.75 ","$1,004.09 ","$1,210.89 ",$186.18 ,$104.22 ,"$1,257.98 ",$193.55 ,$99.26 ,"$1,170.52 ",$184.33 ,"$1,210.89 ",$184.33 ,"$1,210.89 ","$1,210.89 ","$1,210.89 ","$1,305.07 ","$1,089.80 ","$1,210.89 ","$1,210.89 ","$1,210.89 ","$1,210.89 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,"$2,064.01 ","$1,548.01 ",$121.52 ,"$2,064.01 ","$1,329.22 ",$184.33 ,"$1,444.81 ",$121.52 ,"$2,064.01 ",$125.17 ,"$1,929.00 ","$1,960.81 ", N/A ,"$1,651.21 ","$1,878.25 ",$121.52 ,"$1,940.17 ","$1,960.81 ","$1,857.61 ","$1,754.41 ",$121.52 ,$121.52 ,$121.52 ,"$1,506.73 ",$184.33 ,"$1,836.97 ","$1,857.61 ","$1,857.61 ","$1,651.21 ",$189.86 ,"$1,135.21 ","$1,857.61 ",$184.33 ,"$1,857.61 ",$184.33 ,"$1,960.81 ",$414.75 ,"$1,898.89 ",$128.81 ,"$1,878.25 ",$184.33 ,"$1,270.19 ","$1,329.22 ","$1,270.19 ","$1,857.61 ",$743.10 ,"$1,540.37 ","$1,857.61 ",$186.18 ,$127.60 ,"$1,929.85 ",$193.55 ,$121.52 ,"$1,795.69 ",$184.33 ,"$1,857.61 ",$184.33 ,"$1,857.61 ","$1,857.61 ","$1,857.61 ","$2,002.09 ","$1,671.85 ","$1,857.61 ","$1,857.61 ","$1,857.61 ","$1,857.61 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$1,290.67 ",$968.00 ,$36.64 ,"$1,290.67 ",$831.19 ,$112.35 ,$903.47 ,$36.64 ,"$1,290.67 ",$37.74 ,"$1,290.67 ","$1,226.14 ", N/A ,"$1,032.54 ","$1,174.51 ",$36.64 ,"$1,213.23 ","$1,226.14 ","$1,161.60 ","$1,097.07 ",$36.64 ,$36.64 ,$36.64 ,$942.19 ,$112.35 ,"$1,148.70 ","$1,161.60 ","$1,161.60 ","$1,032.54 ",$115.72 ,$709.87 ,"$1,161.60 ",$112.35 ,"$1,161.60 ",$112.35 ,"$1,226.14 ",$252.79 ,"$1,187.42 ",$38.84 ,"$1,174.51 ",$112.35 ,$794.28 ,$831.19 ,$794.28 ,"$1,161.60 ",$771.00 ,$963.23 ,"$1,161.60 ",$113.47 ,$38.47 ,"$1,206.78 ",$117.97 ,$36.64 ,"$1,122.88 ",$112.35 ,"$1,161.60 ",$112.35 ,"$1,161.60 ","$1,161.60 ","$1,161.60 ","$1,251.95 ","$1,045.44 ","$1,161.60 ","$1,161.60 ","$1,161.60 ","$1,161.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$1,376.35 ","$1,032.26 ",$99.26 ,"$1,376.35 ",$886.37 ,$184.33 ,$963.45 ,$99.26 ,"$1,376.35 ",$102.24 ,"$1,376.35 ","$1,307.53 ", N/A ,"$1,101.08 ","$1,252.48 ",$99.26 ,"$1,293.77 ","$1,307.53 ","$1,238.72 ","$1,169.90 ",$99.26 ,$99.26 ,$99.26 ,"$1,004.74 ",$184.33 ,"$1,224.95 ","$1,238.72 ","$1,238.72 ","$1,101.08 ",$189.86 ,$756.99 ,"$1,238.72 ",$184.33 ,"$1,238.72 ",$184.33 ,"$1,307.53 ",$414.75 ,"$1,266.24 ",$105.22 ,"$1,252.48 ",$184.33 ,$847.01 ,$886.37 ,$847.01 ,"$1,238.72 ",$927.52 ,"$1,027.17 ","$1,238.72 ",$186.18 ,$104.22 ,"$1,286.89 ",$193.55 ,$99.26 ,"$1,197.42 ",$184.33 ,"$1,238.72 ",$184.33 ,"$1,238.72 ","$1,238.72 ","$1,238.72 ","$1,335.06 ","$1,114.84 ","$1,238.72 ","$1,238.72 ","$1,238.72 ","$1,238.72 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,$913.11 ,$684.83 ,$99.26 ,$913.11 ,$588.04 ,$184.33 ,$639.18 ,$99.26 ,$913.11 ,$102.24 ,$913.11 ,$867.45 , N/A ,$730.49 ,$830.93 ,$99.26 ,$858.32 ,$867.45 ,$821.80 ,$776.14 ,$99.26 ,$99.26 ,$99.26 ,$666.57 ,$184.33 ,$812.67 ,$821.80 ,$821.80 ,$730.49 ,$189.86 ,$502.21 ,$821.80 ,$184.33 ,$821.80 ,$184.33 ,$867.45 ,$414.75 ,$840.06 ,$105.22 ,$830.93 ,$184.33 ,$561.93 ,$588.04 ,$561.93 ,$821.80 ,$913.11 ,$681.45 ,$821.80 ,$186.18 ,$104.22 ,$853.76 ,$193.55 ,$99.26 ,$794.41 ,$184.33 ,$821.80 ,$184.33 ,$821.80 ,$821.80 ,$821.80 ,$885.72 ,$739.62 ,$821.80 ,$821.80 ,$821.80 ,$821.80 
ST. JOSEPH'S - CHIPPEWA FALLS,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$4,320.88 ","$3,240.66 ",$121.52 ,"$4,320.88 ","$2,782.65 ",$184.33 ,"$3,024.62 ",$121.52 ,"$2,412.00 ",$125.17 ,"$1,929.00 ","$4,104.84 ", N/A ,"$3,456.70 ","$3,932.00 ",$121.52 ,"$4,061.63 ","$4,104.84 ","$3,888.79 ","$3,672.75 ",$121.52 ,$121.52 ,$121.52 ,"$3,154.24 ",$184.33 ,"$3,845.58 ","$3,888.79 ","$3,888.79 ","$3,456.70 ",$189.86 ,"$2,376.48 ","$3,888.79 ",$184.33 ,"$3,888.79 ",$184.33 ,"$4,104.84 ",$414.75 ,"$3,975.21 ",$128.81 ,"$3,932.00 ",$184.33 ,"$2,659.07 ","$2,782.65 ","$2,659.07 ","$3,888.79 ",$743.10 ,"$3,224.67 ","$1,929.32 ",$186.18 ,$127.60 ,"$4,040.02 ",$193.55 ,$121.52 ,"$3,759.17 ",$184.33 ,"$3,888.79 ",$184.33 ,"$3,888.79 ","$3,888.79 ","$3,888.79 ","$4,191.25 ","$3,499.91 ","$3,888.79 ","$3,888.79 ","$3,888.79 ","$3,888.79 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$2,008.27 ","$1,506.20 ",$36.64 ,"$2,008.27 ","$1,293.33 ",$112.35 ,"$1,405.79 ",$36.64 ,"$2,008.27 ",$37.74 ,"$1,929.00 ","$1,907.86 ", N/A ,"$1,606.62 ","$1,827.53 ",$36.64 ,"$1,887.77 ","$1,907.86 ","$1,807.44 ","$1,707.03 ",$36.64 ,$36.64 ,$36.64 ,"$1,466.04 ",$112.35 ,"$1,787.36 ","$1,807.44 ","$1,807.44 ","$1,606.62 ",$115.72 ,"$1,104.55 ","$1,807.44 ",$112.35 ,"$1,807.44 ",$112.35 ,"$1,907.86 ",$252.79 ,"$1,847.61 ",$38.84 ,"$1,827.53 ",$112.35 ,"$1,235.89 ","$1,293.33 ","$1,235.89 ","$1,807.44 ",$806.12 ,"$1,498.77 ","$1,807.44 ",$113.47 ,$38.47 ,"$1,877.73 ",$117.97 ,$36.64 ,"$1,747.19 ",$112.35 ,"$1,807.44 ",$112.35 ,"$1,807.44 ","$1,807.44 ","$1,807.44 ","$1,948.02 ","$1,626.70 ","$1,807.44 ","$1,807.44 ","$1,807.44 ","$1,807.44 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$2,289.97 ","$1,717.48 ",$99.26 ,"$2,289.97 ","$1,474.74 ",$184.33 ,"$1,602.98 ",$99.26 ,"$2,289.97 ",$102.24 ,"$1,929.00 ","$2,175.47 ", N/A ,"$1,831.98 ","$2,083.87 ",$99.26 ,"$2,152.57 ","$2,175.47 ","$2,060.97 ","$1,946.47 ",$99.26 ,$99.26 ,$99.26 ,"$1,671.68 ",$184.33 ,"$2,038.07 ","$2,060.97 ","$2,060.97 ","$1,831.98 ",$189.86 ,"$1,259.48 ","$2,060.97 ",$184.33 ,"$2,060.97 ",$184.33 ,"$2,175.47 ",$414.75 ,"$2,106.77 ",$105.22 ,"$2,083.87 ",$184.33 ,"$1,409.25 ","$1,474.74 ","$1,409.25 ","$2,060.97 ","$1,104.11 ","$1,709.00 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,141.12 ",$193.55 ,$99.26 ,"$1,992.27 ",$184.33 ,"$2,060.97 ",$184.33 ,"$2,060.97 ","$2,060.97 ","$2,060.97 ","$2,221.27 ","$1,854.88 ","$2,060.97 ","$2,060.97 ","$2,060.97 ","$2,060.97 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$2,435.20 ","$1,826.40 ",$99.26 ,"$2,435.20 ","$1,568.27 ",$184.33 ,"$1,704.64 ",$99.26 ,"$2,412.00 ",$102.24 ,"$1,929.00 ","$2,313.44 ", N/A ,"$1,948.16 ","$2,216.03 ",$99.26 ,"$2,289.09 ","$2,313.44 ","$2,191.68 ","$2,069.92 ",$99.26 ,$99.26 ,$99.26 ,"$1,777.70 ",$184.33 ,"$2,167.33 ","$2,191.68 ","$2,191.68 ","$1,948.16 ",$189.86 ,"$1,339.36 ","$2,191.68 ",$184.33 ,"$2,191.68 ",$184.33 ,"$2,313.44 ",$414.75 ,"$2,240.38 ",$105.22 ,"$2,216.03 ",$184.33 ,"$1,498.62 ","$1,568.27 ","$1,498.62 ","$2,191.68 ","$1,187.43 ","$1,817.39 ","$1,929.32 ",$186.18 ,$104.22 ,"$2,276.91 ",$193.55 ,$99.26 ,"$2,118.62 ",$184.33 ,"$2,191.68 ",$184.33 ,"$2,191.68 ","$2,191.68 ","$2,191.68 ","$2,362.14 ","$1,972.51 ","$2,191.68 ","$2,191.68 ","$2,191.68 ","$2,191.68 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,861.03 ","$2,895.77 ",$121.52 ,"$3,861.03 ","$2,486.50 ",$184.33 ,"$2,702.72 ",$121.52 ,"$2,412.00 ",$125.17 ,"$1,929.00 ","$3,667.98 ", N/A ,"$3,088.82 ","$3,513.54 ",$121.52 ,"$3,629.37 ","$3,667.98 ","$3,474.93 ","$3,281.88 ",$121.52 ,$121.52 ,$121.52 ,"$2,818.55 ",$184.33 ,"$3,436.32 ","$3,474.93 ","$3,474.93 ","$3,088.82 ",$189.86 ,"$2,123.57 ","$3,474.93 ",$184.33 ,"$3,474.93 ",$184.33 ,"$3,667.98 ",$414.75 ,"$3,552.15 ",$128.81 ,"$3,513.54 ",$184.33 ,"$2,376.08 ","$2,486.50 ","$2,376.08 ","$3,474.93 ",$845.54 ,"$2,881.49 ","$1,929.32 ",$186.18 ,$127.60 ,"$3,610.06 ",$193.55 ,$121.52 ,"$3,359.10 ",$184.33 ,"$3,474.93 ",$184.33 ,"$3,474.93 ","$3,474.93 ","$3,474.93 ","$3,745.20 ","$3,127.43 ","$3,474.93 ","$3,474.93 ","$3,474.93 ","$3,474.93 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$2,595.20 ","$1,946.40 ",$99.26 ,"$2,595.20 ","$1,671.31 ",$237.45 ,"$1,816.64 ",$99.26 ,"$2,412.00 ",$102.24 ,"$1,929.00 ","$2,465.44 ", N/A ,"$2,076.16 ","$2,361.63 ",$99.26 ,"$2,439.49 ","$2,465.44 ","$2,335.68 ","$2,205.92 ",$99.26 ,$99.26 ,$99.26 ,"$1,894.50 ",$237.45 ,"$2,309.73 ","$2,335.68 ","$2,335.68 ","$2,076.16 ",$244.58 ,"$1,427.36 ","$2,335.68 ",$237.45 ,"$2,335.68 ",$237.45 ,"$2,465.44 ",$534.27 ,"$2,387.58 ",$105.22 ,"$2,361.63 ",$237.45 ,"$1,597.09 ","$1,671.31 ","$1,597.09 ","$2,335.68 ",$265.59 ,"$1,936.80 ","$1,929.32 ",$239.83 ,$104.22 ,"$2,426.51 ",$249.32 ,$99.26 ,"$2,257.82 ",$237.45 ,"$2,335.68 ",$237.45 ,"$2,335.68 ","$2,335.68 ","$2,335.68 ","$2,517.34 ","$2,102.11 ","$2,335.68 ","$2,335.68 ","$2,335.68 ","$2,335.68 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$3,537.84 ","$2,653.38 ",$99.26 ,"$3,537.84 ","$2,278.37 ",$380.02 ,"$2,476.49 ",$99.26 ,"$2,412.00 ",$102.24 ,"$1,929.00 ","$3,360.95 ", N/A ,"$2,830.27 ","$3,219.43 ",$99.26 ,"$3,325.57 ","$3,360.95 ","$3,184.06 ","$3,007.16 ",$99.26 ,$99.26 ,$99.26 ,"$2,582.62 ",$380.02 ,"$3,148.68 ","$3,184.06 ","$3,184.06 ","$2,830.27 ",$391.42 ,"$1,945.81 ","$3,184.06 ",$380.02 ,"$3,184.06 ",$380.02 ,"$3,360.95 ",$855.04 ,"$3,254.81 ",$105.22 ,"$3,219.43 ",$380.02 ,"$2,177.19 ","$2,278.37 ","$2,177.19 ","$3,184.06 ",$506.53 ,"$2,640.29 ","$1,929.32 ",$383.82 ,$104.22 ,"$3,307.88 ",$399.02 ,$99.26 ,"$3,077.92 ",$380.02 ,"$3,184.06 ",$380.02 ,"$3,184.06 ","$3,184.06 ","$3,184.06 ","$3,431.70 ","$2,865.65 ","$3,184.06 ","$3,184.06 ","$3,184.06 ","$3,184.06 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$3,659.03 ","$2,744.27 ",$99.26 ,"$3,659.03 ","$2,356.42 ",$380.02 ,"$2,561.32 ",$99.26 ,"$2,412.00 ",$102.24 ,"$1,929.00 ","$3,476.08 ", N/A ,"$2,927.22 ","$3,329.72 ",$99.26 ,"$3,439.49 ","$3,476.08 ","$3,293.13 ","$3,110.18 ",$99.26 ,$99.26 ,$99.26 ,"$2,671.09 ",$380.02 ,"$3,256.54 ","$3,293.13 ","$3,293.13 ","$2,927.22 ",$391.42 ,"$2,012.47 ","$3,293.13 ",$380.02 ,"$3,293.13 ",$380.02 ,"$3,476.08 ",$855.04 ,"$3,366.31 ",$105.22 ,"$3,329.72 ",$380.02 ,"$2,251.77 ","$2,356.42 ","$2,251.77 ","$3,293.13 ",$669.44 ,"$2,730.73 ","$1,929.32 ",$383.82 ,$104.22 ,"$3,421.19 ",$399.02 ,$99.26 ,"$3,183.36 ",$380.02 ,"$3,293.13 ",$380.02 ,"$3,293.13 ","$3,293.13 ","$3,293.13 ","$3,549.26 ","$2,963.81 ","$3,293.13 ","$3,293.13 ","$3,293.13 ","$3,293.13 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000086,74261,HC CT VIRTUAL COLONOSCOPY DX,350,1 ,"$1,299.85 ",$974.89 ,$36.64 ,"$1,299.85 ",$837.10 ,$112.35 ,$909.90 ,$36.64 ,"$1,299.85 ",$37.74 ,"$1,299.85 ","$1,234.86 ", N/A ,"$1,039.88 ","$1,182.86 ",$36.64 ,"$1,221.86 ","$1,234.86 ","$1,169.87 ","$1,104.87 ",$36.64 ,$36.64 ,$36.64 ,$948.89 ,$112.35 ,"$1,156.87 ","$1,169.87 ","$1,169.87 ","$1,039.88 ",$115.72 ,$714.92 ,"$1,169.87 ",$112.35 ,"$1,169.87 ",$112.35 ,"$1,234.86 ",$252.79 ,"$1,195.86 ",$38.84 ,"$1,182.86 ",$112.35 ,$799.93 ,$837.10 ,$799.93 ,"$1,169.87 ",$566.08 ,$970.08 ,"$1,169.87 ",$113.47 ,$38.47 ,"$1,215.36 ",$117.97 ,$36.64 ,"$1,130.87 ",$112.35 ,"$1,169.87 ",$112.35 ,"$1,169.87 ","$1,169.87 ","$1,169.87 ","$1,260.85 ","$1,052.88 ","$1,169.87 ","$1,169.87 ","$1,169.87 ","$1,169.87 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000088,N/A,HC CT HRT W/O DYE W/CA TEST (PROMO),350,1 ,$100.00 ,$75.00 ,$55.00 ,$100.00 ,$64.40 , N/A ,$70.00 , N/A ,$100.00 , N/A ,$100.00 ,$95.00 , N/A ,$80.00 ,$91.00 , N/A ,$94.00 ,$95.00 ,$90.00 ,$85.00 , N/A , N/A , N/A ,$73.00 , N/A ,$89.00 ,$90.00 ,$90.00 ,$80.00 , N/A ,$55.00 ,$90.00 , N/A ,$90.00 , N/A ,$95.00 , N/A ,$92.00 , N/A ,$91.00 , N/A ,$61.54 ,$64.40 ,$61.54 ,$90.00 ,$90.00 ,$74.63 ,$90.00 , N/A , N/A ,$93.50 , N/A , N/A ,$87.00 , N/A ,$90.00 , N/A ,$90.00 ,$90.00 ,$90.00 ,$97.00 ,$81.00 ,$90.00 ,$90.00 ,$90.00 ,$90.00 
ST. JOSEPH'S - CHIPPEWA FALLS,35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$4,406.26 ","$3,304.70 ",$121.52 ,"$4,406.26 ","$2,837.63 ",$184.33 ,"$3,084.38 ",$121.52 ,"$2,412.00 ",$125.17 ,"$1,929.00 ","$4,185.95 ", N/A ,"$3,525.01 ","$4,009.70 ",$121.52 ,"$4,141.88 ","$4,185.95 ","$3,965.63 ","$3,745.32 ",$121.52 ,$121.52 ,$121.52 ,"$3,216.57 ",$184.33 ,"$3,921.57 ","$3,965.63 ","$3,965.63 ","$3,525.01 ",$189.86 ,"$2,423.44 ","$3,965.63 ",$184.33 ,"$3,965.63 ",$184.33 ,"$4,185.95 ",$414.75 ,"$4,053.76 ",$128.81 ,"$4,009.70 ",$184.33 ,"$2,711.61 ","$2,837.63 ","$2,711.61 ","$3,965.63 ",$845.54 ,"$3,288.39 ","$1,929.32 ",$186.18 ,$127.60 ,"$4,119.85 ",$193.55 ,$121.52 ,"$3,833.45 ",$184.33 ,"$3,965.63 ",$184.33 ,"$3,965.63 ","$3,965.63 ","$3,965.63 ","$4,274.07 ","$3,569.07 ","$3,965.63 ","$3,965.63 ","$3,965.63 ","$3,965.63 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000100,76377,HC 3D RENDER CT REQUIRES INDEPENDENT,350,1 ,"$1,275.00 ",$956.25 ,$287.93 ,"$1,275.00 ",$821.10 , N/A ,$892.50 , N/A ,"$1,275.00 ", N/A ,"$1,275.00 ","$1,211.25 ", N/A ,"$1,020.00 ","$1,160.25 ", N/A ,"$1,198.50 ","$1,211.25 ","$1,147.50 ","$1,083.75 ", N/A , N/A , N/A ,$930.75 , N/A ,"$1,134.75 ","$1,147.50 ","$1,147.50 ","$1,020.00 ", N/A ,$701.25 ,"$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,211.25 ", N/A ,"$1,173.00 ", N/A ,"$1,160.25 ", N/A ,$784.64 ,$821.10 ,$784.64 ,"$1,147.50 ",$287.93 ,$951.53 ,"$1,147.50 ", N/A , N/A ,"$1,192.13 ", N/A , N/A ,"$1,109.25 ", N/A ,"$1,147.50 ", N/A ,"$1,147.50 ","$1,147.50 ","$1,147.50 ","$1,236.75 ","$1,032.75 ","$1,147.50 ","$1,147.50 ","$1,147.50 ","$1,147.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000101,76380,HC CT LMTD OR LOCALIZ FU STUDY,350,1 ,$469.22 ,$351.92 ,$36.64 ,$469.22 ,$302.18 ,$83.47 ,$328.45 ,$36.64 ,$469.22 ,$37.74 ,$469.22 ,$445.76 , N/A ,$375.38 ,$426.99 ,$36.64 ,$441.07 ,$445.76 ,$422.30 ,$398.84 ,$36.64 ,$36.64 ,$36.64 ,$342.53 ,$83.47 ,$417.61 ,$422.30 ,$422.30 ,$375.38 ,$85.98 ,$258.07 ,$422.30 ,$83.47 ,$422.30 ,$83.47 ,$445.76 ,$187.81 ,$431.68 ,$38.84 ,$426.99 ,$83.47 ,$288.76 ,$302.18 ,$288.76 ,$422.30 ,$469.22 ,$350.18 ,$422.30 ,$84.31 ,$38.47 ,$438.72 ,$87.64 ,$36.64 ,$408.22 ,$83.47 ,$422.30 ,$83.47 ,$422.30 ,$422.30 ,$422.30 ,$455.14 ,$380.07 ,$422.30 ,$422.30 ,$422.30 ,$422.30 
ST. JOSEPH'S - CHIPPEWA FALLS,35000106,77012,HC CT GUIDED NEEDLE PLACEMENT,350,1 ,"$1,833.07 ","$1,374.80 ",$29.23 ,"$1,833.07 ","$1,180.50 ", N/A ,"$1,283.15 ",$29.23 ,"$1,833.07 ",$30.11 ,"$1,833.07 ","$1,741.42 ", N/A ,"$1,466.46 ","$1,668.09 ",$29.23 ,"$1,723.09 ","$1,741.42 ","$1,649.76 ","$1,558.11 ",$29.23 ,$29.23 ,$29.23 ,"$1,338.14 ", N/A ,"$1,631.43 ","$1,649.76 ","$1,649.76 ","$1,466.46 ", N/A ,"$1,008.19 ","$1,649.76 ", N/A ,"$1,649.76 ", N/A ,"$1,741.42 ", N/A ,"$1,686.42 ",$30.98 ,"$1,668.09 ", N/A ,"$1,128.07 ","$1,180.50 ","$1,128.07 ","$1,649.76 ",$517.77 ,"$1,368.02 ","$1,649.76 ", N/A ,$30.69 ,"$1,713.92 ", N/A ,$29.23 ,"$1,594.77 ", N/A ,"$1,649.76 ", N/A ,"$1,649.76 ","$1,649.76 ","$1,649.76 ","$1,778.08 ","$1,484.79 ","$1,649.76 ","$1,649.76 ","$1,649.76 ","$1,649.76 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000109,77013,HC CT GUIDED FOR ABLATION,350,1 ,$807.28 ,$605.46 ,$29.23 ,$807.28 ,$519.89 , N/A ,$565.10 ,$29.23 ,$807.28 ,$30.11 ,$807.28 ,$766.92 , N/A ,$645.82 ,$734.62 ,$29.23 ,$758.84 ,$766.92 ,$726.55 ,$686.19 ,$29.23 ,$29.23 ,$29.23 ,$589.31 , N/A ,$718.48 ,$726.55 ,$726.55 ,$645.82 , N/A ,$444.00 ,$726.55 , N/A ,$726.55 , N/A ,$766.92 , N/A ,$742.70 ,$30.98 ,$734.62 , N/A ,$496.80 ,$519.89 ,$496.80 ,$726.55 ,$188.95 ,$602.47 ,$726.55 , N/A ,$30.69 ,$754.81 , N/A ,$29.23 ,$702.33 , N/A ,$726.55 , N/A ,$726.55 ,$726.55 ,$726.55 ,$783.06 ,$653.90 ,$726.55 ,$726.55 ,$726.55 ,$726.55 
ST. JOSEPH'S - CHIPPEWA FALLS,35000111,77014,HC CT GUIDED THRPY PLACEMENT UNENHAN,350,1 ,$279.30 ,$209.48 ,$29.23 ,$279.30 ,$179.87 , N/A ,$195.51 ,$29.23 ,$279.30 ,$30.11 ,$279.30 ,$265.34 , N/A ,$223.44 ,$254.16 ,$29.23 ,$262.54 ,$265.34 ,$251.37 ,$237.41 ,$29.23 ,$29.23 ,$29.23 ,$203.89 , N/A ,$248.58 ,$251.37 ,$251.37 ,$223.44 , N/A ,$153.62 ,$251.37 , N/A ,$251.37 , N/A ,$265.34 , N/A ,$256.96 ,$30.98 ,$254.16 , N/A ,$171.88 ,$179.87 ,$171.88 ,$251.37 ,$249.73 ,$208.44 ,$251.37 , N/A ,$30.69 ,$261.15 , N/A ,$29.23 ,$242.99 , N/A ,$251.37 , N/A ,$251.37 ,$251.37 ,$251.37 ,$270.92 ,$226.23 ,$251.37 ,$251.37 ,$251.37 ,$251.37 
ST. JOSEPH'S - CHIPPEWA FALLS,35000113,51102,HC ASPIRATION OF BLADDER AND INSERT SUPRAPUBIC CATH,350,1 ,"$2,039.00 ","$1,529.25 ",$490.13 ,"$4,157.42 ","$1,313.12 ","$1,847.74 ","$1,427.30 ",$490.13 ,"$2,039.00 ",$504.83 ,"$1,929.00 ","$1,937.05 ", N/A ,"$1,631.20 ","$1,855.49 ",$490.13 ,"$1,916.66 ","$1,937.05 ","$1,835.10 ","$1,733.15 ",$490.13 ,$490.13 ,$490.13 ,"$1,488.47 ","$1,847.74 ","$1,814.71 ","$1,835.10 ","$1,835.10 ","$1,631.20 ","$1,903.17 ","$1,121.45 ","$1,835.10 ","$1,847.74 ","$1,835.10 ","$1,847.74 ","$1,937.05 ","$4,157.42 ","$1,875.88 ",$519.54 ,"$1,855.49 ","$1,847.74 ","$1,254.80 ","$1,313.12 ","$1,254.80 ","$1,835.10 ","$1,835.10 ","$1,521.71 ","$1,835.10 ","$1,866.22 ",$514.64 ,"$1,906.47 ","$1,940.13 ",$490.13 ,"$1,773.93 ","$1,847.74 ","$1,835.10 ","$1,847.74 ","$1,835.10 ","$1,835.10 ","$1,835.10 ","$1,977.83 ","$1,651.59 ","$1,835.10 ","$1,835.10 ","$1,835.10 ","$1,835.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000116,64510,HC INJECT STELLATE GANGLION,350,1 ,"$2,438.00 ","$1,828.50 ",$364.34 ,"$2,438.00 ","$1,570.07 ",$849.51 ,"$1,706.60 ",$364.34 ,"$2,412.00 ",$375.27 ,"$1,929.00 ","$2,316.10 ", N/A ,"$1,950.40 ","$2,218.58 ",$364.34 ,"$2,291.72 ","$2,316.10 ","$2,194.20 ","$2,072.30 ",$364.34 ,$364.34 ,$364.34 ,"$1,779.74 ",$849.51 ,"$2,169.82 ","$2,194.20 ","$2,194.20 ","$1,950.40 ",$874.99 ,"$1,340.90 ","$2,194.20 ",$849.51 ,"$2,194.20 ",$849.51 ,"$2,316.10 ","$1,911.39 ","$2,242.96 ",$386.20 ,"$2,218.58 ",$849.51 ,"$1,500.35 ","$1,570.07 ","$1,500.35 ","$2,194.20 ","$2,194.20 ","$1,819.48 ","$1,929.32 ",$858.00 ,$382.56 ,"$2,279.53 ",$891.99 ,$364.34 ,"$2,121.06 ",$849.51 ,"$2,194.20 ",$849.51 ,"$2,194.20 ","$2,194.20 ","$2,194.20 ","$2,364.86 ","$1,974.78 ","$2,194.20 ","$2,194.20 ","$2,194.20 ","$2,194.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000120,74174,HC CT ANGIO ABD/PELV W  AND  WO CONTRAST,350,1 ,"$1,798.80 ","$1,349.10 ",$121.52 ,"$1,798.80 ","$1,158.43 ",$380.02 ,"$1,259.16 ",$121.52 ,"$1,798.80 ",$125.17 ,"$1,798.80 ","$1,708.86 ", N/A ,"$1,439.04 ","$1,636.91 ",$121.52 ,"$1,690.87 ","$1,708.86 ","$1,618.92 ","$1,528.98 ",$121.52 ,$121.52 ,$121.52 ,"$1,313.12 ",$380.02 ,"$1,600.93 ","$1,618.92 ","$1,618.92 ","$1,439.04 ",$391.42 ,$989.34 ,"$1,618.92 ",$380.02 ,"$1,618.92 ",$380.02 ,"$1,708.86 ",$855.04 ,"$1,654.90 ",$128.81 ,"$1,636.91 ",$380.02 ,"$1,106.98 ","$1,158.43 ","$1,106.98 ","$1,618.92 ",$918.60 ,"$1,342.44 ","$1,618.92 ",$383.82 ,$127.60 ,"$1,681.88 ",$399.02 ,$121.52 ,"$1,564.96 ",$380.02 ,"$1,618.92 ",$380.02 ,"$1,618.92 ","$1,618.92 ","$1,618.92 ","$1,744.84 ","$1,457.03 ","$1,618.92 ","$1,618.92 ","$1,618.92 ","$1,618.92 "
ST. JOSEPH'S - CHIPPEWA FALLS,35000154,71271,HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST,350,1 ,$479.75 ,$359.81 ,$36.64 ,$479.75 ,$308.96 ,$112.35 ,$335.83 ,$36.64 ,$479.75 ,$37.74 ,$479.75 ,$455.76 , N/A ,$383.80 ,$436.57 ,$36.64 ,$450.97 ,$455.76 ,$431.78 ,$407.79 ,$36.64 ,$36.64 ,$36.64 ,$350.22 ,$112.35 ,$426.98 ,$431.78 ,$431.78 ,$383.80 ,$115.72 ,$263.86 ,$431.78 ,$112.35 ,$431.78 ,$112.35 ,$455.76 ,$252.79 ,$441.37 ,$38.84 ,$436.57 ,$112.35 ,$295.24 ,$308.96 ,$295.24 ,$431.78 ,$431.78 ,$358.04 ,$431.78 ,$113.47 ,$38.47 ,$448.57 ,$117.97 ,$36.64 ,$417.38 ,$112.35 ,$431.78 ,$112.35 ,$431.78 ,$431.78 ,$431.78 ,$465.36 ,$388.60 ,$431.78 ,$431.78 ,$431.78 ,$431.78 
ST. JOSEPH'S - CHIPPEWA FALLS,35200004,74263,HC CT COLONOGRAPHY SCREENING,352,1 ,"$1,147.52 ",$860.64 ,$36.64 ,"$1,147.52 ",$739.00 , N/A ,$803.26 ,$36.64 ,"$1,147.52 ",$37.74 ,"$1,147.52 ","$1,090.14 ", N/A ,$918.02 ,"$1,044.24 ",$36.64 ,"$1,078.67 ","$1,090.14 ","$1,032.77 ",$975.39 ,$36.64 ,$36.64 ,$36.64 ,$837.69 , N/A ,"$1,021.29 ","$1,032.77 ","$1,032.77 ",$918.02 , N/A ,$631.14 ,"$1,032.77 ", N/A ,"$1,032.77 ", N/A ,"$1,090.14 ", N/A ,"$1,055.72 ",$38.84 ,"$1,044.24 ", N/A ,$706.18 ,$739.00 ,$706.18 ,"$1,032.77 ","$1,119.16 ",$856.39 ,"$1,032.77 ", N/A ,$38.47 ,"$1,072.93 ", N/A ,$36.64 ,$998.34 , N/A ,"$1,032.77 ", N/A ,"$1,032.77 ","$1,032.77 ","$1,032.77 ","$1,113.09 ",$929.49 ,"$1,032.77 ","$1,032.77 ","$1,032.77 ","$1,032.77 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000027,10060,HC I AND D ABSC SMP FAC,360,1 ,$436.00 ,$327.00 ,$51.36 ,$436.00 ,$280.78 ,$185.31 ,$305.20 ,$51.36 ,$436.00 ,$52.90 ,$436.00 ,$414.20 , N/A ,$348.80 ,$396.76 ,$51.36 , N/A ,$414.20 ,$392.40 ,$370.60 ,$51.36 ,$51.36 ,$51.36 ,$318.28 ,$185.31 ,$388.04 ,$392.40 ,$392.40 ,$348.80 ,$190.87 ,$239.80 ,$392.40 ,$185.31 ,$392.40 ,$185.31 ,$409.84 ,$416.96 ,$401.12 ,$54.44 ,$396.76 ,$185.31 ,$268.31 ,$280.78 ,$268.31 ,$392.40 ,$392.40 ,$325.39 ,$392.40 ,$187.17 ,$53.93 ,$407.66 ,$194.58 ,$51.36 ,$379.32 ,$185.31 ,$392.40 ,$185.31 ,$392.40 ,$392.40 ,$392.40 ,$422.92 ,$353.16 ,$392.40 ,$392.40 ,$392.40 ,$392.40 
ST. JOSEPH'S - CHIPPEWA FALLS,36000029,10140,HC I AND D HEMATOMA/SEROMA/FLUID,360,1 ,"$1,555.00 ","$1,166.25 ",$344.84 ,"$3,266.98 ","$1,001.42 ","$1,451.99 ","$1,088.50 ",$344.84 ,"$1,555.00 ",$355.19 ,"$1,555.00 ","$1,477.25 ", N/A ,"$1,244.00 ","$1,415.05 ",$344.84 , N/A ,"$1,477.25 ","$1,399.50 ","$1,321.75 ",$344.84 ,$344.84 ,$344.84 ,"$1,135.15 ","$1,451.99 ","$1,383.95 ","$1,399.50 ","$1,399.50 ","$1,244.00 ","$1,495.55 ",$855.25 ,"$1,399.50 ","$1,451.99 ","$1,399.50 ","$1,451.99 ","$1,461.70 ","$3,266.98 ","$1,430.60 ",$365.53 ,"$1,415.05 ","$1,451.99 ",$956.95 ,"$1,001.42 ",$956.95 ,"$1,399.50 ","$1,399.50 ","$1,160.50 ","$1,399.50 ","$1,466.51 ",$362.08 ,"$1,453.93 ","$1,524.59 ",$344.84 ,"$1,352.85 ","$1,451.99 ","$1,399.50 ","$1,451.99 ","$1,399.50 ","$1,399.50 ","$1,399.50 ","$1,508.35 ","$1,259.55 ","$1,399.50 ","$1,399.50 ","$1,399.50 ","$1,399.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$448.00 ,$336.00 ,$51.36 ,$802.54 ,$288.51 ,$356.69 ,$313.60 ,$51.36 ,$448.00 ,$52.90 ,$448.00 ,$425.60 , N/A ,$358.40 ,$407.68 ,$51.36 , N/A ,$425.60 ,$403.20 ,$380.80 ,$51.36 ,$51.36 ,$51.36 ,$327.04 ,$356.69 ,$398.72 ,$403.20 ,$403.20 ,$358.40 ,$367.39 ,$246.40 ,$403.20 ,$356.69 ,$403.20 ,$356.69 ,$421.12 ,$802.54 ,$412.16 ,$54.44 ,$407.68 ,$356.69 ,$275.70 ,$288.51 ,$275.70 ,$403.20 ,$403.20 ,$334.34 ,$403.20 ,$360.25 ,$53.93 ,$418.88 ,$374.52 ,$51.36 ,$389.76 ,$356.69 ,$403.20 ,$356.69 ,$403.20 ,$403.20 ,$403.20 ,$434.56 ,$362.88 ,$403.20 ,$403.20 ,$403.20 ,$403.20 
ST. JOSEPH'S - CHIPPEWA FALLS,36000035,10030,HC GUIDE CATHET FLUID DRAINAGE,360,1 ,$540.00 ,$405.00 ,$297.00 ,"$1,444.89 ",$347.76 ,$642.18 ,$378.00 ,$344.84 ,$540.00 ,$355.19 ,$540.00 ,$513.00 , N/A ,$432.00 ,$491.40 ,$344.84 , N/A ,$513.00 ,$486.00 ,$459.00 ,$344.84 ,$344.84 ,$344.84 ,$394.20 ,$642.18 ,$480.60 ,$486.00 ,$486.00 ,$432.00 ,$661.44 ,$297.00 ,$486.00 ,$642.18 ,$486.00 ,$642.18 ,$507.60 ,"$1,444.89 ",$496.80 ,$365.53 ,$491.40 ,$642.18 ,$332.32 ,$347.76 ,$332.32 ,$486.00 ,$486.00 ,$403.00 ,$486.00 ,$648.60 ,$362.08 ,$504.90 ,$674.29 ,$344.84 ,$469.80 ,$642.18 ,$486.00 ,$642.18 ,$486.00 ,$486.00 ,$486.00 ,$523.80 ,$437.40 ,$486.00 ,$486.00 ,$486.00 ,$486.00 
ST. JOSEPH'S - CHIPPEWA FALLS,36000078,19000,HC ASP CYST BREAST,360,1 ,"$1,204.00 ",$903.00 ,$198.34 ,"$1,444.89 ",$775.38 ,$642.18 ,$842.80 ,$198.34 ,"$1,204.00 ",$204.29 ,"$1,204.00 ","$1,143.80 ", N/A ,$963.20 ,"$1,095.64 ",$198.34 , N/A ,"$1,143.80 ","$1,083.60 ","$1,023.40 ",$198.34 ,$198.34 ,$198.34 ,$878.92 ,$642.18 ,"$1,071.56 ","$1,083.60 ","$1,083.60 ",$963.20 ,$661.44 ,$662.20 ,"$1,083.60 ",$642.18 ,"$1,083.60 ",$642.18 ,"$1,131.76 ","$1,444.89 ","$1,107.68 ",$210.24 ,"$1,095.64 ",$642.18 ,$740.94 ,$775.38 ,$740.94 ,"$1,083.60 ","$1,083.60 ",$898.55 ,"$1,083.60 ",$648.60 ,$208.26 ,"$1,125.74 ",$674.29 ,$198.34 ,"$1,047.48 ",$642.18 ,"$1,083.60 ",$642.18 ,"$1,083.60 ","$1,083.60 ","$1,083.60 ","$1,167.88 ",$975.24 ,"$1,083.60 ","$1,083.60 ","$1,083.60 ","$1,083.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000079,19001,HC ASP CYST BREAST EA ADDL,360,1 ,$787.00 ,$590.25 ,$198.34 ,$787.00 ,$506.83 , N/A ,$550.90 ,$198.34 ,$787.00 ,$204.29 ,$787.00 ,$747.65 , N/A ,$629.60 ,$716.17 ,$198.34 , N/A ,$747.65 ,$708.30 ,$668.95 ,$198.34 ,$198.34 ,$198.34 ,$574.51 , N/A ,$700.43 ,$708.30 ,$708.30 ,$629.60 , N/A ,$432.85 ,$708.30 , N/A ,$708.30 , N/A ,$739.78 , N/A ,$724.04 ,$210.24 ,$716.17 , N/A ,$484.32 ,$506.83 ,$484.32 ,$708.30 ,$708.30 ,$587.34 ,$708.30 , N/A ,$208.26 ,$735.85 , N/A ,$198.34 ,$684.69 , N/A ,$708.30 , N/A ,$708.30 ,$708.30 ,$708.30 ,$763.39 ,$637.47 ,$708.30 ,$708.30 ,$708.30 ,$708.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36000080,19020,HC BREAST ABSCESS DRAINAGE,360,1 ,"$4,389.00 ","$3,291.75 ",$439.46 ,"$4,389.00 ","$2,826.52 ","$1,451.99 ","$3,072.30 ",$439.46 ,"$4,389.00 ",$452.64 ,"$3,859.00 ","$4,169.55 ", N/A ,"$3,511.20 ","$3,993.99 ",$439.46 , N/A ,"$4,169.55 ","$3,950.10 ","$3,730.65 ",$439.46 ,$439.46 ,$439.46 ,"$3,203.97 ","$1,451.99 ","$3,906.21 ","$3,950.10 ","$3,950.10 ","$3,511.20 ","$1,495.55 ","$2,413.95 ","$3,950.10 ","$1,451.99 ","$3,950.10 ","$1,451.99 ","$4,125.66 ","$3,266.98 ","$4,037.88 ",$465.83 ,"$3,993.99 ","$1,451.99 ","$2,700.99 ","$2,826.52 ","$2,700.99 ","$3,950.10 ","$3,950.10 ","$3,275.51 ","$3,360.24 ","$1,466.51 ",$461.43 ,"$4,103.72 ","$1,524.59 ",$439.46 ,"$3,818.43 ","$1,451.99 ","$3,950.10 ","$1,451.99 ","$3,950.10 ","$3,950.10 ","$3,950.10 ","$4,257.33 ","$3,555.09 ","$3,950.10 ","$3,950.10 ","$3,950.10 ","$3,950.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$3,045.15 ","$2,283.86 ",$439.46 ,"$3,266.98 ","$1,961.08 ","$1,451.99 ","$2,131.61 ",$439.46 ,"$3,045.15 ",$452.64 ,"$3,045.15 ","$2,892.89 ", N/A ,"$2,436.12 ","$2,771.09 ",$439.46 , N/A ,"$2,892.89 ","$2,740.64 ","$2,588.38 ",$439.46 ,$439.46 ,$439.46 ,"$2,222.96 ","$1,451.99 ","$2,710.18 ","$2,740.64 ","$2,740.64 ","$2,436.12 ","$1,495.55 ","$1,674.83 ","$2,740.64 ","$1,451.99 ","$2,740.64 ","$1,451.99 ","$2,862.44 ","$3,266.98 ","$2,801.54 ",$465.83 ,"$2,771.09 ","$1,451.99 ","$1,873.99 ","$1,961.08 ","$1,873.99 ","$2,740.64 ","$2,740.64 ","$2,272.60 ","$2,740.64 ","$1,466.51 ",$461.43 ,"$2,847.22 ","$1,524.59 ",$439.46 ,"$2,649.28 ","$1,451.99 ","$2,740.64 ","$1,451.99 ","$2,740.64 ","$2,740.64 ","$2,740.64 ","$2,953.80 ","$2,466.57 ","$2,740.64 ","$2,740.64 ","$2,740.64 ","$2,740.64 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$1,197.49 ",$898.12 ,$258.03 ,"$1,444.89 ",$771.18 ,$642.18 ,$838.24 ,$258.03 ,"$1,197.49 ",$265.77 ,"$1,197.49 ","$1,137.62 ", N/A ,$957.99 ,"$1,089.72 ",$258.03 , N/A ,"$1,137.62 ","$1,077.74 ","$1,017.87 ",$258.03 ,$258.03 ,$258.03 ,$874.17 ,$642.18 ,"$1,065.77 ","$1,077.74 ","$1,077.74 ",$957.99 ,$661.44 ,$658.62 ,"$1,077.74 ",$642.18 ,"$1,077.74 ",$642.18 ,"$1,125.64 ","$1,444.89 ","$1,101.69 ",$273.51 ,"$1,089.72 ",$642.18 ,$736.94 ,$771.18 ,$736.94 ,"$1,077.74 ","$1,077.74 ",$893.69 ,"$1,077.74 ",$648.60 ,$270.93 ,"$1,119.65 ",$674.29 ,$258.03 ,"$1,041.82 ",$642.18 ,"$1,077.74 ",$642.18 ,"$1,077.74 ","$1,077.74 ","$1,077.74 ","$1,161.57 ",$969.97 ,"$1,077.74 ","$1,077.74 ","$1,077.74 ","$1,077.74 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000088,20206,HC BX MUSCLE NEEDLE PERC,360,1 ,"$1,204.00 ",$903.00 ,$198.34 ,"$3,266.98 ",$775.38 ,"$1,451.99 ",$842.80 ,$198.34 ,"$1,204.00 ",$204.29 ,"$1,204.00 ","$1,143.80 ", N/A ,$963.20 ,"$1,095.64 ",$198.34 , N/A ,"$1,143.80 ","$1,083.60 ","$1,023.40 ",$198.34 ,$198.34 ,$198.34 ,$878.92 ,"$1,451.99 ","$1,071.56 ","$1,083.60 ","$1,083.60 ",$963.20 ,"$1,495.55 ",$662.20 ,"$1,083.60 ","$1,451.99 ","$1,083.60 ","$1,451.99 ","$1,131.76 ","$3,266.98 ","$1,107.68 ",$210.24 ,"$1,095.64 ","$1,451.99 ",$740.94 ,$775.38 ,$740.94 ,"$1,083.60 ","$1,083.60 ",$898.55 ,"$1,083.60 ","$1,466.51 ",$208.26 ,"$1,125.74 ","$1,524.59 ",$198.34 ,"$1,047.48 ","$1,451.99 ","$1,083.60 ","$1,451.99 ","$1,083.60 ","$1,083.60 ","$1,083.60 ","$1,167.88 ",$975.24 ,"$1,083.60 ","$1,083.60 ","$1,083.60 ","$1,083.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000089,20220,HC BX BONE NEEDLE SUPERFIC FAC,360,1 ,"$2,980.00 ","$2,235.00 ",$198.34 ,"$3,266.98 ","$1,919.12 ","$1,451.99 ","$2,086.00 ",$198.34 ,"$2,980.00 ",$204.29 ,"$2,980.00 ","$2,831.00 ", N/A ,"$2,384.00 ","$2,711.80 ",$198.34 , N/A ,"$2,831.00 ","$2,682.00 ","$2,533.00 ",$198.34 ,$198.34 ,$198.34 ,"$2,175.40 ","$1,451.99 ","$2,652.20 ","$2,682.00 ","$2,682.00 ","$2,384.00 ","$1,495.55 ","$1,639.00 ","$2,682.00 ","$1,451.99 ","$2,682.00 ","$1,451.99 ","$2,801.20 ","$3,266.98 ","$2,741.60 ",$210.24 ,"$2,711.80 ","$1,451.99 ","$1,833.89 ","$1,919.12 ","$1,833.89 ","$2,682.00 ","$2,682.00 ","$2,223.97 ","$2,682.00 ","$1,466.51 ",$208.26 ,"$2,786.30 ","$1,524.59 ",$198.34 ,"$2,592.60 ","$1,451.99 ","$2,682.00 ","$1,451.99 ","$2,682.00 ","$2,682.00 ","$2,682.00 ","$2,890.60 ","$2,413.80 ","$2,682.00 ","$2,682.00 ","$2,682.00 ","$2,682.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000090,20225,HC BX BONE NEEDLE DEEP,360,1 ,"$1,168.00 ",$876.00 ,$547.96 ,"$3,266.98 ",$752.19 ,"$1,451.99 ",$817.60 ,$547.96 ,"$1,168.00 ",$564.40 ,"$1,168.00 ","$1,109.60 ", N/A ,$934.40 ,"$1,062.88 ",$547.96 , N/A ,"$1,109.60 ","$1,051.20 ",$992.80 ,$547.96 ,$547.96 ,$547.96 ,$852.64 ,"$1,451.99 ","$1,039.52 ","$1,051.20 ","$1,051.20 ",$934.40 ,"$1,495.55 ",$642.40 ,"$1,051.20 ","$1,451.99 ","$1,051.20 ","$1,451.99 ","$1,097.92 ","$3,266.98 ","$1,074.56 ",$580.84 ,"$1,062.88 ","$1,451.99 ",$718.79 ,$752.19 ,$718.79 ,"$1,051.20 ","$1,051.20 ",$871.68 ,"$1,051.20 ","$1,466.51 ",$575.36 ,"$1,092.08 ","$1,524.59 ",$547.96 ,"$1,016.16 ","$1,451.99 ","$1,051.20 ","$1,451.99 ","$1,051.20 ","$1,051.20 ","$1,051.20 ","$1,132.96 ",$946.08 ,"$1,051.20 ","$1,051.20 ","$1,051.20 ","$1,051.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,$370.78 ,$278.09 ,$203.93 ,$465.83 ,$238.78 , N/A ,$259.55 ,$370.78 ,$370.78 ,$452.64 ,$370.78 ,$352.24 , N/A ,$296.62 ,$337.41 ,$370.78 , N/A ,$352.24 ,$333.70 ,$315.16 ,$439.46 ,$439.46 ,$439.46 ,$270.67 , N/A ,$329.99 ,$333.70 ,$333.70 ,$296.62 , N/A ,$203.93 ,$333.70 , N/A ,$333.70 , N/A ,$348.53 , N/A ,$341.12 ,$465.83 ,$337.41 , N/A ,$228.18 ,$238.78 ,$228.18 ,$333.70 ,$333.70 ,$276.71 ,$333.70 , N/A ,$461.43 ,$346.68 , N/A ,$370.78 ,$322.58 , N/A ,$333.70 , N/A ,$333.70 ,$333.70 ,$333.70 ,$359.66 ,$300.33 ,$333.70 ,$333.70 ,$333.70 ,$333.70 
ST. JOSEPH'S - CHIPPEWA FALLS,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,$781.38 ,$586.04 ,$258.03 ,$781.38 ,$503.21 , N/A ,$546.97 ,$258.03 ,$781.38 ,$265.77 ,$781.38 ,$742.31 , N/A ,$625.10 ,$711.06 ,$258.03 , N/A ,$742.31 ,$703.24 ,$664.17 ,$258.03 ,$258.03 ,$258.03 ,$570.41 , N/A ,$695.43 ,$703.24 ,$703.24 ,$625.10 , N/A ,$429.76 ,$703.24 , N/A ,$703.24 , N/A ,$734.50 , N/A ,$718.87 ,$273.51 ,$711.06 , N/A ,$480.86 ,$503.21 ,$480.86 ,$703.24 ,$703.24 ,$583.14 ,$703.24 , N/A ,$270.93 ,$730.59 , N/A ,$258.03 ,$679.80 , N/A ,$703.24 , N/A ,$703.24 ,$703.24 ,$703.24 ,$757.94 ,$632.92 ,$703.24 ,$703.24 ,$703.24 ,$703.24 
ST. JOSEPH'S - CHIPPEWA FALLS,36000116,19286,HC BREAST NDL LOC BX ULTRA  ADDN LESION,360,1 ,$370.78 ,$278.09 ,$203.93 ,$370.78 ,$238.78 , N/A ,$259.55 ,$258.03 ,$370.78 ,$265.77 ,$370.78 ,$352.24 , N/A ,$296.62 ,$337.41 ,$258.03 , N/A ,$352.24 ,$333.70 ,$315.16 ,$258.03 ,$258.03 ,$258.03 ,$270.67 , N/A ,$329.99 ,$333.70 ,$333.70 ,$296.62 , N/A ,$203.93 ,$333.70 , N/A ,$333.70 , N/A ,$348.53 , N/A ,$341.12 ,$273.51 ,$337.41 , N/A ,$228.18 ,$238.78 ,$228.18 ,$333.70 ,$333.70 ,$276.71 ,$333.70 , N/A ,$270.93 ,$346.68 , N/A ,$258.03 ,$322.58 , N/A ,$333.70 , N/A ,$333.70 ,$333.70 ,$333.70 ,$359.66 ,$300.33 ,$333.70 ,$333.70 ,$333.70 ,$333.70 
ST. JOSEPH'S - CHIPPEWA FALLS,36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,"$2,132.00 ","$1,599.00 ",$353.23 ,"$6,646.84 ","$1,373.01 ","$2,954.15 ","$1,492.40 ",$353.23 ,"$2,132.00 ",$363.83 ,"$2,132.00 ","$2,025.40 ", N/A ,"$1,705.60 ","$1,940.12 ",$353.23 ,$750.00 ,"$2,025.40 ","$1,918.80 ","$1,812.20 ",$353.23 ,$353.23 ,$353.23 ,"$1,556.36 ","$2,954.15 ","$1,897.48 ","$1,918.80 ","$1,918.80 ","$1,705.60 ","$3,042.78 ","$1,172.60 ","$1,918.80 ","$2,954.15 ","$1,918.80 ","$2,954.15 ","$2,004.08 ","$6,646.84 ","$1,961.44 ",$374.42 ,"$1,940.12 ","$2,954.15 ","$1,312.03 ","$1,373.01 ","$1,312.03 ","$1,918.80 ","$1,918.80 ","$1,591.11 ","$1,918.80 ","$2,983.69 ",$370.89 ,"$1,993.42 ","$3,101.86 ",$353.23 ,"$1,854.84 ","$2,954.15 ","$1,918.80 ","$2,954.15 ","$1,918.80 ","$1,918.80 ","$1,918.80 ","$2,068.04 ","$1,726.92 ","$1,918.80 ","$1,918.80 ","$1,918.80 ","$1,918.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,"$2,239.00 ","$1,679.25 ",$353.23 ,"$3,265.10 ","$1,441.92 ","$1,451.15 ","$1,567.30 ",$353.23 ,"$2,239.00 ",$363.83 ,"$2,239.00 ","$2,127.05 ", N/A ,"$1,791.20 ","$2,037.49 ",$353.23 ,$750.00 ,"$2,127.05 ","$2,015.10 ","$1,903.15 ",$353.23 ,$353.23 ,$353.23 ,"$1,634.47 ","$1,451.15 ","$1,992.71 ","$2,015.10 ","$2,015.10 ","$1,791.20 ","$1,494.69 ","$1,231.45 ","$2,015.10 ","$1,451.15 ","$2,015.10 ","$1,451.15 ","$2,104.66 ","$3,265.10 ","$2,059.88 ",$374.42 ,"$2,037.49 ","$1,451.15 ","$1,377.88 ","$1,441.92 ","$1,377.88 ","$2,015.10 ","$2,015.10 ","$1,670.97 ","$2,015.10 ","$1,465.67 ",$370.89 ,"$2,093.47 ","$1,523.71 ",$353.23 ,"$1,947.93 ","$1,451.15 ","$2,015.10 ","$1,451.15 ","$2,015.10 ","$2,015.10 ","$2,015.10 ","$2,171.83 ","$1,813.59 ","$2,015.10 ","$2,015.10 ","$2,015.10 ","$2,015.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000139,36584,HC REPL PICC W/O PORT/PUMP,360,1 ,"$3,665.00 ","$2,748.75 ",$353.23 ,"$3,665.00 ","$2,360.26 ","$1,451.15 ","$2,565.50 ",$353.23 ,"$3,665.00 ",$363.83 ,"$3,665.00 ","$3,481.75 ", N/A ,"$2,932.00 ","$3,335.15 ",$353.23 ,$750.00 ,"$3,481.75 ","$3,298.50 ","$3,115.25 ",$353.23 ,$353.23 ,$353.23 ,"$2,675.45 ","$1,451.15 ","$3,261.85 ","$3,298.50 ","$3,298.50 ","$2,932.00 ","$1,494.69 ","$2,015.75 ","$3,298.50 ","$1,451.15 ","$3,298.50 ","$1,451.15 ","$3,445.10 ","$3,265.10 ","$3,371.80 ",$374.42 ,"$3,335.15 ","$1,451.15 ","$2,255.44 ","$2,360.26 ","$2,255.44 ","$3,298.50 ","$3,298.50 ","$2,735.19 ","$2,519.91 ","$1,465.67 ",$370.89 ,"$3,426.78 ","$1,523.71 ",$353.23 ,"$3,188.55 ","$1,451.15 ","$3,298.50 ","$1,451.15 ","$3,298.50 ","$3,298.50 ","$3,298.50 ","$3,555.05 ","$2,968.65 ","$3,298.50 ","$3,298.50 ","$3,298.50 ","$3,298.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000158,38221,HC BX BONE MARROW ONLY,360,1 ,$745.00 ,$558.75 ,$373.15 ,"$3,266.98 ",$479.78 ,"$1,451.99 ",$521.50 ,$373.15 ,$745.00 ,$384.34 ,$745.00 ,$707.75 , N/A ,$596.00 ,$677.95 ,$373.15 ,$745.00 ,$707.75 ,$670.50 ,$633.25 ,$373.15 ,$373.15 ,$373.15 ,$543.85 ,"$1,451.99 ",$663.05 ,$670.50 ,$670.50 ,$596.00 ,"$1,495.55 ",$409.75 ,$670.50 ,"$1,451.99 ",$670.50 ,"$1,451.99 ",$700.30 ,"$3,266.98 ",$685.40 ,$395.54 ,$677.95 ,"$1,451.99 ",$458.47 ,$479.78 ,$458.47 ,$670.50 ,$670.50 ,$555.99 ,$670.50 ,"$1,466.51 ",$391.81 ,$696.58 ,"$1,524.59 ",$373.15 ,$648.15 ,"$1,451.99 ",$670.50 ,"$1,451.99 ",$670.50 ,$670.50 ,$670.50 ,$722.65 ,$603.45 ,$670.50 ,$670.50 ,$670.50 ,$670.50 
ST. JOSEPH'S - CHIPPEWA FALLS,36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,$884.00 ,$663.00 ,$360.88 ,"$3,266.98 ",$569.30 ,"$1,451.99 ",$618.80 ,$360.88 ,$884.00 ,$371.71 ,$884.00 ,$839.80 , N/A ,$707.20 ,$804.44 ,$360.88 , N/A ,$839.80 ,$795.60 ,$751.40 ,$360.88 ,$360.88 ,$360.88 ,$645.32 ,"$1,451.99 ",$786.76 ,$795.60 ,$795.60 ,$707.20 ,"$1,495.55 ",$486.20 ,$795.60 ,"$1,451.99 ",$795.60 ,"$1,451.99 ",$830.96 ,"$3,266.98 ",$813.28 ,$382.53 ,$804.44 ,"$1,451.99 ",$544.01 ,$569.30 ,$544.01 ,$795.60 ,$795.60 ,$659.73 ,$795.60 ,"$1,466.51 ",$378.92 ,$826.54 ,"$1,524.59 ",$360.88 ,$769.08 ,"$1,451.99 ",$795.60 ,"$1,451.99 ",$795.60 ,$795.60 ,$795.60 ,$857.48 ,$716.04 ,$795.60 ,$795.60 ,$795.60 ,$795.60 
ST. JOSEPH'S - CHIPPEWA FALLS,36000187,54150,HC CIRCUMCISION OP,360,1 ,$417.00 ,$312.75 ,$229.35 ,"$4,157.42 ",$268.55 ,"$1,847.74 ",$291.90 ,$417.00 ,$417.00 ,$635.18 ,$417.00 ,$396.15 , N/A ,$333.60 ,$379.47 ,$417.00 , N/A ,$396.15 ,$375.30 ,$354.45 ,$616.68 ,$616.68 ,$616.68 ,$304.41 ,"$1,847.74 ",$371.13 ,$375.30 ,$375.30 ,$333.60 ,"$1,903.17 ",$229.35 ,$375.30 ,"$1,847.74 ",$375.30 ,"$1,847.74 ",$391.98 ,"$4,157.42 ",$383.64 ,$653.68 ,$379.47 ,"$1,847.74 ",$256.62 ,$268.55 ,$256.62 ,$375.30 ,$375.30 ,$311.21 ,$375.30 ,"$1,866.22 ",$647.51 ,$389.90 ,"$1,940.13 ",$417.00 ,$362.79 ,"$1,847.74 ",$375.30 ,"$1,847.74 ",$375.30 ,$375.30 ,$375.30 ,$404.49 ,$337.77 ,$375.30 ,$375.30 ,$375.30 ,$375.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36000194,62270,HC LUMBAR PUNCTURE,360,1 ,$655.00 ,$491.25 ,$268.66 ,"$1,474.40 ",$421.82 ,$655.29 ,$458.50 ,$268.66 ,$655.00 ,$276.72 ,$655.00 ,$622.25 , N/A ,$524.00 ,$596.05 ,$268.66 , N/A ,$622.25 ,$589.50 ,$556.75 ,$268.66 ,$268.66 ,$268.66 ,$478.15 ,$655.29 ,$582.95 ,$589.50 ,$589.50 ,$524.00 ,$674.95 ,$360.25 ,$589.50 ,$655.29 ,$589.50 ,$655.29 ,$615.70 ,"$1,474.40 ",$602.60 ,$284.78 ,$596.05 ,$655.29 ,$403.09 ,$421.82 ,$403.09 ,$589.50 ,$589.50 ,$488.83 ,$589.50 ,$661.84 ,$282.09 ,$612.43 ,$688.05 ,$268.66 ,$569.85 ,$655.29 ,$589.50 ,$655.29 ,$589.50 ,$589.50 ,$589.50 ,$635.35 ,$530.55 ,$589.50 ,$589.50 ,$589.50 ,$589.50 
ST. JOSEPH'S - CHIPPEWA FALLS,36000216,50593,HC ABLATION RENAL PERC CRYO,360,1 ,$988.00 ,$741.00 ,$543.40 ,"$20,680.71 ",$636.27 ,"$9,191.43 ",$691.60 ,$988.00 ,$988.00 ,"$2,243.58 ",$988.00 ,$938.60 , N/A ,$790.40 ,$899.08 ,$988.00 , N/A ,$938.60 ,$889.20 ,$839.80 ,"$2,178.23 ","$2,178.23 ","$2,178.23 ",$721.24 ,"$9,191.43 ",$879.32 ,$889.20 ,$889.20 ,$790.40 ,"$9,467.17 ",$543.40 ,$889.20 ,"$9,191.43 ",$889.20 ,"$9,191.43 ",$928.72 ,"$20,680.71 ",$908.96 ,"$2,308.92 ",$899.08 ,"$9,191.43 ",$608.02 ,$636.27 ,$608.02 ,$889.20 ,$889.20 ,$737.34 ,$889.20 ,"$9,283.34 ","$2,287.14 ",$923.78 ,"$9,651.00 ",$988.00 ,$859.56 ,"$9,191.43 ",$889.20 ,"$9,191.43 ",$889.20 ,$889.20 ,$889.20 ,$958.36 ,$800.28 ,$889.20 ,$889.20 ,$889.20 ,$889.20 
ST. JOSEPH'S - CHIPPEWA FALLS,36000251,50592,HC ABLATION RENAL PERC RADIOFREQ,360,1 ,"$1,475.00 ","$1,106.25 ",$811.25 ,"$11,748.69 ",$949.90 ,"$5,221.64 ","$1,032.50 ",$924.12 ,"$1,475.00 ",$951.84 ,"$1,475.00 ","$1,401.25 ", N/A ,"$1,180.00 ","$1,342.25 ",$924.12 , N/A ,"$1,401.25 ","$1,327.50 ","$1,253.75 ",$924.12 ,$924.12 ,$924.12 ,"$1,076.75 ","$5,221.64 ","$1,312.75 ","$1,327.50 ","$1,327.50 ","$1,180.00 ","$5,378.29 ",$811.25 ,"$1,327.50 ","$5,221.64 ","$1,327.50 ","$5,221.64 ","$1,386.50 ","$11,748.69 ","$1,357.00 ",$979.57 ,"$1,342.25 ","$5,221.64 ",$907.72 ,$949.90 ,$907.72 ,"$1,327.50 ","$1,327.50 ","$1,100.79 ","$1,327.50 ","$5,273.86 ",$970.33 ,"$1,379.13 ","$5,482.72 ",$924.12 ,"$1,283.25 ","$5,221.64 ","$1,327.50 ","$5,221.64 ","$1,327.50 ","$1,327.50 ","$1,327.50 ","$1,430.75 ","$1,194.75 ","$1,327.50 ","$1,327.50 ","$1,327.50 ","$1,327.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000300,64635,HC RADIOFREQ;LUMBO/SACRAL;SINGLE,360,1 ,"$4,217.62 ","$3,163.22 ",$268.66 ,"$4,217.62 ","$2,716.15 ","$1,812.03 ","$2,952.33 ",$268.66 ,"$4,217.62 ",$276.72 ,"$3,859.00 ","$4,006.74 ", N/A ,"$3,374.10 ","$3,838.03 ",$268.66 , N/A ,"$4,006.74 ","$3,795.86 ","$3,584.98 ",$268.66 ,$268.66 ,$268.66 ,"$3,078.86 ","$1,812.03 ","$3,753.68 ","$3,795.86 ","$3,795.86 ","$3,374.10 ","$1,866.39 ","$2,319.69 ","$3,795.86 ","$1,812.03 ","$3,795.86 ","$1,812.03 ","$3,964.56 ","$4,077.07 ","$3,880.21 ",$284.78 ,"$3,838.03 ","$1,812.03 ","$2,595.52 ","$2,716.15 ","$2,595.52 ","$3,795.86 ","$3,795.86 ","$3,147.61 ","$3,360.24 ","$1,830.15 ",$282.09 ,"$3,943.47 ","$1,902.63 ",$268.66 ,"$3,669.33 ","$1,812.03 ","$3,795.86 ","$1,812.03 ","$3,795.86 ","$3,795.86 ","$3,795.86 ","$4,091.09 ","$3,416.27 ","$3,795.86 ","$3,795.86 ","$3,795.86 ","$3,795.86 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000301,64636,HC RADIOFREQ;LUMBO/SACRAL;ADDTL,360,1 ,"$1,852.76 ","$1,389.57 ",$268.66 ,"$1,852.76 ","$1,193.18 ", N/A ,"$1,296.93 ",$268.66 ,"$1,852.76 ",$276.72 ,"$1,852.76 ","$1,760.12 ", N/A ,"$1,482.21 ","$1,686.01 ",$268.66 , N/A ,"$1,760.12 ","$1,667.48 ","$1,574.85 ",$268.66 ,$268.66 ,$268.66 ,"$1,352.51 ", N/A ,"$1,648.96 ","$1,667.48 ","$1,667.48 ","$1,482.21 ", N/A ,"$1,019.02 ","$1,667.48 ", N/A ,"$1,667.48 ", N/A ,"$1,741.59 ", N/A ,"$1,704.54 ",$284.78 ,"$1,686.01 ", N/A ,"$1,140.19 ","$1,193.18 ","$1,140.19 ","$1,667.48 ","$1,667.48 ","$1,382.71 ","$1,667.48 ", N/A ,$282.09 ,"$1,732.33 ", N/A ,$268.66 ,"$1,611.90 ", N/A ,"$1,667.48 ", N/A ,"$1,667.48 ","$1,667.48 ","$1,667.48 ","$1,797.18 ","$1,500.74 ","$1,667.48 ","$1,667.48 ","$1,667.48 ","$1,667.48 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000302,64633,HC RADIOFREQ;CERV/THOR;SINGLE,360,1 ,"$4,501.17 ","$3,375.88 ",$268.66 ,"$4,501.17 ","$2,898.75 ","$1,812.03 ","$3,150.82 ",$268.66 ,"$4,501.17 ",$276.72 ,"$3,859.00 ","$4,276.11 ", N/A ,"$3,600.94 ","$4,096.06 ",$268.66 , N/A ,"$4,276.11 ","$4,051.05 ","$3,825.99 ",$268.66 ,$268.66 ,$268.66 ,"$3,285.85 ","$1,812.03 ","$4,006.04 ","$4,051.05 ","$4,051.05 ","$3,600.94 ","$1,866.39 ","$2,475.64 ","$4,051.05 ","$1,812.03 ","$4,051.05 ","$1,812.03 ","$4,231.10 ","$4,077.07 ","$4,141.08 ",$284.78 ,"$4,096.06 ","$1,812.03 ","$2,770.02 ","$2,898.75 ","$2,770.02 ","$4,051.05 ","$4,051.05 ","$3,359.22 ","$3,360.24 ","$1,830.15 ",$282.09 ,"$4,208.59 ","$1,902.63 ",$268.66 ,"$3,916.02 ","$1,812.03 ","$4,051.05 ","$1,812.03 ","$4,051.05 ","$4,051.05 ","$4,051.05 ","$4,366.13 ","$3,645.95 ","$4,051.05 ","$4,051.05 ","$4,051.05 ","$4,051.05 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000303,64634,HC RADIOFREQ;CERV/THOR;ADDTL,360,1 ,"$1,243.77 ",$932.83 ,$268.66 ,"$1,243.77 ",$800.99 , N/A ,$870.64 ,$268.66 ,"$1,243.77 ",$276.72 ,"$1,243.77 ","$1,181.58 ", N/A ,$995.02 ,"$1,131.83 ",$268.66 , N/A ,"$1,181.58 ","$1,119.39 ","$1,057.20 ",$268.66 ,$268.66 ,$268.66 ,$907.95 , N/A ,"$1,106.96 ","$1,119.39 ","$1,119.39 ",$995.02 , N/A ,$684.07 ,"$1,119.39 ", N/A ,"$1,119.39 ", N/A ,"$1,169.14 ", N/A ,"$1,144.27 ",$284.78 ,"$1,131.83 ", N/A ,$765.42 ,$800.99 ,$765.42 ,"$1,119.39 ","$1,119.39 ",$928.23 ,$794.24 , N/A ,$282.09 ,"$1,162.93 ", N/A ,$268.66 ,"$1,082.08 ", N/A ,"$1,119.39 ", N/A ,"$1,119.39 ","$1,119.39 ","$1,119.39 ","$1,206.46 ","$1,007.45 ","$1,119.39 ","$1,119.39 ","$1,119.39 ","$1,119.39 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000309,27096,HC INJECTION SACRAL JOINT,360,1 ,"$1,426.00 ","$1,069.50 ",$154.70 ,"$1,426.00 ",$918.34 , N/A ,$998.20 ,$154.70 ,"$1,426.00 ",$159.34 ,"$1,426.00 ","$1,354.70 ", N/A ,"$1,140.80 ","$1,297.66 ",$154.70 , N/A ,"$1,354.70 ","$1,283.40 ","$1,212.10 ",$154.70 ,$154.70 ,$154.70 ,"$1,040.98 ", N/A ,"$1,269.14 ","$1,283.40 ","$1,283.40 ","$1,140.80 ", N/A ,$784.30 ,"$1,283.40 ", N/A ,"$1,283.40 ", N/A ,"$1,340.44 ", N/A ,"$1,311.92 ",$163.98 ,"$1,297.66 ", N/A ,$877.56 ,$918.34 ,$877.56 ,"$1,283.40 ","$1,283.40 ","$1,064.22 ","$1,283.40 ", N/A ,$162.44 ,"$1,333.31 ", N/A ,$154.70 ,"$1,240.62 ", N/A ,"$1,283.40 ", N/A ,"$1,283.40 ","$1,283.40 ","$1,283.40 ","$1,383.22 ","$1,155.06 ","$1,283.40 ","$1,283.40 ","$1,283.40 ","$1,283.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000310,64421,HC INJ ANES INTERCOSTAL NERVE EA ADDNT LEVEL,360,1 ,"$1,776.00 ","$1,332.00 ",$364.34 ,"$1,911.39 ","$1,143.74 ",$849.51 ,"$1,243.20 ",$364.34 ,"$1,776.00 ",$375.27 ,"$1,776.00 ","$1,687.20 ", N/A ,"$1,420.80 ","$1,616.16 ",$364.34 , N/A ,"$1,687.20 ","$1,598.40 ","$1,509.60 ",$364.34 ,$364.34 ,$364.34 ,"$1,296.48 ",$849.51 ,"$1,580.64 ","$1,598.40 ","$1,598.40 ","$1,420.80 ",$874.99 ,$976.80 ,"$1,598.40 ",$849.51 ,"$1,598.40 ",$849.51 ,"$1,669.44 ","$1,911.39 ","$1,633.92 ",$386.20 ,"$1,616.16 ",$849.51 ,"$1,092.95 ","$1,143.74 ","$1,092.95 ","$1,598.40 ","$1,598.40 ","$1,325.43 ","$1,598.40 ",$858.00 ,$382.56 ,"$1,660.56 ",$891.99 ,$364.34 ,"$1,545.12 ",$849.51 ,"$1,598.40 ",$849.51 ,"$1,598.40 ","$1,598.40 ","$1,598.40 ","$1,722.72 ","$1,438.56 ","$1,598.40 ","$1,598.40 ","$1,598.40 ","$1,598.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000311,64420,HC INJ INTERCOSTAL NERVE;SINGLE,360,1 ,"$1,332.00 ",$999.00 ,$136.73 ,"$1,474.40 ",$857.81 ,$655.29 ,$932.40 ,$136.73 ,"$1,332.00 ",$140.83 ,"$1,332.00 ","$1,265.40 ", N/A ,"$1,065.60 ","$1,212.12 ",$136.73 , N/A ,"$1,265.40 ","$1,198.80 ","$1,132.20 ",$136.73 ,$136.73 ,$136.73 ,$972.36 ,$655.29 ,"$1,185.48 ","$1,198.80 ","$1,198.80 ","$1,065.60 ",$674.95 ,$732.60 ,"$1,198.80 ",$655.29 ,"$1,198.80 ",$655.29 ,"$1,252.08 ","$1,474.40 ","$1,225.44 ",$144.93 ,"$1,212.12 ",$655.29 ,$819.71 ,$857.81 ,$819.71 ,"$1,198.80 ","$1,198.80 ",$994.07 ,$794.24 ,$661.84 ,$143.57 ,"$1,245.42 ",$688.05 ,$136.73 ,"$1,158.84 ",$655.29 ,"$1,198.80 ",$655.29 ,"$1,198.80 ","$1,198.80 ","$1,198.80 ","$1,292.04 ","$1,078.92 ","$1,198.80 ","$1,198.80 ","$1,198.80 ","$1,198.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000313,64493,HC INJ FACET LUMBO SACRAL;SINGLE,360,1 ,"$1,339.00 ","$1,004.25 ",$268.66 ,"$1,911.39 ",$862.32 ,$849.51 ,$937.30 ,$268.66 ,"$1,339.00 ",$276.72 ,"$1,339.00 ","$1,272.05 ", N/A ,"$1,071.20 ","$1,218.49 ",$268.66 , N/A ,"$1,272.05 ","$1,205.10 ","$1,138.15 ",$268.66 ,$268.66 ,$268.66 ,$977.47 ,$849.51 ,"$1,191.71 ","$1,205.10 ","$1,205.10 ","$1,071.20 ",$874.99 ,$736.45 ,"$1,205.10 ",$849.51 ,"$1,205.10 ",$849.51 ,"$1,258.66 ","$1,911.39 ","$1,231.88 ",$284.78 ,"$1,218.49 ",$849.51 ,$824.02 ,$862.32 ,$824.02 ,"$1,205.10 ","$1,205.10 ",$999.30 ,"$1,205.10 ",$858.00 ,$282.09 ,"$1,251.97 ",$891.99 ,$268.66 ,"$1,164.93 ",$849.51 ,"$1,205.10 ",$849.51 ,"$1,205.10 ","$1,205.10 ","$1,205.10 ","$1,298.83 ","$1,084.59 ","$1,205.10 ","$1,205.10 ","$1,205.10 ","$1,205.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000314,64494,HC INJ FACET LUMBO/SACRAL;2ND LEVEL,360,1 ,$508.00 ,$381.00 ,$268.66 ,$508.00 ,$327.15 , N/A ,$355.60 ,$268.66 ,$508.00 ,$276.72 ,$508.00 ,$482.60 , N/A ,$406.40 ,$462.28 ,$268.66 , N/A ,$482.60 ,$457.20 ,$431.80 ,$268.66 ,$268.66 ,$268.66 ,$370.84 , N/A ,$452.12 ,$457.20 ,$457.20 ,$406.40 , N/A ,$279.40 ,$457.20 , N/A ,$457.20 , N/A ,$477.52 , N/A ,$467.36 ,$284.78 ,$462.28 , N/A ,$312.62 ,$327.15 ,$312.62 ,$457.20 ,$457.20 ,$379.12 ,$457.20 , N/A ,$282.09 ,$474.98 , N/A ,$268.66 ,$441.96 , N/A ,$457.20 , N/A ,$457.20 ,$457.20 ,$457.20 ,$492.76 ,$411.48 ,$457.20 ,$457.20 ,$457.20 ,$457.20 
ST. JOSEPH'S - CHIPPEWA FALLS,36000315,64495,HC INJ FACET LUMBO/SACRAL;3RD LEVEL,360,1 ,$862.00 ,$646.50 ,$268.66 ,$862.00 ,$555.13 , N/A ,$603.40 ,$268.66 ,$862.00 ,$276.72 ,$862.00 ,$818.90 , N/A ,$689.60 ,$784.42 ,$268.66 , N/A ,$818.90 ,$775.80 ,$732.70 ,$268.66 ,$268.66 ,$268.66 ,$629.26 , N/A ,$767.18 ,$775.80 ,$775.80 ,$689.60 , N/A ,$474.10 ,$775.80 , N/A ,$775.80 , N/A ,$810.28 , N/A ,$793.04 ,$284.78 ,$784.42 , N/A ,$530.47 ,$555.13 ,$530.47 ,$775.80 ,$775.80 ,$643.31 ,$775.80 , N/A ,$282.09 ,$805.97 , N/A ,$268.66 ,$749.94 , N/A ,$775.80 , N/A ,$775.80 ,$775.80 ,$775.80 ,$836.14 ,$698.22 ,$775.80 ,$775.80 ,$775.80 ,$775.80 
ST. JOSEPH'S - CHIPPEWA FALLS,36000316,64490,HC INJ FACET CER/THORACIC;SINGLE,360,1 ,"$1,339.00 ","$1,004.25 ",$268.66 ,"$1,911.39 ",$862.32 ,$849.51 ,$937.30 ,$268.66 ,"$1,339.00 ",$276.72 ,"$1,339.00 ","$1,272.05 ", N/A ,"$1,071.20 ","$1,218.49 ",$268.66 , N/A ,"$1,272.05 ","$1,205.10 ","$1,138.15 ",$268.66 ,$268.66 ,$268.66 ,$977.47 ,$849.51 ,"$1,191.71 ","$1,205.10 ","$1,205.10 ","$1,071.20 ",$874.99 ,$736.45 ,"$1,205.10 ",$849.51 ,"$1,205.10 ",$849.51 ,"$1,258.66 ","$1,911.39 ","$1,231.88 ",$284.78 ,"$1,218.49 ",$849.51 ,$824.02 ,$862.32 ,$824.02 ,"$1,205.10 ","$1,205.10 ",$999.30 ,"$1,205.10 ",$858.00 ,$282.09 ,"$1,251.97 ",$891.99 ,$268.66 ,"$1,164.93 ",$849.51 ,"$1,205.10 ",$849.51 ,"$1,205.10 ","$1,205.10 ","$1,205.10 ","$1,298.83 ","$1,084.59 ","$1,205.10 ","$1,205.10 ","$1,205.10 ","$1,205.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000317,64491,HC INJ FACET CER/THORACIC 2ND LEVEL,360,1 ,$784.00 ,$588.00 ,$268.66 ,$784.00 ,$504.90 , N/A ,$548.80 ,$268.66 ,$784.00 ,$276.72 ,$784.00 ,$744.80 , N/A ,$627.20 ,$713.44 ,$268.66 , N/A ,$744.80 ,$705.60 ,$666.40 ,$268.66 ,$268.66 ,$268.66 ,$572.32 , N/A ,$697.76 ,$705.60 ,$705.60 ,$627.20 , N/A ,$431.20 ,$705.60 , N/A ,$705.60 , N/A ,$736.96 , N/A ,$721.28 ,$284.78 ,$713.44 , N/A ,$482.47 ,$504.90 ,$482.47 ,$705.60 ,$705.60 ,$585.10 ,$705.60 , N/A ,$282.09 ,$733.04 , N/A ,$268.66 ,$682.08 , N/A ,$705.60 , N/A ,$705.60 ,$705.60 ,$705.60 ,$760.48 ,$635.04 ,$705.60 ,$705.60 ,$705.60 ,$705.60 
ST. JOSEPH'S - CHIPPEWA FALLS,36000318,64492,HC INJ FACET CER/THORACIC 3RD LEVEL,360,1 ,$793.33 ,$595.00 ,$268.66 ,$793.33 ,$510.90 , N/A ,$555.33 ,$268.66 ,$793.33 ,$276.72 ,$793.33 ,$753.66 , N/A ,$634.66 ,$721.93 ,$268.66 , N/A ,$753.66 ,$714.00 ,$674.33 ,$268.66 ,$268.66 ,$268.66 ,$579.13 , N/A ,$706.06 ,$714.00 ,$714.00 ,$634.66 , N/A ,$436.33 ,$714.00 , N/A ,$714.00 , N/A ,$745.73 , N/A ,$729.86 ,$284.78 ,$721.93 , N/A ,$488.22 ,$510.90 ,$488.22 ,$714.00 ,$714.00 ,$592.06 ,$714.00 , N/A ,$282.09 ,$741.76 , N/A ,$268.66 ,$690.20 , N/A ,$714.00 , N/A ,$714.00 ,$714.00 ,$714.00 ,$769.53 ,$642.60 ,$714.00 ,$714.00 ,$714.00 ,$714.00 
ST. JOSEPH'S - CHIPPEWA FALLS,36000322,64479,HC INJ TRANSF CERV/THORACIC SINGLE,360,1 ,"$2,775.00 ","$2,081.25 ",$268.66 ,"$2,775.00 ","$1,787.10 ",$849.51 ,"$1,942.50 ",$268.66 ,"$2,775.00 ",$276.72 ,"$2,572.00 ","$2,636.25 ", N/A ,"$2,220.00 ","$2,525.25 ",$268.66 , N/A ,"$2,636.25 ","$2,497.50 ","$2,358.75 ",$268.66 ,$268.66 ,$268.66 ,"$2,025.75 ",$849.51 ,"$2,469.75 ","$2,497.50 ","$2,497.50 ","$2,220.00 ",$874.99 ,"$1,526.25 ","$2,497.50 ",$849.51 ,"$2,497.50 ",$849.51 ,"$2,608.50 ","$1,911.39 ","$2,553.00 ",$284.78 ,"$2,525.25 ",$849.51 ,"$1,707.74 ","$1,787.10 ","$1,707.74 ","$2,497.50 ","$2,497.50 ","$2,070.98 ","$2,240.16 ",$858.00 ,$282.09 ,"$2,594.63 ",$891.99 ,$268.66 ,"$2,414.25 ",$849.51 ,"$2,497.50 ",$849.51 ,"$2,497.50 ","$2,497.50 ","$2,497.50 ","$2,691.75 ","$2,247.75 ","$2,497.50 ","$2,497.50 ","$2,497.50 ","$2,497.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000323,64480,HC INJ TRANSF CERV/THORACIC ADDL,360,1 ,"$1,321.00 ",$990.75 ,$268.66 ,"$1,321.00 ",$850.72 , N/A ,$924.70 ,$268.66 ,"$1,321.00 ",$276.72 ,"$1,321.00 ","$1,254.95 ", N/A ,"$1,056.80 ","$1,202.11 ",$268.66 , N/A ,"$1,254.95 ","$1,188.90 ","$1,122.85 ",$268.66 ,$268.66 ,$268.66 ,$964.33 , N/A ,"$1,175.69 ","$1,188.90 ","$1,188.90 ","$1,056.80 ", N/A ,$726.55 ,"$1,188.90 ", N/A ,"$1,188.90 ", N/A ,"$1,241.74 ", N/A ,"$1,215.32 ",$284.78 ,"$1,202.11 ", N/A ,$812.94 ,$850.72 ,$812.94 ,"$1,188.90 ","$1,188.90 ",$985.86 ,$794.24 , N/A ,$282.09 ,"$1,235.14 ", N/A ,$268.66 ,"$1,149.27 ", N/A ,"$1,188.90 ", N/A ,"$1,188.90 ","$1,188.90 ","$1,188.90 ","$1,281.37 ","$1,070.01 ","$1,188.90 ","$1,188.90 ","$1,188.90 ","$1,188.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000324,64483,HC INJ TRANSF LUMBAR SACRAL SINGLE,360,1 ,"$2,779.00 ","$2,084.25 ",$268.66 ,"$2,779.00 ","$1,789.68 ",$849.51 ,"$1,945.30 ",$268.66 ,"$2,779.00 ",$276.72 ,"$2,572.00 ","$2,640.05 ", N/A ,"$2,223.20 ","$2,528.89 ",$268.66 , N/A ,"$2,640.05 ","$2,501.10 ","$2,362.15 ",$268.66 ,$268.66 ,$268.66 ,"$2,028.67 ",$849.51 ,"$2,473.31 ","$2,501.10 ","$2,501.10 ","$2,223.20 ",$874.99 ,"$1,528.45 ","$2,501.10 ",$849.51 ,"$2,501.10 ",$849.51 ,"$2,612.26 ","$1,911.39 ","$2,556.68 ",$284.78 ,"$2,528.89 ",$849.51 ,"$1,710.20 ","$1,789.68 ","$1,710.20 ","$2,501.10 ","$2,501.10 ","$2,073.97 ","$2,240.16 ",$858.00 ,$282.09 ,"$2,598.37 ",$891.99 ,$268.66 ,"$2,417.73 ",$849.51 ,"$2,501.10 ",$849.51 ,"$2,501.10 ","$2,501.10 ","$2,501.10 ","$2,695.63 ","$2,250.99 ","$2,501.10 ","$2,501.10 ","$2,501.10 ","$2,501.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000325,64484,HC INJ TRANSF LUMBAR SACRAL ADDL,360,1 ,"$1,173.00 ",$879.75 ,$268.66 ,"$1,173.00 ",$755.41 , N/A ,$821.10 ,$268.66 ,"$1,173.00 ",$276.72 ,"$1,173.00 ","$1,114.35 ", N/A ,$938.40 ,"$1,067.43 ",$268.66 , N/A ,"$1,114.35 ","$1,055.70 ",$997.05 ,$268.66 ,$268.66 ,$268.66 ,$856.29 , N/A ,"$1,043.97 ","$1,055.70 ","$1,055.70 ",$938.40 , N/A ,$645.15 ,"$1,055.70 ", N/A ,"$1,055.70 ", N/A ,"$1,102.62 ", N/A ,"$1,079.16 ",$284.78 ,"$1,067.43 ", N/A ,$721.86 ,$755.41 ,$721.86 ,"$1,055.70 ","$1,055.70 ",$875.41 ,$794.24 , N/A ,$282.09 ,"$1,096.76 ", N/A ,$268.66 ,"$1,020.51 ", N/A ,"$1,055.70 ", N/A ,"$1,055.70 ","$1,055.70 ","$1,055.70 ","$1,137.81 ",$950.13 ,"$1,055.70 ","$1,055.70 ","$1,055.70 ","$1,055.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000326,64405,HC NERVE BLOCK; OCCIPITAL,360,1 ,"$1,655.00 ","$1,241.25 ",$136.73 ,"$1,655.00 ","$1,065.82 ",$269.62 ,"$1,158.50 ",$136.73 ,"$1,655.00 ",$140.83 ,"$1,655.00 ","$1,572.25 ", N/A ,"$1,324.00 ","$1,506.05 ",$136.73 , N/A ,"$1,572.25 ","$1,489.50 ","$1,406.75 ",$136.73 ,$136.73 ,$136.73 ,"$1,208.15 ",$269.62 ,"$1,472.95 ","$1,489.50 ","$1,489.50 ","$1,324.00 ",$277.70 ,$910.25 ,"$1,489.50 ",$269.62 ,"$1,489.50 ",$269.62 ,"$1,555.70 ",$606.64 ,"$1,522.60 ",$144.93 ,"$1,506.05 ",$269.62 ,"$1,018.49 ","$1,065.82 ","$1,018.49 ","$1,489.50 ","$1,489.50 ","$1,235.13 ",$827.50 ,$272.31 ,$143.57 ,"$1,547.43 ",$283.10 ,$136.73 ,"$1,439.85 ",$269.62 ,"$1,489.50 ",$269.62 ,"$1,489.50 ","$1,489.50 ","$1,489.50 ","$1,605.35 ","$1,340.55 ","$1,489.50 ","$1,489.50 ","$1,489.50 ","$1,489.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000331,64520,HC NERVE BLOCK;L/S PARAVERTEBAL SYMP,360,1 ,"$2,733.00 ","$2,049.75 ",$268.66 ,"$2,733.00 ","$1,760.05 ",$849.51 ,"$1,913.10 ",$268.66 ,"$2,733.00 ",$276.72 ,"$2,572.00 ","$2,596.35 ", N/A ,"$2,186.40 ","$2,487.03 ",$268.66 , N/A ,"$2,596.35 ","$2,459.70 ","$2,323.05 ",$268.66 ,$268.66 ,$268.66 ,"$1,995.09 ",$849.51 ,"$2,432.37 ","$2,459.70 ","$2,459.70 ","$2,186.40 ",$874.99 ,"$1,503.15 ","$2,459.70 ",$849.51 ,"$2,459.70 ",$849.51 ,"$2,569.02 ","$1,911.39 ","$2,514.36 ",$284.78 ,"$2,487.03 ",$849.51 ,"$1,681.89 ","$1,760.05 ","$1,681.89 ","$2,459.70 ","$2,459.70 ","$2,039.64 ","$2,240.16 ",$858.00 ,$282.09 ,"$2,555.36 ",$891.99 ,$268.66 ,"$2,377.71 ",$849.51 ,"$2,459.70 ",$849.51 ,"$2,459.70 ","$2,459.70 ","$2,459.70 ","$2,651.01 ","$2,213.73 ","$2,459.70 ","$2,459.70 ","$2,459.70 ","$2,459.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000334,63650,HC IMPLANT NEUROELECTRODES,360,1 ,"$7,260.31 ","$5,445.23 ","$1,863.30 ","$14,312.64 ","$4,675.64 ","$6,361.17 ","$5,082.22 ","$1,863.30 ","$7,260.31 ","$1,919.20 ","$7,260.31 ","$6,897.29 ", N/A ,"$5,808.25 ","$6,606.88 ","$1,863.30 ", N/A ,"$6,897.29 ","$6,534.28 ","$6,171.26 ","$1,863.30 ","$1,863.30 ","$1,863.30 ","$5,300.03 ","$6,361.17 ","$6,461.68 ","$6,534.28 ","$6,534.28 ","$5,808.25 ","$6,552.01 ","$3,993.17 ","$6,534.28 ","$6,361.17 ","$6,534.28 ","$6,361.17 ","$6,824.69 ","$14,312.64 ","$6,679.49 ","$1,975.10 ","$6,606.88 ","$6,361.17 ","$4,467.99 ","$4,675.64 ","$4,467.99 ","$6,534.28 ","$6,534.28 ","$5,418.37 ","$6,534.28 ","$6,424.79 ","$1,956.47 ","$6,788.39 ","$6,679.23 ","$1,863.30 ","$6,316.47 ","$6,361.17 ","$6,534.28 ","$6,361.17 ","$6,534.28 ","$6,534.28 ","$6,534.28 ","$7,042.50 ","$5,880.85 ","$6,534.28 ","$6,534.28 ","$6,534.28 ","$6,534.28 "
ST. JOSEPH'S - CHIPPEWA FALLS,36000419,26727,HC TX FX FINGER/THUMB W/MANIP EACH,360,1 ,$149.00 ,$111.75 ,$81.95 ,"$6,575.57 ",$95.96 ,"$2,922.48 ",$104.30 ,$149.00 ,$149.00 ,"$1,718.54 ",$149.00 ,$141.55 , N/A ,$119.20 ,$135.59 ,$149.00 , N/A ,$141.55 ,$134.10 ,$126.65 ,"$1,668.49 ","$1,668.49 ","$1,668.49 ",$108.77 ,"$2,922.48 ",$132.61 ,$134.10 ,$134.10 ,$119.20 ,"$3,010.15 ",$81.95 ,$134.10 ,"$2,922.48 ",$134.10 ,"$2,922.48 ",$140.06 ,"$6,575.57 ",$137.08 ,"$1,768.60 ",$135.59 ,"$2,922.48 ",$91.69 ,$95.96 ,$91.69 ,$134.10 ,$134.10 ,$111.20 ,$134.10 ,"$2,951.70 ","$1,751.91 ",$139.32 ,"$3,068.60 ",$149.00 ,$129.63 ,"$2,922.48 ",$134.10 ,"$2,922.48 ",$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,36000761,54115,HC REMOVAL FOREIGN BODY DEEP PENILE TISSUE,360,1 ,"$7,127.00 ","$5,345.25 ",$616.68 ,"$7,127.00 ","$4,589.79 ","$2,446.83 ","$4,988.90 ",$616.68 ,"$7,127.00 ",$635.18 ,"$7,127.00 ","$6,770.65 ", N/A ,"$5,701.60 ","$6,485.57 ",$616.68 , N/A ,"$6,770.65 ","$6,414.30 ","$6,057.95 ",$616.68 ,$616.68 ,$616.68 ,"$5,202.71 ","$2,446.83 ","$6,343.03 ","$6,414.30 ","$6,414.30 ","$5,701.60 ","$2,520.24 ","$3,919.85 ","$6,414.30 ","$2,446.83 ","$6,414.30 ","$2,446.83 ","$6,699.38 ","$5,505.37 ","$6,556.84 ",$653.68 ,"$6,485.57 ","$2,446.83 ","$4,385.96 ","$4,589.79 ","$4,385.96 ","$6,414.30 ","$6,414.30 ","$5,318.88 ","$5,091.27 ","$2,471.30 ",$647.51 ,"$6,663.75 ","$2,569.17 ",$616.68 ,"$6,200.49 ","$2,446.83 ","$6,414.30 ","$2,446.83 ","$6,414.30 ","$6,414.30 ","$6,414.30 ","$6,913.19 ","$5,772.87 ","$6,414.30 ","$6,414.30 ","$6,414.30 ","$6,414.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,36050237,N/A,HC PERFUSIONIST STANDBY FEE,360,1 ,"$4,074.00 ","$3,055.50 ","$2,240.70 ","$4,074.00 ","$2,623.66 ", N/A ,"$2,851.80 ", N/A , N/A , N/A , N/A ,"$3,870.30 ", N/A ,"$3,259.20 ","$3,707.34 ", N/A , N/A ,"$3,870.30 ","$3,666.60 ","$3,462.90 ", N/A , N/A , N/A ,"$2,974.02 ", N/A ,"$3,625.86 ","$3,666.60 ","$3,666.60 ","$3,259.20 ", N/A ,"$2,240.70 ","$3,666.60 ", N/A ,"$3,666.60 ", N/A ,"$3,829.56 ", N/A ,"$3,748.08 ", N/A ,"$3,707.34 ", N/A , N/A ,"$2,623.66 ", N/A ,"$3,666.60 ","$3,666.60 ","$3,040.43 ", N/A , N/A , N/A ,"$3,809.19 ", N/A , N/A ,"$3,544.38 ", N/A ,"$3,666.60 ", N/A ,"$3,666.60 ","$3,666.60 ","$3,666.60 ","$3,951.78 ","$3,299.94 ","$3,666.60 ","$3,666.60 ","$3,666.60 ","$3,666.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060013,N/A,HC OR LEVEL 1 INITIAL 15MIN,360,1 ,"$1,252.00 ",$939.00 ,$688.60 ,"$1,252.00 ",$806.29 , N/A ,$876.40 , N/A , N/A , N/A , N/A ,"$1,189.40 ", N/A ,"$1,001.60 ","$1,139.32 ", N/A , N/A ,"$1,189.40 ","$1,126.80 ","$1,064.20 ", N/A , N/A , N/A ,$913.96 , N/A ,"$1,114.28 ","$1,126.80 ","$1,126.80 ","$1,001.60 ", N/A ,$688.60 ,"$1,126.80 ", N/A ,"$1,126.80 ", N/A ,"$1,176.88 ", N/A ,"$1,151.84 ", N/A ,"$1,139.32 ", N/A , N/A ,$806.29 , N/A ,"$1,126.80 ","$1,126.80 ",$934.37 , N/A , N/A , N/A ,"$1,170.62 ", N/A , N/A ,"$1,089.24 ", N/A ,"$1,126.80 ", N/A ,"$1,126.80 ","$1,126.80 ","$1,126.80 ","$1,214.44 ","$1,014.12 ","$1,126.80 ","$1,126.80 ","$1,126.80 ","$1,126.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060014,N/A,HC OR LEVEL 1 ADDL 15MIN,360,1 ,"$1,252.00 ",$939.00 ,$688.60 ,"$1,252.00 ",$806.29 , N/A ,$876.40 , N/A , N/A , N/A , N/A ,"$1,189.40 ", N/A ,"$1,001.60 ","$1,139.32 ", N/A , N/A ,"$1,189.40 ","$1,126.80 ","$1,064.20 ", N/A , N/A , N/A ,$913.96 , N/A ,"$1,114.28 ","$1,126.80 ","$1,126.80 ","$1,001.60 ", N/A ,$688.60 ,"$1,126.80 ", N/A ,"$1,126.80 ", N/A ,"$1,176.88 ", N/A ,"$1,151.84 ", N/A ,"$1,139.32 ", N/A , N/A ,$806.29 , N/A ,"$1,126.80 ","$1,126.80 ",$934.37 , N/A , N/A , N/A ,"$1,170.62 ", N/A , N/A ,"$1,089.24 ", N/A ,"$1,126.80 ", N/A ,"$1,126.80 ","$1,126.80 ","$1,126.80 ","$1,214.44 ","$1,014.12 ","$1,126.80 ","$1,126.80 ","$1,126.80 ","$1,126.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060015,N/A,HC OR LEVEL 2 INITIAL 15MIN,360,1 ,"$1,393.00 ","$1,044.75 ",$766.15 ,"$1,393.00 ",$897.09 , N/A ,$975.10 , N/A , N/A , N/A , N/A ,"$1,323.35 ", N/A ,"$1,114.40 ","$1,267.63 ", N/A , N/A ,"$1,323.35 ","$1,253.70 ","$1,184.05 ", N/A , N/A , N/A ,"$1,016.89 ", N/A ,"$1,239.77 ","$1,253.70 ","$1,253.70 ","$1,114.40 ", N/A ,$766.15 ,"$1,253.70 ", N/A ,"$1,253.70 ", N/A ,"$1,309.42 ", N/A ,"$1,281.56 ", N/A ,"$1,267.63 ", N/A , N/A ,$897.09 , N/A ,"$1,253.70 ","$1,253.70 ","$1,039.60 ", N/A , N/A , N/A ,"$1,302.46 ", N/A , N/A ,"$1,211.91 ", N/A ,"$1,253.70 ", N/A ,"$1,253.70 ","$1,253.70 ","$1,253.70 ","$1,351.21 ","$1,128.33 ","$1,253.70 ","$1,253.70 ","$1,253.70 ","$1,253.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060016,N/A,HC OR LEVEL 2 ADDL 15MIN,360,1 ,"$1,393.00 ","$1,044.75 ",$766.15 ,"$1,393.00 ",$897.09 , N/A ,$975.10 , N/A , N/A , N/A , N/A ,"$1,323.35 ", N/A ,"$1,114.40 ","$1,267.63 ", N/A , N/A ,"$1,323.35 ","$1,253.70 ","$1,184.05 ", N/A , N/A , N/A ,"$1,016.89 ", N/A ,"$1,239.77 ","$1,253.70 ","$1,253.70 ","$1,114.40 ", N/A ,$766.15 ,"$1,253.70 ", N/A ,"$1,253.70 ", N/A ,"$1,309.42 ", N/A ,"$1,281.56 ", N/A ,"$1,267.63 ", N/A , N/A ,$897.09 , N/A ,"$1,253.70 ","$1,253.70 ","$1,039.60 ", N/A , N/A , N/A ,"$1,302.46 ", N/A , N/A ,"$1,211.91 ", N/A ,"$1,253.70 ", N/A ,"$1,253.70 ","$1,253.70 ","$1,253.70 ","$1,351.21 ","$1,128.33 ","$1,253.70 ","$1,253.70 ","$1,253.70 ","$1,253.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060017,N/A,HC OR LEVEL 3 INITIAL 15MIN,360,1 ,"$1,504.00 ","$1,128.00 ",$827.20 ,"$1,504.00 ",$968.58 , N/A ,"$1,052.80 ", N/A , N/A , N/A , N/A ,"$1,428.80 ", N/A ,"$1,203.20 ","$1,368.64 ", N/A , N/A ,"$1,428.80 ","$1,353.60 ","$1,278.40 ", N/A , N/A , N/A ,"$1,097.92 ", N/A ,"$1,338.56 ","$1,353.60 ","$1,353.60 ","$1,203.20 ", N/A ,$827.20 ,"$1,353.60 ", N/A ,"$1,353.60 ", N/A ,"$1,413.76 ", N/A ,"$1,383.68 ", N/A ,"$1,368.64 ", N/A , N/A ,$968.58 , N/A ,"$1,353.60 ","$1,353.60 ","$1,122.44 ", N/A , N/A , N/A ,"$1,406.24 ", N/A , N/A ,"$1,308.48 ", N/A ,"$1,353.60 ", N/A ,"$1,353.60 ","$1,353.60 ","$1,353.60 ","$1,458.88 ","$1,218.24 ","$1,353.60 ","$1,353.60 ","$1,353.60 ","$1,353.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060018,N/A,HC OR LEVEL 3 ADDL 15MIN,360,1 ,"$1,504.00 ","$1,128.00 ",$827.20 ,"$1,504.00 ",$968.58 , N/A ,"$1,052.80 ", N/A , N/A , N/A , N/A ,"$1,428.80 ", N/A ,"$1,203.20 ","$1,368.64 ", N/A , N/A ,"$1,428.80 ","$1,353.60 ","$1,278.40 ", N/A , N/A , N/A ,"$1,097.92 ", N/A ,"$1,338.56 ","$1,353.60 ","$1,353.60 ","$1,203.20 ", N/A ,$827.20 ,"$1,353.60 ", N/A ,"$1,353.60 ", N/A ,"$1,413.76 ", N/A ,"$1,383.68 ", N/A ,"$1,368.64 ", N/A , N/A ,$968.58 , N/A ,"$1,353.60 ","$1,353.60 ","$1,122.44 ", N/A , N/A , N/A ,"$1,406.24 ", N/A , N/A ,"$1,308.48 ", N/A ,"$1,353.60 ", N/A ,"$1,353.60 ","$1,353.60 ","$1,353.60 ","$1,458.88 ","$1,218.24 ","$1,353.60 ","$1,353.60 ","$1,353.60 ","$1,353.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060019,N/A,HC OR LEVEL 4 INITIAL 15MIN,360,1 ,"$1,825.00 ","$1,368.75 ","$1,003.75 ","$1,825.00 ","$1,175.30 ", N/A ,"$1,277.50 ", N/A , N/A , N/A , N/A ,"$1,733.75 ", N/A ,"$1,460.00 ","$1,660.75 ", N/A , N/A ,"$1,733.75 ","$1,642.50 ","$1,551.25 ", N/A , N/A , N/A ,"$1,332.25 ", N/A ,"$1,624.25 ","$1,642.50 ","$1,642.50 ","$1,460.00 ", N/A ,"$1,003.75 ","$1,642.50 ", N/A ,"$1,642.50 ", N/A ,"$1,715.50 ", N/A ,"$1,679.00 ", N/A ,"$1,660.75 ", N/A , N/A ,"$1,175.30 ", N/A ,"$1,642.50 ","$1,642.50 ","$1,362.00 ", N/A , N/A , N/A ,"$1,706.38 ", N/A , N/A ,"$1,587.75 ", N/A ,"$1,642.50 ", N/A ,"$1,642.50 ","$1,642.50 ","$1,642.50 ","$1,770.25 ","$1,478.25 ","$1,642.50 ","$1,642.50 ","$1,642.50 ","$1,642.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060020,N/A,HC OR LEVEL 4 ADDL 15MIN,360,1 ,"$1,825.00 ","$1,368.75 ","$1,003.75 ","$1,825.00 ","$1,175.30 ", N/A ,"$1,277.50 ", N/A , N/A , N/A , N/A ,"$1,733.75 ", N/A ,"$1,460.00 ","$1,660.75 ", N/A , N/A ,"$1,733.75 ","$1,642.50 ","$1,551.25 ", N/A , N/A , N/A ,"$1,332.25 ", N/A ,"$1,624.25 ","$1,642.50 ","$1,642.50 ","$1,460.00 ", N/A ,"$1,003.75 ","$1,642.50 ", N/A ,"$1,642.50 ", N/A ,"$1,715.50 ", N/A ,"$1,679.00 ", N/A ,"$1,660.75 ", N/A , N/A ,"$1,175.30 ", N/A ,"$1,642.50 ","$1,642.50 ","$1,362.00 ", N/A , N/A , N/A ,"$1,706.38 ", N/A , N/A ,"$1,587.75 ", N/A ,"$1,642.50 ", N/A ,"$1,642.50 ","$1,642.50 ","$1,642.50 ","$1,770.25 ","$1,478.25 ","$1,642.50 ","$1,642.50 ","$1,642.50 ","$1,642.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060021,N/A,HC OR LEVEL 5 INITIAL 15MIN,360,1 ,"$2,144.00 ","$1,608.00 ","$1,179.20 ","$2,144.00 ","$1,380.74 ", N/A ,"$1,500.80 ", N/A , N/A , N/A , N/A ,"$2,036.80 ", N/A ,"$1,715.20 ","$1,951.04 ", N/A , N/A ,"$2,036.80 ","$1,929.60 ","$1,822.40 ", N/A , N/A , N/A ,"$1,565.12 ", N/A ,"$1,908.16 ","$1,929.60 ","$1,929.60 ","$1,715.20 ", N/A ,"$1,179.20 ","$1,929.60 ", N/A ,"$1,929.60 ", N/A ,"$2,015.36 ", N/A ,"$1,972.48 ", N/A ,"$1,951.04 ", N/A , N/A ,"$1,380.74 ", N/A ,"$1,929.60 ","$1,929.60 ","$1,600.07 ", N/A , N/A , N/A ,"$2,004.64 ", N/A , N/A ,"$1,865.28 ", N/A ,"$1,929.60 ", N/A ,"$1,929.60 ","$1,929.60 ","$1,929.60 ","$2,079.68 ","$1,736.64 ","$1,929.60 ","$1,929.60 ","$1,929.60 ","$1,929.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060022,N/A,HC OR LEVEL 5 ADDL 15MIN,360,1 ,"$2,144.00 ","$1,608.00 ","$1,179.20 ","$2,144.00 ","$1,380.74 ", N/A ,"$1,500.80 ", N/A , N/A , N/A , N/A ,"$2,036.80 ", N/A ,"$1,715.20 ","$1,951.04 ", N/A , N/A ,"$2,036.80 ","$1,929.60 ","$1,822.40 ", N/A , N/A , N/A ,"$1,565.12 ", N/A ,"$1,908.16 ","$1,929.60 ","$1,929.60 ","$1,715.20 ", N/A ,"$1,179.20 ","$1,929.60 ", N/A ,"$1,929.60 ", N/A ,"$2,015.36 ", N/A ,"$1,972.48 ", N/A ,"$1,951.04 ", N/A , N/A ,"$1,380.74 ", N/A ,"$1,929.60 ","$1,929.60 ","$1,600.07 ", N/A , N/A , N/A ,"$2,004.64 ", N/A , N/A ,"$1,865.28 ", N/A ,"$1,929.60 ", N/A ,"$1,929.60 ","$1,929.60 ","$1,929.60 ","$2,079.68 ","$1,736.64 ","$1,929.60 ","$1,929.60 ","$1,929.60 ","$1,929.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060023,N/A,HC OR LEVEL 6 INITIAL 15MIN,360,1 ,"$2,250.00 ","$1,687.50 ","$1,237.50 ","$2,250.00 ","$1,449.00 ", N/A ,"$1,575.00 ", N/A , N/A , N/A , N/A ,"$2,137.50 ", N/A ,"$1,800.00 ","$2,047.50 ", N/A , N/A ,"$2,137.50 ","$2,025.00 ","$1,912.50 ", N/A , N/A , N/A ,"$1,642.50 ", N/A ,"$2,002.50 ","$2,025.00 ","$2,025.00 ","$1,800.00 ", N/A ,"$1,237.50 ","$2,025.00 ", N/A ,"$2,025.00 ", N/A ,"$2,115.00 ", N/A ,"$2,070.00 ", N/A ,"$2,047.50 ", N/A , N/A ,"$1,449.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$1,679.18 ", N/A , N/A , N/A ,"$2,103.75 ", N/A , N/A ,"$1,957.50 ", N/A ,"$2,025.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,025.00 ","$2,182.50 ","$1,822.50 ","$2,025.00 ","$2,025.00 ","$2,025.00 ","$2,025.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,36060024,N/A,HC OR LEVEL 6 ADDL 15MIN,360,1 ,"$2,250.00 ","$1,687.50 ","$1,237.50 ","$2,250.00 ","$1,449.00 ", N/A ,"$1,575.00 ", N/A , N/A , N/A , N/A ,"$2,137.50 ", N/A ,"$1,800.00 ","$2,047.50 ", N/A , N/A ,"$2,137.50 ","$2,025.00 ","$1,912.50 ", N/A , N/A , N/A ,"$1,642.50 ", N/A ,"$2,002.50 ","$2,025.00 ","$2,025.00 ","$1,800.00 ", N/A ,"$1,237.50 ","$2,025.00 ", N/A ,"$2,025.00 ", N/A ,"$2,115.00 ", N/A ,"$2,070.00 ", N/A ,"$2,047.50 ", N/A , N/A ,"$1,449.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$1,679.18 ", N/A , N/A , N/A ,"$2,103.75 ", N/A , N/A ,"$1,957.50 ", N/A ,"$2,025.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,025.00 ","$2,182.50 ","$1,822.50 ","$2,025.00 ","$2,025.00 ","$2,025.00 ","$2,025.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,36063346,N/A,HC PERCUTANEOUS TENOTOMY,360,1 ,"$9,661.00 ","$7,245.75 ","$5,313.55 ","$9,661.00 ","$6,221.68 ", N/A ,"$6,762.70 ", N/A , N/A , N/A , N/A ,"$9,177.95 ", N/A ,"$7,728.80 ","$8,791.51 ", N/A , N/A ,"$9,177.95 ","$8,694.90 ","$8,211.85 ", N/A , N/A , N/A ,"$7,052.53 ", N/A ,"$8,598.29 ","$8,694.90 ","$8,694.90 ","$7,728.80 ", N/A ,"$5,313.55 ","$8,694.90 ", N/A ,"$8,694.90 ", N/A ,"$9,081.34 ", N/A ,"$8,888.12 ", N/A ,"$8,791.51 ", N/A , N/A ,"$6,221.68 ", N/A ,"$8,694.90 ","$8,694.90 ","$7,210.00 ", N/A , N/A , N/A ,"$9,033.04 ", N/A , N/A ,"$8,405.07 ", N/A ,"$8,694.90 ", N/A ,"$8,694.90 ","$8,694.90 ","$8,694.90 ","$9,371.17 ","$7,825.41 ","$8,694.90 ","$8,694.90 ","$8,694.90 ","$8,694.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,36080001,63661,HC RM SPINAL NEUROSTIM ELECTRD,360,1 ,"$5,621.17 ","$4,215.88 ","$1,178.94 ","$5,621.17 ","$3,620.03 ","$1,812.03 ","$3,934.82 ","$1,178.94 ","$4,824.00 ","$1,214.31 ","$3,859.00 ","$5,340.11 ", N/A ,"$4,496.94 ","$5,115.26 ","$1,178.94 ", N/A ,"$5,340.11 ","$5,059.05 ","$4,777.99 ","$1,178.94 ","$1,178.94 ","$1,178.94 ","$4,103.45 ","$1,812.03 ","$5,002.84 ","$5,059.05 ","$5,059.05 ","$4,496.94 ","$1,866.39 ","$3,091.64 ","$5,059.05 ","$1,812.03 ","$5,059.05 ","$1,812.03 ","$5,283.90 ","$4,077.07 ","$5,171.48 ","$1,249.68 ","$5,115.26 ","$1,812.03 ","$3,459.27 ","$3,620.03 ","$3,459.27 ","$5,059.05 ","$5,059.05 ","$4,195.08 ","$3,360.24 ","$1,830.15 ","$1,237.89 ","$5,255.79 ","$1,902.63 ","$1,178.94 ","$4,890.42 ","$1,812.03 ","$5,059.05 ","$1,812.03 ","$5,059.05 ","$5,059.05 ","$5,059.05 ","$5,452.53 ","$4,553.15 ","$5,059.05 ","$5,059.05 ","$5,059.05 ","$5,059.05 "
ST. JOSEPH'S - CHIPPEWA FALLS,36080002,63688,HC REV/RM SPINAL NEUROSTIM GEN,360,1 ,"$8,723.60 ","$6,542.70 ","$1,178.94 ","$8,723.60 ","$5,618.00 ","$3,380.66 ","$6,106.52 ","$1,178.94 ","$8,723.60 ","$1,214.31 ","$7,718.00 ","$8,287.42 ", N/A ,"$6,978.88 ","$7,938.48 ","$1,178.94 ", N/A ,"$8,287.42 ","$7,851.24 ","$7,415.06 ","$1,178.94 ","$1,178.94 ","$1,178.94 ","$6,368.23 ","$3,380.66 ","$7,764.00 ","$7,851.24 ","$7,851.24 ","$6,978.88 ","$3,482.08 ","$4,797.98 ","$7,851.24 ","$3,380.66 ","$7,851.24 ","$3,380.66 ","$8,200.18 ","$7,606.48 ","$8,025.71 ","$1,249.68 ","$7,938.48 ","$3,380.66 ","$5,368.50 ","$5,618.00 ","$5,368.50 ","$7,851.24 ","$7,851.24 ","$6,510.42 ","$6,618.65 ","$3,414.47 ","$1,237.89 ","$8,156.57 ","$3,549.69 ","$1,178.94 ","$7,589.53 ","$3,380.66 ","$7,851.24 ","$3,380.66 ","$7,851.24 ","$7,851.24 ","$7,851.24 ","$8,461.89 ","$7,066.12 ","$7,851.24 ","$7,851.24 ","$7,851.24 ","$7,851.24 "
ST. JOSEPH'S - CHIPPEWA FALLS,36080006,64400,HC NERVE BLOCK TRIGEMINAL,360,1 ,$589.00 ,$441.75 ,$136.73 ,$606.64 ,$379.32 ,$269.62 ,$412.30 ,$136.73 ,$589.00 ,$140.83 ,$589.00 ,$559.55 , N/A ,$471.20 ,$535.99 ,$136.73 , N/A ,$559.55 ,$530.10 ,$500.65 ,$136.73 ,$136.73 ,$136.73 ,$429.97 ,$269.62 ,$524.21 ,$530.10 ,$530.10 ,$471.20 ,$277.70 ,$323.95 ,$530.10 ,$269.62 ,$530.10 ,$269.62 ,$553.66 ,$606.64 ,$541.88 ,$144.93 ,$535.99 ,$269.62 ,$362.47 ,$379.32 ,$362.47 ,$530.10 ,$530.10 ,$439.57 ,$530.10 ,$272.31 ,$143.57 ,$550.72 ,$283.10 ,$136.73 ,$512.43 ,$269.62 ,$530.10 ,$269.62 ,$530.10 ,$530.10 ,$530.10 ,$571.33 ,$477.09 ,$530.10 ,$530.10 ,$530.10 ,$530.10 
ST. JOSEPH'S - CHIPPEWA FALLS,36100015,11010,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISSUE,361,1 ,$291.00 ,$218.25 ,$118.09 ,"$1,444.89 ",$187.40 ,$642.18 ,$203.70 ,$118.09 ,$291.00 ,$121.63 ,$291.00 ,$276.45 , N/A ,$232.80 ,$264.81 ,$118.09 , N/A ,$276.45 ,$261.90 ,$247.35 ,$118.09 ,$118.09 ,$118.09 ,$212.43 ,$642.18 ,$258.99 ,$261.90 ,$261.90 ,$232.80 ,$661.44 ,$160.05 ,$261.90 ,$642.18 ,$261.90 ,$642.18 ,$276.45 ,"$1,444.89 ",$267.72 ,$125.18 ,$264.81 ,$642.18 ,$179.08 ,$187.40 ,$179.08 ,$261.90 ,$261.90 ,$217.17 ,$261.90 ,$648.60 ,$123.99 ,$272.09 ,$674.29 ,$118.09 ,$253.17 ,$642.18 ,$261.90 ,$642.18 ,$261.90 ,$261.90 ,$261.90 ,$282.27 ,$235.71 ,$261.90 ,$261.90 ,$261.90 ,$261.90 
ST. JOSEPH'S - CHIPPEWA FALLS,36100017,11012,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISS/MUSCLE/BONE,361,1 ,$179.00 ,$134.25 ,$98.45 ,"$5,505.37 ",$115.28 ,"$2,446.83 ",$125.30 ,$179.00 ,$179.00 ,$324.54 ,$179.00 ,$170.05 , N/A ,$143.20 ,$162.89 ,$179.00 , N/A ,$170.05 ,$161.10 ,$152.15 ,$315.09 ,$315.09 ,$315.09 ,$130.67 ,"$2,446.83 ",$159.31 ,$161.10 ,$161.10 ,$143.20 ,"$2,520.24 ",$98.45 ,$161.10 ,"$2,446.83 ",$161.10 ,"$2,446.83 ",$170.05 ,"$5,505.37 ",$164.68 ,$334.00 ,$162.89 ,"$2,446.83 ",$110.16 ,$115.28 ,$110.16 ,$161.10 ,$161.10 ,$133.59 ,$161.10 ,"$2,471.30 ",$330.84 ,$167.37 ,"$2,569.17 ",$179.00 ,$155.73 ,"$2,446.83 ",$161.10 ,"$2,446.83 ",$161.10 ,$161.10 ,$161.10 ,$173.63 ,$144.99 ,$161.10 ,$161.10 ,$161.10 ,$161.10 
ST. JOSEPH'S - CHIPPEWA FALLS,36100019,15101,HC AUTOGRAPH SKIN TAL GRAFT EA ADDL 100CM,361,1 ,$903.00 ,$677.25 ,$496.65 ,$903.00 ,$581.53 , N/A ,$632.10 ,$615.10 ,$903.00 ,$633.55 ,$903.00 ,$857.85 , N/A ,$722.40 ,$821.73 ,$615.10 , N/A ,$857.85 ,$812.70 ,$767.55 ,$615.10 ,$615.10 ,$615.10 ,$659.19 , N/A ,$803.67 ,$812.70 ,$812.70 ,$722.40 , N/A ,$496.65 ,$812.70 , N/A ,$812.70 , N/A ,$857.85 , N/A ,$830.76 ,$652.01 ,$821.73 , N/A ,$555.71 ,$581.53 ,$555.71 ,$812.70 ,$812.70 ,$673.91 ,$794.24 , N/A ,$645.86 ,$844.31 , N/A ,$615.10 ,$785.61 , N/A ,$812.70 , N/A ,$812.70 ,$812.70 ,$812.70 ,$875.91 ,$731.43 ,$812.70 ,$812.70 ,$812.70 ,$812.70 
ST. JOSEPH'S - CHIPPEWA FALLS,36100026,36510,HC UMBILICAL CATHETER INSERTION NEWBORN,361,1 ,$314.19 ,$235.64 ,$18.43 ,$314.19 ,$202.34 , N/A ,$219.93 ,$18.43 ,$314.19 ,$18.98 ,$314.19 ,$298.48 , N/A ,$251.35 ,$285.91 ,$18.43 , N/A ,$298.48 ,$282.77 ,$267.06 ,$18.43 ,$18.43 ,$18.43 ,$229.36 , N/A ,$279.63 ,$282.77 ,$282.77 ,$251.35 , N/A ,$172.80 ,$282.77 , N/A ,$282.77 , N/A ,$298.48 , N/A ,$289.05 ,$19.54 ,$285.91 , N/A ,$193.35 ,$202.34 ,$193.35 ,$282.77 ,$282.77 ,$234.48 ,$282.77 , N/A ,$19.35 ,$293.77 , N/A ,$18.43 ,$273.35 , N/A ,$282.77 , N/A ,$282.77 ,$282.77 ,$282.77 ,$304.76 ,$254.49 ,$282.77 ,$282.77 ,$282.77 ,$282.77 
ST. JOSEPH'S - CHIPPEWA FALLS,36100037,62355,HC REMOVE SPINAL CATHETER,361,1 ,"$6,433.72 ","$4,825.29 ",$268.66 ,"$6,433.72 ","$4,143.32 ","$1,812.03 ","$4,503.60 ",$268.66 ,"$4,824.00 ",$276.72 ,"$3,859.00 ","$6,112.03 ", N/A ,"$5,146.98 ","$5,854.69 ",$268.66 , N/A ,"$6,112.03 ","$5,790.35 ","$5,468.66 ",$268.66 ,$268.66 ,$268.66 ,"$4,696.62 ","$1,812.03 ","$5,726.01 ","$5,790.35 ","$5,790.35 ","$5,146.98 ","$1,866.39 ","$3,538.55 ","$5,790.35 ","$1,812.03 ","$5,790.35 ","$1,812.03 ","$6,112.03 ","$4,077.07 ","$5,919.02 ",$284.78 ,"$5,854.69 ","$1,812.03 ","$3,959.31 ","$4,143.32 ","$3,959.31 ","$5,790.35 ","$5,790.35 ","$4,801.49 ","$3,360.24 ","$1,830.15 ",$282.09 ,"$6,015.53 ","$1,902.63 ",$268.66 ,"$5,597.34 ","$1,812.03 ","$5,790.35 ","$1,812.03 ","$5,790.35 ","$5,790.35 ","$5,790.35 ","$6,240.71 ","$5,211.31 ","$5,790.35 ","$5,790.35 ","$5,790.35 ","$5,790.35 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100038,62365,HC REMOVE SPINAL INFUSION DEVICE SUBSQ,361,1 ,"$9,377.77 ","$7,033.33 ","$1,461.70 ","$13,240.69 ","$6,039.28 ","$5,884.75 ","$6,564.44 ","$1,461.70 ","$9,377.77 ","$1,505.55 ","$9,004.00 ","$8,908.88 ", N/A ,"$7,502.22 ","$8,533.77 ","$1,461.70 ", N/A ,"$8,908.88 ","$8,439.99 ","$7,971.10 ","$1,461.70 ","$1,461.70 ","$1,461.70 ","$6,845.77 ","$5,884.75 ","$8,346.22 ","$8,439.99 ","$8,439.99 ","$7,502.22 ","$6,061.29 ","$5,157.77 ","$8,439.99 ","$5,884.75 ","$8,439.99 ","$5,884.75 ","$8,908.88 ","$13,240.69 ","$8,627.55 ","$1,549.40 ","$8,533.77 ","$5,884.75 ","$5,771.08 ","$6,039.28 ","$5,771.08 ","$8,439.99 ","$8,439.99 ","$6,998.63 ","$7,127.78 ","$5,943.60 ","$1,534.79 ","$8,768.22 ","$6,178.99 ","$1,461.70 ","$8,158.66 ","$5,884.75 ","$8,439.99 ","$5,884.75 ","$8,439.99 ","$8,439.99 ","$8,439.99 ","$9,096.44 ","$7,595.99 ","$8,439.99 ","$8,439.99 ","$8,439.99 ","$8,439.99 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100039,63663,HC REVISE SPINE ELECTRD PERQ ARRAY W/FLUORO,361,1 ,"$8,368.63 ","$6,276.47 ","$1,863.30 ","$14,312.64 ","$5,389.40 ","$6,361.17 ","$5,858.04 ","$1,863.30 ","$8,368.63 ","$1,919.20 ","$8,368.63 ","$7,950.20 ", N/A ,"$6,694.90 ","$7,615.45 ","$1,863.30 ", N/A ,"$7,950.20 ","$7,531.77 ","$7,113.34 ","$1,863.30 ","$1,863.30 ","$1,863.30 ","$6,109.10 ","$6,361.17 ","$7,448.08 ","$7,531.77 ","$7,531.77 ","$6,694.90 ","$6,552.01 ","$4,602.75 ","$7,531.77 ","$6,361.17 ","$7,531.77 ","$6,361.17 ","$7,950.20 ","$14,312.64 ","$7,699.14 ","$1,975.10 ","$7,615.45 ","$6,361.17 ","$5,150.05 ","$5,389.40 ","$5,150.05 ","$7,531.77 ","$7,531.77 ","$6,245.51 ","$7,127.78 ","$6,424.79 ","$1,956.47 ","$7,824.67 ","$6,679.23 ","$1,863.30 ","$7,280.71 ","$6,361.17 ","$7,531.77 ","$6,361.17 ","$7,531.77 ","$7,531.77 ","$7,531.77 ","$8,117.57 ","$6,778.59 ","$7,531.77 ","$7,531.77 ","$7,531.77 ","$7,531.77 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100040,63685,HC INSERT/REPLACE SPINAL NEURO GEN/RECR,361,1 ,"$11,556.50 ","$8,667.38 ","$6,356.08 ","$68,349.02 ","$7,442.39 ","$30,377.34 ","$8,089.55 ","$6,487.65 ","$11,556.50 ","$6,682.28 ","$11,556.50 ","$10,978.68 ", N/A ,"$9,245.20 ","$10,516.42 ","$6,487.65 ", N/A ,"$10,978.68 ","$10,400.85 ","$9,823.03 ","$6,487.65 ","$6,487.65 ","$6,487.65 ","$8,436.25 ","$30,377.34 ","$10,285.29 ","$10,400.85 ","$10,400.85 ","$9,245.20 ","$31,288.66 ","$6,356.08 ","$10,400.85 ","$30,377.34 ","$10,400.85 ","$30,377.34 ","$10,978.68 ","$68,349.02 ","$10,631.98 ","$6,876.91 ","$10,516.42 ","$30,377.34 ","$7,111.87 ","$7,442.39 ","$7,111.87 ","$10,400.85 ","$10,400.85 ","$8,624.62 ","$7,127.78 ","$30,681.12 ","$6,812.03 ","$10,805.33 ","$31,896.21 ","$6,487.65 ","$10,054.16 ","$30,377.34 ","$10,400.85 ","$30,377.34 ","$10,400.85 ","$10,400.85 ","$10,400.85 ","$11,209.81 ","$9,360.77 ","$10,400.85 ","$10,400.85 ","$10,400.85 ","$10,400.85 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100041,64646,HC CHEMODENERVATION TRUNK 1-5 MUSCLES,361,1 ,$901.00 ,$675.75 ,$136.73 ,"$1,474.40 ",$580.24 ,$655.29 ,$630.70 ,$136.73 ,$901.00 ,$140.83 ,$901.00 ,$855.95 , N/A ,$720.80 ,$819.91 ,$136.73 , N/A ,$855.95 ,$810.90 ,$765.85 ,$136.73 ,$136.73 ,$136.73 ,$657.73 ,$655.29 ,$801.89 ,$810.90 ,$810.90 ,$720.80 ,$674.95 ,$495.55 ,$810.90 ,$655.29 ,$810.90 ,$655.29 ,$855.95 ,"$1,474.40 ",$828.92 ,$144.93 ,$819.91 ,$655.29 ,$554.48 ,$580.24 ,$554.48 ,$810.90 ,$810.90 ,$672.42 ,$794.24 ,$661.84 ,$143.57 ,$842.44 ,$688.05 ,$136.73 ,$783.87 ,$655.29 ,$810.90 ,$655.29 ,$810.90 ,$810.90 ,$810.90 ,$873.97 ,$729.81 ,$810.90 ,$810.90 ,$810.90 ,$810.90 
ST. JOSEPH'S - CHIPPEWA FALLS,36100044,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-BIL,361,1 ,$517.00 ,$387.75 ,$113.33 ,$909.95 ,$332.95 ,$404.42 ,$361.90 ,$113.33 ,$517.00 ,$116.73 ,$517.00 ,$491.15 , N/A ,$413.60 ,$470.47 ,$113.33 , N/A ,$491.15 ,$465.30 ,$439.45 ,$113.33 ,$113.33 ,$113.33 ,$377.41 ,$404.42 ,$460.13 ,$465.30 ,$465.30 ,$413.60 ,$416.56 ,$284.35 ,$465.30 ,$404.42 ,$465.30 ,$404.42 ,$491.15 ,$909.95 ,$475.64 ,$120.13 ,$470.47 ,$404.42 ,$477.24 ,$332.95 ,$318.16 ,$465.30 ,$465.30 ,$385.84 ,$465.30 ,$408.47 ,$119.00 ,$483.40 ,$424.64 ,$113.33 ,$449.79 ,$404.42 ,$465.30 ,$404.42 ,$465.30 ,$465.30 ,$465.30 ,$501.49 ,$418.77 ,$465.30 ,$465.30 ,$465.30 ,$465.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36100046,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-LT,361,1 ,"$1,187.45 ",$890.59 ,$615.10 ,"$3,976.93 ",$764.72 ,"$1,767.52 ",$831.22 ,$615.10 ,"$1,187.45 ",$633.55 ,"$1,187.45 ","$1,128.08 ", N/A ,$949.96 ,"$1,080.58 ",$615.10 , N/A ,"$1,128.08 ","$1,068.71 ","$1,009.33 ",$615.10 ,$615.10 ,$615.10 ,$866.84 ,"$1,767.52 ","$1,056.83 ","$1,068.71 ","$1,068.71 ",$949.96 ,"$1,820.55 ",$653.10 ,"$1,068.71 ","$1,767.52 ","$1,068.71 ","$1,767.52 ","$1,128.08 ","$3,976.93 ","$1,092.45 ",$652.01 ,"$1,080.58 ","$1,767.52 ",$730.76 ,$764.72 ,$730.76 ,"$1,068.71 ","$1,068.71 ",$886.19 ,"$1,068.71 ","$1,785.20 ",$645.86 ,"$1,110.27 ","$1,855.90 ",$615.10 ,"$1,033.08 ","$1,767.52 ","$1,068.71 ","$1,767.52 ","$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,151.83 ",$961.83 ,"$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,068.71 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100047,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-RT,361,1 ,"$1,187.45 ",$890.59 ,$615.10 ,"$3,976.93 ",$764.72 ,"$1,767.52 ",$831.22 ,$615.10 ,"$1,187.45 ",$633.55 ,"$1,187.45 ","$1,128.08 ", N/A ,$949.96 ,"$1,080.58 ",$615.10 , N/A ,"$1,128.08 ","$1,068.71 ","$1,009.33 ",$615.10 ,$615.10 ,$615.10 ,$866.84 ,"$1,767.52 ","$1,056.83 ","$1,068.71 ","$1,068.71 ",$949.96 ,"$1,820.55 ",$653.10 ,"$1,068.71 ","$1,767.52 ","$1,068.71 ","$1,767.52 ","$1,128.08 ","$3,976.93 ","$1,092.45 ",$652.01 ,"$1,080.58 ","$1,767.52 ",$730.76 ,$764.72 ,$730.76 ,"$1,068.71 ","$1,068.71 ",$886.19 ,"$1,068.71 ","$1,785.20 ",$645.86 ,"$1,110.27 ","$1,855.90 ",$615.10 ,"$1,033.08 ","$1,767.52 ","$1,068.71 ","$1,767.52 ","$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,151.83 ",$961.83 ,"$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,068.71 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100048,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-LT,361,1 ,$433.41 ,$325.06 ,$238.38 ,$652.01 ,$279.12 , N/A ,$303.39 ,$433.41 ,$433.41 ,$633.55 ,$433.41 ,$411.74 , N/A ,$346.73 ,$394.40 ,$433.41 , N/A ,$411.74 ,$390.07 ,$368.40 ,$615.10 ,$615.10 ,$615.10 ,$316.39 , N/A ,$385.73 ,$390.07 ,$390.07 ,$346.73 , N/A ,$238.38 ,$390.07 , N/A ,$390.07 , N/A ,$411.74 , N/A ,$398.74 ,$652.01 ,$394.40 , N/A ,$266.72 ,$279.12 ,$266.72 ,$390.07 ,$390.07 ,$323.45 ,$390.07 , N/A ,$645.86 ,$405.24 , N/A ,$433.41 ,$377.07 , N/A ,$390.07 , N/A ,$390.07 ,$390.07 ,$390.07 ,$420.41 ,$351.06 ,$390.07 ,$390.07 ,$390.07 ,$390.07 
ST. JOSEPH'S - CHIPPEWA FALLS,36100049,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-RT,361,1 ,$433.41 ,$325.06 ,$238.38 ,$652.01 ,$279.12 , N/A ,$303.39 ,$433.41 ,$433.41 ,$633.55 ,$433.41 ,$411.74 , N/A ,$346.73 ,$394.40 ,$433.41 , N/A ,$411.74 ,$390.07 ,$368.40 ,$615.10 ,$615.10 ,$615.10 ,$316.39 , N/A ,$385.73 ,$390.07 ,$390.07 ,$346.73 , N/A ,$238.38 ,$390.07 , N/A ,$390.07 , N/A ,$411.74 , N/A ,$398.74 ,$652.01 ,$394.40 , N/A ,$266.72 ,$279.12 ,$266.72 ,$390.07 ,$390.07 ,$323.45 ,$390.07 , N/A ,$645.86 ,$405.24 , N/A ,$433.41 ,$377.07 , N/A ,$390.07 , N/A ,$390.07 ,$390.07 ,$390.07 ,$420.41 ,$351.06 ,$390.07 ,$390.07 ,$390.07 ,$390.07 
ST. JOSEPH'S - CHIPPEWA FALLS,36100050,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-LT,361,1 ,"$1,689.57 ","$1,267.18 ",$615.10 ,"$8,175.97 ","$1,088.08 ","$3,633.76 ","$1,182.70 ",$615.10 ,"$1,689.57 ",$633.55 ,"$1,689.57 ","$1,605.09 ", N/A ,"$1,351.66 ","$1,537.51 ",$615.10 , N/A ,"$1,605.09 ","$1,520.61 ","$1,436.13 ",$615.10 ,$615.10 ,$615.10 ,"$1,233.39 ","$3,633.76 ","$1,503.72 ","$1,520.61 ","$1,520.61 ","$1,351.66 ","$3,742.78 ",$929.26 ,"$1,520.61 ","$3,633.76 ","$1,520.61 ","$3,633.76 ","$1,605.09 ","$8,175.97 ","$1,554.40 ",$652.01 ,"$1,537.51 ","$3,633.76 ","$1,039.76 ","$1,088.08 ","$1,039.76 ","$1,520.61 ","$1,520.61 ","$1,260.93 ","$1,520.61 ","$3,670.10 ",$645.86 ,"$1,579.75 ","$3,815.45 ",$615.10 ,"$1,469.93 ","$3,633.76 ","$1,520.61 ","$3,633.76 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,638.88 ","$1,368.55 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,520.61 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100051,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-RT,361,1 ,"$1,689.57 ","$1,267.18 ",$615.10 ,"$8,175.97 ","$1,088.08 ","$3,633.76 ","$1,182.70 ",$615.10 ,"$1,689.57 ",$633.55 ,"$1,689.57 ","$1,605.09 ", N/A ,"$1,351.66 ","$1,537.51 ",$615.10 , N/A ,"$1,605.09 ","$1,520.61 ","$1,436.13 ",$615.10 ,$615.10 ,$615.10 ,"$1,233.39 ","$3,633.76 ","$1,503.72 ","$1,520.61 ","$1,520.61 ","$1,351.66 ","$3,742.78 ",$929.26 ,"$1,520.61 ","$3,633.76 ","$1,520.61 ","$3,633.76 ","$1,605.09 ","$8,175.97 ","$1,554.40 ",$652.01 ,"$1,537.51 ","$3,633.76 ","$1,039.76 ","$1,088.08 ","$1,039.76 ","$1,520.61 ","$1,520.61 ","$1,260.93 ","$1,520.61 ","$3,670.10 ",$645.86 ,"$1,579.75 ","$3,815.45 ",$615.10 ,"$1,469.93 ","$3,633.76 ","$1,520.61 ","$3,633.76 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,638.88 ","$1,368.55 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,520.61 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100052,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-LT,361,1 ,"$1,109.45 ",$832.09 ,$610.20 ,"$1,109.45 ",$714.49 , N/A ,$776.62 ,$615.10 ,"$1,109.45 ",$633.55 ,"$1,109.45 ","$1,053.98 ", N/A ,$887.56 ,"$1,009.60 ",$615.10 , N/A ,"$1,053.98 ",$998.51 ,$943.03 ,$615.10 ,$615.10 ,$615.10 ,$809.90 , N/A ,$987.41 ,$998.51 ,$998.51 ,$887.56 , N/A ,$610.20 ,$998.51 , N/A ,$998.51 , N/A ,"$1,053.98 ", N/A ,"$1,020.69 ",$652.01 ,"$1,009.60 ", N/A ,$682.76 ,$714.49 ,$682.76 ,$998.51 ,$998.51 ,$827.98 ,$794.24 , N/A ,$645.86 ,"$1,037.34 ", N/A ,$615.10 ,$965.22 , N/A ,$998.51 , N/A ,$998.51 ,$998.51 ,$998.51 ,"$1,076.17 ",$898.65 ,$998.51 ,$998.51 ,$998.51 ,$998.51 
ST. JOSEPH'S - CHIPPEWA FALLS,36100053,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-RT,361,1 ,"$1,109.45 ",$832.09 ,$610.20 ,"$1,109.45 ",$714.49 , N/A ,$776.62 ,$615.10 ,"$1,109.45 ",$633.55 ,"$1,109.45 ","$1,053.98 ", N/A ,$887.56 ,"$1,009.60 ",$615.10 , N/A ,"$1,053.98 ",$998.51 ,$943.03 ,$615.10 ,$615.10 ,$615.10 ,$809.90 , N/A ,$987.41 ,$998.51 ,$998.51 ,$887.56 , N/A ,$610.20 ,$998.51 , N/A ,$998.51 , N/A ,"$1,053.98 ", N/A ,"$1,020.69 ",$652.01 ,"$1,009.60 ", N/A ,$682.76 ,$714.49 ,$682.76 ,$998.51 ,$998.51 ,$827.98 ,$794.24 , N/A ,$645.86 ,"$1,037.34 ", N/A ,$615.10 ,$965.22 , N/A ,$998.51 , N/A ,$998.51 ,$998.51 ,$998.51 ,"$1,076.17 ",$898.65 ,$998.51 ,$998.51 ,$998.51 ,$998.51 
ST. JOSEPH'S - CHIPPEWA FALLS,36100054,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-LT,361,1 ,"$1,187.45 ",$890.59 ,$615.10 ,"$3,976.93 ",$764.72 ,"$1,767.52 ",$831.22 ,$615.10 ,"$1,187.45 ",$633.55 ,"$1,187.45 ","$1,128.08 ", N/A ,$949.96 ,"$1,080.58 ",$615.10 , N/A ,"$1,128.08 ","$1,068.71 ","$1,009.33 ",$615.10 ,$615.10 ,$615.10 ,$866.84 ,"$1,767.52 ","$1,056.83 ","$1,068.71 ","$1,068.71 ",$949.96 ,"$1,820.55 ",$653.10 ,"$1,068.71 ","$1,767.52 ","$1,068.71 ","$1,767.52 ","$1,128.08 ","$3,976.93 ","$1,092.45 ",$652.01 ,"$1,080.58 ","$1,767.52 ",$730.76 ,$764.72 ,$730.76 ,"$1,068.71 ","$1,068.71 ",$886.19 ,"$1,068.71 ","$1,785.20 ",$645.86 ,"$1,110.27 ","$1,855.90 ",$615.10 ,"$1,033.08 ","$1,767.52 ","$1,068.71 ","$1,767.52 ","$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,151.83 ",$961.83 ,"$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,068.71 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100055,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-RT,361,1 ,"$1,187.45 ",$890.59 ,$615.10 ,"$3,976.93 ",$764.72 ,"$1,767.52 ",$831.22 ,$615.10 ,"$1,187.45 ",$633.55 ,"$1,187.45 ","$1,128.08 ", N/A ,$949.96 ,"$1,080.58 ",$615.10 , N/A ,"$1,128.08 ","$1,068.71 ","$1,009.33 ",$615.10 ,$615.10 ,$615.10 ,$866.84 ,"$1,767.52 ","$1,056.83 ","$1,068.71 ","$1,068.71 ",$949.96 ,"$1,820.55 ",$653.10 ,"$1,068.71 ","$1,767.52 ","$1,068.71 ","$1,767.52 ","$1,128.08 ","$3,976.93 ","$1,092.45 ",$652.01 ,"$1,080.58 ","$1,767.52 ",$730.76 ,$764.72 ,$730.76 ,"$1,068.71 ","$1,068.71 ",$886.19 ,"$1,068.71 ","$1,785.20 ",$645.86 ,"$1,110.27 ","$1,855.90 ",$615.10 ,"$1,033.08 ","$1,767.52 ","$1,068.71 ","$1,767.52 ","$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,151.83 ",$961.83 ,"$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,068.71 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100056,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-LT,361,1 ,$433.41 ,$325.06 ,$238.38 ,$652.01 ,$279.12 , N/A ,$303.39 ,$433.41 ,$433.41 ,$633.55 ,$433.41 ,$411.74 , N/A ,$346.73 ,$394.40 ,$433.41 , N/A ,$411.74 ,$390.07 ,$368.40 ,$615.10 ,$615.10 ,$615.10 ,$316.39 , N/A ,$385.73 ,$390.07 ,$390.07 ,$346.73 , N/A ,$238.38 ,$390.07 , N/A ,$390.07 , N/A ,$411.74 , N/A ,$398.74 ,$652.01 ,$394.40 , N/A ,$266.72 ,$279.12 ,$266.72 ,$390.07 ,$390.07 ,$323.45 ,$390.07 , N/A ,$645.86 ,$405.24 , N/A ,$433.41 ,$377.07 , N/A ,$390.07 , N/A ,$390.07 ,$390.07 ,$390.07 ,$420.41 ,$351.06 ,$390.07 ,$390.07 ,$390.07 ,$390.07 
ST. JOSEPH'S - CHIPPEWA FALLS,36100057,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-RT,361,1 ,$433.41 ,$325.06 ,$238.38 ,$652.01 ,$279.12 , N/A ,$303.39 ,$433.41 ,$433.41 ,$633.55 ,$433.41 ,$411.74 , N/A ,$346.73 ,$394.40 ,$433.41 , N/A ,$411.74 ,$390.07 ,$368.40 ,$615.10 ,$615.10 ,$615.10 ,$316.39 , N/A ,$385.73 ,$390.07 ,$390.07 ,$346.73 , N/A ,$238.38 ,$390.07 , N/A ,$390.07 , N/A ,$411.74 , N/A ,$398.74 ,$652.01 ,$394.40 , N/A ,$266.72 ,$279.12 ,$266.72 ,$390.07 ,$390.07 ,$323.45 ,$390.07 , N/A ,$645.86 ,$405.24 , N/A ,$433.41 ,$377.07 , N/A ,$390.07 , N/A ,$390.07 ,$390.07 ,$390.07 ,$420.41 ,$351.06 ,$390.07 ,$390.07 ,$390.07 ,$390.07 
ST. JOSEPH'S - CHIPPEWA FALLS,36100058,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-LT,361,1 ,"$1,689.57 ","$1,267.18 ",$615.10 ,"$3,976.93 ","$1,088.08 ","$1,767.52 ","$1,182.70 ",$615.10 ,"$1,689.57 ",$633.55 ,"$1,689.57 ","$1,605.09 ", N/A ,"$1,351.66 ","$1,537.51 ",$615.10 , N/A ,"$1,605.09 ","$1,520.61 ","$1,436.13 ",$615.10 ,$615.10 ,$615.10 ,"$1,233.39 ","$1,767.52 ","$1,503.72 ","$1,520.61 ","$1,520.61 ","$1,351.66 ","$1,820.55 ",$929.26 ,"$1,520.61 ","$1,767.52 ","$1,520.61 ","$1,767.52 ","$1,605.09 ","$3,976.93 ","$1,554.40 ",$652.01 ,"$1,537.51 ","$1,767.52 ","$1,039.76 ","$1,088.08 ","$1,039.76 ","$1,520.61 ","$1,520.61 ","$1,260.93 ","$1,520.61 ","$1,785.20 ",$645.86 ,"$1,579.75 ","$1,855.90 ",$615.10 ,"$1,469.93 ","$1,767.52 ","$1,520.61 ","$1,767.52 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,638.88 ","$1,368.55 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,520.61 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100059,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-RT,361,1 ,"$1,689.57 ","$1,267.18 ",$615.10 ,"$3,976.93 ","$1,088.08 ","$1,767.52 ","$1,182.70 ",$615.10 ,"$1,689.57 ",$633.55 ,"$1,689.57 ","$1,605.09 ", N/A ,"$1,351.66 ","$1,537.51 ",$615.10 , N/A ,"$1,605.09 ","$1,520.61 ","$1,436.13 ",$615.10 ,$615.10 ,$615.10 ,"$1,233.39 ","$1,767.52 ","$1,503.72 ","$1,520.61 ","$1,520.61 ","$1,351.66 ","$1,820.55 ",$929.26 ,"$1,520.61 ","$1,767.52 ","$1,520.61 ","$1,767.52 ","$1,605.09 ","$3,976.93 ","$1,554.40 ",$652.01 ,"$1,537.51 ","$1,767.52 ","$1,039.76 ","$1,088.08 ","$1,039.76 ","$1,520.61 ","$1,520.61 ","$1,260.93 ","$1,520.61 ","$1,785.20 ",$645.86 ,"$1,579.75 ","$1,855.90 ",$615.10 ,"$1,469.93 ","$1,767.52 ","$1,520.61 ","$1,767.52 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,638.88 ","$1,368.55 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,520.61 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100060,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-LT,361,1 ,"$1,109.45 ",$832.09 ,$610.20 ,"$1,109.45 ",$714.49 , N/A ,$776.62 ,$615.10 ,"$1,109.45 ",$633.55 ,"$1,109.45 ","$1,053.98 ", N/A ,$887.56 ,"$1,009.60 ",$615.10 , N/A ,"$1,053.98 ",$998.51 ,$943.03 ,$615.10 ,$615.10 ,$615.10 ,$809.90 , N/A ,$987.41 ,$998.51 ,$998.51 ,$887.56 , N/A ,$610.20 ,$998.51 , N/A ,$998.51 , N/A ,"$1,053.98 ", N/A ,"$1,020.69 ",$652.01 ,"$1,009.60 ", N/A ,$682.76 ,$714.49 ,$682.76 ,$998.51 ,$998.51 ,$827.98 ,$794.24 , N/A ,$645.86 ,"$1,037.34 ", N/A ,$615.10 ,$965.22 , N/A ,$998.51 , N/A ,$998.51 ,$998.51 ,$998.51 ,"$1,076.17 ",$898.65 ,$998.51 ,$998.51 ,$998.51 ,$998.51 
ST. JOSEPH'S - CHIPPEWA FALLS,36100061,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-RT,361,1 ,"$1,109.45 ",$832.09 ,$610.20 ,"$1,109.45 ",$714.49 , N/A ,$776.62 ,$615.10 ,"$1,109.45 ",$633.55 ,"$1,109.45 ","$1,053.98 ", N/A ,$887.56 ,"$1,009.60 ",$615.10 , N/A ,"$1,053.98 ",$998.51 ,$943.03 ,$615.10 ,$615.10 ,$615.10 ,$809.90 , N/A ,$987.41 ,$998.51 ,$998.51 ,$887.56 , N/A ,$610.20 ,$998.51 , N/A ,$998.51 , N/A ,"$1,053.98 ", N/A ,"$1,020.69 ",$652.01 ,"$1,009.60 ", N/A ,$682.76 ,$714.49 ,$682.76 ,$998.51 ,$998.51 ,$827.98 ,$794.24 , N/A ,$645.86 ,"$1,037.34 ", N/A ,$615.10 ,$965.22 , N/A ,$998.51 , N/A ,$998.51 ,$998.51 ,$998.51 ,"$1,076.17 ",$898.65 ,$998.51 ,$998.51 ,$998.51 ,$998.51 
ST. JOSEPH'S - CHIPPEWA FALLS,36100063,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,361,1 ,"$1,046.00 ",$784.50 ,$75.55 ,"$1,046.00 ",$673.62 ,$269.62 ,$732.20 ,$75.55 ,"$1,046.00 ",$77.82 ,"$1,046.00 ",$993.70 , N/A ,$836.80 ,$951.86 ,$75.55 , N/A ,$993.70 ,$941.40 ,$889.10 ,$75.55 ,$75.55 ,$75.55 ,$763.58 ,$269.62 ,$930.94 ,$941.40 ,$941.40 ,$836.80 ,$277.70 ,$575.30 ,$941.40 ,$269.62 ,$941.40 ,$269.62 ,$993.70 ,$606.64 ,$962.32 ,$80.08 ,$951.86 ,$269.62 ,$643.71 ,$673.62 ,$643.71 ,$941.40 ,$941.40 ,$780.63 ,$794.24 ,$272.31 ,$79.33 ,$978.01 ,$283.10 ,$75.55 ,$910.02 ,$269.62 ,$941.40 ,$269.62 ,$941.40 ,$941.40 ,$941.40 ,"$1,014.62 ",$847.26 ,$941.40 ,$941.40 ,$941.40 ,$941.40 
ST. JOSEPH'S - CHIPPEWA FALLS,36100064,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,361,1 ,"$1,046.00 ",$784.50 ,$75.55 ,"$1,046.00 ",$673.62 ,$269.62 ,$732.20 ,$75.55 ,"$1,046.00 ",$77.82 ,"$1,046.00 ",$993.70 , N/A ,$836.80 ,$951.86 ,$75.55 , N/A ,$993.70 ,$941.40 ,$889.10 ,$75.55 ,$75.55 ,$75.55 ,$763.58 ,$269.62 ,$930.94 ,$941.40 ,$941.40 ,$836.80 ,$277.70 ,$575.30 ,$941.40 ,$269.62 ,$941.40 ,$269.62 ,$993.70 ,$606.64 ,$962.32 ,$80.08 ,$951.86 ,$269.62 ,$643.71 ,$673.62 ,$643.71 ,$941.40 ,$941.40 ,$780.63 ,$794.24 ,$272.31 ,$79.33 ,$978.01 ,$283.10 ,$75.55 ,$910.02 ,$269.62 ,$941.40 ,$269.62 ,$941.40 ,$941.40 ,$941.40 ,"$1,014.62 ",$847.26 ,$941.40 ,$941.40 ,$941.40 ,$941.40 
ST. JOSEPH'S - CHIPPEWA FALLS,36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,$412.00 ,$309.00 ,$75.55 ,$606.64 ,$265.33 ,$269.62 ,$288.40 ,$75.55 ,$412.00 ,$77.82 ,$412.00 ,$391.40 , N/A ,$329.60 ,$374.92 ,$75.55 , N/A ,$391.40 ,$370.80 ,$350.20 ,$75.55 ,$75.55 ,$75.55 ,$300.76 ,$269.62 ,$366.68 ,$370.80 ,$370.80 ,$329.60 ,$277.70 ,$226.60 ,$370.80 ,$269.62 ,$370.80 ,$269.62 ,$391.40 ,$606.64 ,$379.04 ,$80.08 ,$374.92 ,$269.62 ,$253.54 ,$265.33 ,$253.54 ,$370.80 ,$370.80 ,$307.48 ,$370.80 ,$272.31 ,$79.33 ,$385.22 ,$283.10 ,$75.55 ,$358.44 ,$269.62 ,$370.80 ,$269.62 ,$370.80 ,$370.80 ,$370.80 ,$399.64 ,$333.72 ,$370.80 ,$370.80 ,$370.80 ,$370.80 
ST. JOSEPH'S - CHIPPEWA FALLS,36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,$412.00 ,$309.00 ,$75.55 ,$606.64 ,$265.33 ,$269.62 ,$288.40 ,$75.55 ,$412.00 ,$77.82 ,$412.00 ,$391.40 , N/A ,$329.60 ,$374.92 ,$75.55 , N/A ,$391.40 ,$370.80 ,$350.20 ,$75.55 ,$75.55 ,$75.55 ,$300.76 ,$269.62 ,$366.68 ,$370.80 ,$370.80 ,$329.60 ,$277.70 ,$226.60 ,$370.80 ,$269.62 ,$370.80 ,$269.62 ,$391.40 ,$606.64 ,$379.04 ,$80.08 ,$374.92 ,$269.62 ,$253.54 ,$265.33 ,$253.54 ,$370.80 ,$370.80 ,$307.48 ,$370.80 ,$272.31 ,$79.33 ,$385.22 ,$283.10 ,$75.55 ,$358.44 ,$269.62 ,$370.80 ,$269.62 ,$370.80 ,$370.80 ,$370.80 ,$399.64 ,$333.72 ,$370.80 ,$370.80 ,$370.80 ,$370.80 
ST. JOSEPH'S - CHIPPEWA FALLS,36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,$517.00 ,$387.75 ,$75.55 ,$606.64 ,$332.95 ,$269.62 ,$361.90 ,$75.55 ,$517.00 ,$77.82 ,$517.00 ,$491.15 , N/A ,$413.60 ,$470.47 ,$75.55 , N/A ,$491.15 ,$465.30 ,$439.45 ,$75.55 ,$75.55 ,$75.55 ,$377.41 ,$269.62 ,$460.13 ,$465.30 ,$465.30 ,$413.60 ,$277.70 ,$284.35 ,$465.30 ,$269.62 ,$465.30 ,$269.62 ,$491.15 ,$606.64 ,$475.64 ,$80.08 ,$470.47 ,$269.62 ,$318.16 ,$332.95 ,$318.16 ,$465.30 ,$465.30 ,$385.84 ,$465.30 ,$272.31 ,$79.33 ,$483.40 ,$283.10 ,$75.55 ,$449.79 ,$269.62 ,$465.30 ,$269.62 ,$465.30 ,$465.30 ,$465.30 ,$501.49 ,$418.77 ,$465.30 ,$465.30 ,$465.30 ,$465.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,$517.00 ,$387.75 ,$75.55 ,$606.64 ,$332.95 ,$269.62 ,$361.90 ,$75.55 ,$517.00 ,$77.82 ,$517.00 ,$491.15 , N/A ,$413.60 ,$470.47 ,$75.55 , N/A ,$491.15 ,$465.30 ,$439.45 ,$75.55 ,$75.55 ,$75.55 ,$377.41 ,$269.62 ,$460.13 ,$465.30 ,$465.30 ,$413.60 ,$277.70 ,$284.35 ,$465.30 ,$269.62 ,$465.30 ,$269.62 ,$491.15 ,$606.64 ,$475.64 ,$80.08 ,$470.47 ,$269.62 ,$318.16 ,$332.95 ,$318.16 ,$465.30 ,$465.30 ,$385.84 ,$465.30 ,$272.31 ,$79.33 ,$483.40 ,$283.10 ,$75.55 ,$449.79 ,$269.62 ,$465.30 ,$269.62 ,$465.30 ,$465.30 ,$465.30 ,$501.49 ,$418.77 ,$465.30 ,$465.30 ,$465.30 ,$465.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36100069,29125,HC APPL SHRT ARM SPLNT STAT-LT,361,1 ,$350.00 ,$262.50 ,$13.65 ,$350.00 ,$225.40 ,$116.36 ,$245.00 ,$13.65 ,$350.00 ,$14.06 ,$350.00 ,$332.50 , N/A ,$280.00 ,$318.50 ,$13.65 , N/A ,$332.50 ,$315.00 ,$297.50 ,$13.65 ,$13.65 ,$13.65 ,$255.50 ,$116.36 ,$311.50 ,$315.00 ,$315.00 ,$280.00 ,$119.85 ,$192.50 ,$315.00 ,$116.36 ,$315.00 ,$116.36 ,$332.50 ,$261.82 ,$322.00 ,$14.47 ,$318.50 ,$116.36 ,$215.39 ,$225.40 ,$215.39 ,$315.00 ,$315.00 ,$261.21 ,$315.00 ,$117.53 ,$14.33 ,$327.25 ,$122.18 ,$13.65 ,$304.50 ,$116.36 ,$315.00 ,$116.36 ,$315.00 ,$315.00 ,$315.00 ,$339.50 ,$283.50 ,$315.00 ,$315.00 ,$315.00 ,$315.00 
ST. JOSEPH'S - CHIPPEWA FALLS,36100070,29125,HC APPL SHRT ARM SPLNT STAT-RT,361,1 ,$350.00 ,$262.50 ,$13.65 ,$350.00 ,$225.40 ,$116.36 ,$245.00 ,$13.65 ,$350.00 ,$14.06 ,$350.00 ,$332.50 , N/A ,$280.00 ,$318.50 ,$13.65 , N/A ,$332.50 ,$315.00 ,$297.50 ,$13.65 ,$13.65 ,$13.65 ,$255.50 ,$116.36 ,$311.50 ,$315.00 ,$315.00 ,$280.00 ,$119.85 ,$192.50 ,$315.00 ,$116.36 ,$315.00 ,$116.36 ,$332.50 ,$261.82 ,$322.00 ,$14.47 ,$318.50 ,$116.36 ,$215.39 ,$225.40 ,$215.39 ,$315.00 ,$315.00 ,$261.21 ,$315.00 ,$117.53 ,$14.33 ,$327.25 ,$122.18 ,$13.65 ,$304.50 ,$116.36 ,$315.00 ,$116.36 ,$315.00 ,$315.00 ,$315.00 ,$339.50 ,$283.50 ,$315.00 ,$315.00 ,$315.00 ,$315.00 
ST. JOSEPH'S - CHIPPEWA FALLS,36100074,64616,HC CHEM/DEST NERVE MUSCLE NECK-LT,361,1 ,$918.00 ,$688.50 ,$136.73 ,$918.00 ,$591.19 ,$269.62 ,$642.60 ,$136.73 ,$918.00 ,$140.83 ,$918.00 ,$872.10 , N/A ,$734.40 ,$835.38 ,$136.73 , N/A ,$872.10 ,$826.20 ,$780.30 ,$136.73 ,$136.73 ,$136.73 ,$670.14 ,$269.62 ,$817.02 ,$826.20 ,$826.20 ,$734.40 ,$277.70 ,$504.90 ,$826.20 ,$269.62 ,$826.20 ,$269.62 ,$872.10 ,$606.64 ,$844.56 ,$144.93 ,$835.38 ,$269.62 ,$564.94 ,$591.19 ,$564.94 ,$826.20 ,$826.20 ,$685.10 ,$794.24 ,$272.31 ,$143.57 ,$858.33 ,$283.10 ,$136.73 ,$798.66 ,$269.62 ,$826.20 ,$269.62 ,$826.20 ,$826.20 ,$826.20 ,$890.46 ,$743.58 ,$826.20 ,$826.20 ,$826.20 ,$826.20 
ST. JOSEPH'S - CHIPPEWA FALLS,36100075,64616,HC CHEM/DEST NERVE MUSCLE NECK-RT,361,1 ,$918.00 ,$688.50 ,$136.73 ,$918.00 ,$591.19 ,$269.62 ,$642.60 ,$136.73 ,$918.00 ,$140.83 ,$918.00 ,$872.10 , N/A ,$734.40 ,$835.38 ,$136.73 , N/A ,$872.10 ,$826.20 ,$780.30 ,$136.73 ,$136.73 ,$136.73 ,$670.14 ,$269.62 ,$817.02 ,$826.20 ,$826.20 ,$734.40 ,$277.70 ,$504.90 ,$826.20 ,$269.62 ,$826.20 ,$269.62 ,$872.10 ,$606.64 ,$844.56 ,$144.93 ,$835.38 ,$269.62 ,$564.94 ,$591.19 ,$564.94 ,$826.20 ,$826.20 ,$685.10 ,$794.24 ,$272.31 ,$143.57 ,$858.33 ,$283.10 ,$136.73 ,$798.66 ,$269.62 ,$826.20 ,$269.62 ,$826.20 ,$826.20 ,$826.20 ,$890.46 ,$743.58 ,$826.20 ,$826.20 ,$826.20 ,$826.20 
ST. JOSEPH'S - CHIPPEWA FALLS,36100076,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-LT,361,1 ,"$1,174.00 ",$880.50 ,$540.47 ,"$1,216.07 ",$756.06 ,$540.47 ,$821.80 ,$615.10 ,"$1,174.00 ",$633.55 ,"$1,174.00 ","$1,115.30 ", N/A ,$939.20 ,"$1,068.34 ",$615.10 , N/A ,"$1,115.30 ","$1,056.60 ",$997.90 ,$615.10 ,$615.10 ,$615.10 ,$857.02 ,$540.47 ,"$1,044.86 ","$1,056.60 ","$1,056.60 ",$939.20 ,$556.69 ,$645.70 ,"$1,056.60 ",$540.47 ,"$1,056.60 ",$540.47 ,"$1,115.30 ","$1,216.07 ","$1,080.08 ",$652.01 ,"$1,068.34 ",$540.47 ,$722.48 ,$756.06 ,$722.48 ,"$1,056.60 ","$1,056.60 ",$876.16 ,$794.24 ,$545.88 ,$645.86 ,"$1,097.69 ",$567.49 ,$615.10 ,"$1,021.38 ",$540.47 ,"$1,056.60 ",$540.47 ,"$1,056.60 ","$1,056.60 ","$1,056.60 ","$1,138.78 ",$950.94 ,"$1,056.60 ","$1,056.60 ","$1,056.60 ","$1,056.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100077,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-RT,361,1 ,"$1,174.00 ",$880.50 ,$540.47 ,"$1,216.07 ",$756.06 ,$540.47 ,$821.80 ,$615.10 ,"$1,174.00 ",$633.55 ,"$1,174.00 ","$1,115.30 ", N/A ,$939.20 ,"$1,068.34 ",$615.10 , N/A ,"$1,115.30 ","$1,056.60 ",$997.90 ,$615.10 ,$615.10 ,$615.10 ,$857.02 ,$540.47 ,"$1,044.86 ","$1,056.60 ","$1,056.60 ",$939.20 ,$556.69 ,$645.70 ,"$1,056.60 ",$540.47 ,"$1,056.60 ",$540.47 ,"$1,115.30 ","$1,216.07 ","$1,080.08 ",$652.01 ,"$1,068.34 ",$540.47 ,$722.48 ,$756.06 ,$722.48 ,"$1,056.60 ","$1,056.60 ",$876.16 ,$794.24 ,$545.88 ,$645.86 ,"$1,097.69 ",$567.49 ,$615.10 ,"$1,021.38 ",$540.47 ,"$1,056.60 ",$540.47 ,"$1,056.60 ","$1,056.60 ","$1,056.60 ","$1,138.78 ",$950.94 ,"$1,056.60 ","$1,056.60 ","$1,056.60 ","$1,056.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100078,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-LT,361,1 ,$404.00 ,$303.00 ,$222.20 ,$652.01 ,$260.18 , N/A ,$282.80 ,$404.00 , N/A ,$633.55 , N/A ,$383.80 , N/A ,$323.20 ,$367.64 ,$404.00 , N/A ,$383.80 ,$363.60 ,$343.40 ,$615.10 ,$615.10 ,$615.10 ,$294.92 , N/A ,$359.56 ,$363.60 ,$363.60 ,$323.20 , N/A ,$222.20 ,$363.60 , N/A ,$363.60 , N/A ,$383.80 , N/A ,$371.68 ,$652.01 ,$367.64 , N/A ,$248.62 ,$260.18 ,$248.62 ,$363.60 ,$363.60 ,$301.51 , N/A , N/A ,$645.86 ,$377.74 , N/A ,$404.00 ,$351.48 , N/A ,$363.60 , N/A ,$363.60 ,$363.60 ,$363.60 ,$391.88 ,$327.24 ,$363.60 ,$363.60 ,$363.60 ,$363.60 
ST. JOSEPH'S - CHIPPEWA FALLS,36100079,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-RT,361,1 ,$404.00 ,$303.00 ,$222.20 ,$652.01 ,$260.18 , N/A ,$282.80 ,$404.00 , N/A ,$633.55 , N/A ,$383.80 , N/A ,$323.20 ,$367.64 ,$404.00 , N/A ,$383.80 ,$363.60 ,$343.40 ,$615.10 ,$615.10 ,$615.10 ,$294.92 , N/A ,$359.56 ,$363.60 ,$363.60 ,$323.20 , N/A ,$222.20 ,$363.60 , N/A ,$363.60 , N/A ,$383.80 , N/A ,$371.68 ,$652.01 ,$367.64 , N/A ,$248.62 ,$260.18 ,$248.62 ,$363.60 ,$363.60 ,$301.51 , N/A , N/A ,$645.86 ,$377.74 , N/A ,$404.00 ,$351.48 , N/A ,$363.60 , N/A ,$363.60 ,$363.60 ,$363.60 ,$391.88 ,$327.24 ,$363.60 ,$363.60 ,$363.60 ,$363.60 
ST. JOSEPH'S - CHIPPEWA FALLS,36100080,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-LT,361,1 ,"$1,671.00 ","$1,253.25 ",$615.10 ,"$3,976.93 ","$1,076.12 ","$1,767.52 ","$1,169.70 ",$615.10 ,"$1,671.00 ",$633.55 ,"$1,671.00 ","$1,587.45 ", N/A ,"$1,336.80 ","$1,520.61 ",$615.10 , N/A ,"$1,587.45 ","$1,503.90 ","$1,420.35 ",$615.10 ,$615.10 ,$615.10 ,"$1,219.83 ","$1,767.52 ","$1,487.19 ","$1,503.90 ","$1,503.90 ","$1,336.80 ","$1,820.55 ",$919.05 ,"$1,503.90 ","$1,767.52 ","$1,503.90 ","$1,767.52 ","$1,587.45 ","$3,976.93 ","$1,537.32 ",$652.01 ,"$1,520.61 ","$1,767.52 ","$1,028.33 ","$1,076.12 ","$1,028.33 ","$1,503.90 ","$1,503.90 ","$1,247.07 ","$1,503.90 ","$1,785.20 ",$645.86 ,"$1,562.39 ","$1,855.90 ",$615.10 ,"$1,453.77 ","$1,767.52 ","$1,503.90 ","$1,767.52 ","$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,620.87 ","$1,353.51 ","$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,503.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100081,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-RT,361,1 ,"$1,671.00 ","$1,253.25 ",$615.10 ,"$3,976.93 ","$1,076.12 ","$1,767.52 ","$1,169.70 ",$615.10 ,"$1,671.00 ",$633.55 ,"$1,671.00 ","$1,587.45 ", N/A ,"$1,336.80 ","$1,520.61 ",$615.10 , N/A ,"$1,587.45 ","$1,503.90 ","$1,420.35 ",$615.10 ,$615.10 ,$615.10 ,"$1,219.83 ","$1,767.52 ","$1,487.19 ","$1,503.90 ","$1,503.90 ","$1,336.80 ","$1,820.55 ",$919.05 ,"$1,503.90 ","$1,767.52 ","$1,503.90 ","$1,767.52 ","$1,587.45 ","$3,976.93 ","$1,537.32 ",$652.01 ,"$1,520.61 ","$1,767.52 ","$1,028.33 ","$1,076.12 ","$1,028.33 ","$1,503.90 ","$1,503.90 ","$1,247.07 ","$1,503.90 ","$1,785.20 ",$645.86 ,"$1,562.39 ","$1,855.90 ",$615.10 ,"$1,453.77 ","$1,767.52 ","$1,503.90 ","$1,767.52 ","$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,620.87 ","$1,353.51 ","$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,503.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100082,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-LT,361,1 ,"$1,097.00 ",$822.75 ,$603.35 ,"$1,097.00 ",$706.47 , N/A ,$767.90 ,$615.10 , N/A ,$633.55 , N/A ,"$1,042.15 ", N/A ,$877.60 ,$998.27 ,$615.10 , N/A ,"$1,042.15 ",$987.30 ,$932.45 ,$615.10 ,$615.10 ,$615.10 ,$800.81 , N/A ,$976.33 ,$987.30 ,$987.30 ,$877.60 , N/A ,$603.35 ,$987.30 , N/A ,$987.30 , N/A ,"$1,042.15 ", N/A ,"$1,009.24 ",$652.01 ,$998.27 , N/A ,$675.09 ,$706.47 ,$675.09 ,$987.30 ,$987.30 ,$818.69 , N/A , N/A ,$645.86 ,"$1,025.70 ", N/A ,$615.10 ,$954.39 , N/A ,$987.30 , N/A ,$987.30 ,$987.30 ,$987.30 ,"$1,064.09 ",$888.57 ,$987.30 ,$987.30 ,$987.30 ,$987.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36100083,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-RT,361,1 ,"$1,097.00 ",$822.75 ,$603.35 ,"$1,097.00 ",$706.47 , N/A ,$767.90 ,$615.10 , N/A ,$633.55 , N/A ,"$1,042.15 ", N/A ,$877.60 ,$998.27 ,$615.10 , N/A ,"$1,042.15 ",$987.30 ,$932.45 ,$615.10 ,$615.10 ,$615.10 ,$800.81 , N/A ,$976.33 ,$987.30 ,$987.30 ,$877.60 , N/A ,$603.35 ,$987.30 , N/A ,$987.30 , N/A ,"$1,042.15 ", N/A ,"$1,009.24 ",$652.01 ,$998.27 , N/A ,$675.09 ,$706.47 ,$675.09 ,$987.30 ,$987.30 ,$818.69 , N/A , N/A ,$645.86 ,"$1,025.70 ", N/A ,$615.10 ,$954.39 , N/A ,$987.30 , N/A ,$987.30 ,$987.30 ,$987.30 ,"$1,064.09 ",$888.57 ,$987.30 ,$987.30 ,$987.30 ,$987.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36100084,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-LT,361,1 ,"$1,174.00 ",$880.50 ,$540.47 ,"$1,216.07 ",$756.06 ,$540.47 ,$821.80 ,$615.10 ,"$1,174.00 ",$633.55 ,"$1,174.00 ","$1,115.30 ", N/A ,$939.20 ,"$1,068.34 ",$615.10 , N/A ,"$1,115.30 ","$1,056.60 ",$997.90 ,$615.10 ,$615.10 ,$615.10 ,$857.02 ,$540.47 ,"$1,044.86 ","$1,056.60 ","$1,056.60 ",$939.20 ,$556.69 ,$645.70 ,"$1,056.60 ",$540.47 ,"$1,056.60 ",$540.47 ,"$1,115.30 ","$1,216.07 ","$1,080.08 ",$652.01 ,"$1,068.34 ",$540.47 ,$722.48 ,$756.06 ,$722.48 ,"$1,056.60 ","$1,056.60 ",$876.16 ,$794.24 ,$545.88 ,$645.86 ,"$1,097.69 ",$567.49 ,$615.10 ,"$1,021.38 ",$540.47 ,"$1,056.60 ",$540.47 ,"$1,056.60 ","$1,056.60 ","$1,056.60 ","$1,138.78 ",$950.94 ,"$1,056.60 ","$1,056.60 ","$1,056.60 ","$1,056.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100085,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-RT,361,1 ,"$1,174.00 ",$880.50 ,$540.47 ,"$1,216.07 ",$756.06 ,$540.47 ,$821.80 ,$615.10 ,"$1,174.00 ",$633.55 ,"$1,174.00 ","$1,115.30 ", N/A ,$939.20 ,"$1,068.34 ",$615.10 , N/A ,"$1,115.30 ","$1,056.60 ",$997.90 ,$615.10 ,$615.10 ,$615.10 ,$857.02 ,$540.47 ,"$1,044.86 ","$1,056.60 ","$1,056.60 ",$939.20 ,$556.69 ,$645.70 ,"$1,056.60 ",$540.47 ,"$1,056.60 ",$540.47 ,"$1,115.30 ","$1,216.07 ","$1,080.08 ",$652.01 ,"$1,068.34 ",$540.47 ,$722.48 ,$756.06 ,$722.48 ,"$1,056.60 ","$1,056.60 ",$876.16 ,$794.24 ,$545.88 ,$645.86 ,"$1,097.69 ",$567.49 ,$615.10 ,"$1,021.38 ",$540.47 ,"$1,056.60 ",$540.47 ,"$1,056.60 ","$1,056.60 ","$1,056.60 ","$1,138.78 ",$950.94 ,"$1,056.60 ","$1,056.60 ","$1,056.60 ","$1,056.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100086,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-LT,361,1 ,$404.00 ,$303.00 ,$222.20 ,$652.01 ,$260.18 , N/A ,$282.80 ,$404.00 , N/A ,$633.55 , N/A ,$383.80 , N/A ,$323.20 ,$367.64 ,$404.00 , N/A ,$383.80 ,$363.60 ,$343.40 ,$615.10 ,$615.10 ,$615.10 ,$294.92 , N/A ,$359.56 ,$363.60 ,$363.60 ,$323.20 , N/A ,$222.20 ,$363.60 , N/A ,$363.60 , N/A ,$383.80 , N/A ,$371.68 ,$652.01 ,$367.64 , N/A ,$248.62 ,$260.18 ,$248.62 ,$363.60 ,$363.60 ,$301.51 , N/A , N/A ,$645.86 ,$377.74 , N/A ,$404.00 ,$351.48 , N/A ,$363.60 , N/A ,$363.60 ,$363.60 ,$363.60 ,$391.88 ,$327.24 ,$363.60 ,$363.60 ,$363.60 ,$363.60 
ST. JOSEPH'S - CHIPPEWA FALLS,36100087,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-RT,361,1 ,$404.00 ,$303.00 ,$222.20 ,$652.01 ,$260.18 , N/A ,$282.80 ,$404.00 , N/A ,$633.55 , N/A ,$383.80 , N/A ,$323.20 ,$367.64 ,$404.00 , N/A ,$383.80 ,$363.60 ,$343.40 ,$615.10 ,$615.10 ,$615.10 ,$294.92 , N/A ,$359.56 ,$363.60 ,$363.60 ,$323.20 , N/A ,$222.20 ,$363.60 , N/A ,$363.60 , N/A ,$383.80 , N/A ,$371.68 ,$652.01 ,$367.64 , N/A ,$248.62 ,$260.18 ,$248.62 ,$363.60 ,$363.60 ,$301.51 , N/A , N/A ,$645.86 ,$377.74 , N/A ,$404.00 ,$351.48 , N/A ,$363.60 , N/A ,$363.60 ,$363.60 ,$363.60 ,$391.88 ,$327.24 ,$363.60 ,$363.60 ,$363.60 ,$363.60 
ST. JOSEPH'S - CHIPPEWA FALLS,36100088,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-LT,361,1 ,"$1,671.00 ","$1,253.25 ",$540.47 ,"$1,671.00 ","$1,076.12 ",$540.47 ,"$1,169.70 ",$615.10 ,"$1,671.00 ",$633.55 ,"$1,671.00 ","$1,587.45 ", N/A ,"$1,336.80 ","$1,520.61 ",$615.10 , N/A ,"$1,587.45 ","$1,503.90 ","$1,420.35 ",$615.10 ,$615.10 ,$615.10 ,"$1,219.83 ",$540.47 ,"$1,487.19 ","$1,503.90 ","$1,503.90 ","$1,336.80 ",$556.69 ,$919.05 ,"$1,503.90 ",$540.47 ,"$1,503.90 ",$540.47 ,"$1,587.45 ","$1,216.07 ","$1,537.32 ",$652.01 ,"$1,520.61 ",$540.47 ,"$1,028.33 ","$1,076.12 ","$1,028.33 ","$1,503.90 ","$1,503.90 ","$1,247.07 ",$835.50 ,$545.88 ,$645.86 ,"$1,562.39 ",$567.49 ,$615.10 ,"$1,453.77 ",$540.47 ,"$1,503.90 ",$540.47 ,"$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,620.87 ","$1,353.51 ","$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,503.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100089,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-RT,361,1 ,"$1,671.00 ","$1,253.25 ",$540.47 ,"$1,671.00 ","$1,076.12 ",$540.47 ,"$1,169.70 ",$615.10 ,"$1,671.00 ",$633.55 ,"$1,671.00 ","$1,587.45 ", N/A ,"$1,336.80 ","$1,520.61 ",$615.10 , N/A ,"$1,587.45 ","$1,503.90 ","$1,420.35 ",$615.10 ,$615.10 ,$615.10 ,"$1,219.83 ",$540.47 ,"$1,487.19 ","$1,503.90 ","$1,503.90 ","$1,336.80 ",$556.69 ,$919.05 ,"$1,503.90 ",$540.47 ,"$1,503.90 ",$540.47 ,"$1,587.45 ","$1,216.07 ","$1,537.32 ",$652.01 ,"$1,520.61 ",$540.47 ,"$1,028.33 ","$1,076.12 ","$1,028.33 ","$1,503.90 ","$1,503.90 ","$1,247.07 ",$835.50 ,$545.88 ,$645.86 ,"$1,562.39 ",$567.49 ,$615.10 ,"$1,453.77 ",$540.47 ,"$1,503.90 ",$540.47 ,"$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,620.87 ","$1,353.51 ","$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,503.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100090,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-LT,361,1 ,"$1,097.00 ",$822.75 ,$603.35 ,"$1,097.00 ",$706.47 , N/A ,$767.90 ,$615.10 , N/A ,$633.55 , N/A ,"$1,042.15 ", N/A ,$877.60 ,$998.27 ,$615.10 , N/A ,"$1,042.15 ",$987.30 ,$932.45 ,$615.10 ,$615.10 ,$615.10 ,$800.81 , N/A ,$976.33 ,$987.30 ,$987.30 ,$877.60 , N/A ,$603.35 ,$987.30 , N/A ,$987.30 , N/A ,"$1,042.15 ", N/A ,"$1,009.24 ",$652.01 ,$998.27 , N/A ,$675.09 ,$706.47 ,$675.09 ,$987.30 ,$987.30 ,$818.69 , N/A , N/A ,$645.86 ,"$1,025.70 ", N/A ,$615.10 ,$954.39 , N/A ,$987.30 , N/A ,$987.30 ,$987.30 ,$987.30 ,"$1,064.09 ",$888.57 ,$987.30 ,$987.30 ,$987.30 ,$987.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36100091,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-RT,361,1 ,"$1,097.00 ",$822.75 ,$603.35 ,"$1,097.00 ",$706.47 , N/A ,$767.90 ,$615.10 , N/A ,$633.55 , N/A ,"$1,042.15 ", N/A ,$877.60 ,$998.27 ,$615.10 , N/A ,"$1,042.15 ",$987.30 ,$932.45 ,$615.10 ,$615.10 ,$615.10 ,$800.81 , N/A ,$976.33 ,$987.30 ,$987.30 ,$877.60 , N/A ,$603.35 ,$987.30 , N/A ,$987.30 , N/A ,"$1,042.15 ", N/A ,"$1,009.24 ",$652.01 ,$998.27 , N/A ,$675.09 ,$706.47 ,$675.09 ,$987.30 ,$987.30 ,$818.69 , N/A , N/A ,$645.86 ,"$1,025.70 ", N/A ,$615.10 ,$954.39 , N/A ,$987.30 , N/A ,$987.30 ,$987.30 ,$987.30 ,"$1,064.09 ",$888.57 ,$987.30 ,$987.30 ,$987.30 ,$987.30 
ST. JOSEPH'S - CHIPPEWA FALLS,36100093,N/A,HC CENTRAL LINE INSERTION,361,1 ,$476.00 ,$357.00 ,$261.80 ,$476.00 ,$306.54 , N/A ,$333.20 , N/A , N/A , N/A , N/A ,$452.20 , N/A ,$380.80 ,$433.16 , N/A , N/A ,$452.20 ,$428.40 ,$404.60 , N/A , N/A , N/A ,$347.48 , N/A ,$423.64 ,$428.40 ,$428.40 ,$380.80 , N/A ,$261.80 ,$428.40 , N/A ,$428.40 , N/A ,$452.20 , N/A ,$437.92 , N/A ,$433.16 , N/A , N/A ,$306.54 , N/A ,$428.40 ,$428.40 ,$355.24 , N/A , N/A , N/A ,$445.06 , N/A , N/A ,$414.12 , N/A ,$428.40 , N/A ,$428.40 ,$428.40 ,$428.40 ,$461.72 ,$385.56 ,$428.40 ,$428.40 ,$428.40 ,$428.40 
ST. JOSEPH'S - CHIPPEWA FALLS,36100098,N/A,HC BRONCHOSCOPY DIAGNOSTIC,361,1 ,"$1,998.00 ","$1,498.50 ","$1,098.90 ","$1,998.00 ","$1,286.71 ", N/A ,"$1,398.60 ", N/A , N/A , N/A , N/A ,"$1,898.10 ", N/A ,"$1,598.40 ","$1,818.18 ", N/A , N/A ,"$1,898.10 ","$1,798.20 ","$1,698.30 ", N/A , N/A , N/A ,"$1,458.54 ", N/A ,"$1,778.22 ","$1,798.20 ","$1,798.20 ","$1,598.40 ", N/A ,"$1,098.90 ","$1,798.20 ", N/A ,"$1,798.20 ", N/A ,"$1,898.10 ", N/A ,"$1,838.16 ", N/A ,"$1,818.18 ", N/A , N/A ,"$1,286.71 ", N/A ,"$1,798.20 ","$1,798.20 ","$1,491.11 ", N/A , N/A , N/A ,"$1,868.13 ", N/A , N/A ,"$1,738.26 ", N/A ,"$1,798.20 ", N/A ,"$1,798.20 ","$1,798.20 ","$1,798.20 ","$1,938.06 ","$1,618.38 ","$1,798.20 ","$1,798.20 ","$1,798.20 ","$1,798.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100099,N/A,HC BRONCHOSCOPY THERAPEUTIC,361,1 ,"$2,100.00 ","$1,575.00 ","$1,155.00 ","$2,100.00 ","$1,352.40 ", N/A ,"$1,470.00 ", N/A , N/A , N/A , N/A ,"$1,995.00 ", N/A ,"$1,680.00 ","$1,911.00 ", N/A , N/A ,"$1,995.00 ","$1,890.00 ","$1,785.00 ", N/A , N/A , N/A ,"$1,533.00 ", N/A ,"$1,869.00 ","$1,890.00 ","$1,890.00 ","$1,680.00 ", N/A ,"$1,155.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$1,995.00 ", N/A ,"$1,932.00 ", N/A ,"$1,911.00 ", N/A , N/A ,"$1,352.40 ", N/A ,"$1,890.00 ","$1,890.00 ","$1,567.23 ", N/A , N/A , N/A ,"$1,963.50 ", N/A , N/A ,"$1,827.00 ", N/A ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ","$1,890.00 ","$2,037.00 ","$1,701.00 ","$1,890.00 ","$1,890.00 ","$1,890.00 ","$1,890.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100100,62320,HC INJ INTRLAMNR CERV/THOR W/O GUIDE,361,1 ,"$1,865.00 ","$1,398.75 ",$268.66 ,"$1,865.00 ","$1,201.06 ",$655.29 ,"$1,305.50 ",$268.66 ,"$1,865.00 ",$276.72 ,"$1,865.00 ","$1,771.75 ", N/A ,"$1,492.00 ","$1,697.15 ",$268.66 , N/A ,"$1,771.75 ","$1,678.50 ","$1,585.25 ",$268.66 ,$268.66 ,$268.66 ,"$1,361.45 ",$655.29 ,"$1,659.85 ","$1,678.50 ","$1,678.50 ","$1,492.00 ",$674.95 ,"$1,025.75 ","$1,678.50 ",$655.29 ,"$1,678.50 ",$655.29 ,"$1,771.75 ","$1,474.40 ","$1,715.80 ",$284.78 ,"$1,697.15 ",$655.29 ,"$1,147.72 ","$1,201.06 ","$1,147.72 ","$1,678.50 ","$1,678.50 ","$1,391.85 ",$932.50 ,$661.84 ,$282.09 ,"$1,743.78 ",$688.05 ,$268.66 ,"$1,622.55 ",$655.29 ,"$1,678.50 ",$655.29 ,"$1,678.50 ","$1,678.50 ","$1,678.50 ","$1,809.05 ","$1,510.65 ","$1,678.50 ","$1,678.50 ","$1,678.50 ","$1,678.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100101,62321,HC INJ INTRLAMNR CERV/THOR W/GUIDE,361,1 ,"$1,865.00 ","$1,398.75 ",$268.66 ,"$1,865.00 ","$1,201.06 ",$655.29 ,"$1,305.50 ",$268.66 ,"$1,865.00 ",$276.72 ,"$1,865.00 ","$1,771.75 ", N/A ,"$1,492.00 ","$1,697.15 ",$268.66 , N/A ,"$1,771.75 ","$1,678.50 ","$1,585.25 ",$268.66 ,$268.66 ,$268.66 ,"$1,361.45 ",$655.29 ,"$1,659.85 ","$1,678.50 ","$1,678.50 ","$1,492.00 ",$674.95 ,"$1,025.75 ","$1,678.50 ",$655.29 ,"$1,678.50 ",$655.29 ,"$1,771.75 ","$1,474.40 ","$1,715.80 ",$284.78 ,"$1,697.15 ",$655.29 ,"$1,147.72 ","$1,201.06 ","$1,147.72 ","$1,678.50 ","$1,678.50 ","$1,391.85 ",$932.50 ,$661.84 ,$282.09 ,"$1,743.78 ",$688.05 ,$268.66 ,"$1,622.55 ",$655.29 ,"$1,678.50 ",$655.29 ,"$1,678.50 ","$1,678.50 ","$1,678.50 ","$1,809.05 ","$1,510.65 ","$1,678.50 ","$1,678.50 ","$1,678.50 ","$1,678.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100102,62322,HC INJ INTRLAMNR LUM/SAC W/O GUIDE,361,1 ,"$1,012.00 ",$759.00 ,$268.66 ,"$1,474.40 ",$651.73 ,$655.29 ,$708.40 ,$268.66 ,"$1,012.00 ",$276.72 ,"$1,012.00 ",$961.40 , N/A ,$809.60 ,$920.92 ,$268.66 , N/A ,$961.40 ,$910.80 ,$860.20 ,$268.66 ,$268.66 ,$268.66 ,$738.76 ,$655.29 ,$900.68 ,$910.80 ,$910.80 ,$809.60 ,$674.95 ,$556.60 ,$910.80 ,$655.29 ,$910.80 ,$655.29 ,$961.40 ,"$1,474.40 ",$931.04 ,$284.78 ,$920.92 ,$655.29 ,$622.78 ,$651.73 ,$622.78 ,$910.80 ,$910.80 ,$755.26 ,$794.24 ,$661.84 ,$282.09 ,$946.22 ,$688.05 ,$268.66 ,$880.44 ,$655.29 ,$910.80 ,$655.29 ,$910.80 ,$910.80 ,$910.80 ,$981.64 ,$819.72 ,$910.80 ,$910.80 ,$910.80 ,$910.80 
ST. JOSEPH'S - CHIPPEWA FALLS,36100103,62323,HC INJ INTRLAMNR LUM/SAC W/GUIDE,361,1 ,"$1,012.00 ",$759.00 ,$268.66 ,"$1,474.40 ",$651.73 ,$655.29 ,$708.40 ,$268.66 ,"$1,012.00 ",$276.72 ,"$1,012.00 ",$961.40 , N/A ,$809.60 ,$920.92 ,$268.66 , N/A ,$961.40 ,$910.80 ,$860.20 ,$268.66 ,$268.66 ,$268.66 ,$738.76 ,$655.29 ,$900.68 ,$910.80 ,$910.80 ,$809.60 ,$674.95 ,$556.60 ,$910.80 ,$655.29 ,$910.80 ,$655.29 ,$961.40 ,"$1,474.40 ",$931.04 ,$284.78 ,$920.92 ,$655.29 ,$622.78 ,$651.73 ,$622.78 ,$910.80 ,$910.80 ,$755.26 ,$794.24 ,$661.84 ,$282.09 ,$946.22 ,$688.05 ,$268.66 ,$880.44 ,$655.29 ,$910.80 ,$655.29 ,$910.80 ,$910.80 ,$910.80 ,$981.64 ,$819.72 ,$910.80 ,$910.80 ,$910.80 ,$910.80 
ST. JOSEPH'S - CHIPPEWA FALLS,36100106,62326,HC INJ W/CATH LUM/SAC W/O GUIDE,361,1 ,"$2,695.00 ","$2,021.25 ",$268.66 ,"$2,695.00 ","$1,735.58 ",$849.51 ,"$1,886.50 ",$268.66 ,"$2,695.00 ",$276.72 ,"$2,572.00 ","$2,560.25 ", N/A ,"$2,156.00 ","$2,452.45 ",$268.66 , N/A ,"$2,560.25 ","$2,425.50 ","$2,290.75 ",$268.66 ,$268.66 ,$268.66 ,"$1,967.35 ",$849.51 ,"$2,398.55 ","$2,425.50 ","$2,425.50 ","$2,156.00 ",$874.99 ,"$1,482.25 ","$2,425.50 ",$849.51 ,"$2,425.50 ",$849.51 ,"$2,560.25 ","$1,911.39 ","$2,479.40 ",$284.78 ,"$2,452.45 ",$849.51 ,"$1,658.50 ","$1,735.58 ","$1,658.50 ","$2,425.50 ","$2,425.50 ","$2,011.28 ","$2,240.16 ",$858.00 ,$282.09 ,"$2,519.83 ",$891.99 ,$268.66 ,"$2,344.65 ",$849.51 ,"$2,425.50 ",$849.51 ,"$2,425.50 ","$2,425.50 ","$2,425.50 ","$2,614.15 ","$2,182.95 ","$2,425.50 ","$2,425.50 ","$2,425.50 ","$2,425.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100107,62327,HC INJ W/CATH LUM/SAC W/GUIDE,361,1 ,"$2,695.00 ","$2,021.25 ",$268.66 ,"$2,695.00 ","$1,735.58 ",$849.51 ,"$1,886.50 ",$268.66 ,"$2,695.00 ",$276.72 ,"$2,572.00 ","$2,560.25 ", N/A ,"$2,156.00 ","$2,452.45 ",$268.66 , N/A ,"$2,560.25 ","$2,425.50 ","$2,290.75 ",$268.66 ,$268.66 ,$268.66 ,"$1,967.35 ",$849.51 ,"$2,398.55 ","$2,425.50 ","$2,425.50 ","$2,156.00 ",$874.99 ,"$1,482.25 ","$2,425.50 ",$849.51 ,"$2,425.50 ",$849.51 ,"$2,560.25 ","$1,911.39 ","$2,479.40 ",$284.78 ,"$2,452.45 ",$849.51 ,"$1,658.50 ","$1,735.58 ","$1,658.50 ","$2,425.50 ","$2,425.50 ","$2,011.28 ","$2,240.16 ",$858.00 ,$282.09 ,"$2,519.83 ",$891.99 ,$268.66 ,"$2,344.65 ",$849.51 ,"$2,425.50 ",$849.51 ,"$2,425.50 ","$2,425.50 ","$2,425.50 ","$2,614.15 ","$2,182.95 ","$2,425.50 ","$2,425.50 ","$2,425.50 ","$2,425.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100238,10005,HC ASP FINE NDL W/US GUIDE INIT LESN,361,1 ,"$1,137.00 ",$852.75 ,$198.34 ,"$1,444.89 ",$732.23 ,$642.18 ,$795.90 ,$198.34 ,"$1,137.00 ",$204.29 ,"$1,137.00 ","$1,080.15 ", N/A ,$909.60 ,"$1,034.67 ",$198.34 , N/A ,"$1,080.15 ","$1,023.30 ",$966.45 ,$198.34 ,$198.34 ,$198.34 ,$830.01 ,$642.18 ,"$1,011.93 ","$1,023.30 ","$1,023.30 ",$909.60 ,$661.44 ,$625.35 ,"$1,023.30 ",$642.18 ,"$1,023.30 ",$642.18 ,"$1,080.15 ","$1,444.89 ","$1,046.04 ",$210.24 ,"$1,034.67 ",$642.18 ,$699.71 ,$732.23 ,$699.71 ,"$1,023.30 ","$1,023.30 ",$848.54 ,"$1,023.30 ",$648.60 ,$208.26 ,"$1,063.10 ",$674.29 ,$198.34 ,$989.19 ,$642.18 ,"$1,023.30 ",$642.18 ,"$1,023.30 ","$1,023.30 ","$1,023.30 ","$1,102.89 ",$920.97 ,"$1,023.30 ","$1,023.30 ","$1,023.30 ","$1,023.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100239,10006,HC ASP FINE NDL W/US GUIDE EA ADDL LESN,361,1 ,"$1,137.00 ",$852.75 ,$198.34 ,"$1,137.00 ",$732.23 , N/A ,$795.90 ,$198.34 , N/A ,$204.29 , N/A ,"$1,080.15 ", N/A ,$909.60 ,"$1,034.67 ",$198.34 , N/A ,"$1,080.15 ","$1,023.30 ",$966.45 ,$198.34 ,$198.34 ,$198.34 ,$830.01 , N/A ,"$1,011.93 ","$1,023.30 ","$1,023.30 ",$909.60 , N/A ,$625.35 ,"$1,023.30 ", N/A ,"$1,023.30 ", N/A ,"$1,080.15 ", N/A ,"$1,046.04 ",$210.24 ,"$1,034.67 ", N/A ,$699.71 ,$732.23 ,$699.71 ,"$1,023.30 ","$1,023.30 ",$848.54 , N/A , N/A ,$208.26 ,"$1,063.10 ", N/A ,$198.34 ,$989.19 , N/A ,"$1,023.30 ", N/A ,"$1,023.30 ","$1,023.30 ","$1,023.30 ","$1,102.89 ",$920.97 ,"$1,023.30 ","$1,023.30 ","$1,023.30 ","$1,023.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100240,10007,HC ASP FINE NDL W/FLUORO GUIDE INIT LESN,361,1 ,"$1,137.00 ",$852.75 ,$198.34 ,"$1,444.89 ",$732.23 ,$642.18 ,$795.90 ,$198.34 ,"$1,137.00 ",$204.29 ,"$1,137.00 ","$1,080.15 ", N/A ,$909.60 ,"$1,034.67 ",$198.34 , N/A ,"$1,080.15 ","$1,023.30 ",$966.45 ,$198.34 ,$198.34 ,$198.34 ,$830.01 ,$642.18 ,"$1,011.93 ","$1,023.30 ","$1,023.30 ",$909.60 ,$661.44 ,$625.35 ,"$1,023.30 ",$642.18 ,"$1,023.30 ",$642.18 ,"$1,080.15 ","$1,444.89 ","$1,046.04 ",$210.24 ,"$1,034.67 ",$642.18 ,$699.71 ,$732.23 ,$699.71 ,"$1,023.30 ","$1,023.30 ",$848.54 ,"$1,023.30 ",$648.60 ,$208.26 ,"$1,063.10 ",$674.29 ,$198.34 ,$989.19 ,$642.18 ,"$1,023.30 ",$642.18 ,"$1,023.30 ","$1,023.30 ","$1,023.30 ","$1,102.89 ",$920.97 ,"$1,023.30 ","$1,023.30 ","$1,023.30 ","$1,023.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100241,10008,HC ASP FINE NDL W/FLUORO GUIDE EA ADDL LESN,361,1 ,"$1,035.00 ",$776.25 ,$198.34 ,"$1,035.00 ",$666.54 , N/A ,$724.50 ,$198.34 , N/A ,$204.29 , N/A ,$983.25 , N/A ,$828.00 ,$941.85 ,$198.34 , N/A ,$983.25 ,$931.50 ,$879.75 ,$198.34 ,$198.34 ,$198.34 ,$755.55 , N/A ,$921.15 ,$931.50 ,$931.50 ,$828.00 , N/A ,$569.25 ,$931.50 , N/A ,$931.50 , N/A ,$983.25 , N/A ,$952.20 ,$210.24 ,$941.85 , N/A ,$636.94 ,$666.54 ,$636.94 ,$931.50 ,$931.50 ,$772.42 , N/A , N/A ,$208.26 ,$967.73 , N/A ,$198.34 ,$900.45 , N/A ,$931.50 , N/A ,$931.50 ,$931.50 ,$931.50 ,"$1,003.95 ",$838.35 ,$931.50 ,$931.50 ,$931.50 ,$931.50 
ST. JOSEPH'S - CHIPPEWA FALLS,36100242,10009,HC ASP FINE NDL W/CT GUIDE INIT LESN,361,1 ,"$1,137.00 ",$852.75 ,$198.34 ,"$1,444.89 ",$732.23 ,$642.18 ,$795.90 ,$198.34 ,"$1,137.00 ",$204.29 ,"$1,137.00 ","$1,080.15 ", N/A ,$909.60 ,"$1,034.67 ",$198.34 , N/A ,"$1,080.15 ","$1,023.30 ",$966.45 ,$198.34 ,$198.34 ,$198.34 ,$830.01 ,$642.18 ,"$1,011.93 ","$1,023.30 ","$1,023.30 ",$909.60 ,$661.44 ,$625.35 ,"$1,023.30 ",$642.18 ,"$1,023.30 ",$642.18 ,"$1,080.15 ","$1,444.89 ","$1,046.04 ",$210.24 ,"$1,034.67 ",$642.18 ,$699.71 ,$732.23 ,$699.71 ,"$1,023.30 ","$1,023.30 ",$848.54 ,"$1,023.30 ",$648.60 ,$208.26 ,"$1,063.10 ",$674.29 ,$198.34 ,$989.19 ,$642.18 ,"$1,023.30 ",$642.18 ,"$1,023.30 ","$1,023.30 ","$1,023.30 ","$1,102.89 ",$920.97 ,"$1,023.30 ","$1,023.30 ","$1,023.30 ","$1,023.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100243,10010,HC ASP FINE NDL W/CT GUIDE EA ADDL LESN,361,1 ,"$1,035.00 ",$776.25 ,$198.34 ,"$1,035.00 ",$666.54 , N/A ,$724.50 ,$198.34 , N/A ,$204.29 , N/A ,$983.25 , N/A ,$828.00 ,$941.85 ,$198.34 , N/A ,$983.25 ,$931.50 ,$879.75 ,$198.34 ,$198.34 ,$198.34 ,$755.55 , N/A ,$921.15 ,$931.50 ,$931.50 ,$828.00 , N/A ,$569.25 ,$931.50 , N/A ,$931.50 , N/A ,$983.25 , N/A ,$952.20 ,$210.24 ,$941.85 , N/A ,$636.94 ,$666.54 ,$636.94 ,$931.50 ,$931.50 ,$772.42 , N/A , N/A ,$208.26 ,$967.73 , N/A ,$198.34 ,$900.45 , N/A ,$931.50 , N/A ,$931.50 ,$931.50 ,$931.50 ,"$1,003.95 ",$838.35 ,$931.50 ,$931.50 ,$931.50 ,$931.50 
ST. JOSEPH'S - CHIPPEWA FALLS,36100247,36573,HC INS PER CV CATH W/O PORT W/GUIDANCE 5>,361,1 ,"$4,833.00 ","$3,624.75 ",$353.23 ,"$4,833.00 ","$3,112.45 ","$1,451.15 ","$3,383.10 ",$353.23 ,"$4,824.00 ",$363.83 ,"$3,859.00 ","$4,591.35 ", N/A ,"$3,866.40 ","$4,398.03 ",$353.23 , N/A ,"$4,591.35 ","$4,349.70 ","$4,108.05 ",$353.23 ,$353.23 ,$353.23 ,"$3,528.09 ","$1,451.15 ","$4,301.37 ","$4,349.70 ","$4,349.70 ","$3,866.40 ","$1,494.69 ","$2,658.15 ","$4,349.70 ","$1,451.15 ","$4,349.70 ","$1,451.15 ","$4,591.35 ","$3,265.10 ","$4,446.36 ",$374.42 ,"$4,398.03 ","$1,451.15 ","$2,974.23 ","$3,112.45 ","$2,974.23 ","$4,349.70 ","$4,349.70 ","$3,606.87 ","$3,360.24 ","$1,465.67 ",$370.89 ,"$4,518.86 ","$1,523.71 ",$353.23 ,"$4,204.71 ","$1,451.15 ","$4,349.70 ","$1,451.15 ","$4,349.70 ","$4,349.70 ","$4,349.70 ","$4,688.01 ","$3,914.73 ","$4,349.70 ","$4,349.70 ","$4,349.70 ","$4,349.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100281,32408,HC CORE NDL BX LUNG/MEDIASTINUM PERQ W IMG,361,1 ,"$4,545.00 ","$3,408.75 ",$299.20 ,"$4,545.00 ","$2,926.98 ","$1,451.99 ","$3,181.50 ",$299.20 ,"$4,545.00 ",$308.18 ,"$3,859.00 ","$4,317.75 ", N/A ,"$3,636.00 ","$4,135.95 ",$299.20 , N/A ,"$4,317.75 ","$4,090.50 ","$3,863.25 ",$299.20 ,$299.20 ,$299.20 ,"$3,317.85 ","$1,451.99 ","$4,045.05 ","$4,090.50 ","$4,090.50 ","$3,636.00 ","$1,495.55 ","$2,499.75 ","$4,090.50 ","$1,451.99 ","$4,090.50 ","$1,451.99 ","$4,317.75 ","$3,266.98 ","$4,181.40 ",$317.15 ,"$4,135.95 ","$1,451.99 ","$2,796.99 ","$2,926.98 ","$2,796.99 ","$4,090.50 ","$4,090.50 ","$3,391.93 ","$3,360.24 ","$1,466.51 ",$314.16 ,"$4,249.58 ","$1,524.59 ",$299.20 ,"$3,954.15 ","$1,451.99 ","$4,090.50 ","$1,451.99 ","$4,090.50 ","$4,090.50 ","$4,090.50 ","$4,408.65 ","$3,681.45 ","$4,090.50 ","$4,090.50 ","$4,090.50 ","$4,090.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,36100284,53060,HC DRAIN OF SKENE GLAND ABS OR CYST,450,1 ,"$5,593.00 ","$4,194.75 ",$922.69 ,"$5,593.00 ","$3,601.89 ","$1,847.74 ","$3,915.10 ",$922.69 ,"$4,642.19 ",$950.37 ,"$3,691.38 ","$5,313.35 ", N/A ,"$4,474.40 ","$5,089.63 ",$922.69 ,"$5,257.42 ","$5,313.35 ","$5,033.70 ","$4,754.05 ",$922.69 ,$922.69 ,$922.69 ,"$4,082.89 ","$1,847.74 ","$4,977.77 ","$5,033.70 ","$5,033.70 ","$4,474.40 ","$1,903.17 ","$3,076.15 ","$5,033.70 ","$1,847.74 ","$5,033.70 ","$1,847.74 ","$5,313.35 ","$4,157.42 ","$5,145.56 ",$978.05 ,"$5,089.63 ","$1,847.74 ","$3,441.93 ","$3,601.89 ","$3,441.93 ","$5,033.70 ","$5,033.70 ","$4,174.06 ","$3,895.52 ","$1,866.22 ",$968.82 ,"$5,229.46 ","$1,940.13 ",$922.69 ,"$4,865.91 ","$1,847.74 ","$5,033.70 ","$1,847.74 ","$5,033.70 ","$5,033.70 ","$5,033.70 ","$5,425.21 ","$4,530.33 ","$5,033.70 ","$5,033.70 ","$5,033.70 ","$5,033.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,$739.38 ,$554.54 ,$218.33 ,$739.38 ,$476.16 ,$218.33 ,$517.57 ,$285.38 ,$739.38 ,$293.94 ,$739.38 ,$702.41 , N/A ,$591.50 ,$672.84 ,$285.38 , N/A ,$702.41 ,$665.44 ,$628.47 ,$285.38 ,$285.38 ,$285.38 ,$539.75 ,$218.33 ,$658.05 ,$665.44 ,$665.44 ,$591.50 ,$224.88 ,$406.66 ,$665.44 ,$218.33 ,$665.44 ,$218.33 ,$702.41 ,$491.23 ,$680.23 ,$302.50 ,$672.84 ,$218.33 ,$455.01 ,$476.16 ,$455.01 ,$665.44 ,$665.44 ,$551.80 ,$665.44 ,$220.51 ,$299.65 ,$691.32 ,$229.25 ,$285.38 ,$643.26 ,$218.33 ,$665.44 ,$218.33 ,$665.44 ,$665.44 ,$665.44 ,$717.20 ,$598.90 ,$665.44 ,$665.44 ,$665.44 ,$665.44 
ST. JOSEPH'S - CHIPPEWA FALLS,37000017,99153,HC MODERATE SEDATION SAME PHY EA ADDL 15MIN,370,1 ,$304.00 ,$228.00 ,$7.51 ,$304.00 ,$195.78 , N/A ,$212.80 ,$7.51 ,$252.32 ,$7.74 ,$200.64 ,$288.80 , N/A ,$243.20 ,$276.64 ,$7.51 ,$285.76 ,$288.80 ,$273.60 ,$258.40 ,$7.51 ,$7.51 ,$7.51 ,$221.92 , N/A ,$270.56 ,$273.60 ,$273.60 ,$243.20 , N/A ,$167.20 ,$273.60 , N/A ,$273.60 , N/A ,$288.80 , N/A ,$279.68 ,$7.96 ,$276.64 , N/A ,$187.08 ,$195.78 ,$187.08 ,$273.60 ,$273.60 ,$226.88 ,$211.74 , N/A ,$7.89 ,$284.24 , N/A ,$7.51 ,$264.48 , N/A ,$273.60 , N/A ,$273.60 ,$273.60 ,$273.60 ,$294.88 ,$246.24 ,$273.60 ,$273.60 ,$273.60 ,$273.60 
ST. JOSEPH'S - CHIPPEWA FALLS,37000020,99157,HC MODERATE SEDATION DIFF PHY EA ADDL 15MIN,370,1 ,$145.00 ,$108.75 ,$7.51 ,$145.00 ,$93.38 , N/A ,$101.50 ,$7.51 ,$120.35 ,$7.74 ,$95.70 ,$137.75 , N/A ,$116.00 ,$131.95 ,$7.51 ,$136.30 ,$137.75 ,$130.50 ,$123.25 ,$7.51 ,$7.51 ,$7.51 ,$105.85 , N/A ,$129.05 ,$130.50 ,$130.50 ,$116.00 , N/A ,$79.75 ,$130.50 , N/A ,$130.50 , N/A ,$137.75 , N/A ,$133.40 ,$7.96 ,$131.95 , N/A ,$89.23 ,$93.38 ,$89.23 ,$130.50 ,$130.50 ,$108.21 ,$100.99 , N/A ,$7.89 ,$135.58 , N/A ,$7.51 ,$126.15 , N/A ,$130.50 , N/A ,$130.50 ,$130.50 ,$130.50 ,$140.65 ,$117.45 ,$130.50 ,$130.50 ,$130.50 ,$130.50 
ST. JOSEPH'S - CHIPPEWA FALLS,37000021,64447,HC FEMORAL NERVE BLOCK SINGLE,370,1 ,"$1,742.00 ","$1,306.50 ",$136.73 ,"$1,742.00 ","$1,121.85 ",$655.29 ,"$1,219.40 ",$136.73 ,"$1,445.86 ",$140.83 ,"$1,149.72 ","$1,654.90 ", N/A ,"$1,393.60 ","$1,585.22 ",$136.73 ,"$1,637.48 ","$1,654.90 ","$1,567.80 ","$1,480.70 ",$136.73 ,$136.73 ,$136.73 ,"$1,271.66 ",$655.29 ,"$1,550.38 ","$1,567.80 ","$1,567.80 ","$1,393.60 ",$674.95 ,$958.10 ,"$1,567.80 ",$655.29 ,"$1,567.80 ",$655.29 ,"$1,654.90 ","$1,474.40 ","$1,602.64 ",$144.93 ,"$1,585.22 ",$655.29 ,"$1,072.03 ","$1,121.85 ","$1,072.03 ","$1,567.80 ","$1,567.80 ","$1,300.05 ","$1,213.30 ",$661.84 ,$143.57 ,"$1,628.77 ",$688.05 ,$136.73 ,"$1,515.54 ",$655.29 ,"$1,567.80 ",$655.29 ,"$1,567.80 ","$1,567.80 ","$1,567.80 ","$1,689.74 ","$1,411.02 ","$1,567.80 ","$1,567.80 ","$1,567.80 ","$1,567.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,37000022,64415,HC INTRASCALENE BLOCK SINGLE,370,1 ,"$1,848.00 ","$1,386.00 ",$364.34 ,"$1,911.39 ","$1,190.11 ",$849.51 ,"$1,293.60 ",$364.34 ,"$1,533.84 ",$375.27 ,"$1,219.68 ","$1,755.60 ", N/A ,"$1,478.40 ","$1,681.68 ",$364.34 ,"$1,737.12 ","$1,755.60 ","$1,663.20 ","$1,570.80 ",$364.34 ,$364.34 ,$364.34 ,"$1,349.04 ",$849.51 ,"$1,644.72 ","$1,663.20 ","$1,663.20 ","$1,478.40 ",$874.99 ,"$1,016.40 ","$1,663.20 ",$849.51 ,"$1,663.20 ",$849.51 ,"$1,755.60 ","$1,911.39 ","$1,700.16 ",$386.20 ,"$1,681.68 ",$849.51 ,"$1,137.26 ","$1,190.11 ","$1,137.26 ","$1,663.20 ","$1,663.20 ","$1,379.16 ","$1,287.13 ",$858.00 ,$382.56 ,"$1,727.88 ",$891.99 ,$364.34 ,"$1,607.76 ",$849.51 ,"$1,663.20 ",$849.51 ,"$1,663.20 ","$1,663.20 ","$1,663.20 ","$1,792.56 ","$1,496.88 ","$1,663.20 ","$1,663.20 ","$1,663.20 ","$1,663.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,37000024,N/A,HC EPIDURAL NERVE BLOCK,370,1 ,$501.00 ,$375.75 ,$275.55 ,$501.00 ,$322.64 , N/A ,$350.70 , N/A ,$415.83 , N/A ,$330.66 ,$475.95 , N/A ,$400.80 ,$455.91 , N/A ,$470.94 ,$475.95 ,$450.90 ,$425.85 , N/A , N/A , N/A ,$365.73 , N/A ,$445.89 ,$450.90 ,$450.90 ,$400.80 , N/A ,$275.55 ,$450.90 , N/A ,$450.90 , N/A ,$475.95 , N/A ,$460.92 , N/A ,$455.91 , N/A ,$308.32 ,$322.64 ,$308.32 ,$450.90 ,$450.90 ,$373.90 ,$348.95 , N/A , N/A ,$468.44 , N/A , N/A ,$435.87 , N/A ,$450.90 , N/A ,$450.90 ,$450.90 ,$450.90 ,$485.97 ,$405.81 ,$450.90 ,$450.90 ,$450.90 ,$450.90 
ST. JOSEPH'S - CHIPPEWA FALLS,37000026,N/A,HC ANES BLOCK PERIPHERAL,370,1 ,$588.00 ,$441.00 ,$323.40 ,$588.00 ,$378.67 , N/A ,$411.60 , N/A ,$488.04 , N/A ,$388.08 ,$558.60 , N/A ,$470.40 ,$535.08 , N/A ,$552.72 ,$558.60 ,$529.20 ,$499.80 , N/A , N/A , N/A ,$429.24 , N/A ,$523.32 ,$529.20 ,$529.20 ,$470.40 , N/A ,$323.40 ,$529.20 , N/A ,$529.20 , N/A ,$558.60 , N/A ,$540.96 , N/A ,$535.08 , N/A ,$361.86 ,$378.67 ,$361.86 ,$529.20 ,$529.20 ,$438.82 ,$409.54 , N/A , N/A ,$549.78 , N/A , N/A ,$511.56 , N/A ,$529.20 , N/A ,$529.20 ,$529.20 ,$529.20 ,$570.36 ,$476.28 ,$529.20 ,$529.20 ,$529.20 ,$529.20 
ST. JOSEPH'S - CHIPPEWA FALLS,37000028,N/A,HC ANES CENTRAL LINE,370,1 ,$458.00 ,$343.50 ,$251.90 ,$458.00 ,$294.95 , N/A ,$320.60 , N/A ,$380.14 , N/A ,$302.28 ,$435.10 , N/A ,$366.40 ,$416.78 , N/A ,$430.52 ,$435.10 ,$412.20 ,$389.30 , N/A , N/A , N/A ,$334.34 , N/A ,$407.62 ,$412.20 ,$412.20 ,$366.40 , N/A ,$251.90 ,$412.20 , N/A ,$412.20 , N/A ,$435.10 , N/A ,$421.36 , N/A ,$416.78 , N/A ,$281.85 ,$294.95 ,$281.85 ,$412.20 ,$412.20 ,$341.81 ,$319.00 , N/A , N/A ,$428.23 , N/A , N/A ,$398.46 , N/A ,$412.20 , N/A ,$412.20 ,$412.20 ,$412.20 ,$444.26 ,$370.98 ,$412.20 ,$412.20 ,$412.20 ,$412.20 
ST. JOSEPH'S - CHIPPEWA FALLS,37000060,N/A,HC ANESTHESIA LOCAL EACH 15MIN,370,1 ,$41.00 ,$30.75 ,$22.55 ,$41.00 ,$26.40 , N/A ,$28.70 , N/A ,$34.03 , N/A ,$27.06 ,$38.95 , N/A ,$32.80 ,$37.31 , N/A ,$38.54 ,$38.95 ,$36.90 ,$34.85 , N/A , N/A , N/A ,$29.93 , N/A ,$36.49 ,$36.90 ,$36.90 ,$32.80 , N/A ,$22.55 ,$36.90 , N/A ,$36.90 , N/A ,$38.95 , N/A ,$37.72 , N/A ,$37.31 , N/A ,$25.23 ,$26.40 ,$25.23 ,$36.90 ,$36.90 ,$30.60 ,$28.56 , N/A , N/A ,$38.34 , N/A , N/A ,$35.67 , N/A ,$36.90 , N/A ,$36.90 ,$36.90 ,$36.90 ,$39.77 ,$33.21 ,$36.90 ,$36.90 ,$36.90 ,$36.90 
ST. JOSEPH'S - CHIPPEWA FALLS,37000061,N/A,HC ANESTHESIA GENERAL INITIAL 15MIN,370,1 ,$519.00 ,$389.25 ,$285.45 ,$519.00 ,$334.24 , N/A ,$363.30 , N/A ,$430.77 , N/A ,$342.54 ,$493.05 , N/A ,$415.20 ,$472.29 , N/A ,$487.86 ,$493.05 ,$467.10 ,$441.15 , N/A , N/A , N/A ,$378.87 , N/A ,$461.91 ,$467.10 ,$467.10 ,$415.20 , N/A ,$285.45 ,$467.10 , N/A ,$467.10 , N/A ,$493.05 , N/A ,$477.48 , N/A ,$472.29 , N/A ,$319.39 ,$334.24 ,$319.39 ,$467.10 ,$467.10 ,$387.33 ,$361.48 , N/A , N/A ,$485.27 , N/A , N/A ,$451.53 , N/A ,$467.10 , N/A ,$467.10 ,$467.10 ,$467.10 ,$503.43 ,$420.39 ,$467.10 ,$467.10 ,$467.10 ,$467.10 
ST. JOSEPH'S - CHIPPEWA FALLS,37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$519.00 ,$389.25 ,$285.45 ,$519.00 ,$334.24 , N/A ,$363.30 , N/A ,$430.77 , N/A ,$342.54 ,$493.05 , N/A ,$415.20 ,$472.29 , N/A ,$487.86 ,$493.05 ,$467.10 ,$441.15 , N/A , N/A , N/A ,$378.87 , N/A ,$461.91 ,$467.10 ,$467.10 ,$415.20 , N/A ,$285.45 ,$467.10 , N/A ,$467.10 , N/A ,$493.05 , N/A ,$477.48 , N/A ,$472.29 , N/A ,$319.39 ,$334.24 ,$319.39 ,$467.10 ,$467.10 ,$387.33 ,$361.48 , N/A , N/A ,$485.27 , N/A , N/A ,$451.53 , N/A ,$467.10 , N/A ,$467.10 ,$467.10 ,$467.10 ,$503.43 ,$420.39 ,$467.10 ,$467.10 ,$467.10 ,$467.10 
ST. JOSEPH'S - CHIPPEWA FALLS,37000063,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 15MIN,370,1 ,$380.00 ,$285.00 ,$209.00 ,$380.00 ,$244.72 , N/A ,$266.00 , N/A ,$315.40 , N/A ,$250.80 ,$361.00 , N/A ,$304.00 ,$345.80 , N/A ,$357.20 ,$361.00 ,$342.00 ,$323.00 , N/A , N/A , N/A ,$277.40 , N/A ,$338.20 ,$342.00 ,$342.00 ,$304.00 , N/A ,$209.00 ,$342.00 , N/A ,$342.00 , N/A ,$361.00 , N/A ,$349.60 , N/A ,$345.80 , N/A ,$233.85 ,$244.72 ,$233.85 ,$342.00 ,$342.00 ,$283.59 ,$264.67 , N/A , N/A ,$355.30 , N/A , N/A ,$330.60 , N/A ,$342.00 , N/A ,$342.00 ,$342.00 ,$342.00 ,$368.60 ,$307.80 ,$342.00 ,$342.00 ,$342.00 ,$342.00 
ST. JOSEPH'S - CHIPPEWA FALLS,37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$380.00 ,$285.00 ,$209.00 ,$380.00 ,$244.72 , N/A ,$266.00 , N/A ,$315.40 , N/A ,$250.80 ,$361.00 , N/A ,$304.00 ,$345.80 , N/A ,$357.20 ,$361.00 ,$342.00 ,$323.00 , N/A , N/A , N/A ,$277.40 , N/A ,$338.20 ,$342.00 ,$342.00 ,$304.00 , N/A ,$209.00 ,$342.00 , N/A ,$342.00 , N/A ,$361.00 , N/A ,$349.60 , N/A ,$345.80 , N/A ,$233.85 ,$244.72 ,$233.85 ,$342.00 ,$342.00 ,$283.59 ,$264.67 , N/A , N/A ,$355.30 , N/A , N/A ,$330.60 , N/A ,$342.00 , N/A ,$342.00 ,$342.00 ,$342.00 ,$368.60 ,$307.80 ,$342.00 ,$342.00 ,$342.00 ,$342.00 
ST. JOSEPH'S - CHIPPEWA FALLS,37000072,99151,HC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN,370,1 ,$270.00 ,$202.50 ,$7.51 ,$270.00 ,$173.88 , N/A ,$189.00 ,$7.51 ,$224.10 ,$7.74 ,$178.20 ,$256.50 , N/A ,$216.00 ,$245.70 ,$7.51 ,$253.80 ,$256.50 ,$243.00 ,$229.50 ,$7.51 ,$7.51 ,$7.51 ,$197.10 , N/A ,$240.30 ,$243.00 ,$243.00 ,$216.00 , N/A ,$148.50 ,$243.00 , N/A ,$243.00 , N/A ,$256.50 , N/A ,$248.40 ,$7.96 ,$245.70 , N/A ,$166.16 ,$173.88 ,$166.16 ,$243.00 ,$243.00 ,$201.50 ,$188.06 , N/A ,$7.89 ,$252.45 , N/A ,$7.51 ,$234.90 , N/A ,$243.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$261.90 ,$218.70 ,$243.00 ,$243.00 ,$243.00 ,$243.00 
ST. JOSEPH'S - CHIPPEWA FALLS,37000073,99152,HC MODERATE SEDATION SAME PHY >5YR 1ST 15MIN,370,1 ,$270.00 ,$202.50 ,$7.51 ,$270.00 ,$173.88 , N/A ,$189.00 ,$7.51 ,$224.10 ,$7.74 ,$178.20 ,$256.50 , N/A ,$216.00 ,$245.70 ,$7.51 ,$253.80 ,$256.50 ,$243.00 ,$229.50 ,$7.51 ,$7.51 ,$7.51 ,$197.10 , N/A ,$240.30 ,$243.00 ,$243.00 ,$216.00 , N/A ,$148.50 ,$243.00 , N/A ,$243.00 , N/A ,$256.50 , N/A ,$248.40 ,$7.96 ,$245.70 , N/A ,$166.16 ,$173.88 ,$166.16 ,$243.00 ,$243.00 ,$201.50 ,$188.06 , N/A ,$7.89 ,$252.45 , N/A ,$7.51 ,$234.90 , N/A ,$243.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$261.90 ,$218.70 ,$243.00 ,$243.00 ,$243.00 ,$243.00 
ST. JOSEPH'S - CHIPPEWA FALLS,37000074,99155,HC MODERATE SEDATION DIFF PHY <5YR 1ST 15MIN,370,1 ,$243.00 ,$182.25 ,$7.51 ,$243.00 ,$156.49 , N/A ,$170.10 ,$7.51 ,$201.69 ,$7.74 ,$160.38 ,$230.85 , N/A ,$194.40 ,$221.13 ,$7.51 ,$228.42 ,$230.85 ,$218.70 ,$206.55 ,$7.51 ,$7.51 ,$7.51 ,$177.39 , N/A ,$216.27 ,$218.70 ,$218.70 ,$194.40 , N/A ,$133.65 ,$218.70 , N/A ,$218.70 , N/A ,$230.85 , N/A ,$223.56 ,$7.96 ,$221.13 , N/A ,$149.54 ,$156.49 ,$149.54 ,$218.70 ,$218.70 ,$181.35 ,$169.25 , N/A ,$7.89 ,$227.21 , N/A ,$7.51 ,$211.41 , N/A ,$218.70 , N/A ,$218.70 ,$218.70 ,$218.70 ,$235.71 ,$196.83 ,$218.70 ,$218.70 ,$218.70 ,$218.70 
ST. JOSEPH'S - CHIPPEWA FALLS,37000075,99156,HC MODERATE SEDATION DIFF PHY >5YR 1ST 15MIN,370,1 ,$270.00 ,$202.50 ,$7.51 ,$270.00 ,$173.88 , N/A ,$189.00 ,$7.51 ,$224.10 ,$7.74 ,$178.20 ,$256.50 , N/A ,$216.00 ,$245.70 ,$7.51 ,$253.80 ,$256.50 ,$243.00 ,$229.50 ,$7.51 ,$7.51 ,$7.51 ,$197.10 , N/A ,$240.30 ,$243.00 ,$243.00 ,$216.00 , N/A ,$148.50 ,$243.00 , N/A ,$243.00 , N/A ,$256.50 , N/A ,$248.40 ,$7.96 ,$245.70 , N/A ,$166.16 ,$173.88 ,$166.16 ,$243.00 ,$243.00 ,$201.50 ,$188.06 , N/A ,$7.89 ,$252.45 , N/A ,$7.51 ,$234.90 , N/A ,$243.00 , N/A ,$243.00 ,$243.00 ,$243.00 ,$261.90 ,$218.70 ,$243.00 ,$243.00 ,$243.00 ,$243.00 
ST. JOSEPH'S - CHIPPEWA FALLS,37080000,64447,HC FEMORAL NERVE BLOCK SINGLE,360,1 ,"$1,742.00 ","$1,306.50 ",$136.73 ,"$1,742.00 ","$1,121.85 ",$655.29 ,"$1,219.40 ",$136.73 ,"$1,742.00 ",$140.83 ,"$1,742.00 ","$1,654.90 ", N/A ,"$1,393.60 ","$1,585.22 ",$136.73 , N/A ,"$1,654.90 ","$1,567.80 ","$1,480.70 ",$136.73 ,$136.73 ,$136.73 ,"$1,271.66 ",$655.29 ,"$1,550.38 ","$1,567.80 ","$1,567.80 ","$1,393.60 ",$674.95 ,$958.10 ,"$1,567.80 ",$655.29 ,"$1,567.80 ",$655.29 ,"$1,637.48 ","$1,474.40 ","$1,602.64 ",$144.93 ,"$1,585.22 ",$655.29 ,"$1,072.03 ","$1,121.85 ","$1,072.03 ","$1,567.80 ","$1,567.80 ","$1,300.05 ",$871.00 ,$661.84 ,$143.57 ,"$1,628.77 ",$688.05 ,$136.73 ,"$1,515.54 ",$655.29 ,"$1,567.80 ",$655.29 ,"$1,567.80 ","$1,567.80 ","$1,567.80 ","$1,689.74 ","$1,411.02 ","$1,567.80 ","$1,567.80 ","$1,567.80 ","$1,567.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,39000143,86945,HC BLOOD PRODUCT IRRADIATION,390,1 ,$106.05 ,$79.54 ,$8.35 ,$106.05 ,$68.30 ,$34.93 ,$74.24 ,$8.35 ,$88.02 ,$8.60 ,$69.99 ,$100.75 , N/A ,$84.84 ,$96.51 ,$8.35 ,$99.69 ,$100.75 ,$95.45 ,$90.14 ,$8.35 ,$8.35 ,$8.35 ,$77.42 ,$34.93 ,$94.38 ,$95.45 ,$95.45 ,$84.84 ,$35.98 ,$58.33 ,$95.45 ,$34.93 ,$95.45 ,$34.93 ,$100.75 ,$78.59 ,$97.57 ,$8.85 ,$96.51 ,$34.93 ,$65.26 ,$68.30 ,$65.26 ,$95.45 ,$95.45 ,$79.15 ,$73.86 ,$35.28 ,$8.77 ,$99.16 ,$36.68 ,$8.35 ,$92.26 ,$34.93 ,$95.45 ,$34.93 ,$95.45 ,$95.45 ,$95.45 ,$102.87 ,$85.90 ,$95.45 ,$95.45 ,$95.45 ,$95.45 
ST. JOSEPH'S - CHIPPEWA FALLS,39000144,86965,HC BLOOD PRODUCT POOL,390,1 ,$322.95 ,$242.21 ,$8.35 ,$346.30 ,$207.98 ,$153.91 ,$226.07 ,$8.35 ,$268.05 ,$8.60 ,$213.15 ,$306.80 , N/A ,$258.36 ,$293.88 ,$8.35 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$8.35 ,$8.35 ,$8.35 ,$235.75 ,$153.91 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$158.53 ,$177.62 ,$290.66 ,$153.91 ,$290.66 ,$153.91 ,$306.80 ,$346.30 ,$297.11 ,$8.85 ,$293.88 ,$153.91 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$290.66 ,$241.02 ,$224.93 ,$155.45 ,$8.77 ,$301.96 ,$161.61 ,$8.35 ,$280.97 ,$153.91 ,$290.66 ,$153.91 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 
ST. JOSEPH'S - CHIPPEWA FALLS,39000145,86985,HC SPLITTING BLOOD PRODUCT EA,390,1 ,$322.95 ,$242.21 ,$8.35 ,$346.30 ,$207.98 ,$153.91 ,$226.07 ,$8.35 ,$268.05 ,$8.60 ,$213.15 ,$306.80 , N/A ,$258.36 ,$293.88 ,$8.35 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$8.35 ,$8.35 ,$8.35 ,$235.75 ,$153.91 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$158.53 ,$177.62 ,$290.66 ,$153.91 ,$290.66 ,$153.91 ,$306.80 ,$346.30 ,$297.11 ,$8.85 ,$293.88 ,$153.91 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$290.66 ,$241.02 ,$224.93 ,$155.45 ,$8.77 ,$301.96 ,$161.61 ,$8.35 ,$280.97 ,$153.91 ,$290.66 ,$153.91 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 
ST. JOSEPH'S - CHIPPEWA FALLS,39000146,P9012,HC CRYOPRECIPITATE EA UNIT,390,1 ,$174.52 ,$130.89 ,$46.72 ,$183.44 ,$112.39 ,$81.53 ,$122.16 ,$46.72 ,$144.85 ,$48.12 ,$115.18 ,$165.79 , N/A ,$139.62 ,$158.81 ,$46.72 ,$164.05 ,$165.79 ,$157.07 ,$148.34 ,$46.72 ,$46.72 ,$46.72 ,$127.40 ,$81.53 ,$155.32 ,$157.07 ,$157.07 ,$139.62 ,$83.98 ,$95.99 ,$157.07 ,$81.53 ,$157.07 ,$81.53 ,$165.79 ,$183.44 ,$160.56 ,$49.52 ,$158.81 ,$81.53 ,$107.40 ,$112.39 ,$107.40 ,$157.07 ,$157.07 ,$130.24 ,$121.55 ,$82.35 ,$49.06 ,$163.18 ,$85.61 ,$46.72 ,$151.83 ,$81.53 ,$157.07 ,$81.53 ,$157.07 ,$157.07 ,$157.07 ,$169.28 ,$141.36 ,$157.07 ,$157.07 ,$157.07 ,$157.07 
ST. JOSEPH'S - CHIPPEWA FALLS,39000147,P9016,HC RED CELLS L/R EA,390,1 ,$773.68 ,$580.26 ,$192.39 ,$773.68 ,$498.25 ,$192.39 ,$541.58 ,$449.49 ,$642.15 ,$462.97 ,$510.63 ,$735.00 , N/A ,$618.94 ,$704.05 ,$449.49 ,$727.26 ,$735.00 ,$696.31 ,$657.63 ,$449.49 ,$449.49 ,$449.49 ,$564.79 ,$192.39 ,$688.58 ,$696.31 ,$696.31 ,$618.94 ,$198.16 ,$425.52 ,$696.31 ,$192.39 ,$696.31 ,$192.39 ,$735.00 ,$432.88 ,$711.79 ,$476.46 ,$704.05 ,$192.39 ,$476.12 ,$498.25 ,$476.12 ,$696.31 ,$696.31 ,$577.40 ,$538.87 ,$194.31 ,$471.96 ,$723.39 ,$202.01 ,$449.49 ,$673.10 ,$192.39 ,$696.31 ,$192.39 ,$696.31 ,$696.31 ,$696.31 ,$750.47 ,$626.68 ,$696.31 ,$696.31 ,$696.31 ,$696.31 
ST. JOSEPH'S - CHIPPEWA FALLS,39000148,P9017,HC FRESH FROZEN PLASMA EA,390,1 ,$247.76 ,$185.82 ,$38.65 ,$247.76 ,$159.56 ,$84.40 ,$173.43 ,$38.65 ,$205.64 ,$39.81 ,$163.52 ,$235.37 , N/A ,$198.21 ,$225.46 ,$38.65 ,$232.89 ,$235.37 ,$222.98 ,$210.60 ,$38.65 ,$38.65 ,$38.65 ,$180.86 ,$84.40 ,$220.51 ,$222.98 ,$222.98 ,$198.21 ,$86.93 ,$136.27 ,$222.98 ,$84.40 ,$222.98 ,$84.40 ,$235.37 ,$189.90 ,$227.94 ,$40.97 ,$225.46 ,$84.40 ,$152.47 ,$159.56 ,$152.47 ,$222.98 ,$222.98 ,$184.90 ,$172.56 ,$85.24 ,$40.58 ,$231.66 ,$88.62 ,$38.65 ,$215.55 ,$84.40 ,$222.98 ,$84.40 ,$222.98 ,$222.98 ,$222.98 ,$240.33 ,$200.69 ,$222.98 ,$222.98 ,$222.98 ,$222.98 
ST. JOSEPH'S - CHIPPEWA FALLS,39000149,P9021,HC RED CELLS PACKED EA,390,1 ,$822.13 ,$616.60 ,$46.72 ,$822.13 ,$529.45 ,$140.53 ,$575.49 ,$46.72 ,$682.37 ,$48.12 ,$542.61 ,$781.02 , N/A ,$657.70 ,$748.14 ,$46.72 ,$772.80 ,$781.02 ,$739.92 ,$698.81 ,$46.72 ,$46.72 ,$46.72 ,$600.15 ,$140.53 ,$731.70 ,$739.92 ,$739.92 ,$657.70 ,$144.75 ,$452.17 ,$739.92 ,$140.53 ,$739.92 ,$140.53 ,$781.02 ,$316.19 ,$756.36 ,$49.52 ,$748.14 ,$140.53 ,$505.94 ,$529.45 ,$505.94 ,$739.92 ,$739.92 ,$613.56 ,$572.61 ,$141.94 ,$49.06 ,$768.69 ,$147.56 ,$46.72 ,$715.25 ,$140.53 ,$739.92 ,$140.53 ,$739.92 ,$739.92 ,$739.92 ,$797.47 ,$665.93 ,$739.92 ,$739.92 ,$739.92 ,$739.92 
ST. JOSEPH'S - CHIPPEWA FALLS,39000150,P9022,HC RED CELLS WASHED EA UNIT,390,1 ,$993.78 ,$745.34 ,$117.41 ,$993.78 ,$639.99 ,$387.85 ,$695.65 ,$117.41 ,$824.84 ,$120.93 ,$655.89 ,$944.09 , N/A ,$795.02 ,$904.34 ,$117.41 ,$934.15 ,$944.09 ,$894.40 ,$844.71 ,$117.41 ,$117.41 ,$117.41 ,$725.46 ,$387.85 ,$884.46 ,$894.40 ,$894.40 ,$795.02 ,$399.49 ,$546.58 ,$894.40 ,$387.85 ,$894.40 ,$387.85 ,$944.09 ,$872.66 ,$914.28 ,$124.45 ,$904.34 ,$387.85 ,$611.57 ,$639.99 ,$611.57 ,$894.40 ,$894.40 ,$741.66 ,$692.17 ,$391.73 ,$123.28 ,$929.18 ,$407.24 ,$117.41 ,$864.59 ,$387.85 ,$894.40 ,$387.85 ,$894.40 ,$894.40 ,$894.40 ,$963.97 ,$804.96 ,$894.40 ,$894.40 ,$894.40 ,$894.40 
ST. JOSEPH'S - CHIPPEWA FALLS,39000153,P9035,HC PLATELETS PHER L/R EA,390,1 ,"$1,527.32 ","$1,145.49 ",$117.41 ,"$1,527.32 ",$983.59 ,$496.91 ,"$1,069.12 ",$117.41 ,"$1,267.68 ",$120.93 ,"$1,008.03 ","$1,450.95 ", N/A ,"$1,221.86 ","$1,389.86 ",$117.41 ,"$1,435.68 ","$1,450.95 ","$1,374.59 ","$1,298.22 ",$117.41 ,$117.41 ,$117.41 ,"$1,114.94 ",$496.91 ,"$1,359.31 ","$1,374.59 ","$1,374.59 ","$1,221.86 ",$511.82 ,$840.03 ,"$1,374.59 ",$496.91 ,"$1,374.59 ",$496.91 ,"$1,450.95 ","$1,118.05 ","$1,405.13 ",$124.45 ,"$1,389.86 ",$496.91 ,$939.91 ,$983.59 ,$939.91 ,"$1,374.59 ","$1,374.59 ","$1,139.84 ","$1,063.78 ",$501.88 ,$123.28 ,"$1,428.04 ",$521.76 ,$117.41 ,"$1,328.77 ",$496.91 ,"$1,374.59 ",$496.91 ,"$1,374.59 ","$1,374.59 ","$1,374.59 ","$1,481.50 ","$1,237.13 ","$1,374.59 ","$1,374.59 ","$1,374.59 ","$1,374.59 "
ST. JOSEPH'S - CHIPPEWA FALLS,39000154,P9037,HC PLATELETS PHER L/R IRR EA,390,1 ,"$1,614.72 ","$1,211.04 ",$117.41 ,"$1,614.72 ","$1,039.88 ",$630.32 ,"$1,130.30 ",$117.41 ,"$1,340.22 ",$120.93 ,"$1,065.72 ","$1,533.98 ", N/A ,"$1,291.78 ","$1,469.40 ",$117.41 ,"$1,517.84 ","$1,533.98 ","$1,453.25 ","$1,372.51 ",$117.41 ,$117.41 ,$117.41 ,"$1,178.75 ",$630.32 ,"$1,437.10 ","$1,453.25 ","$1,453.25 ","$1,291.78 ",$649.23 ,$888.10 ,"$1,453.25 ",$630.32 ,"$1,453.25 ",$630.32 ,"$1,533.98 ","$1,418.22 ","$1,485.54 ",$124.45 ,"$1,469.40 ",$630.32 ,$993.70 ,"$1,039.88 ",$993.70 ,"$1,453.25 ","$1,453.25 ","$1,205.07 ","$1,124.65 ",$636.62 ,$123.28 ,"$1,509.76 ",$661.84 ,$117.41 ,"$1,404.81 ",$630.32 ,"$1,453.25 ",$630.32 ,"$1,453.25 ","$1,453.25 ","$1,453.25 ","$1,566.28 ","$1,307.92 ","$1,453.25 ","$1,453.25 ","$1,453.25 ","$1,453.25 "
ST. JOSEPH'S - CHIPPEWA FALLS,39000155,P9040,HC RED CELLS L/R IRR EA,390,1 ,$952.09 ,$714.07 ,$46.72 ,$952.09 ,$613.15 ,$266.03 ,$666.46 ,$46.72 ,$790.23 ,$48.12 ,$628.38 ,$904.49 , N/A ,$761.67 ,$866.40 ,$46.72 ,$894.96 ,$904.49 ,$856.88 ,$809.28 ,$46.72 ,$46.72 ,$46.72 ,$695.03 ,$266.03 ,$847.36 ,$856.88 ,$856.88 ,$761.67 ,$274.01 ,$523.65 ,$856.88 ,$266.03 ,$856.88 ,$266.03 ,$904.49 ,$598.57 ,$875.92 ,$49.52 ,$866.40 ,$266.03 ,$585.92 ,$613.15 ,$585.92 ,$856.88 ,$856.88 ,$710.54 ,$663.13 ,$268.69 ,$49.06 ,$890.20 ,$279.33 ,$46.72 ,$828.32 ,$266.03 ,$856.88 ,$266.03 ,$856.88 ,$856.88 ,$856.88 ,$923.53 ,$771.19 ,$856.88 ,$856.88 ,$856.88 ,$856.88 
ST. JOSEPH'S - CHIPPEWA FALLS,39000156,P9051,HC RBC L/R CMV NEG EA,390,1 ,$781.68 ,$586.26 ,$46.72 ,$781.68 ,$503.40 ,$216.68 ,$547.18 ,$46.72 ,$648.79 ,$48.12 ,$515.91 ,$742.60 , N/A ,$625.34 ,$711.33 ,$46.72 ,$734.78 ,$742.60 ,$703.51 ,$664.43 ,$46.72 ,$46.72 ,$46.72 ,$570.63 ,$216.68 ,$695.70 ,$703.51 ,$703.51 ,$625.34 ,$223.18 ,$429.92 ,$703.51 ,$216.68 ,$703.51 ,$216.68 ,$742.60 ,$487.53 ,$719.15 ,$49.52 ,$711.33 ,$216.68 ,$481.05 ,$503.40 ,$481.05 ,$703.51 ,$703.51 ,$583.37 ,$544.44 ,$218.85 ,$49.06 ,$730.87 ,$227.51 ,$46.72 ,$680.06 ,$216.68 ,$703.51 ,$216.68 ,$703.51 ,$703.51 ,$703.51 ,$758.23 ,$633.16 ,$703.51 ,$703.51 ,$703.51 ,$703.51 
ST. JOSEPH'S - CHIPPEWA FALLS,39000157,P9052,HC PLT APHER/PHER L/R HLA EA,390,1 ,"$1,923.30 ","$1,442.48 ",$117.41 ,"$1,923.30 ","$1,238.61 ",$822.11 ,"$1,346.31 ",$117.41 ,"$1,596.34 ",$120.93 ,"$1,269.38 ","$1,827.14 ", N/A ,"$1,538.64 ","$1,750.20 ",$117.41 ,"$1,807.90 ","$1,827.14 ","$1,730.97 ","$1,634.81 ",$117.41 ,$117.41 ,$117.41 ,"$1,404.01 ",$822.11 ,"$1,711.74 ","$1,730.97 ","$1,730.97 ","$1,538.64 ",$846.77 ,"$1,057.82 ","$1,730.97 ",$822.11 ,"$1,730.97 ",$822.11 ,"$1,827.14 ","$1,849.75 ","$1,769.44 ",$124.45 ,"$1,750.20 ",$822.11 ,"$1,183.60 ","$1,238.61 ","$1,183.60 ","$1,730.97 ","$1,730.97 ","$1,435.36 ","$1,339.58 ",$830.33 ,$123.28 ,"$1,798.29 ",$863.22 ,$117.41 ,"$1,673.27 ",$822.11 ,"$1,730.97 ",$822.11 ,"$1,730.97 ","$1,730.97 ","$1,730.97 ","$1,865.60 ","$1,557.87 ","$1,730.97 ","$1,730.97 ","$1,730.97 ","$1,730.97 "
ST. JOSEPH'S - CHIPPEWA FALLS,39000159,P9056,HC BLOOD LEUKOCYTES I/R EA UNIT,390,1 ,$388.10 ,$291.08 ,$46.72 ,$388.10 ,$249.94 ,$157.39 ,$271.67 ,$46.72 ,$322.12 ,$48.12 ,$256.15 ,$368.70 , N/A ,$310.48 ,$353.17 ,$46.72 ,$364.81 ,$368.70 ,$349.29 ,$329.89 ,$46.72 ,$46.72 ,$46.72 ,$283.31 ,$157.39 ,$345.41 ,$349.29 ,$349.29 ,$310.48 ,$162.11 ,$213.46 ,$349.29 ,$157.39 ,$349.29 ,$157.39 ,$368.70 ,$354.13 ,$357.05 ,$49.52 ,$353.17 ,$157.39 ,$238.84 ,$249.94 ,$238.84 ,$349.29 ,$349.29 ,$289.64 ,$270.31 ,$158.96 ,$49.06 ,$362.87 ,$165.26 ,$46.72 ,$337.65 ,$157.39 ,$349.29 ,$157.39 ,$349.29 ,$349.29 ,$349.29 ,$376.46 ,$314.36 ,$349.29 ,$349.29 ,$349.29 ,$349.29 
ST. JOSEPH'S - CHIPPEWA FALLS,39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$325.28 ,$243.96 ,$46.72 ,$325.28 ,$209.48 ,$72.64 ,$227.70 ,$46.72 ,$269.98 ,$48.12 ,$214.68 ,$309.02 , N/A ,$260.22 ,$296.00 ,$46.72 ,$305.76 ,$309.02 ,$292.75 ,$276.49 ,$46.72 ,$46.72 ,$46.72 ,$237.45 ,$72.64 ,$289.50 ,$292.75 ,$292.75 ,$260.22 ,$74.82 ,$178.90 ,$292.75 ,$72.64 ,$292.75 ,$72.64 ,$309.02 ,$163.44 ,$299.26 ,$49.52 ,$296.00 ,$72.64 ,$200.18 ,$209.48 ,$200.18 ,$292.75 ,$292.75 ,$242.76 ,$226.56 ,$73.37 ,$49.06 ,$304.14 ,$76.27 ,$46.72 ,$282.99 ,$72.64 ,$292.75 ,$72.64 ,$292.75 ,$292.75 ,$292.75 ,$315.52 ,$263.48 ,$292.75 ,$292.75 ,$292.75 ,$292.75 
ST. JOSEPH'S - CHIPPEWA FALLS,39000204,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN,390,1 ,"$1,650.00 ","$1,237.50 ",$117.41 ,"$1,650.00 ","$1,062.60 ",$596.13 ,"$1,155.00 ",$117.41 ,"$1,369.50 ",$120.93 ,"$1,089.00 ","$1,567.50 ", N/A ,"$1,320.00 ","$1,501.50 ",$117.41 ,"$1,551.00 ","$1,567.50 ","$1,485.00 ","$1,402.50 ",$117.41 ,$117.41 ,$117.41 ,"$1,204.50 ",$596.13 ,"$1,468.50 ","$1,485.00 ","$1,485.00 ","$1,320.00 ",$614.01 ,$907.50 ,"$1,485.00 ",$596.13 ,"$1,485.00 ",$596.13 ,"$1,567.50 ","$1,341.29 ","$1,518.00 ",$124.45 ,"$1,501.50 ",$596.13 ,"$1,015.41 ","$1,062.60 ","$1,015.41 ","$1,485.00 ","$1,485.00 ","$1,231.40 ","$1,149.23 ",$602.09 ,$123.28 ,"$1,542.75 ",$625.94 ,$117.41 ,"$1,435.50 ",$596.13 ,"$1,485.00 ",$596.13 ,"$1,485.00 ","$1,485.00 ","$1,485.00 ","$1,600.50 ","$1,336.50 ","$1,485.00 ","$1,485.00 ","$1,485.00 ","$1,485.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,39000211,P9059,HC COVID CONVALESCENT PLASMA,390,1 ,"$1,594.00 ","$1,195.50 ",$46.72 ,"$1,594.00 ","$1,026.54 ",$72.64 ,"$1,115.80 ",$46.72 ,"$1,323.02 ",$48.12 ,"$1,052.04 ","$1,514.30 ", N/A ,"$1,275.20 ","$1,450.54 ",$46.72 ,"$1,498.36 ","$1,514.30 ","$1,434.60 ","$1,354.90 ",$46.72 ,$46.72 ,$46.72 ,"$1,163.62 ",$72.64 ,"$1,418.66 ","$1,434.60 ","$1,434.60 ","$1,275.20 ",$74.82 ,$876.70 ,"$1,434.60 ",$72.64 ,"$1,434.60 ",$72.64 ,"$1,514.30 ",$163.44 ,"$1,466.48 ",$49.52 ,"$1,450.54 ",$72.64 ,$980.95 ,"$1,026.54 ",$980.95 ,"$1,434.60 ","$1,434.60 ","$1,189.60 ","$1,110.22 ",$73.37 ,$49.06 ,"$1,490.39 ",$76.27 ,$46.72 ,"$1,386.78 ",$72.64 ,"$1,434.60 ",$72.64 ,"$1,434.60 ","$1,434.60 ","$1,434.60 ","$1,546.18 ","$1,291.14 ","$1,434.60 ","$1,434.60 ","$1,434.60 ","$1,434.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,39100001,36430,HC BLOOD PROD ADMIN,391,1 ,$824.00 ,$618.00 ,$144.58 ,$921.60 ,$530.66 ,$409.60 ,$576.80 ,$144.58 ,$683.92 ,$148.92 ,$543.84 ,$782.80 , N/A ,$659.20 ,$749.84 ,$144.58 ,$774.56 ,$782.80 ,$741.60 ,$700.40 ,$144.58 ,$144.58 ,$144.58 ,$601.52 ,$409.60 ,$733.36 ,$741.60 ,$741.60 ,$659.20 ,$421.89 ,$453.20 ,$741.60 ,$409.60 ,$741.60 ,$409.60 ,$782.80 ,$921.60 ,$758.08 ,$153.25 ,$749.84 ,$409.60 ,$507.09 ,$530.66 ,$507.09 ,$741.60 ,$741.60 ,$614.95 ,$573.92 ,$413.70 ,$151.81 ,$770.44 ,$430.08 ,$144.58 ,$716.88 ,$409.60 ,$741.60 ,$409.60 ,$741.60 ,$741.60 ,$741.60 ,$799.28 ,$667.44 ,$741.60 ,$741.60 ,$741.60 ,$741.60 
ST. JOSEPH'S - CHIPPEWA FALLS,40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$298.62 ,$223.97 ,$15.90 ,$298.62 ,$192.31 ,$108.66 ,$209.03 ,$15.90 ,$214.00 ,$16.38 ,$172.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$15.90 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$15.90 ,$15.90 ,$15.90 ,$217.99 ,$108.66 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$111.92 ,$164.24 ,$268.76 ,$108.66 ,$268.76 ,$108.66 ,$283.69 ,$244.49 ,$274.73 ,$16.85 ,$271.74 ,$108.66 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$298.62 ,$222.86 ,$267.96 ,$109.75 ,$16.70 ,$279.21 ,$114.09 ,$15.90 ,$259.80 ,$108.66 ,$268.76 ,$108.66 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 
ST. JOSEPH'S - CHIPPEWA FALLS,40100004,77066,HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW,401,1 ,$298.62 ,$223.97 ,$15.90 ,$298.62 ,$192.31 ,$108.66 ,$209.03 ,$15.90 ,$214.00 ,$16.38 ,$172.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$15.90 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$15.90 ,$15.90 ,$15.90 ,$217.99 ,$108.66 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$111.92 ,$164.24 ,$268.76 ,$108.66 ,$268.76 ,$108.66 ,$283.69 ,$244.49 ,$274.73 ,$16.85 ,$271.74 ,$108.66 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$298.62 ,$222.86 ,$267.96 ,$109.75 ,$16.70 ,$279.21 ,$114.09 ,$15.90 ,$259.80 ,$108.66 ,$268.76 ,$108.66 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 
ST. JOSEPH'S - CHIPPEWA FALLS,40100005,77066,HC MAMMOGRAM DIAG BILAT W/CAD IMPLANT,401,1 ,$298.62 ,$223.97 ,$15.90 ,$298.62 ,$192.31 ,$108.66 ,$209.03 ,$15.90 ,$214.00 ,$16.38 ,$172.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$15.90 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$15.90 ,$15.90 ,$15.90 ,$217.99 ,$108.66 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$111.92 ,$164.24 ,$268.76 ,$108.66 ,$268.76 ,$108.66 ,$283.69 ,$244.49 ,$274.73 ,$16.85 ,$271.74 ,$108.66 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$298.62 ,$222.86 ,$267.96 ,$109.75 ,$16.70 ,$279.21 ,$114.09 ,$15.90 ,$259.80 ,$108.66 ,$268.76 ,$108.66 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 
ST. JOSEPH'S - CHIPPEWA FALLS,40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$298.62 ,$223.97 ,$15.90 ,$298.62 ,$192.31 ,$85.19 ,$209.03 ,$15.90 ,$214.00 ,$16.38 ,$172.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$15.90 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$15.90 ,$15.90 ,$15.90 ,$217.99 ,$85.19 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$87.75 ,$164.24 ,$268.76 ,$85.19 ,$268.76 ,$85.19 ,$283.69 ,$191.68 ,$274.73 ,$16.85 ,$271.74 ,$85.19 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$257.37 ,$222.86 ,$267.96 ,$86.04 ,$16.70 ,$279.21 ,$89.45 ,$15.90 ,$259.80 ,$85.19 ,$268.76 ,$85.19 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 
ST. JOSEPH'S - CHIPPEWA FALLS,40100008,77065,HC MAMMOGRAM DIAG UNIL W/CAD  ADDNT VIEW,401,1 ,$298.62 ,$223.97 ,$15.90 ,$298.62 ,$192.31 ,$85.19 ,$209.03 ,$15.90 ,$214.00 ,$16.38 ,$172.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$15.90 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$15.90 ,$15.90 ,$15.90 ,$217.99 ,$85.19 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$87.75 ,$164.24 ,$268.76 ,$85.19 ,$268.76 ,$85.19 ,$283.69 ,$191.68 ,$274.73 ,$16.85 ,$271.74 ,$85.19 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$257.37 ,$222.86 ,$267.96 ,$86.04 ,$16.70 ,$279.21 ,$89.45 ,$15.90 ,$259.80 ,$85.19 ,$268.76 ,$85.19 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 
ST. JOSEPH'S - CHIPPEWA FALLS,40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$298.62 ,$223.97 ,$15.90 ,$298.62 ,$192.31 ,$85.19 ,$209.03 ,$15.90 ,$214.00 ,$16.38 ,$172.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$15.90 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$15.90 ,$15.90 ,$15.90 ,$217.99 ,$85.19 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$87.75 ,$164.24 ,$268.76 ,$85.19 ,$268.76 ,$85.19 ,$283.69 ,$191.68 ,$274.73 ,$16.85 ,$271.74 ,$85.19 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$257.37 ,$222.86 ,$267.96 ,$86.04 ,$16.70 ,$279.21 ,$89.45 ,$15.90 ,$259.80 ,$85.19 ,$268.76 ,$85.19 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 
ST. JOSEPH'S - CHIPPEWA FALLS,40100014,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL,401,1 ,$40.00 ,$30.00 ,$15.90 ,$51.35 ,$25.76 ,$22.82 ,$28.00 ,$15.90 ,$33.20 ,$16.38 ,$26.40 ,$38.00 , N/A ,$32.00 ,$36.40 ,$15.90 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$15.90 ,$15.90 ,$15.90 ,$29.20 ,$22.82 ,$35.60 ,$36.00 ,$36.00 ,$32.00 ,$23.50 ,$22.00 ,$36.00 ,$22.82 ,$36.00 ,$22.82 ,$38.00 ,$51.35 ,$36.80 ,$16.85 ,$36.40 ,$22.82 ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$36.00 ,$29.85 ,$36.00 ,$23.05 ,$16.70 ,$37.40 ,$23.96 ,$15.90 ,$34.80 ,$22.82 ,$36.00 ,$22.82 ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 
ST. JOSEPH'S - CHIPPEWA FALLS,40200007,51798,HC US BLADDER SCAN,402,1 ,$149.00 ,$111.75 ,$22.63 ,$149.00 ,$95.96 ,$57.44 ,$104.30 ,$22.63 ,$149.00 ,$23.31 ,$149.00 ,$141.55 , N/A ,$119.20 ,$135.59 ,$22.63 ,$140.06 ,$141.55 ,$134.10 ,$126.65 ,$22.63 ,$22.63 ,$22.63 ,$108.77 ,$57.44 ,$132.61 ,$134.10 ,$134.10 ,$119.20 ,$59.17 ,$81.95 ,$134.10 ,$57.44 ,$134.10 ,$57.44 ,$141.55 ,$129.25 ,$137.08 ,$23.99 ,$135.59 ,$57.44 ,$91.69 ,$95.96 ,$91.69 ,$134.10 ,$134.10 ,$111.20 ,$134.10 ,$58.02 ,$23.76 ,$139.32 ,$60.31 ,$22.63 ,$129.63 ,$57.44 ,$134.10 ,$57.44 ,$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,40200009,49407,HC DRAIN ABSC PELVIC TRNSVAG PERC,402,1 ,"$2,202.11 ","$1,651.58 ",$232.13 ,"$3,266.98 ","$1,418.16 ","$1,451.99 ","$1,541.48 ",$232.13 ,$428.00 ,$239.09 ,$342.00 ,"$2,092.00 ", N/A ,"$1,761.69 ","$2,003.92 ",$232.13 ,"$2,069.98 ","$2,092.00 ","$1,981.90 ","$1,871.79 ",$232.13 ,$232.13 ,$232.13 ,"$1,607.54 ","$1,451.99 ","$1,959.88 ","$1,981.90 ","$1,981.90 ","$1,761.69 ","$1,495.55 ","$1,211.16 ","$1,981.90 ","$1,451.99 ","$1,981.90 ","$1,451.99 ","$2,092.00 ","$3,266.98 ","$2,025.94 ",$246.06 ,"$2,003.92 ","$1,451.99 ","$1,355.18 ","$1,418.16 ","$1,355.18 ","$1,981.90 ","$1,981.90 ","$1,643.43 ",$460.89 ,"$1,466.51 ",$243.74 ,"$2,058.97 ","$1,524.59 ",$232.13 ,"$1,915.84 ","$1,451.99 ","$1,981.90 ","$1,451.99 ","$1,981.90 ","$1,981.90 ","$1,981.90 ","$2,136.05 ","$1,783.71 ","$1,981.90 ","$1,981.90 ","$1,981.90 ","$1,981.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,40200010,59000,HC AMNIOCENTESIS DIAGNOSTIC,402,1 ,$712.00 ,$534.00 ,$204.42 ,"$1,472.02 ",$458.53 ,$654.23 ,$498.40 ,$204.42 ,$428.00 ,$210.55 ,$342.00 ,$676.40 , N/A ,$569.60 ,$647.92 ,$204.42 ,$669.28 ,$676.40 ,$640.80 ,$605.20 ,$204.42 ,$204.42 ,$204.42 ,$519.76 ,$654.23 ,$633.68 ,$640.80 ,$640.80 ,$569.60 ,$673.86 ,$391.60 ,$640.80 ,$654.23 ,$640.80 ,$654.23 ,$676.40 ,"$1,472.02 ",$655.04 ,$216.69 ,$647.92 ,$654.23 ,$438.16 ,$458.53 ,$438.16 ,$640.80 ,$640.80 ,$531.37 ,$460.89 ,$660.77 ,$214.64 ,$665.72 ,$686.94 ,$204.42 ,$619.44 ,$654.23 ,$640.80 ,$654.23 ,$640.80 ,$640.80 ,$640.80 ,$690.64 ,$576.72 ,$640.80 ,$640.80 ,$640.80 ,$640.80 
ST. JOSEPH'S - CHIPPEWA FALLS,40200012,76506,HC US ENCEPHALOGRAM,402,1 ,"$1,293.00 ",$969.75 ,$34.74 ,"$1,293.00 ",$832.69 ,$112.35 ,$905.10 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,"$1,228.35 ", N/A ,"$1,034.40 ","$1,176.63 ",$34.74 ,"$1,215.42 ","$1,228.35 ","$1,163.70 ","$1,099.05 ",$34.74 ,$34.74 ,$34.74 ,$943.89 ,$112.35 ,"$1,150.77 ","$1,163.70 ","$1,163.70 ","$1,034.40 ",$115.72 ,$711.15 ,"$1,163.70 ",$112.35 ,"$1,163.70 ",$112.35 ,"$1,228.35 ",$252.79 ,"$1,189.56 ",$36.82 ,"$1,176.63 ",$112.35 ,$795.71 ,$832.69 ,$795.71 ,"$1,163.70 ",$317.34 ,$964.97 ,$460.89 ,$113.47 ,$36.48 ,"$1,208.96 ",$117.97 ,$34.74 ,"$1,124.91 ",$112.35 ,"$1,163.70 ",$112.35 ,"$1,163.70 ","$1,163.70 ","$1,163.70 ","$1,254.21 ","$1,047.33 ","$1,163.70 ","$1,163.70 ","$1,163.70 ","$1,163.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,$595.00 ,$446.25 ,$34.74 ,$595.00 ,$383.18 ,$112.35 ,$416.50 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$565.25 , N/A ,$476.00 ,$541.45 ,$34.74 ,$559.30 ,$565.25 ,$535.50 ,$505.75 ,$34.74 ,$34.74 ,$34.74 ,$434.35 ,$112.35 ,$529.55 ,$535.50 ,$535.50 ,$476.00 ,$115.72 ,$327.25 ,$535.50 ,$112.35 ,$535.50 ,$112.35 ,$565.25 ,$252.79 ,$547.40 ,$36.82 ,$541.45 ,$112.35 ,$366.16 ,$383.18 ,$366.16 ,$535.50 ,$271.72 ,$444.05 ,$460.89 ,$113.47 ,$36.48 ,$556.33 ,$117.97 ,$34.74 ,$517.65 ,$112.35 ,$535.50 ,$112.35 ,$535.50 ,$535.50 ,$535.50 ,$577.15 ,$481.95 ,$535.50 ,$535.50 ,$535.50 ,$535.50 
ST. JOSEPH'S - CHIPPEWA FALLS,40200014,76604,HC US CHEST,402,1 ,$822.00 ,$616.50 ,$34.74 ,$822.00 ,$529.37 ,$112.35 ,$575.40 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$780.90 , N/A ,$657.60 ,$748.02 ,$34.74 ,$772.68 ,$780.90 ,$739.80 ,$698.70 ,$34.74 ,$34.74 ,$34.74 ,$600.06 ,$112.35 ,$731.58 ,$739.80 ,$739.80 ,$657.60 ,$115.72 ,$452.10 ,$739.80 ,$112.35 ,$739.80 ,$112.35 ,$780.90 ,$252.79 ,$756.24 ,$36.82 ,$748.02 ,$112.35 ,$505.86 ,$529.37 ,$505.86 ,$739.80 ,$266.93 ,$613.46 ,$460.89 ,$113.47 ,$36.48 ,$768.57 ,$117.97 ,$34.74 ,$715.14 ,$112.35 ,$739.80 ,$112.35 ,$739.80 ,$739.80 ,$739.80 ,$797.34 ,$665.82 ,$739.80 ,$739.80 ,$739.80 ,$739.80 
ST. JOSEPH'S - CHIPPEWA FALLS,40200015,76641,HC US BREAST COMPLETE,402,1 ,$595.00 ,$446.25 ,$34.74 ,$595.00 ,$383.18 ,$112.35 ,$416.50 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$565.25 , N/A ,$476.00 ,$541.45 ,$34.74 ,$559.30 ,$565.25 ,$535.50 ,$505.75 ,$34.74 ,$34.74 ,$34.74 ,$434.35 ,$112.35 ,$529.55 ,$535.50 ,$535.50 ,$476.00 ,$115.72 ,$327.25 ,$535.50 ,$112.35 ,$535.50 ,$112.35 ,$565.25 ,$252.79 ,$547.40 ,$36.82 ,$541.45 ,$112.35 ,$366.16 ,$383.18 ,$366.16 ,$535.50 ,$209.46 ,$444.05 ,$460.89 ,$113.47 ,$36.48 ,$556.33 ,$117.97 ,$34.74 ,$517.65 ,$112.35 ,$535.50 ,$112.35 ,$535.50 ,$535.50 ,$535.50 ,$577.15 ,$481.95 ,$535.50 ,$535.50 ,$535.50 ,$535.50 
ST. JOSEPH'S - CHIPPEWA FALLS,40200016,76642,HC US BREAST LIMITED,402,1 ,$595.00 ,$446.25 ,$34.74 ,$595.00 ,$383.18 ,$83.47 ,$416.50 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$565.25 , N/A ,$476.00 ,$541.45 ,$34.74 ,$559.30 ,$565.25 ,$535.50 ,$505.75 ,$34.74 ,$34.74 ,$34.74 ,$434.35 ,$83.47 ,$529.55 ,$535.50 ,$535.50 ,$476.00 ,$85.98 ,$327.25 ,$535.50 ,$83.47 ,$535.50 ,$83.47 ,$565.25 ,$187.81 ,$547.40 ,$36.82 ,$541.45 ,$83.47 ,$366.16 ,$383.18 ,$366.16 ,$535.50 ,$172.49 ,$444.05 ,$460.89 ,$84.31 ,$36.48 ,$556.33 ,$87.64 ,$34.74 ,$517.65 ,$83.47 ,$535.50 ,$83.47 ,$535.50 ,$535.50 ,$535.50 ,$577.15 ,$481.95 ,$535.50 ,$535.50 ,$535.50 ,$535.50 
ST. JOSEPH'S - CHIPPEWA FALLS,40200017,76700,HC US ABDOMEN CMPL,402,1 ,$968.00 ,$726.00 ,$52.74 ,$968.00 ,$623.39 ,$112.35 ,$677.60 ,$52.74 ,$428.00 ,$54.32 ,$342.00 ,$919.60 , N/A ,$774.40 ,$880.88 ,$52.74 ,$909.92 ,$919.60 ,$871.20 ,$822.80 ,$52.74 ,$52.74 ,$52.74 ,$706.64 ,$112.35 ,$861.52 ,$871.20 ,$871.20 ,$774.40 ,$115.72 ,$532.40 ,$871.20 ,$112.35 ,$871.20 ,$112.35 ,$919.60 ,$252.79 ,$890.56 ,$55.90 ,$880.88 ,$112.35 ,$595.71 ,$623.39 ,$595.71 ,$871.20 ,$383.51 ,$722.42 ,$460.89 ,$113.47 ,$55.38 ,$905.08 ,$117.97 ,$52.74 ,$842.16 ,$112.35 ,$871.20 ,$112.35 ,$871.20 ,$871.20 ,$871.20 ,$938.96 ,$784.08 ,$871.20 ,$871.20 ,$871.20 ,$871.20 
ST. JOSEPH'S - CHIPPEWA FALLS,40200018,76705,HC US ABDOMEN LTD,402,1 ,$848.00 ,$636.00 ,$34.74 ,$848.00 ,$546.11 ,$112.35 ,$593.60 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$805.60 , N/A ,$678.40 ,$771.68 ,$34.74 ,$797.12 ,$805.60 ,$763.20 ,$720.80 ,$34.74 ,$34.74 ,$34.74 ,$619.04 ,$112.35 ,$754.72 ,$763.20 ,$763.20 ,$678.40 ,$115.72 ,$466.40 ,$763.20 ,$112.35 ,$763.20 ,$112.35 ,$805.60 ,$252.79 ,$780.16 ,$36.82 ,$771.68 ,$112.35 ,$521.86 ,$546.11 ,$521.86 ,$763.20 ,$319.64 ,$632.86 ,$460.89 ,$113.47 ,$36.48 ,$792.88 ,$117.97 ,$34.74 ,$737.76 ,$112.35 ,$763.20 ,$112.35 ,$763.20 ,$763.20 ,$763.20 ,$822.56 ,$686.88 ,$763.20 ,$763.20 ,$763.20 ,$763.20 
ST. JOSEPH'S - CHIPPEWA FALLS,40200019,76770,HC US RETROPERITIONEAL,402,1 ,$974.00 ,$730.50 ,$52.74 ,$974.00 ,$627.26 ,$112.35 ,$681.80 ,$52.74 ,$428.00 ,$54.32 ,$342.00 ,$925.30 , N/A ,$779.20 ,$886.34 ,$52.74 ,$915.56 ,$925.30 ,$876.60 ,$827.90 ,$52.74 ,$52.74 ,$52.74 ,$711.02 ,$112.35 ,$866.86 ,$876.60 ,$876.60 ,$779.20 ,$115.72 ,$535.70 ,$876.60 ,$112.35 ,$876.60 ,$112.35 ,$925.30 ,$252.79 ,$896.08 ,$55.90 ,$886.34 ,$112.35 ,$599.40 ,$627.26 ,$599.40 ,$876.60 ,$402.08 ,$726.90 ,$460.89 ,$113.47 ,$55.38 ,$910.69 ,$117.97 ,$52.74 ,$847.38 ,$112.35 ,$876.60 ,$112.35 ,$876.60 ,$876.60 ,$876.60 ,$944.78 ,$788.94 ,$876.60 ,$876.60 ,$876.60 ,$876.60 
ST. JOSEPH'S - CHIPPEWA FALLS,40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,$606.00 ,$454.50 ,$34.74 ,$606.00 ,$390.26 ,$112.35 ,$424.20 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$575.70 , N/A ,$484.80 ,$551.46 ,$34.74 ,$569.64 ,$575.70 ,$545.40 ,$515.10 ,$34.74 ,$34.74 ,$34.74 ,$442.38 ,$112.35 ,$539.34 ,$545.40 ,$545.40 ,$484.80 ,$115.72 ,$333.30 ,$545.40 ,$112.35 ,$545.40 ,$112.35 ,$575.70 ,$252.79 ,$557.52 ,$36.82 ,$551.46 ,$112.35 ,$372.93 ,$390.26 ,$372.93 ,$545.40 ,$321.02 ,$452.26 ,$460.89 ,$113.47 ,$36.48 ,$566.61 ,$117.97 ,$34.74 ,$527.22 ,$112.35 ,$545.40 ,$112.35 ,$545.40 ,$545.40 ,$545.40 ,$587.82 ,$490.86 ,$545.40 ,$545.40 ,$545.40 ,$545.40 
ST. JOSEPH'S - CHIPPEWA FALLS,40200022,76800,HC US SPINAL CANAL  AND  CONTENTS,402,1 ,$556.00 ,$417.00 ,$34.74 ,$556.00 ,$358.06 ,$112.35 ,$389.20 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$528.20 , N/A ,$444.80 ,$505.96 ,$34.74 ,$522.64 ,$528.20 ,$500.40 ,$472.60 ,$34.74 ,$34.74 ,$34.74 ,$405.88 ,$112.35 ,$494.84 ,$500.40 ,$500.40 ,$444.80 ,$115.72 ,$305.80 ,$500.40 ,$112.35 ,$500.40 ,$112.35 ,$528.20 ,$252.79 ,$511.52 ,$36.82 ,$505.96 ,$112.35 ,$342.16 ,$358.06 ,$342.16 ,$500.40 ,$249.39 ,$414.94 ,$460.89 ,$113.47 ,$36.48 ,$519.86 ,$117.97 ,$34.74 ,$483.72 ,$112.35 ,$500.40 ,$112.35 ,$500.40 ,$500.40 ,$500.40 ,$539.32 ,$450.36 ,$500.40 ,$500.40 ,$500.40 ,$500.40 
ST. JOSEPH'S - CHIPPEWA FALLS,40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,$646.00 ,$484.50 ,$31.94 ,$646.00 ,$416.02 ,$112.35 ,$452.20 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$613.70 , N/A ,$516.80 ,$587.86 ,$31.94 ,$607.24 ,$613.70 ,$581.40 ,$549.10 ,$31.94 ,$31.94 ,$31.94 ,$471.58 ,$112.35 ,$574.94 ,$581.40 ,$581.40 ,$516.80 ,$115.72 ,$355.30 ,$581.40 ,$112.35 ,$581.40 ,$112.35 ,$613.70 ,$252.79 ,$594.32 ,$33.86 ,$587.86 ,$112.35 ,$397.55 ,$416.02 ,$397.55 ,$581.40 ,$94.73 ,$482.11 ,$460.89 ,$113.47 ,$33.54 ,$604.01 ,$117.97 ,$31.94 ,$562.02 ,$112.35 ,$581.40 ,$112.35 ,$581.40 ,$581.40 ,$581.40 ,$626.62 ,$523.26 ,$581.40 ,$581.40 ,$581.40 ,$581.40 
ST. JOSEPH'S - CHIPPEWA FALLS,40200024,76802,HC US PREGNANCY <14 WEEKS ADDL,402,1 ,$519.00 ,$389.25 ,$31.94 ,$519.00 ,$334.24 , N/A ,$363.30 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$493.05 , N/A ,$415.20 ,$472.29 ,$31.94 ,$487.86 ,$493.05 ,$467.10 ,$441.15 ,$31.94 ,$31.94 ,$31.94 ,$378.87 , N/A ,$461.91 ,$467.10 ,$467.10 ,$415.20 , N/A ,$285.45 ,$467.10 , N/A ,$467.10 , N/A ,$493.05 , N/A ,$477.48 ,$33.86 ,$472.29 , N/A ,$319.39 ,$334.24 ,$319.39 ,$467.10 ,$67.30 ,$387.33 ,$460.89 , N/A ,$33.54 ,$485.27 , N/A ,$31.94 ,$451.53 , N/A ,$467.10 , N/A ,$467.10 ,$467.10 ,$467.10 ,$503.43 ,$420.39 ,$467.10 ,$467.10 ,$467.10 ,$467.10 
ST. JOSEPH'S - CHIPPEWA FALLS,40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,$859.00 ,$644.25 ,$31.94 ,$859.00 ,$553.20 ,$112.35 ,$601.30 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$816.05 , N/A ,$687.20 ,$781.69 ,$31.94 ,$807.46 ,$816.05 ,$773.10 ,$730.15 ,$31.94 ,$31.94 ,$31.94 ,$627.07 ,$112.35 ,$764.51 ,$773.10 ,$773.10 ,$687.20 ,$115.72 ,$472.45 ,$773.10 ,$112.35 ,$773.10 ,$112.35 ,$816.05 ,$252.79 ,$790.28 ,$33.86 ,$781.69 ,$112.35 ,$528.63 ,$553.20 ,$528.63 ,$773.10 ,$303.92 ,$641.07 ,$460.89 ,$113.47 ,$33.54 ,$803.17 ,$117.97 ,$31.94 ,$747.33 ,$112.35 ,$773.10 ,$112.35 ,$773.10 ,$773.10 ,$773.10 ,$833.23 ,$695.79 ,$773.10 ,$773.10 ,$773.10 ,$773.10 
ST. JOSEPH'S - CHIPPEWA FALLS,40200027,76810,HC US PREGNANCY >14 WEEKS ADDL,402,1 ,"$1,028.00 ",$771.00 ,$31.94 ,"$1,028.00 ",$662.03 , N/A ,$719.60 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$976.60 , N/A ,$822.40 ,$935.48 ,$31.94 ,$966.32 ,$976.60 ,$925.20 ,$873.80 ,$31.94 ,$31.94 ,$31.94 ,$750.44 , N/A ,$914.92 ,$925.20 ,$925.20 ,$822.40 , N/A ,$565.40 ,$925.20 , N/A ,$925.20 , N/A ,$976.60 , N/A ,$945.76 ,$33.86 ,$935.48 , N/A ,$632.63 ,$662.03 ,$632.63 ,$925.20 ,$649.81 ,$767.20 ,$460.89 , N/A ,$33.54 ,$961.18 , N/A ,$31.94 ,$894.36 , N/A ,$925.20 , N/A ,$925.20 ,$925.20 ,$925.20 ,$997.16 ,$832.68 ,$925.20 ,$925.20 ,$925.20 ,$925.20 
ST. JOSEPH'S - CHIPPEWA FALLS,40200028,76811,HC US PREGNANCY DETAILED SGL,402,1 ,"$1,032.00 ",$774.00 ,$31.94 ,"$1,032.00 ",$664.61 ,$237.45 ,$722.40 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$980.40 , N/A ,$825.60 ,$939.12 ,$31.94 ,$970.08 ,$980.40 ,$928.80 ,$877.20 ,$31.94 ,$31.94 ,$31.94 ,$753.36 ,$237.45 ,$918.48 ,$928.80 ,$928.80 ,$825.60 ,$244.58 ,$567.60 ,$928.80 ,$237.45 ,$928.80 ,$237.45 ,$980.40 ,$534.27 ,$949.44 ,$33.86 ,$939.12 ,$237.45 ,$635.09 ,$664.61 ,$635.09 ,$928.80 ,$321.53 ,$770.18 ,$460.89 ,$239.83 ,$33.54 ,$964.92 ,$249.32 ,$31.94 ,$897.84 ,$237.45 ,$928.80 ,$237.45 ,$928.80 ,$928.80 ,$928.80 ,"$1,001.04 ",$835.92 ,$928.80 ,$928.80 ,$928.80 ,$928.80 
ST. JOSEPH'S - CHIPPEWA FALLS,40200029,76812,HC US PREGNANCY DETAILED ADDL,402,1 ,$535.00 ,$401.25 ,$31.94 ,$535.00 ,$344.54 , N/A ,$374.50 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$508.25 , N/A ,$428.00 ,$486.85 ,$31.94 ,$502.90 ,$508.25 ,$481.50 ,$454.75 ,$31.94 ,$31.94 ,$31.94 ,$390.55 , N/A ,$476.15 ,$481.50 ,$481.50 ,$428.00 , N/A ,$294.25 ,$481.50 , N/A ,$481.50 , N/A ,$508.25 , N/A ,$492.20 ,$33.86 ,$486.85 , N/A ,$329.24 ,$344.54 ,$329.24 ,$481.50 ,$114.66 ,$399.27 ,$460.89 , N/A ,$33.54 ,$500.23 , N/A ,$31.94 ,$465.45 , N/A ,$481.50 , N/A ,$481.50 ,$481.50 ,$481.50 ,$518.95 ,$433.35 ,$481.50 ,$481.50 ,$481.50 ,$481.50 
ST. JOSEPH'S - CHIPPEWA FALLS,40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,$463.00 ,$347.25 ,$31.94 ,$463.00 ,$298.17 ,$112.35 ,$324.10 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$439.85 , N/A ,$370.40 ,$421.33 ,$31.94 ,$435.22 ,$439.85 ,$416.70 ,$393.55 ,$31.94 ,$31.94 ,$31.94 ,$337.99 ,$112.35 ,$412.07 ,$416.70 ,$416.70 ,$370.40 ,$115.72 ,$254.65 ,$416.70 ,$112.35 ,$416.70 ,$112.35 ,$439.85 ,$252.79 ,$425.96 ,$33.86 ,$421.33 ,$112.35 ,$284.93 ,$298.17 ,$284.93 ,$416.70 ,$238.50 ,$345.54 ,$416.70 ,$113.47 ,$33.54 ,$432.91 ,$117.97 ,$31.94 ,$402.81 ,$112.35 ,$416.70 ,$112.35 ,$416.70 ,$416.70 ,$416.70 ,$449.11 ,$375.03 ,$416.70 ,$416.70 ,$416.70 ,$416.70 
ST. JOSEPH'S - CHIPPEWA FALLS,40200031,76815,HC US FETAL HEART BEAT,402,1 ,$411.00 ,$308.25 ,$31.94 ,$411.00 ,$264.68 ,$112.35 ,$287.70 ,$31.94 ,$411.00 ,$32.90 ,$342.00 ,$390.45 , N/A ,$328.80 ,$374.01 ,$31.94 ,$386.34 ,$390.45 ,$369.90 ,$349.35 ,$31.94 ,$31.94 ,$31.94 ,$300.03 ,$112.35 ,$365.79 ,$369.90 ,$369.90 ,$328.80 ,$115.72 ,$226.05 ,$369.90 ,$112.35 ,$369.90 ,$112.35 ,$390.45 ,$252.79 ,$378.12 ,$33.86 ,$374.01 ,$112.35 ,$252.93 ,$264.68 ,$252.93 ,$369.90 ,$193.78 ,$306.73 ,$369.90 ,$113.47 ,$33.54 ,$384.29 ,$117.97 ,$31.94 ,$357.57 ,$112.35 ,$369.90 ,$112.35 ,$369.90 ,$369.90 ,$369.90 ,$398.67 ,$332.91 ,$369.90 ,$369.90 ,$369.90 ,$369.90 
ST. JOSEPH'S - CHIPPEWA FALLS,40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,$683.00 ,$512.25 ,$31.94 ,$683.00 ,$439.85 ,$112.35 ,$478.10 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$648.85 , N/A ,$546.40 ,$621.53 ,$31.94 ,$642.02 ,$648.85 ,$614.70 ,$580.55 ,$31.94 ,$31.94 ,$31.94 ,$498.59 ,$112.35 ,$607.87 ,$614.70 ,$614.70 ,$546.40 ,$115.72 ,$375.65 ,$614.70 ,$112.35 ,$614.70 ,$112.35 ,$648.85 ,$252.79 ,$628.36 ,$33.86 ,$621.53 ,$112.35 ,$420.32 ,$439.85 ,$420.32 ,$614.70 ,$129.60 ,$509.72 ,$460.89 ,$113.47 ,$33.54 ,$638.61 ,$117.97 ,$31.94 ,$594.21 ,$112.35 ,$614.70 ,$112.35 ,$614.70 ,$614.70 ,$614.70 ,$662.51 ,$553.23 ,$614.70 ,$614.70 ,$614.70 ,$614.70 
ST. JOSEPH'S - CHIPPEWA FALLS,40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,$444.00 ,$333.00 ,$31.94 ,$444.00 ,$285.94 ,$112.35 ,$310.80 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$421.80 , N/A ,$355.20 ,$404.04 ,$31.94 ,$417.36 ,$421.80 ,$399.60 ,$377.40 ,$31.94 ,$31.94 ,$31.94 ,$324.12 ,$112.35 ,$395.16 ,$399.60 ,$399.60 ,$355.20 ,$115.72 ,$244.20 ,$399.60 ,$112.35 ,$399.60 ,$112.35 ,$421.80 ,$252.79 ,$408.48 ,$33.86 ,$404.04 ,$112.35 ,$273.24 ,$285.94 ,$273.24 ,$399.60 ,$162.35 ,$331.36 ,$399.60 ,$113.47 ,$33.54 ,$415.14 ,$117.97 ,$31.94 ,$386.28 ,$112.35 ,$399.60 ,$112.35 ,$399.60 ,$399.60 ,$399.60 ,$430.68 ,$359.64 ,$399.60 ,$399.60 ,$399.60 ,$399.60 
ST. JOSEPH'S - CHIPPEWA FALLS,40200035,76819,HC US FETAL BIO PROFILE W/O NST EA ADDN,402,1 ,$340.00 ,$255.00 ,$31.94 ,$340.00 ,$218.96 ,$112.35 ,$238.00 ,$31.94 ,$340.00 ,$32.90 ,$340.00 ,$323.00 , N/A ,$272.00 ,$309.40 ,$31.94 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$31.94 ,$31.94 ,$31.94 ,$248.20 ,$112.35 ,$302.60 ,$306.00 ,$306.00 ,$272.00 ,$115.72 ,$187.00 ,$306.00 ,$112.35 ,$306.00 ,$112.35 ,$323.00 ,$252.79 ,$312.80 ,$33.86 ,$309.40 ,$112.35 ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$162.35 ,$253.74 ,$306.00 ,$113.47 ,$33.54 ,$317.90 ,$117.97 ,$31.94 ,$295.80 ,$112.35 ,$306.00 ,$112.35 ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 
ST. JOSEPH'S - CHIPPEWA FALLS,40200038,76830,HC US TRANSVAGINAL,402,1 ,"$1,140.00 ",$855.00 ,$34.74 ,"$1,140.00 ",$734.16 ,$112.35 ,$798.00 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,"$1,083.00 ", N/A ,$912.00 ,"$1,037.40 ",$34.74 ,"$1,071.60 ","$1,083.00 ","$1,026.00 ",$969.00 ,$34.74 ,$34.74 ,$34.74 ,$832.20 ,$112.35 ,"$1,014.60 ","$1,026.00 ","$1,026.00 ",$912.00 ,$115.72 ,$627.00 ,"$1,026.00 ",$112.35 ,"$1,026.00 ",$112.35 ,"$1,083.00 ",$252.79 ,"$1,048.80 ",$36.82 ,"$1,037.40 ",$112.35 ,$701.56 ,$734.16 ,$701.56 ,"$1,026.00 ",$422.59 ,$850.78 ,$460.89 ,$113.47 ,$36.48 ,"$1,065.90 ",$117.97 ,$34.74 ,$991.80 ,$112.35 ,"$1,026.00 ",$112.35 ,"$1,026.00 ","$1,026.00 ","$1,026.00 ","$1,105.80 ",$923.40 ,"$1,026.00 ","$1,026.00 ","$1,026.00 ","$1,026.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,40200040,76856,HC US PELVIS NON OB,402,1 ,"$1,010.00 ",$757.50 ,$52.74 ,"$1,010.00 ",$650.44 ,$112.35 ,$707.00 ,$52.74 ,$428.00 ,$54.32 ,$342.00 ,$959.50 , N/A ,$808.00 ,$919.10 ,$52.74 ,$949.40 ,$959.50 ,$909.00 ,$858.50 ,$52.74 ,$52.74 ,$52.74 ,$737.30 ,$112.35 ,$898.90 ,$909.00 ,$909.00 ,$808.00 ,$115.72 ,$555.50 ,$909.00 ,$112.35 ,$909.00 ,$112.35 ,$959.50 ,$252.79 ,$929.20 ,$55.90 ,$919.10 ,$112.35 ,$621.55 ,$650.44 ,$621.55 ,$909.00 ,$355.03 ,$753.76 ,$460.89 ,$113.47 ,$55.38 ,$944.35 ,$117.97 ,$52.74 ,$878.70 ,$112.35 ,$909.00 ,$112.35 ,$909.00 ,$909.00 ,$909.00 ,$979.70 ,$818.10 ,$909.00 ,$909.00 ,$909.00 ,$909.00 
ST. JOSEPH'S - CHIPPEWA FALLS,40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$604.00 ,$453.00 ,$34.74 ,$604.00 ,$388.98 ,$112.35 ,$422.80 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$573.80 , N/A ,$483.20 ,$549.64 ,$34.74 ,$567.76 ,$573.80 ,$543.60 ,$513.40 ,$34.74 ,$34.74 ,$34.74 ,$440.92 ,$112.35 ,$537.56 ,$543.60 ,$543.60 ,$483.20 ,$115.72 ,$332.20 ,$543.60 ,$112.35 ,$543.60 ,$112.35 ,$573.80 ,$252.79 ,$555.68 ,$36.82 ,$549.64 ,$112.35 ,$371.70 ,$388.98 ,$371.70 ,$543.60 ,$209.22 ,$450.77 ,$460.89 ,$113.47 ,$36.48 ,$564.74 ,$117.97 ,$34.74 ,$525.48 ,$112.35 ,$543.60 ,$112.35 ,$543.60 ,$543.60 ,$543.60 ,$585.88 ,$489.24 ,$543.60 ,$543.60 ,$543.60 ,$543.60 
ST. JOSEPH'S - CHIPPEWA FALLS,40200042,76870,HC US SCROTUM,402,1 ,$797.00 ,$597.75 ,$34.74 ,$797.00 ,$513.27 ,$112.35 ,$557.90 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$757.15 , N/A ,$637.60 ,$725.27 ,$34.74 ,$749.18 ,$757.15 ,$717.30 ,$677.45 ,$34.74 ,$34.74 ,$34.74 ,$581.81 ,$112.35 ,$709.33 ,$717.30 ,$717.30 ,$637.60 ,$115.72 ,$438.35 ,$717.30 ,$112.35 ,$717.30 ,$112.35 ,$757.15 ,$252.79 ,$733.24 ,$36.82 ,$725.27 ,$112.35 ,$490.47 ,$513.27 ,$490.47 ,$717.30 ,$399.71 ,$594.80 ,$460.89 ,$113.47 ,$36.48 ,$745.20 ,$117.97 ,$34.74 ,$693.39 ,$112.35 ,$717.30 ,$112.35 ,$717.30 ,$717.30 ,$717.30 ,$773.09 ,$645.57 ,$717.30 ,$717.30 ,$717.30 ,$717.30 
ST. JOSEPH'S - CHIPPEWA FALLS,40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,$590.00 ,$442.50 ,$34.74 ,$590.00 ,$379.96 ,$112.35 ,$413.00 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$560.50 , N/A ,$472.00 ,$536.90 ,$34.74 ,$554.60 ,$560.50 ,$531.00 ,$501.50 ,$34.74 ,$34.74 ,$34.74 ,$430.70 ,$112.35 ,$525.10 ,$531.00 ,$531.00 ,$472.00 ,$115.72 ,$324.50 ,$531.00 ,$112.35 ,$531.00 ,$112.35 ,$560.50 ,$252.79 ,$542.80 ,$36.82 ,$536.90 ,$112.35 ,$363.09 ,$379.96 ,$363.09 ,$531.00 ,$173.86 ,$440.32 ,$460.89 ,$113.47 ,$36.48 ,$551.65 ,$117.97 ,$34.74 ,$513.30 ,$112.35 ,$531.00 ,$112.35 ,$531.00 ,$531.00 ,$531.00 ,$572.30 ,$477.90 ,$531.00 ,$531.00 ,$531.00 ,$531.00 
ST. JOSEPH'S - CHIPPEWA FALLS,40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,$470.00 ,$352.50 ,$34.74 ,$470.00 ,$302.68 ,$112.35 ,$329.00 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$446.50 , N/A ,$376.00 ,$427.70 ,$34.74 ,$441.80 ,$446.50 ,$423.00 ,$399.50 ,$34.74 ,$34.74 ,$34.74 ,$343.10 ,$112.35 ,$418.30 ,$423.00 ,$423.00 ,$376.00 ,$115.72 ,$258.50 ,$423.00 ,$112.35 ,$423.00 ,$112.35 ,$446.50 ,$252.79 ,$432.40 ,$36.82 ,$427.70 ,$112.35 ,$289.24 ,$302.68 ,$289.24 ,$423.00 ,$40.39 ,$350.76 ,$423.00 ,$113.47 ,$36.48 ,$439.45 ,$117.97 ,$34.74 ,$408.90 ,$112.35 ,$423.00 ,$112.35 ,$423.00 ,$423.00 ,$423.00 ,$455.90 ,$380.70 ,$423.00 ,$423.00 ,$423.00 ,$423.00 
ST. JOSEPH'S - CHIPPEWA FALLS,40200048,76885,HC US HIPS INFANT DYNAMIC,402,1 ,$494.00 ,$370.50 ,$34.74 ,$494.00 ,$318.14 ,$83.47 ,$345.80 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$469.30 , N/A ,$395.20 ,$449.54 ,$34.74 ,$464.36 ,$469.30 ,$444.60 ,$419.90 ,$34.74 ,$34.74 ,$34.74 ,$360.62 ,$83.47 ,$439.66 ,$444.60 ,$444.60 ,$395.20 ,$85.98 ,$271.70 ,$444.60 ,$83.47 ,$444.60 ,$83.47 ,$469.30 ,$187.81 ,$454.48 ,$36.82 ,$449.54 ,$83.47 ,$304.01 ,$318.14 ,$304.01 ,$444.60 ,$171.00 ,$368.67 ,$444.60 ,$84.31 ,$36.48 ,$461.89 ,$87.64 ,$34.74 ,$429.78 ,$83.47 ,$444.60 ,$83.47 ,$444.60 ,$444.60 ,$444.60 ,$479.18 ,$400.14 ,$444.60 ,$444.60 ,$444.60 ,$444.60 
ST. JOSEPH'S - CHIPPEWA FALLS,40200051,76937,HC US GUIDED VASCULAR ACCESS 76937,402,1 ,$511.00 ,$383.25 ,$35.55 ,$511.00 ,$329.08 , N/A ,$357.70 ,$35.55 ,$428.00 ,$36.62 ,$342.00 ,$485.45 , N/A ,$408.80 ,$465.01 ,$35.55 ,$480.34 ,$485.45 ,$459.90 ,$434.35 ,$35.55 ,$35.55 ,$35.55 ,$373.03 , N/A ,$454.79 ,$459.90 ,$459.90 ,$408.80 , N/A ,$281.05 ,$459.90 , N/A ,$459.90 , N/A ,$485.45 , N/A ,$470.12 ,$37.68 ,$465.01 , N/A ,$314.47 ,$329.08 ,$314.47 ,$459.90 ,$37.84 ,$381.36 ,$459.90 , N/A ,$37.33 ,$477.79 , N/A ,$35.55 ,$444.57 , N/A ,$459.90 , N/A ,$459.90 ,$459.90 ,$459.90 ,$495.67 ,$413.91 ,$459.90 ,$459.90 ,$459.90 ,$459.90 
ST. JOSEPH'S - CHIPPEWA FALLS,40200052,76940,HC US GUIDANCE TISSUE ABLATION,402,1 ,$788.00 ,$591.00 ,$35.55 ,$788.00 ,$507.47 , N/A ,$551.60 ,$35.55 ,$428.00 ,$36.62 ,$342.00 ,$748.60 , N/A ,$630.40 ,$717.08 ,$35.55 ,$740.72 ,$748.60 ,$709.20 ,$669.80 ,$35.55 ,$35.55 ,$35.55 ,$575.24 , N/A ,$701.32 ,$709.20 ,$709.20 ,$630.40 , N/A ,$433.40 ,$709.20 , N/A ,$709.20 , N/A ,$748.60 , N/A ,$724.96 ,$37.68 ,$717.08 , N/A ,$484.94 ,$507.47 ,$484.94 ,$709.20 ,$145.73 ,$588.08 ,$460.89 , N/A ,$37.33 ,$736.78 , N/A ,$35.55 ,$685.56 , N/A ,$709.20 , N/A ,$709.20 ,$709.20 ,$709.20 ,$764.36 ,$638.28 ,$709.20 ,$709.20 ,$709.20 ,$709.20 
ST. JOSEPH'S - CHIPPEWA FALLS,40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,$932.00 ,$699.00 ,$35.55 ,$932.00 ,$600.21 , N/A ,$652.40 ,$35.55 ,$428.00 ,$36.62 ,$342.00 ,$885.40 , N/A ,$745.60 ,$848.12 ,$35.55 ,$876.08 ,$885.40 ,$838.80 ,$792.20 ,$35.55 ,$35.55 ,$35.55 ,$680.36 , N/A ,$829.48 ,$838.80 ,$838.80 ,$745.60 , N/A ,$512.60 ,$838.80 , N/A ,$838.80 , N/A ,$885.40 , N/A ,$857.44 ,$37.68 ,$848.12 , N/A ,$573.55 ,$600.21 ,$573.55 ,$838.80 ,$370.51 ,$695.55 ,$460.89 , N/A ,$37.33 ,$871.42 , N/A ,$35.55 ,$810.84 , N/A ,$838.80 , N/A ,$838.80 ,$838.80 ,$838.80 ,$904.04 ,$754.92 ,$838.80 ,$838.80 ,$838.80 ,$838.80 
ST. JOSEPH'S - CHIPPEWA FALLS,40200059,76946,HC US GUIDED AMNIOCENTESIS,402,1 ,$771.00 ,$578.25 ,$35.55 ,$771.00 ,$496.52 , N/A ,$539.70 ,$35.55 ,$428.00 ,$36.62 ,$342.00 ,$732.45 , N/A ,$616.80 ,$701.61 ,$35.55 ,$724.74 ,$732.45 ,$693.90 ,$655.35 ,$35.55 ,$35.55 ,$35.55 ,$562.83 , N/A ,$686.19 ,$693.90 ,$693.90 ,$616.80 , N/A ,$424.05 ,$693.90 , N/A ,$693.90 , N/A ,$732.45 , N/A ,$709.32 ,$37.68 ,$701.61 , N/A ,$474.47 ,$496.52 ,$474.47 ,$693.90 ,$327.98 ,$575.40 ,$460.89 , N/A ,$37.33 ,$720.89 , N/A ,$35.55 ,$670.77 , N/A ,$693.90 , N/A ,$693.90 ,$693.90 ,$693.90 ,$747.87 ,$624.51 ,$693.90 ,$693.90 ,$693.90 ,$693.90 
ST. JOSEPH'S - CHIPPEWA FALLS,40200062,76998,HC US INTRAOPERATIVE,402,1 ,$330.00 ,$247.50 ,$35.55 ,$330.00 ,$212.52 , N/A ,$231.00 ,$35.55 ,$330.00 ,$36.62 ,$330.00 ,$313.50 , N/A ,$264.00 ,$300.30 ,$35.55 ,$310.20 ,$313.50 ,$297.00 ,$280.50 ,$35.55 ,$35.55 ,$35.55 ,$240.90 , N/A ,$293.70 ,$297.00 ,$297.00 ,$264.00 , N/A ,$181.50 ,$297.00 , N/A ,$297.00 , N/A ,$313.50 , N/A ,$303.60 ,$37.68 ,$300.30 , N/A ,$203.08 ,$212.52 ,$203.08 ,$297.00 ,$122.39 ,$246.28 ,$297.00 , N/A ,$37.33 ,$308.55 , N/A ,$35.55 ,$287.10 , N/A ,$297.00 , N/A ,$297.00 ,$297.00 ,$297.00 ,$320.10 ,$267.30 ,$297.00 ,$297.00 ,$297.00 ,$297.00 
ST. JOSEPH'S - CHIPPEWA FALLS,40200064,93975,HC DUPLEX ABD/PEL/RETRO CMPL,402,1 ,$863.00 ,$647.25 ,$52.74 ,$863.00 ,$555.77 ,$237.45 ,$604.10 ,$52.74 ,$428.00 ,$54.32 ,$342.00 ,$819.85 , N/A ,$690.40 ,$785.33 ,$52.74 ,$811.22 ,$819.85 ,$776.70 ,$733.55 ,$52.74 ,$52.74 ,$52.74 ,$629.99 ,$237.45 ,$768.07 ,$776.70 ,$776.70 ,$690.40 ,$244.58 ,$474.65 ,$776.70 ,$237.45 ,$776.70 ,$237.45 ,$819.85 ,$534.27 ,$793.96 ,$55.90 ,$785.33 ,$237.45 ,$531.09 ,$555.77 ,$531.09 ,$776.70 ,$198.32 ,$644.06 ,$460.89 ,$239.83 ,$55.38 ,$806.91 ,$249.32 ,$52.74 ,$750.81 ,$237.45 ,$776.70 ,$237.45 ,$776.70 ,$776.70 ,$776.70 ,$837.11 ,$699.03 ,$776.70 ,$776.70 ,$776.70 ,$776.70 
ST. JOSEPH'S - CHIPPEWA FALLS,40200067,93975,HC DUPLEX ABD/PEL/RETRO CMPL AORTA,402,1 ,$863.00 ,$647.25 ,$52.74 ,$863.00 ,$555.77 ,$237.45 ,$604.10 ,$52.74 ,$428.00 ,$54.32 ,$342.00 ,$819.85 , N/A ,$690.40 ,$785.33 ,$52.74 ,$811.22 ,$819.85 ,$776.70 ,$733.55 ,$52.74 ,$52.74 ,$52.74 ,$629.99 ,$237.45 ,$768.07 ,$776.70 ,$776.70 ,$690.40 ,$244.58 ,$474.65 ,$776.70 ,$237.45 ,$776.70 ,$237.45 ,$819.85 ,$534.27 ,$793.96 ,$55.90 ,$785.33 ,$237.45 ,$531.09 ,$555.77 ,$531.09 ,$776.70 ,$198.32 ,$644.06 ,$460.89 ,$239.83 ,$55.38 ,$806.91 ,$249.32 ,$52.74 ,$750.81 ,$237.45 ,$776.70 ,$237.45 ,$776.70 ,$776.70 ,$776.70 ,$837.11 ,$699.03 ,$776.70 ,$776.70 ,$776.70 ,$776.70 
ST. JOSEPH'S - CHIPPEWA FALLS,40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,$824.00 ,$618.00 ,$52.74 ,$824.00 ,$530.66 ,$112.35 ,$576.80 ,$52.74 ,$428.00 ,$54.32 ,$342.00 ,$782.80 , N/A ,$659.20 ,$749.84 ,$52.74 ,$774.56 ,$782.80 ,$741.60 ,$700.40 ,$52.74 ,$52.74 ,$52.74 ,$601.52 ,$112.35 ,$733.36 ,$741.60 ,$741.60 ,$659.20 ,$115.72 ,$453.20 ,$741.60 ,$112.35 ,$741.60 ,$112.35 ,$782.80 ,$252.79 ,$758.08 ,$55.90 ,$749.84 ,$112.35 ,$507.09 ,$530.66 ,$507.09 ,$741.60 ,$267.97 ,$614.95 ,$460.89 ,$113.47 ,$55.38 ,$770.44 ,$117.97 ,$52.74 ,$716.88 ,$112.35 ,$741.60 ,$112.35 ,$741.60 ,$741.60 ,$741.60 ,$799.28 ,$667.44 ,$741.60 ,$741.60 ,$741.60 ,$741.60 
ST. JOSEPH'S - CHIPPEWA FALLS,40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,921,1 ,$921.00 ,$690.75 ,$52.74 ,$921.00 ,$593.12 ,$237.45 ,$644.70 ,$52.74 ,$764.43 ,$54.32 ,$607.86 ,$874.95 , N/A ,$736.80 ,$838.11 ,$52.74 ,$865.74 ,$874.95 ,$828.90 ,$782.85 ,$52.74 ,$52.74 ,$52.74 ,$672.33 ,$237.45 ,$819.69 ,$828.90 ,$828.90 ,$736.80 ,$244.58 ,$506.55 ,$828.90 ,$237.45 ,$828.90 ,$237.45 ,$874.95 ,$534.27 ,$847.32 ,$55.90 ,$838.11 ,$237.45 ,$566.78 ,$593.12 ,$566.78 ,$828.90 ,$828.90 ,$687.34 ,$641.48 ,$239.83 ,$55.38 ,$861.14 ,$249.32 ,$52.74 ,$801.27 ,$237.45 ,$828.90 ,$237.45 ,$828.90 ,$828.90 ,$828.90 ,$893.37 ,$746.01 ,$828.90 ,$828.90 ,$828.90 ,$828.90 
ST. JOSEPH'S - CHIPPEWA FALLS,40200075,76706,HC US AORTA (SCREENING),402,1 ,$515.00 ,$386.25 ,$34.74 ,$515.00 ,$331.66 ,$112.35 ,$360.50 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$489.25 , N/A ,$412.00 ,$468.65 ,$34.74 ,$484.10 ,$489.25 ,$463.50 ,$437.75 ,$34.74 ,$34.74 ,$34.74 ,$375.95 ,$112.35 ,$458.35 ,$463.50 ,$463.50 ,$412.00 ,$115.72 ,$283.25 ,$463.50 ,$112.35 ,$463.50 ,$112.35 ,$489.25 ,$252.79 ,$473.80 ,$36.82 ,$468.65 ,$112.35 ,$316.93 ,$331.66 ,$316.93 ,$463.50 ,$182.08 ,$384.34 ,$460.89 ,$113.47 ,$36.48 ,$481.53 ,$117.97 ,$34.74 ,$448.05 ,$112.35 ,$463.50 ,$112.35 ,$463.50 ,$463.50 ,$463.50 ,$499.55 ,$417.15 ,$463.50 ,$463.50 ,$463.50 ,$463.50 
ST. JOSEPH'S - CHIPPEWA FALLS,40200092,76813,HC US FETAL NUCHAL TRANSLUCENCY SNG,402,1 ,$577.00 ,$432.75 ,$31.94 ,$577.00 ,$371.59 ,$112.35 ,$403.90 ,$31.94 ,$428.00 ,$32.90 ,$342.00 ,$548.15 , N/A ,$461.60 ,$525.07 ,$31.94 ,$542.38 ,$548.15 ,$519.30 ,$490.45 ,$31.94 ,$31.94 ,$31.94 ,$421.21 ,$112.35 ,$513.53 ,$519.30 ,$519.30 ,$461.60 ,$115.72 ,$317.35 ,$519.30 ,$112.35 ,$519.30 ,$112.35 ,$548.15 ,$252.79 ,$530.84 ,$33.86 ,$525.07 ,$112.35 ,$355.09 ,$371.59 ,$355.09 ,$519.30 ,$136.94 ,$430.62 ,$460.89 ,$113.47 ,$33.54 ,$539.50 ,$117.97 ,$31.94 ,$501.99 ,$112.35 ,$519.30 ,$112.35 ,$519.30 ,$519.30 ,$519.30 ,$559.69 ,$467.37 ,$519.30 ,$519.30 ,$519.30 ,$519.30 
ST. JOSEPH'S - CHIPPEWA FALLS,40200093,76814,HC US FETAL NUCHAL TRANSLUCENCY ADDL,402,1 ,$363.00 ,$272.25 ,$31.94 ,$363.00 ,$233.77 , N/A ,$254.10 ,$31.94 ,$363.00 ,$32.90 ,$342.00 ,$344.85 , N/A ,$290.40 ,$330.33 ,$31.94 ,$341.22 ,$344.85 ,$326.70 ,$308.55 ,$31.94 ,$31.94 ,$31.94 ,$264.99 , N/A ,$323.07 ,$326.70 ,$326.70 ,$290.40 , N/A ,$199.65 ,$326.70 , N/A ,$326.70 , N/A ,$344.85 , N/A ,$333.96 ,$33.86 ,$330.33 , N/A ,$223.39 ,$233.77 ,$223.39 ,$326.70 ,$95.93 ,$270.91 ,$326.70 , N/A ,$33.54 ,$339.41 , N/A ,$31.94 ,$315.81 , N/A ,$326.70 , N/A ,$326.70 ,$326.70 ,$326.70 ,$352.11 ,$294.03 ,$326.70 ,$326.70 ,$326.70 ,$326.70 
ST. JOSEPH'S - CHIPPEWA FALLS,40200097,76816,HC US OB GROWTH FOLLOWUP EA ADDN,402,1 ,$340.00 ,$255.00 ,$31.94 ,$340.00 ,$218.96 ,$112.35 ,$238.00 ,$31.94 ,$340.00 ,$32.90 ,$340.00 ,$323.00 , N/A ,$272.00 ,$309.40 ,$31.94 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$31.94 ,$31.94 ,$31.94 ,$248.20 ,$112.35 ,$302.60 ,$306.00 ,$306.00 ,$272.00 ,$115.72 ,$187.00 ,$306.00 ,$112.35 ,$306.00 ,$112.35 ,$323.00 ,$252.79 ,$312.80 ,$33.86 ,$309.40 ,$112.35 ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$238.50 ,$253.74 ,$306.00 ,$113.47 ,$33.54 ,$317.90 ,$117.97 ,$31.94 ,$295.80 ,$112.35 ,$306.00 ,$112.35 ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 
ST. JOSEPH'S - CHIPPEWA FALLS,40200101,76981,HC US ELASTOGRAPHY SINGLE ORGAN,402,1 ,$545.00 ,$408.75 ,$34.74 ,$545.00 ,$350.98 ,$112.35 ,$381.50 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$517.75 , N/A ,$436.00 ,$495.95 ,$34.74 ,$512.30 ,$517.75 ,$490.50 ,$463.25 ,$34.74 ,$34.74 ,$34.74 ,$397.85 ,$112.35 ,$485.05 ,$490.50 ,$490.50 ,$436.00 ,$115.72 ,$299.75 ,$490.50 ,$112.35 ,$490.50 ,$112.35 ,$517.75 ,$252.79 ,$501.40 ,$36.82 ,$495.95 ,$112.35 ,$335.39 ,$350.98 ,$335.39 ,$490.50 ,$490.50 ,$406.73 ,$460.89 ,$113.47 ,$36.48 ,$509.58 ,$117.97 ,$34.74 ,$474.15 ,$112.35 ,$490.50 ,$112.35 ,$490.50 ,$490.50 ,$490.50 ,$528.65 ,$441.45 ,$490.50 ,$490.50 ,$490.50 ,$490.50 
ST. JOSEPH'S - CHIPPEWA FALLS,40200102,76982,HC US ELASTOGRAPHY FIRST LESION,402,1 ,$545.00 ,$408.75 ,$34.74 ,$545.00 ,$350.98 ,$112.35 ,$381.50 ,$34.74 ,$428.00 ,$35.78 ,$342.00 ,$517.75 , N/A ,$436.00 ,$495.95 ,$34.74 ,$512.30 ,$517.75 ,$490.50 ,$463.25 ,$34.74 ,$34.74 ,$34.74 ,$397.85 ,$112.35 ,$485.05 ,$490.50 ,$490.50 ,$436.00 ,$115.72 ,$299.75 ,$490.50 ,$112.35 ,$490.50 ,$112.35 ,$517.75 ,$252.79 ,$501.40 ,$36.82 ,$495.95 ,$112.35 ,$335.39 ,$350.98 ,$335.39 ,$490.50 ,$490.50 ,$406.73 ,$460.89 ,$113.47 ,$36.48 ,$509.58 ,$117.97 ,$34.74 ,$474.15 ,$112.35 ,$490.50 ,$112.35 ,$490.50 ,$490.50 ,$490.50 ,$528.65 ,$441.45 ,$490.50 ,$490.50 ,$490.50 ,$490.50 
ST. JOSEPH'S - CHIPPEWA FALLS,40200103,76983,HC US ELASTOGRAPHY EA ADDL LESION,402,1 ,$325.00 ,$243.75 ,$34.74 ,$325.00 ,$209.30 , N/A ,$227.50 ,$34.74 ,$325.00 ,$35.78 ,$325.00 ,$308.75 , N/A ,$260.00 ,$295.75 ,$34.74 ,$305.50 ,$308.75 ,$292.50 ,$276.25 ,$34.74 ,$34.74 ,$34.74 ,$237.25 , N/A ,$289.25 ,$292.50 ,$292.50 ,$260.00 , N/A ,$178.75 ,$292.50 , N/A ,$292.50 , N/A ,$308.75 , N/A ,$299.00 ,$36.82 ,$295.75 , N/A ,$200.01 ,$209.30 ,$200.01 ,$292.50 ,$292.50 ,$242.55 ,$292.50 , N/A ,$36.48 ,$303.88 , N/A ,$34.74 ,$282.75 , N/A ,$292.50 , N/A ,$292.50 ,$292.50 ,$292.50 ,$315.25 ,$263.25 ,$292.50 ,$292.50 ,$292.50 ,$292.50 
ST. JOSEPH'S - CHIPPEWA FALLS,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$298.62 ,$223.97 ,$15.90 ,$298.62 ,$192.31 ,$89.75 ,$209.03 ,$15.90 ,$214.00 ,$16.38 ,$172.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$15.90 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$15.90 ,$15.90 ,$15.90 ,$217.99 ,$89.75 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$92.44 ,$164.24 ,$268.76 ,$89.75 ,$268.76 ,$89.75 ,$283.69 ,$201.94 ,$274.73 ,$16.85 ,$271.74 ,$89.75 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$263.53 ,$222.86 ,$267.96 ,$90.65 ,$16.70 ,$279.21 ,$94.24 ,$15.90 ,$259.80 ,$89.75 ,$268.76 ,$89.75 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 
ST. JOSEPH'S - CHIPPEWA FALLS,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$298.62 ,$223.97 ,$15.90 ,$298.62 ,$192.31 ,$89.75 ,$209.03 ,$15.90 ,$214.00 ,$16.38 ,$172.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$15.90 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$15.90 ,$15.90 ,$15.90 ,$217.99 ,$89.75 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$92.44 ,$164.24 ,$268.76 ,$89.75 ,$268.76 ,$89.75 ,$283.69 ,$201.94 ,$274.73 ,$16.85 ,$271.74 ,$89.75 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$263.53 ,$222.86 ,$267.96 ,$90.65 ,$16.70 ,$279.21 ,$94.24 ,$15.90 ,$259.80 ,$89.75 ,$268.76 ,$89.75 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 
ST. JOSEPH'S - CHIPPEWA FALLS,40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$40.00 ,$30.00 ,$15.90 ,$51.35 ,$25.76 ,$22.82 ,$28.00 ,$15.90 ,$33.20 ,$16.38 ,$26.40 ,$38.00 , N/A ,$32.00 ,$36.40 ,$15.90 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$15.90 ,$15.90 ,$15.90 ,$29.20 ,$22.82 ,$35.60 ,$36.00 ,$36.00 ,$32.00 ,$23.50 ,$22.00 ,$36.00 ,$22.82 ,$36.00 ,$22.82 ,$38.00 ,$51.35 ,$36.80 ,$16.85 ,$36.40 ,$22.82 ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$40.00 ,$29.85 , N/A ,$23.05 ,$16.70 ,$37.40 ,$23.96 ,$15.90 ,$34.80 ,$22.82 ,$36.00 ,$22.82 ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 
ST. JOSEPH'S - CHIPPEWA FALLS,40400004,78815,HC PET W/CT TUMR SKULL MID-THIGH,404,1 ,"$3,523.00 ","$2,642.25 ",$411.24 ,"$3,523.00 ","$2,268.81 ","$1,527.34 ","$2,466.10 ",$411.24 ,"$2,680.00 ",$423.58 ,"$2,143.00 ","$3,346.85 ", N/A ,"$2,818.40 ","$3,205.93 ",$411.24 ,"$3,311.62 ","$3,346.85 ","$3,170.70 ","$2,994.55 ",$411.24 ,$411.24 ,$411.24 ,"$2,571.79 ","$1,527.34 ","$3,135.47 ","$3,170.70 ","$3,170.70 ","$2,818.40 ","$1,573.16 ","$1,937.65 ","$3,170.70 ","$1,527.34 ","$3,170.70 ","$1,527.34 ","$3,346.85 ","$3,436.52 ","$3,241.16 ",$435.91 ,"$3,205.93 ","$1,527.34 ","$2,168.05 ","$2,268.81 ","$2,168.05 ","$3,170.70 ",$600.38 ,"$2,629.21 ","$2,947.58 ","$1,542.61 ",$431.80 ,"$3,294.01 ","$1,603.71 ",$411.24 ,"$3,065.01 ","$1,527.34 ","$3,170.70 ","$1,527.34 ","$3,170.70 ","$3,170.70 ","$3,170.70 ","$3,417.31 ","$2,853.63 ","$3,170.70 ","$3,170.70 ","$3,170.70 ","$3,170.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,40400005,78816,HC PET W/CT MELAN IMAG WHOLE BODY,404,1 ,"$3,367.00 ","$2,525.25 ",$411.24 ,"$3,436.52 ","$2,168.35 ","$1,527.34 ","$2,356.90 ",$411.24 ,"$2,680.00 ",$423.58 ,"$2,143.00 ","$3,198.65 ", N/A ,"$2,693.60 ","$3,063.97 ",$411.24 ,"$3,164.98 ","$3,198.65 ","$3,030.30 ","$2,861.95 ",$411.24 ,$411.24 ,$411.24 ,"$2,457.91 ","$1,527.34 ","$2,996.63 ","$3,030.30 ","$3,030.30 ","$2,693.60 ","$1,573.16 ","$1,851.85 ","$3,030.30 ","$1,527.34 ","$3,030.30 ","$1,527.34 ","$3,198.65 ","$3,436.52 ","$3,097.64 ",$435.91 ,"$3,063.97 ","$1,527.34 ","$2,072.05 ","$2,168.35 ","$2,072.05 ","$3,030.30 ",$614.50 ,"$2,512.79 ","$2,947.58 ","$1,542.61 ",$431.80 ,"$3,148.15 ","$1,603.71 ",$411.24 ,"$2,929.29 ","$1,527.34 ","$3,030.30 ","$1,527.34 ","$3,030.30 ","$3,030.30 ","$3,030.30 ","$3,265.99 ","$2,727.27 ","$3,030.30 ","$3,030.30 ","$3,030.30 ","$3,030.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,41000004,N/A,HC COUGH ASSIST,410,1 ,$45.00 ,$33.75 ,$24.75 ,$45.00 ,$28.98 , N/A ,$31.50 , N/A ,$37.35 , N/A ,$29.70 ,$42.75 , N/A ,$36.00 ,$40.95 , N/A ,$42.30 ,$42.75 ,$40.50 ,$38.25 , N/A , N/A , N/A ,$32.85 , N/A ,$40.05 ,$40.50 ,$40.50 ,$36.00 , N/A ,$24.75 ,$40.50 , N/A ,$40.50 , N/A ,$42.75 , N/A ,$41.40 , N/A ,$40.95 , N/A ,$27.69 ,$28.98 ,$27.69 ,$40.50 ,$40.50 ,$33.58 ,$31.34 , N/A , N/A ,$42.08 , N/A , N/A ,$39.15 , N/A ,$40.50 , N/A ,$40.50 ,$40.50 ,$40.50 ,$43.65 ,$36.45 ,$40.50 ,$40.50 ,$40.50 ,$40.50 
ST. JOSEPH'S - CHIPPEWA FALLS,41000005,92950,HC CPR,480,1 ,"$1,482.00 ","$1,111.50 ",$273.11 ,"$1,482.00 ",$954.41 ,$273.11 ,"$1,037.40 ",$285.38 ,"$1,230.06 ",$293.94 ,$978.12 ,"$1,407.90 ", N/A ,"$1,185.60 ","$1,348.62 ",$285.38 ,"$1,393.08 ","$1,407.90 ","$1,333.80 ","$1,259.70 ",$285.38 ,$285.38 ,$285.38 ,"$1,081.86 ",$273.11 ,"$1,318.98 ","$1,333.80 ","$1,333.80 ","$1,185.60 ",$281.31 ,$815.10 ,"$1,333.80 ",$273.11 ,"$1,333.80 ",$273.11 ,"$1,407.90 ",$614.50 ,"$1,363.44 ",$302.50 ,"$1,348.62 ",$273.11 ,$912.02 ,$954.41 ,$912.02 ,"$1,333.80 ","$1,333.80 ","$1,106.02 ","$1,032.21 ",$275.84 ,$299.65 ,"$1,385.67 ",$286.77 ,$285.38 ,"$1,289.34 ",$273.11 ,"$1,333.80 ",$273.11 ,"$1,333.80 ","$1,333.80 ","$1,333.80 ","$1,437.54 ","$1,200.42 ","$1,333.80 ","$1,333.80 ","$1,333.80 ","$1,333.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,"$1,120.00 ",$840.00 ,$202.16 ,"$1,131.15 ",$721.28 ,$502.73 ,$784.00 ,$202.16 ,$929.60 ,$208.22 ,$739.20 ,"$1,064.00 ", N/A ,$896.00 ,"$1,019.20 ",$202.16 ,"$1,052.80 ","$1,064.00 ","$1,008.00 ",$952.00 ,$202.16 ,$202.16 ,$202.16 ,$817.60 ,$502.73 ,$996.80 ,"$1,008.00 ","$1,008.00 ",$896.00 ,$517.82 ,$616.00 ,"$1,008.00 ",$502.73 ,"$1,008.00 ",$502.73 ,"$1,064.00 ","$1,131.15 ","$1,030.40 ",$214.29 ,"$1,019.20 ",$502.73 ,$689.25 ,$721.28 ,$689.25 ,"$1,008.00 ","$1,008.00 ",$835.86 ,$780.08 ,$507.76 ,$212.27 ,"$1,047.20 ",$527.87 ,$202.16 ,$974.40 ,$502.73 ,"$1,008.00 ",$502.73 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ","$1,086.40 ",$907.20 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ","$1,008.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,$699.00 ,$524.25 ,$38.97 ,$699.00 ,$450.16 ,$193.97 ,$489.30 ,$38.97 ,$580.17 ,$40.14 ,$461.34 ,$664.05 , N/A ,$559.20 ,$636.09 ,$38.97 ,$657.06 ,$664.05 ,$629.10 ,$594.15 ,$38.97 ,$38.97 ,$38.97 ,$510.27 ,$193.97 ,$622.11 ,$629.10 ,$629.10 ,$559.20 ,$199.79 ,$384.45 ,$629.10 ,$193.97 ,$629.10 ,$193.97 ,$664.05 ,$436.44 ,$643.08 ,$41.31 ,$636.09 ,$193.97 ,$430.16 ,$450.16 ,$430.16 ,$629.10 ,$629.10 ,$521.66 ,$486.85 ,$195.91 ,$40.92 ,$653.57 ,$203.67 ,$38.97 ,$608.13 ,$193.97 ,$629.10 ,$193.97 ,$629.10 ,$629.10 ,$629.10 ,$678.03 ,$566.19 ,$629.10 ,$629.10 ,$629.10 ,$629.10 
ST. JOSEPH'S - CHIPPEWA FALLS,41000014,94002,HC VENT WEANING FIRST DAY,410,1 ,"$1,120.00 ",$840.00 ,$202.16 ,"$1,131.15 ",$721.28 ,$502.73 ,$784.00 ,$202.16 ,$929.60 ,$208.22 ,$739.20 ,"$1,064.00 ", N/A ,$896.00 ,"$1,019.20 ",$202.16 ,"$1,052.80 ","$1,064.00 ","$1,008.00 ",$952.00 ,$202.16 ,$202.16 ,$202.16 ,$817.60 ,$502.73 ,$996.80 ,"$1,008.00 ","$1,008.00 ",$896.00 ,$517.82 ,$616.00 ,"$1,008.00 ",$502.73 ,"$1,008.00 ",$502.73 ,"$1,064.00 ","$1,131.15 ","$1,030.40 ",$214.29 ,"$1,019.20 ",$502.73 ,$689.25 ,$721.28 ,$689.25 ,"$1,008.00 ","$1,008.00 ",$835.86 ,$780.08 ,$507.76 ,$212.27 ,"$1,047.20 ",$527.87 ,$202.16 ,$974.40 ,$502.73 ,"$1,008.00 ",$502.73 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ","$1,086.40 ",$907.20 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ","$1,008.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,41000016,94660,HC VENT NONINVAS NEO INTL DAY,410,1 ,$699.00 ,$524.25 ,$38.97 ,$699.00 ,$450.16 ,$193.97 ,$489.30 ,$38.97 ,$580.17 ,$40.14 ,$461.34 ,$664.05 , N/A ,$559.20 ,$636.09 ,$38.97 ,$657.06 ,$664.05 ,$629.10 ,$594.15 ,$38.97 ,$38.97 ,$38.97 ,$510.27 ,$193.97 ,$622.11 ,$629.10 ,$629.10 ,$559.20 ,$199.79 ,$384.45 ,$629.10 ,$193.97 ,$629.10 ,$193.97 ,$664.05 ,$436.44 ,$643.08 ,$41.31 ,$636.09 ,$193.97 ,$430.16 ,$450.16 ,$430.16 ,$629.10 ,$629.10 ,$521.66 ,$486.85 ,$195.91 ,$40.92 ,$653.57 ,$203.67 ,$38.97 ,$608.13 ,$193.97 ,$629.10 ,$193.97 ,$629.10 ,$629.10 ,$629.10 ,$678.03 ,$566.19 ,$629.10 ,$629.10 ,$629.10 ,$629.10 
ST. JOSEPH'S - CHIPPEWA FALLS,41000018,94660,HC VENT NONINVAS PEDS INTL DAY,410,1 ,$607.00 ,$455.25 ,$38.97 ,$607.00 ,$390.91 ,$193.97 ,$424.90 ,$38.97 ,$503.81 ,$40.14 ,$400.62 ,$576.65 , N/A ,$485.60 ,$552.37 ,$38.97 ,$570.58 ,$576.65 ,$546.30 ,$515.95 ,$38.97 ,$38.97 ,$38.97 ,$443.11 ,$193.97 ,$540.23 ,$546.30 ,$546.30 ,$485.60 ,$199.79 ,$333.85 ,$546.30 ,$193.97 ,$546.30 ,$193.97 ,$576.65 ,$436.44 ,$558.44 ,$41.31 ,$552.37 ,$193.97 ,$373.55 ,$390.91 ,$373.55 ,$546.30 ,$546.30 ,$453.00 ,$422.78 ,$195.91 ,$40.92 ,$567.55 ,$203.67 ,$38.97 ,$528.09 ,$193.97 ,$546.30 ,$193.97 ,$546.30 ,$546.30 ,$546.30 ,$588.79 ,$491.67 ,$546.30 ,$546.30 ,$546.30 ,$546.30 
ST. JOSEPH'S - CHIPPEWA FALLS,41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,"$1,120.00 ",$840.00 ,$202.16 ,"$1,131.15 ",$721.28 ,$502.73 ,$784.00 ,$202.16 ,$929.60 ,$208.22 ,$739.20 ,"$1,064.00 ", N/A ,$896.00 ,"$1,019.20 ",$202.16 ,"$1,052.80 ","$1,064.00 ","$1,008.00 ",$952.00 ,$202.16 ,$202.16 ,$202.16 ,$817.60 ,$502.73 ,$996.80 ,"$1,008.00 ","$1,008.00 ",$896.00 ,$517.82 ,$616.00 ,"$1,008.00 ",$502.73 ,"$1,008.00 ",$502.73 ,"$1,064.00 ","$1,131.15 ","$1,030.40 ",$214.29 ,"$1,019.20 ",$502.73 ,$689.25 ,$721.28 ,$689.25 ,"$1,008.00 ","$1,008.00 ",$835.86 ,$780.08 ,$507.76 ,$212.27 ,"$1,047.20 ",$527.87 ,$202.16 ,$974.40 ,$502.73 ,"$1,008.00 ",$502.73 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ","$1,086.40 ",$907.20 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ","$1,008.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,$323.00 ,$242.25 ,$38.97 ,$436.44 ,$208.01 ,$193.97 ,$226.10 ,$38.97 ,$268.09 ,$40.14 ,$213.18 ,$306.85 , N/A ,$258.40 ,$293.93 ,$38.97 ,$303.62 ,$306.85 ,$290.70 ,$274.55 ,$38.97 ,$38.97 ,$38.97 ,$235.79 ,$193.97 ,$287.47 ,$290.70 ,$290.70 ,$258.40 ,$199.79 ,$177.65 ,$290.70 ,$193.97 ,$290.70 ,$193.97 ,$306.85 ,$436.44 ,$297.16 ,$41.31 ,$293.93 ,$193.97 ,$198.77 ,$208.01 ,$198.77 ,$290.70 ,$290.70 ,$241.05 ,$224.97 ,$195.91 ,$40.92 ,$302.01 ,$203.67 ,$38.97 ,$281.01 ,$193.97 ,$290.70 ,$193.97 ,$290.70 ,$290.70 ,$290.70 ,$313.31 ,$261.63 ,$290.70 ,$290.70 ,$290.70 ,$290.70 
ST. JOSEPH'S - CHIPPEWA FALLS,41000030,94003,HC VENT WEANING SUBQ DAY,410,1 ,"$1,120.00 ",$840.00 ,$202.16 ,"$1,131.15 ",$721.28 ,$502.73 ,$784.00 ,$202.16 ,$929.60 ,$208.22 ,$739.20 ,"$1,064.00 ", N/A ,$896.00 ,"$1,019.20 ",$202.16 ,"$1,052.80 ","$1,064.00 ","$1,008.00 ",$952.00 ,$202.16 ,$202.16 ,$202.16 ,$817.60 ,$502.73 ,$996.80 ,"$1,008.00 ","$1,008.00 ",$896.00 ,$517.82 ,$616.00 ,"$1,008.00 ",$502.73 ,"$1,008.00 ",$502.73 ,"$1,064.00 ","$1,131.15 ","$1,030.40 ",$214.29 ,"$1,019.20 ",$502.73 ,$689.25 ,$721.28 ,$689.25 ,"$1,008.00 ","$1,008.00 ",$835.86 ,$780.08 ,$507.76 ,$212.27 ,"$1,047.20 ",$527.87 ,$202.16 ,$974.40 ,$502.73 ,"$1,008.00 ",$502.73 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ","$1,086.40 ",$907.20 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ","$1,008.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$159.00 ,$119.25 ,$16.35 ,$436.44 ,$102.40 ,$193.97 ,$111.30 ,$16.35 ,$131.97 ,$16.84 ,$104.94 ,$151.05 , N/A ,$127.20 ,$144.69 ,$16.35 ,$149.46 ,$151.05 ,$143.10 ,$135.15 ,$16.35 ,$16.35 ,$16.35 ,$116.07 ,$193.97 ,$141.51 ,$143.10 ,$143.10 ,$127.20 ,$199.79 ,$87.45 ,$143.10 ,$193.97 ,$143.10 ,$193.97 ,$151.05 ,$436.44 ,$146.28 ,$17.33 ,$144.69 ,$193.97 ,$97.85 ,$102.40 ,$97.85 ,$143.10 ,$143.10 ,$118.66 ,$110.74 ,$195.91 ,$17.17 ,$148.67 ,$203.67 ,$16.35 ,$138.33 ,$193.97 ,$143.10 ,$193.97 ,$143.10 ,$143.10 ,$143.10 ,$154.23 ,$128.79 ,$143.10 ,$143.10 ,$143.10 ,$143.10 
ST. JOSEPH'S - CHIPPEWA FALLS,41000040,94640,HC EZ PAP TREATMENT,410,1 ,$389.00 ,$291.75 ,$16.35 ,$436.44 ,$250.52 ,$193.97 ,$272.30 ,$16.35 ,$322.87 ,$16.84 ,$256.74 ,$369.55 , N/A ,$311.20 ,$353.99 ,$16.35 ,$365.66 ,$369.55 ,$350.10 ,$330.65 ,$16.35 ,$16.35 ,$16.35 ,$283.97 ,$193.97 ,$346.21 ,$350.10 ,$350.10 ,$311.20 ,$199.79 ,$213.95 ,$350.10 ,$193.97 ,$350.10 ,$193.97 ,$369.55 ,$436.44 ,$357.88 ,$17.33 ,$353.99 ,$193.97 ,$239.39 ,$250.52 ,$239.39 ,$350.10 ,$350.10 ,$290.31 ,$270.94 ,$195.91 ,$17.17 ,$363.72 ,$203.67 ,$16.35 ,$338.43 ,$193.97 ,$350.10 ,$193.97 ,$350.10 ,$350.10 ,$350.10 ,$377.33 ,$315.09 ,$350.10 ,$350.10 ,$350.10 ,$350.10 
ST. JOSEPH'S - CHIPPEWA FALLS,41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$146.00 ,$109.50 ,$16.35 ,$436.44 ,$94.02 ,$193.97 ,$102.20 ,$16.35 ,$121.18 ,$16.84 ,$96.36 ,$138.70 , N/A ,$116.80 ,$132.86 ,$16.35 ,$137.24 ,$138.70 ,$131.40 ,$124.10 ,$16.35 ,$16.35 ,$16.35 ,$106.58 ,$193.97 ,$129.94 ,$131.40 ,$131.40 ,$116.80 ,$199.79 ,$80.30 ,$131.40 ,$193.97 ,$131.40 ,$193.97 ,$138.70 ,$436.44 ,$134.32 ,$17.33 ,$132.86 ,$193.97 ,$89.85 ,$94.02 ,$89.85 ,$131.40 ,$131.40 ,$108.96 ,$101.69 ,$195.91 ,$17.17 ,$136.51 ,$203.67 ,$16.35 ,$127.02 ,$193.97 ,$131.40 ,$193.97 ,$131.40 ,$131.40 ,$131.40 ,$141.62 ,$118.26 ,$131.40 ,$131.40 ,$131.40 ,$131.40 
ST. JOSEPH'S - CHIPPEWA FALLS,41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$488.89 ,$366.67 ,$16.35 ,$488.89 ,$314.85 ,$116.36 ,$342.22 ,$16.35 ,$405.78 ,$16.84 ,$322.67 ,$464.45 , N/A ,$391.11 ,$444.89 ,$16.35 ,$459.56 ,$464.45 ,$440.00 ,$415.56 ,$16.35 ,$16.35 ,$16.35 ,$356.89 ,$116.36 ,$435.11 ,$440.00 ,$440.00 ,$391.11 ,$119.85 ,$268.89 ,$440.00 ,$116.36 ,$440.00 ,$116.36 ,$464.45 ,$261.82 ,$449.78 ,$17.33 ,$444.89 ,$116.36 ,$300.86 ,$314.85 ,$300.86 ,$440.00 ,$440.00 ,$364.86 ,$340.51 ,$117.53 ,$17.17 ,$457.11 ,$122.18 ,$16.35 ,$425.33 ,$116.36 ,$440.00 ,$116.36 ,$440.00 ,$440.00 ,$440.00 ,$474.22 ,$396.00 ,$440.00 ,$440.00 ,$440.00 ,$440.00 
ST. JOSEPH'S - CHIPPEWA FALLS,41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$165.65 ,$124.24 ,$16.35 ,$165.65 ,$106.68 , N/A ,$115.96 ,$16.35 ,$137.49 ,$16.84 ,$109.33 ,$157.37 , N/A ,$132.52 ,$150.74 ,$16.35 ,$155.71 ,$157.37 ,$149.09 ,$140.80 ,$16.35 ,$16.35 ,$16.35 ,$120.92 , N/A ,$147.43 ,$149.09 ,$149.09 ,$132.52 , N/A ,$91.11 ,$149.09 , N/A ,$149.09 , N/A ,$157.37 , N/A ,$152.40 ,$17.33 ,$150.74 , N/A ,$101.94 ,$106.68 ,$101.94 ,$149.09 ,$149.09 ,$123.62 ,$115.38 , N/A ,$17.17 ,$154.88 , N/A ,$16.35 ,$144.12 , N/A ,$149.09 , N/A ,$149.09 ,$149.09 ,$149.09 ,$160.68 ,$134.18 ,$149.09 ,$149.09 ,$149.09 ,$149.09 
ST. JOSEPH'S - CHIPPEWA FALLS,41000052,94660,HC CPAP,410,1 ,$607.00 ,$455.25 ,$38.97 ,$607.00 ,$390.91 ,$193.97 ,$424.90 ,$38.97 ,$503.81 ,$40.14 ,$400.62 ,$576.65 , N/A ,$485.60 ,$552.37 ,$38.97 ,$570.58 ,$576.65 ,$546.30 ,$515.95 ,$38.97 ,$38.97 ,$38.97 ,$443.11 ,$193.97 ,$540.23 ,$546.30 ,$546.30 ,$485.60 ,$199.79 ,$333.85 ,$546.30 ,$193.97 ,$546.30 ,$193.97 ,$576.65 ,$436.44 ,$558.44 ,$41.31 ,$552.37 ,$193.97 ,$373.55 ,$390.91 ,$373.55 ,$546.30 ,$546.30 ,$453.00 ,$422.78 ,$195.91 ,$40.92 ,$567.55 ,$203.67 ,$38.97 ,$528.09 ,$193.97 ,$546.30 ,$193.97 ,$546.30 ,$546.30 ,$546.30 ,$588.79 ,$491.67 ,$546.30 ,$546.30 ,$546.30 ,$546.30 
ST. JOSEPH'S - CHIPPEWA FALLS,41000053,94660,HC CPAP DAILY EST PT,410,1 ,$174.00 ,$130.50 ,$38.97 ,$436.44 ,$112.06 ,$193.97 ,$121.80 ,$38.97 ,$144.42 ,$40.14 ,$114.84 ,$165.30 , N/A ,$139.20 ,$158.34 ,$38.97 ,$163.56 ,$165.30 ,$156.60 ,$147.90 ,$38.97 ,$38.97 ,$38.97 ,$127.02 ,$193.97 ,$154.86 ,$156.60 ,$156.60 ,$139.20 ,$199.79 ,$95.70 ,$156.60 ,$193.97 ,$156.60 ,$193.97 ,$165.30 ,$436.44 ,$160.08 ,$41.31 ,$158.34 ,$193.97 ,$107.08 ,$112.06 ,$107.08 ,$156.60 ,$156.60 ,$129.86 ,$121.19 ,$195.91 ,$40.92 ,$162.69 ,$203.67 ,$38.97 ,$151.38 ,$193.97 ,$156.60 ,$193.97 ,$156.60 ,$156.60 ,$156.60 ,$168.78 ,$140.94 ,$156.60 ,$156.60 ,$156.60 ,$156.60 
ST. JOSEPH'S - CHIPPEWA FALLS,41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$146.00 ,$109.50 ,$16.35 ,$436.44 ,$94.02 ,$193.97 ,$102.20 ,$16.35 ,$121.18 ,$16.84 ,$96.36 ,$138.70 , N/A ,$116.80 ,$132.86 ,$16.35 ,$137.24 ,$138.70 ,$131.40 ,$124.10 ,$16.35 ,$16.35 ,$16.35 ,$106.58 ,$193.97 ,$129.94 ,$131.40 ,$131.40 ,$116.80 ,$199.79 ,$80.30 ,$131.40 ,$193.97 ,$131.40 ,$193.97 ,$138.70 ,$436.44 ,$134.32 ,$17.33 ,$132.86 ,$193.97 ,$89.85 ,$94.02 ,$89.85 ,$131.40 ,$131.40 ,$108.96 ,$101.69 ,$195.91 ,$17.17 ,$136.51 ,$203.67 ,$16.35 ,$127.02 ,$193.97 ,$131.40 ,$193.97 ,$131.40 ,$131.40 ,$131.40 ,$141.62 ,$118.26 ,$131.40 ,$131.40 ,$131.40 ,$131.40 
ST. JOSEPH'S - CHIPPEWA FALLS,41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$107.00 ,$80.25 ,$16.35 ,$261.82 ,$68.91 ,$116.36 ,$74.90 ,$16.35 ,$88.81 ,$16.84 ,$70.62 ,$101.65 , N/A ,$85.60 ,$97.37 ,$16.35 ,$100.58 ,$101.65 ,$96.30 ,$90.95 ,$16.35 ,$16.35 ,$16.35 ,$78.11 ,$116.36 ,$95.23 ,$96.30 ,$96.30 ,$85.60 ,$119.85 ,$58.85 ,$96.30 ,$116.36 ,$96.30 ,$116.36 ,$101.65 ,$261.82 ,$98.44 ,$17.33 ,$97.37 ,$116.36 ,$65.85 ,$68.91 ,$65.85 ,$96.30 ,$96.30 ,$79.85 ,$74.53 ,$117.53 ,$17.17 ,$100.05 ,$122.18 ,$16.35 ,$93.09 ,$116.36 ,$96.30 ,$116.36 ,$96.30 ,$96.30 ,$96.30 ,$103.79 ,$86.67 ,$96.30 ,$96.30 ,$96.30 ,$96.30 
ST. JOSEPH'S - CHIPPEWA FALLS,41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$145.00 ,$108.75 ,$16.35 ,$261.82 ,$93.38 ,$116.36 ,$101.50 ,$16.35 ,$120.35 ,$16.84 ,$95.70 ,$137.75 , N/A ,$116.00 ,$131.95 ,$16.35 ,$136.30 ,$137.75 ,$130.50 ,$123.25 ,$16.35 ,$16.35 ,$16.35 ,$105.85 ,$116.36 ,$129.05 ,$130.50 ,$130.50 ,$116.00 ,$119.85 ,$79.75 ,$130.50 ,$116.36 ,$130.50 ,$116.36 ,$137.75 ,$261.82 ,$133.40 ,$17.33 ,$131.95 ,$116.36 ,$89.23 ,$93.38 ,$89.23 ,$130.50 ,$130.50 ,$108.21 ,$100.99 ,$117.53 ,$17.17 ,$135.58 ,$122.18 ,$16.35 ,$126.15 ,$116.36 ,$130.50 ,$116.36 ,$130.50 ,$130.50 ,$130.50 ,$140.65 ,$117.45 ,$130.50 ,$130.50 ,$130.50 ,$130.50 
ST. JOSEPH'S - CHIPPEWA FALLS,41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$98.00 ,$73.50 ,$16.35 ,$261.82 ,$63.11 ,$116.36 ,$68.60 ,$16.35 ,$81.34 ,$16.84 ,$64.68 ,$93.10 , N/A ,$78.40 ,$89.18 ,$16.35 ,$92.12 ,$93.10 ,$88.20 ,$83.30 ,$16.35 ,$16.35 ,$16.35 ,$71.54 ,$116.36 ,$87.22 ,$88.20 ,$88.20 ,$78.40 ,$119.85 ,$53.90 ,$88.20 ,$116.36 ,$88.20 ,$116.36 ,$93.10 ,$261.82 ,$90.16 ,$17.33 ,$89.18 ,$116.36 ,$60.31 ,$63.11 ,$60.31 ,$88.20 ,$88.20 ,$73.14 ,$68.26 ,$117.53 ,$17.17 ,$91.63 ,$122.18 ,$16.35 ,$85.26 ,$116.36 ,$88.20 ,$116.36 ,$88.20 ,$88.20 ,$88.20 ,$95.06 ,$79.38 ,$88.20 ,$88.20 ,$88.20 ,$88.20 
ST. JOSEPH'S - CHIPPEWA FALLS,41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$145.00 ,$108.75 ,$16.35 ,$261.82 ,$93.38 ,$116.36 ,$101.50 ,$16.35 ,$120.35 ,$16.84 ,$95.70 ,$137.75 , N/A ,$116.00 ,$131.95 ,$16.35 ,$136.30 ,$137.75 ,$130.50 ,$123.25 ,$16.35 ,$16.35 ,$16.35 ,$105.85 ,$116.36 ,$129.05 ,$130.50 ,$130.50 ,$116.00 ,$119.85 ,$79.75 ,$130.50 ,$116.36 ,$130.50 ,$116.36 ,$137.75 ,$261.82 ,$133.40 ,$17.33 ,$131.95 ,$116.36 ,$89.23 ,$93.38 ,$89.23 ,$130.50 ,$130.50 ,$108.21 ,$100.99 ,$117.53 ,$17.17 ,$135.58 ,$122.18 ,$16.35 ,$126.15 ,$116.36 ,$130.50 ,$116.36 ,$130.50 ,$130.50 ,$130.50 ,$140.65 ,$117.45 ,$130.50 ,$130.50 ,$130.50 ,$130.50 
ST. JOSEPH'S - CHIPPEWA FALLS,41000068,G0237,HC RESP STRENGTH/ENDURANCE,410,1 ,$61.00 ,$45.75 ,$11.17 ,$61.00 ,$39.28 ,$25.49 ,$42.70 ,$11.17 ,$50.63 ,$11.51 ,$40.26 ,$57.95 , N/A ,$48.80 ,$55.51 ,$11.17 ,$57.34 ,$57.95 ,$54.90 ,$51.85 ,$11.17 ,$11.17 ,$11.17 ,$44.53 ,$25.49 ,$54.29 ,$54.90 ,$54.90 ,$48.80 ,$26.26 ,$33.55 ,$54.90 ,$25.49 ,$54.90 ,$25.49 ,$57.95 ,$57.36 ,$56.12 ,$11.84 ,$55.51 ,$25.49 ,$37.54 ,$39.28 ,$37.54 ,$54.90 ,$54.90 ,$45.52 ,$42.49 ,$25.75 ,$11.73 ,$57.04 ,$26.76 ,$11.17 ,$53.07 ,$25.49 ,$54.90 ,$25.49 ,$54.90 ,$54.90 ,$54.90 ,$59.17 ,$49.41 ,$54.90 ,$54.90 ,$54.90 ,$54.90 
ST. JOSEPH'S - CHIPPEWA FALLS,41000069,G0238,HC RESP THRP FUNCTION,410,1 ,$113.00 ,$84.75 ,$11.17 ,$113.00 ,$72.77 ,$25.49 ,$79.10 ,$11.17 ,$93.79 ,$11.51 ,$74.58 ,$107.35 , N/A ,$90.40 ,$102.83 ,$11.17 ,$106.22 ,$107.35 ,$101.70 ,$96.05 ,$11.17 ,$11.17 ,$11.17 ,$82.49 ,$25.49 ,$100.57 ,$101.70 ,$101.70 ,$90.40 ,$26.26 ,$62.15 ,$101.70 ,$25.49 ,$101.70 ,$25.49 ,$107.35 ,$57.36 ,$103.96 ,$11.84 ,$102.83 ,$25.49 ,$69.54 ,$72.77 ,$69.54 ,$101.70 ,$101.70 ,$84.33 ,$78.70 ,$25.75 ,$11.73 ,$105.66 ,$26.76 ,$11.17 ,$98.31 ,$25.49 ,$101.70 ,$25.49 ,$101.70 ,$101.70 ,$101.70 ,$109.61 ,$91.53 ,$101.70 ,$101.70 ,$101.70 ,$101.70 
ST. JOSEPH'S - CHIPPEWA FALLS,41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$570.00 ,$427.50 ,$11.17 ,$570.00 ,$367.08 ,$34.93 ,$399.00 ,$11.17 ,$473.10 ,$11.51 ,$376.20 ,$541.50 , N/A ,$456.00 ,$518.70 ,$11.17 ,$535.80 ,$541.50 ,$513.00 ,$484.50 ,$11.17 ,$11.17 ,$11.17 ,$416.10 ,$34.93 ,$507.30 ,$513.00 ,$513.00 ,$456.00 ,$35.98 ,$313.50 ,$513.00 ,$34.93 ,$513.00 ,$34.93 ,$541.50 ,$78.59 ,$524.40 ,$11.84 ,$518.70 ,$34.93 ,$350.78 ,$367.08 ,$350.78 ,$513.00 ,$513.00 ,$425.39 ,$397.01 ,$35.28 ,$11.73 ,$532.95 ,$36.68 ,$11.17 ,$495.90 ,$34.93 ,$513.00 ,$34.93 ,$513.00 ,$513.00 ,$513.00 ,$552.90 ,$461.70 ,$513.00 ,$513.00 ,$513.00 ,$513.00 
ST. JOSEPH'S - CHIPPEWA FALLS,41000073,94660,HC VENT NONINVAS NEON SUBQ DAY,410,1 ,$585.00 ,$438.75 ,$38.97 ,$585.00 ,$376.74 ,$193.97 ,$409.50 ,$38.97 ,$485.55 ,$40.14 ,$386.10 ,$555.75 , N/A ,$468.00 ,$532.35 ,$38.97 ,$549.90 ,$555.75 ,$526.50 ,$497.25 ,$38.97 ,$38.97 ,$38.97 ,$427.05 ,$193.97 ,$520.65 ,$526.50 ,$526.50 ,$468.00 ,$199.79 ,$321.75 ,$526.50 ,$193.97 ,$526.50 ,$193.97 ,$555.75 ,$436.44 ,$538.20 ,$41.31 ,$532.35 ,$193.97 ,$360.01 ,$376.74 ,$360.01 ,$526.50 ,$526.50 ,$436.59 ,$407.45 ,$195.91 ,$40.92 ,$546.98 ,$203.67 ,$38.97 ,$508.95 ,$193.97 ,$526.50 ,$193.97 ,$526.50 ,$526.50 ,$526.50 ,$567.45 ,$473.85 ,$526.50 ,$526.50 ,$526.50 ,$526.50 
ST. JOSEPH'S - CHIPPEWA FALLS,41000074,94640,HC IPPB SUBSQ,410,1 ,$153.00 ,$114.75 ,$16.35 ,$436.44 ,$98.53 ,$193.97 ,$107.10 ,$16.35 ,$126.99 ,$16.84 ,$100.98 ,$145.35 , N/A ,$122.40 ,$139.23 ,$16.35 ,$143.82 ,$145.35 ,$137.70 ,$130.05 ,$16.35 ,$16.35 ,$16.35 ,$111.69 ,$193.97 ,$136.17 ,$137.70 ,$137.70 ,$122.40 ,$199.79 ,$84.15 ,$137.70 ,$193.97 ,$137.70 ,$193.97 ,$145.35 ,$436.44 ,$140.76 ,$17.33 ,$139.23 ,$193.97 ,$94.16 ,$98.53 ,$94.16 ,$137.70 ,$137.70 ,$114.18 ,$106.56 ,$195.91 ,$17.17 ,$143.06 ,$203.67 ,$16.35 ,$133.11 ,$193.97 ,$137.70 ,$193.97 ,$137.70 ,$137.70 ,$137.70 ,$148.41 ,$123.93 ,$137.70 ,$137.70 ,$137.70 ,$137.70 
ST. JOSEPH'S - CHIPPEWA FALLS,41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$140.00 ,$105.00 ,$16.35 ,$436.44 ,$90.16 ,$193.97 ,$98.00 ,$16.35 ,$116.20 ,$16.84 ,$92.40 ,$133.00 , N/A ,$112.00 ,$127.40 ,$16.35 ,$131.60 ,$133.00 ,$126.00 ,$119.00 ,$16.35 ,$16.35 ,$16.35 ,$102.20 ,$193.97 ,$124.60 ,$126.00 ,$126.00 ,$112.00 ,$199.79 ,$77.00 ,$126.00 ,$193.97 ,$126.00 ,$193.97 ,$133.00 ,$436.44 ,$128.80 ,$17.33 ,$127.40 ,$193.97 ,$86.16 ,$90.16 ,$86.16 ,$126.00 ,$126.00 ,$104.48 ,$97.51 ,$195.91 ,$17.17 ,$130.90 ,$203.67 ,$16.35 ,$121.80 ,$193.97 ,$126.00 ,$193.97 ,$126.00 ,$126.00 ,$126.00 ,$135.80 ,$113.40 ,$126.00 ,$126.00 ,$126.00 ,$126.00 
ST. JOSEPH'S - CHIPPEWA FALLS,41000077,94762,HC PULSE OX PER DAY,410,1 ,$293.70 ,$220.28 ,$16.35 ,$324.18 ,$189.14 ,$144.08 ,$205.59 ,$16.35 ,$243.77 ,$16.84 ,$193.84 ,$279.02 , N/A ,$234.96 ,$267.27 ,$16.35 ,$276.08 ,$279.02 ,$264.33 ,$249.65 ,$16.35 ,$16.35 ,$16.35 ,$214.40 ,$144.08 ,$261.39 ,$264.33 ,$264.33 ,$234.96 ,$148.40 ,$161.54 ,$264.33 ,$144.08 ,$264.33 ,$144.08 ,$279.02 ,$324.18 ,$270.20 ,$17.33 ,$267.27 ,$144.08 ,$180.74 ,$189.14 ,$180.74 ,$264.33 ,$264.33 ,$219.19 ,$204.56 ,$145.52 ,$17.17 ,$274.61 ,$151.28 ,$16.35 ,$255.52 ,$144.08 ,$264.33 ,$144.08 ,$264.33 ,$264.33 ,$264.33 ,$284.89 ,$237.90 ,$264.33 ,$264.33 ,$264.33 ,$264.33 
ST. JOSEPH'S - CHIPPEWA FALLS,41000082,94640,HC EZPAP TREATMENT SUBSQ,410,1 ,$389.00 ,$291.75 ,$16.35 ,$436.44 ,$250.52 ,$193.97 ,$272.30 ,$16.35 ,$322.87 ,$16.84 ,$256.74 ,$369.55 , N/A ,$311.20 ,$353.99 ,$16.35 ,$365.66 ,$369.55 ,$350.10 ,$330.65 ,$16.35 ,$16.35 ,$16.35 ,$283.97 ,$193.97 ,$346.21 ,$350.10 ,$350.10 ,$311.20 ,$199.79 ,$213.95 ,$350.10 ,$193.97 ,$350.10 ,$193.97 ,$369.55 ,$436.44 ,$357.88 ,$17.33 ,$353.99 ,$193.97 ,$239.39 ,$250.52 ,$239.39 ,$350.10 ,$350.10 ,$290.31 ,$270.94 ,$195.91 ,$17.17 ,$363.72 ,$203.67 ,$16.35 ,$338.43 ,$193.97 ,$350.10 ,$193.97 ,$350.10 ,$350.10 ,$350.10 ,$377.33 ,$315.09 ,$350.10 ,$350.10 ,$350.10 ,$350.10 
ST. JOSEPH'S - CHIPPEWA FALLS,41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$585.00 ,$438.75 ,$38.97 ,$585.00 ,$376.74 ,$193.97 ,$409.50 ,$38.97 ,$485.55 ,$40.14 ,$386.10 ,$555.75 , N/A ,$468.00 ,$532.35 ,$38.97 ,$549.90 ,$555.75 ,$526.50 ,$497.25 ,$38.97 ,$38.97 ,$38.97 ,$427.05 ,$193.97 ,$520.65 ,$526.50 ,$526.50 ,$468.00 ,$199.79 ,$321.75 ,$526.50 ,$193.97 ,$526.50 ,$193.97 ,$555.75 ,$436.44 ,$538.20 ,$41.31 ,$532.35 ,$193.97 ,$360.01 ,$376.74 ,$360.01 ,$526.50 ,$526.50 ,$436.59 ,$407.45 ,$195.91 ,$40.92 ,$546.98 ,$203.67 ,$38.97 ,$508.95 ,$193.97 ,$526.50 ,$193.97 ,$526.50 ,$526.50 ,$526.50 ,$567.45 ,$473.85 ,$526.50 ,$526.50 ,$526.50 ,$526.50 
ST. JOSEPH'S - CHIPPEWA FALLS,41000087,94669,HC MECHANICAL CHEST WALL OSCILLATION INITIAL,410,1 ,$145.00 ,$108.75 ,$16.35 ,$436.44 ,$93.38 ,$193.97 ,$101.50 ,$16.35 ,$120.35 ,$16.84 ,$95.70 ,$137.75 , N/A ,$116.00 ,$131.95 ,$16.35 ,$136.30 ,$137.75 ,$130.50 ,$123.25 ,$16.35 ,$16.35 ,$16.35 ,$105.85 ,$193.97 ,$129.05 ,$130.50 ,$130.50 ,$116.00 ,$199.79 ,$79.75 ,$130.50 ,$193.97 ,$130.50 ,$193.97 ,$137.75 ,$436.44 ,$133.40 ,$17.33 ,$131.95 ,$193.97 ,$89.23 ,$93.38 ,$89.23 ,$130.50 ,$130.50 ,$108.21 ,$100.99 ,$195.91 ,$17.17 ,$135.58 ,$203.67 ,$16.35 ,$126.15 ,$193.97 ,$130.50 ,$193.97 ,$130.50 ,$130.50 ,$130.50 ,$140.65 ,$117.45 ,$130.50 ,$130.50 ,$130.50 ,$130.50 
ST. JOSEPH'S - CHIPPEWA FALLS,41000088,94669,HC MECHANICAL CHEST WALL OSCILLATION SUBSQ,410,1 ,$145.00 ,$108.75 ,$16.35 ,$436.44 ,$93.38 ,$193.97 ,$101.50 ,$16.35 ,$120.35 ,$16.84 ,$95.70 ,$137.75 , N/A ,$116.00 ,$131.95 ,$16.35 ,$136.30 ,$137.75 ,$130.50 ,$123.25 ,$16.35 ,$16.35 ,$16.35 ,$105.85 ,$193.97 ,$129.05 ,$130.50 ,$130.50 ,$116.00 ,$199.79 ,$79.75 ,$130.50 ,$193.97 ,$130.50 ,$193.97 ,$137.75 ,$436.44 ,$133.40 ,$17.33 ,$131.95 ,$193.97 ,$89.23 ,$93.38 ,$89.23 ,$130.50 ,$130.50 ,$108.21 ,$100.99 ,$195.91 ,$17.17 ,$135.58 ,$203.67 ,$16.35 ,$126.15 ,$193.97 ,$130.50 ,$193.97 ,$130.50 ,$130.50 ,$130.50 ,$140.65 ,$117.45 ,$130.50 ,$130.50 ,$130.50 ,$130.50 
ST. JOSEPH'S - CHIPPEWA FALLS,41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$140.00 ,$105.00 ,$16.35 ,$436.44 ,$90.16 ,$193.97 ,$98.00 ,$16.35 ,$116.20 ,$16.84 ,$92.40 ,$133.00 , N/A ,$112.00 ,$127.40 ,$16.35 ,$131.60 ,$133.00 ,$126.00 ,$119.00 ,$16.35 ,$16.35 ,$16.35 ,$102.20 ,$193.97 ,$124.60 ,$126.00 ,$126.00 ,$112.00 ,$199.79 ,$77.00 ,$126.00 ,$193.97 ,$126.00 ,$193.97 ,$133.00 ,$436.44 ,$128.80 ,$17.33 ,$127.40 ,$193.97 ,$86.16 ,$90.16 ,$86.16 ,$126.00 ,$126.00 ,$104.48 ,$97.51 ,$195.91 ,$17.17 ,$130.90 ,$203.67 ,$16.35 ,$121.80 ,$193.97 ,$126.00 ,$193.97 ,$126.00 ,$126.00 ,$126.00 ,$135.80 ,$113.40 ,$126.00 ,$126.00 ,$126.00 ,$126.00 
ST. JOSEPH'S - CHIPPEWA FALLS,41300000,99183,HC HYPERBARIC O2 PER SESSION,413,1 ,"$2,268.00 ","$1,701.00 ","$1,247.40 ","$2,268.00 ","$1,460.59 ", N/A ,"$1,587.60 ", N/A ,"$1,882.44 ", N/A ,"$1,496.88 ","$2,154.60 ", N/A ,"$1,814.40 ","$2,063.88 ", N/A ,"$2,131.92 ","$2,154.60 ","$2,041.20 ","$1,927.80 ", N/A , N/A , N/A ,"$1,655.64 ", N/A ,"$2,018.52 ","$2,041.20 ","$2,041.20 ","$1,814.40 ", N/A ,"$1,247.40 ","$2,041.20 ", N/A ,"$2,041.20 ", N/A ,"$2,154.60 ", N/A ,"$2,086.56 ", N/A ,"$2,063.88 ", N/A ,"$1,395.73 ","$1,460.59 ","$1,395.73 ","$2,041.20 ","$2,041.20 ","$1,692.61 ","$1,579.66 ", N/A , N/A ,"$2,120.58 ", N/A , N/A ,"$1,973.16 ", N/A ,"$2,041.20 ", N/A ,"$2,041.20 ","$2,041.20 ","$2,041.20 ","$2,199.96 ","$1,837.08 ","$2,041.20 ","$2,041.20 ","$2,041.20 ","$2,041.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,41300002,G0277,HC HYPERBARIC O2 PER 30 MIN,413,1 ,$567.00 ,$425.25 ,$118.09 ,$567.00 ,$365.15 ,$123.07 ,$396.90 ,$118.09 ,$470.61 ,$121.63 ,$374.22 ,$538.65 , N/A ,$453.60 ,$515.97 ,$118.09 ,$532.98 ,$538.65 ,$510.30 ,$481.95 ,$118.09 ,$118.09 ,$118.09 ,$413.91 ,$123.07 ,$504.63 ,$510.30 ,$510.30 ,$453.60 ,$126.76 ,$311.85 ,$510.30 ,$123.07 ,$510.30 ,$123.07 ,$538.65 ,$276.91 ,$521.64 ,$125.18 ,$515.97 ,$123.07 ,$348.93 ,$365.15 ,$348.93 ,$510.30 ,$510.30 ,$423.15 ,$394.92 ,$124.30 ,$123.99 ,$530.15 ,$129.22 ,$118.09 ,$493.29 ,$123.07 ,$510.30 ,$123.07 ,$510.30 ,$510.30 ,$510.30 ,$549.99 ,$459.27 ,$510.30 ,$510.30 ,$510.30 ,$510.30 
ST. JOSEPH'S - CHIPPEWA FALLS,41300003,G0277,HC HYPERBARIC O2 PER 30 MIN,413,1 ,$324.00 ,$243.00 ,$118.09 ,$324.00 ,$208.66 ,$123.07 ,$226.80 ,$118.09 ,$268.92 ,$121.63 ,$213.84 ,$307.80 , N/A ,$259.20 ,$294.84 ,$118.09 ,$304.56 ,$307.80 ,$291.60 ,$275.40 ,$118.09 ,$118.09 ,$118.09 ,$236.52 ,$123.07 ,$288.36 ,$291.60 ,$291.60 ,$259.20 ,$126.76 ,$178.20 ,$291.60 ,$123.07 ,$291.60 ,$123.07 ,$307.80 ,$276.91 ,$298.08 ,$125.18 ,$294.84 ,$123.07 ,$199.39 ,$208.66 ,$199.39 ,$291.60 ,$291.60 ,$241.80 ,$225.67 ,$124.30 ,$123.99 ,$302.94 ,$129.22 ,$118.09 ,$281.88 ,$123.07 ,$291.60 ,$123.07 ,$291.60 ,$291.60 ,$291.60 ,$314.28 ,$262.44 ,$291.60 ,$291.60 ,$291.60 ,$291.60 
ST. JOSEPH'S - CHIPPEWA FALLS,41300004,99183,HC HYPERBARIC O2 PER SESSION,413,1 ,"$2,268.00 ","$1,701.00 ","$1,247.40 ","$2,268.00 ","$1,460.59 ", N/A ,"$1,587.60 ", N/A ,"$1,882.44 ", N/A ,"$1,496.88 ","$2,154.60 ", N/A ,"$1,814.40 ","$2,063.88 ", N/A ,"$2,131.92 ","$2,154.60 ","$2,041.20 ","$1,927.80 ", N/A , N/A , N/A ,"$1,655.64 ", N/A ,"$2,018.52 ","$2,041.20 ","$2,041.20 ","$1,814.40 ", N/A ,"$1,247.40 ","$2,041.20 ", N/A ,"$2,041.20 ", N/A ,"$2,154.60 ", N/A ,"$2,086.56 ", N/A ,"$2,063.88 ", N/A ,"$1,395.73 ","$1,460.59 ","$1,395.73 ","$2,041.20 ","$2,041.20 ","$1,692.61 ","$1,579.66 ", N/A , N/A ,"$2,120.58 ", N/A , N/A ,"$1,973.16 ", N/A ,"$2,041.20 ", N/A ,"$2,041.20 ","$2,041.20 ","$2,041.20 ","$2,199.96 ","$1,837.08 ","$2,041.20 ","$2,041.20 ","$2,041.20 ","$2,041.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,42000002,29580,HC APPLY UNNA BOOT BILATERAL PT/OT,420,1 ,$410.00 ,$307.50 ,$59.15 ,$410.00 ,$264.04 ,$145.80 ,$287.00 , N/A ,$268.00 , N/A ,$214.00 ,$389.50 , N/A ,$328.00 ,$373.10 , N/A ,$385.40 ,$389.50 ,$369.00 ,$307.50 , N/A , N/A , N/A ,$299.30 ,$145.80 ,$364.90 ,$369.00 ,$369.00 ,$328.00 ,$150.17 ,$225.50 ,$369.00 ,$145.80 ,$369.00 ,$145.80 ,$389.50 ,$328.04 ,$377.20 ,$62.70 ,$373.10 ,$145.80 ,$252.31 ,$264.04 ,$252.31 ,$369.00 ,$369.00 ,$305.98 ,$155.42 ,$147.25 , N/A ,$383.35 ,$153.09 ,$59.15 ,$356.70 ,$145.80 ,$369.00 ,$145.80 ,$369.00 ,$369.00 ,$369.00 ,$397.70 ,$332.10 ,$369.00 ,$369.00 ,$369.00 ,$369.00 
ST. JOSEPH'S - CHIPPEWA FALLS,42000009,97012,HC TRACTION MECH APP,420,1 ,$110.00 ,$82.50 ,$10.14 ,$110.00 ,$70.84 ,$13.97 ,$77.00 ,$25.78 ,$110.00 , N/A ,$110.00 ,$104.50 , N/A ,$88.00 ,$100.10 ,$25.78 ,$103.40 ,$104.50 ,$99.00 ,$82.50 ,$25.78 ,$25.78 ,$25.78 ,$80.30 ,$13.97 ,$97.90 ,$99.00 ,$99.00 ,$88.00 ,$14.39 ,$60.50 ,$99.00 ,$13.97 ,$99.00 ,$13.97 ,$104.50 ,$31.43 ,$101.20 ,$10.75 ,$100.10 ,$13.97 ,$67.69 ,$70.84 ,$67.69 ,$99.00 ,$99.00 ,$82.09 ,$99.00 ,$14.11 ,$27.07 ,$102.85 ,$14.67 ,$10.14 ,$95.70 ,$13.97 ,$99.00 ,$13.97 ,$99.00 ,$99.00 ,$99.00 ,$106.70 ,$89.10 ,$99.00 ,$99.00 ,$99.00 ,$99.00 
ST. JOSEPH'S - CHIPPEWA FALLS,42000010,97016,HC APPLY VASOPNEUMATIC DEVICE,420,1 ,$126.00 ,$94.50 ,$10.14 ,$126.00 ,$81.14 ,$11.55 ,$88.20 ,$25.19 ,$126.00 , N/A ,$126.00 ,$119.70 , N/A ,$100.80 ,$114.66 ,$25.19 ,$118.44 ,$119.70 ,$113.40 ,$94.50 ,$25.19 ,$25.19 ,$25.19 ,$91.98 ,$11.55 ,$112.14 ,$113.40 ,$113.40 ,$100.80 ,$11.90 ,$69.30 ,$113.40 ,$11.55 ,$113.40 ,$11.55 ,$119.70 ,$25.99 ,$115.92 ,$10.75 ,$114.66 ,$11.55 ,$77.54 ,$81.14 ,$77.54 ,$113.40 ,$113.40 ,$94.03 ,$113.40 ,$11.67 ,$26.45 ,$117.81 ,$12.13 ,$10.14 ,$109.62 ,$11.55 ,$113.40 ,$11.55 ,$113.40 ,$113.40 ,$113.40 ,$122.22 ,$102.06 ,$113.40 ,$113.40 ,$113.40 ,$113.40 
ST. JOSEPH'S - CHIPPEWA FALLS,42000015,97022,HC WHIRLPOOL BATH,420,1 ,$117.00 ,$87.75 ,$10.14 ,$117.00 ,$75.35 ,$16.74 ,$81.90 ,$25.78 ,$117.00 , N/A ,$117.00 ,$111.15 , N/A ,$93.60 ,$106.47 ,$25.78 ,$109.98 ,$111.15 ,$105.30 ,$87.75 ,$25.78 ,$25.78 ,$25.78 ,$85.41 ,$16.74 ,$104.13 ,$105.30 ,$105.30 ,$93.60 ,$17.24 ,$64.35 ,$105.30 ,$16.74 ,$105.30 ,$16.74 ,$111.15 ,$37.67 ,$107.64 ,$10.75 ,$106.47 ,$16.74 ,$72.00 ,$75.35 ,$72.00 ,$105.30 ,$105.30 ,$87.32 ,$105.30 ,$16.91 ,$27.07 ,$109.40 ,$17.58 ,$10.14 ,$101.79 ,$16.74 ,$105.30 ,$16.74 ,$105.30 ,$105.30 ,$105.30 ,$113.49 ,$94.77 ,$105.30 ,$105.30 ,$105.30 ,$105.30 
ST. JOSEPH'S - CHIPPEWA FALLS,42000020,97022,HC FLUIDOTHERAPY,420,1 ,$114.00 ,$85.50 ,$10.14 ,$114.00 ,$73.42 ,$16.74 ,$79.80 ,$25.78 ,$114.00 , N/A ,$114.00 ,$108.30 , N/A ,$91.20 ,$103.74 ,$25.78 ,$107.16 ,$108.30 ,$102.60 ,$85.50 ,$25.78 ,$25.78 ,$25.78 ,$83.22 ,$16.74 ,$101.46 ,$102.60 ,$102.60 ,$91.20 ,$17.24 ,$62.70 ,$102.60 ,$16.74 ,$102.60 ,$16.74 ,$108.30 ,$37.67 ,$104.88 ,$10.75 ,$103.74 ,$16.74 ,$70.16 ,$73.42 ,$70.16 ,$102.60 ,$102.60 ,$85.08 ,$102.60 ,$16.91 ,$27.07 ,$106.59 ,$17.58 ,$10.14 ,$99.18 ,$16.74 ,$102.60 ,$16.74 ,$102.60 ,$102.60 ,$102.60 ,$110.58 ,$92.34 ,$102.60 ,$102.60 ,$102.60 ,$102.60 
ST. JOSEPH'S - CHIPPEWA FALLS,42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$120.00 ,$90.00 ,$10.14 ,$120.00 ,$77.28 ,$14.30 ,$84.00 ,$22.38 ,$120.00 , N/A ,$120.00 ,$114.00 , N/A ,$96.00 ,$109.20 ,$22.38 ,$112.80 ,$114.00 ,$108.00 ,$90.00 ,$22.38 ,$22.38 ,$22.38 ,$87.60 ,$14.30 ,$106.80 ,$108.00 ,$108.00 ,$96.00 ,$14.73 ,$66.00 ,$108.00 ,$14.30 ,$108.00 ,$14.30 ,$114.00 ,$32.18 ,$110.40 ,$10.75 ,$109.20 ,$14.30 ,$73.85 ,$77.28 ,$73.85 ,$108.00 ,$108.00 ,$89.56 ,$108.00 ,$14.44 ,$23.50 ,$112.20 ,$15.02 ,$10.14 ,$104.40 ,$14.30 ,$108.00 ,$14.30 ,$108.00 ,$108.00 ,$108.00 ,$116.40 ,$97.20 ,$108.00 ,$108.00 ,$108.00 ,$108.00 
ST. JOSEPH'S - CHIPPEWA FALLS,42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$151.00 ,$113.25 ,$10.14 ,$151.00 ,$97.24 ,$19.21 ,$105.70 ,$23.51 ,$151.00 , N/A ,$151.00 ,$143.45 , N/A ,$120.80 ,$137.41 ,$23.51 ,$141.94 ,$143.45 ,$135.90 ,$113.25 ,$23.51 ,$23.51 ,$23.51 ,$110.23 ,$19.21 ,$134.39 ,$135.90 ,$135.90 ,$120.80 ,$19.79 ,$83.05 ,$135.90 ,$19.21 ,$135.90 ,$19.21 ,$143.45 ,$43.22 ,$138.92 ,$10.75 ,$137.41 ,$19.21 ,$92.93 ,$97.24 ,$92.93 ,$135.90 ,$135.90 ,$112.69 ,$135.90 ,$19.40 ,$24.69 ,$141.19 ,$20.17 ,$10.14 ,$131.37 ,$19.21 ,$135.90 ,$19.21 ,$135.90 ,$135.90 ,$135.90 ,$146.47 ,$122.31 ,$135.90 ,$135.90 ,$135.90 ,$135.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$139.00 ,$104.25 ,$10.14 ,$139.00 ,$89.52 ,$13.89 ,$97.30 ,$18.49 ,$139.00 , N/A ,$139.00 ,$132.05 , N/A ,$111.20 ,$126.49 ,$18.49 ,$130.66 ,$132.05 ,$125.10 ,$104.25 ,$18.49 ,$18.49 ,$18.49 ,$101.47 ,$13.89 ,$123.71 ,$125.10 ,$125.10 ,$111.20 ,$14.31 ,$76.45 ,$125.10 ,$13.89 ,$125.10 ,$13.89 ,$132.05 ,$31.25 ,$127.88 ,$10.75 ,$126.49 ,$13.89 ,$85.54 ,$89.52 ,$85.54 ,$125.10 ,$125.10 ,$103.74 ,$125.10 ,$14.03 ,$19.41 ,$129.97 ,$14.58 ,$10.14 ,$120.93 ,$13.89 ,$125.10 ,$13.89 ,$125.10 ,$125.10 ,$125.10 ,$134.83 ,$112.59 ,$125.10 ,$125.10 ,$125.10 ,$125.10 
ST. JOSEPH'S - CHIPPEWA FALLS,42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$123.00 ,$92.25 ,$12.13 ,$123.00 ,$79.21 ,$28.82 ,$86.10 ,$19.63 ,$123.00 , N/A ,$123.00 ,$116.85 , N/A ,$98.40 ,$111.93 ,$19.63 ,$115.62 ,$116.85 ,$110.70 ,$92.25 ,$19.63 ,$19.63 ,$19.63 ,$89.79 ,$28.82 ,$109.47 ,$110.70 ,$110.70 ,$98.40 ,$29.68 ,$67.65 ,$110.70 ,$28.82 ,$110.70 ,$28.82 ,$116.85 ,$64.85 ,$113.16 ,$12.86 ,$111.93 ,$28.82 ,$75.69 ,$79.21 ,$75.69 ,$110.70 ,$110.70 ,$91.79 ,$110.70 ,$29.11 ,$20.61 ,$115.01 ,$30.26 ,$12.13 ,$107.01 ,$28.82 ,$110.70 ,$28.82 ,$110.70 ,$110.70 ,$110.70 ,$119.31 ,$99.63 ,$110.70 ,$110.70 ,$110.70 ,$110.70 
ST. JOSEPH'S - CHIPPEWA FALLS,42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$107.00 ,$80.25 ,$12.13 ,$107.00 ,$68.91 ,$33.48 ,$74.90 ,$19.32 ,$107.00 , N/A ,$107.00 ,$101.65 , N/A ,$85.60 ,$97.37 ,$19.32 ,$100.58 ,$101.65 ,$96.30 ,$80.25 ,$19.32 ,$19.32 ,$19.32 ,$78.11 ,$33.48 ,$95.23 ,$96.30 ,$96.30 ,$85.60 ,$34.48 ,$58.85 ,$96.30 ,$33.48 ,$96.30 ,$33.48 ,$101.65 ,$75.33 ,$98.44 ,$12.86 ,$97.37 ,$33.48 ,$65.85 ,$68.91 ,$65.85 ,$96.30 ,$96.30 ,$79.85 ,$96.30 ,$33.81 ,$20.29 ,$100.05 ,$35.15 ,$12.13 ,$93.09 ,$33.48 ,$96.30 ,$33.48 ,$96.30 ,$96.30 ,$96.30 ,$103.79 ,$86.67 ,$96.30 ,$96.30 ,$96.30 ,$96.30 
ST. JOSEPH'S - CHIPPEWA FALLS,42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$111.00 ,$83.25 ,$10.14 ,$111.00 ,$71.48 ,$28.82 ,$77.70 ,$16.47 ,$111.00 , N/A ,$111.00 ,$105.45 , N/A ,$88.80 ,$101.01 ,$16.47 ,$104.34 ,$105.45 ,$99.90 ,$83.25 ,$16.47 ,$16.47 ,$16.47 ,$81.03 ,$28.82 ,$98.79 ,$99.90 ,$99.90 ,$88.80 ,$29.68 ,$61.05 ,$99.90 ,$28.82 ,$99.90 ,$28.82 ,$105.45 ,$64.85 ,$102.12 ,$10.75 ,$101.01 ,$28.82 ,$68.31 ,$71.48 ,$68.31 ,$99.90 ,$99.90 ,$82.84 ,$99.90 ,$29.11 ,$17.29 ,$103.79 ,$30.26 ,$10.14 ,$96.57 ,$28.82 ,$99.90 ,$28.82 ,$99.90 ,$99.90 ,$99.90 ,$107.67 ,$89.91 ,$99.90 ,$99.90 ,$99.90 ,$99.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000053,97124,HC THERAPEUTIC MASSAGE EA 15 MIN,420,1 ,$141.00 ,$105.75 ,$10.14 ,$141.00 ,$90.80 ,$29.17 ,$98.70 ,$23.41 ,$141.00 , N/A ,$141.00 ,$133.95 , N/A ,$112.80 ,$128.31 ,$23.41 ,$132.54 ,$133.95 ,$126.90 ,$105.75 ,$23.41 ,$23.41 ,$23.41 ,$102.93 ,$29.17 ,$125.49 ,$126.90 ,$126.90 ,$112.80 ,$30.05 ,$77.55 ,$126.90 ,$29.17 ,$126.90 ,$29.17 ,$133.95 ,$65.63 ,$129.72 ,$10.75 ,$128.31 ,$29.17 ,$86.77 ,$90.80 ,$86.77 ,$126.90 ,$126.90 ,$105.23 ,$126.90 ,$29.46 ,$24.58 ,$131.84 ,$30.63 ,$10.14 ,$122.67 ,$29.17 ,$126.90 ,$29.17 ,$126.90 ,$126.90 ,$126.90 ,$136.77 ,$114.21 ,$126.90 ,$126.90 ,$126.90 ,$126.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$129.00 ,$96.75 ,$12.13 ,$129.00 ,$83.08 ,$26.50 ,$90.30 ,$25.53 ,$129.00 , N/A ,$129.00 ,$122.55 , N/A ,$103.20 ,$117.39 ,$25.53 ,$121.26 ,$122.55 ,$116.10 ,$96.75 ,$25.53 ,$25.53 ,$25.53 ,$94.17 ,$26.50 ,$114.81 ,$116.10 ,$116.10 ,$103.20 ,$27.30 ,$70.95 ,$116.10 ,$26.50 ,$116.10 ,$26.50 ,$122.55 ,$59.63 ,$118.68 ,$12.86 ,$117.39 ,$26.50 ,$79.39 ,$83.08 ,$79.39 ,$116.10 ,$116.10 ,$96.27 ,$116.10 ,$26.77 ,$26.81 ,$120.62 ,$27.83 ,$12.13 ,$112.23 ,$26.50 ,$116.10 ,$26.50 ,$116.10 ,$116.10 ,$116.10 ,$125.13 ,$104.49 ,$116.10 ,$116.10 ,$116.10 ,$116.10 
ST. JOSEPH'S - CHIPPEWA FALLS,42000063,97150,HC GROUP TREATMENT 15MIN,420,1 ,$30.00 ,$22.50 ,$6.08 ,$38.95 ,$19.32 ,$17.31 ,$21.00 ,$6.08 ,$30.00 , N/A ,$30.00 ,$28.50 , N/A ,$24.00 ,$27.30 ,$6.08 ,$28.20 ,$28.50 ,$27.00 ,$22.50 ,$6.08 ,$6.08 ,$6.08 ,$21.90 ,$17.31 ,$26.70 ,$27.00 ,$27.00 ,$24.00 ,$17.83 ,$16.50 ,$27.00 ,$17.31 ,$27.00 ,$17.31 ,$28.50 ,$38.95 ,$27.60 ,$12.86 ,$27.30 ,$17.31 ,$18.46 ,$19.32 ,$18.46 ,$27.00 ,$27.00 ,$22.39 ,$27.00 ,$17.48 ,$6.38 ,$28.05 ,$18.18 ,$12.13 ,$26.10 ,$17.31 ,$27.00 ,$17.31 ,$27.00 ,$27.00 ,$27.00 ,$29.10 ,$24.30 ,$27.00 ,$27.00 ,$27.00 ,$27.00 
ST. JOSEPH'S - CHIPPEWA FALLS,42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$113.00 ,$84.75 ,$12.13 ,$113.00 ,$72.77 ,$36.29 ,$79.10 ,$18.05 ,$113.00 , N/A ,$113.00 ,$107.35 , N/A ,$90.40 ,$102.83 ,$18.05 ,$106.22 ,$107.35 ,$101.70 ,$84.75 ,$18.05 ,$18.05 ,$18.05 ,$82.49 ,$36.29 ,$100.57 ,$101.70 ,$101.70 ,$90.40 ,$37.38 ,$62.15 ,$101.70 ,$36.29 ,$101.70 ,$36.29 ,$107.35 ,$81.65 ,$103.96 ,$12.86 ,$102.83 ,$36.29 ,$69.54 ,$72.77 ,$69.54 ,$101.70 ,$101.70 ,$84.33 ,$101.70 ,$36.65 ,$18.95 ,$105.66 ,$38.10 ,$12.13 ,$98.31 ,$36.29 ,$101.70 ,$36.29 ,$101.70 ,$101.70 ,$101.70 ,$109.61 ,$91.53 ,$101.70 ,$101.70 ,$101.70 ,$101.70 
ST. JOSEPH'S - CHIPPEWA FALLS,42000083,97598,HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL,420,1 ,$466.00 ,$349.50 ,$35.14 ,$466.00 ,$300.10 , N/A ,$326.20 ,$35.14 ,$268.00 , N/A ,$214.00 ,$442.70 , N/A ,$372.80 ,$424.06 ,$35.14 ,$438.04 ,$442.70 ,$419.40 ,$349.50 ,$35.14 ,$35.14 ,$35.14 ,$340.18 , N/A ,$414.74 ,$419.40 ,$419.40 ,$372.80 , N/A ,$256.30 ,$419.40 , N/A ,$419.40 , N/A ,$442.70 , N/A ,$428.72 ,$334.00 ,$424.06 , N/A ,$286.78 ,$300.10 ,$286.78 ,$419.40 ,$419.40 ,$347.78 ,$155.42 , N/A ,$36.90 ,$435.71 , N/A ,$315.09 ,$405.42 , N/A ,$419.40 , N/A ,$419.40 ,$419.40 ,$419.40 ,$452.02 ,$377.46 ,$419.40 ,$419.40 ,$419.40 ,$419.40 
ST. JOSEPH'S - CHIPPEWA FALLS,42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$315.00 ,$236.25 ,$118.09 ,$315.00 ,$202.86 , N/A ,$220.50 , N/A ,$268.00 , N/A ,$214.00 ,$299.25 , N/A ,$252.00 ,$286.65 , N/A ,$296.10 ,$299.25 ,$283.50 ,$236.25 , N/A , N/A , N/A ,$229.95 , N/A ,$280.35 ,$283.50 ,$283.50 ,$252.00 , N/A ,$173.25 ,$283.50 , N/A ,$283.50 , N/A ,$299.25 , N/A ,$289.80 ,$125.18 ,$286.65 , N/A ,$193.85 ,$202.86 ,$193.85 ,$283.50 ,$283.50 ,$235.08 ,$155.42 , N/A , N/A ,$294.53 , N/A ,$118.09 ,$274.05 , N/A ,$283.50 , N/A ,$283.50 ,$283.50 ,$283.50 ,$305.55 ,$255.15 ,$283.50 ,$283.50 ,$283.50 ,$283.50 
ST. JOSEPH'S - CHIPPEWA FALLS,42000085,97605,HC NWPT <50 SQ CM FAC,420,1 ,$315.00 ,$236.25 ,$41.41 ,$315.00 ,$202.86 ,$41.41 ,$220.50 , N/A ,$268.00 , N/A ,$214.00 ,$299.25 , N/A ,$252.00 ,$286.65 , N/A ,$296.10 ,$299.25 ,$283.50 ,$236.25 , N/A , N/A , N/A ,$229.95 ,$41.41 ,$280.35 ,$283.50 ,$283.50 ,$252.00 ,$42.65 ,$173.25 ,$283.50 ,$41.41 ,$283.50 ,$41.41 ,$299.25 ,$93.17 ,$289.80 ,$62.23 ,$286.65 ,$41.41 ,$193.85 ,$202.86 ,$193.85 ,$283.50 ,$283.50 ,$235.08 ,$155.42 ,$41.82 , N/A ,$294.53 ,$43.48 ,$58.71 ,$274.05 ,$41.41 ,$283.50 ,$41.41 ,$283.50 ,$283.50 ,$283.50 ,$305.55 ,$255.15 ,$283.50 ,$283.50 ,$283.50 ,$283.50 
ST. JOSEPH'S - CHIPPEWA FALLS,42000089,97606,HC NWPT >50 SQ CM FAC,420,1 ,$538.00 ,$403.50 ,$49.00 ,$538.00 ,$346.47 ,$49.00 ,$376.60 , N/A ,$268.00 , N/A ,$214.00 ,$511.10 , N/A ,$430.40 ,$489.58 , N/A ,$505.72 ,$511.10 ,$484.20 ,$403.50 , N/A , N/A , N/A ,$392.74 ,$49.00 ,$478.82 ,$484.20 ,$484.20 ,$430.40 ,$50.47 ,$295.90 ,$484.20 ,$49.00 ,$484.20 ,$49.00 ,$511.10 ,$110.25 ,$494.96 ,$125.18 ,$489.58 ,$49.00 ,$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$155.42 ,$49.49 , N/A ,$503.03 ,$51.45 ,$118.09 ,$468.06 ,$49.00 ,$484.20 ,$49.00 ,$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,42000093,97750,HC PHYSICAL PERFORMANCE TST EA 15 MIN,420,1 ,$82.00 ,$61.50 ,$12.13 ,$82.00 ,$52.81 ,$32.73 ,$57.40 , N/A ,$82.00 , N/A ,$82.00 ,$77.90 , N/A ,$65.60 ,$74.62 , N/A ,$77.08 ,$77.90 ,$73.80 ,$61.50 , N/A , N/A , N/A ,$59.86 ,$32.73 ,$72.98 ,$73.80 ,$73.80 ,$65.60 ,$33.71 ,$45.10 ,$73.80 ,$32.73 ,$73.80 ,$32.73 ,$77.90 ,$73.64 ,$75.44 ,$12.86 ,$74.62 ,$32.73 ,$50.46 ,$52.81 ,$50.46 ,$73.80 ,$73.80 ,$61.20 ,$73.80 ,$33.06 , N/A ,$76.67 ,$34.37 ,$12.13 ,$71.34 ,$32.73 ,$73.80 ,$32.73 ,$73.80 ,$73.80 ,$73.80 ,$79.54 ,$66.42 ,$73.80 ,$73.80 ,$73.80 ,$73.80 
ST. JOSEPH'S - CHIPPEWA FALLS,42000094,97761,HC PROSTHETIC TRAINING EA 15 MIN,420,1 ,$152.00 ,$114.00 ,$12.13 ,$152.00 ,$97.89 ,$40.65 ,$106.40 ,$21.40 ,$152.00 , N/A ,$152.00 ,$144.40 , N/A ,$121.60 ,$138.32 ,$21.40 ,$142.88 ,$144.40 ,$136.80 ,$114.00 ,$21.40 ,$21.40 ,$21.40 ,$110.96 ,$40.65 ,$135.28 ,$136.80 ,$136.80 ,$121.60 ,$41.87 ,$83.60 ,$136.80 ,$40.65 ,$136.80 ,$40.65 ,$144.40 ,$91.46 ,$139.84 ,$12.86 ,$138.32 ,$40.65 ,$93.54 ,$97.89 ,$93.54 ,$136.80 ,$136.80 ,$113.44 ,$136.80 ,$41.06 ,$22.47 ,$142.12 ,$42.68 ,$12.13 ,$132.24 ,$40.65 ,$136.80 ,$40.65 ,$136.80 ,$136.80 ,$136.80 ,$147.44 ,$123.12 ,$136.80 ,$136.80 ,$136.80 ,$136.80 
ST. JOSEPH'S - CHIPPEWA FALLS,42000095,97763,HC ORTHTC/PRSTHTC CHECK EA 15MIN,420,1 ,$176.00 ,$132.00 ,$12.13 ,$176.00 ,$113.34 ,$52.67 ,$123.20 ,$28.15 ,$176.00 , N/A ,$176.00 ,$167.20 , N/A ,$140.80 ,$160.16 ,$28.15 ,$165.44 ,$167.20 ,$158.40 ,$132.00 ,$28.15 ,$28.15 ,$28.15 ,$128.48 ,$52.67 ,$156.64 ,$158.40 ,$158.40 ,$140.80 ,$54.25 ,$96.80 ,$158.40 ,$52.67 ,$158.40 ,$52.67 ,$167.20 ,$118.51 ,$161.92 ,$12.86 ,$160.16 ,$52.67 ,$108.31 ,$113.34 ,$108.31 ,$158.40 ,$158.40 ,$131.35 ,$155.42 ,$53.20 ,$29.56 ,$164.56 ,$55.30 ,$12.13 ,$153.12 ,$52.67 ,$158.40 ,$52.67 ,$158.40 ,$158.40 ,$158.40 ,$170.72 ,$142.56 ,$158.40 ,$158.40 ,$158.40 ,$158.40 
ST. JOSEPH'S - CHIPPEWA FALLS,42000104,G0175,HC FAMILY CONFERENCE,420,1 ,$278.61 ,$208.96 ,$32.55 ,$844.65 ,$179.42 ,$375.40 ,$195.03 , N/A ,$268.00 , N/A ,$214.00 ,$264.68 , N/A ,$222.89 ,$253.54 , N/A ,$261.89 ,$264.68 ,$250.75 ,$208.96 , N/A , N/A , N/A ,$203.39 ,$375.40 ,$247.96 ,$250.75 ,$250.75 ,$222.89 ,$386.66 ,$153.24 ,$250.75 ,$375.40 ,$250.75 ,$375.40 ,$264.68 ,$844.65 ,$256.32 ,$34.50 ,$253.54 ,$375.40 ,$171.46 ,$179.42 ,$171.46 ,$250.75 ,$250.75 ,$207.93 ,$155.42 ,$379.15 , N/A ,$260.50 ,$394.17 ,$32.55 ,$242.39 ,$375.40 ,$250.75 ,$375.40 ,$250.75 ,$250.75 ,$250.75 ,$270.25 ,$225.67 ,$250.75 ,$250.75 ,$250.75 ,$250.75 
ST. JOSEPH'S - CHIPPEWA FALLS,42000110,G0283,HC ELECT STIM(UNATTEND) OTHER,420,1 ,$77.00 ,$57.75 ,$10.14 ,$77.00 ,$49.59 ,$11.87 ,$53.90 ,$22.38 ,$77.00 , N/A ,$77.00 ,$73.15 , N/A ,$61.60 ,$70.07 ,$22.38 ,$72.38 ,$73.15 ,$69.30 ,$57.75 ,$22.38 ,$22.38 ,$22.38 ,$56.21 ,$11.87 ,$68.53 ,$69.30 ,$69.30 ,$61.60 ,$12.23 ,$42.35 ,$69.30 ,$11.87 ,$69.30 ,$11.87 ,$73.15 ,$26.71 ,$70.84 ,$10.75 ,$70.07 ,$11.87 ,$47.39 ,$49.59 ,$47.39 ,$69.30 ,$69.30 ,$57.47 ,$69.30 ,$11.99 ,$23.50 ,$72.00 ,$12.46 ,$10.14 ,$66.99 ,$11.87 ,$69.30 ,$11.87 ,$69.30 ,$69.30 ,$69.30 ,$74.69 ,$62.37 ,$69.30 ,$69.30 ,$69.30 ,$69.30 
ST. JOSEPH'S - CHIPPEWA FALLS,42000120,97150,HC GROUP TREATMENT 30MIN,420,1 ,$59.00 ,$44.25 ,$6.08 ,$59.00 ,$38.00 ,$17.31 ,$41.30 ,$6.08 ,$59.00 , N/A ,$59.00 ,$56.05 , N/A ,$47.20 ,$53.69 ,$6.08 ,$55.46 ,$56.05 ,$53.10 ,$44.25 ,$6.08 ,$6.08 ,$6.08 ,$43.07 ,$17.31 ,$52.51 ,$53.10 ,$53.10 ,$47.20 ,$17.83 ,$32.45 ,$53.10 ,$17.31 ,$53.10 ,$17.31 ,$56.05 ,$38.95 ,$54.28 ,$12.86 ,$53.69 ,$17.31 ,$36.31 ,$38.00 ,$36.31 ,$53.10 ,$53.10 ,$44.03 ,$53.10 ,$17.48 ,$6.38 ,$55.17 ,$18.18 ,$12.13 ,$51.33 ,$17.31 ,$53.10 ,$17.31 ,$53.10 ,$53.10 ,$53.10 ,$57.23 ,$47.79 ,$53.10 ,$53.10 ,$53.10 ,$53.10 
ST. JOSEPH'S - CHIPPEWA FALLS,42000121,97150,HC GROUP TREATMENT 45MIN,420,1 ,$88.00 ,$66.00 ,$6.08 ,$88.00 ,$56.67 ,$17.31 ,$61.60 ,$6.08 ,$88.00 , N/A ,$88.00 ,$83.60 , N/A ,$70.40 ,$80.08 ,$6.08 ,$82.72 ,$83.60 ,$79.20 ,$66.00 ,$6.08 ,$6.08 ,$6.08 ,$64.24 ,$17.31 ,$78.32 ,$79.20 ,$79.20 ,$70.40 ,$17.83 ,$48.40 ,$79.20 ,$17.31 ,$79.20 ,$17.31 ,$83.60 ,$38.95 ,$80.96 ,$12.86 ,$80.08 ,$17.31 ,$54.16 ,$56.67 ,$54.16 ,$79.20 ,$79.20 ,$65.67 ,$79.20 ,$17.48 ,$6.38 ,$82.28 ,$18.18 ,$12.13 ,$76.56 ,$17.31 ,$79.20 ,$17.31 ,$79.20 ,$79.20 ,$79.20 ,$85.36 ,$71.28 ,$79.20 ,$79.20 ,$79.20 ,$79.20 
ST. JOSEPH'S - CHIPPEWA FALLS,42000122,97150,HC GROUP TREATMENT 60MIN,420,1 ,$118.00 ,$88.50 ,$6.08 ,$118.00 ,$75.99 ,$17.31 ,$82.60 ,$6.08 ,$118.00 , N/A ,$118.00 ,$112.10 , N/A ,$94.40 ,$107.38 ,$6.08 ,$110.92 ,$112.10 ,$106.20 ,$88.50 ,$6.08 ,$6.08 ,$6.08 ,$86.14 ,$17.31 ,$105.02 ,$106.20 ,$106.20 ,$94.40 ,$17.83 ,$64.90 ,$106.20 ,$17.31 ,$106.20 ,$17.31 ,$112.10 ,$38.95 ,$108.56 ,$12.86 ,$107.38 ,$17.31 ,$72.62 ,$75.99 ,$72.62 ,$106.20 ,$106.20 ,$88.06 ,$106.20 ,$17.48 ,$6.38 ,$110.33 ,$18.18 ,$12.13 ,$102.66 ,$17.31 ,$106.20 ,$17.31 ,$106.20 ,$106.20 ,$106.20 ,$114.46 ,$95.58 ,$106.20 ,$106.20 ,$106.20 ,$106.20 
ST. JOSEPH'S - CHIPPEWA FALLS,42000145,97597,HC DEBR SKIN INIT 20CM/NWPT/WRAP,420,1 ,$561.00 ,$420.75 ,$42.35 ,$561.00 ,$361.28 ,$98.76 ,$392.70 ,$42.35 ,$268.00 , N/A ,$214.00 ,$532.95 , N/A ,$448.80 ,$510.51 ,$42.35 ,$527.34 ,$532.95 ,$504.90 ,$420.75 ,$42.35 ,$42.35 ,$42.35 ,$409.53 ,$98.76 ,$499.29 ,$504.90 ,$504.90 ,$448.80 ,$101.72 ,$308.55 ,$504.90 ,$98.76 ,$504.90 ,$98.76 ,$532.95 ,$222.21 ,$516.12 ,$62.23 ,$510.51 ,$98.76 ,$345.24 ,$361.28 ,$345.24 ,$504.90 ,$504.90 ,$418.67 ,$155.42 ,$99.75 ,$44.47 ,$524.54 ,$103.70 ,$58.71 ,$488.07 ,$98.76 ,$504.90 ,$98.76 ,$504.90 ,$504.90 ,$504.90 ,$544.17 ,$454.41 ,$504.90 ,$504.90 ,$504.90 ,$504.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000146,97597,HC DEBR SKIN INIT 20CM/NWPT/BILWRAP,420,1 ,$561.00 ,$420.75 ,$42.35 ,$561.00 ,$361.28 ,$98.76 ,$392.70 ,$42.35 ,$268.00 , N/A ,$214.00 ,$532.95 , N/A ,$448.80 ,$510.51 ,$42.35 ,$527.34 ,$532.95 ,$504.90 ,$420.75 ,$42.35 ,$42.35 ,$42.35 ,$409.53 ,$98.76 ,$499.29 ,$504.90 ,$504.90 ,$448.80 ,$101.72 ,$308.55 ,$504.90 ,$98.76 ,$504.90 ,$98.76 ,$532.95 ,$222.21 ,$516.12 ,$62.23 ,$510.51 ,$98.76 ,$345.24 ,$361.28 ,$345.24 ,$504.90 ,$504.90 ,$418.67 ,$155.42 ,$99.75 ,$44.47 ,$524.54 ,$103.70 ,$58.71 ,$488.07 ,$98.76 ,$504.90 ,$98.76 ,$504.90 ,$504.90 ,$504.90 ,$544.17 ,$454.41 ,$504.90 ,$504.90 ,$504.90 ,$504.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000151,29581,HC APPL MULTI COMP WRAP PT/OT,420,1 ,$405.00 ,$303.75 ,$59.15 ,$405.00 ,$260.82 ,$145.80 ,$283.50 , N/A ,$268.00 , N/A ,$214.00 ,$384.75 , N/A ,$324.00 ,$368.55 , N/A ,$380.70 ,$384.75 ,$364.50 ,$303.75 , N/A , N/A , N/A ,$295.65 ,$145.80 ,$360.45 ,$364.50 ,$364.50 ,$324.00 ,$150.17 ,$222.75 ,$364.50 ,$145.80 ,$364.50 ,$145.80 ,$384.75 ,$328.04 ,$372.60 ,$62.70 ,$368.55 ,$145.80 ,$249.24 ,$260.82 ,$249.24 ,$364.50 ,$364.50 ,$302.25 ,$155.42 ,$147.25 , N/A ,$378.68 ,$153.09 ,$59.15 ,$352.35 ,$145.80 ,$364.50 ,$145.80 ,$364.50 ,$364.50 ,$364.50 ,$392.85 ,$328.05 ,$364.50 ,$364.50 ,$364.50 ,$364.50 
ST. JOSEPH'S - CHIPPEWA FALLS,42000160,97113,HC THERAPEUTIC ACT W/AQUA,420,1 ,$145.00 ,$108.75 ,$12.13 ,$145.00 ,$93.38 ,$36.05 ,$101.50 ,$36.96 ,$145.00 , N/A ,$145.00 ,$137.75 , N/A ,$116.00 ,$131.95 ,$36.96 ,$136.30 ,$137.75 ,$130.50 ,$108.75 ,$36.96 ,$36.96 ,$36.96 ,$105.85 ,$36.05 ,$129.05 ,$130.50 ,$130.50 ,$116.00 ,$37.13 ,$79.75 ,$130.50 ,$36.05 ,$130.50 ,$36.05 ,$137.75 ,$81.11 ,$133.40 ,$12.86 ,$131.95 ,$36.05 ,$89.23 ,$93.38 ,$89.23 ,$130.50 ,$130.50 ,$108.21 ,$130.50 ,$36.41 ,$38.81 ,$135.58 ,$37.85 ,$12.13 ,$126.15 ,$36.05 ,$130.50 ,$36.05 ,$130.50 ,$130.50 ,$130.50 ,$140.65 ,$117.45 ,$130.50 ,$130.50 ,$130.50 ,$130.50 
ST. JOSEPH'S - CHIPPEWA FALLS,42000168,97150,HC GROUP TREATMENT 120MIN,420,1 ,$236.00 ,$177.00 ,$6.08 ,$236.00 ,$151.98 ,$17.31 ,$165.20 ,$6.08 ,$236.00 , N/A ,$214.00 ,$224.20 , N/A ,$188.80 ,$214.76 ,$6.08 ,$221.84 ,$224.20 ,$212.40 ,$177.00 ,$6.08 ,$6.08 ,$6.08 ,$172.28 ,$17.31 ,$210.04 ,$212.40 ,$212.40 ,$188.80 ,$17.83 ,$129.80 ,$212.40 ,$17.31 ,$212.40 ,$17.31 ,$224.20 ,$38.95 ,$217.12 ,$12.86 ,$214.76 ,$17.31 ,$145.23 ,$151.98 ,$145.23 ,$212.40 ,$212.40 ,$176.13 ,$155.42 ,$17.48 ,$6.38 ,$220.66 ,$18.18 ,$12.13 ,$205.32 ,$17.31 ,$212.40 ,$17.31 ,$212.40 ,$212.40 ,$212.40 ,$228.92 ,$191.16 ,$212.40 ,$212.40 ,$212.40 ,$212.40 
ST. JOSEPH'S - CHIPPEWA FALLS,42000169,97150,HC GROUP TREATMENT 150MIN,420,1 ,$244.00 ,$183.00 ,$6.08 ,$244.00 ,$157.14 ,$17.31 ,$170.80 ,$6.08 ,$244.00 , N/A ,$214.00 ,$231.80 , N/A ,$195.20 ,$222.04 ,$6.08 ,$229.36 ,$231.80 ,$219.60 ,$183.00 ,$6.08 ,$6.08 ,$6.08 ,$178.12 ,$17.31 ,$217.16 ,$219.60 ,$219.60 ,$195.20 ,$17.83 ,$134.20 ,$219.60 ,$17.31 ,$219.60 ,$17.31 ,$231.80 ,$38.95 ,$224.48 ,$12.86 ,$222.04 ,$17.31 ,$150.16 ,$157.14 ,$150.16 ,$219.60 ,$219.60 ,$182.10 ,$155.42 ,$17.48 ,$6.38 ,$228.14 ,$18.18 ,$12.13 ,$212.28 ,$17.31 ,$219.60 ,$17.31 ,$219.60 ,$219.60 ,$219.60 ,$236.68 ,$197.64 ,$219.60 ,$219.60 ,$219.60 ,$219.60 
ST. JOSEPH'S - CHIPPEWA FALLS,42000170,97150,HC GROUP TREATMENT 180MIN,420,1 ,$292.00 ,$219.00 ,$6.08 ,$292.00 ,$188.05 ,$17.31 ,$204.40 ,$6.08 ,$268.00 , N/A ,$214.00 ,$277.40 , N/A ,$233.60 ,$265.72 ,$6.08 ,$274.48 ,$277.40 ,$262.80 ,$219.00 ,$6.08 ,$6.08 ,$6.08 ,$213.16 ,$17.31 ,$259.88 ,$262.80 ,$262.80 ,$233.60 ,$17.83 ,$160.60 ,$262.80 ,$17.31 ,$262.80 ,$17.31 ,$277.40 ,$38.95 ,$268.64 ,$12.86 ,$265.72 ,$17.31 ,$179.70 ,$188.05 ,$179.70 ,$262.80 ,$262.80 ,$217.92 ,$155.42 ,$17.48 ,$6.38 ,$273.02 ,$18.18 ,$12.13 ,$254.04 ,$17.31 ,$262.80 ,$17.31 ,$262.80 ,$262.80 ,$262.80 ,$283.24 ,$236.52 ,$262.80 ,$262.80 ,$262.80 ,$262.80 
ST. JOSEPH'S - CHIPPEWA FALLS,42000171,97150,HC GROUP TREATMENT 90MIN,420,1 ,$178.00 ,$133.50 ,$6.08 ,$178.00 ,$114.63 ,$17.31 ,$124.60 ,$6.08 ,$178.00 , N/A ,$178.00 ,$169.10 , N/A ,$142.40 ,$161.98 ,$6.08 ,$167.32 ,$169.10 ,$160.20 ,$133.50 ,$6.08 ,$6.08 ,$6.08 ,$129.94 ,$17.31 ,$158.42 ,$160.20 ,$160.20 ,$142.40 ,$17.83 ,$97.90 ,$160.20 ,$17.31 ,$160.20 ,$17.31 ,$169.10 ,$38.95 ,$163.76 ,$12.86 ,$161.98 ,$17.31 ,$109.54 ,$114.63 ,$109.54 ,$160.20 ,$160.20 ,$132.84 ,$155.42 ,$17.48 ,$6.38 ,$166.43 ,$18.18 ,$12.13 ,$154.86 ,$17.31 ,$160.20 ,$17.31 ,$160.20 ,$160.20 ,$160.20 ,$172.66 ,$144.18 ,$160.20 ,$160.20 ,$160.20 ,$160.20 
ST. JOSEPH'S - CHIPPEWA FALLS,42000172,97150,HC GROUP TREATMENT 75MIN,420,1 ,$148.00 ,$111.00 ,$6.08 ,$148.00 ,$95.31 ,$17.31 ,$103.60 ,$6.08 ,$148.00 , N/A ,$148.00 ,$140.60 , N/A ,$118.40 ,$134.68 ,$6.08 ,$139.12 ,$140.60 ,$133.20 ,$111.00 ,$6.08 ,$6.08 ,$6.08 ,$108.04 ,$17.31 ,$131.72 ,$133.20 ,$133.20 ,$118.40 ,$17.83 ,$81.40 ,$133.20 ,$17.31 ,$133.20 ,$17.31 ,$140.60 ,$38.95 ,$136.16 ,$12.86 ,$134.68 ,$17.31 ,$91.08 ,$95.31 ,$91.08 ,$133.20 ,$133.20 ,$110.45 ,$133.20 ,$17.48 ,$6.38 ,$138.38 ,$18.18 ,$12.13 ,$128.76 ,$17.31 ,$133.20 ,$17.31 ,$133.20 ,$133.20 ,$133.20 ,$143.56 ,$119.88 ,$133.20 ,$133.20 ,$133.20 ,$133.20 
ST. JOSEPH'S - CHIPPEWA FALLS,42000173,97605,HC NEG PRESS WND THPY <50 SQ CM 30MIN,420,1 ,$365.00 ,$273.75 ,$41.41 ,$365.00 ,$235.06 ,$41.41 ,$255.50 , N/A ,$268.00 , N/A ,$214.00 ,$346.75 , N/A ,$292.00 ,$332.15 , N/A ,$343.10 ,$346.75 ,$328.50 ,$273.75 , N/A , N/A , N/A ,$266.45 ,$41.41 ,$324.85 ,$328.50 ,$328.50 ,$292.00 ,$42.65 ,$200.75 ,$328.50 ,$41.41 ,$328.50 ,$41.41 ,$346.75 ,$93.17 ,$335.80 ,$62.23 ,$332.15 ,$41.41 ,$224.62 ,$235.06 ,$224.62 ,$328.50 ,$328.50 ,$272.40 ,$155.42 ,$41.82 , N/A ,$341.28 ,$43.48 ,$58.71 ,$317.55 ,$41.41 ,$328.50 ,$41.41 ,$328.50 ,$328.50 ,$328.50 ,$354.05 ,$295.65 ,$328.50 ,$328.50 ,$328.50 ,$328.50 
ST. JOSEPH'S - CHIPPEWA FALLS,42000174,97605,HC NEG PRESS WND THPY <50 SQ CM 45MIN,420,1 ,$487.00 ,$365.25 ,$41.41 ,$487.00 ,$313.63 ,$41.41 ,$340.90 , N/A ,$268.00 , N/A ,$214.00 ,$462.65 , N/A ,$389.60 ,$443.17 , N/A ,$457.78 ,$462.65 ,$438.30 ,$365.25 , N/A , N/A , N/A ,$355.51 ,$41.41 ,$433.43 ,$438.30 ,$438.30 ,$389.60 ,$42.65 ,$267.85 ,$438.30 ,$41.41 ,$438.30 ,$41.41 ,$462.65 ,$93.17 ,$448.04 ,$62.23 ,$443.17 ,$41.41 ,$299.70 ,$313.63 ,$299.70 ,$438.30 ,$438.30 ,$363.45 ,$155.42 ,$41.82 , N/A ,$455.35 ,$43.48 ,$58.71 ,$423.69 ,$41.41 ,$438.30 ,$41.41 ,$438.30 ,$438.30 ,$438.30 ,$472.39 ,$394.47 ,$438.30 ,$438.30 ,$438.30 ,$438.30 
ST. JOSEPH'S - CHIPPEWA FALLS,42000175,97605,HC NEG PRESS WND THPY <50 SQ CM 60MIN,420,1 ,$529.00 ,$396.75 ,$41.41 ,$529.00 ,$340.68 ,$41.41 ,$370.30 , N/A ,$268.00 , N/A ,$214.00 ,$502.55 , N/A ,$423.20 ,$481.39 , N/A ,$497.26 ,$502.55 ,$476.10 ,$396.75 , N/A , N/A , N/A ,$386.17 ,$41.41 ,$470.81 ,$476.10 ,$476.10 ,$423.20 ,$42.65 ,$290.95 ,$476.10 ,$41.41 ,$476.10 ,$41.41 ,$502.55 ,$93.17 ,$486.68 ,$62.23 ,$481.39 ,$41.41 ,$325.55 ,$340.68 ,$325.55 ,$476.10 ,$476.10 ,$394.79 ,$155.42 ,$41.82 , N/A ,$494.62 ,$43.48 ,$58.71 ,$460.23 ,$41.41 ,$476.10 ,$41.41 ,$476.10 ,$476.10 ,$476.10 ,$513.13 ,$428.49 ,$476.10 ,$476.10 ,$476.10 ,$476.10 
ST. JOSEPH'S - CHIPPEWA FALLS,42000176,97605,HC NEG PRESS WND THPY <50 SQ CM 75MIN,420,1 ,$351.00 ,$263.25 ,$41.41 ,$351.00 ,$226.04 ,$41.41 ,$245.70 , N/A ,$268.00 , N/A ,$214.00 ,$333.45 , N/A ,$280.80 ,$319.41 , N/A ,$329.94 ,$333.45 ,$315.90 ,$263.25 , N/A , N/A , N/A ,$256.23 ,$41.41 ,$312.39 ,$315.90 ,$315.90 ,$280.80 ,$42.65 ,$193.05 ,$315.90 ,$41.41 ,$315.90 ,$41.41 ,$333.45 ,$93.17 ,$322.92 ,$62.23 ,$319.41 ,$41.41 ,$216.01 ,$226.04 ,$216.01 ,$315.90 ,$315.90 ,$261.95 ,$155.42 ,$41.82 , N/A ,$328.19 ,$43.48 ,$58.71 ,$305.37 ,$41.41 ,$315.90 ,$41.41 ,$315.90 ,$315.90 ,$315.90 ,$340.47 ,$284.31 ,$315.90 ,$315.90 ,$315.90 ,$315.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000177,97605,HC NEG PRESS WND THPY <50 SQ CM 90MIN,420,1 ,$398.00 ,$298.50 ,$41.41 ,$398.00 ,$256.31 ,$41.41 ,$278.60 , N/A ,$268.00 , N/A ,$214.00 ,$378.10 , N/A ,$318.40 ,$362.18 , N/A ,$374.12 ,$378.10 ,$358.20 ,$298.50 , N/A , N/A , N/A ,$290.54 ,$41.41 ,$354.22 ,$358.20 ,$358.20 ,$318.40 ,$42.65 ,$218.90 ,$358.20 ,$41.41 ,$358.20 ,$41.41 ,$378.10 ,$93.17 ,$366.16 ,$62.23 ,$362.18 ,$41.41 ,$244.93 ,$256.31 ,$244.93 ,$358.20 ,$358.20 ,$297.03 ,$155.42 ,$41.82 , N/A ,$372.13 ,$43.48 ,$58.71 ,$346.26 ,$41.41 ,$358.20 ,$41.41 ,$358.20 ,$358.20 ,$358.20 ,$386.06 ,$322.38 ,$358.20 ,$358.20 ,$358.20 ,$358.20 
ST. JOSEPH'S - CHIPPEWA FALLS,42000178,97605,HC NEG PRESS WND THPY <50 SQ CM 105MIN,420,1 ,$464.00 ,$348.00 ,$41.41 ,$464.00 ,$298.82 ,$41.41 ,$324.80 , N/A ,$268.00 , N/A ,$214.00 ,$440.80 , N/A ,$371.20 ,$422.24 , N/A ,$436.16 ,$440.80 ,$417.60 ,$348.00 , N/A , N/A , N/A ,$338.72 ,$41.41 ,$412.96 ,$417.60 ,$417.60 ,$371.20 ,$42.65 ,$255.20 ,$417.60 ,$41.41 ,$417.60 ,$41.41 ,$440.80 ,$93.17 ,$426.88 ,$62.23 ,$422.24 ,$41.41 ,$285.55 ,$298.82 ,$285.55 ,$417.60 ,$417.60 ,$346.28 ,$155.42 ,$41.82 , N/A ,$433.84 ,$43.48 ,$58.71 ,$403.68 ,$41.41 ,$417.60 ,$41.41 ,$417.60 ,$417.60 ,$417.60 ,$450.08 ,$375.84 ,$417.60 ,$417.60 ,$417.60 ,$417.60 
ST. JOSEPH'S - CHIPPEWA FALLS,42000179,97605,HC NEG PRESS WND THPY <50 SQ CM 120MIN,420,1 ,$531.00 ,$398.25 ,$41.41 ,$531.00 ,$341.96 ,$41.41 ,$371.70 , N/A ,$268.00 , N/A ,$214.00 ,$504.45 , N/A ,$424.80 ,$483.21 , N/A ,$499.14 ,$504.45 ,$477.90 ,$398.25 , N/A , N/A , N/A ,$387.63 ,$41.41 ,$472.59 ,$477.90 ,$477.90 ,$424.80 ,$42.65 ,$292.05 ,$477.90 ,$41.41 ,$477.90 ,$41.41 ,$504.45 ,$93.17 ,$488.52 ,$62.23 ,$483.21 ,$41.41 ,$326.78 ,$341.96 ,$326.78 ,$477.90 ,$477.90 ,$396.29 ,$155.42 ,$41.82 , N/A ,$496.49 ,$43.48 ,$58.71 ,$461.97 ,$41.41 ,$477.90 ,$41.41 ,$477.90 ,$477.90 ,$477.90 ,$515.07 ,$430.11 ,$477.90 ,$477.90 ,$477.90 ,$477.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000180,97606,HC NEG PRESS WND THPY >50 SQ CM 30MIN,420,1 ,$365.00 ,$273.75 ,$49.00 ,$365.00 ,$235.06 ,$49.00 ,$255.50 , N/A ,$268.00 , N/A ,$214.00 ,$346.75 , N/A ,$292.00 ,$332.15 , N/A ,$343.10 ,$346.75 ,$328.50 ,$273.75 , N/A , N/A , N/A ,$266.45 ,$49.00 ,$324.85 ,$328.50 ,$328.50 ,$292.00 ,$50.47 ,$200.75 ,$328.50 ,$49.00 ,$328.50 ,$49.00 ,$346.75 ,$110.25 ,$335.80 ,$125.18 ,$332.15 ,$49.00 ,$224.62 ,$235.06 ,$224.62 ,$328.50 ,$328.50 ,$272.40 ,$155.42 ,$49.49 , N/A ,$341.28 ,$51.45 ,$118.09 ,$317.55 ,$49.00 ,$328.50 ,$49.00 ,$328.50 ,$328.50 ,$328.50 ,$354.05 ,$295.65 ,$328.50 ,$328.50 ,$328.50 ,$328.50 
ST. JOSEPH'S - CHIPPEWA FALLS,42000181,97606,HC NEG PRESS WND THPY >50 SQ CM 45MIN,420,1 ,$487.00 ,$365.25 ,$49.00 ,$487.00 ,$313.63 ,$49.00 ,$340.90 , N/A ,$268.00 , N/A ,$214.00 ,$462.65 , N/A ,$389.60 ,$443.17 , N/A ,$457.78 ,$462.65 ,$438.30 ,$365.25 , N/A , N/A , N/A ,$355.51 ,$49.00 ,$433.43 ,$438.30 ,$438.30 ,$389.60 ,$50.47 ,$267.85 ,$438.30 ,$49.00 ,$438.30 ,$49.00 ,$462.65 ,$110.25 ,$448.04 ,$125.18 ,$443.17 ,$49.00 ,$299.70 ,$313.63 ,$299.70 ,$438.30 ,$438.30 ,$363.45 ,$155.42 ,$49.49 , N/A ,$455.35 ,$51.45 ,$118.09 ,$423.69 ,$49.00 ,$438.30 ,$49.00 ,$438.30 ,$438.30 ,$438.30 ,$472.39 ,$394.47 ,$438.30 ,$438.30 ,$438.30 ,$438.30 
ST. JOSEPH'S - CHIPPEWA FALLS,42000182,97606,HC NEG PRESS WND THPY >50 SQ CM 60MIN,420,1 ,$559.00 ,$419.25 ,$49.00 ,$559.00 ,$360.00 ,$49.00 ,$391.30 , N/A ,$268.00 , N/A ,$214.00 ,$531.05 , N/A ,$447.20 ,$508.69 , N/A ,$525.46 ,$531.05 ,$503.10 ,$419.25 , N/A , N/A , N/A ,$408.07 ,$49.00 ,$497.51 ,$503.10 ,$503.10 ,$447.20 ,$50.47 ,$307.45 ,$503.10 ,$49.00 ,$503.10 ,$49.00 ,$531.05 ,$110.25 ,$514.28 ,$125.18 ,$508.69 ,$49.00 ,$344.01 ,$360.00 ,$344.01 ,$503.10 ,$503.10 ,$417.18 ,$155.42 ,$49.49 , N/A ,$522.67 ,$51.45 ,$118.09 ,$486.33 ,$49.00 ,$503.10 ,$49.00 ,$503.10 ,$503.10 ,$503.10 ,$542.23 ,$452.79 ,$503.10 ,$503.10 ,$503.10 ,$503.10 
ST. JOSEPH'S - CHIPPEWA FALLS,42000183,97606,HC NEG PRESS WND THPY >50 SQ CM 75MIN,420,1 ,$351.00 ,$263.25 ,$49.00 ,$351.00 ,$226.04 ,$49.00 ,$245.70 , N/A ,$268.00 , N/A ,$214.00 ,$333.45 , N/A ,$280.80 ,$319.41 , N/A ,$329.94 ,$333.45 ,$315.90 ,$263.25 , N/A , N/A , N/A ,$256.23 ,$49.00 ,$312.39 ,$315.90 ,$315.90 ,$280.80 ,$50.47 ,$193.05 ,$315.90 ,$49.00 ,$315.90 ,$49.00 ,$333.45 ,$110.25 ,$322.92 ,$125.18 ,$319.41 ,$49.00 ,$216.01 ,$226.04 ,$216.01 ,$315.90 ,$315.90 ,$261.95 ,$155.42 ,$49.49 , N/A ,$328.19 ,$51.45 ,$118.09 ,$305.37 ,$49.00 ,$315.90 ,$49.00 ,$315.90 ,$315.90 ,$315.90 ,$340.47 ,$284.31 ,$315.90 ,$315.90 ,$315.90 ,$315.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000184,97606,HC NEG PRESS WND THPY >50 SQ CM 90MIN,420,1 ,$398.00 ,$298.50 ,$49.00 ,$398.00 ,$256.31 ,$49.00 ,$278.60 , N/A ,$268.00 , N/A ,$214.00 ,$378.10 , N/A ,$318.40 ,$362.18 , N/A ,$374.12 ,$378.10 ,$358.20 ,$298.50 , N/A , N/A , N/A ,$290.54 ,$49.00 ,$354.22 ,$358.20 ,$358.20 ,$318.40 ,$50.47 ,$218.90 ,$358.20 ,$49.00 ,$358.20 ,$49.00 ,$378.10 ,$110.25 ,$366.16 ,$125.18 ,$362.18 ,$49.00 ,$244.93 ,$256.31 ,$244.93 ,$358.20 ,$358.20 ,$297.03 ,$155.42 ,$49.49 , N/A ,$372.13 ,$51.45 ,$118.09 ,$346.26 ,$49.00 ,$358.20 ,$49.00 ,$358.20 ,$358.20 ,$358.20 ,$386.06 ,$322.38 ,$358.20 ,$358.20 ,$358.20 ,$358.20 
ST. JOSEPH'S - CHIPPEWA FALLS,42000185,97606,HC NEG PRESS WND THPY >50 SQ CM 105MIN,420,1 ,$491.00 ,$368.25 ,$49.00 ,$491.00 ,$316.20 ,$49.00 ,$343.70 , N/A ,$268.00 , N/A ,$214.00 ,$466.45 , N/A ,$392.80 ,$446.81 , N/A ,$461.54 ,$466.45 ,$441.90 ,$368.25 , N/A , N/A , N/A ,$358.43 ,$49.00 ,$436.99 ,$441.90 ,$441.90 ,$392.80 ,$50.47 ,$270.05 ,$441.90 ,$49.00 ,$441.90 ,$49.00 ,$466.45 ,$110.25 ,$451.72 ,$125.18 ,$446.81 ,$49.00 ,$302.16 ,$316.20 ,$302.16 ,$441.90 ,$441.90 ,$366.43 ,$155.42 ,$49.49 , N/A ,$459.09 ,$51.45 ,$118.09 ,$427.17 ,$49.00 ,$441.90 ,$49.00 ,$441.90 ,$441.90 ,$441.90 ,$476.27 ,$397.71 ,$441.90 ,$441.90 ,$441.90 ,$441.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000186,97606,HC NEG PRESS WND THPY >50 SQ CM 120MIN,420,1 ,$531.00 ,$398.25 ,$49.00 ,$531.00 ,$341.96 ,$49.00 ,$371.70 , N/A ,$268.00 , N/A ,$214.00 ,$504.45 , N/A ,$424.80 ,$483.21 , N/A ,$499.14 ,$504.45 ,$477.90 ,$398.25 , N/A , N/A , N/A ,$387.63 ,$49.00 ,$472.59 ,$477.90 ,$477.90 ,$424.80 ,$50.47 ,$292.05 ,$477.90 ,$49.00 ,$477.90 ,$49.00 ,$504.45 ,$110.25 ,$488.52 ,$125.18 ,$483.21 ,$49.00 ,$326.78 ,$341.96 ,$326.78 ,$477.90 ,$477.90 ,$396.29 ,$155.42 ,$49.49 , N/A ,$496.49 ,$51.45 ,$118.09 ,$461.97 ,$49.00 ,$477.90 ,$49.00 ,$477.90 ,$477.90 ,$477.90 ,$515.07 ,$430.11 ,$477.90 ,$477.90 ,$477.90 ,$477.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000188,97799,HC PT PATIENT-TEAM EVAL,420,1 ,$75.00 ,$56.25 ,$10.14 ,$85.82 ,$48.30 , N/A ,$52.50 ,$75.00 ,$75.00 ,$84.18 ,$75.00 ,$71.25 , N/A ,$60.00 ,$68.25 ,$75.00 ,$70.50 ,$71.25 ,$67.50 ,$56.25 ,$81.73 ,$81.73 ,$81.73 ,$54.75 , N/A ,$66.75 ,$67.50 ,$67.50 ,$60.00 , N/A ,$41.25 ,$67.50 , N/A ,$67.50 , N/A ,$71.25 ,$45.00 ,$69.00 ,$10.75 ,$68.25 , N/A ,$46.16 ,$48.30 ,$46.16 ,$67.50 ,$67.50 ,$55.97 ,$67.50 ,$61.50 ,$85.82 ,$70.13 , N/A ,$10.14 ,$65.25 , N/A ,$67.50 , N/A ,$67.50 ,$67.50 ,$67.50 ,$72.75 ,$60.75 ,$67.50 ,$67.50 ,$67.50 ,$67.50 
ST. JOSEPH'S - CHIPPEWA FALLS,42000191,97602,HC DEBRIDEMENT NONSELECTIVE W/O ANESTH 30MIN,420,1 ,$161.00 ,$120.75 ,$88.55 ,$161.00 ,$103.68 , N/A ,$112.70 , N/A ,$161.00 , N/A ,$161.00 ,$152.95 , N/A ,$128.80 ,$146.51 , N/A ,$151.34 ,$152.95 ,$144.90 ,$120.75 , N/A , N/A , N/A ,$117.53 , N/A ,$143.29 ,$144.90 ,$144.90 ,$128.80 , N/A ,$88.55 ,$144.90 , N/A ,$144.90 , N/A ,$152.95 , N/A ,$148.12 ,$125.18 ,$146.51 , N/A ,$99.08 ,$103.68 ,$99.08 ,$144.90 ,$144.90 ,$120.15 ,$144.90 , N/A , N/A ,$150.54 , N/A ,$118.09 ,$140.07 , N/A ,$144.90 , N/A ,$144.90 ,$144.90 ,$144.90 ,$156.17 ,$130.41 ,$144.90 ,$144.90 ,$144.90 ,$144.90 
ST. JOSEPH'S - CHIPPEWA FALLS,42000192,97602,HC DEBRIDEMENT NONSELECTIVE W/O ANESTH 45MIN,420,1 ,$257.00 ,$192.75 ,$118.09 ,$257.00 ,$165.51 , N/A ,$179.90 , N/A ,$257.00 , N/A ,$214.00 ,$244.15 , N/A ,$205.60 ,$233.87 , N/A ,$241.58 ,$244.15 ,$231.30 ,$192.75 , N/A , N/A , N/A ,$187.61 , N/A ,$228.73 ,$231.30 ,$231.30 ,$205.60 , N/A ,$141.35 ,$231.30 , N/A ,$231.30 , N/A ,$244.15 , N/A ,$236.44 ,$125.18 ,$233.87 , N/A ,$158.16 ,$165.51 ,$158.16 ,$231.30 ,$231.30 ,$191.80 ,$155.42 , N/A , N/A ,$240.30 , N/A ,$118.09 ,$223.59 , N/A ,$231.30 , N/A ,$231.30 ,$231.30 ,$231.30 ,$249.29 ,$208.17 ,$231.30 ,$231.30 ,$231.30 ,$231.30 
ST. JOSEPH'S - CHIPPEWA FALLS,42000193,97602,HC DEBRIDEMENT NONSELECTIVE W/O ANESTH 60MIN,420,1 ,$319.00 ,$239.25 ,$118.09 ,$319.00 ,$205.44 , N/A ,$223.30 , N/A ,$268.00 , N/A ,$214.00 ,$303.05 , N/A ,$255.20 ,$290.29 , N/A ,$299.86 ,$303.05 ,$287.10 ,$239.25 , N/A , N/A , N/A ,$232.87 , N/A ,$283.91 ,$287.10 ,$287.10 ,$255.20 , N/A ,$175.45 ,$287.10 , N/A ,$287.10 , N/A ,$303.05 , N/A ,$293.48 ,$125.18 ,$290.29 , N/A ,$196.31 ,$205.44 ,$196.31 ,$287.10 ,$287.10 ,$238.07 ,$155.42 , N/A , N/A ,$298.27 , N/A ,$118.09 ,$277.53 , N/A ,$287.10 , N/A ,$287.10 ,$287.10 ,$287.10 ,$309.43 ,$258.39 ,$287.10 ,$287.10 ,$287.10 ,$287.10 
ST. JOSEPH'S - CHIPPEWA FALLS,42400087,97161,HC PT EVAL LOW COMPLEXITY,424,1 ,$170.00 ,$127.50 ,$62.66 ,$220.55 ,$109.48 ,$98.02 ,$119.00 ,$62.66 ,$170.00 , N/A ,$170.00 ,$161.50 , N/A ,$136.00 ,$154.70 ,$62.66 ,$159.80 ,$161.50 ,$153.00 ,$127.50 ,$62.66 ,$62.66 ,$62.66 ,$124.10 ,$98.02 ,$151.30 ,$153.00 ,$153.00 ,$136.00 ,$100.96 ,$93.50 ,$153.00 ,$98.02 ,$153.00 ,$98.02 ,$161.50 ,$220.55 ,$156.40 ,$79.69 ,$154.70 ,$98.02 ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$153.00 ,$126.87 ,$153.00 ,$99.00 ,$65.79 ,$158.95 ,$102.92 ,$75.18 ,$147.90 ,$98.02 ,$153.00 ,$98.02 ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 
ST. JOSEPH'S - CHIPPEWA FALLS,42400088,97162,HC PT EVAL MOD COMPLEXITY,424,1 ,$275.00 ,$206.25 ,$62.66 ,$275.00 ,$177.10 ,$98.02 ,$192.50 ,$62.66 ,$268.00 , N/A ,$214.00 ,$261.25 , N/A ,$220.00 ,$250.25 ,$62.66 ,$258.50 ,$261.25 ,$247.50 ,$206.25 ,$62.66 ,$62.66 ,$62.66 ,$200.75 ,$98.02 ,$244.75 ,$247.50 ,$247.50 ,$220.00 ,$100.96 ,$151.25 ,$247.50 ,$98.02 ,$247.50 ,$98.02 ,$261.25 ,$220.55 ,$253.00 ,$79.69 ,$250.25 ,$98.02 ,$169.24 ,$177.10 ,$169.24 ,$247.50 ,$247.50 ,$205.23 ,$155.42 ,$99.00 ,$65.79 ,$257.13 ,$102.92 ,$75.18 ,$239.25 ,$98.02 ,$247.50 ,$98.02 ,$247.50 ,$247.50 ,$247.50 ,$266.75 ,$222.75 ,$247.50 ,$247.50 ,$247.50 ,$247.50 
ST. JOSEPH'S - CHIPPEWA FALLS,42400089,97163,HC PT EVAL HIGH COMPLEXITY,424,1 ,$467.00 ,$350.25 ,$62.66 ,$467.00 ,$300.75 ,$98.02 ,$326.90 ,$62.66 ,$268.00 , N/A ,$214.00 ,$443.65 , N/A ,$373.60 ,$424.97 ,$62.66 ,$438.98 ,$443.65 ,$420.30 ,$350.25 ,$62.66 ,$62.66 ,$62.66 ,$340.91 ,$98.02 ,$415.63 ,$420.30 ,$420.30 ,$373.60 ,$100.96 ,$256.85 ,$420.30 ,$98.02 ,$420.30 ,$98.02 ,$443.65 ,$220.55 ,$429.64 ,$79.69 ,$424.97 ,$98.02 ,$287.39 ,$300.75 ,$287.39 ,$420.30 ,$420.30 ,$348.52 ,$155.42 ,$99.00 ,$65.79 ,$436.65 ,$102.92 ,$75.18 ,$406.29 ,$98.02 ,$420.30 ,$98.02 ,$420.30 ,$420.30 ,$420.30 ,$452.99 ,$378.27 ,$420.30 ,$420.30 ,$420.30 ,$420.30 
ST. JOSEPH'S - CHIPPEWA FALLS,42400090,97164,HC PT RE-EVAL,424,1 ,$155.00 ,$116.25 ,$62.66 ,$155.00 ,$99.82 ,$67.53 ,$108.50 ,$62.66 ,$155.00 , N/A ,$155.00 ,$147.25 , N/A ,$124.00 ,$141.05 ,$62.66 ,$145.70 ,$147.25 ,$139.50 ,$116.25 ,$62.66 ,$62.66 ,$62.66 ,$113.15 ,$67.53 ,$137.95 ,$139.50 ,$139.50 ,$124.00 ,$69.56 ,$85.25 ,$139.50 ,$67.53 ,$139.50 ,$67.53 ,$147.25 ,$151.94 ,$142.60 ,$79.69 ,$141.05 ,$67.53 ,$95.39 ,$99.82 ,$95.39 ,$139.50 ,$139.50 ,$115.68 ,$139.50 ,$68.21 ,$65.79 ,$144.93 ,$70.91 ,$75.18 ,$134.85 ,$67.53 ,$139.50 ,$67.53 ,$139.50 ,$139.50 ,$139.50 ,$150.35 ,$125.55 ,$139.50 ,$139.50 ,$139.50 ,$139.50 
ST. JOSEPH'S - CHIPPEWA FALLS,43000012,97018,HC PARAFFIN BATH,430,1 ,$76.00 ,$57.00 ,$5.44 ,$76.00 ,$48.94 ,$5.44 ,$53.20 ,$18.94 ,$76.00 , N/A ,$76.00 ,$72.20 , N/A ,$60.80 ,$69.16 ,$18.94 ,$71.44 ,$72.20 ,$68.40 ,$57.00 ,$18.94 ,$18.94 ,$18.94 ,$55.48 ,$5.44 ,$67.64 ,$68.40 ,$68.40 ,$60.80 ,$5.60 ,$41.80 ,$68.40 ,$5.44 ,$68.40 ,$5.44 ,$72.20 ,$12.24 ,$69.92 ,$10.75 ,$69.16 ,$5.44 ,$46.77 ,$48.94 ,$46.77 ,$68.40 ,$68.40 ,$56.72 ,$68.40 ,$5.49 ,$19.89 ,$71.06 ,$5.71 ,$10.14 ,$66.12 ,$5.44 ,$68.40 ,$5.44 ,$68.40 ,$68.40 ,$68.40 ,$73.72 ,$61.56 ,$68.40 ,$68.40 ,$68.40 ,$68.40 
ST. JOSEPH'S - CHIPPEWA FALLS,43000013,97034,HC CONTRAST BATH EA 15 MIN,430,1 ,$94.00 ,$70.50 ,$10.14 ,$94.00 ,$60.54 ,$14.22 ,$65.80 ,$15.93 ,$94.00 , N/A ,$94.00 ,$89.30 , N/A ,$75.20 ,$85.54 ,$15.93 ,$88.36 ,$89.30 ,$84.60 ,$70.50 ,$15.93 ,$15.93 ,$15.93 ,$68.62 ,$14.22 ,$83.66 ,$84.60 ,$84.60 ,$75.20 ,$14.65 ,$51.70 ,$84.60 ,$14.22 ,$84.60 ,$14.22 ,$89.30 ,$32.00 ,$86.48 ,$10.75 ,$85.54 ,$14.22 ,$57.85 ,$60.54 ,$57.85 ,$84.60 ,$84.60 ,$70.15 ,$84.60 ,$14.36 ,$16.73 ,$87.89 ,$14.93 ,$10.14 ,$81.78 ,$14.22 ,$84.60 ,$14.22 ,$84.60 ,$84.60 ,$84.60 ,$91.18 ,$76.14 ,$84.60 ,$84.60 ,$84.60 ,$84.60 
ST. JOSEPH'S - CHIPPEWA FALLS,43000015,97533,HC PERCEPTUAL ACTIVITY EA 15 MIN,430,1 ,$108.00 ,$81.00 ,$12.13 ,$141.26 ,$69.55 ,$62.78 ,$75.60 ,$18.87 ,$108.00 , N/A ,$108.00 ,$102.60 , N/A ,$86.40 ,$98.28 ,$18.87 ,$101.52 ,$102.60 ,$97.20 ,$81.00 ,$18.87 ,$18.87 ,$18.87 ,$78.84 ,$62.78 ,$96.12 ,$97.20 ,$97.20 ,$86.40 ,$64.66 ,$59.40 ,$97.20 ,$62.78 ,$97.20 ,$62.78 ,$102.60 ,$141.26 ,$99.36 ,$12.86 ,$98.28 ,$62.78 ,$66.46 ,$69.55 ,$66.46 ,$97.20 ,$97.20 ,$80.60 ,$97.20 ,$63.41 ,$19.81 ,$100.98 ,$65.92 ,$12.13 ,$93.96 ,$62.78 ,$97.20 ,$62.78 ,$97.20 ,$97.20 ,$97.20 ,$104.76 ,$87.48 ,$97.20 ,$97.20 ,$97.20 ,$97.20 
ST. JOSEPH'S - CHIPPEWA FALLS,43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$106.00 ,$79.50 ,$10.14 ,$106.00 ,$68.26 ,$32.08 ,$74.20 ,$20.93 ,$106.00 , N/A ,$106.00 ,$100.70 , N/A ,$84.80 ,$96.46 ,$20.93 ,$99.64 ,$100.70 ,$95.40 ,$79.50 ,$20.93 ,$20.93 ,$20.93 ,$77.38 ,$32.08 ,$94.34 ,$95.40 ,$95.40 ,$84.80 ,$33.04 ,$58.30 ,$95.40 ,$32.08 ,$95.40 ,$32.08 ,$100.70 ,$72.18 ,$97.52 ,$10.75 ,$96.46 ,$32.08 ,$65.23 ,$68.26 ,$65.23 ,$95.40 ,$95.40 ,$79.11 ,$95.40 ,$32.40 ,$21.98 ,$99.11 ,$33.68 ,$10.14 ,$92.22 ,$32.08 ,$95.40 ,$32.08 ,$95.40 ,$95.40 ,$95.40 ,$102.82 ,$85.86 ,$95.40 ,$95.40 ,$95.40 ,$95.40 
ST. JOSEPH'S - CHIPPEWA FALLS,43000023,97537,HC WORK TASK ANALYSIS EA 15 MIN,430,1 ,$130.00 ,$97.50 ,$12.13 ,$130.00 ,$83.72 ,$31.16 ,$91.00 , N/A ,$130.00 , N/A ,$130.00 ,$123.50 , N/A ,$104.00 ,$118.30 , N/A ,$122.20 ,$123.50 ,$117.00 ,$97.50 , N/A , N/A , N/A ,$94.90 ,$31.16 ,$115.70 ,$117.00 ,$117.00 ,$104.00 ,$32.09 ,$71.50 ,$117.00 ,$31.16 ,$117.00 ,$31.16 ,$123.50 ,$70.11 ,$119.60 ,$12.86 ,$118.30 ,$31.16 ,$80.00 ,$83.72 ,$80.00 ,$117.00 ,$117.00 ,$97.02 ,$117.00 ,$31.47 , N/A ,$121.55 ,$32.72 ,$12.13 ,$113.10 ,$31.16 ,$117.00 ,$31.16 ,$117.00 ,$117.00 ,$117.00 ,$126.10 ,$105.30 ,$117.00 ,$117.00 ,$117.00 ,$117.00 
ST. JOSEPH'S - CHIPPEWA FALLS,43000024,97542,HC SEATING CLINIC EA 15 MIN,430,1 ,$86.00 ,$64.50 ,$12.13 ,$86.00 ,$55.38 ,$31.16 ,$60.20 ,$18.94 ,$86.00 , N/A ,$86.00 ,$81.70 , N/A ,$68.80 ,$78.26 ,$18.94 ,$80.84 ,$81.70 ,$77.40 ,$64.50 ,$18.94 ,$18.94 ,$18.94 ,$62.78 ,$31.16 ,$76.54 ,$77.40 ,$77.40 ,$68.80 ,$32.09 ,$47.30 ,$77.40 ,$31.16 ,$77.40 ,$31.16 ,$81.70 ,$70.11 ,$79.12 ,$12.86 ,$78.26 ,$31.16 ,$52.92 ,$55.38 ,$52.92 ,$77.40 ,$77.40 ,$64.18 ,$77.40 ,$31.47 ,$19.89 ,$80.41 ,$32.72 ,$12.13 ,$74.82 ,$31.16 ,$77.40 ,$31.16 ,$77.40 ,$77.40 ,$77.40 ,$83.42 ,$69.66 ,$77.40 ,$77.40 ,$77.40 ,$77.40 
ST. JOSEPH'S - CHIPPEWA FALLS,43000027,97760,HC ORTHOTICS FABRICATION EA 15 MIN,430,1 ,$152.00 ,$114.00 ,$12.13 ,$152.00 ,$97.89 ,$47.50 ,$106.40 , N/A ,$152.00 , N/A ,$152.00 ,$144.40 , N/A ,$121.60 ,$138.32 , N/A ,$142.88 ,$144.40 ,$136.80 ,$114.00 , N/A , N/A , N/A ,$110.96 ,$47.50 ,$135.28 ,$136.80 ,$136.80 ,$121.60 ,$48.93 ,$83.60 ,$136.80 ,$47.50 ,$136.80 ,$47.50 ,$144.40 ,$106.88 ,$139.84 ,$12.86 ,$138.32 ,$47.50 ,$93.54 ,$97.89 ,$93.54 ,$136.80 ,$136.80 ,$113.44 ,$136.80 ,$47.98 , N/A ,$142.12 ,$49.88 ,$12.13 ,$132.24 ,$47.50 ,$136.80 ,$47.50 ,$136.80 ,$136.80 ,$136.80 ,$147.44 ,$123.12 ,$136.80 ,$136.80 ,$136.80 ,$136.80 
ST. JOSEPH'S - CHIPPEWA FALLS,43000035,97545,HC WORK HARDENING/CONDITIONING FIRST 2 HRS,430,1 ,$240.00 ,$180.00 ,$10.14 ,$240.00 ,$154.56 , N/A ,$168.00 , N/A ,$240.00 , N/A ,$214.00 ,$228.00 , N/A ,$192.00 ,$218.40 , N/A ,$225.60 ,$228.00 ,$216.00 ,$180.00 , N/A , N/A , N/A ,$175.20 , N/A ,$213.60 ,$216.00 ,$216.00 ,$192.00 , N/A ,$132.00 ,$216.00 , N/A ,$216.00 , N/A ,$228.00 , N/A ,$220.80 ,$10.75 ,$218.40 , N/A ,$147.70 ,$154.56 ,$147.70 ,$216.00 ,$216.00 ,$179.11 ,$155.42 , N/A , N/A ,$224.40 , N/A ,$10.14 ,$208.80 , N/A ,$216.00 , N/A ,$216.00 ,$216.00 ,$216.00 ,$232.80 ,$194.40 ,$216.00 ,$216.00 ,$216.00 ,$216.00 
ST. JOSEPH'S - CHIPPEWA FALLS,43000036,97546,HC WORK HARDENING/CONDITIONINS ADD 1 HOUR,430,1 ,$119.00 ,$89.25 ,$10.14 ,$119.00 ,$76.64 , N/A ,$83.30 , N/A ,$119.00 , N/A ,$119.00 ,$113.05 , N/A ,$95.20 ,$108.29 , N/A ,$111.86 ,$113.05 ,$107.10 ,$89.25 , N/A , N/A , N/A ,$86.87 , N/A ,$105.91 ,$107.10 ,$107.10 ,$95.20 , N/A ,$65.45 ,$107.10 , N/A ,$107.10 , N/A ,$113.05 , N/A ,$109.48 ,$10.75 ,$108.29 , N/A ,$73.23 ,$76.64 ,$73.23 ,$107.10 ,$107.10 ,$88.81 ,$107.10 , N/A , N/A ,$111.27 , N/A ,$10.14 ,$103.53 , N/A ,$107.10 , N/A ,$107.10 ,$107.10 ,$107.10 ,$115.43 ,$96.39 ,$107.10 ,$107.10 ,$107.10 ,$107.10 
ST. JOSEPH'S - CHIPPEWA FALLS,43000037,N/A,HC POST-OFFER JOB SCREEN,430,1 ,$38.00 ,$28.50 ,$20.90 ,$38.00 ,$24.47 , N/A ,$26.60 , N/A ,$38.00 , N/A ,$38.00 ,$36.10 , N/A ,$30.40 ,$34.58 , N/A ,$35.72 ,$36.10 ,$34.20 ,$28.50 , N/A , N/A , N/A ,$27.74 , N/A ,$33.82 ,$34.20 ,$34.20 ,$30.40 , N/A ,$20.90 ,$34.20 , N/A ,$34.20 , N/A ,$36.10 , N/A ,$34.96 , N/A ,$34.58 , N/A ,$23.39 ,$24.47 ,$23.39 ,$34.20 ,$34.20 ,$28.36 ,$34.20 , N/A , N/A ,$35.53 , N/A , N/A ,$33.06 , N/A ,$34.20 , N/A ,$34.20 ,$34.20 ,$34.20 ,$36.86 ,$30.78 ,$34.20 ,$34.20 ,$34.20 ,$34.20 
ST. JOSEPH'S - CHIPPEWA FALLS,43000061,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN,430,1 ,$65.00 ,$48.75 ,$12.13 ,$65.00 ,$41.86 ,$22.40 ,$45.50 , N/A ,$65.00 , N/A ,$65.00 ,$61.75 , N/A ,$52.00 ,$59.15 , N/A ,$61.10 ,$61.75 ,$58.50 ,$48.75 , N/A , N/A , N/A ,$47.45 ,$22.40 ,$57.85 ,$58.50 ,$58.50 ,$52.00 ,$23.07 ,$35.75 ,$58.50 ,$22.40 ,$58.50 ,$22.40 ,$61.75 ,$50.40 ,$59.80 ,$12.86 ,$59.15 ,$22.40 ,$40.00 ,$41.86 ,$40.00 ,$58.50 ,$58.50 ,$48.51 ,$58.50 ,$22.62 , N/A ,$60.78 ,$23.52 ,$12.13 ,$56.55 ,$22.40 ,$58.50 ,$22.40 ,$58.50 ,$58.50 ,$58.50 ,$63.05 ,$52.65 ,$58.50 ,$58.50 ,$58.50 ,$58.50 
ST. JOSEPH'S - CHIPPEWA FALLS,43000062,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN,430,1 ,$65.00 ,$48.75 ,$12.13 ,$65.00 ,$41.86 ,$21.71 ,$45.50 , N/A ,$65.00 , N/A ,$65.00 ,$61.75 , N/A ,$52.00 ,$59.15 , N/A ,$61.10 ,$61.75 ,$58.50 ,$48.75 , N/A , N/A , N/A ,$47.45 ,$21.71 ,$57.85 ,$58.50 ,$58.50 ,$52.00 ,$22.36 ,$35.75 ,$58.50 ,$21.71 ,$58.50 ,$21.71 ,$61.75 ,$48.85 ,$59.80 ,$12.86 ,$59.15 ,$21.71 ,$40.00 ,$41.86 ,$40.00 ,$58.50 ,$58.50 ,$48.51 ,$58.50 ,$21.93 , N/A ,$60.78 ,$22.80 ,$12.13 ,$56.55 ,$21.71 ,$58.50 ,$21.71 ,$58.50 ,$58.50 ,$58.50 ,$63.05 ,$52.65 ,$58.50 ,$58.50 ,$58.50 ,$58.50 
ST. JOSEPH'S - CHIPPEWA FALLS,43400078,97165,HC OT EVAL LOW COMPLEXITY,434,1 ,$176.00 ,$132.00 ,$58.00 ,$222.01 ,$113.34 ,$98.67 ,$123.20 ,$62.66 ,$176.00 , N/A ,$176.00 ,$167.20 , N/A ,$140.80 ,$160.16 ,$62.66 ,$165.44 ,$167.20 ,$158.40 ,$132.00 ,$62.66 ,$62.66 ,$62.66 ,$128.48 ,$98.67 ,$156.64 ,$158.40 ,$158.40 ,$140.80 ,$101.63 ,$96.80 ,$158.40 ,$98.67 ,$158.40 ,$98.67 ,$167.20 ,$222.01 ,$161.92 ,$61.48 ,$160.16 ,$98.67 ,$108.31 ,$113.34 ,$108.31 ,$158.40 ,$158.40 ,$131.35 ,$155.42 ,$99.66 ,$65.79 ,$164.56 ,$103.60 ,$58.00 ,$153.12 ,$98.67 ,$158.40 ,$98.67 ,$158.40 ,$158.40 ,$158.40 ,$170.72 ,$142.56 ,$158.40 ,$158.40 ,$158.40 ,$158.40 
ST. JOSEPH'S - CHIPPEWA FALLS,43400079,97166,HC OT EVAL MOD COMPLEXITY,434,1 ,$279.00 ,$209.25 ,$58.00 ,$279.00 ,$179.68 ,$98.67 ,$195.30 ,$62.66 ,$268.00 , N/A ,$214.00 ,$265.05 , N/A ,$223.20 ,$253.89 ,$62.66 ,$262.26 ,$265.05 ,$251.10 ,$209.25 ,$62.66 ,$62.66 ,$62.66 ,$203.67 ,$98.67 ,$248.31 ,$251.10 ,$251.10 ,$223.20 ,$101.63 ,$153.45 ,$251.10 ,$98.67 ,$251.10 ,$98.67 ,$265.05 ,$222.01 ,$256.68 ,$61.48 ,$253.89 ,$98.67 ,$171.70 ,$179.68 ,$171.70 ,$251.10 ,$251.10 ,$208.22 ,$155.42 ,$99.66 ,$65.79 ,$260.87 ,$103.60 ,$58.00 ,$242.73 ,$98.67 ,$251.10 ,$98.67 ,$251.10 ,$251.10 ,$251.10 ,$270.63 ,$225.99 ,$251.10 ,$251.10 ,$251.10 ,$251.10 
ST. JOSEPH'S - CHIPPEWA FALLS,43400080,97167,HC OT EVAL HIGH COMPLEXITY,434,1 ,$456.00 ,$342.00 ,$58.00 ,$456.00 ,$293.66 ,$98.67 ,$319.20 ,$62.66 ,$268.00 , N/A ,$214.00 ,$433.20 , N/A ,$364.80 ,$414.96 ,$62.66 ,$428.64 ,$433.20 ,$410.40 ,$342.00 ,$62.66 ,$62.66 ,$62.66 ,$332.88 ,$98.67 ,$405.84 ,$410.40 ,$410.40 ,$364.80 ,$101.63 ,$250.80 ,$410.40 ,$98.67 ,$410.40 ,$98.67 ,$433.20 ,$222.01 ,$419.52 ,$61.48 ,$414.96 ,$98.67 ,$280.62 ,$293.66 ,$280.62 ,$410.40 ,$410.40 ,$340.31 ,$155.42 ,$99.66 ,$65.79 ,$426.36 ,$103.60 ,$58.00 ,$396.72 ,$98.67 ,$410.40 ,$98.67 ,$410.40 ,$410.40 ,$410.40 ,$442.32 ,$369.36 ,$410.40 ,$410.40 ,$410.40 ,$410.40 
ST. JOSEPH'S - CHIPPEWA FALLS,43400081,97168,HC OT RE-EVAL,434,1 ,$158.00 ,$118.50 ,$58.00 ,$158.00 ,$101.75 ,$67.86 ,$110.60 ,$62.66 ,$158.00 , N/A ,$158.00 ,$150.10 , N/A ,$126.40 ,$143.78 ,$62.66 ,$148.52 ,$150.10 ,$142.20 ,$118.50 ,$62.66 ,$62.66 ,$62.66 ,$115.34 ,$67.86 ,$140.62 ,$142.20 ,$142.20 ,$126.40 ,$69.90 ,$86.90 ,$142.20 ,$67.86 ,$142.20 ,$67.86 ,$150.10 ,$152.69 ,$145.36 ,$61.48 ,$143.78 ,$67.86 ,$97.23 ,$101.75 ,$97.23 ,$142.20 ,$142.20 ,$117.92 ,$142.20 ,$68.54 ,$65.79 ,$147.73 ,$71.25 ,$58.00 ,$137.46 ,$67.86 ,$142.20 ,$67.86 ,$142.20 ,$142.20 ,$142.20 ,$153.26 ,$127.98 ,$142.20 ,$142.20 ,$142.20 ,$142.20 
ST. JOSEPH'S - CHIPPEWA FALLS,44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$138.00 ,$103.50 ,$47.91 ,$169.13 ,$88.87 ,$75.17 ,$96.60 ,$47.91 ,$138.00 ,$89.23 ,$138.00 ,$131.10 , N/A ,$110.40 ,$125.58 ,$47.91 ,$129.72 ,$131.10 ,$124.20 ,$103.50 ,$47.91 ,$47.91 ,$47.91 ,$100.74 ,$75.17 ,$122.82 ,$124.20 ,$124.20 ,$110.40 ,$77.43 ,$75.90 ,$124.20 ,$75.17 ,$124.20 ,$75.17 ,$131.10 ,$169.13 ,$126.96 ,$76.91 ,$125.58 ,$75.17 ,$84.93 ,$88.87 ,$84.93 ,$124.20 ,$124.20 ,$102.99 ,$124.20 ,$75.92 ,$50.31 ,$129.03 ,$78.93 ,$72.56 ,$120.06 ,$75.17 ,$124.20 ,$75.17 ,$124.20 ,$124.20 ,$124.20 ,$133.86 ,$111.78 ,$124.20 ,$124.20 ,$124.20 ,$124.20 
ST. JOSEPH'S - CHIPPEWA FALLS,44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$289.00 ,$216.75 ,$47.91 ,$289.00 ,$186.12 ,$75.17 ,$202.30 ,$47.91 ,$289.00 ,$89.23 ,$258.00 ,$274.55 , N/A ,$231.20 ,$262.99 ,$47.91 ,$271.66 ,$274.55 ,$260.10 ,$216.75 ,$47.91 ,$47.91 ,$47.91 ,$210.97 ,$75.17 ,$257.21 ,$260.10 ,$260.10 ,$231.20 ,$77.43 ,$158.95 ,$260.10 ,$75.17 ,$260.10 ,$75.17 ,$274.55 ,$169.13 ,$265.88 ,$76.91 ,$262.99 ,$75.17 ,$177.85 ,$186.12 ,$177.85 ,$260.10 ,$260.10 ,$215.68 ,$155.42 ,$75.92 ,$50.31 ,$270.22 ,$78.93 ,$72.56 ,$251.43 ,$75.17 ,$260.10 ,$75.17 ,$260.10 ,$260.10 ,$260.10 ,$280.33 ,$234.09 ,$260.10 ,$260.10 ,$260.10 ,$260.10 
ST. JOSEPH'S - CHIPPEWA FALLS,44000002,92507,HC SPEECH THERAPY TREATMENT 45MIN,440,1 ,$439.00 ,$329.25 ,$47.91 ,$439.00 ,$282.72 ,$75.17 ,$307.30 ,$47.91 ,$322.00 ,$89.23 ,$258.00 ,$417.05 , N/A ,$351.20 ,$399.49 ,$47.91 ,$412.66 ,$417.05 ,$395.10 ,$329.25 ,$47.91 ,$47.91 ,$47.91 ,$320.47 ,$75.17 ,$390.71 ,$395.10 ,$395.10 ,$351.20 ,$77.43 ,$241.45 ,$395.10 ,$75.17 ,$395.10 ,$75.17 ,$417.05 ,$169.13 ,$403.88 ,$76.91 ,$399.49 ,$75.17 ,$270.16 ,$282.72 ,$270.16 ,$395.10 ,$395.10 ,$327.63 ,$155.42 ,$75.92 ,$50.31 ,$410.47 ,$78.93 ,$72.56 ,$381.93 ,$75.17 ,$395.10 ,$75.17 ,$395.10 ,$395.10 ,$395.10 ,$425.83 ,$355.59 ,$395.10 ,$395.10 ,$395.10 ,$395.10 
ST. JOSEPH'S - CHIPPEWA FALLS,44000003,92507,HC SPEECH THERAPY TREATMENT 60MIN,440,1 ,$589.00 ,$441.75 ,$47.91 ,$589.00 ,$379.32 ,$75.17 ,$412.30 ,$47.91 ,$322.00 ,$89.23 ,$258.00 ,$559.55 , N/A ,$471.20 ,$535.99 ,$47.91 ,$553.66 ,$559.55 ,$530.10 ,$441.75 ,$47.91 ,$47.91 ,$47.91 ,$429.97 ,$75.17 ,$524.21 ,$530.10 ,$530.10 ,$471.20 ,$77.43 ,$323.95 ,$530.10 ,$75.17 ,$530.10 ,$75.17 ,$559.55 ,$169.13 ,$541.88 ,$76.91 ,$535.99 ,$75.17 ,$362.47 ,$379.32 ,$362.47 ,$530.10 ,$530.10 ,$439.57 ,$155.42 ,$75.92 ,$50.31 ,$550.72 ,$78.93 ,$72.56 ,$512.43 ,$75.17 ,$530.10 ,$75.17 ,$530.10 ,$530.10 ,$530.10 ,$571.33 ,$477.09 ,$530.10 ,$530.10 ,$530.10 ,$530.10 
ST. JOSEPH'S - CHIPPEWA FALLS,44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$133.00 ,$99.75 ,$12.13 ,$187.65 ,$85.65 ,$83.40 ,$93.10 ,$48.82 ,$133.00 , N/A ,$133.00 ,$126.35 , N/A ,$106.40 ,$121.03 ,$48.82 ,$125.02 ,$126.35 ,$119.70 ,$99.75 ,$48.82 ,$48.82 ,$48.82 ,$97.09 ,$83.40 ,$118.37 ,$119.70 ,$119.70 ,$106.40 ,$85.90 ,$73.15 ,$119.70 ,$83.40 ,$119.70 ,$83.40 ,$126.35 ,$187.65 ,$122.36 ,$12.86 ,$121.03 ,$83.40 ,$81.85 ,$85.65 ,$81.85 ,$119.70 ,$119.70 ,$99.26 ,$119.70 ,$84.23 ,$51.26 ,$124.36 ,$87.57 ,$12.13 ,$115.71 ,$83.40 ,$119.70 ,$83.40 ,$119.70 ,$119.70 ,$119.70 ,$129.01 ,$107.73 ,$119.70 ,$119.70 ,$119.70 ,$119.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44000015,92526,HC DYSPHAGIA TREATMENT 30MIN,440,1 ,$222.00 ,$166.50 ,$12.13 ,$222.00 ,$142.97 ,$83.40 ,$155.40 ,$48.82 ,$222.00 , N/A ,$222.00 ,$210.90 , N/A ,$177.60 ,$202.02 ,$48.82 ,$208.68 ,$210.90 ,$199.80 ,$166.50 ,$48.82 ,$48.82 ,$48.82 ,$162.06 ,$83.40 ,$197.58 ,$199.80 ,$199.80 ,$177.60 ,$85.90 ,$122.10 ,$199.80 ,$83.40 ,$199.80 ,$83.40 ,$210.90 ,$187.65 ,$204.24 ,$12.86 ,$202.02 ,$83.40 ,$136.62 ,$142.97 ,$136.62 ,$199.80 ,$199.80 ,$165.68 ,$155.42 ,$84.23 ,$51.26 ,$207.57 ,$87.57 ,$12.13 ,$193.14 ,$83.40 ,$199.80 ,$83.40 ,$199.80 ,$199.80 ,$199.80 ,$215.34 ,$179.82 ,$199.80 ,$199.80 ,$199.80 ,$199.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44000016,92526,HC DYSPHAGIA TREATMENT 45MIN,440,1 ,$333.00 ,$249.75 ,$12.13 ,$333.00 ,$214.45 ,$83.40 ,$233.10 ,$48.82 ,$322.00 , N/A ,$258.00 ,$316.35 , N/A ,$266.40 ,$303.03 ,$48.82 ,$313.02 ,$316.35 ,$299.70 ,$249.75 ,$48.82 ,$48.82 ,$48.82 ,$243.09 ,$83.40 ,$296.37 ,$299.70 ,$299.70 ,$266.40 ,$85.90 ,$183.15 ,$299.70 ,$83.40 ,$299.70 ,$83.40 ,$316.35 ,$187.65 ,$306.36 ,$12.86 ,$303.03 ,$83.40 ,$204.93 ,$214.45 ,$204.93 ,$299.70 ,$299.70 ,$248.52 ,$155.42 ,$84.23 ,$51.26 ,$311.36 ,$87.57 ,$12.13 ,$289.71 ,$83.40 ,$299.70 ,$83.40 ,$299.70 ,$299.70 ,$299.70 ,$323.01 ,$269.73 ,$299.70 ,$299.70 ,$299.70 ,$299.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44000017,92526,HC DYSPHAGIA TREATMENT 60MIN,440,1 ,$444.00 ,$333.00 ,$12.13 ,$444.00 ,$285.94 ,$83.40 ,$310.80 ,$48.82 ,$322.00 , N/A ,$258.00 ,$421.80 , N/A ,$355.20 ,$404.04 ,$48.82 ,$417.36 ,$421.80 ,$399.60 ,$333.00 ,$48.82 ,$48.82 ,$48.82 ,$324.12 ,$83.40 ,$395.16 ,$399.60 ,$399.60 ,$355.20 ,$85.90 ,$244.20 ,$399.60 ,$83.40 ,$399.60 ,$83.40 ,$421.80 ,$187.65 ,$408.48 ,$12.86 ,$404.04 ,$83.40 ,$273.24 ,$285.94 ,$273.24 ,$399.60 ,$399.60 ,$331.36 ,$155.42 ,$84.23 ,$51.26 ,$415.14 ,$87.57 ,$12.13 ,$386.28 ,$83.40 ,$399.60 ,$83.40 ,$399.60 ,$399.60 ,$399.60 ,$430.68 ,$359.64 ,$399.60 ,$399.60 ,$399.60 ,$399.60 
ST. JOSEPH'S - CHIPPEWA FALLS,44000022,92507,HC SPEECH THERAPY TREATMENT 75MIN,440,1 ,$680.00 ,$510.00 ,$47.91 ,$680.00 ,$437.92 ,$75.17 ,$476.00 ,$47.91 ,$322.00 ,$89.23 ,$258.00 ,$646.00 , N/A ,$544.00 ,$618.80 ,$47.91 ,$639.20 ,$646.00 ,$612.00 ,$510.00 ,$47.91 ,$47.91 ,$47.91 ,$496.40 ,$75.17 ,$605.20 ,$612.00 ,$612.00 ,$544.00 ,$77.43 ,$374.00 ,$612.00 ,$75.17 ,$612.00 ,$75.17 ,$646.00 ,$169.13 ,$625.60 ,$76.91 ,$618.80 ,$75.17 ,$418.47 ,$437.92 ,$418.47 ,$612.00 ,$612.00 ,$507.48 ,$155.42 ,$75.92 ,$50.31 ,$635.80 ,$78.93 ,$72.56 ,$591.60 ,$75.17 ,$612.00 ,$75.17 ,$612.00 ,$612.00 ,$612.00 ,$659.60 ,$550.80 ,$612.00 ,$612.00 ,$612.00 ,$612.00 
ST. JOSEPH'S - CHIPPEWA FALLS,44000023,92507,HC SPEECH THERAPY TREATMENT 90MIN,440,1 ,$739.00 ,$554.25 ,$47.91 ,$739.00 ,$475.92 ,$75.17 ,$517.30 ,$47.91 ,$322.00 ,$89.23 ,$258.00 ,$702.05 , N/A ,$591.20 ,$672.49 ,$47.91 ,$694.66 ,$702.05 ,$665.10 ,$554.25 ,$47.91 ,$47.91 ,$47.91 ,$539.47 ,$75.17 ,$657.71 ,$665.10 ,$665.10 ,$591.20 ,$77.43 ,$406.45 ,$665.10 ,$75.17 ,$665.10 ,$75.17 ,$702.05 ,$169.13 ,$679.88 ,$76.91 ,$672.49 ,$75.17 ,$454.78 ,$475.92 ,$454.78 ,$665.10 ,$665.10 ,$551.52 ,$155.42 ,$75.92 ,$50.31 ,$690.97 ,$78.93 ,$72.56 ,$642.93 ,$75.17 ,$665.10 ,$75.17 ,$665.10 ,$665.10 ,$665.10 ,$716.83 ,$598.59 ,$665.10 ,$665.10 ,$665.10 ,$665.10 
ST. JOSEPH'S - CHIPPEWA FALLS,44000032,92508,HC SPEECH THERAPY TREATMENT GROUP 15MIN,440,1 ,$47.00 ,$35.25 ,$12.13 ,$52.34 ,$30.27 ,$23.26 ,$32.90 ,$28.29 ,$47.00 , N/A ,$47.00 ,$44.65 , N/A ,$37.60 ,$42.77 ,$28.29 ,$44.18 ,$44.65 ,$42.30 ,$35.25 ,$28.29 ,$28.29 ,$28.29 ,$34.31 ,$23.26 ,$41.83 ,$42.30 ,$42.30 ,$37.60 ,$23.96 ,$25.85 ,$42.30 ,$23.26 ,$42.30 ,$23.26 ,$44.65 ,$52.34 ,$43.24 ,$12.86 ,$42.77 ,$23.26 ,$28.92 ,$30.27 ,$28.92 ,$42.30 ,$42.30 ,$35.08 ,$42.30 ,$23.49 ,$29.70 ,$43.95 ,$24.42 ,$12.13 ,$40.89 ,$23.26 ,$42.30 ,$23.26 ,$42.30 ,$42.30 ,$42.30 ,$45.59 ,$38.07 ,$42.30 ,$42.30 ,$42.30 ,$42.30 
ST. JOSEPH'S - CHIPPEWA FALLS,44000033,92508,HC SPEECH THERAPY TREATMENT GROUP 30MIN,440,1 ,$93.00 ,$69.75 ,$12.13 ,$93.00 ,$59.89 ,$23.26 ,$65.10 ,$28.29 ,$93.00 , N/A ,$93.00 ,$88.35 , N/A ,$74.40 ,$84.63 ,$28.29 ,$87.42 ,$88.35 ,$83.70 ,$69.75 ,$28.29 ,$28.29 ,$28.29 ,$67.89 ,$23.26 ,$82.77 ,$83.70 ,$83.70 ,$74.40 ,$23.96 ,$51.15 ,$83.70 ,$23.26 ,$83.70 ,$23.26 ,$88.35 ,$52.34 ,$85.56 ,$12.86 ,$84.63 ,$23.26 ,$57.23 ,$59.89 ,$57.23 ,$83.70 ,$83.70 ,$69.41 ,$83.70 ,$23.49 ,$29.70 ,$86.96 ,$24.42 ,$12.13 ,$80.91 ,$23.26 ,$83.70 ,$23.26 ,$83.70 ,$83.70 ,$83.70 ,$90.21 ,$75.33 ,$83.70 ,$83.70 ,$83.70 ,$83.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44000034,92508,HC SPEECH THERAPY TREATMENT GROUP 45MIN,440,1 ,$129.00 ,$96.75 ,$12.13 ,$129.00 ,$83.08 ,$23.26 ,$90.30 ,$28.29 ,$129.00 , N/A ,$129.00 ,$122.55 , N/A ,$103.20 ,$117.39 ,$28.29 ,$121.26 ,$122.55 ,$116.10 ,$96.75 ,$28.29 ,$28.29 ,$28.29 ,$94.17 ,$23.26 ,$114.81 ,$116.10 ,$116.10 ,$103.20 ,$23.96 ,$70.95 ,$116.10 ,$23.26 ,$116.10 ,$23.26 ,$122.55 ,$52.34 ,$118.68 ,$12.86 ,$117.39 ,$23.26 ,$79.39 ,$83.08 ,$79.39 ,$116.10 ,$116.10 ,$96.27 ,$116.10 ,$23.49 ,$29.70 ,$120.62 ,$24.42 ,$12.13 ,$112.23 ,$23.26 ,$116.10 ,$23.26 ,$116.10 ,$116.10 ,$116.10 ,$125.13 ,$104.49 ,$116.10 ,$116.10 ,$116.10 ,$116.10 
ST. JOSEPH'S - CHIPPEWA FALLS,44000035,92508,HC SPEECH THERAPY TREATMENT GROUP 60MIN,440,1 ,$185.00 ,$138.75 ,$12.13 ,$185.00 ,$119.14 ,$23.26 ,$129.50 ,$28.29 ,$185.00 , N/A ,$185.00 ,$175.75 , N/A ,$148.00 ,$168.35 ,$28.29 ,$173.90 ,$175.75 ,$166.50 ,$138.75 ,$28.29 ,$28.29 ,$28.29 ,$135.05 ,$23.26 ,$164.65 ,$166.50 ,$166.50 ,$148.00 ,$23.96 ,$101.75 ,$166.50 ,$23.26 ,$166.50 ,$23.26 ,$175.75 ,$52.34 ,$170.20 ,$12.86 ,$168.35 ,$23.26 ,$113.85 ,$119.14 ,$113.85 ,$166.50 ,$166.50 ,$138.07 ,$155.42 ,$23.49 ,$29.70 ,$172.98 ,$24.42 ,$12.13 ,$160.95 ,$23.26 ,$166.50 ,$23.26 ,$166.50 ,$166.50 ,$166.50 ,$179.45 ,$149.85 ,$166.50 ,$166.50 ,$166.50 ,$166.50 
ST. JOSEPH'S - CHIPPEWA FALLS,44000036,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 75MIN,440,1 ,$494.00 ,$370.50 ,$12.13 ,$494.00 ,$318.14 ,$83.40 ,$345.80 ,$48.82 ,$322.00 , N/A ,$258.00 ,$469.30 , N/A ,$395.20 ,$449.54 ,$48.82 ,$464.36 ,$469.30 ,$444.60 ,$370.50 ,$48.82 ,$48.82 ,$48.82 ,$360.62 ,$83.40 ,$439.66 ,$444.60 ,$444.60 ,$395.20 ,$85.90 ,$271.70 ,$444.60 ,$83.40 ,$444.60 ,$83.40 ,$469.30 ,$187.65 ,$454.48 ,$12.86 ,$449.54 ,$83.40 ,$304.01 ,$318.14 ,$304.01 ,$444.60 ,$444.60 ,$368.67 ,$155.42 ,$84.23 ,$51.26 ,$461.89 ,$87.57 ,$12.13 ,$429.78 ,$83.40 ,$444.60 ,$83.40 ,$444.60 ,$444.60 ,$444.60 ,$479.18 ,$400.14 ,$444.60 ,$444.60 ,$444.60 ,$444.60 
ST. JOSEPH'S - CHIPPEWA FALLS,44000038,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 105MIN,440,1 ,$584.00 ,$438.00 ,$12.13 ,$584.00 ,$376.10 ,$83.40 ,$408.80 ,$48.82 ,$322.00 , N/A ,$258.00 ,$554.80 , N/A ,$467.20 ,$531.44 ,$48.82 ,$548.96 ,$554.80 ,$525.60 ,$438.00 ,$48.82 ,$48.82 ,$48.82 ,$426.32 ,$83.40 ,$519.76 ,$525.60 ,$525.60 ,$467.20 ,$85.90 ,$321.20 ,$525.60 ,$83.40 ,$525.60 ,$83.40 ,$554.80 ,$187.65 ,$537.28 ,$12.86 ,$531.44 ,$83.40 ,$359.39 ,$376.10 ,$359.39 ,$525.60 ,$525.60 ,$435.84 ,$155.42 ,$84.23 ,$51.26 ,$546.04 ,$87.57 ,$12.13 ,$508.08 ,$83.40 ,$525.60 ,$83.40 ,$525.60 ,$525.60 ,$525.60 ,$566.48 ,$473.04 ,$525.60 ,$525.60 ,$525.60 ,$525.60 
ST. JOSEPH'S - CHIPPEWA FALLS,44000042,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 15MIN,440,1 ,$70.00 ,$52.50 ,$12.13 ,$228.42 ,$45.08 ,$101.52 ,$49.00 ,$47.64 ,$70.00 , N/A ,$70.00 ,$66.50 , N/A ,$56.00 ,$63.70 ,$47.64 ,$65.80 ,$66.50 ,$63.00 ,$52.50 ,$47.64 ,$47.64 ,$47.64 ,$51.10 ,$101.52 ,$62.30 ,$63.00 ,$63.00 ,$56.00 ,$104.57 ,$38.50 ,$63.00 ,$101.52 ,$63.00 ,$101.52 ,$66.50 ,$228.42 ,$64.40 ,$12.86 ,$63.70 ,$101.52 ,$43.08 ,$45.08 ,$43.08 ,$63.00 ,$63.00 ,$52.24 ,$63.00 ,$102.54 ,$50.02 ,$65.45 ,$106.60 ,$12.13 ,$60.90 ,$101.52 ,$63.00 ,$101.52 ,$63.00 ,$63.00 ,$63.00 ,$67.90 ,$56.70 ,$63.00 ,$63.00 ,$63.00 ,$63.00 
ST. JOSEPH'S - CHIPPEWA FALLS,44000043,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 30MIN,440,1 ,$93.00 ,$69.75 ,$12.13 ,$228.42 ,$59.89 ,$101.52 ,$65.10 ,$47.64 ,$93.00 , N/A ,$93.00 ,$88.35 , N/A ,$74.40 ,$84.63 ,$47.64 ,$87.42 ,$88.35 ,$83.70 ,$69.75 ,$47.64 ,$47.64 ,$47.64 ,$67.89 ,$101.52 ,$82.77 ,$83.70 ,$83.70 ,$74.40 ,$104.57 ,$51.15 ,$83.70 ,$101.52 ,$83.70 ,$101.52 ,$88.35 ,$228.42 ,$85.56 ,$12.86 ,$84.63 ,$101.52 ,$57.23 ,$59.89 ,$57.23 ,$83.70 ,$83.70 ,$69.41 ,$83.70 ,$102.54 ,$50.02 ,$86.96 ,$106.60 ,$12.13 ,$80.91 ,$101.52 ,$83.70 ,$101.52 ,$83.70 ,$83.70 ,$83.70 ,$90.21 ,$75.33 ,$83.70 ,$83.70 ,$83.70 ,$83.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44000044,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 45MIN,440,1 ,$116.00 ,$87.00 ,$12.13 ,$228.42 ,$74.70 ,$101.52 ,$81.20 ,$47.64 ,$116.00 , N/A ,$116.00 ,$110.20 , N/A ,$92.80 ,$105.56 ,$47.64 ,$109.04 ,$110.20 ,$104.40 ,$87.00 ,$47.64 ,$47.64 ,$47.64 ,$84.68 ,$101.52 ,$103.24 ,$104.40 ,$104.40 ,$92.80 ,$104.57 ,$63.80 ,$104.40 ,$101.52 ,$104.40 ,$101.52 ,$110.20 ,$228.42 ,$106.72 ,$12.86 ,$105.56 ,$101.52 ,$71.39 ,$74.70 ,$71.39 ,$104.40 ,$104.40 ,$86.57 ,$104.40 ,$102.54 ,$50.02 ,$108.46 ,$106.60 ,$12.13 ,$100.92 ,$101.52 ,$104.40 ,$101.52 ,$104.40 ,$104.40 ,$104.40 ,$112.52 ,$93.96 ,$104.40 ,$104.40 ,$104.40 ,$104.40 
ST. JOSEPH'S - CHIPPEWA FALLS,44000045,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 60MIN,440,1 ,$140.00 ,$105.00 ,$12.13 ,$228.42 ,$90.16 ,$101.52 ,$98.00 ,$47.64 ,$140.00 , N/A ,$140.00 ,$133.00 , N/A ,$112.00 ,$127.40 ,$47.64 ,$131.60 ,$133.00 ,$126.00 ,$105.00 ,$47.64 ,$47.64 ,$47.64 ,$102.20 ,$101.52 ,$124.60 ,$126.00 ,$126.00 ,$112.00 ,$104.57 ,$77.00 ,$126.00 ,$101.52 ,$126.00 ,$101.52 ,$133.00 ,$228.42 ,$128.80 ,$12.86 ,$127.40 ,$101.52 ,$86.16 ,$90.16 ,$86.16 ,$126.00 ,$126.00 ,$104.48 ,$126.00 ,$102.54 ,$50.02 ,$130.90 ,$106.60 ,$12.13 ,$121.80 ,$101.52 ,$126.00 ,$101.52 ,$126.00 ,$126.00 ,$126.00 ,$135.80 ,$113.40 ,$126.00 ,$126.00 ,$126.00 ,$126.00 
ST. JOSEPH'S - CHIPPEWA FALLS,44000050,99499,HC EVAL/TREATMENT CLINICAL,440,1 ,$33.75 ,$25.31 ,$18.56 ,$40.52 ,$21.74 , N/A ,$23.63 , N/A ,$33.75 , N/A ,$33.75 ,$32.06 , N/A ,$27.00 ,$30.71 , N/A ,$31.73 ,$32.06 ,$30.38 ,$25.31 , N/A , N/A , N/A ,$24.64 , N/A ,$30.04 ,$30.38 ,$30.38 ,$27.00 , N/A ,$18.56 ,$30.38 , N/A ,$30.38 , N/A ,$32.06 , N/A ,$31.05 ,$40.52 ,$30.71 , N/A ,$20.77 ,$21.74 ,$20.77 ,$30.38 ,$30.38 ,$25.19 ,$30.38 , N/A , N/A ,$31.56 , N/A ,$33.75 ,$29.36 , N/A ,$30.38 , N/A ,$30.38 ,$30.38 ,$30.38 ,$32.74 ,$27.34 ,$30.38 ,$30.38 ,$30.38 ,$30.38 
ST. JOSEPH'S - CHIPPEWA FALLS,44000051,99499,HC IFSP TEAM MEETING,440,1 ,$33.75 ,$25.31 ,$18.56 ,$40.52 ,$21.74 , N/A ,$23.63 , N/A ,$33.75 , N/A ,$33.75 ,$32.06 , N/A ,$27.00 ,$30.71 , N/A ,$31.73 ,$32.06 ,$30.38 ,$25.31 , N/A , N/A , N/A ,$24.64 , N/A ,$30.04 ,$30.38 ,$30.38 ,$27.00 , N/A ,$18.56 ,$30.38 , N/A ,$30.38 , N/A ,$32.06 , N/A ,$31.05 ,$40.52 ,$30.71 , N/A ,$20.77 ,$21.74 ,$20.77 ,$30.38 ,$30.38 ,$25.19 ,$30.38 , N/A , N/A ,$31.56 , N/A ,$33.75 ,$29.36 , N/A ,$30.38 , N/A ,$30.38 ,$30.38 ,$30.38 ,$32.74 ,$27.34 ,$30.38 ,$30.38 ,$30.38 ,$30.38 
ST. JOSEPH'S - CHIPPEWA FALLS,44000052,99499,HC IFSP ELIGIBILITY ASMNT 15MN-GN,440,1 ,$33.75 ,$25.31 ,$18.56 ,$40.52 ,$21.74 , N/A ,$23.63 , N/A ,$33.75 , N/A ,$33.75 ,$32.06 , N/A ,$27.00 ,$30.71 , N/A ,$31.73 ,$32.06 ,$30.38 ,$25.31 , N/A , N/A , N/A ,$24.64 , N/A ,$30.04 ,$30.38 ,$30.38 ,$27.00 , N/A ,$18.56 ,$30.38 , N/A ,$30.38 , N/A ,$32.06 , N/A ,$31.05 ,$40.52 ,$30.71 , N/A ,$20.77 ,$21.74 ,$20.77 ,$30.38 ,$30.38 ,$25.19 ,$30.38 , N/A , N/A ,$31.56 , N/A ,$33.75 ,$29.36 , N/A ,$30.38 , N/A ,$30.38 ,$30.38 ,$30.38 ,$32.74 ,$27.34 ,$30.38 ,$30.38 ,$30.38 ,$30.38 
ST. JOSEPH'S - CHIPPEWA FALLS,44000053,99499,HC VISIT COACHING/JOINT,440,1 ,$33.75 ,$25.31 ,$18.56 ,$40.52 ,$21.74 , N/A ,$23.63 , N/A ,$33.75 , N/A ,$33.75 ,$32.06 , N/A ,$27.00 ,$30.71 , N/A ,$31.73 ,$32.06 ,$30.38 ,$25.31 , N/A , N/A , N/A ,$24.64 , N/A ,$30.04 ,$30.38 ,$30.38 ,$27.00 , N/A ,$18.56 ,$30.38 , N/A ,$30.38 , N/A ,$32.06 , N/A ,$31.05 ,$40.52 ,$30.71 , N/A ,$20.77 ,$21.74 ,$20.77 ,$30.38 ,$30.38 ,$25.19 ,$30.38 , N/A , N/A ,$31.56 , N/A ,$33.75 ,$29.36 , N/A ,$30.38 , N/A ,$30.38 ,$30.38 ,$30.38 ,$32.74 ,$27.34 ,$30.38 ,$30.38 ,$30.38 ,$30.38 
ST. JOSEPH'S - CHIPPEWA FALLS,44000054,99499,HC CONF MIXED DISCIPLINE 15MIN-GN,440,1 ,$2.25 ,$1.69 ,$1.24 ,$40.52 ,$1.45 , N/A ,$1.58 , N/A ,$2.25 , N/A ,$2.25 ,$2.14 , N/A ,$1.80 ,$2.05 , N/A ,$2.12 ,$2.14 ,$2.03 ,$1.69 , N/A , N/A , N/A ,$1.64 , N/A ,$2.00 ,$2.03 ,$2.03 ,$1.80 , N/A ,$1.24 ,$2.03 , N/A ,$2.03 , N/A ,$2.14 , N/A ,$2.07 ,$40.52 ,$2.05 , N/A ,$1.38 ,$1.45 ,$1.38 ,$2.03 ,$2.03 ,$1.68 ,$2.03 , N/A , N/A ,$2.10 , N/A ,$2.25 ,$1.96 , N/A ,$2.03 , N/A ,$2.03 ,$2.03 ,$2.03 ,$2.18 ,$1.82 ,$2.03 ,$2.03 ,$2.03 ,$2.03 
ST. JOSEPH'S - CHIPPEWA FALLS,44000056,92508,HC SPEECH THERAPY TREATMENT GROUP 75MIN,440,1 ,$220.00 ,$165.00 ,$12.13 ,$220.00 ,$141.68 ,$23.26 ,$154.00 ,$28.29 ,$220.00 , N/A ,$220.00 ,$209.00 , N/A ,$176.00 ,$200.20 ,$28.29 ,$206.80 ,$209.00 ,$198.00 ,$165.00 ,$28.29 ,$28.29 ,$28.29 ,$160.60 ,$23.26 ,$195.80 ,$198.00 ,$198.00 ,$176.00 ,$23.96 ,$121.00 ,$198.00 ,$23.26 ,$198.00 ,$23.26 ,$209.00 ,$52.34 ,$202.40 ,$12.86 ,$200.20 ,$23.26 ,$135.39 ,$141.68 ,$135.39 ,$198.00 ,$198.00 ,$164.19 ,$155.42 ,$23.49 ,$29.70 ,$205.70 ,$24.42 ,$12.13 ,$191.40 ,$23.26 ,$198.00 ,$23.26 ,$198.00 ,$198.00 ,$198.00 ,$213.40 ,$178.20 ,$198.00 ,$198.00 ,$198.00 ,$198.00 
ST. JOSEPH'S - CHIPPEWA FALLS,44000057,92508,HC SPEECH THERAPY TREATMENT GROUP 90MIN,440,1 ,$237.00 ,$177.75 ,$12.13 ,$237.00 ,$152.63 ,$23.26 ,$165.90 ,$28.29 ,$237.00 , N/A ,$237.00 ,$225.15 , N/A ,$189.60 ,$215.67 ,$28.29 ,$222.78 ,$225.15 ,$213.30 ,$177.75 ,$28.29 ,$28.29 ,$28.29 ,$173.01 ,$23.26 ,$210.93 ,$213.30 ,$213.30 ,$189.60 ,$23.96 ,$130.35 ,$213.30 ,$23.26 ,$213.30 ,$23.26 ,$225.15 ,$52.34 ,$218.04 ,$12.86 ,$215.67 ,$23.26 ,$145.85 ,$152.63 ,$145.85 ,$213.30 ,$213.30 ,$176.87 ,$155.42 ,$23.49 ,$29.70 ,$221.60 ,$24.42 ,$12.13 ,$206.19 ,$23.26 ,$213.30 ,$23.26 ,$213.30 ,$213.30 ,$213.30 ,$229.89 ,$191.97 ,$213.30 ,$213.30 ,$213.30 ,$213.30 
ST. JOSEPH'S - CHIPPEWA FALLS,44000058,92508,HC SPEECH THERAPY TREATMENT GROUP 105MIN,440,1 ,$277.00 ,$207.75 ,$12.13 ,$277.00 ,$178.39 ,$23.26 ,$193.90 ,$28.29 ,$277.00 , N/A ,$258.00 ,$263.15 , N/A ,$221.60 ,$252.07 ,$28.29 ,$260.38 ,$263.15 ,$249.30 ,$207.75 ,$28.29 ,$28.29 ,$28.29 ,$202.21 ,$23.26 ,$246.53 ,$249.30 ,$249.30 ,$221.60 ,$23.96 ,$152.35 ,$249.30 ,$23.26 ,$249.30 ,$23.26 ,$263.15 ,$52.34 ,$254.84 ,$12.86 ,$252.07 ,$23.26 ,$170.47 ,$178.39 ,$170.47 ,$249.30 ,$249.30 ,$206.73 ,$155.42 ,$23.49 ,$29.70 ,$259.00 ,$24.42 ,$12.13 ,$240.99 ,$23.26 ,$249.30 ,$23.26 ,$249.30 ,$249.30 ,$249.30 ,$268.69 ,$224.37 ,$249.30 ,$249.30 ,$249.30 ,$249.30 
ST. JOSEPH'S - CHIPPEWA FALLS,44000059,92508,HC SPEECH THERAPY TREATMENT GROUP 120MIN,440,1 ,$316.00 ,$237.00 ,$12.13 ,$316.00 ,$203.50 ,$23.26 ,$221.20 ,$28.29 ,$316.00 , N/A ,$258.00 ,$300.20 , N/A ,$252.80 ,$287.56 ,$28.29 ,$297.04 ,$300.20 ,$284.40 ,$237.00 ,$28.29 ,$28.29 ,$28.29 ,$230.68 ,$23.26 ,$281.24 ,$284.40 ,$284.40 ,$252.80 ,$23.96 ,$173.80 ,$284.40 ,$23.26 ,$284.40 ,$23.26 ,$300.20 ,$52.34 ,$290.72 ,$12.86 ,$287.56 ,$23.26 ,$194.47 ,$203.50 ,$194.47 ,$284.40 ,$284.40 ,$235.83 ,$155.42 ,$23.49 ,$29.70 ,$295.46 ,$24.42 ,$12.13 ,$274.92 ,$23.26 ,$284.40 ,$23.26 ,$284.40 ,$284.40 ,$284.40 ,$306.52 ,$255.96 ,$284.40 ,$284.40 ,$284.40 ,$284.40 
ST. JOSEPH'S - CHIPPEWA FALLS,44000060,92508,HC SPEECH THERAPY TREATMENT GROUP 150MIN,440,1 ,$405.00 ,$303.75 ,$12.13 ,$405.00 ,$260.82 ,$23.26 ,$283.50 ,$28.29 ,$322.00 , N/A ,$258.00 ,$384.75 , N/A ,$324.00 ,$368.55 ,$28.29 ,$380.70 ,$384.75 ,$364.50 ,$303.75 ,$28.29 ,$28.29 ,$28.29 ,$295.65 ,$23.26 ,$360.45 ,$364.50 ,$364.50 ,$324.00 ,$23.96 ,$222.75 ,$364.50 ,$23.26 ,$364.50 ,$23.26 ,$384.75 ,$52.34 ,$372.60 ,$12.86 ,$368.55 ,$23.26 ,$249.24 ,$260.82 ,$249.24 ,$364.50 ,$364.50 ,$302.25 ,$155.42 ,$23.49 ,$29.70 ,$378.68 ,$24.42 ,$12.13 ,$352.35 ,$23.26 ,$364.50 ,$23.26 ,$364.50 ,$364.50 ,$364.50 ,$392.85 ,$328.05 ,$364.50 ,$364.50 ,$364.50 ,$364.50 
ST. JOSEPH'S - CHIPPEWA FALLS,44000061,92508,HC SPEECH THERAPY TREATMENT GROUP 180MIN,440,1 ,$474.00 ,$355.50 ,$12.13 ,$474.00 ,$305.26 ,$23.26 ,$331.80 ,$28.29 ,$322.00 , N/A ,$258.00 ,$450.30 , N/A ,$379.20 ,$431.34 ,$28.29 ,$445.56 ,$450.30 ,$426.60 ,$355.50 ,$28.29 ,$28.29 ,$28.29 ,$346.02 ,$23.26 ,$421.86 ,$426.60 ,$426.60 ,$379.20 ,$23.96 ,$260.70 ,$426.60 ,$23.26 ,$426.60 ,$23.26 ,$450.30 ,$52.34 ,$436.08 ,$12.86 ,$431.34 ,$23.26 ,$291.70 ,$305.26 ,$291.70 ,$426.60 ,$426.60 ,$353.75 ,$155.42 ,$23.49 ,$29.70 ,$443.19 ,$24.42 ,$12.13 ,$412.38 ,$23.26 ,$426.60 ,$23.26 ,$426.60 ,$426.60 ,$426.60 ,$459.78 ,$383.94 ,$426.60 ,$426.60 ,$426.60 ,$426.60 
ST. JOSEPH'S - CHIPPEWA FALLS,44200001,96105,HC ASSESS. APHASIA PER HOUR,442,1 ,$201.25 ,$150.94 ,$95.49 ,$214.85 ,$129.61 ,$95.49 ,$140.88 , N/A ,$201.25 , N/A ,$201.25 ,$191.19 , N/A ,$161.00 ,$183.14 , N/A ,$189.18 ,$191.19 ,$181.13 ,$150.94 , N/A , N/A , N/A ,$146.91 ,$95.49 ,$179.11 ,$181.13 ,$181.13 ,$161.00 ,$98.35 ,$110.69 ,$181.13 ,$95.49 ,$181.13 ,$95.49 ,$191.19 ,$214.85 ,$185.15 ,$192.78 ,$183.14 ,$95.49 ,$123.85 ,$129.61 ,$123.85 ,$181.13 ,$181.13 ,$150.19 ,$155.42 ,$96.44 , N/A ,$188.17 ,$100.26 ,$181.87 ,$175.09 ,$95.49 ,$181.13 ,$95.49 ,$181.13 ,$181.13 ,$181.13 ,$195.21 ,$163.01 ,$181.13 ,$181.13 ,$181.13 ,$181.13 
ST. JOSEPH'S - CHIPPEWA FALLS,44400015,92597,HC VOICE PROST EVAL/FITTING,444,1 ,$251.00 ,$188.25 ,$70.40 ,$251.00 ,$161.64 ,$70.40 ,$175.70 ,$75.94 ,$251.00 , N/A ,$251.00 ,$238.45 , N/A ,$200.80 ,$228.41 ,$75.94 ,$235.94 ,$238.45 ,$225.90 ,$188.25 ,$75.94 ,$75.94 ,$75.94 ,$183.23 ,$70.40 ,$223.39 ,$225.90 ,$225.90 ,$200.80 ,$72.51 ,$138.05 ,$225.90 ,$70.40 ,$225.90 ,$70.40 ,$238.45 ,$158.40 ,$230.92 ,$76.91 ,$228.41 ,$70.40 ,$154.47 ,$161.64 ,$154.47 ,$225.90 ,$225.90 ,$187.32 ,$155.42 ,$71.10 ,$79.74 ,$234.69 ,$73.92 ,$72.56 ,$218.37 ,$70.40 ,$225.90 ,$70.40 ,$225.90 ,$225.90 ,$225.90 ,$243.47 ,$203.31 ,$225.90 ,$225.90 ,$225.90 ,$225.90 
ST. JOSEPH'S - CHIPPEWA FALLS,44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$104.00 ,$78.00 ,$57.20 ,$187.18 ,$66.98 ,$83.19 ,$72.80 ,$72.23 ,$104.00 , N/A ,$104.00 ,$98.80 , N/A ,$83.20 ,$94.64 ,$72.23 ,$97.76 ,$98.80 ,$93.60 ,$78.00 ,$72.23 ,$72.23 ,$72.23 ,$75.92 ,$83.19 ,$92.56 ,$93.60 ,$93.60 ,$83.20 ,$85.69 ,$57.20 ,$93.60 ,$83.19 ,$93.60 ,$83.19 ,$98.80 ,$187.18 ,$95.68 ,$76.91 ,$94.64 ,$83.19 ,$64.00 ,$66.98 ,$64.00 ,$93.60 ,$93.60 ,$77.62 ,$93.60 ,$84.02 ,$75.84 ,$97.24 ,$87.35 ,$72.56 ,$90.48 ,$83.19 ,$93.60 ,$83.19 ,$93.60 ,$93.60 ,$93.60 ,$100.88 ,$84.24 ,$93.60 ,$93.60 ,$93.60 ,$93.60 
ST. JOSEPH'S - CHIPPEWA FALLS,44400018,92610,HC DYSPHAGIA EVALUATION  30MIN,444,1 ,$186.00 ,$139.50 ,$72.23 ,$187.18 ,$119.78 ,$83.19 ,$130.20 ,$72.23 ,$186.00 , N/A ,$186.00 ,$176.70 , N/A ,$148.80 ,$169.26 ,$72.23 ,$174.84 ,$176.70 ,$167.40 ,$139.50 ,$72.23 ,$72.23 ,$72.23 ,$135.78 ,$83.19 ,$165.54 ,$167.40 ,$167.40 ,$148.80 ,$85.69 ,$102.30 ,$167.40 ,$83.19 ,$167.40 ,$83.19 ,$176.70 ,$187.18 ,$171.12 ,$76.91 ,$169.26 ,$83.19 ,$114.46 ,$119.78 ,$114.46 ,$167.40 ,$167.40 ,$138.81 ,$155.42 ,$84.02 ,$75.84 ,$173.91 ,$87.35 ,$72.56 ,$161.82 ,$83.19 ,$167.40 ,$83.19 ,$167.40 ,$167.40 ,$167.40 ,$180.42 ,$150.66 ,$167.40 ,$167.40 ,$167.40 ,$167.40 
ST. JOSEPH'S - CHIPPEWA FALLS,44400019,92610,HC DYSPHAGIA EVALUATION 45MIN,444,1 ,$249.00 ,$186.75 ,$72.23 ,$249.00 ,$160.36 ,$83.19 ,$174.30 ,$72.23 ,$249.00 , N/A ,$249.00 ,$236.55 , N/A ,$199.20 ,$226.59 ,$72.23 ,$234.06 ,$236.55 ,$224.10 ,$186.75 ,$72.23 ,$72.23 ,$72.23 ,$181.77 ,$83.19 ,$221.61 ,$224.10 ,$224.10 ,$199.20 ,$85.69 ,$136.95 ,$224.10 ,$83.19 ,$224.10 ,$83.19 ,$236.55 ,$187.18 ,$229.08 ,$76.91 ,$226.59 ,$83.19 ,$153.23 ,$160.36 ,$153.23 ,$224.10 ,$224.10 ,$185.83 ,$155.42 ,$84.02 ,$75.84 ,$232.82 ,$87.35 ,$72.56 ,$216.63 ,$83.19 ,$224.10 ,$83.19 ,$224.10 ,$224.10 ,$224.10 ,$241.53 ,$201.69 ,$224.10 ,$224.10 ,$224.10 ,$224.10 
ST. JOSEPH'S - CHIPPEWA FALLS,44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$313.00 ,$234.75 ,$72.23 ,$313.00 ,$201.57 ,$83.19 ,$219.10 ,$72.23 ,$313.00 , N/A ,$258.00 ,$297.35 , N/A ,$250.40 ,$284.83 ,$72.23 ,$294.22 ,$297.35 ,$281.70 ,$234.75 ,$72.23 ,$72.23 ,$72.23 ,$228.49 ,$83.19 ,$278.57 ,$281.70 ,$281.70 ,$250.40 ,$85.69 ,$172.15 ,$281.70 ,$83.19 ,$281.70 ,$83.19 ,$297.35 ,$187.18 ,$287.96 ,$76.91 ,$284.83 ,$83.19 ,$192.62 ,$201.57 ,$192.62 ,$281.70 ,$281.70 ,$233.59 ,$155.42 ,$84.02 ,$75.84 ,$292.66 ,$87.35 ,$72.56 ,$272.31 ,$83.19 ,$281.70 ,$83.19 ,$281.70 ,$281.70 ,$281.70 ,$303.61 ,$253.53 ,$281.70 ,$281.70 ,$281.70 ,$281.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400031,92611,HC DYSPHAGIA EVAL-VIDEO 45MIN,444,1 ,$381.00 ,$285.75 ,$37.92 ,$381.00 ,$245.36 ,$89.02 ,$266.70 ,$116.92 ,$322.00 , N/A ,$258.00 ,$361.95 , N/A ,$304.80 ,$346.71 ,$116.92 ,$358.14 ,$361.95 ,$342.90 ,$285.75 ,$116.92 ,$116.92 ,$116.92 ,$278.13 ,$89.02 ,$339.09 ,$342.90 ,$342.90 ,$304.80 ,$91.69 ,$209.55 ,$342.90 ,$89.02 ,$342.90 ,$89.02 ,$361.95 ,$200.30 ,$350.52 ,$40.20 ,$346.71 ,$89.02 ,$234.47 ,$245.36 ,$234.47 ,$342.90 ,$342.90 ,$284.34 ,$155.42 ,$89.91 ,$122.77 ,$356.24 ,$93.47 ,$37.92 ,$331.47 ,$89.02 ,$342.90 ,$89.02 ,$342.90 ,$342.90 ,$342.90 ,$369.57 ,$308.61 ,$342.90 ,$342.90 ,$342.90 ,$342.90 
ST. JOSEPH'S - CHIPPEWA FALLS,44400032,92611,HC DYSPHAGIA EVAL-VIDEO 60MIN,444,1 ,$480.00 ,$360.00 ,$37.92 ,$480.00 ,$309.12 ,$89.02 ,$336.00 ,$116.92 ,$322.00 , N/A ,$258.00 ,$456.00 , N/A ,$384.00 ,$436.80 ,$116.92 ,$451.20 ,$456.00 ,$432.00 ,$360.00 ,$116.92 ,$116.92 ,$116.92 ,$350.40 ,$89.02 ,$427.20 ,$432.00 ,$432.00 ,$384.00 ,$91.69 ,$264.00 ,$432.00 ,$89.02 ,$432.00 ,$89.02 ,$456.00 ,$200.30 ,$441.60 ,$40.20 ,$436.80 ,$89.02 ,$295.39 ,$309.12 ,$295.39 ,$432.00 ,$432.00 ,$358.22 ,$155.42 ,$89.91 ,$122.77 ,$448.80 ,$93.47 ,$37.92 ,$417.60 ,$89.02 ,$432.00 ,$89.02 ,$432.00 ,$432.00 ,$432.00 ,$465.60 ,$388.80 ,$432.00 ,$432.00 ,$432.00 ,$432.00 
ST. JOSEPH'S - CHIPPEWA FALLS,44400040,92521,HC EVALUATION OF SPEECH FLUENCY 15 MIN,444,1 ,$173.00 ,$129.75 ,$30.27 ,$293.11 ,$111.41 ,$130.27 ,$121.10 ,$30.27 ,$173.00 , N/A ,$173.00 ,$164.35 , N/A ,$138.40 ,$157.43 ,$30.27 ,$162.62 ,$164.35 ,$155.70 ,$129.75 ,$30.27 ,$30.27 ,$30.27 ,$126.29 ,$130.27 ,$153.97 ,$155.70 ,$155.70 ,$138.40 ,$134.18 ,$95.15 ,$155.70 ,$130.27 ,$155.70 ,$130.27 ,$164.35 ,$293.11 ,$159.16 ,$76.91 ,$157.43 ,$130.27 ,$106.46 ,$111.41 ,$106.46 ,$155.70 ,$155.70 ,$129.11 ,$155.42 ,$131.57 ,$31.78 ,$161.76 ,$136.78 ,$72.56 ,$150.51 ,$130.27 ,$155.70 ,$130.27 ,$155.70 ,$155.70 ,$155.70 ,$167.81 ,$140.13 ,$155.70 ,$155.70 ,$155.70 ,$155.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400041,92522,HC EVALUATE SPEECH PRODUCTION 15MIN,444,1 ,$178.00 ,$133.50 ,$24.58 ,$245.45 ,$114.63 ,$109.09 ,$124.60 ,$24.58 ,$178.00 , N/A ,$178.00 ,$169.10 , N/A ,$142.40 ,$161.98 ,$24.58 ,$167.32 ,$169.10 ,$160.20 ,$133.50 ,$24.58 ,$24.58 ,$24.58 ,$129.94 ,$109.09 ,$158.42 ,$160.20 ,$160.20 ,$142.40 ,$112.36 ,$97.90 ,$160.20 ,$109.09 ,$160.20 ,$109.09 ,$169.10 ,$245.45 ,$163.76 ,$76.91 ,$161.98 ,$109.09 ,$109.54 ,$114.63 ,$109.54 ,$160.20 ,$160.20 ,$132.84 ,$155.42 ,$110.18 ,$25.81 ,$166.43 ,$114.54 ,$72.56 ,$154.86 ,$109.09 ,$160.20 ,$109.09 ,$160.20 ,$160.20 ,$160.20 ,$172.66 ,$144.18 ,$160.20 ,$160.20 ,$160.20 ,$160.20 
ST. JOSEPH'S - CHIPPEWA FALLS,44400042,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN,444,1 ,$173.00 ,$129.75 ,$48.63 ,$502.00 ,$111.41 ,$223.11 ,$121.10 ,$48.63 ,$173.00 , N/A ,$173.00 ,$164.35 , N/A ,$138.40 ,$157.43 ,$48.63 ,$162.62 ,$164.35 ,$155.70 ,$129.75 ,$48.63 ,$48.63 ,$48.63 ,$126.29 ,$223.11 ,$153.97 ,$155.70 ,$155.70 ,$138.40 ,$229.80 ,$95.15 ,$155.70 ,$223.11 ,$155.70 ,$223.11 ,$164.35 ,$502.00 ,$159.16 ,$76.91 ,$157.43 ,$223.11 ,$106.46 ,$111.41 ,$106.46 ,$155.70 ,$155.70 ,$129.11 ,$155.42 ,$225.34 ,$51.06 ,$161.76 ,$234.27 ,$72.56 ,$150.51 ,$223.11 ,$155.70 ,$223.11 ,$155.70 ,$155.70 ,$155.70 ,$167.81 ,$140.13 ,$155.70 ,$155.70 ,$155.70 ,$155.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400043,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 15MIN,444,1 ,$173.00 ,$129.75 ,$25.62 ,$241.79 ,$111.41 ,$107.46 ,$121.10 ,$25.62 ,$173.00 , N/A ,$173.00 ,$164.35 , N/A ,$138.40 ,$157.43 ,$25.62 ,$162.62 ,$164.35 ,$155.70 ,$129.75 ,$25.62 ,$25.62 ,$25.62 ,$126.29 ,$107.46 ,$153.97 ,$155.70 ,$155.70 ,$138.40 ,$110.68 ,$95.15 ,$155.70 ,$107.46 ,$155.70 ,$107.46 ,$164.35 ,$241.79 ,$159.16 ,$76.91 ,$157.43 ,$107.46 ,$106.46 ,$111.41 ,$106.46 ,$155.70 ,$155.70 ,$129.11 ,$155.42 ,$108.53 ,$26.90 ,$161.76 ,$112.83 ,$72.56 ,$150.51 ,$107.46 ,$155.70 ,$107.46 ,$155.70 ,$155.70 ,$155.70 ,$167.81 ,$140.13 ,$155.70 ,$155.70 ,$155.70 ,$155.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400045,92607,HC EVAL AAC; SP GEN 1ST HR,444,1 ,$284.00 ,$213.00 ,$63.60 ,$284.00 ,$182.90 ,$121.24 ,$198.80 ,$63.60 ,$284.00 , N/A ,$258.00 ,$269.80 , N/A ,$227.20 ,$258.44 ,$63.60 ,$266.96 ,$269.80 ,$255.60 ,$213.00 ,$63.60 ,$63.60 ,$63.60 ,$207.32 ,$121.24 ,$252.76 ,$255.60 ,$255.60 ,$227.20 ,$124.88 ,$156.20 ,$255.60 ,$121.24 ,$255.60 ,$121.24 ,$269.80 ,$272.79 ,$261.28 ,$76.91 ,$258.44 ,$121.24 ,$174.77 ,$182.90 ,$174.77 ,$255.60 ,$255.60 ,$211.95 ,$155.42 ,$122.45 ,$66.78 ,$265.54 ,$127.30 ,$72.56 ,$247.08 ,$121.24 ,$255.60 ,$121.24 ,$255.60 ,$255.60 ,$255.60 ,$275.48 ,$230.04 ,$255.60 ,$255.60 ,$255.60 ,$255.60 
ST. JOSEPH'S - CHIPPEWA FALLS,44400046,92608,HC EVAL AAC ADD 1/2 HR,444,1 ,$254.00 ,$190.50 ,$31.79 ,$254.00 ,$163.58 ,$47.78 ,$177.80 ,$31.79 ,$254.00 , N/A ,$254.00 ,$241.30 , N/A ,$203.20 ,$231.14 ,$31.79 ,$238.76 ,$241.30 ,$228.60 ,$190.50 ,$31.79 ,$31.79 ,$31.79 ,$185.42 ,$47.78 ,$226.06 ,$228.60 ,$228.60 ,$203.20 ,$49.21 ,$139.70 ,$228.60 ,$47.78 ,$228.60 ,$47.78 ,$241.30 ,$107.51 ,$233.68 ,$76.91 ,$231.14 ,$47.78 ,$156.31 ,$163.58 ,$156.31 ,$228.60 ,$228.60 ,$189.56 ,$155.42 ,$48.26 ,$33.38 ,$237.49 ,$50.17 ,$72.56 ,$220.98 ,$47.78 ,$228.60 ,$47.78 ,$228.60 ,$228.60 ,$228.60 ,$246.38 ,$205.74 ,$228.60 ,$228.60 ,$228.60 ,$228.60 
ST. JOSEPH'S - CHIPPEWA FALLS,44400052,92521,HC EVALUATION OF SPEECH FLUENCY 30MIN,444,1 ,$303.00 ,$227.25 ,$30.27 ,$303.00 ,$195.13 ,$130.27 ,$212.10 ,$30.27 ,$303.00 , N/A ,$258.00 ,$287.85 , N/A ,$242.40 ,$275.73 ,$30.27 ,$284.82 ,$287.85 ,$272.70 ,$227.25 ,$30.27 ,$30.27 ,$30.27 ,$221.19 ,$130.27 ,$269.67 ,$272.70 ,$272.70 ,$242.40 ,$134.18 ,$166.65 ,$272.70 ,$130.27 ,$272.70 ,$130.27 ,$287.85 ,$293.11 ,$278.76 ,$76.91 ,$275.73 ,$130.27 ,$186.47 ,$195.13 ,$186.47 ,$272.70 ,$272.70 ,$226.13 ,$155.42 ,$131.57 ,$31.78 ,$283.31 ,$136.78 ,$72.56 ,$263.61 ,$130.27 ,$272.70 ,$130.27 ,$272.70 ,$272.70 ,$272.70 ,$293.91 ,$245.43 ,$272.70 ,$272.70 ,$272.70 ,$272.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400053,92521,HC EVALUATION OF SPEECH FLUENCY 45MIN,444,1 ,$433.00 ,$324.75 ,$30.27 ,$433.00 ,$278.85 ,$130.27 ,$303.10 ,$30.27 ,$322.00 , N/A ,$258.00 ,$411.35 , N/A ,$346.40 ,$394.03 ,$30.27 ,$407.02 ,$411.35 ,$389.70 ,$324.75 ,$30.27 ,$30.27 ,$30.27 ,$316.09 ,$130.27 ,$385.37 ,$389.70 ,$389.70 ,$346.40 ,$134.18 ,$238.15 ,$389.70 ,$130.27 ,$389.70 ,$130.27 ,$411.35 ,$293.11 ,$398.36 ,$76.91 ,$394.03 ,$130.27 ,$266.47 ,$278.85 ,$266.47 ,$389.70 ,$389.70 ,$323.15 ,$155.42 ,$131.57 ,$31.78 ,$404.86 ,$136.78 ,$72.56 ,$376.71 ,$130.27 ,$389.70 ,$130.27 ,$389.70 ,$389.70 ,$389.70 ,$420.01 ,$350.73 ,$389.70 ,$389.70 ,$389.70 ,$389.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400054,92521,HC EVALUATION OF SPEECH FLUENCY 60MIN,444,1 ,$563.00 ,$422.25 ,$30.27 ,$563.00 ,$362.57 ,$130.27 ,$394.10 ,$30.27 ,$322.00 , N/A ,$258.00 ,$534.85 , N/A ,$450.40 ,$512.33 ,$30.27 ,$529.22 ,$534.85 ,$506.70 ,$422.25 ,$30.27 ,$30.27 ,$30.27 ,$410.99 ,$130.27 ,$501.07 ,$506.70 ,$506.70 ,$450.40 ,$134.18 ,$309.65 ,$506.70 ,$130.27 ,$506.70 ,$130.27 ,$534.85 ,$293.11 ,$517.96 ,$76.91 ,$512.33 ,$130.27 ,$346.47 ,$362.57 ,$346.47 ,$506.70 ,$506.70 ,$420.17 ,$155.42 ,$131.57 ,$31.78 ,$526.41 ,$136.78 ,$72.56 ,$489.81 ,$130.27 ,$506.70 ,$130.27 ,$506.70 ,$506.70 ,$506.70 ,$546.11 ,$456.03 ,$506.70 ,$506.70 ,$506.70 ,$506.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400055,92522,HC EVALUATE SPEECH PRODUCTION 30MIN,444,1 ,$312.00 ,$234.00 ,$24.58 ,$312.00 ,$200.93 ,$109.09 ,$218.40 ,$24.58 ,$312.00 , N/A ,$258.00 ,$296.40 , N/A ,$249.60 ,$283.92 ,$24.58 ,$293.28 ,$296.40 ,$280.80 ,$234.00 ,$24.58 ,$24.58 ,$24.58 ,$227.76 ,$109.09 ,$277.68 ,$280.80 ,$280.80 ,$249.60 ,$112.36 ,$171.60 ,$280.80 ,$109.09 ,$280.80 ,$109.09 ,$296.40 ,$245.45 ,$287.04 ,$76.91 ,$283.92 ,$109.09 ,$192.00 ,$200.93 ,$192.00 ,$280.80 ,$280.80 ,$232.85 ,$155.42 ,$110.18 ,$25.81 ,$291.72 ,$114.54 ,$72.56 ,$271.44 ,$109.09 ,$280.80 ,$109.09 ,$280.80 ,$280.80 ,$280.80 ,$302.64 ,$252.72 ,$280.80 ,$280.80 ,$280.80 ,$280.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400056,92522,HC EVALUATE SPEECH PRODUCTION 45MIN,444,1 ,$446.00 ,$334.50 ,$24.58 ,$446.00 ,$287.22 ,$109.09 ,$312.20 ,$24.58 ,$322.00 , N/A ,$258.00 ,$423.70 , N/A ,$356.80 ,$405.86 ,$24.58 ,$419.24 ,$423.70 ,$401.40 ,$334.50 ,$24.58 ,$24.58 ,$24.58 ,$325.58 ,$109.09 ,$396.94 ,$401.40 ,$401.40 ,$356.80 ,$112.36 ,$245.30 ,$401.40 ,$109.09 ,$401.40 ,$109.09 ,$423.70 ,$245.45 ,$410.32 ,$76.91 ,$405.86 ,$109.09 ,$274.47 ,$287.22 ,$274.47 ,$401.40 ,$401.40 ,$332.85 ,$155.42 ,$110.18 ,$25.81 ,$417.01 ,$114.54 ,$72.56 ,$388.02 ,$109.09 ,$401.40 ,$109.09 ,$401.40 ,$401.40 ,$401.40 ,$432.62 ,$361.26 ,$401.40 ,$401.40 ,$401.40 ,$401.40 
ST. JOSEPH'S - CHIPPEWA FALLS,44400057,92522,HC EVALUATE SPEECH PRODUCTION 60MIN,444,1 ,$580.00 ,$435.00 ,$24.58 ,$580.00 ,$373.52 ,$109.09 ,$406.00 ,$24.58 ,$322.00 , N/A ,$258.00 ,$551.00 , N/A ,$464.00 ,$527.80 ,$24.58 ,$545.20 ,$551.00 ,$522.00 ,$435.00 ,$24.58 ,$24.58 ,$24.58 ,$423.40 ,$109.09 ,$516.20 ,$522.00 ,$522.00 ,$464.00 ,$112.36 ,$319.00 ,$522.00 ,$109.09 ,$522.00 ,$109.09 ,$551.00 ,$245.45 ,$533.60 ,$76.91 ,$527.80 ,$109.09 ,$356.93 ,$373.52 ,$356.93 ,$522.00 ,$522.00 ,$432.85 ,$155.42 ,$110.18 ,$25.81 ,$542.30 ,$114.54 ,$72.56 ,$504.60 ,$109.09 ,$522.00 ,$109.09 ,$522.00 ,$522.00 ,$522.00 ,$562.60 ,$469.80 ,$522.00 ,$522.00 ,$522.00 ,$522.00 
ST. JOSEPH'S - CHIPPEWA FALLS,44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$312.00 ,$234.00 ,$48.63 ,$502.00 ,$200.93 ,$223.11 ,$218.40 ,$48.63 ,$312.00 , N/A ,$258.00 ,$296.40 , N/A ,$249.60 ,$283.92 ,$48.63 ,$293.28 ,$296.40 ,$280.80 ,$234.00 ,$48.63 ,$48.63 ,$48.63 ,$227.76 ,$223.11 ,$277.68 ,$280.80 ,$280.80 ,$249.60 ,$229.80 ,$171.60 ,$280.80 ,$223.11 ,$280.80 ,$223.11 ,$296.40 ,$502.00 ,$287.04 ,$76.91 ,$283.92 ,$223.11 ,$192.00 ,$200.93 ,$192.00 ,$280.80 ,$280.80 ,$232.85 ,$155.42 ,$225.34 ,$51.06 ,$291.72 ,$234.27 ,$72.56 ,$271.44 ,$223.11 ,$280.80 ,$223.11 ,$280.80 ,$280.80 ,$280.80 ,$302.64 ,$252.72 ,$280.80 ,$280.80 ,$280.80 ,$280.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400059,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 45MIN,444,1 ,$446.00 ,$334.50 ,$48.63 ,$502.00 ,$287.22 ,$223.11 ,$312.20 ,$48.63 ,$322.00 , N/A ,$258.00 ,$423.70 , N/A ,$356.80 ,$405.86 ,$48.63 ,$419.24 ,$423.70 ,$401.40 ,$334.50 ,$48.63 ,$48.63 ,$48.63 ,$325.58 ,$223.11 ,$396.94 ,$401.40 ,$401.40 ,$356.80 ,$229.80 ,$245.30 ,$401.40 ,$223.11 ,$401.40 ,$223.11 ,$423.70 ,$502.00 ,$410.32 ,$76.91 ,$405.86 ,$223.11 ,$274.47 ,$287.22 ,$274.47 ,$401.40 ,$401.40 ,$332.85 ,$155.42 ,$225.34 ,$51.06 ,$417.01 ,$234.27 ,$72.56 ,$388.02 ,$223.11 ,$401.40 ,$223.11 ,$401.40 ,$401.40 ,$401.40 ,$432.62 ,$361.26 ,$401.40 ,$401.40 ,$401.40 ,$401.40 
ST. JOSEPH'S - CHIPPEWA FALLS,44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$580.00 ,$435.00 ,$48.63 ,$580.00 ,$373.52 ,$223.11 ,$406.00 ,$48.63 ,$322.00 , N/A ,$258.00 ,$551.00 , N/A ,$464.00 ,$527.80 ,$48.63 ,$545.20 ,$551.00 ,$522.00 ,$435.00 ,$48.63 ,$48.63 ,$48.63 ,$423.40 ,$223.11 ,$516.20 ,$522.00 ,$522.00 ,$464.00 ,$229.80 ,$319.00 ,$522.00 ,$223.11 ,$522.00 ,$223.11 ,$551.00 ,$502.00 ,$533.60 ,$76.91 ,$527.80 ,$223.11 ,$356.93 ,$373.52 ,$356.93 ,$522.00 ,$522.00 ,$432.85 ,$155.42 ,$225.34 ,$51.06 ,$542.30 ,$234.27 ,$72.56 ,$504.60 ,$223.11 ,$522.00 ,$223.11 ,$522.00 ,$522.00 ,$522.00 ,$562.60 ,$469.80 ,$522.00 ,$522.00 ,$522.00 ,$522.00 
ST. JOSEPH'S - CHIPPEWA FALLS,44400061,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 30MIN,444,1 ,$303.00 ,$227.25 ,$25.62 ,$303.00 ,$195.13 ,$107.46 ,$212.10 ,$25.62 ,$303.00 , N/A ,$258.00 ,$287.85 , N/A ,$242.40 ,$275.73 ,$25.62 ,$284.82 ,$287.85 ,$272.70 ,$227.25 ,$25.62 ,$25.62 ,$25.62 ,$221.19 ,$107.46 ,$269.67 ,$272.70 ,$272.70 ,$242.40 ,$110.68 ,$166.65 ,$272.70 ,$107.46 ,$272.70 ,$107.46 ,$287.85 ,$241.79 ,$278.76 ,$76.91 ,$275.73 ,$107.46 ,$186.47 ,$195.13 ,$186.47 ,$272.70 ,$272.70 ,$226.13 ,$155.42 ,$108.53 ,$26.90 ,$283.31 ,$112.83 ,$72.56 ,$263.61 ,$107.46 ,$272.70 ,$107.46 ,$272.70 ,$272.70 ,$272.70 ,$293.91 ,$245.43 ,$272.70 ,$272.70 ,$272.70 ,$272.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400062,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 45MIN,444,1 ,$433.00 ,$324.75 ,$25.62 ,$433.00 ,$278.85 ,$107.46 ,$303.10 ,$25.62 ,$322.00 , N/A ,$258.00 ,$411.35 , N/A ,$346.40 ,$394.03 ,$25.62 ,$407.02 ,$411.35 ,$389.70 ,$324.75 ,$25.62 ,$25.62 ,$25.62 ,$316.09 ,$107.46 ,$385.37 ,$389.70 ,$389.70 ,$346.40 ,$110.68 ,$238.15 ,$389.70 ,$107.46 ,$389.70 ,$107.46 ,$411.35 ,$241.79 ,$398.36 ,$76.91 ,$394.03 ,$107.46 ,$266.47 ,$278.85 ,$266.47 ,$389.70 ,$389.70 ,$323.15 ,$155.42 ,$108.53 ,$26.90 ,$404.86 ,$112.83 ,$72.56 ,$376.71 ,$107.46 ,$389.70 ,$107.46 ,$389.70 ,$389.70 ,$389.70 ,$420.01 ,$350.73 ,$389.70 ,$389.70 ,$389.70 ,$389.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400063,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 60MIN,444,1 ,$563.00 ,$422.25 ,$25.62 ,$563.00 ,$362.57 ,$107.46 ,$394.10 ,$25.62 ,$322.00 , N/A ,$258.00 ,$534.85 , N/A ,$450.40 ,$512.33 ,$25.62 ,$529.22 ,$534.85 ,$506.70 ,$422.25 ,$25.62 ,$25.62 ,$25.62 ,$410.99 ,$107.46 ,$501.07 ,$506.70 ,$506.70 ,$450.40 ,$110.68 ,$309.65 ,$506.70 ,$107.46 ,$506.70 ,$107.46 ,$534.85 ,$241.79 ,$517.96 ,$76.91 ,$512.33 ,$107.46 ,$346.47 ,$362.57 ,$346.47 ,$506.70 ,$506.70 ,$420.17 ,$155.42 ,$108.53 ,$26.90 ,$526.41 ,$112.83 ,$72.56 ,$489.81 ,$107.46 ,$506.70 ,$107.46 ,$506.70 ,$506.70 ,$506.70 ,$546.11 ,$456.03 ,$506.70 ,$506.70 ,$506.70 ,$506.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400064,92521,HC EVALUATION SPEECH FLUENCY 75MIN,444,1 ,$692.00 ,$519.00 ,$30.27 ,$692.00 ,$445.65 ,$130.27 ,$484.40 ,$30.27 ,$322.00 , N/A ,$258.00 ,$657.40 , N/A ,$553.60 ,$629.72 ,$30.27 ,$650.48 ,$657.40 ,$622.80 ,$519.00 ,$30.27 ,$30.27 ,$30.27 ,$505.16 ,$130.27 ,$615.88 ,$622.80 ,$622.80 ,$553.60 ,$134.18 ,$380.60 ,$622.80 ,$130.27 ,$622.80 ,$130.27 ,$657.40 ,$293.11 ,$636.64 ,$76.91 ,$629.72 ,$130.27 ,$425.86 ,$445.65 ,$425.86 ,$622.80 ,$622.80 ,$516.44 ,$155.42 ,$131.57 ,$31.78 ,$647.02 ,$136.78 ,$72.56 ,$602.04 ,$130.27 ,$622.80 ,$130.27 ,$622.80 ,$622.80 ,$622.80 ,$671.24 ,$560.52 ,$622.80 ,$622.80 ,$622.80 ,$622.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400065,92521,HC EVALUATION SPEECH FLUENCY 90MIN,444,1 ,$822.00 ,$616.50 ,$30.27 ,$822.00 ,$529.37 ,$130.27 ,$575.40 ,$30.27 ,$322.00 , N/A ,$258.00 ,$780.90 , N/A ,$657.60 ,$748.02 ,$30.27 ,$772.68 ,$780.90 ,$739.80 ,$616.50 ,$30.27 ,$30.27 ,$30.27 ,$600.06 ,$130.27 ,$731.58 ,$739.80 ,$739.80 ,$657.60 ,$134.18 ,$452.10 ,$739.80 ,$130.27 ,$739.80 ,$130.27 ,$780.90 ,$293.11 ,$756.24 ,$76.91 ,$748.02 ,$130.27 ,$505.86 ,$529.37 ,$505.86 ,$739.80 ,$739.80 ,$613.46 ,$155.42 ,$131.57 ,$31.78 ,$768.57 ,$136.78 ,$72.56 ,$715.14 ,$130.27 ,$739.80 ,$130.27 ,$739.80 ,$739.80 ,$739.80 ,$797.34 ,$665.82 ,$739.80 ,$739.80 ,$739.80 ,$739.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400066,92521,HC EVALUATION SPEECH FLUENCY 105MIN,444,1 ,$952.00 ,$714.00 ,$30.27 ,$952.00 ,$613.09 ,$130.27 ,$666.40 ,$30.27 ,$322.00 , N/A ,$258.00 ,$904.40 , N/A ,$761.60 ,$866.32 ,$30.27 ,$894.88 ,$904.40 ,$856.80 ,$714.00 ,$30.27 ,$30.27 ,$30.27 ,$694.96 ,$130.27 ,$847.28 ,$856.80 ,$856.80 ,$761.60 ,$134.18 ,$523.60 ,$856.80 ,$130.27 ,$856.80 ,$130.27 ,$904.40 ,$293.11 ,$875.84 ,$76.91 ,$866.32 ,$130.27 ,$585.86 ,$613.09 ,$585.86 ,$856.80 ,$856.80 ,$710.48 ,$155.42 ,$131.57 ,$31.78 ,$890.12 ,$136.78 ,$72.56 ,$828.24 ,$130.27 ,$856.80 ,$130.27 ,$856.80 ,$856.80 ,$856.80 ,$923.44 ,$771.12 ,$856.80 ,$856.80 ,$856.80 ,$856.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400067,92521,HC EVALUATION SPEECH FLUENCY 120MIN,444,1 ,"$1,082.00 ",$811.50 ,$30.27 ,"$1,082.00 ",$696.81 ,$130.27 ,$757.40 ,$30.27 ,$322.00 , N/A ,$258.00 ,"$1,027.90 ", N/A ,$865.60 ,$984.62 ,$30.27 ,"$1,017.08 ","$1,027.90 ",$973.80 ,$811.50 ,$30.27 ,$30.27 ,$30.27 ,$789.86 ,$130.27 ,$962.98 ,$973.80 ,$973.80 ,$865.60 ,$134.18 ,$595.10 ,$973.80 ,$130.27 ,$973.80 ,$130.27 ,"$1,027.90 ",$293.11 ,$995.44 ,$76.91 ,$984.62 ,$130.27 ,$665.86 ,$696.81 ,$665.86 ,$973.80 ,$973.80 ,$807.50 ,$155.42 ,$131.57 ,$31.78 ,"$1,011.67 ",$136.78 ,$72.56 ,$941.34 ,$130.27 ,$973.80 ,$130.27 ,$973.80 ,$973.80 ,$973.80 ,"$1,049.54 ",$876.42 ,$973.80 ,$973.80 ,$973.80 ,$973.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400068,92522,HC EVALUATE SPEECH PRODUCTION 75MIN,444,1 ,$713.00 ,$534.75 ,$24.58 ,$713.00 ,$459.17 ,$109.09 ,$499.10 ,$24.58 ,$322.00 , N/A ,$258.00 ,$677.35 , N/A ,$570.40 ,$648.83 ,$24.58 ,$670.22 ,$677.35 ,$641.70 ,$534.75 ,$24.58 ,$24.58 ,$24.58 ,$520.49 ,$109.09 ,$634.57 ,$641.70 ,$641.70 ,$570.40 ,$112.36 ,$392.15 ,$641.70 ,$109.09 ,$641.70 ,$109.09 ,$677.35 ,$245.45 ,$655.96 ,$76.91 ,$648.83 ,$109.09 ,$438.78 ,$459.17 ,$438.78 ,$641.70 ,$641.70 ,$532.11 ,$155.42 ,$110.18 ,$25.81 ,$666.66 ,$114.54 ,$72.56 ,$620.31 ,$109.09 ,$641.70 ,$109.09 ,$641.70 ,$641.70 ,$641.70 ,$691.61 ,$577.53 ,$641.70 ,$641.70 ,$641.70 ,$641.70 
ST. JOSEPH'S - CHIPPEWA FALLS,44400069,92522,HC EVALUATE SPEECH PRODUCTION 90MIN,444,1 ,$822.00 ,$616.50 ,$24.58 ,$822.00 ,$529.37 ,$109.09 ,$575.40 ,$24.58 ,$322.00 , N/A ,$258.00 ,$780.90 , N/A ,$657.60 ,$748.02 ,$24.58 ,$772.68 ,$780.90 ,$739.80 ,$616.50 ,$24.58 ,$24.58 ,$24.58 ,$600.06 ,$109.09 ,$731.58 ,$739.80 ,$739.80 ,$657.60 ,$112.36 ,$452.10 ,$739.80 ,$109.09 ,$739.80 ,$109.09 ,$780.90 ,$245.45 ,$756.24 ,$76.91 ,$748.02 ,$109.09 ,$505.86 ,$529.37 ,$505.86 ,$739.80 ,$739.80 ,$613.46 ,$155.42 ,$110.18 ,$25.81 ,$768.57 ,$114.54 ,$72.56 ,$715.14 ,$109.09 ,$739.80 ,$109.09 ,$739.80 ,$739.80 ,$739.80 ,$797.34 ,$665.82 ,$739.80 ,$739.80 ,$739.80 ,$739.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400070,92522,HC EVALUATE SPEECH PRODUCTION 105MIN,444,1 ,$952.00 ,$714.00 ,$24.58 ,$952.00 ,$613.09 ,$109.09 ,$666.40 ,$24.58 ,$322.00 , N/A ,$258.00 ,$904.40 , N/A ,$761.60 ,$866.32 ,$24.58 ,$894.88 ,$904.40 ,$856.80 ,$714.00 ,$24.58 ,$24.58 ,$24.58 ,$694.96 ,$109.09 ,$847.28 ,$856.80 ,$856.80 ,$761.60 ,$112.36 ,$523.60 ,$856.80 ,$109.09 ,$856.80 ,$109.09 ,$904.40 ,$245.45 ,$875.84 ,$76.91 ,$866.32 ,$109.09 ,$585.86 ,$613.09 ,$585.86 ,$856.80 ,$856.80 ,$710.48 ,$155.42 ,$110.18 ,$25.81 ,$890.12 ,$114.54 ,$72.56 ,$828.24 ,$109.09 ,$856.80 ,$109.09 ,$856.80 ,$856.80 ,$856.80 ,$923.44 ,$771.12 ,$856.80 ,$856.80 ,$856.80 ,$856.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400071,92522,HC EVALUATE SPEECH PRODUCTION 120MIN,444,1 ,"$1,082.00 ",$811.50 ,$24.58 ,"$1,082.00 ",$696.81 ,$109.09 ,$757.40 ,$24.58 ,$322.00 , N/A ,$258.00 ,"$1,027.90 ", N/A ,$865.60 ,$984.62 ,$24.58 ,"$1,017.08 ","$1,027.90 ",$973.80 ,$811.50 ,$24.58 ,$24.58 ,$24.58 ,$789.86 ,$109.09 ,$962.98 ,$973.80 ,$973.80 ,$865.60 ,$112.36 ,$595.10 ,$973.80 ,$109.09 ,$973.80 ,$109.09 ,"$1,027.90 ",$245.45 ,$995.44 ,$76.91 ,$984.62 ,$109.09 ,$665.86 ,$696.81 ,$665.86 ,$973.80 ,$973.80 ,$807.50 ,$155.42 ,$110.18 ,$25.81 ,"$1,011.67 ",$114.54 ,$72.56 ,$941.34 ,$109.09 ,$973.80 ,$109.09 ,$973.80 ,$973.80 ,$973.80 ,"$1,049.54 ",$876.42 ,$973.80 ,$973.80 ,$973.80 ,$973.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400072,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 75MIN,444,1 ,$692.00 ,$519.00 ,$48.63 ,$692.00 ,$445.65 ,$223.11 ,$484.40 ,$48.63 ,$322.00 , N/A ,$258.00 ,$657.40 , N/A ,$553.60 ,$629.72 ,$48.63 ,$650.48 ,$657.40 ,$622.80 ,$519.00 ,$48.63 ,$48.63 ,$48.63 ,$505.16 ,$223.11 ,$615.88 ,$622.80 ,$622.80 ,$553.60 ,$229.80 ,$380.60 ,$622.80 ,$223.11 ,$622.80 ,$223.11 ,$657.40 ,$502.00 ,$636.64 ,$76.91 ,$629.72 ,$223.11 ,$425.86 ,$445.65 ,$425.86 ,$622.80 ,$622.80 ,$516.44 ,$155.42 ,$225.34 ,$51.06 ,$647.02 ,$234.27 ,$72.56 ,$602.04 ,$223.11 ,$622.80 ,$223.11 ,$622.80 ,$622.80 ,$622.80 ,$671.24 ,$560.52 ,$622.80 ,$622.80 ,$622.80 ,$622.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400073,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 90MIN,444,1 ,$822.00 ,$616.50 ,$48.63 ,$822.00 ,$529.37 ,$223.11 ,$575.40 ,$48.63 ,$322.00 , N/A ,$258.00 ,$780.90 , N/A ,$657.60 ,$748.02 ,$48.63 ,$772.68 ,$780.90 ,$739.80 ,$616.50 ,$48.63 ,$48.63 ,$48.63 ,$600.06 ,$223.11 ,$731.58 ,$739.80 ,$739.80 ,$657.60 ,$229.80 ,$452.10 ,$739.80 ,$223.11 ,$739.80 ,$223.11 ,$780.90 ,$502.00 ,$756.24 ,$76.91 ,$748.02 ,$223.11 ,$505.86 ,$529.37 ,$505.86 ,$739.80 ,$739.80 ,$613.46 ,$155.42 ,$225.34 ,$51.06 ,$768.57 ,$234.27 ,$72.56 ,$715.14 ,$223.11 ,$739.80 ,$223.11 ,$739.80 ,$739.80 ,$739.80 ,$797.34 ,$665.82 ,$739.80 ,$739.80 ,$739.80 ,$739.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400074,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 105MIN,444,1 ,$952.00 ,$714.00 ,$48.63 ,$952.00 ,$613.09 ,$223.11 ,$666.40 ,$48.63 ,$322.00 , N/A ,$258.00 ,$904.40 , N/A ,$761.60 ,$866.32 ,$48.63 ,$894.88 ,$904.40 ,$856.80 ,$714.00 ,$48.63 ,$48.63 ,$48.63 ,$694.96 ,$223.11 ,$847.28 ,$856.80 ,$856.80 ,$761.60 ,$229.80 ,$523.60 ,$856.80 ,$223.11 ,$856.80 ,$223.11 ,$904.40 ,$502.00 ,$875.84 ,$76.91 ,$866.32 ,$223.11 ,$585.86 ,$613.09 ,$585.86 ,$856.80 ,$856.80 ,$710.48 ,$155.42 ,$225.34 ,$51.06 ,$890.12 ,$234.27 ,$72.56 ,$828.24 ,$223.11 ,$856.80 ,$223.11 ,$856.80 ,$856.80 ,$856.80 ,$923.44 ,$771.12 ,$856.80 ,$856.80 ,$856.80 ,$856.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400075,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 120MIN,444,1 ,"$1,082.00 ",$811.50 ,$48.63 ,"$1,082.00 ",$696.81 ,$223.11 ,$757.40 ,$48.63 ,$322.00 , N/A ,$258.00 ,"$1,027.90 ", N/A ,$865.60 ,$984.62 ,$48.63 ,"$1,017.08 ","$1,027.90 ",$973.80 ,$811.50 ,$48.63 ,$48.63 ,$48.63 ,$789.86 ,$223.11 ,$962.98 ,$973.80 ,$973.80 ,$865.60 ,$229.80 ,$595.10 ,$973.80 ,$223.11 ,$973.80 ,$223.11 ,"$1,027.90 ",$502.00 ,$995.44 ,$76.91 ,$984.62 ,$223.11 ,$665.86 ,$696.81 ,$665.86 ,$973.80 ,$973.80 ,$807.50 ,$155.42 ,$225.34 ,$51.06 ,"$1,011.67 ",$234.27 ,$72.56 ,$941.34 ,$223.11 ,$973.80 ,$223.11 ,$973.80 ,$973.80 ,$973.80 ,"$1,049.54 ",$876.42 ,$973.80 ,$973.80 ,$973.80 ,$973.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400076,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 75MIN,444,1 ,$692.00 ,$519.00 ,$25.62 ,$692.00 ,$445.65 ,$107.46 ,$484.40 ,$25.62 ,$322.00 , N/A ,$258.00 ,$657.40 , N/A ,$553.60 ,$629.72 ,$25.62 ,$650.48 ,$657.40 ,$622.80 ,$519.00 ,$25.62 ,$25.62 ,$25.62 ,$505.16 ,$107.46 ,$615.88 ,$622.80 ,$622.80 ,$553.60 ,$110.68 ,$380.60 ,$622.80 ,$107.46 ,$622.80 ,$107.46 ,$657.40 ,$241.79 ,$636.64 ,$76.91 ,$629.72 ,$107.46 ,$425.86 ,$445.65 ,$425.86 ,$622.80 ,$622.80 ,$516.44 ,$155.42 ,$108.53 ,$26.90 ,$647.02 ,$112.83 ,$72.56 ,$602.04 ,$107.46 ,$622.80 ,$107.46 ,$622.80 ,$622.80 ,$622.80 ,$671.24 ,$560.52 ,$622.80 ,$622.80 ,$622.80 ,$622.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400077,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 90MIN,444,1 ,$822.00 ,$616.50 ,$25.62 ,$822.00 ,$529.37 ,$107.46 ,$575.40 ,$25.62 ,$322.00 , N/A ,$258.00 ,$780.90 , N/A ,$657.60 ,$748.02 ,$25.62 ,$772.68 ,$780.90 ,$739.80 ,$616.50 ,$25.62 ,$25.62 ,$25.62 ,$600.06 ,$107.46 ,$731.58 ,$739.80 ,$739.80 ,$657.60 ,$110.68 ,$452.10 ,$739.80 ,$107.46 ,$739.80 ,$107.46 ,$780.90 ,$241.79 ,$756.24 ,$76.91 ,$748.02 ,$107.46 ,$505.86 ,$529.37 ,$505.86 ,$739.80 ,$739.80 ,$613.46 ,$155.42 ,$108.53 ,$26.90 ,$768.57 ,$112.83 ,$72.56 ,$715.14 ,$107.46 ,$739.80 ,$107.46 ,$739.80 ,$739.80 ,$739.80 ,$797.34 ,$665.82 ,$739.80 ,$739.80 ,$739.80 ,$739.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400078,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 105MIN,444,1 ,$952.00 ,$714.00 ,$25.62 ,$952.00 ,$613.09 ,$107.46 ,$666.40 ,$25.62 ,$322.00 , N/A ,$258.00 ,$904.40 , N/A ,$761.60 ,$866.32 ,$25.62 ,$894.88 ,$904.40 ,$856.80 ,$714.00 ,$25.62 ,$25.62 ,$25.62 ,$694.96 ,$107.46 ,$847.28 ,$856.80 ,$856.80 ,$761.60 ,$110.68 ,$523.60 ,$856.80 ,$107.46 ,$856.80 ,$107.46 ,$904.40 ,$241.79 ,$875.84 ,$76.91 ,$866.32 ,$107.46 ,$585.86 ,$613.09 ,$585.86 ,$856.80 ,$856.80 ,$710.48 ,$155.42 ,$108.53 ,$26.90 ,$890.12 ,$112.83 ,$72.56 ,$828.24 ,$107.46 ,$856.80 ,$107.46 ,$856.80 ,$856.80 ,$856.80 ,$923.44 ,$771.12 ,$856.80 ,$856.80 ,$856.80 ,$856.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400079,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 120MIN,444,1 ,"$1,082.00 ",$811.50 ,$25.62 ,"$1,082.00 ",$696.81 ,$107.46 ,$757.40 ,$25.62 ,$322.00 , N/A ,$258.00 ,"$1,027.90 ", N/A ,$865.60 ,$984.62 ,$25.62 ,"$1,017.08 ","$1,027.90 ",$973.80 ,$811.50 ,$25.62 ,$25.62 ,$25.62 ,$789.86 ,$107.46 ,$962.98 ,$973.80 ,$973.80 ,$865.60 ,$110.68 ,$595.10 ,$973.80 ,$107.46 ,$973.80 ,$107.46 ,"$1,027.90 ",$241.79 ,$995.44 ,$76.91 ,$984.62 ,$107.46 ,$665.86 ,$696.81 ,$665.86 ,$973.80 ,$973.80 ,$807.50 ,$155.42 ,$108.53 ,$26.90 ,"$1,011.67 ",$112.83 ,$72.56 ,$941.34 ,$107.46 ,$973.80 ,$107.46 ,$973.80 ,$973.80 ,$973.80 ,"$1,049.54 ",$876.42 ,$973.80 ,$973.80 ,$973.80 ,$973.80 
ST. JOSEPH'S - CHIPPEWA FALLS,44400084,92611,HC DYSPHAGIA EVAL-VIDEO 75MIN,444,1 ,$431.00 ,$323.25 ,$37.92 ,$431.00 ,$277.56 ,$89.02 ,$301.70 ,$116.92 ,$322.00 , N/A ,$258.00 ,$409.45 , N/A ,$344.80 ,$392.21 ,$116.92 ,$405.14 ,$409.45 ,$387.90 ,$323.25 ,$116.92 ,$116.92 ,$116.92 ,$314.63 ,$89.02 ,$383.59 ,$387.90 ,$387.90 ,$344.80 ,$91.69 ,$237.05 ,$387.90 ,$89.02 ,$387.90 ,$89.02 ,$409.45 ,$200.30 ,$396.52 ,$40.20 ,$392.21 ,$89.02 ,$265.24 ,$277.56 ,$265.24 ,$387.90 ,$387.90 ,$321.66 ,$155.42 ,$89.91 ,$122.77 ,$402.99 ,$93.47 ,$37.92 ,$374.97 ,$89.02 ,$387.90 ,$89.02 ,$387.90 ,$387.90 ,$387.90 ,$418.07 ,$349.11 ,$387.90 ,$387.90 ,$387.90 ,$387.90 
ST. JOSEPH'S - CHIPPEWA FALLS,44400085,92611,HC DYSPHAGIA EVAL-VIDEO 90MIN,444,1 ,$530.00 ,$397.50 ,$37.92 ,$530.00 ,$341.32 ,$89.02 ,$371.00 ,$116.92 ,$322.00 , N/A ,$258.00 ,$503.50 , N/A ,$424.00 ,$482.30 ,$116.92 ,$498.20 ,$503.50 ,$477.00 ,$397.50 ,$116.92 ,$116.92 ,$116.92 ,$386.90 ,$89.02 ,$471.70 ,$477.00 ,$477.00 ,$424.00 ,$91.69 ,$291.50 ,$477.00 ,$89.02 ,$477.00 ,$89.02 ,$503.50 ,$200.30 ,$487.60 ,$40.20 ,$482.30 ,$89.02 ,$326.16 ,$341.32 ,$326.16 ,$477.00 ,$477.00 ,$395.54 ,$155.42 ,$89.91 ,$122.77 ,$495.55 ,$93.47 ,$37.92 ,$461.10 ,$89.02 ,$477.00 ,$89.02 ,$477.00 ,$477.00 ,$477.00 ,$514.10 ,$429.30 ,$477.00 ,$477.00 ,$477.00 ,$477.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000002,10061,HC I AND D ABSC CMPLX,450,1 ,$436.00 ,$327.00 ,$51.36 ,$802.54 ,$280.78 ,$356.69 ,$305.20 ,$51.36 ,$361.88 ,$52.90 ,$287.76 ,$414.20 , N/A ,$348.80 ,$396.76 ,$51.36 ,$409.84 ,$414.20 ,$392.40 ,$370.60 ,$51.36 ,$51.36 ,$51.36 ,$318.28 ,$356.69 ,$388.04 ,$392.40 ,$392.40 ,$348.80 ,$367.39 ,$239.80 ,$392.40 ,$356.69 ,$392.40 ,$356.69 ,$414.20 ,$802.54 ,$401.12 ,$54.44 ,$396.76 ,$356.69 ,$268.31 ,$280.78 ,$268.31 ,$392.40 ,$392.40 ,$325.39 ,$303.67 ,$360.25 ,$53.93 ,$407.66 ,$374.52 ,$51.36 ,$379.32 ,$356.69 ,$392.40 ,$356.69 ,$392.40 ,$392.40 ,$392.40 ,$422.92 ,$353.16 ,$392.40 ,$392.40 ,$392.40 ,$392.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,$579.00 ,$434.25 ,$51.36 ,"$1,444.89 ",$372.88 ,$642.18 ,$405.30 ,$51.36 ,$480.57 ,$52.90 ,$382.14 ,$550.05 , N/A ,$463.20 ,$526.89 ,$51.36 ,$544.26 ,$550.05 ,$521.10 ,$492.15 ,$51.36 ,$51.36 ,$51.36 ,$422.67 ,$642.18 ,$515.31 ,$521.10 ,$521.10 ,$463.20 ,$661.44 ,$318.45 ,$521.10 ,$642.18 ,$521.10 ,$642.18 ,$550.05 ,"$1,444.89 ",$532.68 ,$54.44 ,$526.89 ,$642.18 ,$356.32 ,$372.88 ,$356.32 ,$521.10 ,$521.10 ,$432.11 ,$403.27 ,$648.60 ,$53.93 ,$541.37 ,$674.29 ,$51.36 ,$503.73 ,$642.18 ,$521.10 ,$642.18 ,$521.10 ,$521.10 ,$521.10 ,$561.63 ,$468.99 ,$521.10 ,$521.10 ,$521.10 ,$521.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,$350.00 ,$262.50 ,$51.36 ,$802.54 ,$225.40 ,$356.69 ,$245.00 ,$51.36 ,$290.50 ,$52.90 ,$231.00 ,$332.50 , N/A ,$280.00 ,$318.50 ,$51.36 ,$329.00 ,$332.50 ,$315.00 ,$297.50 ,$51.36 ,$51.36 ,$51.36 ,$255.50 ,$356.69 ,$311.50 ,$315.00 ,$315.00 ,$280.00 ,$367.39 ,$192.50 ,$315.00 ,$356.69 ,$315.00 ,$356.69 ,$332.50 ,$802.54 ,$322.00 ,$54.44 ,$318.50 ,$356.69 ,$215.39 ,$225.40 ,$215.39 ,$315.00 ,$315.00 ,$261.21 ,$243.78 ,$360.25 ,$53.93 ,$327.25 ,$374.52 ,$51.36 ,$304.50 ,$356.69 ,$315.00 ,$356.69 ,$315.00 ,$315.00 ,$315.00 ,$339.50 ,$283.50 ,$315.00 ,$315.00 ,$315.00 ,$315.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$297.00 ,$222.75 ,$20.60 ,$416.96 ,$191.27 ,$185.31 ,$207.90 ,$20.60 ,$246.51 ,$21.22 ,$196.02 ,$282.15 , N/A ,$237.60 ,$270.27 ,$20.60 ,$279.18 ,$282.15 ,$267.30 ,$252.45 ,$20.60 ,$20.60 ,$20.60 ,$216.81 ,$185.31 ,$264.33 ,$267.30 ,$267.30 ,$237.60 ,$190.87 ,$163.35 ,$267.30 ,$185.31 ,$267.30 ,$185.31 ,$282.15 ,$416.96 ,$273.24 ,$21.84 ,$270.27 ,$185.31 ,$182.77 ,$191.27 ,$182.77 ,$267.30 ,$267.30 ,$221.65 ,$206.86 ,$187.17 ,$21.63 ,$277.70 ,$194.58 ,$20.60 ,$258.39 ,$185.31 ,$267.30 ,$185.31 ,$267.30 ,$267.30 ,$267.30 ,$288.09 ,$240.57 ,$267.30 ,$267.30 ,$267.30 ,$267.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000010,11732,HC AVULSION NAIL PL PT/CO EA ADDL FAC,450,1 ,$297.00 ,$222.75 ,$20.60 ,$297.00 ,$191.27 , N/A ,$207.90 ,$20.60 ,$246.51 ,$21.22 ,$196.02 ,$282.15 , N/A ,$237.60 ,$270.27 ,$20.60 ,$279.18 ,$282.15 ,$267.30 ,$252.45 ,$20.60 ,$20.60 ,$20.60 ,$216.81 , N/A ,$264.33 ,$267.30 ,$267.30 ,$237.60 , N/A ,$163.35 ,$267.30 , N/A ,$267.30 , N/A ,$282.15 , N/A ,$273.24 ,$21.84 ,$270.27 , N/A ,$182.77 ,$191.27 ,$182.77 ,$267.30 ,$267.30 ,$221.65 ,$206.86 , N/A ,$21.63 ,$277.70 , N/A ,$20.60 ,$258.39 , N/A ,$267.30 , N/A ,$267.30 ,$267.30 ,$267.30 ,$288.09 ,$240.57 ,$267.30 ,$267.30 ,$267.30 ,$267.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$211.00 ,$158.25 ,$20.60 ,$261.82 ,$135.88 ,$116.36 ,$147.70 ,$20.60 ,$175.13 ,$21.22 ,$139.26 ,$200.45 , N/A ,$168.80 ,$192.01 ,$20.60 ,$198.34 ,$200.45 ,$189.90 ,$179.35 ,$20.60 ,$20.60 ,$20.60 ,$154.03 ,$116.36 ,$187.79 ,$189.90 ,$189.90 ,$168.80 ,$119.85 ,$116.05 ,$189.90 ,$116.36 ,$189.90 ,$116.36 ,$200.45 ,$261.82 ,$194.12 ,$21.84 ,$192.01 ,$116.36 ,$129.85 ,$135.88 ,$129.85 ,$189.90 ,$189.90 ,$157.47 ,$146.96 ,$117.53 ,$21.63 ,$197.29 ,$122.18 ,$20.60 ,$183.57 ,$116.36 ,$189.90 ,$116.36 ,$189.90 ,$189.90 ,$189.90 ,$204.67 ,$170.91 ,$189.90 ,$189.90 ,$189.90 ,$189.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000012,11760,HC REPAIR NAIL BED,450,1 ,$219.00 ,$164.25 ,$20.60 ,"$1,216.07 ",$141.04 ,$540.47 ,$153.30 ,$20.60 ,$181.77 ,$21.22 ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 ,$20.60 ,$205.86 ,$208.05 ,$197.10 ,$186.15 ,$20.60 ,$20.60 ,$20.60 ,$159.87 ,$540.47 ,$194.91 ,$197.10 ,$197.10 ,$175.20 ,$556.69 ,$120.45 ,$197.10 ,$540.47 ,$197.10 ,$540.47 ,$208.05 ,"$1,216.07 ",$201.48 ,$21.84 ,$199.29 ,$540.47 ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$163.44 ,$152.53 ,$545.88 ,$21.63 ,$204.77 ,$567.49 ,$20.60 ,$190.53 ,$540.47 ,$197.10 ,$540.47 ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000013,11765,HC EXC WEDGE SKIN NAIL FOLD,450,1 ,$182.00 ,$136.50 ,$20.60 ,$802.54 ,$117.21 ,$356.69 ,$127.40 ,$20.60 ,$151.06 ,$21.22 ,$120.12 ,$172.90 , N/A ,$145.60 ,$165.62 ,$20.60 ,$171.08 ,$172.90 ,$163.80 ,$154.70 ,$20.60 ,$20.60 ,$20.60 ,$132.86 ,$356.69 ,$161.98 ,$163.80 ,$163.80 ,$145.60 ,$367.39 ,$100.10 ,$163.80 ,$356.69 ,$163.80 ,$356.69 ,$172.90 ,$802.54 ,$167.44 ,$21.84 ,$165.62 ,$356.69 ,$112.00 ,$117.21 ,$112.00 ,$163.80 ,$163.80 ,$135.83 ,$126.76 ,$360.25 ,$21.63 ,$170.17 ,$374.52 ,$20.60 ,$158.34 ,$356.69 ,$163.80 ,$356.69 ,$163.80 ,$163.80 ,$163.80 ,$176.54 ,$147.42 ,$163.80 ,$163.80 ,$163.80 ,$163.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$654.00 ,$490.50 ,$58.71 ,$654.00 ,$421.18 ,$185.31 ,$457.80 ,$58.71 ,$542.82 ,$60.47 ,$431.64 ,$621.30 , N/A ,$523.20 ,$595.14 ,$58.71 ,$614.76 ,$621.30 ,$588.60 ,$555.90 ,$58.71 ,$58.71 ,$58.71 ,$477.42 ,$185.31 ,$582.06 ,$588.60 ,$588.60 ,$523.20 ,$190.87 ,$359.70 ,$588.60 ,$185.31 ,$588.60 ,$185.31 ,$621.30 ,$416.96 ,$601.68 ,$62.23 ,$595.14 ,$185.31 ,$402.47 ,$421.18 ,$402.47 ,$588.60 ,$588.60 ,$488.08 ,$455.51 ,$187.17 ,$61.65 ,$611.49 ,$194.58 ,$58.71 ,$568.98 ,$185.31 ,$588.60 ,$185.31 ,$588.60 ,$588.60 ,$588.60 ,$634.38 ,$529.74 ,$588.60 ,$588.60 ,$588.60 ,$588.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$359.00 ,$269.25 ,$58.71 ,$416.96 ,$231.20 ,$185.31 ,$251.30 ,$58.71 ,$297.97 ,$60.47 ,$236.94 ,$341.05 , N/A ,$287.20 ,$326.69 ,$58.71 ,$337.46 ,$341.05 ,$323.10 ,$305.15 ,$58.71 ,$58.71 ,$58.71 ,$262.07 ,$185.31 ,$319.51 ,$323.10 ,$323.10 ,$287.20 ,$190.87 ,$197.45 ,$323.10 ,$185.31 ,$323.10 ,$185.31 ,$341.05 ,$416.96 ,$330.28 ,$62.23 ,$326.69 ,$185.31 ,$220.93 ,$231.20 ,$220.93 ,$323.10 ,$323.10 ,$267.92 ,$250.04 ,$187.17 ,$61.65 ,$335.67 ,$194.58 ,$58.71 ,$312.33 ,$185.31 ,$323.10 ,$185.31 ,$323.10 ,$323.10 ,$323.10 ,$348.23 ,$290.79 ,$323.10 ,$323.10 ,$323.10 ,$323.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$460.00 ,$345.00 ,$58.71 ,$460.00 ,$296.24 ,$185.31 ,$322.00 ,$58.71 ,$381.80 ,$60.47 ,$303.60 ,$437.00 , N/A ,$368.00 ,$418.60 ,$58.71 ,$432.40 ,$437.00 ,$414.00 ,$391.00 ,$58.71 ,$58.71 ,$58.71 ,$335.80 ,$185.31 ,$409.40 ,$414.00 ,$414.00 ,$368.00 ,$190.87 ,$253.00 ,$414.00 ,$185.31 ,$414.00 ,$185.31 ,$437.00 ,$416.96 ,$423.20 ,$62.23 ,$418.60 ,$185.31 ,$283.08 ,$296.24 ,$283.08 ,$414.00 ,$414.00 ,$343.30 ,$320.39 ,$187.17 ,$61.65 ,$430.10 ,$194.58 ,$58.71 ,$400.20 ,$185.31 ,$414.00 ,$185.31 ,$414.00 ,$414.00 ,$414.00 ,$446.20 ,$372.60 ,$414.00 ,$414.00 ,$414.00 ,$414.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$486.00 ,$364.50 ,$58.71 ,$802.54 ,$312.98 ,$356.69 ,$340.20 ,$58.71 ,$403.38 ,$60.47 ,$320.76 ,$461.70 , N/A ,$388.80 ,$442.26 ,$58.71 ,$456.84 ,$461.70 ,$437.40 ,$413.10 ,$58.71 ,$58.71 ,$58.71 ,$354.78 ,$356.69 ,$432.54 ,$437.40 ,$437.40 ,$388.80 ,$367.39 ,$267.30 ,$437.40 ,$356.69 ,$437.40 ,$356.69 ,$461.70 ,$802.54 ,$447.12 ,$62.23 ,$442.26 ,$356.69 ,$299.08 ,$312.98 ,$299.08 ,$437.40 ,$437.40 ,$362.70 ,$338.50 ,$360.25 ,$61.65 ,$454.41 ,$374.52 ,$58.71 ,$422.82 ,$356.69 ,$437.40 ,$356.69 ,$437.40 ,$437.40 ,$437.40 ,$471.42 ,$393.66 ,$437.40 ,$437.40 ,$437.40 ,$437.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$575.00 ,$431.25 ,$58.71 ,$575.00 ,$370.30 ,$185.31 ,$402.50 ,$58.71 ,$477.25 ,$60.47 ,$379.50 ,$546.25 , N/A ,$460.00 ,$523.25 ,$58.71 ,$540.50 ,$546.25 ,$517.50 ,$488.75 ,$58.71 ,$58.71 ,$58.71 ,$419.75 ,$185.31 ,$511.75 ,$517.50 ,$517.50 ,$460.00 ,$190.87 ,$316.25 ,$517.50 ,$185.31 ,$517.50 ,$185.31 ,$546.25 ,$416.96 ,$529.00 ,$62.23 ,$523.25 ,$185.31 ,$353.86 ,$370.30 ,$353.86 ,$517.50 ,$517.50 ,$429.12 ,$400.49 ,$187.17 ,$61.65 ,$537.63 ,$194.58 ,$58.71 ,$500.25 ,$185.31 ,$517.50 ,$185.31 ,$517.50 ,$517.50 ,$517.50 ,$557.75 ,$465.75 ,$517.50 ,$517.50 ,$517.50 ,$517.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$578.00 ,$433.50 ,$58.71 ,$578.00 ,$372.23 ,$185.31 ,$404.60 ,$58.71 ,$479.74 ,$60.47 ,$381.48 ,$549.10 , N/A ,$462.40 ,$525.98 ,$58.71 ,$543.32 ,$549.10 ,$520.20 ,$491.30 ,$58.71 ,$58.71 ,$58.71 ,$421.94 ,$185.31 ,$514.42 ,$520.20 ,$520.20 ,$462.40 ,$190.87 ,$317.90 ,$520.20 ,$185.31 ,$520.20 ,$185.31 ,$549.10 ,$416.96 ,$531.76 ,$62.23 ,$525.98 ,$185.31 ,$355.70 ,$372.23 ,$355.70 ,$520.20 ,$520.20 ,$431.36 ,$402.58 ,$187.17 ,$61.65 ,$540.43 ,$194.58 ,$58.71 ,$502.86 ,$185.31 ,$520.20 ,$185.31 ,$520.20 ,$520.20 ,$520.20 ,$560.66 ,$468.18 ,$520.20 ,$520.20 ,$520.20 ,$520.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$262.00 ,$196.50 ,$58.71 ,$416.96 ,$168.73 ,$185.31 ,$183.40 ,$58.71 ,$217.46 ,$60.47 ,$172.92 ,$248.90 , N/A ,$209.60 ,$238.42 ,$58.71 ,$246.28 ,$248.90 ,$235.80 ,$222.70 ,$58.71 ,$58.71 ,$58.71 ,$191.26 ,$185.31 ,$233.18 ,$235.80 ,$235.80 ,$209.60 ,$190.87 ,$144.10 ,$235.80 ,$185.31 ,$235.80 ,$185.31 ,$248.90 ,$416.96 ,$241.04 ,$62.23 ,$238.42 ,$185.31 ,$161.23 ,$168.73 ,$161.23 ,$235.80 ,$235.80 ,$195.53 ,$182.48 ,$187.17 ,$61.65 ,$244.97 ,$194.58 ,$58.71 ,$227.94 ,$185.31 ,$235.80 ,$185.31 ,$235.80 ,$235.80 ,$235.80 ,$254.14 ,$212.22 ,$235.80 ,$235.80 ,$235.80 ,$235.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$298.00 ,$223.50 ,$58.71 ,$416.96 ,$191.91 ,$185.31 ,$208.60 ,$58.71 ,$247.34 ,$60.47 ,$196.68 ,$283.10 , N/A ,$238.40 ,$271.18 ,$58.71 ,$280.12 ,$283.10 ,$268.20 ,$253.30 ,$58.71 ,$58.71 ,$58.71 ,$217.54 ,$185.31 ,$265.22 ,$268.20 ,$268.20 ,$238.40 ,$190.87 ,$163.90 ,$268.20 ,$185.31 ,$268.20 ,$185.31 ,$283.10 ,$416.96 ,$274.16 ,$62.23 ,$271.18 ,$185.31 ,$183.39 ,$191.91 ,$183.39 ,$268.20 ,$268.20 ,$222.40 ,$207.56 ,$187.17 ,$61.65 ,$278.63 ,$194.58 ,$58.71 ,$259.26 ,$185.31 ,$268.20 ,$185.31 ,$268.20 ,$268.20 ,$268.20 ,$289.06 ,$241.38 ,$268.20 ,$268.20 ,$268.20 ,$268.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000024,12016,HC SIMP F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$352.00 ,$264.00 ,$58.71 ,$802.54 ,$226.69 ,$356.69 ,$246.40 ,$58.71 ,$292.16 ,$60.47 ,$232.32 ,$334.40 , N/A ,$281.60 ,$320.32 ,$58.71 ,$330.88 ,$334.40 ,$316.80 ,$299.20 ,$58.71 ,$58.71 ,$58.71 ,$256.96 ,$356.69 ,$313.28 ,$316.80 ,$316.80 ,$281.60 ,$367.39 ,$193.60 ,$316.80 ,$356.69 ,$316.80 ,$356.69 ,$334.40 ,$802.54 ,$323.84 ,$62.23 ,$320.32 ,$356.69 ,$216.62 ,$226.69 ,$216.62 ,$316.80 ,$316.80 ,$262.70 ,$245.17 ,$360.25 ,$61.65 ,$329.12 ,$374.52 ,$58.71 ,$306.24 ,$356.69 ,$316.80 ,$356.69 ,$316.80 ,$316.80 ,$316.80 ,$341.44 ,$285.12 ,$316.80 ,$316.80 ,$316.80 ,$316.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000029,12031,HC INTRM S/A/T/EXT 2.5CM OR <,450,1 ,$267.00 ,$200.25 ,$118.09 ,$802.54 ,$171.95 ,$356.69 ,$186.90 ,$118.09 ,$221.61 ,$121.63 ,$176.22 ,$253.65 , N/A ,$213.60 ,$242.97 ,$118.09 ,$250.98 ,$253.65 ,$240.30 ,$226.95 ,$118.09 ,$118.09 ,$118.09 ,$194.91 ,$356.69 ,$237.63 ,$240.30 ,$240.30 ,$213.60 ,$367.39 ,$146.85 ,$240.30 ,$356.69 ,$240.30 ,$356.69 ,$253.65 ,$802.54 ,$245.64 ,$125.18 ,$242.97 ,$356.69 ,$164.31 ,$171.95 ,$164.31 ,$240.30 ,$240.30 ,$199.26 ,$185.97 ,$360.25 ,$123.99 ,$249.65 ,$374.52 ,$118.09 ,$232.29 ,$356.69 ,$240.30 ,$356.69 ,$240.30 ,$240.30 ,$240.30 ,$258.99 ,$216.27 ,$240.30 ,$240.30 ,$240.30 ,$240.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$229.00 ,$171.75 ,$118.09 ,$802.54 ,$147.48 ,$356.69 ,$160.30 ,$118.09 ,$190.07 ,$121.63 ,$151.14 ,$217.55 , N/A ,$183.20 ,$208.39 ,$118.09 ,$215.26 ,$217.55 ,$206.10 ,$194.65 ,$118.09 ,$118.09 ,$118.09 ,$167.17 ,$356.69 ,$203.81 ,$206.10 ,$206.10 ,$183.20 ,$367.39 ,$125.95 ,$206.10 ,$356.69 ,$206.10 ,$356.69 ,$217.55 ,$802.54 ,$210.68 ,$125.18 ,$208.39 ,$356.69 ,$140.93 ,$147.48 ,$140.93 ,$206.10 ,$206.10 ,$170.90 ,$159.50 ,$360.25 ,$123.99 ,$214.12 ,$374.52 ,$118.09 ,$199.23 ,$356.69 ,$206.10 ,$356.69 ,$206.10 ,$206.10 ,$206.10 ,$222.13 ,$185.49 ,$206.10 ,$206.10 ,$206.10 ,$206.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,$352.00 ,$264.00 ,$118.09 ,$802.54 ,$226.69 ,$356.69 ,$246.40 ,$118.09 ,$292.16 ,$121.63 ,$232.32 ,$334.40 , N/A ,$281.60 ,$320.32 ,$118.09 ,$330.88 ,$334.40 ,$316.80 ,$299.20 ,$118.09 ,$118.09 ,$118.09 ,$256.96 ,$356.69 ,$313.28 ,$316.80 ,$316.80 ,$281.60 ,$367.39 ,$193.60 ,$316.80 ,$356.69 ,$316.80 ,$356.69 ,$334.40 ,$802.54 ,$323.84 ,$125.18 ,$320.32 ,$356.69 ,$216.62 ,$226.69 ,$216.62 ,$316.80 ,$316.80 ,$262.70 ,$245.17 ,$360.25 ,$123.99 ,$329.12 ,$374.52 ,$118.09 ,$306.24 ,$356.69 ,$316.80 ,$356.69 ,$316.80 ,$316.80 ,$316.80 ,$341.44 ,$285.12 ,$316.80 ,$316.80 ,$316.80 ,$316.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,$267.00 ,$200.25 ,$118.09 ,$802.54 ,$171.95 ,$356.69 ,$186.90 ,$118.09 ,$221.61 ,$121.63 ,$176.22 ,$253.65 , N/A ,$213.60 ,$242.97 ,$118.09 ,$250.98 ,$253.65 ,$240.30 ,$226.95 ,$118.09 ,$118.09 ,$118.09 ,$194.91 ,$356.69 ,$237.63 ,$240.30 ,$240.30 ,$213.60 ,$367.39 ,$146.85 ,$240.30 ,$356.69 ,$240.30 ,$356.69 ,$253.65 ,$802.54 ,$245.64 ,$125.18 ,$242.97 ,$356.69 ,$164.31 ,$171.95 ,$164.31 ,$240.30 ,$240.30 ,$199.26 ,$185.97 ,$360.25 ,$123.99 ,$249.65 ,$374.52 ,$118.09 ,$232.29 ,$356.69 ,$240.30 ,$356.69 ,$240.30 ,$240.30 ,$240.30 ,$258.99 ,$216.27 ,$240.30 ,$240.30 ,$240.30 ,$240.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$267.00 ,$200.25 ,$118.09 ,$802.54 ,$171.95 ,$356.69 ,$186.90 ,$118.09 ,$221.61 ,$121.63 ,$176.22 ,$253.65 , N/A ,$213.60 ,$242.97 ,$118.09 ,$250.98 ,$253.65 ,$240.30 ,$226.95 ,$118.09 ,$118.09 ,$118.09 ,$194.91 ,$356.69 ,$237.63 ,$240.30 ,$240.30 ,$213.60 ,$367.39 ,$146.85 ,$240.30 ,$356.69 ,$240.30 ,$356.69 ,$253.65 ,$802.54 ,$245.64 ,$125.18 ,$242.97 ,$356.69 ,$164.31 ,$171.95 ,$164.31 ,$240.30 ,$240.30 ,$199.26 ,$185.97 ,$360.25 ,$123.99 ,$249.65 ,$374.52 ,$118.09 ,$232.29 ,$356.69 ,$240.30 ,$356.69 ,$240.30 ,$240.30 ,$240.30 ,$258.99 ,$216.27 ,$240.30 ,$240.30 ,$240.30 ,$240.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000037,12044,HC INTRM N/H/F/GEN 7.6-12.5CM,450,1 ,$281.00 ,$210.75 ,$118.09 ,"$1,216.07 ",$180.96 ,$540.47 ,$196.70 ,$118.09 ,$233.23 ,$121.63 ,$185.46 ,$266.95 , N/A ,$224.80 ,$255.71 ,$118.09 ,$264.14 ,$266.95 ,$252.90 ,$238.85 ,$118.09 ,$118.09 ,$118.09 ,$205.13 ,$540.47 ,$250.09 ,$252.90 ,$252.90 ,$224.80 ,$556.69 ,$154.55 ,$252.90 ,$540.47 ,$252.90 ,$540.47 ,$266.95 ,"$1,216.07 ",$258.52 ,$125.18 ,$255.71 ,$540.47 ,$172.93 ,$180.96 ,$172.93 ,$252.90 ,$252.90 ,$209.71 ,$195.72 ,$545.88 ,$123.99 ,$262.74 ,$567.49 ,$118.09 ,$244.47 ,$540.47 ,$252.90 ,$540.47 ,$252.90 ,$252.90 ,$252.90 ,$272.57 ,$227.61 ,$252.90 ,$252.90 ,$252.90 ,$252.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$411.00 ,$308.25 ,$118.09 ,$802.54 ,$264.68 ,$356.69 ,$287.70 ,$118.09 ,$341.13 ,$121.63 ,$271.26 ,$390.45 , N/A ,$328.80 ,$374.01 ,$118.09 ,$386.34 ,$390.45 ,$369.90 ,$349.35 ,$118.09 ,$118.09 ,$118.09 ,$300.03 ,$356.69 ,$365.79 ,$369.90 ,$369.90 ,$328.80 ,$367.39 ,$226.05 ,$369.90 ,$356.69 ,$369.90 ,$356.69 ,$390.45 ,$802.54 ,$378.12 ,$125.18 ,$374.01 ,$356.69 ,$252.93 ,$264.68 ,$252.93 ,$369.90 ,$369.90 ,$306.73 ,$286.26 ,$360.25 ,$123.99 ,$384.29 ,$374.52 ,$118.09 ,$357.57 ,$356.69 ,$369.90 ,$356.69 ,$369.90 ,$369.90 ,$369.90 ,$398.67 ,$332.91 ,$369.90 ,$369.90 ,$369.90 ,$369.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$506.00 ,$379.50 ,$118.09 ,$802.54 ,$325.86 ,$356.69 ,$354.20 ,$118.09 ,$419.98 ,$121.63 ,$333.96 ,$480.70 , N/A ,$404.80 ,$460.46 ,$118.09 ,$475.64 ,$480.70 ,$455.40 ,$430.10 ,$118.09 ,$118.09 ,$118.09 ,$369.38 ,$356.69 ,$450.34 ,$455.40 ,$455.40 ,$404.80 ,$367.39 ,$278.30 ,$455.40 ,$356.69 ,$455.40 ,$356.69 ,$480.70 ,$802.54 ,$465.52 ,$125.18 ,$460.46 ,$356.69 ,$311.39 ,$325.86 ,$311.39 ,$455.40 ,$455.40 ,$377.63 ,$352.43 ,$360.25 ,$123.99 ,$473.11 ,$374.52 ,$118.09 ,$440.22 ,$356.69 ,$455.40 ,$356.69 ,$455.40 ,$455.40 ,$455.40 ,$490.82 ,$409.86 ,$455.40 ,$455.40 ,$455.40 ,$455.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000043,12053,HC INTRM F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$489.00 ,$366.75 ,$118.09 ,$802.54 ,$314.92 ,$356.69 ,$342.30 ,$118.09 ,$405.87 ,$121.63 ,$322.74 ,$464.55 , N/A ,$391.20 ,$444.99 ,$118.09 ,$459.66 ,$464.55 ,$440.10 ,$415.65 ,$118.09 ,$118.09 ,$118.09 ,$356.97 ,$356.69 ,$435.21 ,$440.10 ,$440.10 ,$391.20 ,$367.39 ,$268.95 ,$440.10 ,$356.69 ,$440.10 ,$356.69 ,$464.55 ,$802.54 ,$449.88 ,$125.18 ,$444.99 ,$356.69 ,$300.93 ,$314.92 ,$300.93 ,$440.10 ,$440.10 ,$364.94 ,$340.59 ,$360.25 ,$123.99 ,$457.22 ,$374.52 ,$118.09 ,$425.43 ,$356.69 ,$440.10 ,$356.69 ,$440.10 ,$440.10 ,$440.10 ,$474.33 ,$396.09 ,$440.10 ,$440.10 ,$440.10 ,$440.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000044,12054,HC INTRM F/E/E/N/L/MM 7.6-12.5CM,450,1 ,"$1,005.00 ",$753.75 ,$118.09 ,"$1,005.00 ",$647.22 ,$356.69 ,$703.50 ,$118.09 ,$834.15 ,$121.63 ,$663.30 ,$954.75 , N/A ,$804.00 ,$914.55 ,$118.09 ,$944.70 ,$954.75 ,$904.50 ,$854.25 ,$118.09 ,$118.09 ,$118.09 ,$733.65 ,$356.69 ,$894.45 ,$904.50 ,$904.50 ,$804.00 ,$367.39 ,$552.75 ,$904.50 ,$356.69 ,$904.50 ,$356.69 ,$954.75 ,$802.54 ,$924.60 ,$125.18 ,$914.55 ,$356.69 ,$618.48 ,$647.22 ,$618.48 ,$904.50 ,$904.50 ,$750.03 ,$699.98 ,$360.25 ,$123.99 ,$939.68 ,$374.52 ,$118.09 ,$874.35 ,$356.69 ,$904.50 ,$356.69 ,$904.50 ,$904.50 ,$904.50 ,$974.85 ,$814.05 ,$904.50 ,$904.50 ,$904.50 ,$904.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000045,12055,HC INTRM F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$582.00 ,$436.50 ,$118.09 ,$802.54 ,$374.81 ,$356.69 ,$407.40 ,$118.09 ,$483.06 ,$121.63 ,$384.12 ,$552.90 , N/A ,$465.60 ,$529.62 ,$118.09 ,$547.08 ,$552.90 ,$523.80 ,$494.70 ,$118.09 ,$118.09 ,$118.09 ,$424.86 ,$356.69 ,$517.98 ,$523.80 ,$523.80 ,$465.60 ,$367.39 ,$320.10 ,$523.80 ,$356.69 ,$523.80 ,$356.69 ,$552.90 ,$802.54 ,$535.44 ,$125.18 ,$529.62 ,$356.69 ,$358.16 ,$374.81 ,$358.16 ,$523.80 ,$523.80 ,$434.35 ,$405.36 ,$360.25 ,$123.99 ,$544.17 ,$374.52 ,$118.09 ,$506.34 ,$356.69 ,$523.80 ,$356.69 ,$523.80 ,$523.80 ,$523.80 ,$564.54 ,$471.42 ,$523.80 ,$523.80 ,$523.80 ,$523.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000051,13120,HC CMPLX S/A/L 1.1-2.5 CM,450,1 ,"$1,692.00 ","$1,269.00 ",$139.95 ,"$1,692.00 ","$1,089.65 ",$540.47 ,"$1,184.40 ",$139.95 ,"$1,404.36 ",$144.15 ,"$1,116.72 ","$1,607.40 ", N/A ,"$1,353.60 ","$1,539.72 ",$139.95 ,"$1,590.48 ","$1,607.40 ","$1,522.80 ","$1,438.20 ",$139.95 ,$139.95 ,$139.95 ,"$1,235.16 ",$540.47 ,"$1,505.88 ","$1,522.80 ","$1,522.80 ","$1,353.60 ",$556.69 ,$930.60 ,"$1,522.80 ",$540.47 ,"$1,522.80 ",$540.47 ,"$1,607.40 ","$1,216.07 ","$1,556.64 ",$148.35 ,"$1,539.72 ",$540.47 ,"$1,041.26 ","$1,089.65 ","$1,041.26 ","$1,522.80 ","$1,522.80 ","$1,262.74 ","$1,178.48 ",$545.88 ,$146.95 ,"$1,582.02 ",$567.49 ,$139.95 ,"$1,472.04 ",$540.47 ,"$1,522.80 ",$540.47 ,"$1,522.80 ","$1,522.80 ","$1,522.80 ","$1,641.24 ","$1,370.52 ","$1,522.80 ","$1,522.80 ","$1,522.80 ","$1,522.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000052,13121,HC CMPLX S/A/L 2.6-7.5 CM,450,1 ,$471.00 ,$353.25 ,$139.95 ,"$1,216.07 ",$303.32 ,$540.47 ,$329.70 ,$139.95 ,$390.93 ,$144.15 ,$310.86 ,$447.45 , N/A ,$376.80 ,$428.61 ,$139.95 ,$442.74 ,$447.45 ,$423.90 ,$400.35 ,$139.95 ,$139.95 ,$139.95 ,$343.83 ,$540.47 ,$419.19 ,$423.90 ,$423.90 ,$376.80 ,$556.69 ,$259.05 ,$423.90 ,$540.47 ,$423.90 ,$540.47 ,$447.45 ,"$1,216.07 ",$433.32 ,$148.35 ,$428.61 ,$540.47 ,$289.85 ,$303.32 ,$289.85 ,$423.90 ,$423.90 ,$351.51 ,$328.05 ,$545.88 ,$146.95 ,$440.39 ,$567.49 ,$139.95 ,$409.77 ,$540.47 ,$423.90 ,$540.47 ,$423.90 ,$423.90 ,$423.90 ,$456.87 ,$381.51 ,$423.90 ,$423.90 ,$423.90 ,$423.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000053,13122,HC CMPLX S/A/L EA ADDL 5 CM OR LESS,450,1 ,$283.00 ,$212.25 ,$139.95 ,$283.00 ,$182.25 , N/A ,$198.10 ,$139.95 ,$234.89 ,$144.15 ,$186.78 ,$268.85 , N/A ,$226.40 ,$257.53 ,$139.95 ,$266.02 ,$268.85 ,$254.70 ,$240.55 ,$139.95 ,$139.95 ,$139.95 ,$206.59 , N/A ,$251.87 ,$254.70 ,$254.70 ,$226.40 , N/A ,$155.65 ,$254.70 , N/A ,$254.70 , N/A ,$268.85 , N/A ,$260.36 ,$148.35 ,$257.53 , N/A ,$174.16 ,$182.25 ,$174.16 ,$254.70 ,$254.70 ,$211.20 ,$197.11 , N/A ,$146.95 ,$264.61 , N/A ,$139.95 ,$246.21 , N/A ,$254.70 , N/A ,$254.70 ,$254.70 ,$254.70 ,$274.51 ,$229.23 ,$254.70 ,$254.70 ,$254.70 ,$254.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000054,13131,HC CMPLX F/C/C/M/N/A/G/H/F 1.1-2.5 CM,450,1 ,$256.00 ,$192.00 ,$139.95 ,$802.54 ,$164.86 ,$356.69 ,$179.20 ,$139.95 ,$212.48 ,$144.15 ,$168.96 ,$243.20 , N/A ,$204.80 ,$232.96 ,$139.95 ,$240.64 ,$243.20 ,$230.40 ,$217.60 ,$139.95 ,$139.95 ,$139.95 ,$186.88 ,$356.69 ,$227.84 ,$230.40 ,$230.40 ,$204.80 ,$367.39 ,$140.80 ,$230.40 ,$356.69 ,$230.40 ,$356.69 ,$243.20 ,$802.54 ,$235.52 ,$148.35 ,$232.96 ,$356.69 ,$157.54 ,$164.86 ,$157.54 ,$230.40 ,$230.40 ,$191.05 ,$178.30 ,$360.25 ,$146.95 ,$239.36 ,$374.52 ,$139.95 ,$222.72 ,$356.69 ,$230.40 ,$356.69 ,$230.40 ,$230.40 ,$230.40 ,$248.32 ,$207.36 ,$230.40 ,$230.40 ,$230.40 ,$230.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000055,13132,HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM,450,1 ,$398.00 ,$298.50 ,$139.95 ,"$1,216.07 ",$256.31 ,$540.47 ,$278.60 ,$139.95 ,$330.34 ,$144.15 ,$262.68 ,$378.10 , N/A ,$318.40 ,$362.18 ,$139.95 ,$374.12 ,$378.10 ,$358.20 ,$338.30 ,$139.95 ,$139.95 ,$139.95 ,$290.54 ,$540.47 ,$354.22 ,$358.20 ,$358.20 ,$318.40 ,$556.69 ,$218.90 ,$358.20 ,$540.47 ,$358.20 ,$540.47 ,$378.10 ,"$1,216.07 ",$366.16 ,$148.35 ,$362.18 ,$540.47 ,$244.93 ,$256.31 ,$244.93 ,$358.20 ,$358.20 ,$297.03 ,$277.21 ,$545.88 ,$146.95 ,$372.13 ,$567.49 ,$139.95 ,$346.26 ,$540.47 ,$358.20 ,$540.47 ,$358.20 ,$358.20 ,$358.20 ,$386.06 ,$322.38 ,$358.20 ,$358.20 ,$358.20 ,$358.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000059,13152,HC CMPLX E/N/E/L 2.6-7.5 CM,450,1 ,$296.00 ,$222.00 ,$139.95 ,"$1,216.07 ",$190.62 ,$540.47 ,$207.20 ,$139.95 ,$245.68 ,$144.15 ,$195.36 ,$281.20 , N/A ,$236.80 ,$269.36 ,$139.95 ,$278.24 ,$281.20 ,$266.40 ,$251.60 ,$139.95 ,$139.95 ,$139.95 ,$216.08 ,$540.47 ,$263.44 ,$266.40 ,$266.40 ,$236.80 ,$556.69 ,$162.80 ,$266.40 ,$540.47 ,$266.40 ,$540.47 ,$281.20 ,"$1,216.07 ",$272.32 ,$148.35 ,$269.36 ,$540.47 ,$182.16 ,$190.62 ,$182.16 ,$266.40 ,$266.40 ,$220.90 ,$206.16 ,$545.88 ,$146.95 ,$276.76 ,$567.49 ,$139.95 ,$257.52 ,$540.47 ,$266.40 ,$540.47 ,$266.40 ,$266.40 ,$266.40 ,$287.12 ,$239.76 ,$266.40 ,$266.40 ,$266.40 ,$266.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000061,16000,HC TX BURN 1ST DEGREE INIT,450,1 ,$153.00 ,$114.75 ,$58.71 ,$416.96 ,$98.53 ,$185.31 ,$107.10 ,$58.71 ,$126.99 ,$60.47 ,$100.98 ,$145.35 , N/A ,$122.40 ,$139.23 ,$58.71 ,$143.82 ,$145.35 ,$137.70 ,$130.05 ,$58.71 ,$58.71 ,$58.71 ,$111.69 ,$185.31 ,$136.17 ,$137.70 ,$137.70 ,$122.40 ,$190.87 ,$84.15 ,$137.70 ,$185.31 ,$137.70 ,$185.31 ,$145.35 ,$416.96 ,$140.76 ,$62.23 ,$139.23 ,$185.31 ,$94.16 ,$98.53 ,$94.16 ,$137.70 ,$137.70 ,$114.18 ,$106.56 ,$187.17 ,$61.65 ,$143.06 ,$194.58 ,$58.71 ,$133.11 ,$185.31 ,$137.70 ,$185.31 ,$137.70 ,$137.70 ,$137.70 ,$148.41 ,$123.93 ,$137.70 ,$137.70 ,$137.70 ,$137.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$538.00 ,$403.50 ,$58.71 ,$538.00 ,$346.47 ,$185.31 ,$376.60 ,$58.71 ,$446.54 ,$60.47 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$58.71 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$58.71 ,$58.71 ,$58.71 ,$392.74 ,$185.31 ,$478.82 ,$484.20 ,$484.20 ,$430.40 ,$190.87 ,$295.90 ,$484.20 ,$185.31 ,$484.20 ,$185.31 ,$511.10 ,$416.96 ,$494.96 ,$62.23 ,$489.58 ,$185.31 ,$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,$187.17 ,$61.65 ,$503.03 ,$194.58 ,$58.71 ,$468.06 ,$185.31 ,$484.20 ,$185.31 ,$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000063,16025,HC DRESS/DEB BURN 5-10% TOTAL MED,450,1 ,$538.00 ,$403.50 ,$58.71 ,$538.00 ,$346.47 ,$185.31 ,$376.60 ,$58.71 ,$446.54 ,$60.47 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$58.71 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$58.71 ,$58.71 ,$58.71 ,$392.74 ,$185.31 ,$478.82 ,$484.20 ,$484.20 ,$430.40 ,$190.87 ,$295.90 ,$484.20 ,$185.31 ,$484.20 ,$185.31 ,$511.10 ,$416.96 ,$494.96 ,$62.23 ,$489.58 ,$185.31 ,$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,$187.17 ,$61.65 ,$503.03 ,$194.58 ,$58.71 ,$468.06 ,$185.31 ,$484.20 ,$185.31 ,$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000064,16030,HC DRESS/DEBR BURN >10% TOTAL LRG,450,1 ,$507.00 ,$380.25 ,$118.09 ,$802.54 ,$326.51 ,$356.69 ,$354.90 ,$118.09 ,$420.81 ,$121.63 ,$334.62 ,$481.65 , N/A ,$405.60 ,$461.37 ,$118.09 ,$476.58 ,$481.65 ,$456.30 ,$430.95 ,$118.09 ,$118.09 ,$118.09 ,$370.11 ,$356.69 ,$451.23 ,$456.30 ,$456.30 ,$405.60 ,$367.39 ,$278.85 ,$456.30 ,$356.69 ,$456.30 ,$356.69 ,$481.65 ,$802.54 ,$466.44 ,$125.18 ,$461.37 ,$356.69 ,$312.01 ,$326.51 ,$312.01 ,$456.30 ,$456.30 ,$378.37 ,$353.13 ,$360.25 ,$123.99 ,$474.05 ,$374.52 ,$118.09 ,$441.09 ,$356.69 ,$456.30 ,$356.69 ,$456.30 ,$456.30 ,$456.30 ,$491.79 ,$410.67 ,$456.30 ,$456.30 ,$456.30 ,$456.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000067,17250,HC CAUT CHEM TISSUE GRANULATION,450,1 ,$538.00 ,$403.50 ,$51.36 ,$538.00 ,$346.47 ,$185.31 ,$376.60 ,$51.36 ,$446.54 ,$52.90 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$51.36 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$51.36 ,$51.36 ,$51.36 ,$392.74 ,$185.31 ,$478.82 ,$484.20 ,$484.20 ,$430.40 ,$190.87 ,$295.90 ,$484.20 ,$185.31 ,$484.20 ,$185.31 ,$511.10 ,$416.96 ,$494.96 ,$54.44 ,$489.58 ,$185.31 ,$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,$187.17 ,$53.93 ,$503.03 ,$194.58 ,$51.36 ,$468.06 ,$185.31 ,$484.20 ,$185.31 ,$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,"$1,046.00 ",$784.50 ,$75.55 ,"$1,046.00 ",$673.62 ,$269.62 ,$732.20 ,$75.55 ,$868.18 ,$77.82 ,$690.36 ,$993.70 , N/A ,$836.80 ,$951.86 ,$75.55 ,$983.24 ,$993.70 ,$941.40 ,$889.10 ,$75.55 ,$75.55 ,$75.55 ,$763.58 ,$269.62 ,$930.94 ,$941.40 ,$941.40 ,$836.80 ,$277.70 ,$575.30 ,$941.40 ,$269.62 ,$941.40 ,$269.62 ,$993.70 ,$606.64 ,$962.32 ,$80.08 ,$951.86 ,$269.62 ,$643.71 ,$673.62 ,$643.71 ,$941.40 ,$941.40 ,$780.63 ,$728.54 ,$272.31 ,$79.33 ,$978.01 ,$283.10 ,$75.55 ,$910.02 ,$269.62 ,$941.40 ,$269.62 ,$941.40 ,$941.40 ,$941.40 ,"$1,014.62 ",$847.26 ,$941.40 ,$941.40 ,$941.40 ,$941.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,$604.00 ,$453.00 ,$75.55 ,$606.64 ,$388.98 ,$269.62 ,$422.80 ,$75.55 ,$501.32 ,$77.82 ,$398.64 ,$573.80 , N/A ,$483.20 ,$549.64 ,$75.55 ,$567.76 ,$573.80 ,$543.60 ,$513.40 ,$75.55 ,$75.55 ,$75.55 ,$440.92 ,$269.62 ,$537.56 ,$543.60 ,$543.60 ,$483.20 ,$277.70 ,$332.20 ,$543.60 ,$269.62 ,$543.60 ,$269.62 ,$573.80 ,$606.64 ,$555.68 ,$80.08 ,$549.64 ,$269.62 ,$371.70 ,$388.98 ,$371.70 ,$543.60 ,$543.60 ,$450.77 ,$420.69 ,$272.31 ,$79.33 ,$564.74 ,$283.10 ,$75.55 ,$525.48 ,$269.62 ,$543.60 ,$269.62 ,$543.60 ,$543.60 ,$543.60 ,$585.88 ,$489.24 ,$543.60 ,$543.60 ,$543.60 ,$543.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,$546.00 ,$409.50 ,$75.55 ,$606.64 ,$351.62 ,$269.62 ,$382.20 ,$75.55 ,$453.18 ,$77.82 ,$360.36 ,$518.70 , N/A ,$436.80 ,$496.86 ,$75.55 ,$513.24 ,$518.70 ,$491.40 ,$464.10 ,$75.55 ,$75.55 ,$75.55 ,$398.58 ,$269.62 ,$485.94 ,$491.40 ,$491.40 ,$436.80 ,$277.70 ,$300.30 ,$491.40 ,$269.62 ,$491.40 ,$269.62 ,$518.70 ,$606.64 ,$502.32 ,$80.08 ,$496.86 ,$269.62 ,$336.01 ,$351.62 ,$336.01 ,$491.40 ,$491.40 ,$407.48 ,$380.29 ,$272.31 ,$79.33 ,$510.51 ,$283.10 ,$75.55 ,$475.02 ,$269.62 ,$491.40 ,$269.62 ,$491.40 ,$491.40 ,$491.40 ,$529.62 ,$442.26 ,$491.40 ,$491.40 ,$491.40 ,$491.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$388.00 ,$291.00 ,$139.53 ,$478.57 ,$249.87 ,$212.70 ,$271.60 ,$139.53 ,$322.04 ,$143.72 ,$256.08 ,$368.60 , N/A ,$310.40 ,$353.08 ,$139.53 ,$364.72 ,$368.60 ,$349.20 ,$329.80 ,$139.53 ,$139.53 ,$139.53 ,$283.24 ,$212.70 ,$345.32 ,$349.20 ,$349.20 ,$310.40 ,$219.08 ,$213.40 ,$349.20 ,$212.70 ,$349.20 ,$212.70 ,$368.60 ,$478.57 ,$356.96 ,$147.90 ,$353.08 ,$212.70 ,$238.78 ,$249.87 ,$238.78 ,$349.20 ,$349.20 ,$289.56 ,$270.24 ,$214.82 ,$146.51 ,$362.78 ,$223.34 ,$139.53 ,$337.56 ,$212.70 ,$349.20 ,$212.70 ,$349.20 ,$349.20 ,$349.20 ,$376.36 ,$314.28 ,$349.20 ,$349.20 ,$349.20 ,$349.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000075,23655,HC TX DISL SHLDR W/MAN/ANES CLS,450,1 ,$149.00 ,$111.75 ,$81.95 ,"$3,234.06 ",$95.96 ,"$1,437.36 ",$104.30 ,$149.00 ,$123.67 ,$319.37 ,$98.34 ,$141.55 , N/A ,$119.20 ,$135.59 ,$149.00 ,$140.06 ,$141.55 ,$134.10 ,$126.65 ,$310.07 ,$310.07 ,$310.07 ,$108.77 ,"$1,437.36 ",$132.61 ,$134.10 ,$134.10 ,$119.20 ,"$1,480.48 ",$81.95 ,$134.10 ,"$1,437.36 ",$134.10 ,"$1,437.36 ",$141.55 ,"$3,234.06 ",$137.08 ,$328.67 ,$135.59 ,"$1,437.36 ",$91.69 ,$95.96 ,$91.69 ,$134.10 ,$134.10 ,$111.20 ,$103.78 ,"$1,451.73 ",$325.57 ,$139.32 ,"$1,509.23 ",$149.00 ,$129.63 ,"$1,437.36 ",$134.10 ,"$1,437.36 ",$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,$168.00 ,$126.00 ,$92.40 ,$478.57 ,$108.19 ,$212.70 ,$117.60 ,$139.53 ,$139.44 ,$143.72 ,$110.88 ,$159.60 , N/A ,$134.40 ,$152.88 ,$139.53 ,$157.92 ,$159.60 ,$151.20 ,$142.80 ,$139.53 ,$139.53 ,$139.53 ,$122.64 ,$212.70 ,$149.52 ,$151.20 ,$151.20 ,$134.40 ,$219.08 ,$92.40 ,$151.20 ,$212.70 ,$151.20 ,$212.70 ,$159.60 ,$478.57 ,$154.56 ,$147.90 ,$152.88 ,$212.70 ,$103.39 ,$108.19 ,$103.39 ,$151.20 ,$151.20 ,$125.38 ,$117.01 ,$214.82 ,$146.51 ,$157.08 ,$223.34 ,$139.53 ,$146.16 ,$212.70 ,$151.20 ,$212.70 ,$151.20 ,$151.20 ,$151.20 ,$162.96 ,$136.08 ,$151.20 ,$151.20 ,$151.20 ,$151.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$134.00 ,$100.50 ,$73.70 ,$478.57 ,$86.30 ,$212.70 ,$93.80 ,$134.00 ,$111.22 ,$143.72 ,$88.44 ,$127.30 , N/A ,$107.20 ,$121.94 ,$134.00 ,$125.96 ,$127.30 ,$120.60 ,$113.90 ,$139.53 ,$139.53 ,$139.53 ,$97.82 ,$212.70 ,$119.26 ,$120.60 ,$120.60 ,$107.20 ,$219.08 ,$73.70 ,$120.60 ,$212.70 ,$120.60 ,$212.70 ,$127.30 ,$478.57 ,$123.28 ,$147.90 ,$121.94 ,$212.70 ,$82.46 ,$86.30 ,$82.46 ,$120.60 ,$120.60 ,$100.00 ,$93.33 ,$214.82 ,$146.51 ,$125.29 ,$223.34 ,$134.00 ,$116.58 ,$212.70 ,$120.60 ,$212.70 ,$120.60 ,$120.60 ,$120.60 ,$129.98 ,$108.54 ,$120.60 ,$120.60 ,$120.60 ,$120.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000081,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP,450,1 ,$538.00 ,$403.50 ,$139.53 ,"$3,234.06 ",$346.47 ,"$1,437.36 ",$376.60 ,$139.53 ,$446.54 ,$143.72 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$139.53 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$139.53 ,$139.53 ,$139.53 ,$392.74 ,"$1,437.36 ",$478.82 ,$484.20 ,$484.20 ,$430.40 ,"$1,480.48 ",$295.90 ,$484.20 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$511.10 ,"$3,234.06 ",$494.96 ,$147.90 ,$489.58 ,"$1,437.36 ",$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,"$1,451.73 ",$146.51 ,$503.03 ,"$1,509.23 ",$139.53 ,$468.06 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,$538.00 ,$403.50 ,$139.53 ,"$3,234.06 ",$346.47 ,"$1,437.36 ",$376.60 ,$139.53 ,$446.54 ,$143.72 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$139.53 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$139.53 ,$139.53 ,$139.53 ,$392.74 ,"$1,437.36 ",$478.82 ,$484.20 ,$484.20 ,$430.40 ,"$1,480.48 ",$295.90 ,$484.20 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$511.10 ,"$3,234.06 ",$494.96 ,$147.90 ,$489.58 ,"$1,437.36 ",$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,"$1,451.73 ",$146.51 ,$503.03 ,"$1,509.23 ",$139.53 ,$468.06 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000083,26010,HC DRAIN ABSC FINGER SIMPLE,450,1 ,$272.00 ,$204.00 ,$51.36 ,$416.96 ,$175.17 ,$185.31 ,$190.40 ,$51.36 ,$225.76 ,$52.90 ,$179.52 ,$258.40 , N/A ,$217.60 ,$247.52 ,$51.36 ,$255.68 ,$258.40 ,$244.80 ,$231.20 ,$51.36 ,$51.36 ,$51.36 ,$198.56 ,$185.31 ,$242.08 ,$244.80 ,$244.80 ,$217.60 ,$190.87 ,$149.60 ,$244.80 ,$185.31 ,$244.80 ,$185.31 ,$258.40 ,$416.96 ,$250.24 ,$54.44 ,$247.52 ,$185.31 ,$167.39 ,$175.17 ,$167.39 ,$244.80 ,$244.80 ,$202.99 ,$189.45 ,$187.17 ,$53.93 ,$254.32 ,$194.58 ,$51.36 ,$236.64 ,$185.31 ,$244.80 ,$185.31 ,$244.80 ,$244.80 ,$244.80 ,$263.84 ,$220.32 ,$244.80 ,$244.80 ,$244.80 ,$244.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000084,26011,HC DRAIN ABSC FINGER COMPLCD,450,1 ,"$4,088.04 ","$3,066.03 ",$344.84 ,"$4,088.04 ","$2,632.70 ","$1,451.99 ","$2,861.63 ",$344.84 ,"$3,393.07 ",$355.19 ,"$2,698.11 ","$3,883.64 ", N/A ,"$3,270.43 ","$3,720.12 ",$344.84 ,"$3,842.76 ","$3,883.64 ","$3,679.24 ","$3,474.83 ",$344.84 ,$344.84 ,$344.84 ,"$2,984.27 ","$1,451.99 ","$3,638.36 ","$3,679.24 ","$3,679.24 ","$3,270.43 ","$1,495.55 ","$2,248.42 ","$3,679.24 ","$1,451.99 ","$3,679.24 ","$1,451.99 ","$3,883.64 ","$3,266.98 ","$3,761.00 ",$365.53 ,"$3,720.12 ","$1,451.99 ","$2,515.78 ","$2,632.70 ","$2,515.78 ","$3,679.24 ","$3,679.24 ","$3,050.90 ","$2,847.32 ","$1,466.51 ",$362.08 ,"$3,822.32 ","$1,524.59 ",$344.84 ,"$3,556.59 ","$1,451.99 ","$3,679.24 ","$1,451.99 ","$3,679.24 ","$3,679.24 ","$3,679.24 ","$3,965.40 ","$3,311.31 ","$3,679.24 ","$3,679.24 ","$3,679.24 ","$3,679.24 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,$136.00 ,$102.00 ,$74.80 ,$478.57 ,$87.58 ,$212.70 ,$95.20 ,$136.00 ,$112.88 ,$143.72 ,$89.76 ,$129.20 , N/A ,$108.80 ,$123.76 ,$136.00 ,$127.84 ,$129.20 ,$122.40 ,$115.60 ,$139.53 ,$139.53 ,$139.53 ,$99.28 ,$212.70 ,$121.04 ,$122.40 ,$122.40 ,$108.80 ,$219.08 ,$74.80 ,$122.40 ,$212.70 ,$122.40 ,$212.70 ,$129.20 ,$478.57 ,$125.12 ,$147.90 ,$123.76 ,$212.70 ,$83.69 ,$87.58 ,$83.69 ,$122.40 ,$122.40 ,$101.50 ,$94.72 ,$214.82 ,$146.51 ,$127.16 ,$223.34 ,$136.00 ,$118.32 ,$212.70 ,$122.40 ,$212.70 ,$122.40 ,$122.40 ,$122.40 ,$131.92 ,$110.16 ,$122.40 ,$122.40 ,$122.40 ,$122.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000088,26742,HC TX FX (M-P)(I-P) JT W/MAN,450,1 ,"$1,903.00 ","$1,427.25 ",$139.53 ,"$3,234.06 ","$1,225.53 ","$1,437.36 ","$1,332.10 ",$139.53 ,"$1,579.49 ",$143.72 ,"$1,255.98 ","$1,807.85 ", N/A ,"$1,522.40 ","$1,731.73 ",$139.53 ,"$1,788.82 ","$1,807.85 ","$1,712.70 ","$1,617.55 ",$139.53 ,$139.53 ,$139.53 ,"$1,389.19 ","$1,437.36 ","$1,693.67 ","$1,712.70 ","$1,712.70 ","$1,522.40 ","$1,480.48 ","$1,046.65 ","$1,712.70 ","$1,437.36 ","$1,712.70 ","$1,437.36 ","$1,807.85 ","$3,234.06 ","$1,750.76 ",$147.90 ,"$1,731.73 ","$1,437.36 ","$1,171.11 ","$1,225.53 ","$1,171.11 ","$1,712.70 ","$1,712.70 ","$1,420.21 ","$1,325.44 ","$1,451.73 ",$146.51 ,"$1,779.31 ","$1,509.23 ",$139.53 ,"$1,655.61 ","$1,437.36 ","$1,712.70 ","$1,437.36 ","$1,712.70 ","$1,712.70 ","$1,712.70 ","$1,845.91 ","$1,541.43 ","$1,712.70 ","$1,712.70 ","$1,712.70 ","$1,712.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$152.00 ,$114.00 ,$83.60 ,$478.57 ,$97.89 ,$212.70 ,$106.40 ,$139.53 ,$126.16 ,$143.72 ,$100.32 ,$144.40 , N/A ,$121.60 ,$138.32 ,$139.53 ,$142.88 ,$144.40 ,$136.80 ,$129.20 ,$139.53 ,$139.53 ,$139.53 ,$110.96 ,$212.70 ,$135.28 ,$136.80 ,$136.80 ,$121.60 ,$219.08 ,$83.60 ,$136.80 ,$212.70 ,$136.80 ,$212.70 ,$144.40 ,$478.57 ,$139.84 ,$147.90 ,$138.32 ,$212.70 ,$93.54 ,$97.89 ,$93.54 ,$136.80 ,$136.80 ,$113.44 ,$105.87 ,$214.82 ,$146.51 ,$142.12 ,$223.34 ,$139.53 ,$132.24 ,$212.70 ,$136.80 ,$212.70 ,$136.80 ,$136.80 ,$136.80 ,$147.44 ,$123.12 ,$136.80 ,$136.80 ,$136.80 ,$136.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000091,26951,HC AMPUT FINGER/THUMB SGL CLSR,450,1 ,$279.00 ,$209.25 ,$153.45 ,"$6,575.57 ",$179.68 ,"$2,922.48 ",$195.30 ,$279.00 ,$231.57 ,$428.47 ,$184.14 ,$265.05 , N/A ,$223.20 ,$253.89 ,$279.00 ,$262.26 ,$265.05 ,$251.10 ,$237.15 ,$415.99 ,$415.99 ,$415.99 ,$203.67 ,"$2,922.48 ",$248.31 ,$251.10 ,$251.10 ,$223.20 ,"$3,010.15 ",$153.45 ,$251.10 ,"$2,922.48 ",$251.10 ,"$2,922.48 ",$265.05 ,"$6,575.57 ",$256.68 ,$440.95 ,$253.89 ,"$2,922.48 ",$171.70 ,$179.68 ,$171.70 ,$251.10 ,$251.10 ,$208.22 ,$194.32 ,"$2,951.70 ",$436.79 ,$260.87 ,"$3,068.60 ",$279.00 ,$242.73 ,"$2,922.48 ",$251.10 ,"$2,922.48 ",$251.10 ,$251.10 ,$251.10 ,$270.63 ,$225.99 ,$251.10 ,$251.10 ,$251.10 ,$251.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000092,27250,HC TX DISCL HIP CLOSED W/O ANES,450,1 ,$644.00 ,$483.00 ,$139.53 ,$644.00 ,$414.74 ,$212.70 ,$450.80 ,$139.53 ,$534.52 ,$143.72 ,$425.04 ,$611.80 , N/A ,$515.20 ,$586.04 ,$139.53 ,$605.36 ,$611.80 ,$579.60 ,$547.40 ,$139.53 ,$139.53 ,$139.53 ,$470.12 ,$212.70 ,$573.16 ,$579.60 ,$579.60 ,$515.20 ,$219.08 ,$354.20 ,$579.60 ,$212.70 ,$579.60 ,$212.70 ,$611.80 ,$478.57 ,$592.48 ,$147.90 ,$586.04 ,$212.70 ,$396.32 ,$414.74 ,$396.32 ,$579.60 ,$579.60 ,$480.62 ,$448.55 ,$214.82 ,$146.51 ,$602.14 ,$223.34 ,$139.53 ,$560.28 ,$212.70 ,$579.60 ,$212.70 ,$579.60 ,$579.60 ,$579.60 ,$624.68 ,$521.64 ,$579.60 ,$579.60 ,$579.60 ,$579.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$680.00 ,$510.00 ,$139.53 ,$680.00 ,$437.92 ,$212.70 ,$476.00 ,$139.53 ,$564.40 ,$143.72 ,$448.80 ,$646.00 , N/A ,$544.00 ,$618.80 ,$139.53 ,$639.20 ,$646.00 ,$612.00 ,$578.00 ,$139.53 ,$139.53 ,$139.53 ,$496.40 ,$212.70 ,$605.20 ,$612.00 ,$612.00 ,$544.00 ,$219.08 ,$374.00 ,$612.00 ,$212.70 ,$612.00 ,$212.70 ,$646.00 ,$478.57 ,$625.60 ,$147.90 ,$618.80 ,$212.70 ,$418.47 ,$437.92 ,$418.47 ,$612.00 ,$612.00 ,$507.48 ,$473.62 ,$214.82 ,$146.51 ,$635.80 ,$223.34 ,$139.53 ,$591.60 ,$212.70 ,$612.00 ,$212.70 ,$612.00 ,$612.00 ,$612.00 ,$659.60 ,$550.80 ,$612.00 ,$612.00 ,$612.00 ,$612.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,$437.00 ,$327.75 ,$139.53 ,$478.57 ,$281.43 ,$212.70 ,$305.90 ,$139.53 ,$362.71 ,$143.72 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$139.53 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$139.53 ,$139.53 ,$139.53 ,$319.01 ,$212.70 ,$388.93 ,$393.30 ,$393.30 ,$349.60 ,$219.08 ,$240.35 ,$393.30 ,$212.70 ,$393.30 ,$212.70 ,$415.15 ,$478.57 ,$402.04 ,$147.90 ,$397.67 ,$212.70 ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 ,$214.82 ,$146.51 ,$408.60 ,$223.34 ,$139.53 ,$380.19 ,$212.70 ,$393.30 ,$212.70 ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000097,28190,HC REM FB FOOT SUBQ,450,1 ,"$1,278.00 ",$958.50 ,$139.95 ,"$1,444.89 ",$823.03 ,$642.18 ,$894.60 ,$139.95 ,"$1,060.74 ",$144.15 ,$843.48 ,"$1,214.10 ", N/A ,"$1,022.40 ","$1,162.98 ",$139.95 ,"$1,201.32 ","$1,214.10 ","$1,150.20 ","$1,086.30 ",$139.95 ,$139.95 ,$139.95 ,$932.94 ,$642.18 ,"$1,137.42 ","$1,150.20 ","$1,150.20 ","$1,022.40 ",$661.44 ,$702.90 ,"$1,150.20 ",$642.18 ,"$1,150.20 ",$642.18 ,"$1,214.10 ","$1,444.89 ","$1,175.76 ",$148.35 ,"$1,162.98 ",$642.18 ,$786.48 ,$823.03 ,$786.48 ,"$1,150.20 ","$1,150.20 ",$953.77 ,$890.13 ,$648.60 ,$146.95 ,"$1,194.93 ",$674.29 ,$139.95 ,"$1,111.86 ",$642.18 ,"$1,150.20 ",$642.18 ,"$1,150.20 ","$1,150.20 ","$1,150.20 ","$1,239.66 ","$1,035.18 ","$1,150.20 ","$1,150.20 ","$1,150.20 ","$1,150.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000098,29065,HC APPL CAST ARM LONG,450,1 ,$659.00 ,$494.25 ,$59.15 ,$659.00 ,$424.40 ,$248.95 ,$461.30 ,$59.15 ,$546.97 ,$60.92 ,$434.94 ,$626.05 , N/A ,$527.20 ,$599.69 ,$59.15 ,$619.46 ,$626.05 ,$593.10 ,$560.15 ,$59.15 ,$59.15 ,$59.15 ,$481.07 ,$248.95 ,$586.51 ,$593.10 ,$593.10 ,$527.20 ,$256.42 ,$362.45 ,$593.10 ,$248.95 ,$593.10 ,$248.95 ,$626.05 ,$560.14 ,$606.28 ,$62.70 ,$599.69 ,$248.95 ,$405.55 ,$424.40 ,$405.55 ,$593.10 ,$593.10 ,$491.81 ,$458.99 ,$251.44 ,$62.11 ,$616.17 ,$261.40 ,$59.15 ,$573.33 ,$248.95 ,$593.10 ,$248.95 ,$593.10 ,$593.10 ,$593.10 ,$639.23 ,$533.79 ,$593.10 ,$593.10 ,$593.10 ,$593.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000099,29075,HC CAST APPL; ELBOW TO FINGERS,450,1 ,$406.00 ,$304.50 ,$59.15 ,$560.14 ,$261.46 ,$248.95 ,$284.20 ,$59.15 ,$336.98 ,$60.92 ,$267.96 ,$385.70 , N/A ,$324.80 ,$369.46 ,$59.15 ,$381.64 ,$385.70 ,$365.40 ,$345.10 ,$59.15 ,$59.15 ,$59.15 ,$296.38 ,$248.95 ,$361.34 ,$365.40 ,$365.40 ,$324.80 ,$256.42 ,$223.30 ,$365.40 ,$248.95 ,$365.40 ,$248.95 ,$385.70 ,$560.14 ,$373.52 ,$62.70 ,$369.46 ,$248.95 ,$249.85 ,$261.46 ,$249.85 ,$365.40 ,$365.40 ,$303.00 ,$282.78 ,$251.44 ,$62.11 ,$379.61 ,$261.40 ,$59.15 ,$353.22 ,$248.95 ,$365.40 ,$248.95 ,$365.40 ,$365.40 ,$365.40 ,$393.82 ,$328.86 ,$365.40 ,$365.40 ,$365.40 ,$365.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$356.00 ,$267.00 ,$13.65 ,$356.00 ,$229.26 ,$145.80 ,$249.20 ,$13.65 ,$295.48 ,$14.06 ,$234.96 ,$338.20 , N/A ,$284.80 ,$323.96 ,$13.65 ,$334.64 ,$338.20 ,$320.40 ,$302.60 ,$13.65 ,$13.65 ,$13.65 ,$259.88 ,$145.80 ,$316.84 ,$320.40 ,$320.40 ,$284.80 ,$150.17 ,$195.80 ,$320.40 ,$145.80 ,$320.40 ,$145.80 ,$338.20 ,$328.04 ,$327.52 ,$14.47 ,$323.96 ,$145.80 ,$219.08 ,$229.26 ,$219.08 ,$320.40 ,$320.40 ,$265.68 ,$247.95 ,$147.25 ,$14.33 ,$332.86 ,$153.09 ,$13.65 ,$309.72 ,$145.80 ,$320.40 ,$145.80 ,$320.40 ,$320.40 ,$320.40 ,$345.32 ,$288.36 ,$320.40 ,$320.40 ,$320.40 ,$320.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$218.00 ,$163.50 ,$13.65 ,$261.82 ,$140.39 ,$116.36 ,$152.60 ,$13.65 ,$180.94 ,$14.06 ,$143.88 ,$207.10 , N/A ,$174.40 ,$198.38 ,$13.65 ,$204.92 ,$207.10 ,$196.20 ,$185.30 ,$13.65 ,$13.65 ,$13.65 ,$159.14 ,$116.36 ,$194.02 ,$196.20 ,$196.20 ,$174.40 ,$119.85 ,$119.90 ,$196.20 ,$116.36 ,$196.20 ,$116.36 ,$207.10 ,$261.82 ,$200.56 ,$14.47 ,$198.38 ,$116.36 ,$134.16 ,$140.39 ,$134.16 ,$196.20 ,$196.20 ,$162.69 ,$151.84 ,$117.53 ,$14.33 ,$203.83 ,$122.18 ,$13.65 ,$189.66 ,$116.36 ,$196.20 ,$116.36 ,$196.20 ,$196.20 ,$196.20 ,$211.46 ,$176.58 ,$196.20 ,$196.20 ,$196.20 ,$196.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$138.00 ,$103.50 ,$13.65 ,$261.82 ,$88.87 ,$116.36 ,$96.60 ,$13.65 ,$114.54 ,$14.06 ,$91.08 ,$131.10 , N/A ,$110.40 ,$125.58 ,$13.65 ,$129.72 ,$131.10 ,$124.20 ,$117.30 ,$13.65 ,$13.65 ,$13.65 ,$100.74 ,$116.36 ,$122.82 ,$124.20 ,$124.20 ,$110.40 ,$119.85 ,$75.90 ,$124.20 ,$116.36 ,$124.20 ,$116.36 ,$131.10 ,$261.82 ,$126.96 ,$14.47 ,$125.58 ,$116.36 ,$84.93 ,$88.87 ,$84.93 ,$124.20 ,$124.20 ,$102.99 ,$96.12 ,$117.53 ,$14.33 ,$129.03 ,$122.18 ,$13.65 ,$120.06 ,$116.36 ,$124.20 ,$116.36 ,$124.20 ,$124.20 ,$124.20 ,$133.86 ,$111.78 ,$124.20 ,$124.20 ,$124.20 ,$124.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000104,29131,HC APPL FINGER SPLINT DYNAMIC,450,1 ,$149.00 ,$111.75 ,$13.65 ,$149.00 ,$95.96 ,$57.44 ,$104.30 ,$13.65 ,$123.67 ,$14.06 ,$98.34 ,$141.55 , N/A ,$119.20 ,$135.59 ,$13.65 ,$140.06 ,$141.55 ,$134.10 ,$126.65 ,$13.65 ,$13.65 ,$13.65 ,$108.77 ,$57.44 ,$132.61 ,$134.10 ,$134.10 ,$119.20 ,$59.17 ,$81.95 ,$134.10 ,$57.44 ,$134.10 ,$57.44 ,$141.55 ,$129.25 ,$137.08 ,$14.47 ,$135.59 ,$57.44 ,$91.69 ,$95.96 ,$91.69 ,$134.10 ,$134.10 ,$111.20 ,$103.78 ,$58.02 ,$14.33 ,$139.32 ,$60.31 ,$13.65 ,$129.63 ,$57.44 ,$134.10 ,$57.44 ,$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000105,29240,HC STRAPPING SHLDR,450,1 ,$213.00 ,$159.75 ,$13.65 ,$261.82 ,$137.17 ,$116.36 ,$149.10 ,$13.65 ,$176.79 ,$14.06 ,$140.58 ,$202.35 , N/A ,$170.40 ,$193.83 ,$13.65 ,$200.22 ,$202.35 ,$191.70 ,$181.05 ,$13.65 ,$13.65 ,$13.65 ,$155.49 ,$116.36 ,$189.57 ,$191.70 ,$191.70 ,$170.40 ,$119.85 ,$117.15 ,$191.70 ,$116.36 ,$191.70 ,$116.36 ,$202.35 ,$261.82 ,$195.96 ,$14.47 ,$193.83 ,$116.36 ,$131.08 ,$137.17 ,$131.08 ,$191.70 ,$191.70 ,$158.96 ,$148.35 ,$117.53 ,$14.33 ,$199.16 ,$122.18 ,$13.65 ,$185.31 ,$116.36 ,$191.70 ,$116.36 ,$191.70 ,$191.70 ,$191.70 ,$206.61 ,$172.53 ,$191.70 ,$191.70 ,$191.70 ,$191.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$720.00 ,$540.00 ,$59.15 ,$720.00 ,$463.68 ,$248.95 ,$504.00 ,$59.15 ,$597.60 ,$60.92 ,$475.20 ,$684.00 , N/A ,$576.00 ,$655.20 ,$59.15 ,$676.80 ,$684.00 ,$648.00 ,$612.00 ,$59.15 ,$59.15 ,$59.15 ,$525.60 ,$248.95 ,$640.80 ,$648.00 ,$648.00 ,$576.00 ,$256.42 ,$396.00 ,$648.00 ,$248.95 ,$648.00 ,$248.95 ,$684.00 ,$560.14 ,$662.40 ,$62.70 ,$655.20 ,$248.95 ,$443.09 ,$463.68 ,$443.09 ,$648.00 ,$648.00 ,$537.34 ,$501.48 ,$251.44 ,$62.11 ,$673.20 ,$261.40 ,$59.15 ,$626.40 ,$248.95 ,$648.00 ,$248.95 ,$648.00 ,$648.00 ,$648.00 ,$698.40 ,$583.20 ,$648.00 ,$648.00 ,$648.00 ,$648.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$774.00 ,$580.50 ,$13.65 ,$774.00 ,$498.46 ,$145.80 ,$541.80 ,$13.65 ,$642.42 ,$14.06 ,$510.84 ,$735.30 , N/A ,$619.20 ,$704.34 ,$13.65 ,$727.56 ,$735.30 ,$696.60 ,$657.90 ,$13.65 ,$13.65 ,$13.65 ,$565.02 ,$145.80 ,$688.86 ,$696.60 ,$696.60 ,$619.20 ,$150.17 ,$425.70 ,$696.60 ,$145.80 ,$696.60 ,$145.80 ,$735.30 ,$328.04 ,$712.08 ,$14.47 ,$704.34 ,$145.80 ,$476.32 ,$498.46 ,$476.32 ,$696.60 ,$696.60 ,$577.64 ,$539.09 ,$147.25 ,$14.33 ,$723.69 ,$153.09 ,$13.65 ,$673.38 ,$145.80 ,$696.60 ,$145.80 ,$696.60 ,$696.60 ,$696.60 ,$750.78 ,$626.94 ,$696.60 ,$696.60 ,$696.60 ,$696.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$702.00 ,$526.50 ,$13.65 ,$702.00 ,$452.09 ,$145.80 ,$491.40 ,$13.65 ,$582.66 ,$14.06 ,$463.32 ,$666.90 , N/A ,$561.60 ,$638.82 ,$13.65 ,$659.88 ,$666.90 ,$631.80 ,$596.70 ,$13.65 ,$13.65 ,$13.65 ,$512.46 ,$145.80 ,$624.78 ,$631.80 ,$631.80 ,$561.60 ,$150.17 ,$386.10 ,$631.80 ,$145.80 ,$631.80 ,$145.80 ,$666.90 ,$328.04 ,$645.84 ,$14.47 ,$638.82 ,$145.80 ,$432.01 ,$452.09 ,$432.01 ,$631.80 ,$631.80 ,$523.90 ,$488.94 ,$147.25 ,$14.33 ,$656.37 ,$153.09 ,$13.65 ,$610.74 ,$145.80 ,$631.80 ,$145.80 ,$631.80 ,$631.80 ,$631.80 ,$680.94 ,$568.62 ,$631.80 ,$631.80 ,$631.80 ,$631.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000110,30300,HC REM FB INTRANASAL,450,1 ,$247.00 ,$185.25 ,$34.89 ,$261.82 ,$159.07 ,$116.36 ,$172.90 ,$34.89 ,$205.01 ,$35.94 ,$163.02 ,$234.65 , N/A ,$197.60 ,$224.77 ,$34.89 ,$232.18 ,$234.65 ,$222.30 ,$209.95 ,$34.89 ,$34.89 ,$34.89 ,$180.31 ,$116.36 ,$219.83 ,$222.30 ,$222.30 ,$197.60 ,$119.85 ,$135.85 ,$222.30 ,$116.36 ,$222.30 ,$116.36 ,$234.65 ,$261.82 ,$227.24 ,$36.98 ,$224.77 ,$116.36 ,$152.00 ,$159.07 ,$152.00 ,$222.30 ,$222.30 ,$184.34 ,$172.04 ,$117.53 ,$36.63 ,$230.95 ,$122.18 ,$34.89 ,$214.89 ,$116.36 ,$222.30 ,$116.36 ,$222.30 ,$222.30 ,$222.30 ,$239.59 ,$200.07 ,$222.30 ,$222.30 ,$222.30 ,$222.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$443.00 ,$332.25 ,$34.89 ,$443.00 ,$285.29 ,$116.36 ,$310.10 ,$34.89 ,$367.69 ,$35.94 ,$292.38 ,$420.85 , N/A ,$354.40 ,$403.13 ,$34.89 ,$416.42 ,$420.85 ,$398.70 ,$376.55 ,$34.89 ,$34.89 ,$34.89 ,$323.39 ,$116.36 ,$394.27 ,$398.70 ,$398.70 ,$354.40 ,$119.85 ,$243.65 ,$398.70 ,$116.36 ,$398.70 ,$116.36 ,$420.85 ,$261.82 ,$407.56 ,$36.98 ,$403.13 ,$116.36 ,$272.62 ,$285.29 ,$272.62 ,$398.70 ,$398.70 ,$330.61 ,$308.55 ,$117.53 ,$36.63 ,$414.21 ,$122.18 ,$34.89 ,$385.41 ,$116.36 ,$398.70 ,$116.36 ,$398.70 ,$398.70 ,$398.70 ,$429.71 ,$358.83 ,$398.70 ,$398.70 ,$398.70 ,$398.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$557.00 ,$417.75 ,$34.89 ,$557.00 ,$358.71 ,$116.36 ,$389.90 ,$34.89 ,$462.31 ,$35.94 ,$367.62 ,$529.15 , N/A ,$445.60 ,$506.87 ,$34.89 ,$523.58 ,$529.15 ,$501.30 ,$473.45 ,$34.89 ,$34.89 ,$34.89 ,$406.61 ,$116.36 ,$495.73 ,$501.30 ,$501.30 ,$445.60 ,$119.85 ,$306.35 ,$501.30 ,$116.36 ,$501.30 ,$116.36 ,$529.15 ,$261.82 ,$512.44 ,$36.98 ,$506.87 ,$116.36 ,$342.78 ,$358.71 ,$342.78 ,$501.30 ,$501.30 ,$415.69 ,$387.95 ,$117.53 ,$36.63 ,$520.80 ,$122.18 ,$34.89 ,$484.59 ,$116.36 ,$501.30 ,$116.36 ,$501.30 ,$501.30 ,$501.30 ,$540.29 ,$451.17 ,$501.30 ,$501.30 ,$501.30 ,$501.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,$350.00 ,$262.50 ,$34.89 ,$350.00 ,$225.40 ,$116.36 ,$245.00 ,$34.89 ,$290.50 ,$35.94 ,$231.00 ,$332.50 , N/A ,$280.00 ,$318.50 ,$34.89 ,$329.00 ,$332.50 ,$315.00 ,$297.50 ,$34.89 ,$34.89 ,$34.89 ,$255.50 ,$116.36 ,$311.50 ,$315.00 ,$315.00 ,$280.00 ,$119.85 ,$192.50 ,$315.00 ,$116.36 ,$315.00 ,$116.36 ,$332.50 ,$261.82 ,$322.00 ,$36.98 ,$318.50 ,$116.36 ,$215.39 ,$225.40 ,$215.39 ,$315.00 ,$315.00 ,$261.21 ,$243.78 ,$117.53 ,$36.63 ,$327.25 ,$122.18 ,$34.89 ,$304.50 ,$116.36 ,$315.00 ,$116.36 ,$315.00 ,$315.00 ,$315.00 ,$339.50 ,$283.50 ,$315.00 ,$315.00 ,$315.00 ,$315.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$597.00 ,$447.75 ,$75.55 ,$630.17 ,$384.47 ,$280.07 ,$417.90 ,$75.55 ,$495.51 ,$77.82 ,$394.02 ,$567.15 , N/A ,$477.60 ,$543.27 ,$75.55 ,$561.18 ,$567.15 ,$537.30 ,$507.45 ,$75.55 ,$75.55 ,$75.55 ,$435.81 ,$280.07 ,$531.33 ,$537.30 ,$537.30 ,$477.60 ,$288.48 ,$328.35 ,$537.30 ,$280.07 ,$537.30 ,$280.07 ,$567.15 ,$630.17 ,$549.24 ,$80.08 ,$543.27 ,$280.07 ,$367.39 ,$384.47 ,$367.39 ,$537.30 ,$537.30 ,$445.54 ,$415.81 ,$282.87 ,$79.33 ,$558.20 ,$294.07 ,$75.55 ,$519.39 ,$280.07 ,$537.30 ,$280.07 ,$537.30 ,$537.30 ,$537.30 ,$579.09 ,$483.57 ,$537.30 ,$537.30 ,$537.30 ,$537.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000133,40650,HC RPR LIP FULL THICK VERMILN,450,1 ,$290.00 ,$217.50 ,$159.50 ,"$1,050.12 ",$186.76 ,$466.72 ,$203.00 ,$288.55 ,$240.70 ,$297.21 ,$191.40 ,$275.50 , N/A ,$232.00 ,$263.90 ,$288.55 ,$272.60 ,$275.50 ,$261.00 ,$246.50 ,$288.55 ,$288.55 ,$288.55 ,$211.70 ,$466.72 ,$258.10 ,$261.00 ,$261.00 ,$232.00 ,$480.72 ,$159.50 ,$261.00 ,$466.72 ,$261.00 ,$466.72 ,$275.50 ,"$1,050.12 ",$266.80 ,$305.86 ,$263.90 ,$466.72 ,$178.47 ,$186.76 ,$178.47 ,$261.00 ,$261.00 ,$216.43 ,$201.99 ,$471.39 ,$302.98 ,$271.15 ,$490.06 ,$288.55 ,$252.30 ,$466.72 ,$261.00 ,$466.72 ,$261.00 ,$261.00 ,$261.00 ,$281.30 ,$234.90 ,$261.00 ,$261.00 ,$261.00 ,$261.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000136,40800,HC DRAINAGE MOUTH LESION,450,1 ,$483.00 ,$362.25 ,$34.89 ,"$1,444.89 ",$311.05 ,$642.18 ,$338.10 ,$34.89 ,$400.89 ,$35.94 ,$318.78 ,$458.85 , N/A ,$386.40 ,$439.53 ,$34.89 ,$454.02 ,$458.85 ,$434.70 ,$410.55 ,$34.89 ,$34.89 ,$34.89 ,$352.59 ,$642.18 ,$429.87 ,$434.70 ,$434.70 ,$386.40 ,$661.44 ,$265.65 ,$434.70 ,$642.18 ,$434.70 ,$642.18 ,$458.85 ,"$1,444.89 ",$444.36 ,$36.98 ,$439.53 ,$642.18 ,$297.24 ,$311.05 ,$297.24 ,$434.70 ,$434.70 ,$360.46 ,$336.41 ,$648.60 ,$36.63 ,$451.61 ,$674.29 ,$34.89 ,$420.21 ,$642.18 ,$434.70 ,$642.18 ,$434.70 ,$434.70 ,$434.70 ,$468.51 ,$391.23 ,$434.70 ,$434.70 ,$434.70 ,$434.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,$160.00 ,$120.00 ,$34.89 ,$261.82 ,$103.04 ,$116.36 ,$112.00 ,$34.89 ,$132.80 ,$35.94 ,$105.60 ,$152.00 , N/A ,$128.00 ,$145.60 ,$34.89 ,$150.40 ,$152.00 ,$144.00 ,$136.00 ,$34.89 ,$34.89 ,$34.89 ,$116.80 ,$116.36 ,$142.40 ,$144.00 ,$144.00 ,$128.00 ,$119.85 ,$88.00 ,$144.00 ,$116.36 ,$144.00 ,$116.36 ,$152.00 ,$261.82 ,$147.20 ,$36.98 ,$145.60 ,$116.36 ,$98.46 ,$103.04 ,$98.46 ,$144.00 ,$144.00 ,$119.41 ,$111.44 ,$117.53 ,$36.63 ,$149.60 ,$122.18 ,$34.89 ,$139.20 ,$116.36 ,$144.00 ,$116.36 ,$144.00 ,$144.00 ,$144.00 ,$155.20 ,$129.60 ,$144.00 ,$144.00 ,$144.00 ,$144.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000140,42700,HC I AND D ABSC PERITONSILLAR,450,1 ,$233.00 ,$174.75 ,$34.89 ,$491.23 ,$150.05 ,$218.33 ,$163.10 ,$34.89 ,$193.39 ,$35.94 ,$153.78 ,$221.35 , N/A ,$186.40 ,$212.03 ,$34.89 ,$219.02 ,$221.35 ,$209.70 ,$198.05 ,$34.89 ,$34.89 ,$34.89 ,$170.09 ,$218.33 ,$207.37 ,$209.70 ,$209.70 ,$186.40 ,$224.88 ,$128.15 ,$209.70 ,$218.33 ,$209.70 ,$218.33 ,$221.35 ,$491.23 ,$214.36 ,$36.98 ,$212.03 ,$218.33 ,$143.39 ,$150.05 ,$143.39 ,$209.70 ,$209.70 ,$173.89 ,$162.28 ,$220.51 ,$36.63 ,$217.86 ,$229.25 ,$34.89 ,$202.71 ,$218.33 ,$209.70 ,$218.33 ,$209.70 ,$209.70 ,$209.70 ,$226.01 ,$188.73 ,$209.70 ,$209.70 ,$209.70 ,$209.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000143,43753,HC GASTRIC LAVAGE,450,1 ,$537.00 ,$402.75 ,$211.20 ,$614.50 ,$345.83 ,$273.11 ,$375.90 ,$211.20 ,$445.71 ,$217.54 ,$354.42 ,$510.15 , N/A ,$429.60 ,$488.67 ,$211.20 ,$504.78 ,$510.15 ,$483.30 ,$456.45 ,$211.20 ,$211.20 ,$211.20 ,$392.01 ,$273.11 ,$477.93 ,$483.30 ,$483.30 ,$429.60 ,$281.31 ,$295.35 ,$483.30 ,$273.11 ,$483.30 ,$273.11 ,$510.15 ,$614.50 ,$494.04 ,$223.87 ,$488.67 ,$273.11 ,$330.47 ,$345.83 ,$330.47 ,$483.30 ,$483.30 ,$400.76 ,$374.02 ,$275.84 ,$221.76 ,$502.10 ,$286.77 ,$211.20 ,$467.19 ,$273.11 ,$483.30 ,$273.11 ,$483.30 ,$483.30 ,$483.30 ,$520.89 ,$434.97 ,$483.30 ,$483.30 ,$483.30 ,$483.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000147,46050,HC I AND D ABSC PERIANAL SUPFIC,450,1 ,$344.00 ,$258.00 ,$189.20 ,"$1,842.62 ",$221.54 ,$818.94 ,$240.80 ,$344.00 ,$285.52 ,$476.56 ,$227.04 ,$326.80 , N/A ,$275.20 ,$313.04 ,$344.00 ,$323.36 ,$326.80 ,$309.60 ,$292.40 ,$462.68 ,$462.68 ,$462.68 ,$251.12 ,$818.94 ,$306.16 ,$309.60 ,$309.60 ,$275.20 ,$843.51 ,$189.20 ,$309.60 ,$818.94 ,$309.60 ,$818.94 ,$326.80 ,"$1,842.62 ",$316.48 ,$490.44 ,$313.04 ,$818.94 ,$211.70 ,$221.54 ,$211.70 ,$309.60 ,$309.60 ,$256.73 ,$239.60 ,$827.13 ,$485.81 ,$321.64 ,$859.89 ,$344.00 ,$299.28 ,$818.94 ,$309.60 ,$818.94 ,$309.60 ,$309.60 ,$309.60 ,$333.68 ,$278.64 ,$309.60 ,$309.60 ,$309.60 ,$309.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000148,46083,HC INC HEMORRHOID EXTERNAL,450,1 ,$220.00 ,$165.00 ,$121.00 ,$617.87 ,$141.68 ,$274.61 ,$154.00 ,$220.00 ,$182.60 ,$476.56 ,$145.20 ,$209.00 , N/A ,$176.00 ,$200.20 ,$220.00 ,$206.80 ,$209.00 ,$198.00 ,$187.00 ,$462.68 ,$462.68 ,$462.68 ,$160.60 ,$274.61 ,$195.80 ,$198.00 ,$198.00 ,$176.00 ,$282.85 ,$121.00 ,$198.00 ,$274.61 ,$198.00 ,$274.61 ,$209.00 ,$617.87 ,$202.40 ,$490.44 ,$200.20 ,$274.61 ,$135.39 ,$141.68 ,$135.39 ,$198.00 ,$198.00 ,$164.19 ,$153.23 ,$277.35 ,$485.81 ,$205.70 ,$288.34 ,$220.00 ,$191.40 ,$274.61 ,$198.00 ,$274.61 ,$198.00 ,$198.00 ,$198.00 ,$213.40 ,$178.20 ,$198.00 ,$198.00 ,$198.00 ,$198.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000150,46600,HC ANOSCOPY,450,1 ,$174.00 ,$130.50 ,$56.46 ,$261.82 ,$112.06 ,$116.36 ,$121.80 ,$56.46 ,$144.42 ,$58.15 ,$114.84 ,$165.30 , N/A ,$139.20 ,$158.34 ,$56.46 ,$163.56 ,$165.30 ,$156.60 ,$147.90 ,$56.46 ,$56.46 ,$56.46 ,$127.02 ,$116.36 ,$154.86 ,$156.60 ,$156.60 ,$139.20 ,$119.85 ,$95.70 ,$156.60 ,$116.36 ,$156.60 ,$116.36 ,$165.30 ,$261.82 ,$160.08 ,$59.85 ,$158.34 ,$116.36 ,$107.08 ,$112.06 ,$107.08 ,$156.60 ,$156.60 ,$129.86 ,$121.19 ,$117.53 ,$59.28 ,$162.69 ,$122.18 ,$56.46 ,$151.38 ,$116.36 ,$156.60 ,$116.36 ,$156.60 ,$156.60 ,$156.60 ,$168.78 ,$140.94 ,$156.60 ,$156.60 ,$156.60 ,$156.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000151,46608,HC ANOSCOPY W FB REMOVAL,450,1 ,$350.00 ,$262.50 ,$192.50 ,"$1,842.62 ",$225.40 ,$818.94 ,$245.00 ,$304.93 ,$290.50 ,$314.08 ,$231.00 ,$332.50 , N/A ,$280.00 ,$318.50 ,$304.93 ,$329.00 ,$332.50 ,$315.00 ,$297.50 ,$304.93 ,$304.93 ,$304.93 ,$255.50 ,$818.94 ,$311.50 ,$315.00 ,$315.00 ,$280.00 ,$843.51 ,$192.50 ,$315.00 ,$818.94 ,$315.00 ,$818.94 ,$332.50 ,"$1,842.62 ",$322.00 ,$323.23 ,$318.50 ,$818.94 ,$215.39 ,$225.40 ,$215.39 ,$315.00 ,$315.00 ,$261.21 ,$243.78 ,$827.13 ,$320.18 ,$327.25 ,$859.89 ,$304.93 ,$304.50 ,$818.94 ,$315.00 ,$818.94 ,$315.00 ,$315.00 ,$315.00 ,$339.50 ,$283.50 ,$315.00 ,$315.00 ,$315.00 ,$315.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$384.00 ,$288.00 ,$22.63 ,$617.87 ,$247.30 ,$274.61 ,$268.80 ,$22.63 ,$318.72 ,$23.31 ,$253.44 ,$364.80 , N/A ,$307.20 ,$349.44 ,$22.63 ,$360.96 ,$364.80 ,$345.60 ,$326.40 ,$22.63 ,$22.63 ,$22.63 ,$280.32 ,$274.61 ,$341.76 ,$345.60 ,$345.60 ,$307.20 ,$282.85 ,$211.20 ,$345.60 ,$274.61 ,$345.60 ,$274.61 ,$364.80 ,$617.87 ,$353.28 ,$23.99 ,$349.44 ,$274.61 ,$236.31 ,$247.30 ,$236.31 ,$345.60 ,$345.60 ,$286.58 ,$267.46 ,$277.35 ,$23.76 ,$359.04 ,$288.34 ,$22.63 ,$334.08 ,$274.61 ,$345.60 ,$274.61 ,$345.60 ,$345.60 ,$345.60 ,$372.48 ,$311.04 ,$345.60 ,$345.60 ,$345.60 ,$345.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000162,55100,HC DRAIN ABSC SCROTAL WALL,450,1 ,"$4,231.00 ","$3,173.25 ",$646.68 ,"$4,231.00 ","$2,724.76 ","$1,451.99 ","$2,961.70 ",$646.68 ,"$3,511.73 ",$666.08 ,"$2,792.46 ","$4,019.45 ", N/A ,"$3,384.80 ","$3,850.21 ",$646.68 ,"$3,977.14 ","$4,019.45 ","$3,807.90 ","$3,596.35 ",$646.68 ,$646.68 ,$646.68 ,"$3,088.63 ","$1,451.99 ","$3,765.59 ","$3,807.90 ","$3,807.90 ","$3,384.80 ","$1,495.55 ","$2,327.05 ","$3,807.90 ","$1,451.99 ","$3,807.90 ","$1,451.99 ","$4,019.45 ","$3,266.98 ","$3,892.52 ",$685.48 ,"$3,850.21 ","$1,451.99 ","$2,603.76 ","$2,724.76 ","$2,603.76 ","$3,807.90 ","$3,807.90 ","$3,157.60 ","$2,946.89 ","$1,466.51 ",$679.01 ,"$3,955.99 ","$1,524.59 ",$646.68 ,"$3,680.97 ","$1,451.99 ","$3,807.90 ","$1,451.99 ","$3,807.90 ","$3,807.90 ","$3,807.90 ","$4,104.07 ","$3,427.11 ","$3,807.90 ","$3,807.90 ","$3,807.90 ","$3,807.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,$392.00 ,$294.00 ,$61.96 ,$654.86 ,$252.45 ,$291.05 ,$274.40 ,$61.96 ,$325.36 ,$63.82 ,$258.72 ,$372.40 , N/A ,$313.60 ,$356.72 ,$61.96 ,$368.48 ,$372.40 ,$352.80 ,$333.20 ,$61.96 ,$61.96 ,$61.96 ,$286.16 ,$291.05 ,$348.88 ,$352.80 ,$352.80 ,$313.60 ,$299.78 ,$215.60 ,$352.80 ,$291.05 ,$352.80 ,$291.05 ,$372.40 ,$654.86 ,$360.64 ,$65.68 ,$356.72 ,$291.05 ,$241.24 ,$252.45 ,$241.24 ,$352.80 ,$352.80 ,$292.55 ,$273.03 ,$293.96 ,$65.06 ,$366.52 ,$305.60 ,$61.96 ,$341.04 ,$291.05 ,$352.80 ,$291.05 ,$352.80 ,$352.80 ,$352.80 ,$380.24 ,$317.52 ,$352.80 ,$352.80 ,$352.80 ,$352.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$163.00 ,$122.25 ,$61.96 ,$395.56 ,$104.97 ,$175.81 ,$114.10 ,$61.96 ,$135.29 ,$63.82 ,$107.58 ,$154.85 , N/A ,$130.40 ,$148.33 ,$61.96 ,$153.22 ,$154.85 ,$146.70 ,$138.55 ,$61.96 ,$61.96 ,$61.96 ,$118.99 ,$175.81 ,$145.07 ,$146.70 ,$146.70 ,$130.40 ,$181.08 ,$89.65 ,$146.70 ,$175.81 ,$146.70 ,$175.81 ,$154.85 ,$395.56 ,$149.96 ,$65.68 ,$148.33 ,$175.81 ,$100.31 ,$104.97 ,$100.31 ,$146.70 ,$146.70 ,$121.65 ,$113.53 ,$177.56 ,$65.06 ,$152.41 ,$184.60 ,$61.96 ,$141.81 ,$175.81 ,$146.70 ,$175.81 ,$146.70 ,$146.70 ,$146.70 ,$158.11 ,$132.03 ,$146.70 ,$146.70 ,$146.70 ,$146.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000168,64400,HC DENTAL BLOCK,450,1 ,$589.00 ,$441.75 ,$136.73 ,$606.64 ,$379.32 ,$269.62 ,$412.30 ,$136.73 ,$488.87 ,$140.83 ,$388.74 ,$559.55 , N/A ,$471.20 ,$535.99 ,$136.73 ,$553.66 ,$559.55 ,$530.10 ,$500.65 ,$136.73 ,$136.73 ,$136.73 ,$429.97 ,$269.62 ,$524.21 ,$530.10 ,$530.10 ,$471.20 ,$277.70 ,$323.95 ,$530.10 ,$269.62 ,$530.10 ,$269.62 ,$559.55 ,$606.64 ,$541.88 ,$144.93 ,$535.99 ,$269.62 ,$362.47 ,$379.32 ,$362.47 ,$530.10 ,$530.10 ,$439.57 ,$410.24 ,$272.31 ,$143.57 ,$550.72 ,$283.10 ,$136.73 ,$512.43 ,$269.62 ,$530.10 ,$269.62 ,$530.10 ,$530.10 ,$530.10 ,$571.33 ,$477.09 ,$530.10 ,$530.10 ,$530.10 ,$530.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,$929.26 ,$696.95 ,$136.73 ,$929.26 ,$598.44 ,$269.62 ,$650.48 ,$136.73 ,$771.29 ,$140.83 ,$613.31 ,$882.80 , N/A ,$743.41 ,$845.63 ,$136.73 ,$873.50 ,$882.80 ,$836.33 ,$789.87 ,$136.73 ,$136.73 ,$136.73 ,$678.36 ,$269.62 ,$827.04 ,$836.33 ,$836.33 ,$743.41 ,$277.70 ,$511.09 ,$836.33 ,$269.62 ,$836.33 ,$269.62 ,$882.80 ,$606.64 ,$854.92 ,$144.93 ,$845.63 ,$269.62 ,$571.87 ,$598.44 ,$571.87 ,$836.33 ,$836.33 ,$693.51 ,$647.23 ,$272.31 ,$143.57 ,$868.86 ,$283.10 ,$136.73 ,$808.46 ,$269.62 ,$836.33 ,$269.62 ,$836.33 ,$836.33 ,$836.33 ,$901.38 ,$752.70 ,$836.33 ,$836.33 ,$836.33 ,$836.33 
ST. JOSEPH'S - CHIPPEWA FALLS,45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,$638.00 ,$478.50 ,$136.73 ,"$1,474.40 ",$410.87 ,$655.29 ,$446.60 ,$136.73 ,$529.54 ,$140.83 ,$421.08 ,$606.10 , N/A ,$510.40 ,$580.58 ,$136.73 ,$599.72 ,$606.10 ,$574.20 ,$542.30 ,$136.73 ,$136.73 ,$136.73 ,$465.74 ,$655.29 ,$567.82 ,$574.20 ,$574.20 ,$510.40 ,$674.95 ,$350.90 ,$574.20 ,$655.29 ,$574.20 ,$655.29 ,$606.10 ,"$1,474.40 ",$586.96 ,$144.93 ,$580.58 ,$655.29 ,$392.63 ,$410.87 ,$392.63 ,$574.20 ,$574.20 ,$476.14 ,$444.37 ,$661.84 ,$143.57 ,$596.53 ,$688.05 ,$136.73 ,$555.06 ,$655.29 ,$574.20 ,$655.29 ,$574.20 ,$574.20 ,$574.20 ,$618.86 ,$516.78 ,$574.20 ,$574.20 ,$574.20 ,$574.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,$453.00 ,$339.75 ,$22.85 ,$453.00 ,$291.73 ,$116.36 ,$317.10 ,$22.85 ,$375.99 ,$23.54 ,$298.98 ,$430.35 , N/A ,$362.40 ,$412.23 ,$22.85 ,$425.82 ,$430.35 ,$407.70 ,$385.05 ,$22.85 ,$22.85 ,$22.85 ,$330.69 ,$116.36 ,$403.17 ,$407.70 ,$407.70 ,$362.40 ,$119.85 ,$249.15 ,$407.70 ,$116.36 ,$407.70 ,$116.36 ,$430.35 ,$261.82 ,$416.76 ,$24.22 ,$412.23 ,$116.36 ,$278.78 ,$291.73 ,$278.78 ,$407.70 ,$407.70 ,$338.07 ,$315.51 ,$117.53 ,$23.99 ,$423.56 ,$122.18 ,$22.85 ,$394.11 ,$116.36 ,$407.70 ,$116.36 ,$407.70 ,$407.70 ,$407.70 ,$439.41 ,$366.93 ,$407.70 ,$407.70 ,$407.70 ,$407.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000173,65220,HC REM FB CORNL W/O SLIT LA,450,1 ,$165.00 ,$123.75 ,$22.85 ,$630.17 ,$106.26 ,$280.07 ,$115.50 ,$22.85 ,$136.95 ,$23.54 ,$108.90 ,$156.75 , N/A ,$132.00 ,$150.15 ,$22.85 ,$155.10 ,$156.75 ,$148.50 ,$140.25 ,$22.85 ,$22.85 ,$22.85 ,$120.45 ,$280.07 ,$146.85 ,$148.50 ,$148.50 ,$132.00 ,$288.48 ,$90.75 ,$148.50 ,$280.07 ,$148.50 ,$280.07 ,$156.75 ,$630.17 ,$151.80 ,$24.22 ,$150.15 ,$280.07 ,$101.54 ,$106.26 ,$101.54 ,$148.50 ,$148.50 ,$123.14 ,$114.92 ,$282.87 ,$23.99 ,$154.28 ,$294.07 ,$22.85 ,$143.55 ,$280.07 ,$148.50 ,$280.07 ,$148.50 ,$148.50 ,$148.50 ,$160.05 ,$133.65 ,$148.50 ,$148.50 ,$148.50 ,$148.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000174,65222,HC REM FB CORNL W/ SLIT LA,450,1 ,$166.00 ,$124.50 ,$22.85 ,$261.82 ,$106.90 ,$116.36 ,$116.20 ,$22.85 ,$137.78 ,$23.54 ,$109.56 ,$157.70 , N/A ,$132.80 ,$151.06 ,$22.85 ,$156.04 ,$157.70 ,$149.40 ,$141.10 ,$22.85 ,$22.85 ,$22.85 ,$121.18 ,$116.36 ,$147.74 ,$149.40 ,$149.40 ,$132.80 ,$119.85 ,$91.30 ,$149.40 ,$116.36 ,$149.40 ,$116.36 ,$157.70 ,$261.82 ,$152.72 ,$24.22 ,$151.06 ,$116.36 ,$102.16 ,$106.90 ,$102.16 ,$149.40 ,$149.40 ,$123.89 ,$115.62 ,$117.53 ,$23.99 ,$155.21 ,$122.18 ,$22.85 ,$144.42 ,$116.36 ,$149.40 ,$116.36 ,$149.40 ,$149.40 ,$149.40 ,$161.02 ,$134.46 ,$149.40 ,$149.40 ,$149.40 ,$149.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000179,69000,HC DRAIN ABSC/HEMA EAR EXT SMP,450,1 ,$286.00 ,$214.50 ,$34.89 ,"$1,444.89 ",$184.18 ,$642.18 ,$200.20 ,$34.89 ,$237.38 ,$35.94 ,$188.76 ,$271.70 , N/A ,$228.80 ,$260.26 ,$34.89 ,$268.84 ,$271.70 ,$257.40 ,$243.10 ,$34.89 ,$34.89 ,$34.89 ,$208.78 ,$642.18 ,$254.54 ,$257.40 ,$257.40 ,$228.80 ,$661.44 ,$157.30 ,$257.40 ,$642.18 ,$257.40 ,$642.18 ,$271.70 ,"$1,444.89 ",$263.12 ,$36.98 ,$260.26 ,$642.18 ,$176.00 ,$184.18 ,$176.00 ,$257.40 ,$257.40 ,$213.44 ,$199.20 ,$648.60 ,$36.63 ,$267.41 ,$674.29 ,$34.89 ,$248.82 ,$642.18 ,$257.40 ,$642.18 ,$257.40 ,$257.40 ,$257.40 ,$277.42 ,$231.66 ,$257.40 ,$257.40 ,$257.40 ,$257.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000181,69200,HC FB REMOVAL EAR,450,1 ,$101.00 ,$75.75 ,$34.89 ,$261.82 ,$65.04 ,$116.36 ,$70.70 ,$34.89 ,$83.83 ,$35.94 ,$66.66 ,$95.95 , N/A ,$80.80 ,$91.91 ,$34.89 ,$94.94 ,$95.95 ,$90.90 ,$85.85 ,$34.89 ,$34.89 ,$34.89 ,$73.73 ,$116.36 ,$89.89 ,$90.90 ,$90.90 ,$80.80 ,$119.85 ,$55.55 ,$90.90 ,$116.36 ,$90.90 ,$116.36 ,$95.95 ,$261.82 ,$92.92 ,$36.98 ,$91.91 ,$116.36 ,$62.16 ,$65.04 ,$62.16 ,$90.90 ,$90.90 ,$75.38 ,$70.35 ,$117.53 ,$36.63 ,$94.44 ,$122.18 ,$34.89 ,$87.87 ,$116.36 ,$90.90 ,$116.36 ,$90.90 ,$90.90 ,$90.90 ,$97.97 ,$81.81 ,$90.90 ,$90.90 ,$90.90 ,$90.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$222.00 ,$166.50 ,$34.89 ,$222.00 ,$142.97 ,$57.44 ,$155.40 ,$34.89 ,$184.26 ,$35.94 ,$146.52 ,$210.90 , N/A ,$177.60 ,$202.02 ,$34.89 ,$208.68 ,$210.90 ,$199.80 ,$188.70 ,$34.89 ,$34.89 ,$34.89 ,$162.06 ,$57.44 ,$197.58 ,$199.80 ,$199.80 ,$177.60 ,$59.17 ,$122.10 ,$199.80 ,$57.44 ,$199.80 ,$57.44 ,$210.90 ,$129.25 ,$204.24 ,$36.98 ,$202.02 ,$57.44 ,$136.62 ,$142.97 ,$136.62 ,$199.80 ,$199.80 ,$165.68 ,$154.62 ,$58.02 ,$36.63 ,$207.57 ,$60.31 ,$34.89 ,$193.14 ,$57.44 ,$199.80 ,$57.44 ,$199.80 ,$199.80 ,$199.80 ,$215.34 ,$179.82 ,$199.80 ,$199.80 ,$199.80 ,$199.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000187,92977,HC THROMBOLYSIS CORONARY IV INFS,450,1 ,$623.00 ,$467.25 ,$161.07 ,$740.34 ,$401.21 ,$329.04 ,$436.10 ,$161.07 ,$517.09 ,$165.90 ,$411.18 ,$591.85 , N/A ,$498.40 ,$566.93 ,$161.07 ,$585.62 ,$591.85 ,$560.70 ,$529.55 ,$161.07 ,$161.07 ,$161.07 ,$454.79 ,$329.04 ,$554.47 ,$560.70 ,$560.70 ,$498.40 ,$338.91 ,$342.65 ,$560.70 ,$329.04 ,$560.70 ,$329.04 ,$591.85 ,$740.34 ,$573.16 ,$170.73 ,$566.93 ,$329.04 ,$383.39 ,$401.21 ,$383.39 ,$560.70 ,$560.70 ,$464.94 ,$433.92 ,$332.33 ,$169.12 ,$582.51 ,$345.49 ,$161.07 ,$542.01 ,$329.04 ,$560.70 ,$329.04 ,$560.70 ,$560.70 ,$560.70 ,$604.31 ,$504.63 ,$560.70 ,$560.70 ,$560.70 ,$560.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000188,99281,HC ER LEVEL 1,450,1 ,$164.00 ,$123.00 ,$38.23 ,$168.42 ,$105.62 ,$74.85 ,$114.80 ,$38.23 ,$164.00 ,$39.38 ,$164.00 ,$155.80 , N/A ,$131.20 ,$149.24 ,$38.23 ,$154.16 ,$155.80 ,$147.60 ,$139.40 ,$38.23 ,$38.23 ,$38.23 ,$119.72 ,$74.85 ,$145.96 ,$147.60 ,$147.60 ,$131.20 ,$77.10 ,$90.20 ,$147.60 ,$74.85 ,$147.60 ,$74.85 ,$155.80 ,$168.42 ,$150.88 ,$40.52 ,$149.24 ,$74.85 ,$100.93 ,$105.62 ,$100.93 ,$147.60 ,$147.60 ,$122.39 ,$147.60 ,$75.60 ,$40.14 ,$153.34 ,$78.59 ,$38.23 ,$142.68 ,$74.85 ,$147.60 ,$74.85 ,$147.60 ,$147.60 ,$147.60 ,$159.08 ,$132.84 ,$147.60 ,$147.60 ,$147.60 ,$147.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000189,99282,HC ER LEVEL 2,450,1 ,$240.00 ,$180.00 ,$38.23 ,$304.99 ,$154.56 ,$135.55 ,$168.00 ,$38.23 ,$240.00 ,$39.38 ,$240.00 ,$228.00 , N/A ,$192.00 ,$218.40 ,$38.23 ,$225.60 ,$228.00 ,$216.00 ,$204.00 ,$38.23 ,$38.23 ,$38.23 ,$175.20 ,$135.55 ,$213.60 ,$216.00 ,$216.00 ,$192.00 ,$139.62 ,$132.00 ,$216.00 ,$135.55 ,$216.00 ,$135.55 ,$228.00 ,$304.99 ,$220.80 ,$40.52 ,$218.40 ,$135.55 ,$147.70 ,$154.56 ,$147.70 ,$216.00 ,$216.00 ,$179.11 ,$216.00 ,$136.91 ,$40.14 ,$224.40 ,$142.33 ,$38.23 ,$208.80 ,$135.55 ,$216.00 ,$135.55 ,$216.00 ,$216.00 ,$216.00 ,$232.80 ,$194.40 ,$216.00 ,$216.00 ,$216.00 ,$216.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000190,99283,HC ER LEVEL 3,450,1 ,$511.00 ,$383.25 ,$38.23 ,$537.34 ,$329.08 ,$238.82 ,$357.70 ,$38.23 ,$511.00 ,$39.38 ,$511.00 ,$485.45 , N/A ,$408.80 ,$465.01 ,$38.23 ,$480.34 ,$485.45 ,$459.90 ,$434.35 ,$38.23 ,$38.23 ,$38.23 ,$373.03 ,$238.82 ,$454.79 ,$459.90 ,$459.90 ,$408.80 ,$245.98 ,$281.05 ,$459.90 ,$238.82 ,$459.90 ,$238.82 ,$485.45 ,$537.34 ,$470.12 ,$40.52 ,$465.01 ,$238.82 ,$314.47 ,$329.08 ,$314.47 ,$459.90 ,$459.90 ,$381.36 ,$459.90 ,$241.21 ,$40.14 ,$477.79 ,$250.76 ,$38.23 ,$444.57 ,$238.82 ,$459.90 ,$238.82 ,$459.90 ,$459.90 ,$459.90 ,$495.67 ,$413.91 ,$459.90 ,$459.90 ,$459.90 ,$459.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000191,99284,HC ER LEVEL 4,450,1 ,"$1,014.00 ",$760.50 ,$38.23 ,"$1,014.00 ",$653.02 ,$375.40 ,$709.80 ,$38.23 ,"$1,014.00 ",$39.38 ,"$1,014.00 ",$963.30 , N/A ,$811.20 ,$922.74 ,$38.23 ,$953.16 ,$963.30 ,$912.60 ,$861.90 ,$38.23 ,$38.23 ,$38.23 ,$740.22 ,$375.40 ,$902.46 ,$912.60 ,$912.60 ,$811.20 ,$386.66 ,$557.70 ,$912.60 ,$375.40 ,$912.60 ,$375.40 ,$963.30 ,$844.65 ,$932.88 ,$40.52 ,$922.74 ,$375.40 ,$624.02 ,$653.02 ,$624.02 ,$912.60 ,$912.60 ,$756.75 ,$912.60 ,$379.15 ,$40.14 ,$948.09 ,$394.17 ,$38.23 ,$882.18 ,$375.40 ,$912.60 ,$375.40 ,$912.60 ,$912.60 ,$912.60 ,$983.58 ,$821.34 ,$912.60 ,$912.60 ,$912.60 ,$912.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000192,99285,HC ER LEVEL 5,450,1 ,"$1,486.00 ","$1,114.50 ",$38.23 ,"$1,486.00 ",$956.98 ,$538.84 ,"$1,040.20 ",$38.23 ,"$1,486.00 ",$39.38 ,"$1,486.00 ","$1,411.70 ", N/A ,"$1,188.80 ","$1,352.26 ",$38.23 ,"$1,396.84 ","$1,411.70 ","$1,337.40 ","$1,263.10 ",$38.23 ,$38.23 ,$38.23 ,"$1,084.78 ",$538.84 ,"$1,322.54 ","$1,337.40 ","$1,337.40 ","$1,188.80 ",$555.00 ,$817.30 ,"$1,337.40 ",$538.84 ,"$1,337.40 ",$538.84 ,"$1,411.70 ","$1,212.38 ","$1,367.12 ",$40.52 ,"$1,352.26 ",$538.84 ,$914.48 ,$956.98 ,$914.48 ,"$1,337.40 ","$1,337.40 ","$1,109.00 ","$1,337.40 ",$544.23 ,$40.14 ,"$1,389.41 ",$565.78 ,$38.23 ,"$1,292.82 ",$538.84 ,"$1,337.40 ",$538.84 ,"$1,337.40 ","$1,337.40 ","$1,337.40 ","$1,441.42 ","$1,203.66 ","$1,337.40 ","$1,337.40 ","$1,337.40 ","$1,337.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$2,048.00 ","$1,536.00 ",$38.23 ,"$2,048.00 ","$1,318.91 ",$768.68 ,"$1,433.60 ",$38.23 ,"$2,048.00 ",$39.38 ,"$2,048.00 ","$1,945.60 ", N/A ,"$1,638.40 ","$1,863.68 ",$38.23 ,"$1,925.12 ","$1,945.60 ","$1,843.20 ","$1,740.80 ",$38.23 ,$38.23 ,$38.23 ,"$1,495.04 ",$768.68 ,"$1,822.72 ","$1,843.20 ","$1,843.20 ","$1,638.40 ",$791.74 ,"$1,126.40 ","$1,843.20 ",$768.68 ,"$1,843.20 ",$768.68 ,"$1,945.60 ","$1,729.53 ","$1,884.16 ",$40.52 ,"$1,863.68 ",$768.68 ,"$1,260.34 ","$1,318.91 ","$1,260.34 ","$1,843.20 ","$1,843.20 ","$1,528.42 ","$1,843.20 ",$776.37 ,$40.14 ,"$1,914.88 ",$807.11 ,$38.23 ,"$1,781.76 ",$768.68 ,"$1,843.20 ",$768.68 ,"$1,843.20 ","$1,843.20 ","$1,843.20 ","$1,986.56 ","$1,658.88 ","$1,843.20 ","$1,843.20 ","$1,843.20 ","$1,843.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,$306.00 ,$229.50 ,$38.23 ,$306.00 ,$197.06 , N/A ,$214.20 ,$38.23 ,$253.98 ,$39.38 ,$201.96 ,$290.70 , N/A ,$244.80 ,$278.46 ,$38.23 ,$287.64 ,$290.70 ,$275.40 ,$260.10 ,$38.23 ,$38.23 ,$38.23 ,$223.38 , N/A ,$272.34 ,$275.40 ,$275.40 ,$244.80 , N/A ,$168.30 ,$275.40 , N/A ,$275.40 , N/A ,$290.70 , N/A ,$281.52 ,$40.52 ,$278.46 , N/A ,$188.31 ,$197.06 ,$188.31 ,$275.40 ,$275.40 ,$228.37 ,$213.13 , N/A ,$40.14 ,$286.11 , N/A ,$38.23 ,$266.22 , N/A ,$275.40 , N/A ,$275.40 ,$275.40 ,$275.40 ,$296.82 ,$247.86 ,$275.40 ,$275.40 ,$275.40 ,$275.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000196,27810,HC TX FX BIM ANKLE W/MAN CLS,450,1 ,"$3,746.00 ","$2,809.50 ",$139.53 ,"$3,746.00 ","$2,412.42 ","$1,437.36 ","$2,622.20 ",$139.53 ,"$3,109.18 ",$143.72 ,"$2,472.36 ","$3,558.70 ", N/A ,"$2,996.80 ","$3,408.86 ",$139.53 ,"$3,521.24 ","$3,558.70 ","$3,371.40 ","$3,184.10 ",$139.53 ,$139.53 ,$139.53 ,"$2,734.58 ","$1,437.36 ","$3,333.94 ","$3,371.40 ","$3,371.40 ","$2,996.80 ","$1,480.48 ","$2,060.30 ","$3,371.40 ","$1,437.36 ","$3,371.40 ","$1,437.36 ","$3,558.70 ","$3,234.06 ","$3,446.32 ",$147.90 ,"$3,408.86 ","$1,437.36 ","$2,305.29 ","$2,412.42 ","$2,305.29 ","$3,371.40 ","$3,371.40 ","$2,795.64 ","$2,609.09 ","$1,451.73 ",$146.51 ,"$3,502.51 ","$1,509.23 ",$139.53 ,"$3,259.02 ","$1,437.36 ","$3,371.40 ","$1,437.36 ","$3,371.40 ","$3,371.40 ","$3,371.40 ","$3,633.62 ","$3,034.26 ","$3,371.40 ","$3,371.40 ","$3,371.40 ","$3,371.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000197,26700,HC TX DISL (M-P) W/O ANES CLS,450,1 ,$124.00 ,$93.00 ,$68.20 ,$478.57 ,$79.86 ,$212.70 ,$86.80 ,$124.00 ,$102.92 ,$143.72 ,$81.84 ,$117.80 , N/A ,$99.20 ,$112.84 ,$124.00 ,$116.56 ,$117.80 ,$111.60 ,$105.40 ,$139.53 ,$139.53 ,$139.53 ,$90.52 ,$212.70 ,$110.36 ,$111.60 ,$111.60 ,$99.20 ,$219.08 ,$68.20 ,$111.60 ,$212.70 ,$111.60 ,$212.70 ,$117.80 ,$478.57 ,$114.08 ,$147.90 ,$112.84 ,$212.70 ,$76.31 ,$79.86 ,$76.31 ,$111.60 ,$111.60 ,$92.54 ,$86.37 ,$214.82 ,$146.51 ,$115.94 ,$223.34 ,$124.00 ,$107.88 ,$212.70 ,$111.60 ,$212.70 ,$111.60 ,$111.60 ,$111.60 ,$120.28 ,$100.44 ,$111.60 ,$111.60 ,$111.60 ,$111.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000198,21480,HC TX DISL JAW CLS-UNI,450,1 ,$170.00 ,$127.50 ,$34.89 ,$478.57 ,$109.48 ,$212.70 ,$119.00 ,$34.89 ,$141.10 ,$35.94 ,$112.20 ,$161.50 , N/A ,$136.00 ,$154.70 ,$34.89 ,$159.80 ,$161.50 ,$153.00 ,$144.50 ,$34.89 ,$34.89 ,$34.89 ,$124.10 ,$212.70 ,$151.30 ,$153.00 ,$153.00 ,$136.00 ,$219.08 ,$93.50 ,$153.00 ,$212.70 ,$153.00 ,$212.70 ,$161.50 ,$478.57 ,$156.40 ,$36.98 ,$154.70 ,$212.70 ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$153.00 ,$126.87 ,$118.41 ,$214.82 ,$36.63 ,$158.95 ,$223.34 ,$34.89 ,$147.90 ,$212.70 ,$153.00 ,$212.70 ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000203,27840,HC TX DISL ANKE W/O ANES CLS,450,1 ,$550.00 ,$412.50 ,$139.53 ,$550.00 ,$354.20 ,$212.70 ,$385.00 ,$139.53 ,$456.50 ,$143.72 ,$363.00 ,$522.50 , N/A ,$440.00 ,$500.50 ,$139.53 ,$517.00 ,$522.50 ,$495.00 ,$467.50 ,$139.53 ,$139.53 ,$139.53 ,$401.50 ,$212.70 ,$489.50 ,$495.00 ,$495.00 ,$440.00 ,$219.08 ,$302.50 ,$495.00 ,$212.70 ,$495.00 ,$212.70 ,$522.50 ,$478.57 ,$506.00 ,$147.90 ,$500.50 ,$212.70 ,$338.47 ,$354.20 ,$338.47 ,$495.00 ,$495.00 ,$410.47 ,$383.08 ,$214.82 ,$146.51 ,$514.25 ,$223.34 ,$139.53 ,$478.50 ,$212.70 ,$495.00 ,$212.70 ,$495.00 ,$495.00 ,$495.00 ,$533.50 ,$445.50 ,$495.00 ,$495.00 ,$495.00 ,$495.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000204,23931,HC I AND D BURSA ELBOW/ARM,450,1 ,$385.48 ,$289.11 ,$212.01 ,"$3,266.98 ",$248.25 ,"$1,451.99 ",$269.84 ,$385.48 ,$319.95 ,$564.40 ,$254.42 ,$366.21 , N/A ,$308.38 ,$350.79 ,$385.48 ,$362.35 ,$366.21 ,$346.93 ,$327.66 ,$547.96 ,$547.96 ,$547.96 ,$281.40 ,"$1,451.99 ",$343.08 ,$346.93 ,$346.93 ,$308.38 ,"$1,495.55 ",$212.01 ,$346.93 ,"$1,451.99 ",$346.93 ,"$1,451.99 ",$366.21 ,"$3,266.98 ",$354.64 ,$580.84 ,$350.79 ,"$1,451.99 ",$237.22 ,$248.25 ,$237.22 ,$346.93 ,$346.93 ,$287.68 ,$268.49 ,"$1,466.51 ",$575.36 ,$360.42 ,"$1,524.59 ",$385.48 ,$335.37 ,"$1,451.99 ",$346.93 ,"$1,451.99 ",$346.93 ,$346.93 ,$346.93 ,$373.92 ,$312.24 ,$346.93 ,$346.93 ,$346.93 ,$346.93 
ST. JOSEPH'S - CHIPPEWA FALLS,45000212,25690,HC CLSD WRIST DISLOC,450,1 ,"$4,045.47 ","$3,034.10 ",$139.53 ,"$4,045.47 ","$2,605.28 ","$1,437.36 ","$2,831.83 ",$139.53 ,"$3,357.74 ",$143.72 ,"$2,670.01 ","$3,843.20 ", N/A ,"$3,236.38 ","$3,681.38 ",$139.53 ,"$3,802.74 ","$3,843.20 ","$3,640.92 ","$3,438.65 ",$139.53 ,$139.53 ,$139.53 ,"$2,953.19 ","$1,437.36 ","$3,600.47 ","$3,640.92 ","$3,640.92 ","$3,236.38 ","$1,480.48 ","$2,225.01 ","$3,640.92 ","$1,437.36 ","$3,640.92 ","$1,437.36 ","$3,843.20 ","$3,234.06 ","$3,721.83 ",$147.90 ,"$3,681.38 ","$1,437.36 ","$2,489.58 ","$2,605.28 ","$2,489.58 ","$3,640.92 ","$3,640.92 ","$3,019.13 ","$2,817.67 ","$1,451.73 ",$146.51 ,"$3,782.51 ","$1,509.23 ",$139.53 ,"$3,519.56 ","$1,437.36 ","$3,640.92 ","$1,437.36 ","$3,640.92 ","$3,640.92 ","$3,640.92 ","$3,924.11 ","$3,276.83 ","$3,640.92 ","$3,640.92 ","$3,640.92 ","$3,640.92 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000213,26720,HC FINGER FX W/O MANIP,450,1 ,$887.00 ,$665.25 ,$139.53 ,$887.00 ,$571.23 ,$212.70 ,$620.90 ,$139.53 ,$736.21 ,$143.72 ,$585.42 ,$842.65 , N/A ,$709.60 ,$807.17 ,$139.53 ,$833.78 ,$842.65 ,$798.30 ,$753.95 ,$139.53 ,$139.53 ,$139.53 ,$647.51 ,$212.70 ,$789.43 ,$798.30 ,$798.30 ,$709.60 ,$219.08 ,$487.85 ,$798.30 ,$212.70 ,$798.30 ,$212.70 ,$842.65 ,$478.57 ,$816.04 ,$147.90 ,$807.17 ,$212.70 ,$545.86 ,$571.23 ,$545.86 ,$798.30 ,$798.30 ,$661.97 ,$617.80 ,$214.82 ,$146.51 ,$829.35 ,$223.34 ,$139.53 ,$771.69 ,$212.70 ,$798.30 ,$212.70 ,$798.30 ,$798.30 ,$798.30 ,$860.39 ,$718.47 ,$798.30 ,$798.30 ,$798.30 ,$798.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000215,27786,HC DIST FIB FX W/O MANIP,450,1 ,$776.00 ,$582.00 ,$139.53 ,$776.00 ,$499.74 ,$212.70 ,$543.20 ,$139.53 ,$644.08 ,$143.72 ,$512.16 ,$737.20 , N/A ,$620.80 ,$706.16 ,$139.53 ,$729.44 ,$737.20 ,$698.40 ,$659.60 ,$139.53 ,$139.53 ,$139.53 ,$566.48 ,$212.70 ,$690.64 ,$698.40 ,$698.40 ,$620.80 ,$219.08 ,$426.80 ,$698.40 ,$212.70 ,$698.40 ,$212.70 ,$737.20 ,$478.57 ,$713.92 ,$147.90 ,$706.16 ,$212.70 ,$477.55 ,$499.74 ,$477.55 ,$698.40 ,$698.40 ,$579.13 ,$540.48 ,$214.82 ,$146.51 ,$725.56 ,$223.34 ,$139.53 ,$675.12 ,$212.70 ,$698.40 ,$212.70 ,$698.40 ,$698.40 ,$698.40 ,$752.72 ,$628.56 ,$698.40 ,$698.40 ,$698.40 ,$698.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000218,23500,HC CLOSED TREATMENT CLAVICLE FX,450,1 ,"$1,061.00 ",$795.75 ,$139.53 ,"$1,061.00 ",$683.28 ,$212.70 ,$742.70 ,$139.53 ,$880.63 ,$143.72 ,$700.26 ,"$1,007.95 ", N/A ,$848.80 ,$965.51 ,$139.53 ,$997.34 ,"$1,007.95 ",$954.90 ,$901.85 ,$139.53 ,$139.53 ,$139.53 ,$774.53 ,$212.70 ,$944.29 ,$954.90 ,$954.90 ,$848.80 ,$219.08 ,$583.55 ,$954.90 ,$212.70 ,$954.90 ,$212.70 ,"$1,007.95 ",$478.57 ,$976.12 ,$147.90 ,$965.51 ,$212.70 ,$652.94 ,$683.28 ,$652.94 ,$954.90 ,$954.90 ,$791.82 ,$738.99 ,$214.82 ,$146.51 ,$992.04 ,$223.34 ,$139.53 ,$923.07 ,$212.70 ,$954.90 ,$212.70 ,$954.90 ,$954.90 ,$954.90 ,"$1,029.17 ",$859.41 ,$954.90 ,$954.90 ,$954.90 ,$954.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000219,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP,450,1 ,$380.00 ,$285.00 ,$139.53 ,"$3,234.06 ",$244.72 ,"$1,437.36 ",$266.00 ,$139.53 ,$315.40 ,$143.72 ,$250.80 ,$361.00 , N/A ,$304.00 ,$345.80 ,$139.53 ,$357.20 ,$361.00 ,$342.00 ,$323.00 ,$139.53 ,$139.53 ,$139.53 ,$277.40 ,"$1,437.36 ",$338.20 ,$342.00 ,$342.00 ,$304.00 ,"$1,480.48 ",$209.00 ,$342.00 ,"$1,437.36 ",$342.00 ,"$1,437.36 ",$361.00 ,"$3,234.06 ",$349.60 ,$147.90 ,$345.80 ,"$1,437.36 ",$233.85 ,$244.72 ,$233.85 ,$342.00 ,$342.00 ,$283.59 ,$264.67 ,"$1,451.73 ",$146.51 ,$355.30 ,"$1,509.23 ",$139.53 ,$330.60 ,"$1,437.36 ",$342.00 ,"$1,437.36 ",$342.00 ,$342.00 ,$342.00 ,$368.60 ,$307.80 ,$342.00 ,$342.00 ,$342.00 ,$342.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000225,23540,HC CLOSED ACROM.W/O MANIP,450,1 ,"$1,212.00 ",$909.00 ,$139.53 ,"$1,212.00 ",$780.53 ,$212.70 ,$848.40 ,$139.53 ,"$1,005.96 ",$143.72 ,$799.92 ,"$1,151.40 ", N/A ,$969.60 ,"$1,102.92 ",$139.53 ,"$1,139.28 ","$1,151.40 ","$1,090.80 ","$1,030.20 ",$139.53 ,$139.53 ,$139.53 ,$884.76 ,$212.70 ,"$1,078.68 ","$1,090.80 ","$1,090.80 ",$969.60 ,$219.08 ,$666.60 ,"$1,090.80 ",$212.70 ,"$1,090.80 ",$212.70 ,"$1,151.40 ",$478.57 ,"$1,115.04 ",$147.90 ,"$1,102.92 ",$212.70 ,$745.86 ,$780.53 ,$745.86 ,"$1,090.80 ","$1,090.80 ",$904.52 ,$844.16 ,$214.82 ,$146.51 ,"$1,133.22 ",$223.34 ,$139.53 ,"$1,054.44 ",$212.70 ,"$1,090.80 ",$212.70 ,"$1,090.80 ","$1,090.80 ","$1,090.80 ","$1,175.64 ",$981.72 ,"$1,090.80 ","$1,090.80 ","$1,090.80 ","$1,090.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000227,25600,HC CLSD DIS.RADIUS W/O MANIP,450,1 ,$641.00 ,$480.75 ,$139.53 ,$641.00 ,$412.80 ,$212.70 ,$448.70 ,$139.53 ,$532.03 ,$143.72 ,$423.06 ,$608.95 , N/A ,$512.80 ,$583.31 ,$139.53 ,$602.54 ,$608.95 ,$576.90 ,$544.85 ,$139.53 ,$139.53 ,$139.53 ,$467.93 ,$212.70 ,$570.49 ,$576.90 ,$576.90 ,$512.80 ,$219.08 ,$352.55 ,$576.90 ,$212.70 ,$576.90 ,$212.70 ,$608.95 ,$478.57 ,$589.72 ,$147.90 ,$583.31 ,$212.70 ,$394.47 ,$412.80 ,$394.47 ,$576.90 ,$576.90 ,$478.38 ,$446.46 ,$214.82 ,$146.51 ,$599.34 ,$223.34 ,$139.53 ,$557.67 ,$212.70 ,$576.90 ,$212.70 ,$576.90 ,$576.90 ,$576.90 ,$621.77 ,$519.21 ,$576.90 ,$576.90 ,$576.90 ,$576.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000228,26750,HC CLSD DIST PHALANGEAL W/O MANIP,450,1 ,$887.00 ,$665.25 ,$139.53 ,$887.00 ,$571.23 ,$212.70 ,$620.90 ,$139.53 ,$736.21 ,$143.72 ,$585.42 ,$842.65 , N/A ,$709.60 ,$807.17 ,$139.53 ,$833.78 ,$842.65 ,$798.30 ,$753.95 ,$139.53 ,$139.53 ,$139.53 ,$647.51 ,$212.70 ,$789.43 ,$798.30 ,$798.30 ,$709.60 ,$219.08 ,$487.85 ,$798.30 ,$212.70 ,$798.30 ,$212.70 ,$842.65 ,$478.57 ,$816.04 ,$147.90 ,$807.17 ,$212.70 ,$545.86 ,$571.23 ,$545.86 ,$798.30 ,$798.30 ,$661.97 ,$617.80 ,$214.82 ,$146.51 ,$829.35 ,$223.34 ,$139.53 ,$771.69 ,$212.70 ,$798.30 ,$212.70 ,$798.30 ,$798.30 ,$798.30 ,$860.39 ,$718.47 ,$798.30 ,$798.30 ,$798.30 ,$798.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$320.00 ,$240.00 ,$139.53 ,$478.57 ,$206.08 ,$212.70 ,$224.00 ,$139.53 ,$265.60 ,$143.72 ,$211.20 ,$304.00 , N/A ,$256.00 ,$291.20 ,$139.53 ,$300.80 ,$304.00 ,$288.00 ,$272.00 ,$139.53 ,$139.53 ,$139.53 ,$233.60 ,$212.70 ,$284.80 ,$288.00 ,$288.00 ,$256.00 ,$219.08 ,$176.00 ,$288.00 ,$212.70 ,$288.00 ,$212.70 ,$304.00 ,$478.57 ,$294.40 ,$147.90 ,$291.20 ,$212.70 ,$196.93 ,$206.08 ,$196.93 ,$288.00 ,$288.00 ,$238.82 ,$222.88 ,$214.82 ,$146.51 ,$299.20 ,$223.34 ,$139.53 ,$278.40 ,$212.70 ,$288.00 ,$212.70 ,$288.00 ,$288.00 ,$288.00 ,$310.40 ,$259.20 ,$288.00 ,$288.00 ,$288.00 ,$288.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000235,28470,HC CLSD METATARSAL W/O MANIP,450,1 ,$157.00 ,$117.75 ,$86.35 ,$478.57 ,$101.11 ,$212.70 ,$109.90 ,$139.53 ,$130.31 ,$143.72 ,$103.62 ,$149.15 , N/A ,$125.60 ,$142.87 ,$139.53 ,$147.58 ,$149.15 ,$141.30 ,$133.45 ,$139.53 ,$139.53 ,$139.53 ,$114.61 ,$212.70 ,$139.73 ,$141.30 ,$141.30 ,$125.60 ,$219.08 ,$86.35 ,$141.30 ,$212.70 ,$141.30 ,$212.70 ,$149.15 ,$478.57 ,$144.44 ,$147.90 ,$142.87 ,$212.70 ,$96.62 ,$101.11 ,$96.62 ,$141.30 ,$141.30 ,$117.17 ,$109.35 ,$214.82 ,$146.51 ,$146.80 ,$223.34 ,$139.53 ,$136.59 ,$212.70 ,$141.30 ,$212.70 ,$141.30 ,$141.30 ,$141.30 ,$152.29 ,$127.17 ,$141.30 ,$141.30 ,$141.30 ,$141.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000245,28490,HC GREAT TOE W/O RED FX,450,1 ,$691.00 ,$518.25 ,$139.53 ,$691.00 ,$445.00 ,$212.70 ,$483.70 ,$139.53 ,$573.53 ,$143.72 ,$456.06 ,$656.45 , N/A ,$552.80 ,$628.81 ,$139.53 ,$649.54 ,$656.45 ,$621.90 ,$587.35 ,$139.53 ,$139.53 ,$139.53 ,$504.43 ,$212.70 ,$614.99 ,$621.90 ,$621.90 ,$552.80 ,$219.08 ,$380.05 ,$621.90 ,$212.70 ,$621.90 ,$212.70 ,$656.45 ,$478.57 ,$635.72 ,$147.90 ,$628.81 ,$212.70 ,$425.24 ,$445.00 ,$425.24 ,$621.90 ,$621.90 ,$515.69 ,$481.28 ,$214.82 ,$146.51 ,$646.09 ,$223.34 ,$139.53 ,$601.17 ,$212.70 ,$621.90 ,$212.70 ,$621.90 ,$621.90 ,$621.90 ,$670.27 ,$559.71 ,$621.90 ,$621.90 ,$621.90 ,$621.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000248,28475,HC CLSD METATARSAL W/MANIP,450,1 ,$644.00 ,$483.00 ,$139.53 ,$644.00 ,$414.74 ,$212.70 ,$450.80 ,$139.53 ,$534.52 ,$143.72 ,$425.04 ,$611.80 , N/A ,$515.20 ,$586.04 ,$139.53 ,$605.36 ,$611.80 ,$579.60 ,$547.40 ,$139.53 ,$139.53 ,$139.53 ,$470.12 ,$212.70 ,$573.16 ,$579.60 ,$579.60 ,$515.20 ,$219.08 ,$354.20 ,$579.60 ,$212.70 ,$579.60 ,$212.70 ,$611.80 ,$478.57 ,$592.48 ,$147.90 ,$586.04 ,$212.70 ,$396.32 ,$414.74 ,$396.32 ,$579.60 ,$579.60 ,$480.62 ,$448.55 ,$214.82 ,$146.51 ,$602.14 ,$223.34 ,$139.53 ,$560.28 ,$212.70 ,$579.60 ,$212.70 ,$579.60 ,$579.60 ,$579.60 ,$624.68 ,$521.64 ,$579.60 ,$579.60 ,$579.60 ,$579.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000249,28515,HC TOE FX W/MANIP,450,1 ,$163.00 ,$122.25 ,$89.65 ,$478.57 ,$104.97 ,$212.70 ,$114.10 ,$139.53 ,$135.29 ,$143.72 ,$107.58 ,$154.85 , N/A ,$130.40 ,$148.33 ,$139.53 ,$153.22 ,$154.85 ,$146.70 ,$138.55 ,$139.53 ,$139.53 ,$139.53 ,$118.99 ,$212.70 ,$145.07 ,$146.70 ,$146.70 ,$130.40 ,$219.08 ,$89.65 ,$146.70 ,$212.70 ,$146.70 ,$212.70 ,$154.85 ,$478.57 ,$149.96 ,$147.90 ,$148.33 ,$212.70 ,$100.31 ,$104.97 ,$100.31 ,$146.70 ,$146.70 ,$121.65 ,$113.53 ,$214.82 ,$146.51 ,$152.41 ,$223.34 ,$139.53 ,$141.81 ,$212.70 ,$146.70 ,$212.70 ,$146.70 ,$146.70 ,$146.70 ,$158.11 ,$132.03 ,$146.70 ,$146.70 ,$146.70 ,$146.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000250,28510,HC TOE FX W/O MANIP EACH,450,1 ,$666.00 ,$499.50 ,$139.53 ,$666.00 ,$428.90 ,$212.70 ,$466.20 ,$139.53 ,$552.78 ,$143.72 ,$439.56 ,$632.70 , N/A ,$532.80 ,$606.06 ,$139.53 ,$626.04 ,$632.70 ,$599.40 ,$566.10 ,$139.53 ,$139.53 ,$139.53 ,$486.18 ,$212.70 ,$592.74 ,$599.40 ,$599.40 ,$532.80 ,$219.08 ,$366.30 ,$599.40 ,$212.70 ,$599.40 ,$212.70 ,$632.70 ,$478.57 ,$612.72 ,$147.90 ,$606.06 ,$212.70 ,$409.86 ,$428.90 ,$409.86 ,$599.40 ,$599.40 ,$497.04 ,$463.87 ,$214.82 ,$146.51 ,$622.71 ,$223.34 ,$139.53 ,$579.42 ,$212.70 ,$599.40 ,$212.70 ,$599.40 ,$599.40 ,$599.40 ,$646.02 ,$539.46 ,$599.40 ,$599.40 ,$599.40 ,$599.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000251,24650,HC RADIAL HEAD W/O RED;ADULT,450,1 ,"$1,440.00 ","$1,080.00 ",$139.53 ,"$1,440.00 ",$927.36 ,$212.70 ,"$1,008.00 ",$139.53 ,"$1,195.20 ",$143.72 ,$950.40 ,"$1,368.00 ", N/A ,"$1,152.00 ","$1,310.40 ",$139.53 ,"$1,353.60 ","$1,368.00 ","$1,296.00 ","$1,224.00 ",$139.53 ,$139.53 ,$139.53 ,"$1,051.20 ",$212.70 ,"$1,281.60 ","$1,296.00 ","$1,296.00 ","$1,152.00 ",$219.08 ,$792.00 ,"$1,296.00 ",$212.70 ,"$1,296.00 ",$212.70 ,"$1,368.00 ",$478.57 ,"$1,324.80 ",$147.90 ,"$1,310.40 ",$212.70 ,$886.18 ,$927.36 ,$886.18 ,"$1,296.00 ","$1,296.00 ","$1,074.67 ","$1,002.96 ",$214.82 ,$146.51 ,"$1,346.40 ",$223.34 ,$139.53 ,"$1,252.80 ",$212.70 ,"$1,296.00 ",$212.70 ,"$1,296.00 ","$1,296.00 ","$1,296.00 ","$1,396.80 ","$1,166.40 ","$1,296.00 ","$1,296.00 ","$1,296.00 ","$1,296.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000252,20520,HC MUSCLE FB REM W/ INC,450,1 ,$745.00 ,$558.75 ,$409.75 ,"$3,266.98 ",$479.78 ,"$1,451.99 ",$521.50 ,$547.96 ,$618.35 ,$564.40 ,$491.70 ,$707.75 , N/A ,$596.00 ,$677.95 ,$547.96 ,$700.30 ,$707.75 ,$670.50 ,$633.25 ,$547.96 ,$547.96 ,$547.96 ,$543.85 ,"$1,451.99 ",$663.05 ,$670.50 ,$670.50 ,$596.00 ,"$1,495.55 ",$409.75 ,$670.50 ,"$1,451.99 ",$670.50 ,"$1,451.99 ",$707.75 ,"$3,266.98 ",$685.40 ,$580.84 ,$677.95 ,"$1,451.99 ",$458.47 ,$479.78 ,$458.47 ,$670.50 ,$670.50 ,$555.99 ,$518.89 ,"$1,466.51 ",$575.36 ,$696.58 ,"$1,524.59 ",$547.96 ,$648.15 ,"$1,451.99 ",$670.50 ,"$1,451.99 ",$670.50 ,$670.50 ,$670.50 ,$722.65 ,$603.45 ,$670.50 ,$670.50 ,$670.50 ,$670.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000258,29345,HC LONG LEG CAST,450,1 ,"$1,060.00 ",$795.00 ,$59.15 ,"$1,060.00 ",$682.64 ,$248.95 ,$742.00 ,$59.15 ,$879.80 ,$60.92 ,$699.60 ,"$1,007.00 ", N/A ,$848.00 ,$964.60 ,$59.15 ,$996.40 ,"$1,007.00 ",$954.00 ,$901.00 ,$59.15 ,$59.15 ,$59.15 ,$773.80 ,$248.95 ,$943.40 ,$954.00 ,$954.00 ,$848.00 ,$256.42 ,$583.00 ,$954.00 ,$248.95 ,$954.00 ,$248.95 ,"$1,007.00 ",$560.14 ,$975.20 ,$62.70 ,$964.60 ,$248.95 ,$652.32 ,$682.64 ,$652.32 ,$954.00 ,$954.00 ,$791.08 ,$738.29 ,$251.44 ,$62.11 ,$991.10 ,$261.40 ,$59.15 ,$922.20 ,$248.95 ,$954.00 ,$248.95 ,$954.00 ,$954.00 ,$954.00 ,"$1,028.20 ",$858.60 ,$954.00 ,$954.00 ,$954.00 ,$954.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000264,11400,HC EXC LESION 0.5<,450,1 ,$253.00 ,$189.75 ,$139.15 ,"$1,444.89 ",$162.93 ,$642.18 ,$177.10 ,$139.95 ,$209.99 ,$144.15 ,$166.98 ,$240.35 , N/A ,$202.40 ,$230.23 ,$139.95 ,$237.82 ,$240.35 ,$227.70 ,$215.05 ,$139.95 ,$139.95 ,$139.95 ,$184.69 ,$642.18 ,$225.17 ,$227.70 ,$227.70 ,$202.40 ,$661.44 ,$139.15 ,$227.70 ,$642.18 ,$227.70 ,$642.18 ,$240.35 ,"$1,444.89 ",$232.76 ,$148.35 ,$230.23 ,$642.18 ,$155.70 ,$162.93 ,$155.70 ,$227.70 ,$227.70 ,$188.81 ,$176.21 ,$648.60 ,$146.95 ,$236.56 ,$674.29 ,$139.95 ,$220.11 ,$642.18 ,$227.70 ,$642.18 ,$227.70 ,$227.70 ,$227.70 ,$245.41 ,$204.93 ,$227.70 ,$227.70 ,$227.70 ,$227.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000270,20606,HC ARTHROCNT ASP/INJ JT INTRM W/ULTRA,450,1 ,"$1,805.00 ","$1,353.75 ",$154.70 ,"$1,805.00 ","$1,162.42 ",$655.29 ,"$1,263.50 ",$154.70 ,"$1,498.15 ",$159.34 ,"$1,191.30 ","$1,714.75 ", N/A ,"$1,444.00 ","$1,642.55 ",$154.70 ,"$1,696.70 ","$1,714.75 ","$1,624.50 ","$1,534.25 ",$154.70 ,$154.70 ,$154.70 ,"$1,317.65 ",$655.29 ,"$1,606.45 ","$1,624.50 ","$1,624.50 ","$1,444.00 ",$674.95 ,$992.75 ,"$1,624.50 ",$655.29 ,"$1,624.50 ",$655.29 ,"$1,714.75 ","$1,474.40 ","$1,660.60 ",$163.98 ,"$1,642.55 ",$655.29 ,"$1,110.80 ","$1,162.42 ","$1,110.80 ","$1,624.50 ","$1,624.50 ","$1,347.07 ","$1,257.18 ",$661.84 ,$162.44 ,"$1,687.68 ",$688.05 ,$154.70 ,"$1,570.35 ",$655.29 ,"$1,624.50 ",$655.29 ,"$1,624.50 ","$1,624.50 ","$1,624.50 ","$1,750.85 ","$1,462.05 ","$1,624.50 ","$1,624.50 ","$1,624.50 ","$1,624.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000271,20604,HC ARTHROCNT ASP/INJ JT SMALL W/ULTRA,450,1 ,"$1,715.00 ","$1,286.25 ",$154.70 ,"$1,715.00 ","$1,104.46 ",$269.62 ,"$1,200.50 ",$154.70 ,"$1,423.45 ",$159.34 ,"$1,131.90 ","$1,629.25 ", N/A ,"$1,372.00 ","$1,560.65 ",$154.70 ,"$1,612.10 ","$1,629.25 ","$1,543.50 ","$1,457.75 ",$154.70 ,$154.70 ,$154.70 ,"$1,251.95 ",$269.62 ,"$1,526.35 ","$1,543.50 ","$1,543.50 ","$1,372.00 ",$277.70 ,$943.25 ,"$1,543.50 ",$269.62 ,"$1,543.50 ",$269.62 ,"$1,629.25 ",$606.64 ,"$1,577.80 ",$163.98 ,"$1,560.65 ",$269.62 ,"$1,055.41 ","$1,104.46 ","$1,055.41 ","$1,543.50 ","$1,543.50 ","$1,279.90 ","$1,194.50 ",$272.31 ,$162.44 ,"$1,603.53 ",$283.10 ,$154.70 ,"$1,492.05 ",$269.62 ,"$1,543.50 ",$269.62 ,"$1,543.50 ","$1,543.50 ","$1,543.50 ","$1,663.55 ","$1,389.15 ","$1,543.50 ","$1,543.50 ","$1,543.50 ","$1,543.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,"$1,398.00 ","$1,048.50 ",$154.70 ,"$1,398.00 ",$900.31 ,$269.62 ,$978.60 ,$154.70 ,"$1,160.34 ",$159.34 ,$922.68 ,"$1,328.10 ", N/A ,"$1,118.40 ","$1,272.18 ",$154.70 ,"$1,314.12 ","$1,328.10 ","$1,258.20 ","$1,188.30 ",$154.70 ,$154.70 ,$154.70 ,"$1,020.54 ",$269.62 ,"$1,244.22 ","$1,258.20 ","$1,258.20 ","$1,118.40 ",$277.70 ,$768.90 ,"$1,258.20 ",$269.62 ,"$1,258.20 ",$269.62 ,"$1,328.10 ",$606.64 ,"$1,286.16 ",$163.98 ,"$1,272.18 ",$269.62 ,$860.33 ,$900.31 ,$860.33 ,"$1,258.20 ","$1,258.20 ","$1,043.33 ",$973.71 ,$272.31 ,$162.44 ,"$1,307.13 ",$283.10 ,$154.70 ,"$1,216.26 ",$269.62 ,"$1,258.20 ",$269.62 ,"$1,258.20 ","$1,258.20 ","$1,258.20 ","$1,356.06 ","$1,132.38 ","$1,258.20 ","$1,258.20 ","$1,258.20 ","$1,258.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$110.00 ,$82.50 ,$34.89 ,$129.25 ,$70.84 ,$57.44 ,$77.00 ,$34.89 ,$91.30 ,$35.94 ,$72.60 ,$104.50 , N/A ,$88.00 ,$100.10 ,$34.89 ,$103.40 ,$104.50 ,$99.00 ,$93.50 ,$34.89 ,$34.89 ,$34.89 ,$80.30 ,$57.44 ,$97.90 ,$99.00 ,$99.00 ,$88.00 ,$59.17 ,$60.50 ,$99.00 ,$57.44 ,$99.00 ,$57.44 ,$104.50 ,$129.25 ,$101.20 ,$36.98 ,$100.10 ,$57.44 ,$67.69 ,$70.84 ,$67.69 ,$99.00 ,$99.00 ,$82.09 ,$76.62 ,$58.02 ,$36.63 ,$102.85 ,$60.31 ,$34.89 ,$95.70 ,$57.44 ,$99.00 ,$57.44 ,$99.00 ,$99.00 ,$99.00 ,$106.70 ,$89.10 ,$99.00 ,$99.00 ,$99.00 ,$99.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000274,99281,HC ER LEVEL 1-25,450,1 ,$164.00 ,$123.00 ,$38.23 ,$168.42 ,$105.62 ,$74.85 ,$114.80 ,$38.23 ,$164.00 ,$39.38 ,$164.00 ,$155.80 , N/A ,$131.20 ,$149.24 ,$38.23 ,$154.16 ,$155.80 ,$147.60 ,$139.40 ,$38.23 ,$38.23 ,$38.23 ,$119.72 ,$74.85 ,$145.96 ,$147.60 ,$147.60 ,$131.20 ,$77.10 ,$90.20 ,$147.60 ,$74.85 ,$147.60 ,$74.85 ,$155.80 ,$168.42 ,$150.88 ,$40.52 ,$149.24 ,$74.85 ,$100.93 ,$105.62 ,$100.93 ,$147.60 ,$147.60 ,$122.39 ,$147.60 ,$75.60 ,$40.14 ,$153.34 ,$78.59 ,$38.23 ,$142.68 ,$74.85 ,$147.60 ,$74.85 ,$147.60 ,$147.60 ,$147.60 ,$159.08 ,$132.84 ,$147.60 ,$147.60 ,$147.60 ,$147.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000275,99282,HC ER LEVEL 2-25,450,1 ,$240.00 ,$180.00 ,$38.23 ,$304.99 ,$154.56 ,$135.55 ,$168.00 ,$38.23 ,$240.00 ,$39.38 ,$240.00 ,$228.00 , N/A ,$192.00 ,$218.40 ,$38.23 ,$225.60 ,$228.00 ,$216.00 ,$204.00 ,$38.23 ,$38.23 ,$38.23 ,$175.20 ,$135.55 ,$213.60 ,$216.00 ,$216.00 ,$192.00 ,$139.62 ,$132.00 ,$216.00 ,$135.55 ,$216.00 ,$135.55 ,$228.00 ,$304.99 ,$220.80 ,$40.52 ,$218.40 ,$135.55 ,$147.70 ,$154.56 ,$147.70 ,$216.00 ,$216.00 ,$179.11 ,$216.00 ,$136.91 ,$40.14 ,$224.40 ,$142.33 ,$38.23 ,$208.80 ,$135.55 ,$216.00 ,$135.55 ,$216.00 ,$216.00 ,$216.00 ,$232.80 ,$194.40 ,$216.00 ,$216.00 ,$216.00 ,$216.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000276,99283,HC ER LEVEL 3-25,450,1 ,$511.00 ,$383.25 ,$38.23 ,$537.34 ,$329.08 ,$238.82 ,$357.70 ,$38.23 ,$511.00 ,$39.38 ,$511.00 ,$485.45 , N/A ,$408.80 ,$465.01 ,$38.23 ,$480.34 ,$485.45 ,$459.90 ,$434.35 ,$38.23 ,$38.23 ,$38.23 ,$373.03 ,$238.82 ,$454.79 ,$459.90 ,$459.90 ,$408.80 ,$245.98 ,$281.05 ,$459.90 ,$238.82 ,$459.90 ,$238.82 ,$485.45 ,$537.34 ,$470.12 ,$40.52 ,$465.01 ,$238.82 ,$314.47 ,$329.08 ,$314.47 ,$459.90 ,$459.90 ,$381.36 ,$459.90 ,$241.21 ,$40.14 ,$477.79 ,$250.76 ,$38.23 ,$444.57 ,$238.82 ,$459.90 ,$238.82 ,$459.90 ,$459.90 ,$459.90 ,$495.67 ,$413.91 ,$459.90 ,$459.90 ,$459.90 ,$459.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000277,99284,HC ER LEVEL 4-25,450,1 ,"$1,014.00 ",$760.50 ,$38.23 ,"$1,014.00 ",$653.02 ,$375.40 ,$709.80 ,$38.23 ,"$1,014.00 ",$39.38 ,"$1,014.00 ",$963.30 , N/A ,$811.20 ,$922.74 ,$38.23 ,$953.16 ,$963.30 ,$912.60 ,$861.90 ,$38.23 ,$38.23 ,$38.23 ,$740.22 ,$375.40 ,$902.46 ,$912.60 ,$912.60 ,$811.20 ,$386.66 ,$557.70 ,$912.60 ,$375.40 ,$912.60 ,$375.40 ,$963.30 ,$844.65 ,$932.88 ,$40.52 ,$922.74 ,$375.40 ,$624.02 ,$653.02 ,$624.02 ,$912.60 ,$912.60 ,$756.75 ,$912.60 ,$379.15 ,$40.14 ,$948.09 ,$394.17 ,$38.23 ,$882.18 ,$375.40 ,$912.60 ,$375.40 ,$912.60 ,$912.60 ,$912.60 ,$983.58 ,$821.34 ,$912.60 ,$912.60 ,$912.60 ,$912.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000278,99285,HC ER LEVEL 5-25,450,1 ,"$1,486.00 ","$1,114.50 ",$38.23 ,"$1,486.00 ",$956.98 ,$538.84 ,"$1,040.20 ",$38.23 ,"$1,486.00 ",$39.38 ,"$1,486.00 ","$1,411.70 ", N/A ,"$1,188.80 ","$1,352.26 ",$38.23 ,"$1,396.84 ","$1,411.70 ","$1,337.40 ","$1,263.10 ",$38.23 ,$38.23 ,$38.23 ,"$1,084.78 ",$538.84 ,"$1,322.54 ","$1,337.40 ","$1,337.40 ","$1,188.80 ",$555.00 ,$817.30 ,"$1,337.40 ",$538.84 ,"$1,337.40 ",$538.84 ,"$1,411.70 ","$1,212.38 ","$1,367.12 ",$40.52 ,"$1,352.26 ",$538.84 ,$914.48 ,$956.98 ,$914.48 ,"$1,337.40 ","$1,337.40 ","$1,109.00 ","$1,337.40 ",$544.23 ,$40.14 ,"$1,389.41 ",$565.78 ,$38.23 ,"$1,292.82 ",$538.84 ,"$1,337.40 ",$538.84 ,"$1,337.40 ","$1,337.40 ","$1,337.40 ","$1,441.42 ","$1,203.66 ","$1,337.40 ","$1,337.40 ","$1,337.40 ","$1,337.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000279,99291,HC CRITICAL CARE 30-74 MIN -25,450,1 ,"$2,048.00 ","$1,536.00 ",$38.23 ,"$2,048.00 ","$1,318.91 ",$768.68 ,"$1,433.60 ",$38.23 ,"$2,048.00 ",$39.38 ,"$2,048.00 ","$1,945.60 ", N/A ,"$1,638.40 ","$1,863.68 ",$38.23 ,"$1,925.12 ","$1,945.60 ","$1,843.20 ","$1,740.80 ",$38.23 ,$38.23 ,$38.23 ,"$1,495.04 ",$768.68 ,"$1,822.72 ","$1,843.20 ","$1,843.20 ","$1,638.40 ",$791.74 ,"$1,126.40 ","$1,843.20 ",$768.68 ,"$1,843.20 ",$768.68 ,"$1,945.60 ","$1,729.53 ","$1,884.16 ",$40.52 ,"$1,863.68 ",$768.68 ,"$1,260.34 ","$1,318.91 ","$1,260.34 ","$1,843.20 ","$1,843.20 ","$1,528.42 ","$1,843.20 ",$776.37 ,$40.14 ,"$1,914.88 ",$807.11 ,$38.23 ,"$1,781.76 ",$768.68 ,"$1,843.20 ",$768.68 ,"$1,843.20 ","$1,843.20 ","$1,843.20 ","$1,986.56 ","$1,658.88 ","$1,843.20 ","$1,843.20 ","$1,843.20 ","$1,843.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000280,99292,HC CRITICAL CARE ADDL 30MIN -25,450,1 ,$306.00 ,$229.50 ,$38.23 ,$306.00 ,$197.06 , N/A ,$214.20 ,$38.23 ,$253.98 ,$39.38 ,$201.96 ,$290.70 , N/A ,$244.80 ,$278.46 ,$38.23 ,$287.64 ,$290.70 ,$275.40 ,$260.10 ,$38.23 ,$38.23 ,$38.23 ,$223.38 , N/A ,$272.34 ,$275.40 ,$275.40 ,$244.80 , N/A ,$168.30 ,$275.40 , N/A ,$275.40 , N/A ,$290.70 , N/A ,$281.52 ,$40.52 ,$278.46 , N/A ,$188.31 ,$197.06 ,$188.31 ,$275.40 ,$275.40 ,$228.37 ,$213.13 , N/A ,$40.14 ,$286.11 , N/A ,$38.23 ,$266.22 , N/A ,$275.40 , N/A ,$275.40 ,$275.40 ,$275.40 ,$296.82 ,$247.86 ,$275.40 ,$275.40 ,$275.40 ,$275.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000281,N/A,HC ED PROC LEVEL 1,450,1 ,$211.00 ,$158.25 ,$116.05 ,$211.00 ,$135.88 , N/A ,$147.70 , N/A ,$175.13 , N/A ,$139.26 ,$200.45 , N/A ,$168.80 ,$192.01 , N/A ,$198.34 ,$200.45 ,$189.90 ,$179.35 , N/A , N/A , N/A ,$154.03 , N/A ,$187.79 ,$189.90 ,$189.90 ,$168.80 , N/A ,$116.05 ,$189.90 , N/A ,$189.90 , N/A ,$200.45 , N/A ,$194.12 , N/A ,$192.01 , N/A ,$129.85 ,$135.88 ,$129.85 ,$189.90 ,$189.90 ,$157.47 ,$146.96 , N/A , N/A ,$197.29 , N/A , N/A ,$183.57 , N/A ,$189.90 , N/A ,$189.90 ,$189.90 ,$189.90 ,$204.67 ,$170.91 ,$189.90 ,$189.90 ,$189.90 ,$189.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000282,N/A,HC ED PROC LEVEL 2,450,1 ,$357.00 ,$267.75 ,$196.35 ,$357.00 ,$229.91 , N/A ,$249.90 , N/A ,$296.31 , N/A ,$235.62 ,$339.15 , N/A ,$285.60 ,$324.87 , N/A ,$335.58 ,$339.15 ,$321.30 ,$303.45 , N/A , N/A , N/A ,$260.61 , N/A ,$317.73 ,$321.30 ,$321.30 ,$285.60 , N/A ,$196.35 ,$321.30 , N/A ,$321.30 , N/A ,$339.15 , N/A ,$328.44 , N/A ,$324.87 , N/A ,$219.70 ,$229.91 ,$219.70 ,$321.30 ,$321.30 ,$266.43 ,$248.65 , N/A , N/A ,$333.80 , N/A , N/A ,$310.59 , N/A ,$321.30 , N/A ,$321.30 ,$321.30 ,$321.30 ,$346.29 ,$289.17 ,$321.30 ,$321.30 ,$321.30 ,$321.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000283,N/A,HC ED PROC LEVEL 3,450,1 ,$468.00 ,$351.00 ,$257.40 ,$468.00 ,$301.39 , N/A ,$327.60 , N/A ,$388.44 , N/A ,$308.88 ,$444.60 , N/A ,$374.40 ,$425.88 , N/A ,$439.92 ,$444.60 ,$421.20 ,$397.80 , N/A , N/A , N/A ,$341.64 , N/A ,$416.52 ,$421.20 ,$421.20 ,$374.40 , N/A ,$257.40 ,$421.20 , N/A ,$421.20 , N/A ,$444.60 , N/A ,$430.56 , N/A ,$425.88 , N/A ,$288.01 ,$301.39 ,$288.01 ,$421.20 ,$421.20 ,$349.27 ,$325.96 , N/A , N/A ,$437.58 , N/A , N/A ,$407.16 , N/A ,$421.20 , N/A ,$421.20 ,$421.20 ,$421.20 ,$453.96 ,$379.08 ,$421.20 ,$421.20 ,$421.20 ,$421.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000284,N/A,HC ED PROC LEVEL 4,450,1 ,$580.00 ,$435.00 ,$319.00 ,$580.00 ,$373.52 , N/A ,$406.00 , N/A ,$481.40 , N/A ,$382.80 ,$551.00 , N/A ,$464.00 ,$527.80 , N/A ,$545.20 ,$551.00 ,$522.00 ,$493.00 , N/A , N/A , N/A ,$423.40 , N/A ,$516.20 ,$522.00 ,$522.00 ,$464.00 , N/A ,$319.00 ,$522.00 , N/A ,$522.00 , N/A ,$551.00 , N/A ,$533.60 , N/A ,$527.80 , N/A ,$356.93 ,$373.52 ,$356.93 ,$522.00 ,$522.00 ,$432.85 ,$403.97 , N/A , N/A ,$542.30 , N/A , N/A ,$504.60 , N/A ,$522.00 , N/A ,$522.00 ,$522.00 ,$522.00 ,$562.60 ,$469.80 ,$522.00 ,$522.00 ,$522.00 ,$522.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000285,N/A,HC ED PROC LEVEL 5,450,1 ,$803.00 ,$602.25 ,$441.65 ,$803.00 ,$517.13 , N/A ,$562.10 , N/A ,$666.49 , N/A ,$529.98 ,$762.85 , N/A ,$642.40 ,$730.73 , N/A ,$754.82 ,$762.85 ,$722.70 ,$682.55 , N/A , N/A , N/A ,$586.19 , N/A ,$714.67 ,$722.70 ,$722.70 ,$642.40 , N/A ,$441.65 ,$722.70 , N/A ,$722.70 , N/A ,$762.85 , N/A ,$738.76 , N/A ,$730.73 , N/A ,$494.17 ,$517.13 ,$494.17 ,$722.70 ,$722.70 ,$599.28 ,$559.29 , N/A , N/A ,$750.81 , N/A , N/A ,$698.61 , N/A ,$722.70 , N/A ,$722.70 ,$722.70 ,$722.70 ,$778.91 ,$650.43 ,$722.70 ,$722.70 ,$722.70 ,$722.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000287,11402,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM,450,1 ,"$1,872.00 ","$1,404.00 ",$139.95 ,"$1,872.00 ","$1,205.57 ",$642.18 ,"$1,310.40 ",$139.95 ,"$1,553.76 ",$144.15 ,"$1,235.52 ","$1,778.40 ", N/A ,"$1,497.60 ","$1,703.52 ",$139.95 ,"$1,759.68 ","$1,778.40 ","$1,684.80 ","$1,591.20 ",$139.95 ,$139.95 ,$139.95 ,"$1,366.56 ",$642.18 ,"$1,666.08 ","$1,684.80 ","$1,684.80 ","$1,497.60 ",$661.44 ,"$1,029.60 ","$1,684.80 ",$642.18 ,"$1,684.80 ",$642.18 ,"$1,778.40 ","$1,444.89 ","$1,722.24 ",$148.35 ,"$1,703.52 ",$642.18 ,"$1,152.03 ","$1,205.57 ","$1,152.03 ","$1,684.80 ","$1,684.80 ","$1,397.07 ","$1,303.85 ",$648.60 ,$146.95 ,"$1,750.32 ",$674.29 ,$139.95 ,"$1,628.64 ",$642.18 ,"$1,684.80 ",$642.18 ,"$1,684.80 ","$1,684.80 ","$1,684.80 ","$1,815.84 ","$1,516.32 ","$1,684.80 ","$1,684.80 ","$1,684.80 ","$1,684.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000300,21310,HC CLOSED TX FX NASAL BONE W/O MANIPULATION,450,1 ,$93.00 ,$69.75 ,$51.15 ,$93.00 ,$59.89 , N/A ,$65.10 , N/A ,$77.19 , N/A ,$61.38 ,$88.35 , N/A ,$74.40 ,$84.63 , N/A ,$87.42 ,$88.35 ,$83.70 ,$79.05 , N/A , N/A , N/A ,$67.89 , N/A ,$82.77 ,$83.70 ,$83.70 ,$74.40 , N/A ,$51.15 ,$83.70 , N/A ,$83.70 , N/A ,$88.35 , N/A ,$85.56 , N/A ,$84.63 , N/A ,$57.23 ,$59.89 ,$57.23 ,$83.70 ,$83.70 ,$69.41 ,$64.77 , N/A , N/A ,$86.96 , N/A , N/A ,$80.91 , N/A ,$83.70 , N/A ,$83.70 ,$83.70 ,$83.70 ,$90.21 ,$75.33 ,$83.70 ,$83.70 ,$83.70 ,$83.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000304,25650,HC CLOSED TX ULNAR STYLOID FX,450,1 ,$786.00 ,$589.50 ,$139.53 ,$786.00 ,$506.18 ,$212.70 ,$550.20 ,$139.53 ,$652.38 ,$143.72 ,$518.76 ,$746.70 , N/A ,$628.80 ,$715.26 ,$139.53 ,$738.84 ,$746.70 ,$707.40 ,$668.10 ,$139.53 ,$139.53 ,$139.53 ,$573.78 ,$212.70 ,$699.54 ,$707.40 ,$707.40 ,$628.80 ,$219.08 ,$432.30 ,$707.40 ,$212.70 ,$707.40 ,$212.70 ,$746.70 ,$478.57 ,$723.12 ,$147.90 ,$715.26 ,$212.70 ,$483.70 ,$506.18 ,$483.70 ,$707.40 ,$707.40 ,$586.59 ,$547.45 ,$214.82 ,$146.51 ,$734.91 ,$223.34 ,$139.53 ,$683.82 ,$212.70 ,$707.40 ,$212.70 ,$707.40 ,$707.40 ,$707.40 ,$762.42 ,$636.66 ,$707.40 ,$707.40 ,$707.40 ,$707.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$567.00 ,$425.25 ,$139.53 ,$567.00 ,$365.15 ,$212.70 ,$396.90 ,$139.53 ,$470.61 ,$143.72 ,$374.22 ,$538.65 , N/A ,$453.60 ,$515.97 ,$139.53 ,$532.98 ,$538.65 ,$510.30 ,$481.95 ,$139.53 ,$139.53 ,$139.53 ,$413.91 ,$212.70 ,$504.63 ,$510.30 ,$510.30 ,$453.60 ,$219.08 ,$311.85 ,$510.30 ,$212.70 ,$510.30 ,$212.70 ,$538.65 ,$478.57 ,$521.64 ,$147.90 ,$515.97 ,$212.70 ,$348.93 ,$365.15 ,$348.93 ,$510.30 ,$510.30 ,$423.15 ,$394.92 ,$214.82 ,$146.51 ,$530.15 ,$223.34 ,$139.53 ,$493.29 ,$212.70 ,$510.30 ,$212.70 ,$510.30 ,$510.30 ,$510.30 ,$549.99 ,$459.27 ,$510.30 ,$510.30 ,$510.30 ,$510.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000310,31505,HC LARYNGOSCOPY INDIRECT,450,1 ,$477.63 ,$358.22 ,$34.89 ,$477.63 ,$307.59 ,$169.88 ,$334.34 ,$34.89 ,$396.43 ,$35.94 ,$315.24 ,$453.75 , N/A ,$382.10 ,$434.64 ,$34.89 ,$448.97 ,$453.75 ,$429.87 ,$405.99 ,$34.89 ,$34.89 ,$34.89 ,$348.67 ,$169.88 ,$425.09 ,$429.87 ,$429.87 ,$382.10 ,$174.97 ,$262.70 ,$429.87 ,$169.88 ,$429.87 ,$169.88 ,$453.75 ,$382.22 ,$439.42 ,$36.98 ,$434.64 ,$169.88 ,$293.93 ,$307.59 ,$293.93 ,$429.87 ,$429.87 ,$356.46 ,$332.67 ,$171.57 ,$36.63 ,$446.58 ,$178.37 ,$34.89 ,$415.54 ,$169.88 ,$429.87 ,$169.88 ,$429.87 ,$429.87 ,$429.87 ,$463.30 ,$386.88 ,$429.87 ,$429.87 ,$429.87 ,$429.87 
ST. JOSEPH'S - CHIPPEWA FALLS,45000325,24655,HC CLOSED TX FX RADIAL HEAD/NECK W/MANIP,450,1 ,"$3,746.00 ","$2,809.50 ",$139.53 ,"$3,746.00 ","$2,412.42 ","$1,437.36 ","$2,622.20 ",$139.53 ,"$3,109.18 ",$143.72 ,"$2,472.36 ","$3,558.70 ", N/A ,"$2,996.80 ","$3,408.86 ",$139.53 ,"$3,521.24 ","$3,558.70 ","$3,371.40 ","$3,184.10 ",$139.53 ,$139.53 ,$139.53 ,"$2,734.58 ","$1,437.36 ","$3,333.94 ","$3,371.40 ","$3,371.40 ","$2,996.80 ","$1,480.48 ","$2,060.30 ","$3,371.40 ","$1,437.36 ","$3,371.40 ","$1,437.36 ","$3,558.70 ","$3,234.06 ","$3,446.32 ",$147.90 ,"$3,408.86 ","$1,437.36 ","$2,305.29 ","$2,412.42 ","$2,305.29 ","$3,371.40 ","$3,371.40 ","$2,795.64 ","$2,609.09 ","$1,451.73 ",$146.51 ,"$3,502.51 ","$1,509.23 ",$139.53 ,"$3,259.02 ","$1,437.36 ","$3,371.40 ","$1,437.36 ","$3,371.40 ","$3,371.40 ","$3,371.40 ","$3,633.62 ","$3,034.26 ","$3,371.40 ","$3,371.40 ","$3,371.40 ","$3,371.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$592.00 ,$444.00 ,$139.53 ,$592.00 ,$381.25 ,$212.70 ,$414.40 ,$139.53 ,$491.36 ,$143.72 ,$390.72 ,$562.40 , N/A ,$473.60 ,$538.72 ,$139.53 ,$556.48 ,$562.40 ,$532.80 ,$503.20 ,$139.53 ,$139.53 ,$139.53 ,$432.16 ,$212.70 ,$526.88 ,$532.80 ,$532.80 ,$473.60 ,$219.08 ,$325.60 ,$532.80 ,$212.70 ,$532.80 ,$212.70 ,$562.40 ,$478.57 ,$544.64 ,$147.90 ,$538.72 ,$212.70 ,$364.32 ,$381.25 ,$364.32 ,$532.80 ,$532.80 ,$441.81 ,$412.33 ,$214.82 ,$146.51 ,$553.52 ,$223.34 ,$139.53 ,$515.04 ,$212.70 ,$532.80 ,$212.70 ,$532.80 ,$532.80 ,$532.80 ,$574.24 ,$479.52 ,$532.80 ,$532.80 ,$532.80 ,$532.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,"$4,343.00 ","$3,257.25 ",$139.53 ,"$4,343.00 ","$2,796.89 ","$1,437.36 ","$3,040.10 ",$139.53 ,"$3,604.69 ",$143.72 ,"$2,866.38 ","$4,125.85 ", N/A ,"$3,474.40 ","$3,952.13 ",$139.53 ,"$4,082.42 ","$4,125.85 ","$3,908.70 ","$3,691.55 ",$139.53 ,$139.53 ,$139.53 ,"$3,170.39 ","$1,437.36 ","$3,865.27 ","$3,908.70 ","$3,908.70 ","$3,474.40 ","$1,480.48 ","$2,388.65 ","$3,908.70 ","$1,437.36 ","$3,908.70 ","$1,437.36 ","$4,125.85 ","$3,234.06 ","$3,995.56 ",$147.90 ,"$3,952.13 ","$1,437.36 ","$2,672.68 ","$2,796.89 ","$2,672.68 ","$3,908.70 ","$3,908.70 ","$3,241.18 ","$3,024.90 ","$1,451.73 ",$146.51 ,"$4,060.71 ","$1,509.23 ",$139.53 ,"$3,778.41 ","$1,437.36 ","$3,908.70 ","$1,437.36 ","$3,908.70 ","$3,908.70 ","$3,908.70 ","$4,212.71 ","$3,517.83 ","$3,908.70 ","$3,908.70 ","$3,908.70 ","$3,908.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000331,27788,HC CLOSED TX FX DISTAL FIBULAR W/MANIP,450,1 ,$666.00 ,$499.50 ,$139.53 ,$666.00 ,$428.90 ,$212.70 ,$466.20 ,$139.53 ,$552.78 ,$143.72 ,$439.56 ,$632.70 , N/A ,$532.80 ,$606.06 ,$139.53 ,$626.04 ,$632.70 ,$599.40 ,$566.10 ,$139.53 ,$139.53 ,$139.53 ,$486.18 ,$212.70 ,$592.74 ,$599.40 ,$599.40 ,$532.80 ,$219.08 ,$366.30 ,$599.40 ,$212.70 ,$599.40 ,$212.70 ,$632.70 ,$478.57 ,$612.72 ,$147.90 ,$606.06 ,$212.70 ,$409.86 ,$428.90 ,$409.86 ,$599.40 ,$599.40 ,$497.04 ,$463.87 ,$214.82 ,$146.51 ,$622.71 ,$223.34 ,$139.53 ,$579.42 ,$212.70 ,$599.40 ,$212.70 ,$599.40 ,$599.40 ,$599.40 ,$646.02 ,$539.46 ,$599.40 ,$599.40 ,$599.40 ,$599.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000332,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP,450,1 ,$381.00 ,$285.75 ,$139.53 ,$478.57 ,$245.36 ,$212.70 ,$266.70 ,$139.53 ,$316.23 ,$143.72 ,$251.46 ,$361.95 , N/A ,$304.80 ,$346.71 ,$139.53 ,$358.14 ,$361.95 ,$342.90 ,$323.85 ,$139.53 ,$139.53 ,$139.53 ,$278.13 ,$212.70 ,$339.09 ,$342.90 ,$342.90 ,$304.80 ,$219.08 ,$209.55 ,$342.90 ,$212.70 ,$342.90 ,$212.70 ,$361.95 ,$478.57 ,$350.52 ,$147.90 ,$346.71 ,$212.70 ,$234.47 ,$245.36 ,$234.47 ,$342.90 ,$342.90 ,$284.34 ,$265.37 ,$214.82 ,$146.51 ,$356.24 ,$223.34 ,$139.53 ,$331.47 ,$212.70 ,$342.90 ,$212.70 ,$342.90 ,$342.90 ,$342.90 ,$369.57 ,$308.61 ,$342.90 ,$342.90 ,$342.90 ,$342.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000334,29260,HC STRAPPING ELBOW/WRIST,450,1 ,$156.00 ,$117.00 ,$13.65 ,$156.00 ,$100.46 ,$57.44 ,$109.20 ,$13.65 ,$129.48 ,$14.06 ,$102.96 ,$148.20 , N/A ,$124.80 ,$141.96 ,$13.65 ,$146.64 ,$148.20 ,$140.40 ,$132.60 ,$13.65 ,$13.65 ,$13.65 ,$113.88 ,$57.44 ,$138.84 ,$140.40 ,$140.40 ,$124.80 ,$59.17 ,$85.80 ,$140.40 ,$57.44 ,$140.40 ,$57.44 ,$148.20 ,$129.25 ,$143.52 ,$14.47 ,$141.96 ,$57.44 ,$96.00 ,$100.46 ,$96.00 ,$140.40 ,$140.40 ,$116.42 ,$108.65 ,$58.02 ,$14.33 ,$145.86 ,$60.31 ,$13.65 ,$135.72 ,$57.44 ,$140.40 ,$57.44 ,$140.40 ,$140.40 ,$140.40 ,$151.32 ,$126.36 ,$140.40 ,$140.40 ,$140.40 ,$140.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000346,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP,450,1 ,$409.00 ,$306.75 ,$139.53 ,"$3,234.06 ",$263.40 ,"$1,437.36 ",$286.30 ,$139.53 ,$339.47 ,$143.72 ,$269.94 ,$388.55 , N/A ,$327.20 ,$372.19 ,$139.53 ,$384.46 ,$388.55 ,$368.10 ,$347.65 ,$139.53 ,$139.53 ,$139.53 ,$298.57 ,"$1,437.36 ",$364.01 ,$368.10 ,$368.10 ,$327.20 ,"$1,480.48 ",$224.95 ,$368.10 ,"$1,437.36 ",$368.10 ,"$1,437.36 ",$388.55 ,"$3,234.06 ",$376.28 ,$147.90 ,$372.19 ,"$1,437.36 ",$251.70 ,$263.40 ,$251.70 ,$368.10 ,$368.10 ,$305.24 ,$284.87 ,"$1,451.73 ",$146.51 ,$382.42 ,"$1,509.23 ",$139.53 ,$355.83 ,"$1,437.36 ",$368.10 ,"$1,437.36 ",$368.10 ,$368.10 ,$368.10 ,$396.73 ,$331.29 ,$368.10 ,$368.10 ,$368.10 ,$368.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000347,28665,HC CLSD TX DISLOC (I-P) JOINT W/ANES,450,1 ,$223.00 ,$167.25 ,$122.65 ,$560.14 ,$143.61 ,$248.95 ,$156.10 ,$223.00 ,$185.09 ,$319.37 ,$147.18 ,$211.85 , N/A ,$178.40 ,$202.93 ,$223.00 ,$209.62 ,$211.85 ,$200.70 ,$189.55 ,$310.07 ,$310.07 ,$310.07 ,$162.79 ,$248.95 ,$198.47 ,$200.70 ,$200.70 ,$178.40 ,$256.42 ,$122.65 ,$200.70 ,$248.95 ,$200.70 ,$248.95 ,$211.85 ,$560.14 ,$205.16 ,$328.67 ,$202.93 ,$248.95 ,$137.23 ,$143.61 ,$137.23 ,$200.70 ,$200.70 ,$166.42 ,$155.32 ,$251.44 ,$325.57 ,$208.51 ,$261.40 ,$223.00 ,$194.01 ,$248.95 ,$200.70 ,$248.95 ,$200.70 ,$200.70 ,$200.70 ,$216.31 ,$180.63 ,$200.70 ,$200.70 ,$200.70 ,$200.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000350,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT,450,1 ,$96.00 ,$72.00 ,$34.89 ,$129.25 ,$61.82 ,$57.44 ,$67.20 ,$34.89 ,$79.68 ,$35.94 ,$63.36 ,$91.20 , N/A ,$76.80 ,$87.36 ,$34.89 ,$90.24 ,$91.20 ,$86.40 ,$81.60 ,$34.89 ,$34.89 ,$34.89 ,$70.08 ,$57.44 ,$85.44 ,$86.40 ,$86.40 ,$76.80 ,$59.17 ,$52.80 ,$86.40 ,$57.44 ,$86.40 ,$57.44 ,$91.20 ,$129.25 ,$88.32 ,$36.98 ,$87.36 ,$57.44 ,$59.08 ,$61.82 ,$59.08 ,$86.40 ,$86.40 ,$71.64 ,$66.86 ,$58.02 ,$36.63 ,$89.76 ,$60.31 ,$34.89 ,$83.52 ,$57.44 ,$86.40 ,$57.44 ,$86.40 ,$86.40 ,$86.40 ,$93.12 ,$77.76 ,$86.40 ,$86.40 ,$86.40 ,$86.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000351,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT,450,1 ,$96.00 ,$72.00 ,$34.89 ,$129.25 ,$61.82 ,$57.44 ,$67.20 ,$34.89 ,$79.68 ,$35.94 ,$63.36 ,$91.20 , N/A ,$76.80 ,$87.36 ,$34.89 ,$90.24 ,$91.20 ,$86.40 ,$81.60 ,$34.89 ,$34.89 ,$34.89 ,$70.08 ,$57.44 ,$85.44 ,$86.40 ,$86.40 ,$76.80 ,$59.17 ,$52.80 ,$86.40 ,$57.44 ,$86.40 ,$57.44 ,$91.20 ,$129.25 ,$88.32 ,$36.98 ,$87.36 ,$57.44 ,$59.08 ,$61.82 ,$59.08 ,$86.40 ,$86.40 ,$71.64 ,$66.86 ,$58.02 ,$36.63 ,$89.76 ,$60.31 ,$34.89 ,$83.52 ,$57.44 ,$86.40 ,$57.44 ,$86.40 ,$86.40 ,$86.40 ,$93.12 ,$77.76 ,$86.40 ,$86.40 ,$86.40 ,$86.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000352,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-50,450,1 ,$96.00 ,$72.00 ,$52.34 ,$129.25 ,$61.82 ,$57.44 ,$67.20 ,$52.34 ,$79.68 ,$53.91 ,$63.36 ,$91.20 , N/A ,$76.80 ,$87.36 ,$52.34 ,$90.24 ,$91.20 ,$86.40 ,$81.60 ,$52.34 ,$52.34 ,$52.34 ,$70.08 ,$57.44 ,$85.44 ,$86.40 ,$86.40 ,$76.80 ,$59.17 ,$52.80 ,$86.40 ,$57.44 ,$86.40 ,$57.44 ,$91.20 ,$129.25 ,$88.32 ,$55.48 ,$87.36 ,$57.44 ,$59.08 ,$61.82 ,$59.08 ,$86.40 ,$86.40 ,$71.64 ,$66.86 ,$58.02 ,$54.96 ,$89.76 ,$60.31 ,$52.34 ,$83.52 ,$57.44 ,$86.40 ,$57.44 ,$86.40 ,$86.40 ,$86.40 ,$93.12 ,$77.76 ,$86.40 ,$86.40 ,$86.40 ,$86.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000353,21480,HC TX DISL JAW CLS-LT,450,1 ,$170.00 ,$127.50 ,$34.89 ,$478.57 ,$109.48 ,$212.70 ,$119.00 ,$34.89 ,$141.10 ,$35.94 ,$112.20 ,$161.50 , N/A ,$136.00 ,$154.70 ,$34.89 ,$159.80 ,$161.50 ,$153.00 ,$144.50 ,$34.89 ,$34.89 ,$34.89 ,$124.10 ,$212.70 ,$151.30 ,$153.00 ,$153.00 ,$136.00 ,$219.08 ,$93.50 ,$153.00 ,$212.70 ,$153.00 ,$212.70 ,$161.50 ,$478.57 ,$156.40 ,$36.98 ,$154.70 ,$212.70 ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$153.00 ,$126.87 ,$118.41 ,$214.82 ,$36.63 ,$158.95 ,$223.34 ,$34.89 ,$147.90 ,$212.70 ,$153.00 ,$212.70 ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000354,21480,HC TX DISL JAW CLS-RT,450,1 ,$170.00 ,$127.50 ,$34.89 ,$478.57 ,$109.48 ,$212.70 ,$119.00 ,$34.89 ,$141.10 ,$35.94 ,$112.20 ,$161.50 , N/A ,$136.00 ,$154.70 ,$34.89 ,$159.80 ,$161.50 ,$153.00 ,$144.50 ,$34.89 ,$34.89 ,$34.89 ,$124.10 ,$212.70 ,$151.30 ,$153.00 ,$153.00 ,$136.00 ,$219.08 ,$93.50 ,$153.00 ,$212.70 ,$153.00 ,$212.70 ,$161.50 ,$478.57 ,$156.40 ,$36.98 ,$154.70 ,$212.70 ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$153.00 ,$126.87 ,$118.41 ,$214.82 ,$36.63 ,$158.95 ,$223.34 ,$34.89 ,$147.90 ,$212.70 ,$153.00 ,$212.70 ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000355,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP-LT,450,1 ,$409.00 ,$306.75 ,$139.53 ,"$3,234.06 ",$263.40 ,"$1,437.36 ",$286.30 ,$139.53 ,$339.47 ,$143.72 ,$269.94 ,$388.55 , N/A ,$327.20 ,$372.19 ,$139.53 ,$384.46 ,$388.55 ,$368.10 ,$347.65 ,$139.53 ,$139.53 ,$139.53 ,$298.57 ,"$1,437.36 ",$364.01 ,$368.10 ,$368.10 ,$327.20 ,"$1,480.48 ",$224.95 ,$368.10 ,"$1,437.36 ",$368.10 ,"$1,437.36 ",$388.55 ,"$3,234.06 ",$376.28 ,$147.90 ,$372.19 ,"$1,437.36 ",$251.70 ,$263.40 ,$251.70 ,$368.10 ,$368.10 ,$305.24 ,$284.87 ,"$1,451.73 ",$146.51 ,$382.42 ,"$1,509.23 ",$139.53 ,$355.83 ,"$1,437.36 ",$368.10 ,"$1,437.36 ",$368.10 ,$368.10 ,$368.10 ,$396.73 ,$331.29 ,$368.10 ,$368.10 ,$368.10 ,$368.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000356,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP-RT,450,1 ,$409.00 ,$306.75 ,$139.53 ,"$3,234.06 ",$263.40 ,"$1,437.36 ",$286.30 ,$139.53 ,$339.47 ,$143.72 ,$269.94 ,$388.55 , N/A ,$327.20 ,$372.19 ,$139.53 ,$384.46 ,$388.55 ,$368.10 ,$347.65 ,$139.53 ,$139.53 ,$139.53 ,$298.57 ,"$1,437.36 ",$364.01 ,$368.10 ,$368.10 ,$327.20 ,"$1,480.48 ",$224.95 ,$368.10 ,"$1,437.36 ",$368.10 ,"$1,437.36 ",$388.55 ,"$3,234.06 ",$376.28 ,$147.90 ,$372.19 ,"$1,437.36 ",$251.70 ,$263.40 ,$251.70 ,$368.10 ,$368.10 ,$305.24 ,$284.87 ,"$1,451.73 ",$146.51 ,$382.42 ,"$1,509.23 ",$139.53 ,$355.83 ,"$1,437.36 ",$368.10 ,"$1,437.36 ",$368.10 ,$368.10 ,$368.10 ,$396.73 ,$331.29 ,$368.10 ,$368.10 ,$368.10 ,$368.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000357,23650,HC TX DISL SHLDR W/MAN CLS-LT,450,1 ,$388.00 ,$291.00 ,$139.53 ,$478.57 ,$249.87 ,$212.70 ,$271.60 ,$139.53 ,$322.04 ,$143.72 ,$256.08 ,$368.60 , N/A ,$310.40 ,$353.08 ,$139.53 ,$364.72 ,$368.60 ,$349.20 ,$329.80 ,$139.53 ,$139.53 ,$139.53 ,$283.24 ,$212.70 ,$345.32 ,$349.20 ,$349.20 ,$310.40 ,$219.08 ,$213.40 ,$349.20 ,$212.70 ,$349.20 ,$212.70 ,$368.60 ,$478.57 ,$356.96 ,$147.90 ,$353.08 ,$212.70 ,$238.78 ,$249.87 ,$238.78 ,$349.20 ,$349.20 ,$289.56 ,$270.24 ,$214.82 ,$146.51 ,$362.78 ,$223.34 ,$139.53 ,$337.56 ,$212.70 ,$349.20 ,$212.70 ,$349.20 ,$349.20 ,$349.20 ,$376.36 ,$314.28 ,$349.20 ,$349.20 ,$349.20 ,$349.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000358,23650,HC TX DISL SHLDR W/MAN CLS-RT,450,1 ,$388.00 ,$291.00 ,$139.53 ,$478.57 ,$249.87 ,$212.70 ,$271.60 ,$139.53 ,$322.04 ,$143.72 ,$256.08 ,$368.60 , N/A ,$310.40 ,$353.08 ,$139.53 ,$364.72 ,$368.60 ,$349.20 ,$329.80 ,$139.53 ,$139.53 ,$139.53 ,$283.24 ,$212.70 ,$345.32 ,$349.20 ,$349.20 ,$310.40 ,$219.08 ,$213.40 ,$349.20 ,$212.70 ,$349.20 ,$212.70 ,$368.60 ,$478.57 ,$356.96 ,$147.90 ,$353.08 ,$212.70 ,$238.78 ,$249.87 ,$238.78 ,$349.20 ,$349.20 ,$289.56 ,$270.24 ,$214.82 ,$146.51 ,$362.78 ,$223.34 ,$139.53 ,$337.56 ,$212.70 ,$349.20 ,$212.70 ,$349.20 ,$349.20 ,$349.20 ,$376.36 ,$314.28 ,$349.20 ,$349.20 ,$349.20 ,$349.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000359,23655,HC TX DISL SHLDR W/MAN/ANES CLS-LT,450,1 ,$149.00 ,$111.75 ,$81.95 ,"$3,234.06 ",$95.96 ,"$1,437.36 ",$104.30 ,$149.00 ,$123.67 ,$319.37 ,$98.34 ,$141.55 , N/A ,$119.20 ,$135.59 ,$149.00 ,$140.06 ,$141.55 ,$134.10 ,$126.65 ,$310.07 ,$310.07 ,$310.07 ,$108.77 ,"$1,437.36 ",$132.61 ,$134.10 ,$134.10 ,$119.20 ,"$1,480.48 ",$81.95 ,$134.10 ,"$1,437.36 ",$134.10 ,"$1,437.36 ",$141.55 ,"$3,234.06 ",$137.08 ,$328.67 ,$135.59 ,"$1,437.36 ",$91.69 ,$95.96 ,$91.69 ,$134.10 ,$134.10 ,$111.20 ,$103.78 ,"$1,451.73 ",$325.57 ,$139.32 ,"$1,509.23 ",$149.00 ,$129.63 ,"$1,437.36 ",$134.10 ,"$1,437.36 ",$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000360,23655,HC TX DISL SHLDR W/MAN/ANES CLS-RT,450,1 ,$149.00 ,$111.75 ,$81.95 ,"$3,234.06 ",$95.96 ,"$1,437.36 ",$104.30 ,$149.00 ,$123.67 ,$319.37 ,$98.34 ,$141.55 , N/A ,$119.20 ,$135.59 ,$149.00 ,$140.06 ,$141.55 ,$134.10 ,$126.65 ,$310.07 ,$310.07 ,$310.07 ,$108.77 ,"$1,437.36 ",$132.61 ,$134.10 ,$134.10 ,$119.20 ,"$1,480.48 ",$81.95 ,$134.10 ,"$1,437.36 ",$134.10 ,"$1,437.36 ",$141.55 ,"$3,234.06 ",$137.08 ,$328.67 ,$135.59 ,"$1,437.36 ",$91.69 ,$95.96 ,$91.69 ,$134.10 ,$134.10 ,$111.20 ,$103.78 ,"$1,451.73 ",$325.57 ,$139.32 ,"$1,509.23 ",$149.00 ,$129.63 ,"$1,437.36 ",$134.10 ,"$1,437.36 ",$134.10 ,$134.10 ,$134.10 ,$144.53 ,$120.69 ,$134.10 ,$134.10 ,$134.10 ,$134.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000361,23931,HC I AND D BURSA ELBOW/ARM-LT,450,1 ,$370.15 ,$277.61 ,$203.58 ,"$3,266.98 ",$238.38 ,"$1,451.99 ",$259.11 ,$370.15 ,$307.22 ,$564.40 ,$244.30 ,$351.64 , N/A ,$296.12 ,$336.84 ,$370.15 ,$347.94 ,$351.64 ,$333.14 ,$314.63 ,$547.96 ,$547.96 ,$547.96 ,$270.21 ,"$1,451.99 ",$329.43 ,$333.14 ,$333.14 ,$296.12 ,"$1,495.55 ",$203.58 ,$333.14 ,"$1,451.99 ",$333.14 ,"$1,451.99 ",$351.64 ,"$3,266.98 ",$340.54 ,$580.84 ,$336.84 ,"$1,451.99 ",$227.79 ,$238.38 ,$227.79 ,$333.14 ,$333.14 ,$276.24 ,$257.81 ,"$1,466.51 ",$575.36 ,$346.09 ,"$1,524.59 ",$370.15 ,$322.03 ,"$1,451.99 ",$333.14 ,"$1,451.99 ",$333.14 ,$333.14 ,$333.14 ,$359.05 ,$299.82 ,$333.14 ,$333.14 ,$333.14 ,$333.14 
ST. JOSEPH'S - CHIPPEWA FALLS,45000362,23931,HC I AND D BURSA ELBOW/ARM-RT,450,1 ,$370.15 ,$277.61 ,$203.58 ,"$3,266.98 ",$238.38 ,"$1,451.99 ",$259.11 ,$370.15 ,$307.22 ,$564.40 ,$244.30 ,$351.64 , N/A ,$296.12 ,$336.84 ,$370.15 ,$347.94 ,$351.64 ,$333.14 ,$314.63 ,$547.96 ,$547.96 ,$547.96 ,$270.21 ,"$1,451.99 ",$329.43 ,$333.14 ,$333.14 ,$296.12 ,"$1,495.55 ",$203.58 ,$333.14 ,"$1,451.99 ",$333.14 ,"$1,451.99 ",$351.64 ,"$3,266.98 ",$340.54 ,$580.84 ,$336.84 ,"$1,451.99 ",$227.79 ,$238.38 ,$227.79 ,$333.14 ,$333.14 ,$276.24 ,$257.81 ,"$1,466.51 ",$575.36 ,$346.09 ,"$1,524.59 ",$370.15 ,$322.03 ,"$1,451.99 ",$333.14 ,"$1,451.99 ",$333.14 ,$333.14 ,$333.14 ,$359.05 ,$299.82 ,$333.14 ,$333.14 ,$333.14 ,$333.14 
ST. JOSEPH'S - CHIPPEWA FALLS,45000363,24565,HC CLOSED TX HUMERUS EPICONDYLR FX W/MANIP-LT,450,1 ,$369.00 ,$276.75 ,$139.53 ,"$3,234.06 ",$237.64 ,"$1,437.36 ",$258.30 ,$139.53 ,$306.27 ,$143.72 ,$243.54 ,$350.55 , N/A ,$295.20 ,$335.79 ,$139.53 ,$346.86 ,$350.55 ,$332.10 ,$313.65 ,$139.53 ,$139.53 ,$139.53 ,$269.37 ,"$1,437.36 ",$328.41 ,$332.10 ,$332.10 ,$295.20 ,"$1,480.48 ",$202.95 ,$332.10 ,"$1,437.36 ",$332.10 ,"$1,437.36 ",$350.55 ,"$3,234.06 ",$339.48 ,$147.90 ,$335.79 ,"$1,437.36 ",$227.08 ,$237.64 ,$227.08 ,$332.10 ,$332.10 ,$275.38 ,$257.01 ,"$1,451.73 ",$146.51 ,$345.02 ,"$1,509.23 ",$139.53 ,$321.03 ,"$1,437.36 ",$332.10 ,"$1,437.36 ",$332.10 ,$332.10 ,$332.10 ,$357.93 ,$298.89 ,$332.10 ,$332.10 ,$332.10 ,$332.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000364,24565,HC CLOSED TX HUMERUS EPICONDYLR FX W/MANIP-RT,450,1 ,$369.00 ,$276.75 ,$139.53 ,"$3,234.06 ",$237.64 ,"$1,437.36 ",$258.30 ,$139.53 ,$306.27 ,$143.72 ,$243.54 ,$350.55 , N/A ,$295.20 ,$335.79 ,$139.53 ,$346.86 ,$350.55 ,$332.10 ,$313.65 ,$139.53 ,$139.53 ,$139.53 ,$269.37 ,"$1,437.36 ",$328.41 ,$332.10 ,$332.10 ,$295.20 ,"$1,480.48 ",$202.95 ,$332.10 ,"$1,437.36 ",$332.10 ,"$1,437.36 ",$350.55 ,"$3,234.06 ",$339.48 ,$147.90 ,$335.79 ,"$1,437.36 ",$227.08 ,$237.64 ,$227.08 ,$332.10 ,$332.10 ,$275.38 ,$257.01 ,"$1,451.73 ",$146.51 ,$345.02 ,"$1,509.23 ",$139.53 ,$321.03 ,"$1,437.36 ",$332.10 ,"$1,437.36 ",$332.10 ,$332.10 ,$332.10 ,$357.93 ,$298.89 ,$332.10 ,$332.10 ,$332.10 ,$332.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000365,24600,HC TX DISL ELBOW W/O ANES CLS-LT,450,1 ,$168.00 ,$126.00 ,$92.40 ,$478.57 ,$108.19 ,$212.70 ,$117.60 ,$139.53 ,$139.44 ,$143.72 ,$110.88 ,$159.60 , N/A ,$134.40 ,$152.88 ,$139.53 ,$157.92 ,$159.60 ,$151.20 ,$142.80 ,$139.53 ,$139.53 ,$139.53 ,$122.64 ,$212.70 ,$149.52 ,$151.20 ,$151.20 ,$134.40 ,$219.08 ,$92.40 ,$151.20 ,$212.70 ,$151.20 ,$212.70 ,$159.60 ,$478.57 ,$154.56 ,$147.90 ,$152.88 ,$212.70 ,$103.39 ,$108.19 ,$103.39 ,$151.20 ,$151.20 ,$125.38 ,$117.01 ,$214.82 ,$146.51 ,$157.08 ,$223.34 ,$139.53 ,$146.16 ,$212.70 ,$151.20 ,$212.70 ,$151.20 ,$151.20 ,$151.20 ,$162.96 ,$136.08 ,$151.20 ,$151.20 ,$151.20 ,$151.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000366,24600,HC TX DISL ELBOW W/O ANES CLS-RT,450,1 ,$168.00 ,$126.00 ,$92.40 ,$478.57 ,$108.19 ,$212.70 ,$117.60 ,$139.53 ,$139.44 ,$143.72 ,$110.88 ,$159.60 , N/A ,$134.40 ,$152.88 ,$139.53 ,$157.92 ,$159.60 ,$151.20 ,$142.80 ,$139.53 ,$139.53 ,$139.53 ,$122.64 ,$212.70 ,$149.52 ,$151.20 ,$151.20 ,$134.40 ,$219.08 ,$92.40 ,$151.20 ,$212.70 ,$151.20 ,$212.70 ,$159.60 ,$478.57 ,$154.56 ,$147.90 ,$152.88 ,$212.70 ,$103.39 ,$108.19 ,$103.39 ,$151.20 ,$151.20 ,$125.38 ,$117.01 ,$214.82 ,$146.51 ,$157.08 ,$223.34 ,$139.53 ,$146.16 ,$212.70 ,$151.20 ,$212.70 ,$151.20 ,$151.20 ,$151.20 ,$162.96 ,$136.08 ,$151.20 ,$151.20 ,$151.20 ,$151.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000367,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP-LT,450,1 ,$369.00 ,$276.75 ,$139.53 ,"$3,234.06 ",$237.64 ,"$1,437.36 ",$258.30 ,$139.53 ,$306.27 ,$143.72 ,$243.54 ,$350.55 , N/A ,$295.20 ,$335.79 ,$139.53 ,$346.86 ,$350.55 ,$332.10 ,$313.65 ,$139.53 ,$139.53 ,$139.53 ,$269.37 ,"$1,437.36 ",$328.41 ,$332.10 ,$332.10 ,$295.20 ,"$1,480.48 ",$202.95 ,$332.10 ,"$1,437.36 ",$332.10 ,"$1,437.36 ",$350.55 ,"$3,234.06 ",$339.48 ,$147.90 ,$335.79 ,"$1,437.36 ",$227.08 ,$237.64 ,$227.08 ,$332.10 ,$332.10 ,$275.38 ,$257.01 ,"$1,451.73 ",$146.51 ,$345.02 ,"$1,509.23 ",$139.53 ,$321.03 ,"$1,437.36 ",$332.10 ,"$1,437.36 ",$332.10 ,$332.10 ,$332.10 ,$357.93 ,$298.89 ,$332.10 ,$332.10 ,$332.10 ,$332.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000368,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP-RT,450,1 ,$369.00 ,$276.75 ,$139.53 ,"$3,234.06 ",$237.64 ,"$1,437.36 ",$258.30 ,$139.53 ,$306.27 ,$143.72 ,$243.54 ,$350.55 , N/A ,$295.20 ,$335.79 ,$139.53 ,$346.86 ,$350.55 ,$332.10 ,$313.65 ,$139.53 ,$139.53 ,$139.53 ,$269.37 ,"$1,437.36 ",$328.41 ,$332.10 ,$332.10 ,$295.20 ,"$1,480.48 ",$202.95 ,$332.10 ,"$1,437.36 ",$332.10 ,"$1,437.36 ",$350.55 ,"$3,234.06 ",$339.48 ,$147.90 ,$335.79 ,"$1,437.36 ",$227.08 ,$237.64 ,$227.08 ,$332.10 ,$332.10 ,$275.38 ,$257.01 ,"$1,451.73 ",$146.51 ,$345.02 ,"$1,509.23 ",$139.53 ,$321.03 ,"$1,437.36 ",$332.10 ,"$1,437.36 ",$332.10 ,$332.10 ,$332.10 ,$357.93 ,$298.89 ,$332.10 ,$332.10 ,$332.10 ,$332.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000369,24640,HC DISLOCATION NURSEMAID ELBOW-LT,450,1 ,$134.00 ,$100.50 ,$73.70 ,$478.57 ,$86.30 ,$212.70 ,$93.80 ,$134.00 ,$111.22 ,$143.72 ,$88.44 ,$127.30 , N/A ,$107.20 ,$121.94 ,$134.00 ,$125.96 ,$127.30 ,$120.60 ,$113.90 ,$139.53 ,$139.53 ,$139.53 ,$97.82 ,$212.70 ,$119.26 ,$120.60 ,$120.60 ,$107.20 ,$219.08 ,$73.70 ,$120.60 ,$212.70 ,$120.60 ,$212.70 ,$127.30 ,$478.57 ,$123.28 ,$147.90 ,$121.94 ,$212.70 ,$82.46 ,$86.30 ,$82.46 ,$120.60 ,$120.60 ,$100.00 ,$93.33 ,$214.82 ,$146.51 ,$125.29 ,$223.34 ,$134.00 ,$116.58 ,$212.70 ,$120.60 ,$212.70 ,$120.60 ,$120.60 ,$120.60 ,$129.98 ,$108.54 ,$120.60 ,$120.60 ,$120.60 ,$120.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000370,24640,HC DISLOCATION NURSEMAID ELBOW-RT,450,1 ,$134.00 ,$100.50 ,$73.70 ,$478.57 ,$86.30 ,$212.70 ,$93.80 ,$134.00 ,$111.22 ,$143.72 ,$88.44 ,$127.30 , N/A ,$107.20 ,$121.94 ,$134.00 ,$125.96 ,$127.30 ,$120.60 ,$113.90 ,$139.53 ,$139.53 ,$139.53 ,$97.82 ,$212.70 ,$119.26 ,$120.60 ,$120.60 ,$107.20 ,$219.08 ,$73.70 ,$120.60 ,$212.70 ,$120.60 ,$212.70 ,$127.30 ,$478.57 ,$123.28 ,$147.90 ,$121.94 ,$212.70 ,$82.46 ,$86.30 ,$82.46 ,$120.60 ,$120.60 ,$100.00 ,$93.33 ,$214.82 ,$146.51 ,$125.29 ,$223.34 ,$134.00 ,$116.58 ,$212.70 ,$120.60 ,$212.70 ,$120.60 ,$120.60 ,$120.60 ,$129.98 ,$108.54 ,$120.60 ,$120.60 ,$120.60 ,$120.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000371,25505,HC RADIUS FX W MANIP-LT,450,1 ,$522.00 ,$391.50 ,$139.53 ,"$3,234.06 ",$336.17 ,"$1,437.36 ",$365.40 ,$139.53 ,$433.26 ,$143.72 ,$344.52 ,$495.90 , N/A ,$417.60 ,$475.02 ,$139.53 ,$490.68 ,$495.90 ,$469.80 ,$443.70 ,$139.53 ,$139.53 ,$139.53 ,$381.06 ,"$1,437.36 ",$464.58 ,$469.80 ,$469.80 ,$417.60 ,"$1,480.48 ",$287.10 ,$469.80 ,"$1,437.36 ",$469.80 ,"$1,437.36 ",$495.90 ,"$3,234.06 ",$480.24 ,$147.90 ,$475.02 ,"$1,437.36 ",$321.24 ,$336.17 ,$321.24 ,$469.80 ,$469.80 ,$389.57 ,$363.57 ,"$1,451.73 ",$146.51 ,$488.07 ,"$1,509.23 ",$139.53 ,$454.14 ,"$1,437.36 ",$469.80 ,"$1,437.36 ",$469.80 ,$469.80 ,$469.80 ,$506.34 ,$422.82 ,$469.80 ,$469.80 ,$469.80 ,$469.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000372,25505,HC RADIUS FX W MANIP-RT,450,1 ,$522.00 ,$391.50 ,$139.53 ,"$3,234.06 ",$336.17 ,"$1,437.36 ",$365.40 ,$139.53 ,$433.26 ,$143.72 ,$344.52 ,$495.90 , N/A ,$417.60 ,$475.02 ,$139.53 ,$490.68 ,$495.90 ,$469.80 ,$443.70 ,$139.53 ,$139.53 ,$139.53 ,$381.06 ,"$1,437.36 ",$464.58 ,$469.80 ,$469.80 ,$417.60 ,"$1,480.48 ",$287.10 ,$469.80 ,"$1,437.36 ",$469.80 ,"$1,437.36 ",$495.90 ,"$3,234.06 ",$480.24 ,$147.90 ,$475.02 ,"$1,437.36 ",$321.24 ,$336.17 ,$321.24 ,$469.80 ,$469.80 ,$389.57 ,$363.57 ,"$1,451.73 ",$146.51 ,$488.07 ,"$1,509.23 ",$139.53 ,$454.14 ,"$1,437.36 ",$469.80 ,"$1,437.36 ",$469.80 ,$469.80 ,$469.80 ,$506.34 ,$422.82 ,$469.80 ,$469.80 ,$469.80 ,$469.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000373,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-LT,450,1 ,$538.00 ,$403.50 ,$139.53 ,"$3,234.06 ",$346.47 ,"$1,437.36 ",$376.60 ,$139.53 ,$446.54 ,$143.72 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$139.53 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$139.53 ,$139.53 ,$139.53 ,$392.74 ,"$1,437.36 ",$478.82 ,$484.20 ,$484.20 ,$430.40 ,"$1,480.48 ",$295.90 ,$484.20 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$511.10 ,"$3,234.06 ",$494.96 ,$147.90 ,$489.58 ,"$1,437.36 ",$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,"$1,451.73 ",$146.51 ,$503.03 ,"$1,509.23 ",$139.53 ,$468.06 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000374,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-RT,450,1 ,$538.00 ,$403.50 ,$139.53 ,"$3,234.06 ",$346.47 ,"$1,437.36 ",$376.60 ,$139.53 ,$446.54 ,$143.72 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$139.53 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$139.53 ,$139.53 ,$139.53 ,$392.74 ,"$1,437.36 ",$478.82 ,$484.20 ,$484.20 ,$430.40 ,"$1,480.48 ",$295.90 ,$484.20 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$511.10 ,"$3,234.06 ",$494.96 ,$147.90 ,$489.58 ,"$1,437.36 ",$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,"$1,451.73 ",$146.51 ,$503.03 ,"$1,509.23 ",$139.53 ,$468.06 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000375,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-LT",450,1 ,$538.00 ,$403.50 ,$139.53 ,"$3,234.06 ",$346.47 ,"$1,437.36 ",$376.60 ,$139.53 ,$446.54 ,$143.72 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$139.53 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$139.53 ,$139.53 ,$139.53 ,$392.74 ,"$1,437.36 ",$478.82 ,$484.20 ,$484.20 ,$430.40 ,"$1,480.48 ",$295.90 ,$484.20 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$511.10 ,"$3,234.06 ",$494.96 ,$147.90 ,$489.58 ,"$1,437.36 ",$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,"$1,451.73 ",$146.51 ,$503.03 ,"$1,509.23 ",$139.53 ,$468.06 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000376,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-RT",450,1 ,$538.00 ,$403.50 ,$139.53 ,"$3,234.06 ",$346.47 ,"$1,437.36 ",$376.60 ,$139.53 ,$446.54 ,$143.72 ,$355.08 ,$511.10 , N/A ,$430.40 ,$489.58 ,$139.53 ,$505.72 ,$511.10 ,$484.20 ,$457.30 ,$139.53 ,$139.53 ,$139.53 ,$392.74 ,"$1,437.36 ",$478.82 ,$484.20 ,$484.20 ,$430.40 ,"$1,480.48 ",$295.90 ,$484.20 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$511.10 ,"$3,234.06 ",$494.96 ,$147.90 ,$489.58 ,"$1,437.36 ",$331.09 ,$346.47 ,$331.09 ,$484.20 ,$484.20 ,$401.51 ,$374.72 ,"$1,451.73 ",$146.51 ,$503.03 ,"$1,509.23 ",$139.53 ,$468.06 ,"$1,437.36 ",$484.20 ,"$1,437.36 ",$484.20 ,$484.20 ,$484.20 ,$521.86 ,$435.78 ,$484.20 ,$484.20 ,$484.20 ,$484.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000377,25630,HC CLSD CARPAL BONE FX-LT,450,1 ,$280.00 ,$210.00 ,$139.53 ,$478.57 ,$180.32 ,$212.70 ,$196.00 ,$139.53 ,$232.40 ,$143.72 ,$184.80 ,$266.00 , N/A ,$224.00 ,$254.80 ,$139.53 ,$263.20 ,$266.00 ,$252.00 ,$238.00 ,$139.53 ,$139.53 ,$139.53 ,$204.40 ,$212.70 ,$249.20 ,$252.00 ,$252.00 ,$224.00 ,$219.08 ,$154.00 ,$252.00 ,$212.70 ,$252.00 ,$212.70 ,$266.00 ,$478.57 ,$257.60 ,$147.90 ,$254.80 ,$212.70 ,$172.31 ,$180.32 ,$172.31 ,$252.00 ,$252.00 ,$208.96 ,$195.02 ,$214.82 ,$146.51 ,$261.80 ,$223.34 ,$139.53 ,$243.60 ,$212.70 ,$252.00 ,$212.70 ,$252.00 ,$252.00 ,$252.00 ,$271.60 ,$226.80 ,$252.00 ,$252.00 ,$252.00 ,$252.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000378,25630,HC CLSD CARPAL BONE FX-RT,450,1 ,$280.00 ,$210.00 ,$139.53 ,$478.57 ,$180.32 ,$212.70 ,$196.00 ,$139.53 ,$232.40 ,$143.72 ,$184.80 ,$266.00 , N/A ,$224.00 ,$254.80 ,$139.53 ,$263.20 ,$266.00 ,$252.00 ,$238.00 ,$139.53 ,$139.53 ,$139.53 ,$204.40 ,$212.70 ,$249.20 ,$252.00 ,$252.00 ,$224.00 ,$219.08 ,$154.00 ,$252.00 ,$212.70 ,$252.00 ,$212.70 ,$266.00 ,$478.57 ,$257.60 ,$147.90 ,$254.80 ,$212.70 ,$172.31 ,$180.32 ,$172.31 ,$252.00 ,$252.00 ,$208.96 ,$195.02 ,$214.82 ,$146.51 ,$261.80 ,$223.34 ,$139.53 ,$243.60 ,$212.70 ,$252.00 ,$212.70 ,$252.00 ,$252.00 ,$252.00 ,$271.60 ,$226.80 ,$252.00 ,$252.00 ,$252.00 ,$252.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000379,26600,HC CLSD METACARPAL W/O MANIP-LT,450,1 ,$280.00 ,$210.00 ,$139.53 ,$478.57 ,$180.32 ,$212.70 ,$196.00 ,$139.53 ,$232.40 ,$143.72 ,$184.80 ,$266.00 , N/A ,$224.00 ,$254.80 ,$139.53 ,$263.20 ,$266.00 ,$252.00 ,$238.00 ,$139.53 ,$139.53 ,$139.53 ,$204.40 ,$212.70 ,$249.20 ,$252.00 ,$252.00 ,$224.00 ,$219.08 ,$154.00 ,$252.00 ,$212.70 ,$252.00 ,$212.70 ,$266.00 ,$478.57 ,$257.60 ,$147.90 ,$254.80 ,$212.70 ,$172.31 ,$180.32 ,$172.31 ,$252.00 ,$252.00 ,$208.96 ,$195.02 ,$214.82 ,$146.51 ,$261.80 ,$223.34 ,$139.53 ,$243.60 ,$212.70 ,$252.00 ,$212.70 ,$252.00 ,$252.00 ,$252.00 ,$271.60 ,$226.80 ,$252.00 ,$252.00 ,$252.00 ,$252.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000380,26600,HC CLSD METACARPAL W/O MANIP-RT,450,1 ,$280.00 ,$210.00 ,$139.53 ,$478.57 ,$180.32 ,$212.70 ,$196.00 ,$139.53 ,$232.40 ,$143.72 ,$184.80 ,$266.00 , N/A ,$224.00 ,$254.80 ,$139.53 ,$263.20 ,$266.00 ,$252.00 ,$238.00 ,$139.53 ,$139.53 ,$139.53 ,$204.40 ,$212.70 ,$249.20 ,$252.00 ,$252.00 ,$224.00 ,$219.08 ,$154.00 ,$252.00 ,$212.70 ,$252.00 ,$212.70 ,$266.00 ,$478.57 ,$257.60 ,$147.90 ,$254.80 ,$212.70 ,$172.31 ,$180.32 ,$172.31 ,$252.00 ,$252.00 ,$208.96 ,$195.02 ,$214.82 ,$146.51 ,$261.80 ,$223.34 ,$139.53 ,$243.60 ,$212.70 ,$252.00 ,$212.70 ,$252.00 ,$252.00 ,$252.00 ,$271.60 ,$226.80 ,$252.00 ,$252.00 ,$252.00 ,$252.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000381,26605,HC CLSD METACARPAL FX W/MANIP-LT,450,1 ,$320.00 ,$240.00 ,$139.53 ,$478.57 ,$206.08 ,$212.70 ,$224.00 ,$139.53 ,$265.60 ,$143.72 ,$211.20 ,$304.00 , N/A ,$256.00 ,$291.20 ,$139.53 ,$300.80 ,$304.00 ,$288.00 ,$272.00 ,$139.53 ,$139.53 ,$139.53 ,$233.60 ,$212.70 ,$284.80 ,$288.00 ,$288.00 ,$256.00 ,$219.08 ,$176.00 ,$288.00 ,$212.70 ,$288.00 ,$212.70 ,$304.00 ,$478.57 ,$294.40 ,$147.90 ,$291.20 ,$212.70 ,$196.93 ,$206.08 ,$196.93 ,$288.00 ,$288.00 ,$238.82 ,$222.88 ,$214.82 ,$146.51 ,$299.20 ,$223.34 ,$139.53 ,$278.40 ,$212.70 ,$288.00 ,$212.70 ,$288.00 ,$288.00 ,$288.00 ,$310.40 ,$259.20 ,$288.00 ,$288.00 ,$288.00 ,$288.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000382,26605,HC CLSD METACARPAL FX W/MANIP-RT,450,1 ,$320.00 ,$240.00 ,$139.53 ,$478.57 ,$206.08 ,$212.70 ,$224.00 ,$139.53 ,$265.60 ,$143.72 ,$211.20 ,$304.00 , N/A ,$256.00 ,$291.20 ,$139.53 ,$300.80 ,$304.00 ,$288.00 ,$272.00 ,$139.53 ,$139.53 ,$139.53 ,$233.60 ,$212.70 ,$284.80 ,$288.00 ,$288.00 ,$256.00 ,$219.08 ,$176.00 ,$288.00 ,$212.70 ,$288.00 ,$212.70 ,$304.00 ,$478.57 ,$294.40 ,$147.90 ,$291.20 ,$212.70 ,$196.93 ,$206.08 ,$196.93 ,$288.00 ,$288.00 ,$238.82 ,$222.88 ,$214.82 ,$146.51 ,$299.20 ,$223.34 ,$139.53 ,$278.40 ,$212.70 ,$288.00 ,$212.70 ,$288.00 ,$288.00 ,$288.00 ,$310.40 ,$259.20 ,$288.00 ,$288.00 ,$288.00 ,$288.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000383,26641,HC CLSD DISCL THUMB W/MANIP-LT,450,1 ,$327.00 ,$245.25 ,$139.53 ,$478.57 ,$210.59 ,$212.70 ,$228.90 ,$139.53 ,$271.41 ,$143.72 ,$215.82 ,$310.65 , N/A ,$261.60 ,$297.57 ,$139.53 ,$307.38 ,$310.65 ,$294.30 ,$277.95 ,$139.53 ,$139.53 ,$139.53 ,$238.71 ,$212.70 ,$291.03 ,$294.30 ,$294.30 ,$261.60 ,$219.08 ,$179.85 ,$294.30 ,$212.70 ,$294.30 ,$212.70 ,$310.65 ,$478.57 ,$300.84 ,$147.90 ,$297.57 ,$212.70 ,$201.24 ,$210.59 ,$201.24 ,$294.30 ,$294.30 ,$244.04 ,$227.76 ,$214.82 ,$146.51 ,$305.75 ,$223.34 ,$139.53 ,$284.49 ,$212.70 ,$294.30 ,$212.70 ,$294.30 ,$294.30 ,$294.30 ,$317.19 ,$264.87 ,$294.30 ,$294.30 ,$294.30 ,$294.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000384,26641,HC CLSD DISCL THUMB W/MANIP-RT,450,1 ,$327.00 ,$245.25 ,$139.53 ,$478.57 ,$210.59 ,$212.70 ,$228.90 ,$139.53 ,$271.41 ,$143.72 ,$215.82 ,$310.65 , N/A ,$261.60 ,$297.57 ,$139.53 ,$307.38 ,$310.65 ,$294.30 ,$277.95 ,$139.53 ,$139.53 ,$139.53 ,$238.71 ,$212.70 ,$291.03 ,$294.30 ,$294.30 ,$261.60 ,$219.08 ,$179.85 ,$294.30 ,$212.70 ,$294.30 ,$212.70 ,$310.65 ,$478.57 ,$300.84 ,$147.90 ,$297.57 ,$212.70 ,$201.24 ,$210.59 ,$201.24 ,$294.30 ,$294.30 ,$244.04 ,$227.76 ,$214.82 ,$146.51 ,$305.75 ,$223.34 ,$139.53 ,$284.49 ,$212.70 ,$294.30 ,$212.70 ,$294.30 ,$294.30 ,$294.30 ,$317.19 ,$264.87 ,$294.30 ,$294.30 ,$294.30 ,$294.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000385,26670,HC HAND DISL W/MANIP W/O ANES-LT,450,1 ,$437.00 ,$327.75 ,$139.53 ,$478.57 ,$281.43 ,$212.70 ,$305.90 ,$139.53 ,$362.71 ,$143.72 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$139.53 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$139.53 ,$139.53 ,$139.53 ,$319.01 ,$212.70 ,$388.93 ,$393.30 ,$393.30 ,$349.60 ,$219.08 ,$240.35 ,$393.30 ,$212.70 ,$393.30 ,$212.70 ,$415.15 ,$478.57 ,$402.04 ,$147.90 ,$397.67 ,$212.70 ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 ,$214.82 ,$146.51 ,$408.60 ,$223.34 ,$139.53 ,$380.19 ,$212.70 ,$393.30 ,$212.70 ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000386,26670,HC HAND DISL W/MANIP W/O ANES-RT,450,1 ,$437.00 ,$327.75 ,$139.53 ,$478.57 ,$281.43 ,$212.70 ,$305.90 ,$139.53 ,$362.71 ,$143.72 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$139.53 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$139.53 ,$139.53 ,$139.53 ,$319.01 ,$212.70 ,$388.93 ,$393.30 ,$393.30 ,$349.60 ,$219.08 ,$240.35 ,$393.30 ,$212.70 ,$393.30 ,$212.70 ,$415.15 ,$478.57 ,$402.04 ,$147.90 ,$397.67 ,$212.70 ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 ,$214.82 ,$146.51 ,$408.60 ,$223.34 ,$139.53 ,$380.19 ,$212.70 ,$393.30 ,$212.70 ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000387,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT-LT,450,1 ,$680.00 ,$510.00 ,$139.53 ,$680.00 ,$437.92 ,$212.70 ,$476.00 ,$139.53 ,$564.40 ,$143.72 ,$448.80 ,$646.00 , N/A ,$544.00 ,$618.80 ,$139.53 ,$639.20 ,$646.00 ,$612.00 ,$578.00 ,$139.53 ,$139.53 ,$139.53 ,$496.40 ,$212.70 ,$605.20 ,$612.00 ,$612.00 ,$544.00 ,$219.08 ,$374.00 ,$612.00 ,$212.70 ,$612.00 ,$212.70 ,$646.00 ,$478.57 ,$625.60 ,$147.90 ,$618.80 ,$212.70 ,$418.47 ,$437.92 ,$418.47 ,$612.00 ,$612.00 ,$507.48 ,$473.62 ,$214.82 ,$146.51 ,$635.80 ,$223.34 ,$139.53 ,$591.60 ,$212.70 ,$612.00 ,$212.70 ,$612.00 ,$612.00 ,$612.00 ,$659.60 ,$550.80 ,$612.00 ,$612.00 ,$612.00 ,$612.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000388,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT-RT,450,1 ,$680.00 ,$510.00 ,$139.53 ,$680.00 ,$437.92 ,$212.70 ,$476.00 ,$139.53 ,$564.40 ,$143.72 ,$448.80 ,$646.00 , N/A ,$544.00 ,$618.80 ,$139.53 ,$639.20 ,$646.00 ,$612.00 ,$578.00 ,$139.53 ,$139.53 ,$139.53 ,$496.40 ,$212.70 ,$605.20 ,$612.00 ,$612.00 ,$544.00 ,$219.08 ,$374.00 ,$612.00 ,$212.70 ,$612.00 ,$212.70 ,$646.00 ,$478.57 ,$625.60 ,$147.90 ,$618.80 ,$212.70 ,$418.47 ,$437.92 ,$418.47 ,$612.00 ,$612.00 ,$507.48 ,$473.62 ,$214.82 ,$146.51 ,$635.80 ,$223.34 ,$139.53 ,$591.60 ,$212.70 ,$612.00 ,$212.70 ,$612.00 ,$612.00 ,$612.00 ,$659.60 ,$550.80 ,$612.00 ,$612.00 ,$612.00 ,$612.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000389,27550,HC CLSD TX KNEE DISLOC W/O ANESTH-LT,450,1 ,$592.00 ,$444.00 ,$139.53 ,$592.00 ,$381.25 ,$212.70 ,$414.40 ,$139.53 ,$491.36 ,$143.72 ,$390.72 ,$562.40 , N/A ,$473.60 ,$538.72 ,$139.53 ,$556.48 ,$562.40 ,$532.80 ,$503.20 ,$139.53 ,$139.53 ,$139.53 ,$432.16 ,$212.70 ,$526.88 ,$532.80 ,$532.80 ,$473.60 ,$219.08 ,$325.60 ,$532.80 ,$212.70 ,$532.80 ,$212.70 ,$562.40 ,$478.57 ,$544.64 ,$147.90 ,$538.72 ,$212.70 ,$364.32 ,$381.25 ,$364.32 ,$532.80 ,$532.80 ,$441.81 ,$412.33 ,$214.82 ,$146.51 ,$553.52 ,$223.34 ,$139.53 ,$515.04 ,$212.70 ,$532.80 ,$212.70 ,$532.80 ,$532.80 ,$532.80 ,$574.24 ,$479.52 ,$532.80 ,$532.80 ,$532.80 ,$532.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000390,27550,HC CLSD TX KNEE DISLOC W/O ANESTH-RT,450,1 ,$592.00 ,$444.00 ,$139.53 ,$592.00 ,$381.25 ,$212.70 ,$414.40 ,$139.53 ,$491.36 ,$143.72 ,$390.72 ,$562.40 , N/A ,$473.60 ,$538.72 ,$139.53 ,$556.48 ,$562.40 ,$532.80 ,$503.20 ,$139.53 ,$139.53 ,$139.53 ,$432.16 ,$212.70 ,$526.88 ,$532.80 ,$532.80 ,$473.60 ,$219.08 ,$325.60 ,$532.80 ,$212.70 ,$532.80 ,$212.70 ,$562.40 ,$478.57 ,$544.64 ,$147.90 ,$538.72 ,$212.70 ,$364.32 ,$381.25 ,$364.32 ,$532.80 ,$532.80 ,$441.81 ,$412.33 ,$214.82 ,$146.51 ,$553.52 ,$223.34 ,$139.53 ,$515.04 ,$212.70 ,$532.80 ,$212.70 ,$532.80 ,$532.80 ,$532.80 ,$574.24 ,$479.52 ,$532.80 ,$532.80 ,$532.80 ,$532.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000391,27560,HC TX DSL PTLR W/O ANS CL-LT,450,1 ,$437.00 ,$327.75 ,$139.53 ,$478.57 ,$281.43 ,$212.70 ,$305.90 ,$139.53 ,$362.71 ,$143.72 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$139.53 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$139.53 ,$139.53 ,$139.53 ,$319.01 ,$212.70 ,$388.93 ,$393.30 ,$393.30 ,$349.60 ,$219.08 ,$240.35 ,$393.30 ,$212.70 ,$393.30 ,$212.70 ,$415.15 ,$478.57 ,$402.04 ,$147.90 ,$397.67 ,$212.70 ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 ,$214.82 ,$146.51 ,$408.60 ,$223.34 ,$139.53 ,$380.19 ,$212.70 ,$393.30 ,$212.70 ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000392,27560,HC TX DSL PTLR W/O ANS CL-RT,450,1 ,$437.00 ,$327.75 ,$139.53 ,$478.57 ,$281.43 ,$212.70 ,$305.90 ,$139.53 ,$362.71 ,$143.72 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$139.53 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$139.53 ,$139.53 ,$139.53 ,$319.01 ,$212.70 ,$388.93 ,$393.30 ,$393.30 ,$349.60 ,$219.08 ,$240.35 ,$393.30 ,$212.70 ,$393.30 ,$212.70 ,$415.15 ,$478.57 ,$402.04 ,$147.90 ,$397.67 ,$212.70 ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 ,$214.82 ,$146.51 ,$408.60 ,$223.34 ,$139.53 ,$380.19 ,$212.70 ,$393.30 ,$212.70 ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000393,27750,HC TIBIA SHAFT FX W/O MANIP-LT,450,1 ,$342.00 ,$256.50 ,$139.53 ,$478.57 ,$220.25 ,$212.70 ,$239.40 ,$139.53 ,$283.86 ,$143.72 ,$225.72 ,$324.90 , N/A ,$273.60 ,$311.22 ,$139.53 ,$321.48 ,$324.90 ,$307.80 ,$290.70 ,$139.53 ,$139.53 ,$139.53 ,$249.66 ,$212.70 ,$304.38 ,$307.80 ,$307.80 ,$273.60 ,$219.08 ,$188.10 ,$307.80 ,$212.70 ,$307.80 ,$212.70 ,$324.90 ,$478.57 ,$314.64 ,$147.90 ,$311.22 ,$212.70 ,$210.47 ,$220.25 ,$210.47 ,$307.80 ,$307.80 ,$255.23 ,$238.20 ,$214.82 ,$146.51 ,$319.77 ,$223.34 ,$139.53 ,$297.54 ,$212.70 ,$307.80 ,$212.70 ,$307.80 ,$307.80 ,$307.80 ,$331.74 ,$277.02 ,$307.80 ,$307.80 ,$307.80 ,$307.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000394,27750,HC TIBIA SHAFT FX W/O MANIP-RT,450,1 ,$342.00 ,$256.50 ,$139.53 ,$478.57 ,$220.25 ,$212.70 ,$239.40 ,$139.53 ,$283.86 ,$143.72 ,$225.72 ,$324.90 , N/A ,$273.60 ,$311.22 ,$139.53 ,$321.48 ,$324.90 ,$307.80 ,$290.70 ,$139.53 ,$139.53 ,$139.53 ,$249.66 ,$212.70 ,$304.38 ,$307.80 ,$307.80 ,$273.60 ,$219.08 ,$188.10 ,$307.80 ,$212.70 ,$307.80 ,$212.70 ,$324.90 ,$478.57 ,$314.64 ,$147.90 ,$311.22 ,$212.70 ,$210.47 ,$220.25 ,$210.47 ,$307.80 ,$307.80 ,$255.23 ,$238.20 ,$214.82 ,$146.51 ,$319.77 ,$223.34 ,$139.53 ,$297.54 ,$212.70 ,$307.80 ,$212.70 ,$307.80 ,$307.80 ,$307.80 ,$331.74 ,$277.02 ,$307.80 ,$307.80 ,$307.80 ,$307.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000395,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP-LT,450,1 ,$381.00 ,$285.75 ,$139.53 ,$478.57 ,$245.36 ,$212.70 ,$266.70 ,$139.53 ,$316.23 ,$143.72 ,$251.46 ,$361.95 , N/A ,$304.80 ,$346.71 ,$139.53 ,$358.14 ,$361.95 ,$342.90 ,$323.85 ,$139.53 ,$139.53 ,$139.53 ,$278.13 ,$212.70 ,$339.09 ,$342.90 ,$342.90 ,$304.80 ,$219.08 ,$209.55 ,$342.90 ,$212.70 ,$342.90 ,$212.70 ,$361.95 ,$478.57 ,$350.52 ,$147.90 ,$346.71 ,$212.70 ,$234.47 ,$245.36 ,$234.47 ,$342.90 ,$342.90 ,$284.34 ,$265.37 ,$214.82 ,$146.51 ,$356.24 ,$223.34 ,$139.53 ,$331.47 ,$212.70 ,$342.90 ,$212.70 ,$342.90 ,$342.90 ,$342.90 ,$369.57 ,$308.61 ,$342.90 ,$342.90 ,$342.90 ,$342.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000396,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP-RT,450,1 ,$381.00 ,$285.75 ,$139.53 ,$478.57 ,$245.36 ,$212.70 ,$266.70 ,$139.53 ,$316.23 ,$143.72 ,$251.46 ,$361.95 , N/A ,$304.80 ,$346.71 ,$139.53 ,$358.14 ,$361.95 ,$342.90 ,$323.85 ,$139.53 ,$139.53 ,$139.53 ,$278.13 ,$212.70 ,$339.09 ,$342.90 ,$342.90 ,$304.80 ,$219.08 ,$209.55 ,$342.90 ,$212.70 ,$342.90 ,$212.70 ,$361.95 ,$478.57 ,$350.52 ,$147.90 ,$346.71 ,$212.70 ,$234.47 ,$245.36 ,$234.47 ,$342.90 ,$342.90 ,$284.34 ,$265.37 ,$214.82 ,$146.51 ,$356.24 ,$223.34 ,$139.53 ,$331.47 ,$212.70 ,$342.90 ,$212.70 ,$342.90 ,$342.90 ,$342.90 ,$369.57 ,$308.61 ,$342.90 ,$342.90 ,$342.90 ,$342.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000397,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP-LT,450,1 ,$414.00 ,$310.50 ,$139.53 ,"$3,234.06 ",$266.62 ,"$1,437.36 ",$289.80 ,$139.53 ,$343.62 ,$143.72 ,$273.24 ,$393.30 , N/A ,$331.20 ,$376.74 ,$139.53 ,$389.16 ,$393.30 ,$372.60 ,$351.90 ,$139.53 ,$139.53 ,$139.53 ,$302.22 ,"$1,437.36 ",$368.46 ,$372.60 ,$372.60 ,$331.20 ,"$1,480.48 ",$227.70 ,$372.60 ,"$1,437.36 ",$372.60 ,"$1,437.36 ",$393.30 ,"$3,234.06 ",$380.88 ,$147.90 ,$376.74 ,"$1,437.36 ",$254.78 ,$266.62 ,$254.78 ,$372.60 ,$372.60 ,$308.97 ,$288.35 ,"$1,451.73 ",$146.51 ,$387.09 ,"$1,509.23 ",$139.53 ,$360.18 ,"$1,437.36 ",$372.60 ,"$1,437.36 ",$372.60 ,$372.60 ,$372.60 ,$401.58 ,$335.34 ,$372.60 ,$372.60 ,$372.60 ,$372.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000398,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP-RT,450,1 ,$414.00 ,$310.50 ,$139.53 ,"$3,234.06 ",$266.62 ,"$1,437.36 ",$289.80 ,$139.53 ,$343.62 ,$143.72 ,$273.24 ,$393.30 , N/A ,$331.20 ,$376.74 ,$139.53 ,$389.16 ,$393.30 ,$372.60 ,$351.90 ,$139.53 ,$139.53 ,$139.53 ,$302.22 ,"$1,437.36 ",$368.46 ,$372.60 ,$372.60 ,$331.20 ,"$1,480.48 ",$227.70 ,$372.60 ,"$1,437.36 ",$372.60 ,"$1,437.36 ",$393.30 ,"$3,234.06 ",$380.88 ,$147.90 ,$376.74 ,"$1,437.36 ",$254.78 ,$266.62 ,$254.78 ,$372.60 ,$372.60 ,$308.97 ,$288.35 ,"$1,451.73 ",$146.51 ,$387.09 ,"$1,509.23 ",$139.53 ,$360.18 ,"$1,437.36 ",$372.60 ,"$1,437.36 ",$372.60 ,$372.60 ,$372.60 ,$401.58 ,$335.34 ,$372.60 ,$372.60 ,$372.60 ,$372.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000399,28470,HC CLSD METATARSAL W/O MANIP-LT,450,1 ,$190.00 ,$142.50 ,$104.50 ,$478.57 ,$122.36 ,$212.70 ,$133.00 ,$139.53 ,$157.70 ,$143.72 ,$125.40 ,$180.50 , N/A ,$152.00 ,$172.90 ,$139.53 ,$178.60 ,$180.50 ,$171.00 ,$161.50 ,$139.53 ,$139.53 ,$139.53 ,$138.70 ,$212.70 ,$169.10 ,$171.00 ,$171.00 ,$152.00 ,$219.08 ,$104.50 ,$171.00 ,$212.70 ,$171.00 ,$212.70 ,$180.50 ,$478.57 ,$174.80 ,$147.90 ,$172.90 ,$212.70 ,$116.93 ,$122.36 ,$116.93 ,$171.00 ,$171.00 ,$141.80 ,$132.34 ,$214.82 ,$146.51 ,$177.65 ,$223.34 ,$139.53 ,$165.30 ,$212.70 ,$171.00 ,$212.70 ,$171.00 ,$171.00 ,$171.00 ,$184.30 ,$153.90 ,$171.00 ,$171.00 ,$171.00 ,$171.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000400,28470,HC CLSD METATARSAL W/O MANIP-RT,450,1 ,$190.00 ,$142.50 ,$104.50 ,$478.57 ,$122.36 ,$212.70 ,$133.00 ,$139.53 ,$157.70 ,$143.72 ,$125.40 ,$180.50 , N/A ,$152.00 ,$172.90 ,$139.53 ,$178.60 ,$180.50 ,$171.00 ,$161.50 ,$139.53 ,$139.53 ,$139.53 ,$138.70 ,$212.70 ,$169.10 ,$171.00 ,$171.00 ,$152.00 ,$219.08 ,$104.50 ,$171.00 ,$212.70 ,$171.00 ,$212.70 ,$180.50 ,$478.57 ,$174.80 ,$147.90 ,$172.90 ,$212.70 ,$116.93 ,$122.36 ,$116.93 ,$171.00 ,$171.00 ,$141.80 ,$132.34 ,$214.82 ,$146.51 ,$177.65 ,$223.34 ,$139.53 ,$165.30 ,$212.70 ,$171.00 ,$212.70 ,$171.00 ,$171.00 ,$171.00 ,$184.30 ,$153.90 ,$171.00 ,$171.00 ,$171.00 ,$171.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000401,28570,HC CLOSED TX FOOT DISLOCATION W/O ANES-LT,450,1 ,$335.00 ,$251.25 ,$139.53 ,$478.57 ,$215.74 ,$212.70 ,$234.50 ,$139.53 ,$278.05 ,$143.72 ,$221.10 ,$318.25 , N/A ,$268.00 ,$304.85 ,$139.53 ,$314.90 ,$318.25 ,$301.50 ,$284.75 ,$139.53 ,$139.53 ,$139.53 ,$244.55 ,$212.70 ,$298.15 ,$301.50 ,$301.50 ,$268.00 ,$219.08 ,$184.25 ,$301.50 ,$212.70 ,$301.50 ,$212.70 ,$318.25 ,$478.57 ,$308.20 ,$147.90 ,$304.85 ,$212.70 ,$206.16 ,$215.74 ,$206.16 ,$301.50 ,$301.50 ,$250.01 ,$233.33 ,$214.82 ,$146.51 ,$313.23 ,$223.34 ,$139.53 ,$291.45 ,$212.70 ,$301.50 ,$212.70 ,$301.50 ,$301.50 ,$301.50 ,$324.95 ,$271.35 ,$301.50 ,$301.50 ,$301.50 ,$301.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000402,28570,HC CLOSED TX FOOT DISLOCATION W/O ANES-RT,450,1 ,$335.00 ,$251.25 ,$139.53 ,$478.57 ,$215.74 ,$212.70 ,$234.50 ,$139.53 ,$278.05 ,$143.72 ,$221.10 ,$318.25 , N/A ,$268.00 ,$304.85 ,$139.53 ,$314.90 ,$318.25 ,$301.50 ,$284.75 ,$139.53 ,$139.53 ,$139.53 ,$244.55 ,$212.70 ,$298.15 ,$301.50 ,$301.50 ,$268.00 ,$219.08 ,$184.25 ,$301.50 ,$212.70 ,$301.50 ,$212.70 ,$318.25 ,$478.57 ,$308.20 ,$147.90 ,$304.85 ,$212.70 ,$206.16 ,$215.74 ,$206.16 ,$301.50 ,$301.50 ,$250.01 ,$233.33 ,$214.82 ,$146.51 ,$313.23 ,$223.34 ,$139.53 ,$291.45 ,$212.70 ,$301.50 ,$212.70 ,$301.50 ,$301.50 ,$301.50 ,$324.95 ,$271.35 ,$301.50 ,$301.50 ,$301.50 ,$301.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000403,29065,HC APPL CAST ARM LONG-LT,450,1 ,$659.00 ,$494.25 ,$59.15 ,$659.00 ,$424.40 ,$248.95 ,$461.30 ,$59.15 ,$546.97 ,$60.92 ,$434.94 ,$626.05 , N/A ,$527.20 ,$599.69 ,$59.15 ,$619.46 ,$626.05 ,$593.10 ,$560.15 ,$59.15 ,$59.15 ,$59.15 ,$481.07 ,$248.95 ,$586.51 ,$593.10 ,$593.10 ,$527.20 ,$256.42 ,$362.45 ,$593.10 ,$248.95 ,$593.10 ,$248.95 ,$626.05 ,$560.14 ,$606.28 ,$62.70 ,$599.69 ,$248.95 ,$405.55 ,$424.40 ,$405.55 ,$593.10 ,$593.10 ,$491.81 ,$458.99 ,$251.44 ,$62.11 ,$616.17 ,$261.40 ,$59.15 ,$573.33 ,$248.95 ,$593.10 ,$248.95 ,$593.10 ,$593.10 ,$593.10 ,$639.23 ,$533.79 ,$593.10 ,$593.10 ,$593.10 ,$593.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000404,29065,HC APPL CAST ARM LONG-RT,450,1 ,$659.00 ,$494.25 ,$59.15 ,$659.00 ,$424.40 ,$248.95 ,$461.30 ,$59.15 ,$546.97 ,$60.92 ,$434.94 ,$626.05 , N/A ,$527.20 ,$599.69 ,$59.15 ,$619.46 ,$626.05 ,$593.10 ,$560.15 ,$59.15 ,$59.15 ,$59.15 ,$481.07 ,$248.95 ,$586.51 ,$593.10 ,$593.10 ,$527.20 ,$256.42 ,$362.45 ,$593.10 ,$248.95 ,$593.10 ,$248.95 ,$626.05 ,$560.14 ,$606.28 ,$62.70 ,$599.69 ,$248.95 ,$405.55 ,$424.40 ,$405.55 ,$593.10 ,$593.10 ,$491.81 ,$458.99 ,$251.44 ,$62.11 ,$616.17 ,$261.40 ,$59.15 ,$573.33 ,$248.95 ,$593.10 ,$248.95 ,$593.10 ,$593.10 ,$593.10 ,$639.23 ,$533.79 ,$593.10 ,$593.10 ,$593.10 ,$593.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000405,29105,HC APPL SPLNT ARM LONG-LT,450,1 ,$356.00 ,$267.00 ,$13.65 ,$356.00 ,$229.26 ,$145.80 ,$249.20 ,$13.65 ,$295.48 ,$14.06 ,$234.96 ,$338.20 , N/A ,$284.80 ,$323.96 ,$13.65 ,$334.64 ,$338.20 ,$320.40 ,$302.60 ,$13.65 ,$13.65 ,$13.65 ,$259.88 ,$145.80 ,$316.84 ,$320.40 ,$320.40 ,$284.80 ,$150.17 ,$195.80 ,$320.40 ,$145.80 ,$320.40 ,$145.80 ,$338.20 ,$328.04 ,$327.52 ,$14.47 ,$323.96 ,$145.80 ,$219.08 ,$229.26 ,$219.08 ,$320.40 ,$320.40 ,$265.68 ,$247.95 ,$147.25 ,$14.33 ,$332.86 ,$153.09 ,$13.65 ,$309.72 ,$145.80 ,$320.40 ,$145.80 ,$320.40 ,$320.40 ,$320.40 ,$345.32 ,$288.36 ,$320.40 ,$320.40 ,$320.40 ,$320.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000406,29105,HC APPL SPLNT ARM LONG-RT,450,1 ,$356.00 ,$267.00 ,$13.65 ,$356.00 ,$229.26 ,$145.80 ,$249.20 ,$13.65 ,$295.48 ,$14.06 ,$234.96 ,$338.20 , N/A ,$284.80 ,$323.96 ,$13.65 ,$334.64 ,$338.20 ,$320.40 ,$302.60 ,$13.65 ,$13.65 ,$13.65 ,$259.88 ,$145.80 ,$316.84 ,$320.40 ,$320.40 ,$284.80 ,$150.17 ,$195.80 ,$320.40 ,$145.80 ,$320.40 ,$145.80 ,$338.20 ,$328.04 ,$327.52 ,$14.47 ,$323.96 ,$145.80 ,$219.08 ,$229.26 ,$219.08 ,$320.40 ,$320.40 ,$265.68 ,$247.95 ,$147.25 ,$14.33 ,$332.86 ,$153.09 ,$13.65 ,$309.72 ,$145.80 ,$320.40 ,$145.80 ,$320.40 ,$320.40 ,$320.40 ,$345.32 ,$288.36 ,$320.40 ,$320.40 ,$320.40 ,$320.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000407,29126,HC APPL SHRT ARM SPLNT DYNAM-LT,450,1 ,$281.00 ,$210.75 ,$13.65 ,$281.00 ,$180.96 ,$116.36 ,$196.70 ,$13.65 ,$233.23 ,$14.06 ,$185.46 ,$266.95 , N/A ,$224.80 ,$255.71 ,$13.65 ,$264.14 ,$266.95 ,$252.90 ,$238.85 ,$13.65 ,$13.65 ,$13.65 ,$205.13 ,$116.36 ,$250.09 ,$252.90 ,$252.90 ,$224.80 ,$119.85 ,$154.55 ,$252.90 ,$116.36 ,$252.90 ,$116.36 ,$266.95 ,$261.82 ,$258.52 ,$14.47 ,$255.71 ,$116.36 ,$172.93 ,$180.96 ,$172.93 ,$252.90 ,$252.90 ,$209.71 ,$195.72 ,$117.53 ,$14.33 ,$262.74 ,$122.18 ,$13.65 ,$244.47 ,$116.36 ,$252.90 ,$116.36 ,$252.90 ,$252.90 ,$252.90 ,$272.57 ,$227.61 ,$252.90 ,$252.90 ,$252.90 ,$252.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000408,29126,HC APPL SHRT ARM SPLNT DYNAM-RT,450,1 ,$281.00 ,$210.75 ,$13.65 ,$281.00 ,$180.96 ,$116.36 ,$196.70 ,$13.65 ,$233.23 ,$14.06 ,$185.46 ,$266.95 , N/A ,$224.80 ,$255.71 ,$13.65 ,$264.14 ,$266.95 ,$252.90 ,$238.85 ,$13.65 ,$13.65 ,$13.65 ,$205.13 ,$116.36 ,$250.09 ,$252.90 ,$252.90 ,$224.80 ,$119.85 ,$154.55 ,$252.90 ,$116.36 ,$252.90 ,$116.36 ,$266.95 ,$261.82 ,$258.52 ,$14.47 ,$255.71 ,$116.36 ,$172.93 ,$180.96 ,$172.93 ,$252.90 ,$252.90 ,$209.71 ,$195.72 ,$117.53 ,$14.33 ,$262.74 ,$122.18 ,$13.65 ,$244.47 ,$116.36 ,$252.90 ,$116.36 ,$252.90 ,$252.90 ,$252.90 ,$272.57 ,$227.61 ,$252.90 ,$252.90 ,$252.90 ,$252.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000409,29240,HC STRAPPING SHLDR-LT,450,1 ,$213.00 ,$159.75 ,$13.65 ,$261.82 ,$137.17 ,$116.36 ,$149.10 ,$13.65 ,$176.79 ,$14.06 ,$140.58 ,$202.35 , N/A ,$170.40 ,$193.83 ,$13.65 ,$200.22 ,$202.35 ,$191.70 ,$181.05 ,$13.65 ,$13.65 ,$13.65 ,$155.49 ,$116.36 ,$189.57 ,$191.70 ,$191.70 ,$170.40 ,$119.85 ,$117.15 ,$191.70 ,$116.36 ,$191.70 ,$116.36 ,$202.35 ,$261.82 ,$195.96 ,$14.47 ,$193.83 ,$116.36 ,$131.08 ,$137.17 ,$131.08 ,$191.70 ,$191.70 ,$158.96 ,$148.35 ,$117.53 ,$14.33 ,$199.16 ,$122.18 ,$13.65 ,$185.31 ,$116.36 ,$191.70 ,$116.36 ,$191.70 ,$191.70 ,$191.70 ,$206.61 ,$172.53 ,$191.70 ,$191.70 ,$191.70 ,$191.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000410,29240,HC STRAPPING SHLDR-RT,450,1 ,$213.00 ,$159.75 ,$13.65 ,$261.82 ,$137.17 ,$116.36 ,$149.10 ,$13.65 ,$176.79 ,$14.06 ,$140.58 ,$202.35 , N/A ,$170.40 ,$193.83 ,$13.65 ,$200.22 ,$202.35 ,$191.70 ,$181.05 ,$13.65 ,$13.65 ,$13.65 ,$155.49 ,$116.36 ,$189.57 ,$191.70 ,$191.70 ,$170.40 ,$119.85 ,$117.15 ,$191.70 ,$116.36 ,$191.70 ,$116.36 ,$202.35 ,$261.82 ,$195.96 ,$14.47 ,$193.83 ,$116.36 ,$131.08 ,$137.17 ,$131.08 ,$191.70 ,$191.70 ,$158.96 ,$148.35 ,$117.53 ,$14.33 ,$199.16 ,$122.18 ,$13.65 ,$185.31 ,$116.36 ,$191.70 ,$116.36 ,$191.70 ,$191.70 ,$191.70 ,$206.61 ,$172.53 ,$191.70 ,$191.70 ,$191.70 ,$191.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000411,29260,HC STRAPPING ELBOW/WRIST-LT,450,1 ,$156.00 ,$117.00 ,$13.65 ,$156.00 ,$100.46 ,$57.44 ,$109.20 ,$13.65 ,$129.48 ,$14.06 ,$102.96 ,$148.20 , N/A ,$124.80 ,$141.96 ,$13.65 ,$146.64 ,$148.20 ,$140.40 ,$132.60 ,$13.65 ,$13.65 ,$13.65 ,$113.88 ,$57.44 ,$138.84 ,$140.40 ,$140.40 ,$124.80 ,$59.17 ,$85.80 ,$140.40 ,$57.44 ,$140.40 ,$57.44 ,$148.20 ,$129.25 ,$143.52 ,$14.47 ,$141.96 ,$57.44 ,$96.00 ,$100.46 ,$96.00 ,$140.40 ,$140.40 ,$116.42 ,$108.65 ,$58.02 ,$14.33 ,$145.86 ,$60.31 ,$13.65 ,$135.72 ,$57.44 ,$140.40 ,$57.44 ,$140.40 ,$140.40 ,$140.40 ,$151.32 ,$126.36 ,$140.40 ,$140.40 ,$140.40 ,$140.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000412,29260,HC STRAPPING ELBOW/WRIST-RT,450,1 ,$156.00 ,$117.00 ,$13.65 ,$156.00 ,$100.46 ,$57.44 ,$109.20 ,$13.65 ,$129.48 ,$14.06 ,$102.96 ,$148.20 , N/A ,$124.80 ,$141.96 ,$13.65 ,$146.64 ,$148.20 ,$140.40 ,$132.60 ,$13.65 ,$13.65 ,$13.65 ,$113.88 ,$57.44 ,$138.84 ,$140.40 ,$140.40 ,$124.80 ,$59.17 ,$85.80 ,$140.40 ,$57.44 ,$140.40 ,$57.44 ,$148.20 ,$129.25 ,$143.52 ,$14.47 ,$141.96 ,$57.44 ,$96.00 ,$100.46 ,$96.00 ,$140.40 ,$140.40 ,$116.42 ,$108.65 ,$58.02 ,$14.33 ,$145.86 ,$60.31 ,$13.65 ,$135.72 ,$57.44 ,$140.40 ,$57.44 ,$140.40 ,$140.40 ,$140.40 ,$151.32 ,$126.36 ,$140.40 ,$140.40 ,$140.40 ,$140.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000413,29345,HC LONG LEG CAST-LT,450,1 ,"$1,060.00 ",$795.00 ,$59.15 ,"$1,060.00 ",$682.64 ,$248.95 ,$742.00 ,$59.15 ,$879.80 ,$60.92 ,$699.60 ,"$1,007.00 ", N/A ,$848.00 ,$964.60 ,$59.15 ,$996.40 ,"$1,007.00 ",$954.00 ,$901.00 ,$59.15 ,$59.15 ,$59.15 ,$773.80 ,$248.95 ,$943.40 ,$954.00 ,$954.00 ,$848.00 ,$256.42 ,$583.00 ,$954.00 ,$248.95 ,$954.00 ,$248.95 ,"$1,007.00 ",$560.14 ,$975.20 ,$62.70 ,$964.60 ,$248.95 ,$652.32 ,$682.64 ,$652.32 ,$954.00 ,$954.00 ,$791.08 ,$738.29 ,$251.44 ,$62.11 ,$991.10 ,$261.40 ,$59.15 ,$922.20 ,$248.95 ,$954.00 ,$248.95 ,$954.00 ,$954.00 ,$954.00 ,"$1,028.20 ",$858.60 ,$954.00 ,$954.00 ,$954.00 ,$954.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000414,29345,HC LONG LEG CAST-RT,450,1 ,"$1,060.00 ",$795.00 ,$59.15 ,"$1,060.00 ",$682.64 ,$248.95 ,$742.00 ,$59.15 ,$879.80 ,$60.92 ,$699.60 ,"$1,007.00 ", N/A ,$848.00 ,$964.60 ,$59.15 ,$996.40 ,"$1,007.00 ",$954.00 ,$901.00 ,$59.15 ,$59.15 ,$59.15 ,$773.80 ,$248.95 ,$943.40 ,$954.00 ,$954.00 ,$848.00 ,$256.42 ,$583.00 ,$954.00 ,$248.95 ,$954.00 ,$248.95 ,"$1,007.00 ",$560.14 ,$975.20 ,$62.70 ,$964.60 ,$248.95 ,$652.32 ,$682.64 ,$652.32 ,$954.00 ,$954.00 ,$791.08 ,$738.29 ,$251.44 ,$62.11 ,$991.10 ,$261.40 ,$59.15 ,$922.20 ,$248.95 ,$954.00 ,$248.95 ,$954.00 ,$954.00 ,$954.00 ,"$1,028.20 ",$858.60 ,$954.00 ,$954.00 ,$954.00 ,$954.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000415,29405,HC APPLY SHORT LEG CAST-LT,450,1 ,$634.00 ,$475.50 ,$59.15 ,$634.00 ,$408.30 ,$248.95 ,$443.80 ,$59.15 ,$526.22 ,$60.92 ,$418.44 ,$602.30 , N/A ,$507.20 ,$576.94 ,$59.15 ,$595.96 ,$602.30 ,$570.60 ,$538.90 ,$59.15 ,$59.15 ,$59.15 ,$462.82 ,$248.95 ,$564.26 ,$570.60 ,$570.60 ,$507.20 ,$256.42 ,$348.70 ,$570.60 ,$248.95 ,$570.60 ,$248.95 ,$602.30 ,$560.14 ,$583.28 ,$62.70 ,$576.94 ,$248.95 ,$390.16 ,$408.30 ,$390.16 ,$570.60 ,$570.60 ,$473.15 ,$441.58 ,$251.44 ,$62.11 ,$592.79 ,$261.40 ,$59.15 ,$551.58 ,$248.95 ,$570.60 ,$248.95 ,$570.60 ,$570.60 ,$570.60 ,$614.98 ,$513.54 ,$570.60 ,$570.60 ,$570.60 ,$570.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000416,29405,HC APPLY SHORT LEG CAST-RT,450,1 ,$634.00 ,$475.50 ,$59.15 ,$634.00 ,$408.30 ,$248.95 ,$443.80 ,$59.15 ,$526.22 ,$60.92 ,$418.44 ,$602.30 , N/A ,$507.20 ,$576.94 ,$59.15 ,$595.96 ,$602.30 ,$570.60 ,$538.90 ,$59.15 ,$59.15 ,$59.15 ,$462.82 ,$248.95 ,$564.26 ,$570.60 ,$570.60 ,$507.20 ,$256.42 ,$348.70 ,$570.60 ,$248.95 ,$570.60 ,$248.95 ,$602.30 ,$560.14 ,$583.28 ,$62.70 ,$576.94 ,$248.95 ,$390.16 ,$408.30 ,$390.16 ,$570.60 ,$570.60 ,$473.15 ,$441.58 ,$251.44 ,$62.11 ,$592.79 ,$261.40 ,$59.15 ,$551.58 ,$248.95 ,$570.60 ,$248.95 ,$570.60 ,$570.60 ,$570.60 ,$614.98 ,$513.54 ,$570.60 ,$570.60 ,$570.60 ,$570.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000417,29505,HC APPL LONG LEG SPLNT-LT,450,1 ,$774.00 ,$580.50 ,$13.65 ,$774.00 ,$498.46 ,$145.80 ,$541.80 ,$13.65 ,$642.42 ,$14.06 ,$510.84 ,$735.30 , N/A ,$619.20 ,$704.34 ,$13.65 ,$727.56 ,$735.30 ,$696.60 ,$657.90 ,$13.65 ,$13.65 ,$13.65 ,$565.02 ,$145.80 ,$688.86 ,$696.60 ,$696.60 ,$619.20 ,$150.17 ,$425.70 ,$696.60 ,$145.80 ,$696.60 ,$145.80 ,$735.30 ,$328.04 ,$712.08 ,$14.47 ,$704.34 ,$145.80 ,$476.32 ,$498.46 ,$476.32 ,$696.60 ,$696.60 ,$577.64 ,$539.09 ,$147.25 ,$14.33 ,$723.69 ,$153.09 ,$13.65 ,$673.38 ,$145.80 ,$696.60 ,$145.80 ,$696.60 ,$696.60 ,$696.60 ,$750.78 ,$626.94 ,$696.60 ,$696.60 ,$696.60 ,$696.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000418,29505,HC APPL LONG LEG SPLNT-RT,450,1 ,$774.00 ,$580.50 ,$13.65 ,$774.00 ,$498.46 ,$145.80 ,$541.80 ,$13.65 ,$642.42 ,$14.06 ,$510.84 ,$735.30 , N/A ,$619.20 ,$704.34 ,$13.65 ,$727.56 ,$735.30 ,$696.60 ,$657.90 ,$13.65 ,$13.65 ,$13.65 ,$565.02 ,$145.80 ,$688.86 ,$696.60 ,$696.60 ,$619.20 ,$150.17 ,$425.70 ,$696.60 ,$145.80 ,$696.60 ,$145.80 ,$735.30 ,$328.04 ,$712.08 ,$14.47 ,$704.34 ,$145.80 ,$476.32 ,$498.46 ,$476.32 ,$696.60 ,$696.60 ,$577.64 ,$539.09 ,$147.25 ,$14.33 ,$723.69 ,$153.09 ,$13.65 ,$673.38 ,$145.80 ,$696.60 ,$145.80 ,$696.60 ,$696.60 ,$696.60 ,$750.78 ,$626.94 ,$696.60 ,$696.60 ,$696.60 ,$696.60 
ST. JOSEPH'S - CHIPPEWA FALLS,45000419,29515,HC APPL SHRT LEG SPLNT FAC-LT,450,1 ,$735.00 ,$551.25 ,$13.65 ,$735.00 ,$473.34 ,$145.80 ,$514.50 ,$13.65 ,$610.05 ,$14.06 ,$485.10 ,$698.25 , N/A ,$588.00 ,$668.85 ,$13.65 ,$690.90 ,$698.25 ,$661.50 ,$624.75 ,$13.65 ,$13.65 ,$13.65 ,$536.55 ,$145.80 ,$654.15 ,$661.50 ,$661.50 ,$588.00 ,$150.17 ,$404.25 ,$661.50 ,$145.80 ,$661.50 ,$145.80 ,$698.25 ,$328.04 ,$676.20 ,$14.47 ,$668.85 ,$145.80 ,$452.32 ,$473.34 ,$452.32 ,$661.50 ,$661.50 ,$548.53 ,$511.93 ,$147.25 ,$14.33 ,$687.23 ,$153.09 ,$13.65 ,$639.45 ,$145.80 ,$661.50 ,$145.80 ,$661.50 ,$661.50 ,$661.50 ,$712.95 ,$595.35 ,$661.50 ,$661.50 ,$661.50 ,$661.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000420,29515,HC APPL SHRT LEG SPLNT FAC-RT,450,1 ,$735.00 ,$551.25 ,$13.65 ,$735.00 ,$473.34 ,$145.80 ,$514.50 ,$13.65 ,$610.05 ,$14.06 ,$485.10 ,$698.25 , N/A ,$588.00 ,$668.85 ,$13.65 ,$690.90 ,$698.25 ,$661.50 ,$624.75 ,$13.65 ,$13.65 ,$13.65 ,$536.55 ,$145.80 ,$654.15 ,$661.50 ,$661.50 ,$588.00 ,$150.17 ,$404.25 ,$661.50 ,$145.80 ,$661.50 ,$145.80 ,$698.25 ,$328.04 ,$676.20 ,$14.47 ,$668.85 ,$145.80 ,$452.32 ,$473.34 ,$452.32 ,$661.50 ,$661.50 ,$548.53 ,$511.93 ,$147.25 ,$14.33 ,$687.23 ,$153.09 ,$13.65 ,$639.45 ,$145.80 ,$661.50 ,$145.80 ,$661.50 ,$661.50 ,$661.50 ,$712.95 ,$595.35 ,$661.50 ,$661.50 ,$661.50 ,$661.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000421,29530,HC STRAPPING KNEE-LT,450,1 ,$349.00 ,$261.75 ,$13.65 ,$349.00 ,$224.76 ,$116.36 ,$244.30 ,$13.65 ,$289.67 ,$14.06 ,$230.34 ,$331.55 , N/A ,$279.20 ,$317.59 ,$13.65 ,$328.06 ,$331.55 ,$314.10 ,$296.65 ,$13.65 ,$13.65 ,$13.65 ,$254.77 ,$116.36 ,$310.61 ,$314.10 ,$314.10 ,$279.20 ,$119.85 ,$191.95 ,$314.10 ,$116.36 ,$314.10 ,$116.36 ,$331.55 ,$261.82 ,$321.08 ,$14.47 ,$317.59 ,$116.36 ,$214.77 ,$224.76 ,$214.77 ,$314.10 ,$314.10 ,$260.46 ,$243.08 ,$117.53 ,$14.33 ,$326.32 ,$122.18 ,$13.65 ,$303.63 ,$116.36 ,$314.10 ,$116.36 ,$314.10 ,$314.10 ,$314.10 ,$338.53 ,$282.69 ,$314.10 ,$314.10 ,$314.10 ,$314.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000422,29530,HC STRAPPING KNEE-RT,450,1 ,$349.00 ,$261.75 ,$13.65 ,$349.00 ,$224.76 ,$116.36 ,$244.30 ,$13.65 ,$289.67 ,$14.06 ,$230.34 ,$331.55 , N/A ,$279.20 ,$317.59 ,$13.65 ,$328.06 ,$331.55 ,$314.10 ,$296.65 ,$13.65 ,$13.65 ,$13.65 ,$254.77 ,$116.36 ,$310.61 ,$314.10 ,$314.10 ,$279.20 ,$119.85 ,$191.95 ,$314.10 ,$116.36 ,$314.10 ,$116.36 ,$331.55 ,$261.82 ,$321.08 ,$14.47 ,$317.59 ,$116.36 ,$214.77 ,$224.76 ,$214.77 ,$314.10 ,$314.10 ,$260.46 ,$243.08 ,$117.53 ,$14.33 ,$326.32 ,$122.18 ,$13.65 ,$303.63 ,$116.36 ,$314.10 ,$116.36 ,$314.10 ,$314.10 ,$314.10 ,$338.53 ,$282.69 ,$314.10 ,$314.10 ,$314.10 ,$314.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000423,30300,HC REMOVE NASAL FOREIGN BODY-LT,450,1 ,$247.00 ,$185.25 ,$34.89 ,$261.82 ,$159.07 ,$116.36 ,$172.90 ,$34.89 ,$205.01 ,$35.94 ,$163.02 ,$234.65 , N/A ,$197.60 ,$224.77 ,$34.89 ,$232.18 ,$234.65 ,$222.30 ,$209.95 ,$34.89 ,$34.89 ,$34.89 ,$180.31 ,$116.36 ,$219.83 ,$222.30 ,$222.30 ,$197.60 ,$119.85 ,$135.85 ,$222.30 ,$116.36 ,$222.30 ,$116.36 ,$234.65 ,$261.82 ,$227.24 ,$36.98 ,$224.77 ,$116.36 ,$152.00 ,$159.07 ,$152.00 ,$222.30 ,$222.30 ,$184.34 ,$172.04 ,$117.53 ,$36.63 ,$230.95 ,$122.18 ,$34.89 ,$214.89 ,$116.36 ,$222.30 ,$116.36 ,$222.30 ,$222.30 ,$222.30 ,$239.59 ,$200.07 ,$222.30 ,$222.30 ,$222.30 ,$222.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000424,30300,HC REMOVE NASAL FOREIGN BODY-RT,450,1 ,$247.00 ,$185.25 ,$34.89 ,$261.82 ,$159.07 ,$116.36 ,$172.90 ,$34.89 ,$205.01 ,$35.94 ,$163.02 ,$234.65 , N/A ,$197.60 ,$224.77 ,$34.89 ,$232.18 ,$234.65 ,$222.30 ,$209.95 ,$34.89 ,$34.89 ,$34.89 ,$180.31 ,$116.36 ,$219.83 ,$222.30 ,$222.30 ,$197.60 ,$119.85 ,$135.85 ,$222.30 ,$116.36 ,$222.30 ,$116.36 ,$234.65 ,$261.82 ,$227.24 ,$36.98 ,$224.77 ,$116.36 ,$152.00 ,$159.07 ,$152.00 ,$222.30 ,$222.30 ,$184.34 ,$172.04 ,$117.53 ,$36.63 ,$230.95 ,$122.18 ,$34.89 ,$214.89 ,$116.36 ,$222.30 ,$116.36 ,$222.30 ,$222.30 ,$222.30 ,$239.59 ,$200.07 ,$222.30 ,$222.30 ,$222.30 ,$222.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000425,30901,HC CNTRL NOSEBLEED ANT SMP-LT,450,1 ,$443.00 ,$332.25 ,$34.89 ,$443.00 ,$285.29 ,$116.36 ,$310.10 ,$34.89 ,$367.69 ,$35.94 ,$292.38 ,$420.85 , N/A ,$354.40 ,$403.13 ,$34.89 ,$416.42 ,$420.85 ,$398.70 ,$376.55 ,$34.89 ,$34.89 ,$34.89 ,$323.39 ,$116.36 ,$394.27 ,$398.70 ,$398.70 ,$354.40 ,$119.85 ,$243.65 ,$398.70 ,$116.36 ,$398.70 ,$116.36 ,$420.85 ,$261.82 ,$407.56 ,$36.98 ,$403.13 ,$116.36 ,$272.62 ,$285.29 ,$272.62 ,$398.70 ,$398.70 ,$330.61 ,$308.55 ,$117.53 ,$36.63 ,$414.21 ,$122.18 ,$34.89 ,$385.41 ,$116.36 ,$398.70 ,$116.36 ,$398.70 ,$398.70 ,$398.70 ,$429.71 ,$358.83 ,$398.70 ,$398.70 ,$398.70 ,$398.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000426,30901,HC CNTRL NOSEBLEED ANT SMP-RT,450,1 ,$443.00 ,$332.25 ,$34.89 ,$443.00 ,$285.29 ,$116.36 ,$310.10 ,$34.89 ,$367.69 ,$35.94 ,$292.38 ,$420.85 , N/A ,$354.40 ,$403.13 ,$34.89 ,$416.42 ,$420.85 ,$398.70 ,$376.55 ,$34.89 ,$34.89 ,$34.89 ,$323.39 ,$116.36 ,$394.27 ,$398.70 ,$398.70 ,$354.40 ,$119.85 ,$243.65 ,$398.70 ,$116.36 ,$398.70 ,$116.36 ,$420.85 ,$261.82 ,$407.56 ,$36.98 ,$403.13 ,$116.36 ,$272.62 ,$285.29 ,$272.62 ,$398.70 ,$398.70 ,$330.61 ,$308.55 ,$117.53 ,$36.63 ,$414.21 ,$122.18 ,$34.89 ,$385.41 ,$116.36 ,$398.70 ,$116.36 ,$398.70 ,$398.70 ,$398.70 ,$429.71 ,$358.83 ,$398.70 ,$398.70 ,$398.70 ,$398.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000427,30903,HC CNTRL NOSEBLEED ANT CPLX-LT,450,1 ,$557.00 ,$417.75 ,$34.89 ,$557.00 ,$358.71 ,$116.36 ,$389.90 ,$34.89 ,$462.31 ,$35.94 ,$367.62 ,$529.15 , N/A ,$445.60 ,$506.87 ,$34.89 ,$523.58 ,$529.15 ,$501.30 ,$473.45 ,$34.89 ,$34.89 ,$34.89 ,$406.61 ,$116.36 ,$495.73 ,$501.30 ,$501.30 ,$445.60 ,$119.85 ,$306.35 ,$501.30 ,$116.36 ,$501.30 ,$116.36 ,$529.15 ,$261.82 ,$512.44 ,$36.98 ,$506.87 ,$116.36 ,$342.78 ,$358.71 ,$342.78 ,$501.30 ,$501.30 ,$415.69 ,$387.95 ,$117.53 ,$36.63 ,$520.80 ,$122.18 ,$34.89 ,$484.59 ,$116.36 ,$501.30 ,$116.36 ,$501.30 ,$501.30 ,$501.30 ,$540.29 ,$451.17 ,$501.30 ,$501.30 ,$501.30 ,$501.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000428,30903,HC CNTRL NOSEBLEED ANT CPLX-RT,450,1 ,$557.00 ,$417.75 ,$34.89 ,$557.00 ,$358.71 ,$116.36 ,$389.90 ,$34.89 ,$462.31 ,$35.94 ,$367.62 ,$529.15 , N/A ,$445.60 ,$506.87 ,$34.89 ,$523.58 ,$529.15 ,$501.30 ,$473.45 ,$34.89 ,$34.89 ,$34.89 ,$406.61 ,$116.36 ,$495.73 ,$501.30 ,$501.30 ,$445.60 ,$119.85 ,$306.35 ,$501.30 ,$116.36 ,$501.30 ,$116.36 ,$529.15 ,$261.82 ,$512.44 ,$36.98 ,$506.87 ,$116.36 ,$342.78 ,$358.71 ,$342.78 ,$501.30 ,$501.30 ,$415.69 ,$387.95 ,$117.53 ,$36.63 ,$520.80 ,$122.18 ,$34.89 ,$484.59 ,$116.36 ,$501.30 ,$116.36 ,$501.30 ,$501.30 ,$501.30 ,$540.29 ,$451.17 ,$501.30 ,$501.30 ,$501.30 ,$501.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000429,30905,HC CONTROL OF NOSEBLEED-LT,450,1 ,$350.00 ,$262.50 ,$34.89 ,$350.00 ,$225.40 ,$116.36 ,$245.00 ,$34.89 ,$290.50 ,$35.94 ,$231.00 ,$332.50 , N/A ,$280.00 ,$318.50 ,$34.89 ,$329.00 ,$332.50 ,$315.00 ,$297.50 ,$34.89 ,$34.89 ,$34.89 ,$255.50 ,$116.36 ,$311.50 ,$315.00 ,$315.00 ,$280.00 ,$119.85 ,$192.50 ,$315.00 ,$116.36 ,$315.00 ,$116.36 ,$332.50 ,$261.82 ,$322.00 ,$36.98 ,$318.50 ,$116.36 ,$215.39 ,$225.40 ,$215.39 ,$315.00 ,$315.00 ,$261.21 ,$243.78 ,$117.53 ,$36.63 ,$327.25 ,$122.18 ,$34.89 ,$304.50 ,$116.36 ,$315.00 ,$116.36 ,$315.00 ,$315.00 ,$315.00 ,$339.50 ,$283.50 ,$315.00 ,$315.00 ,$315.00 ,$315.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000430,30905,HC CONTROL OF NOSEBLEED-RT,450,1 ,$350.00 ,$262.50 ,$34.89 ,$350.00 ,$225.40 ,$116.36 ,$245.00 ,$34.89 ,$290.50 ,$35.94 ,$231.00 ,$332.50 , N/A ,$280.00 ,$318.50 ,$34.89 ,$329.00 ,$332.50 ,$315.00 ,$297.50 ,$34.89 ,$34.89 ,$34.89 ,$255.50 ,$116.36 ,$311.50 ,$315.00 ,$315.00 ,$280.00 ,$119.85 ,$192.50 ,$315.00 ,$116.36 ,$315.00 ,$116.36 ,$332.50 ,$261.82 ,$322.00 ,$36.98 ,$318.50 ,$116.36 ,$215.39 ,$225.40 ,$215.39 ,$315.00 ,$315.00 ,$261.21 ,$243.78 ,$117.53 ,$36.63 ,$327.25 ,$122.18 ,$34.89 ,$304.50 ,$116.36 ,$315.00 ,$116.36 ,$315.00 ,$315.00 ,$315.00 ,$339.50 ,$283.50 ,$315.00 ,$315.00 ,$315.00 ,$315.00 
ST. JOSEPH'S - CHIPPEWA FALLS,45000431,32551,HC TUBE THORACOSTOMY-LT,450,1 ,$692.00 ,$519.00 ,$299.20 ,"$3,265.10 ",$445.65 ,"$1,451.15 ",$484.40 ,$299.20 ,$574.36 ,$308.18 ,$456.72 ,$657.40 , N/A ,$553.60 ,$629.72 ,$299.20 ,$650.48 ,$657.40 ,$622.80 ,$588.20 ,$299.20 ,$299.20 ,$299.20 ,$505.16 ,"$1,451.15 ",$615.88 ,$622.80 ,$622.80 ,$553.60 ,"$1,494.69 ",$380.60 ,$622.80 ,"$1,451.15 ",$622.80 ,"$1,451.15 ",$657.40 ,"$3,265.10 ",$636.64 ,$317.15 ,$629.72 ,"$1,451.15 ",$425.86 ,$445.65 ,$425.86 ,$622.80 ,$622.80 ,$516.44 ,$481.98 ,"$1,465.67 ",$314.16 ,$647.02 ,"$1,523.71 ",$299.20 ,$602.04 ,"$1,451.15 ",$622.80 ,"$1,451.15 ",$622.80 ,$622.80 ,$622.80 ,$671.24 ,$560.52 ,$622.80 ,$622.80 ,$622.80 ,$622.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000432,32551,HC TUBE THORACOSTOMY-RT,450,1 ,$692.00 ,$519.00 ,$299.20 ,"$3,265.10 ",$445.65 ,"$1,451.15 ",$484.40 ,$299.20 ,$574.36 ,$308.18 ,$456.72 ,$657.40 , N/A ,$553.60 ,$629.72 ,$299.20 ,$650.48 ,$657.40 ,$622.80 ,$588.20 ,$299.20 ,$299.20 ,$299.20 ,$505.16 ,"$1,451.15 ",$615.88 ,$622.80 ,$622.80 ,$553.60 ,"$1,494.69 ",$380.60 ,$622.80 ,"$1,451.15 ",$622.80 ,"$1,451.15 ",$657.40 ,"$3,265.10 ",$636.64 ,$317.15 ,$629.72 ,"$1,451.15 ",$425.86 ,$445.65 ,$425.86 ,$622.80 ,$622.80 ,$516.44 ,$481.98 ,"$1,465.67 ",$314.16 ,$647.02 ,"$1,523.71 ",$299.20 ,$602.04 ,"$1,451.15 ",$622.80 ,"$1,451.15 ",$622.80 ,$622.80 ,$622.80 ,$671.24 ,$560.52 ,$622.80 ,$622.80 ,$622.80 ,$622.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000433,32554,HC THORACENTESIS ASPIRATION WO IMAGING-LT,450,1 ,"$1,253.00 ",$939.75 ,$299.20 ,"$1,255.06 ",$806.93 ,$557.80 ,$877.10 ,$299.20 ,"$1,039.99 ",$308.18 ,$826.98 ,"$1,190.35 ", N/A ,"$1,002.40 ","$1,140.23 ",$299.20 ,"$1,177.82 ","$1,190.35 ","$1,127.70 ","$1,065.05 ",$299.20 ,$299.20 ,$299.20 ,$914.69 ,$557.80 ,"$1,115.17 ","$1,127.70 ","$1,127.70 ","$1,002.40 ",$574.54 ,$689.15 ,"$1,127.70 ",$557.80 ,"$1,127.70 ",$557.80 ,"$1,190.35 ","$1,255.06 ","$1,152.76 ",$317.15 ,"$1,140.23 ",$557.80 ,$771.10 ,$806.93 ,$771.10 ,"$1,127.70 ","$1,127.70 ",$935.11 ,$872.71 ,$563.38 ,$314.16 ,"$1,171.56 ",$585.69 ,$299.20 ,"$1,090.11 ",$557.80 ,"$1,127.70 ",$557.80 ,"$1,127.70 ","$1,127.70 ","$1,127.70 ","$1,215.41 ","$1,014.93 ","$1,127.70 ","$1,127.70 ","$1,127.70 ","$1,127.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000434,32554,HC THORACENTESIS ASPIRATION WO IMAGING-RT,450,1 ,"$1,253.00 ",$939.75 ,$299.20 ,"$1,255.06 ",$806.93 ,$557.80 ,$877.10 ,$299.20 ,"$1,039.99 ",$308.18 ,$826.98 ,"$1,190.35 ", N/A ,"$1,002.40 ","$1,140.23 ",$299.20 ,"$1,177.82 ","$1,190.35 ","$1,127.70 ","$1,065.05 ",$299.20 ,$299.20 ,$299.20 ,$914.69 ,$557.80 ,"$1,115.17 ","$1,127.70 ","$1,127.70 ","$1,002.40 ",$574.54 ,$689.15 ,"$1,127.70 ",$557.80 ,"$1,127.70 ",$557.80 ,"$1,190.35 ","$1,255.06 ","$1,152.76 ",$317.15 ,"$1,140.23 ",$557.80 ,$771.10 ,$806.93 ,$771.10 ,"$1,127.70 ","$1,127.70 ",$935.11 ,$872.71 ,$563.38 ,$314.16 ,"$1,171.56 ",$585.69 ,$299.20 ,"$1,090.11 ",$557.80 ,"$1,127.70 ",$557.80 ,"$1,127.70 ","$1,127.70 ","$1,127.70 ","$1,215.41 ","$1,014.93 ","$1,127.70 ","$1,127.70 ","$1,127.70 ","$1,127.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,45000435,56420,HC I AND D ABSC GLAND BARTHOLINS-LT,450,1 ,$163.00 ,$122.25 ,$61.96 ,$395.56 ,$104.97 ,$175.81 ,$114.10 ,$61.96 ,$135.29 ,$63.82 ,$107.58 ,$154.85 , N/A ,$130.40 ,$148.33 ,$61.96 ,$153.22 ,$154.85 ,$146.70 ,$138.55 ,$61.96 ,$61.96 ,$61.96 ,$118.99 ,$175.81 ,$145.07 ,$146.70 ,$146.70 ,$130.40 ,$181.08 ,$89.65 ,$146.70 ,$175.81 ,$146.70 ,$175.81 ,$154.85 ,$395.56 ,$149.96 ,$65.68 ,$148.33 ,$175.81 ,$100.31 ,$104.97 ,$100.31 ,$146.70 ,$146.70 ,$121.65 ,$113.53 ,$177.56 ,$65.06 ,$152.41 ,$184.60 ,$61.96 ,$141.81 ,$175.81 ,$146.70 ,$175.81 ,$146.70 ,$146.70 ,$146.70 ,$158.11 ,$132.03 ,$146.70 ,$146.70 ,$146.70 ,$146.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000436,56420,HC I AND D ABSC GLAND BARTHOLINS-RT,450,1 ,$163.00 ,$122.25 ,$61.96 ,$395.56 ,$104.97 ,$175.81 ,$114.10 ,$61.96 ,$135.29 ,$63.82 ,$107.58 ,$154.85 , N/A ,$130.40 ,$148.33 ,$61.96 ,$153.22 ,$154.85 ,$146.70 ,$138.55 ,$61.96 ,$61.96 ,$61.96 ,$118.99 ,$175.81 ,$145.07 ,$146.70 ,$146.70 ,$130.40 ,$181.08 ,$89.65 ,$146.70 ,$175.81 ,$146.70 ,$175.81 ,$154.85 ,$395.56 ,$149.96 ,$65.68 ,$148.33 ,$175.81 ,$100.31 ,$104.97 ,$100.31 ,$146.70 ,$146.70 ,$121.65 ,$113.53 ,$177.56 ,$65.06 ,$152.41 ,$184.60 ,$61.96 ,$141.81 ,$175.81 ,$146.70 ,$175.81 ,$146.70 ,$146.70 ,$146.70 ,$158.11 ,$132.03 ,$146.70 ,$146.70 ,$146.70 ,$146.70 
ST. JOSEPH'S - CHIPPEWA FALLS,45000437,64400,HC NERVE BLOCK TRIGEMINAL-LT,450,1 ,$589.00 ,$441.75 ,$136.73 ,$606.64 ,$379.32 ,$269.62 ,$412.30 ,$136.73 ,$488.87 ,$140.83 ,$388.74 ,$559.55 , N/A ,$471.20 ,$535.99 ,$136.73 ,$553.66 ,$559.55 ,$530.10 ,$500.65 ,$136.73 ,$136.73 ,$136.73 ,$429.97 ,$269.62 ,$524.21 ,$530.10 ,$530.10 ,$471.20 ,$277.70 ,$323.95 ,$530.10 ,$269.62 ,$530.10 ,$269.62 ,$559.55 ,$606.64 ,$541.88 ,$144.93 ,$535.99 ,$269.62 ,$362.47 ,$379.32 ,$362.47 ,$530.10 ,$530.10 ,$439.57 ,$410.24 ,$272.31 ,$143.57 ,$550.72 ,$283.10 ,$136.73 ,$512.43 ,$269.62 ,$530.10 ,$269.62 ,$530.10 ,$530.10 ,$530.10 ,$571.33 ,$477.09 ,$530.10 ,$530.10 ,$530.10 ,$530.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000438,64400,HC NERVE BLOCK TRIGEMINAL-RT,450,1 ,$589.00 ,$441.75 ,$136.73 ,$606.64 ,$379.32 ,$269.62 ,$412.30 ,$136.73 ,$488.87 ,$140.83 ,$388.74 ,$559.55 , N/A ,$471.20 ,$535.99 ,$136.73 ,$553.66 ,$559.55 ,$530.10 ,$500.65 ,$136.73 ,$136.73 ,$136.73 ,$429.97 ,$269.62 ,$524.21 ,$530.10 ,$530.10 ,$471.20 ,$277.70 ,$323.95 ,$530.10 ,$269.62 ,$530.10 ,$269.62 ,$559.55 ,$606.64 ,$541.88 ,$144.93 ,$535.99 ,$269.62 ,$362.47 ,$379.32 ,$362.47 ,$530.10 ,$530.10 ,$439.57 ,$410.24 ,$272.31 ,$143.57 ,$550.72 ,$283.10 ,$136.73 ,$512.43 ,$269.62 ,$530.10 ,$269.62 ,$530.10 ,$530.10 ,$530.10 ,$571.33 ,$477.09 ,$530.10 ,$530.10 ,$530.10 ,$530.10 
ST. JOSEPH'S - CHIPPEWA FALLS,45000439,64450,HC INJ ANES OTHER THAN PERIPHERAL-LT,450,1 ,$507.00 ,$380.25 ,$136.73 ,"$1,474.40 ",$326.51 ,$655.29 ,$354.90 ,$136.73 ,$420.81 ,$140.83 ,$334.62 ,$481.65 , N/A ,$405.60 ,$461.37 ,$136.73 ,$476.58 ,$481.65 ,$456.30 ,$430.95 ,$136.73 ,$136.73 ,$136.73 ,$370.11 ,$655.29 ,$451.23 ,$456.30 ,$456.30 ,$405.60 ,$674.95 ,$278.85 ,$456.30 ,$655.29 ,$456.30 ,$655.29 ,$481.65 ,"$1,474.40 ",$466.44 ,$144.93 ,$461.37 ,$655.29 ,$312.01 ,$326.51 ,$312.01 ,$456.30 ,$456.30 ,$378.37 ,$353.13 ,$661.84 ,$143.57 ,$474.05 ,$688.05 ,$136.73 ,$441.09 ,$655.29 ,$456.30 ,$655.29 ,$456.30 ,$456.30 ,$456.30 ,$491.79 ,$410.67 ,$456.30 ,$456.30 ,$456.30 ,$456.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000440,64450,HC INJ ANES OTHER THAN PERIPHERAL-RT,450,1 ,$507.00 ,$380.25 ,$136.73 ,"$1,474.40 ",$326.51 ,$655.29 ,$354.90 ,$136.73 ,$420.81 ,$140.83 ,$334.62 ,$481.65 , N/A ,$405.60 ,$461.37 ,$136.73 ,$476.58 ,$481.65 ,$456.30 ,$430.95 ,$136.73 ,$136.73 ,$136.73 ,$370.11 ,$655.29 ,$451.23 ,$456.30 ,$456.30 ,$405.60 ,$674.95 ,$278.85 ,$456.30 ,$655.29 ,$456.30 ,$655.29 ,$481.65 ,"$1,474.40 ",$466.44 ,$144.93 ,$461.37 ,$655.29 ,$312.01 ,$326.51 ,$312.01 ,$456.30 ,$456.30 ,$378.37 ,$353.13 ,$661.84 ,$143.57 ,$474.05 ,$688.05 ,$136.73 ,$441.09 ,$655.29 ,$456.30 ,$655.29 ,$456.30 ,$456.30 ,$456.30 ,$491.79 ,$410.67 ,$456.30 ,$456.30 ,$456.30 ,$456.30 
ST. JOSEPH'S - CHIPPEWA FALLS,45000441,65210,HC REMOVE EYE FB CONJUCT EMBED-LT,450,1 ,$175.00 ,$131.25 ,$22.85 ,$630.17 ,$112.70 ,$280.07 ,$122.50 ,$22.85 ,$145.25 ,$23.54 ,$115.50 ,$166.25 , N/A ,$140.00 ,$159.25 ,$22.85 ,$164.50 ,$166.25 ,$157.50 ,$148.75 ,$22.85 ,$22.85 ,$22.85 ,$127.75 ,$280.07 ,$155.75 ,$157.50 ,$157.50 ,$140.00 ,$288.48 ,$96.25 ,$157.50 ,$280.07 ,$157.50 ,$280.07 ,$166.25 ,$630.17 ,$161.00 ,$24.22 ,$159.25 ,$280.07 ,$107.70 ,$112.70 ,$107.70 ,$157.50 ,$157.50 ,$130.60 ,$121.89 ,$282.87 ,$23.99 ,$163.63 ,$294.07 ,$22.85 ,$152.25 ,$280.07 ,$157.50 ,$280.07 ,$157.50 ,$157.50 ,$157.50 ,$169.75 ,$141.75 ,$157.50 ,$157.50 ,$157.50 ,$157.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000442,65210,HC REMOVE EYE FB CONJUCT EMBED-RT,450,1 ,$175.00 ,$131.25 ,$22.85 ,$630.17 ,$112.70 ,$280.07 ,$122.50 ,$22.85 ,$145.25 ,$23.54 ,$115.50 ,$166.25 , N/A ,$140.00 ,$159.25 ,$22.85 ,$164.50 ,$166.25 ,$157.50 ,$148.75 ,$22.85 ,$22.85 ,$22.85 ,$127.75 ,$280.07 ,$155.75 ,$157.50 ,$157.50 ,$140.00 ,$288.48 ,$96.25 ,$157.50 ,$280.07 ,$157.50 ,$280.07 ,$166.25 ,$630.17 ,$161.00 ,$24.22 ,$159.25 ,$280.07 ,$107.70 ,$112.70 ,$107.70 ,$157.50 ,$157.50 ,$130.60 ,$121.89 ,$282.87 ,$23.99 ,$163.63 ,$294.07 ,$22.85 ,$152.25 ,$280.07 ,$157.50 ,$280.07 ,$157.50 ,$157.50 ,$157.50 ,$169.75 ,$141.75 ,$157.50 ,$157.50 ,$157.50 ,$157.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000443,65220,HC REMOVE FB CORNL W/O SLIT LAMP-LT,450,1 ,$165.00 ,$123.75 ,$22.85 ,$630.17 ,$106.26 ,$280.07 ,$115.50 ,$22.85 ,$136.95 ,$23.54 ,$108.90 ,$156.75 , N/A ,$132.00 ,$150.15 ,$22.85 ,$155.10 ,$156.75 ,$148.50 ,$140.25 ,$22.85 ,$22.85 ,$22.85 ,$120.45 ,$280.07 ,$146.85 ,$148.50 ,$148.50 ,$132.00 ,$288.48 ,$90.75 ,$148.50 ,$280.07 ,$148.50 ,$280.07 ,$156.75 ,$630.17 ,$151.80 ,$24.22 ,$150.15 ,$280.07 ,$101.54 ,$106.26 ,$101.54 ,$148.50 ,$148.50 ,$123.14 ,$114.92 ,$282.87 ,$23.99 ,$154.28 ,$294.07 ,$22.85 ,$143.55 ,$280.07 ,$148.50 ,$280.07 ,$148.50 ,$148.50 ,$148.50 ,$160.05 ,$133.65 ,$148.50 ,$148.50 ,$148.50 ,$148.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000444,65220,HC REMOVE FB CORNL W/O SLIT LAMP-RT,450,1 ,$165.00 ,$123.75 ,$22.85 ,$630.17 ,$106.26 ,$280.07 ,$115.50 ,$22.85 ,$136.95 ,$23.54 ,$108.90 ,$156.75 , N/A ,$132.00 ,$150.15 ,$22.85 ,$155.10 ,$156.75 ,$148.50 ,$140.25 ,$22.85 ,$22.85 ,$22.85 ,$120.45 ,$280.07 ,$146.85 ,$148.50 ,$148.50 ,$132.00 ,$288.48 ,$90.75 ,$148.50 ,$280.07 ,$148.50 ,$280.07 ,$156.75 ,$630.17 ,$151.80 ,$24.22 ,$150.15 ,$280.07 ,$101.54 ,$106.26 ,$101.54 ,$148.50 ,$148.50 ,$123.14 ,$114.92 ,$282.87 ,$23.99 ,$154.28 ,$294.07 ,$22.85 ,$143.55 ,$280.07 ,$148.50 ,$280.07 ,$148.50 ,$148.50 ,$148.50 ,$160.05 ,$133.65 ,$148.50 ,$148.50 ,$148.50 ,$148.50 
ST. JOSEPH'S - CHIPPEWA FALLS,45000445,65222,HC REMOVE FB CORNL W/ SLIT LAMP-LT,450,1 ,$166.00 ,$124.50 ,$22.85 ,$261.82 ,$106.90 ,$116.36 ,$116.20 ,$22.85 ,$137.78 ,$23.54 ,$109.56 ,$157.70 , N/A ,$132.80 ,$151.06 ,$22.85 ,$156.04 ,$157.70 ,$149.40 ,$141.10 ,$22.85 ,$22.85 ,$22.85 ,$121.18 ,$116.36 ,$147.74 ,$149.40 ,$149.40 ,$132.80 ,$119.85 ,$91.30 ,$149.40 ,$116.36 ,$149.40 ,$116.36 ,$157.70 ,$261.82 ,$152.72 ,$24.22 ,$151.06 ,$116.36 ,$102.16 ,$106.90 ,$102.16 ,$149.40 ,$149.40 ,$123.89 ,$115.62 ,$117.53 ,$23.99 ,$155.21 ,$122.18 ,$22.85 ,$144.42 ,$116.36 ,$149.40 ,$116.36 ,$149.40 ,$149.40 ,$149.40 ,$161.02 ,$134.46 ,$149.40 ,$149.40 ,$149.40 ,$149.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000446,65222,HC REMOVE FB CORNL W/ SLIT LAMP-RT,450,1 ,$166.00 ,$124.50 ,$22.85 ,$261.82 ,$106.90 ,$116.36 ,$116.20 ,$22.85 ,$137.78 ,$23.54 ,$109.56 ,$157.70 , N/A ,$132.80 ,$151.06 ,$22.85 ,$156.04 ,$157.70 ,$149.40 ,$141.10 ,$22.85 ,$22.85 ,$22.85 ,$121.18 ,$116.36 ,$147.74 ,$149.40 ,$149.40 ,$132.80 ,$119.85 ,$91.30 ,$149.40 ,$116.36 ,$149.40 ,$116.36 ,$157.70 ,$261.82 ,$152.72 ,$24.22 ,$151.06 ,$116.36 ,$102.16 ,$106.90 ,$102.16 ,$149.40 ,$149.40 ,$123.89 ,$115.62 ,$117.53 ,$23.99 ,$155.21 ,$122.18 ,$22.85 ,$144.42 ,$116.36 ,$149.40 ,$116.36 ,$149.40 ,$149.40 ,$149.40 ,$161.02 ,$134.46 ,$149.40 ,$149.40 ,$149.40 ,$149.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000447,66720,HC DESTRUCTION CILIARY BODY-LT,450,1 ,$228.00 ,$171.00 ,$125.40 ,"$4,646.33 ",$146.83 ,"$2,065.04 ",$159.60 ,$228.00 ,$189.24 ,$297.41 ,$150.48 ,$216.60 , N/A ,$182.40 ,$207.48 ,$228.00 ,$214.32 ,$216.60 ,$205.20 ,$193.80 ,$288.75 ,$288.75 ,$288.75 ,$166.44 ,"$2,065.04 ",$202.92 ,$205.20 ,$205.20 ,$182.40 ,"$2,126.99 ",$125.40 ,$205.20 ,"$2,065.04 ",$205.20 ,"$2,065.04 ",$216.60 ,"$4,646.33 ",$209.76 ,$306.08 ,$207.48 ,"$2,065.04 ",$140.31 ,$146.83 ,$140.31 ,$205.20 ,$205.20 ,$170.16 ,$158.80 ,"$2,085.69 ",$303.19 ,$213.18 ,"$2,168.29 ",$228.00 ,$198.36 ,"$2,065.04 ",$205.20 ,"$2,065.04 ",$205.20 ,$205.20 ,$205.20 ,$221.16 ,$184.68 ,$205.20 ,$205.20 ,$205.20 ,$205.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000448,66720,HC DESTRUCTION CILIARY BODY-RT,450,1 ,$228.00 ,$171.00 ,$125.40 ,"$4,646.33 ",$146.83 ,"$2,065.04 ",$159.60 ,$228.00 ,$189.24 ,$297.41 ,$150.48 ,$216.60 , N/A ,$182.40 ,$207.48 ,$228.00 ,$214.32 ,$216.60 ,$205.20 ,$193.80 ,$288.75 ,$288.75 ,$288.75 ,$166.44 ,"$2,065.04 ",$202.92 ,$205.20 ,$205.20 ,$182.40 ,"$2,126.99 ",$125.40 ,$205.20 ,"$2,065.04 ",$205.20 ,"$2,065.04 ",$216.60 ,"$4,646.33 ",$209.76 ,$306.08 ,$207.48 ,"$2,065.04 ",$140.31 ,$146.83 ,$140.31 ,$205.20 ,$205.20 ,$170.16 ,$158.80 ,"$2,085.69 ",$303.19 ,$213.18 ,"$2,168.29 ",$228.00 ,$198.36 ,"$2,065.04 ",$205.20 ,"$2,065.04 ",$205.20 ,$205.20 ,$205.20 ,$221.16 ,$184.68 ,$205.20 ,$205.20 ,$205.20 ,$205.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000449,67208,HC TX RETINAL LESION-LT,450,1 ,$228.00 ,$171.00 ,$98.99 ,$607.39 ,$146.83 ,$269.95 ,$159.60 ,$98.99 ,$189.24 ,$101.96 ,$150.48 ,$216.60 , N/A ,$182.40 ,$207.48 ,$98.99 ,$214.32 ,$216.60 ,$205.20 ,$193.80 ,$98.99 ,$98.99 ,$98.99 ,$166.44 ,$269.95 ,$202.92 ,$205.20 ,$205.20 ,$182.40 ,$278.05 ,$125.40 ,$205.20 ,$269.95 ,$205.20 ,$269.95 ,$216.60 ,$607.39 ,$209.76 ,$104.93 ,$207.48 ,$269.95 ,$140.31 ,$146.83 ,$140.31 ,$205.20 ,$205.20 ,$170.16 ,$158.80 ,$272.65 ,$103.94 ,$213.18 ,$283.45 ,$98.99 ,$198.36 ,$269.95 ,$205.20 ,$269.95 ,$205.20 ,$205.20 ,$205.20 ,$221.16 ,$184.68 ,$205.20 ,$205.20 ,$205.20 ,$205.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000450,67208,HC TX RETINAL LESION-RT,450,1 ,$228.00 ,$171.00 ,$98.99 ,$607.39 ,$146.83 ,$269.95 ,$159.60 ,$98.99 ,$189.24 ,$101.96 ,$150.48 ,$216.60 , N/A ,$182.40 ,$207.48 ,$98.99 ,$214.32 ,$216.60 ,$205.20 ,$193.80 ,$98.99 ,$98.99 ,$98.99 ,$166.44 ,$269.95 ,$202.92 ,$205.20 ,$205.20 ,$182.40 ,$278.05 ,$125.40 ,$205.20 ,$269.95 ,$205.20 ,$269.95 ,$216.60 ,$607.39 ,$209.76 ,$104.93 ,$207.48 ,$269.95 ,$140.31 ,$146.83 ,$140.31 ,$205.20 ,$205.20 ,$170.16 ,$158.80 ,$272.65 ,$103.94 ,$213.18 ,$283.45 ,$98.99 ,$198.36 ,$269.95 ,$205.20 ,$269.95 ,$205.20 ,$205.20 ,$205.20 ,$221.16 ,$184.68 ,$205.20 ,$205.20 ,$205.20 ,$205.20 
ST. JOSEPH'S - CHIPPEWA FALLS,45000451,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-LT,450,1 ,$286.00 ,$214.50 ,$34.89 ,"$1,444.89 ",$184.18 ,$642.18 ,$200.20 ,$34.89 ,$237.38 ,$35.94 ,$188.76 ,$271.70 , N/A ,$228.80 ,$260.26 ,$34.89 ,$268.84 ,$271.70 ,$257.40 ,$243.10 ,$34.89 ,$34.89 ,$34.89 ,$208.78 ,$642.18 ,$254.54 ,$257.40 ,$257.40 ,$228.80 ,$661.44 ,$157.30 ,$257.40 ,$642.18 ,$257.40 ,$642.18 ,$271.70 ,"$1,444.89 ",$263.12 ,$36.98 ,$260.26 ,$642.18 ,$176.00 ,$184.18 ,$176.00 ,$257.40 ,$257.40 ,$213.44 ,$199.20 ,$648.60 ,$36.63 ,$267.41 ,$674.29 ,$34.89 ,$248.82 ,$642.18 ,$257.40 ,$642.18 ,$257.40 ,$257.40 ,$257.40 ,$277.42 ,$231.66 ,$257.40 ,$257.40 ,$257.40 ,$257.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000452,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-RT,450,1 ,$286.00 ,$214.50 ,$34.89 ,"$1,444.89 ",$184.18 ,$642.18 ,$200.20 ,$34.89 ,$237.38 ,$35.94 ,$188.76 ,$271.70 , N/A ,$228.80 ,$260.26 ,$34.89 ,$268.84 ,$271.70 ,$257.40 ,$243.10 ,$34.89 ,$34.89 ,$34.89 ,$208.78 ,$642.18 ,$254.54 ,$257.40 ,$257.40 ,$228.80 ,$661.44 ,$157.30 ,$257.40 ,$642.18 ,$257.40 ,$642.18 ,$271.70 ,"$1,444.89 ",$263.12 ,$36.98 ,$260.26 ,$642.18 ,$176.00 ,$184.18 ,$176.00 ,$257.40 ,$257.40 ,$213.44 ,$199.20 ,$648.60 ,$36.63 ,$267.41 ,$674.29 ,$34.89 ,$248.82 ,$642.18 ,$257.40 ,$642.18 ,$257.40 ,$257.40 ,$257.40 ,$277.42 ,$231.66 ,$257.40 ,$257.40 ,$257.40 ,$257.40 
ST. JOSEPH'S - CHIPPEWA FALLS,45000453,69200,HC REM FOREIGN BODY CANAL AUD EXT-LT,450,1 ,$101.00 ,$75.75 ,$34.89 ,$261.82 ,$65.04 ,$116.36 ,$70.70 ,$34.89 ,$83.83 ,$35.94 ,$66.66 ,$95.95 , N/A ,$80.80 ,$91.91 ,$34.89 ,$94.94 ,$95.95 ,$90.90 ,$85.85 ,$34.89 ,$34.89 ,$34.89 ,$73.73 ,$116.36 ,$89.89 ,$90.90 ,$90.90 ,$80.80 ,$119.85 ,$55.55 ,$90.90 ,$116.36 ,$90.90 ,$116.36 ,$95.95 ,$261.82 ,$92.92 ,$36.98 ,$91.91 ,$116.36 ,$62.16 ,$65.04 ,$62.16 ,$90.90 ,$90.90 ,$75.38 ,$70.35 ,$117.53 ,$36.63 ,$94.44 ,$122.18 ,$34.89 ,$87.87 ,$116.36 ,$90.90 ,$116.36 ,$90.90 ,$90.90 ,$90.90 ,$97.97 ,$81.81 ,$90.90 ,$90.90 ,$90.90 ,$90.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000454,69200,HC REM FOREIGN BODY CANAL AUD EXT-RT,450,1 ,$101.00 ,$75.75 ,$34.89 ,$261.82 ,$65.04 ,$116.36 ,$70.70 ,$34.89 ,$83.83 ,$35.94 ,$66.66 ,$95.95 , N/A ,$80.80 ,$91.91 ,$34.89 ,$94.94 ,$95.95 ,$90.90 ,$85.85 ,$34.89 ,$34.89 ,$34.89 ,$73.73 ,$116.36 ,$89.89 ,$90.90 ,$90.90 ,$80.80 ,$119.85 ,$55.55 ,$90.90 ,$116.36 ,$90.90 ,$116.36 ,$95.95 ,$261.82 ,$92.92 ,$36.98 ,$91.91 ,$116.36 ,$62.16 ,$65.04 ,$62.16 ,$90.90 ,$90.90 ,$75.38 ,$70.35 ,$117.53 ,$36.63 ,$94.44 ,$122.18 ,$34.89 ,$87.87 ,$116.36 ,$90.90 ,$116.36 ,$90.90 ,$90.90 ,$90.90 ,$97.97 ,$81.81 ,$90.90 ,$90.90 ,$90.90 ,$90.90 
ST. JOSEPH'S - CHIPPEWA FALLS,45000455,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,450,1 ,$222.00 ,$166.50 ,$34.89 ,$222.00 ,$142.97 ,$57.44 ,$155.40 ,$34.89 ,$184.26 ,$35.94 ,$146.52 ,$210.90 , N/A ,$177.60 ,$202.02 ,$34.89 ,$208.68 ,$210.90 ,$199.80 ,$188.70 ,$34.89 ,$34.89 ,$34.89 ,$162.06 ,$57.44 ,$197.58 ,$199.80 ,$199.80 ,$177.60 ,$59.17 ,$122.10 ,$199.80 ,$57.44 ,$199.80 ,$57.44 ,$210.90 ,$129.25 ,$204.24 ,$36.98 ,$202.02 ,$57.44 ,$136.62 ,$142.97 ,$136.62 ,$199.80 ,$199.80 ,$165.68 ,$154.62 ,$58.02 ,$36.63 ,$207.57 ,$60.31 ,$34.89 ,$193.14 ,$57.44 ,$199.80 ,$57.44 ,$199.80 ,$199.80 ,$199.80 ,$215.34 ,$179.82 ,$199.80 ,$199.80 ,$199.80 ,$199.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000456,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,450,1 ,$222.00 ,$166.50 ,$34.89 ,$222.00 ,$142.97 ,$57.44 ,$155.40 ,$34.89 ,$184.26 ,$35.94 ,$146.52 ,$210.90 , N/A ,$177.60 ,$202.02 ,$34.89 ,$208.68 ,$210.90 ,$199.80 ,$188.70 ,$34.89 ,$34.89 ,$34.89 ,$162.06 ,$57.44 ,$197.58 ,$199.80 ,$199.80 ,$177.60 ,$59.17 ,$122.10 ,$199.80 ,$57.44 ,$199.80 ,$57.44 ,$210.90 ,$129.25 ,$204.24 ,$36.98 ,$202.02 ,$57.44 ,$136.62 ,$142.97 ,$136.62 ,$199.80 ,$199.80 ,$165.68 ,$154.62 ,$58.02 ,$36.63 ,$207.57 ,$60.31 ,$34.89 ,$193.14 ,$57.44 ,$199.80 ,$57.44 ,$199.80 ,$199.80 ,$199.80 ,$215.34 ,$179.82 ,$199.80 ,$199.80 ,$199.80 ,$199.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45000573,23665,HC TX DISLOC SHOULDER FX HUMERW/MANIP-RT,450,1 ,"$4,495.00 ","$3,371.25 ",$139.53 ,"$4,495.00 ","$2,894.78 ","$1,437.36 ","$3,146.50 ",$139.53 ,"$3,730.85 ",$143.72 ,"$2,966.70 ","$4,270.25 ", N/A ,"$3,596.00 ","$4,090.45 ",$139.53 ,"$4,225.30 ","$4,270.25 ","$4,045.50 ","$3,820.75 ",$139.53 ,$139.53 ,$139.53 ,"$3,281.35 ","$1,437.36 ","$4,000.55 ","$4,045.50 ","$4,045.50 ","$3,596.00 ","$1,480.48 ","$2,472.25 ","$4,045.50 ","$1,437.36 ","$4,045.50 ","$1,437.36 ","$4,270.25 ","$3,234.06 ","$4,135.40 ",$147.90 ,"$4,090.45 ","$1,437.36 ","$2,766.22 ","$2,894.78 ","$2,766.22 ","$4,045.50 ","$4,045.50 ","$3,354.62 ","$3,130.77 ","$1,451.73 ",$146.51 ,"$4,202.83 ","$1,509.23 ",$139.53 ,"$3,910.65 ","$1,437.36 ","$4,045.50 ","$1,437.36 ","$4,045.50 ","$4,045.50 ","$4,045.50 ","$4,360.15 ","$3,640.95 ","$4,045.50 ","$4,045.50 ","$4,045.50 ","$4,045.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,45001024,27768,HC CLSD TX POSTERIOR WITH MANIP,450,1 ,"$4,343.00 ","$3,257.25 ",$139.53 ,"$4,343.00 ","$2,796.89 ","$1,437.36 ","$3,040.10 ",$139.53 ,"$3,604.69 ",$143.72 ,"$2,866.38 ","$4,125.85 ", N/A ,"$3,474.40 ","$3,952.13 ",$139.53 ,"$4,082.42 ","$4,125.85 ","$3,908.70 ","$3,691.55 ",$139.53 ,$139.53 ,$139.53 ,"$3,170.39 ","$1,437.36 ","$3,865.27 ","$3,908.70 ","$3,908.70 ","$3,474.40 ","$1,480.48 ","$2,388.65 ","$3,908.70 ","$1,437.36 ","$3,908.70 ","$1,437.36 ","$4,125.85 ","$3,234.06 ","$3,995.56 ",$147.90 ,"$3,952.13 ","$1,437.36 ","$2,672.68 ","$2,796.89 ","$2,672.68 ","$3,908.70 ","$3,908.70 ","$3,241.18 ","$3,024.90 ","$1,451.73 ",$146.51 ,"$4,060.71 ","$1,509.23 ",$139.53 ,"$3,778.41 ","$1,437.36 ","$3,908.70 ","$1,437.36 ","$3,908.70 ","$3,908.70 ","$3,908.70 ","$4,212.71 ","$3,517.83 ","$3,908.70 ","$3,908.70 ","$3,908.70 ","$3,908.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,45001168,52281,HC CYSTOURETHROSCOPY W/CALIBRATION/DILATION,450,1 ,"$5,209.53 ","$3,907.15 ",$490.13 ,"$5,209.53 ","$3,354.94 ","$1,847.74 ","$3,646.67 ",$490.13 ,"$4,323.91 ",$504.83 ,"$3,438.29 ","$4,949.05 ", N/A ,"$4,167.62 ","$4,740.67 ",$490.13 ,"$4,896.96 ","$4,949.05 ","$4,688.58 ","$4,428.10 ",$490.13 ,$490.13 ,$490.13 ,"$3,802.96 ","$1,847.74 ","$4,636.48 ","$4,688.58 ","$4,688.58 ","$4,167.62 ","$1,903.17 ","$2,865.24 ","$4,688.58 ","$1,847.74 ","$4,688.58 ","$1,847.74 ","$4,949.05 ","$4,157.42 ","$4,792.77 ",$519.54 ,"$4,740.67 ","$1,847.74 ","$3,205.94 ","$3,354.94 ","$3,205.94 ","$4,688.58 ","$4,688.58 ","$3,887.87 ","$3,628.44 ","$1,866.22 ",$514.64 ,"$4,870.91 ","$1,940.13 ",$490.13 ,"$4,532.29 ","$1,847.74 ","$4,688.58 ","$1,847.74 ","$4,688.58 ","$4,688.58 ","$4,688.58 ","$5,053.24 ","$4,219.72 ","$4,688.58 ","$4,688.58 ","$4,688.58 ","$4,688.58 "
ST. JOSEPH'S - CHIPPEWA FALLS,45001281,25520,HC TX FX RADIUS SHAFT W/DISLOC CLOSED,450,1 ,"$4,045.47 ","$3,034.10 ",$139.53 ,"$4,045.47 ","$2,605.28 ","$1,437.36 ","$2,831.83 ",$139.53 ,"$3,357.74 ",$143.72 ,"$2,670.01 ","$3,843.20 ", N/A ,"$3,236.38 ","$3,681.38 ",$139.53 ,"$3,802.74 ","$3,843.20 ","$3,640.92 ","$3,438.65 ",$139.53 ,$139.53 ,$139.53 ,"$2,953.19 ","$1,437.36 ","$3,600.47 ","$3,640.92 ","$3,640.92 ","$3,236.38 ","$1,480.48 ","$2,225.01 ","$3,640.92 ","$1,437.36 ","$3,640.92 ","$1,437.36 ","$3,843.20 ","$3,234.06 ","$3,721.83 ",$147.90 ,"$3,681.38 ","$1,437.36 ","$2,489.58 ","$2,605.28 ","$2,489.58 ","$3,640.92 ","$3,640.92 ","$3,019.13 ","$2,817.67 ","$1,451.73 ",$146.51 ,"$3,782.51 ","$1,509.23 ",$139.53 ,"$3,519.56 ","$1,437.36 ","$3,640.92 ","$1,437.36 ","$3,640.92 ","$3,640.92 ","$3,640.92 ","$3,924.11 ","$3,276.83 ","$3,640.92 ","$3,640.92 ","$3,640.92 ","$3,640.92 "
ST. JOSEPH'S - CHIPPEWA FALLS,45001296,27762,HC TX FX CLOSED MEDIAL MALLEOLUS W/MANIP,450,1 ,"$4,495.00 ","$3,371.25 ",$139.53 ,"$4,495.00 ","$2,894.78 ","$1,437.36 ","$3,146.50 ",$139.53 ,"$3,730.85 ",$143.72 ,"$2,966.70 ","$4,270.25 ", N/A ,"$3,596.00 ","$4,090.45 ",$139.53 ,"$4,225.30 ","$4,270.25 ","$4,045.50 ","$3,820.75 ",$139.53 ,$139.53 ,$139.53 ,"$3,281.35 ","$1,437.36 ","$4,000.55 ","$4,045.50 ","$4,045.50 ","$3,596.00 ","$1,480.48 ","$2,472.25 ","$4,045.50 ","$1,437.36 ","$4,045.50 ","$1,437.36 ","$4,270.25 ","$3,234.06 ","$4,135.40 ",$147.90 ,"$4,090.45 ","$1,437.36 ","$2,766.22 ","$2,894.78 ","$2,766.22 ","$4,045.50 ","$4,045.50 ","$3,354.62 ","$3,130.77 ","$1,451.73 ",$146.51 ,"$4,202.83 ","$1,509.23 ",$139.53 ,"$3,910.65 ","$1,437.36 ","$4,045.50 ","$1,437.36 ","$4,045.50 ","$4,045.50 ","$4,045.50 ","$4,360.15 ","$3,640.95 ","$4,045.50 ","$4,045.50 ","$4,045.50 ","$4,045.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,$602.00 ,$451.50 ,$62.73 ,$617.87 ,$387.69 ,$274.61 ,$421.40 ,$62.73 ,$499.66 ,$64.61 ,$397.32 ,$571.90 , N/A ,$481.60 ,$547.82 ,$62.73 ,$565.88 ,$571.90 ,$541.80 ,$511.70 ,$62.73 ,$62.73 ,$62.73 ,$439.46 ,$274.61 ,$535.78 ,$541.80 ,$541.80 ,$481.60 ,$282.85 ,$331.10 ,$541.80 ,$274.61 ,$541.80 ,$274.61 ,$571.90 ,$617.87 ,$553.84 ,$66.49 ,$547.82 ,$274.61 ,$370.47 ,$387.69 ,$370.47 ,$541.80 ,$541.80 ,$449.27 ,$419.29 ,$277.35 ,$65.87 ,$562.87 ,$288.34 ,$62.73 ,$523.74 ,$274.61 ,$541.80 ,$274.61 ,$541.80 ,$541.80 ,$541.80 ,$583.94 ,$487.62 ,$541.80 ,$541.80 ,$541.80 ,$541.80 
ST. JOSEPH'S - CHIPPEWA FALLS,45001360,31577,HC LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),450,1 ,"$1,175.00 ",$881.25 ,$238.77 ,"$1,175.00 ",$756.70 ,$387.89 ,$822.50 ,$238.77 ,$975.25 ,$245.93 ,$775.50 ,"$1,116.25 ", N/A ,$940.00 ,"$1,069.25 ",$238.77 ,"$1,104.50 ","$1,116.25 ","$1,057.50 ",$998.75 ,$238.77 ,$238.77 ,$238.77 ,$857.75 ,$387.89 ,"$1,045.75 ","$1,057.50 ","$1,057.50 ",$940.00 ,$399.52 ,$646.25 ,"$1,057.50 ",$387.89 ,"$1,057.50 ",$387.89 ,"$1,116.25 ",$872.75 ,"$1,081.00 ",$253.10 ,"$1,069.25 ",$387.89 ,$723.10 ,$756.70 ,$723.10 ,"$1,057.50 ","$1,057.50 ",$876.90 ,$818.39 ,$391.77 ,$250.71 ,"$1,098.63 ",$407.28 ,$238.77 ,"$1,022.25 ",$387.89 ,"$1,057.50 ",$387.89 ,"$1,057.50 ","$1,057.50 ","$1,057.50 ","$1,139.75 ",$951.75 ,"$1,057.50 ","$1,057.50 ","$1,057.50 ","$1,057.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,45001361,27256,HC TX SPONT HIP DISC,450,1 ,$644.00 ,$483.00 ,$139.53 ,$644.00 ,$414.74 ,$212.70 ,$450.80 ,$139.53 ,$534.52 ,$143.72 ,$425.04 ,$611.80 , N/A ,$515.20 ,$586.04 ,$139.53 ,$605.36 ,$611.80 ,$579.60 ,$547.40 ,$139.53 ,$139.53 ,$139.53 ,$470.12 ,$212.70 ,$573.16 ,$579.60 ,$579.60 ,$515.20 ,$219.08 ,$354.20 ,$579.60 ,$212.70 ,$579.60 ,$212.70 ,$611.80 ,$478.57 ,$592.48 ,$147.90 ,$586.04 ,$212.70 ,$396.32 ,$414.74 ,$396.32 ,$579.60 ,$579.60 ,$480.62 ,$448.55 ,$214.82 ,$146.51 ,$602.14 ,$223.34 ,$139.53 ,$560.28 ,$212.70 ,$579.60 ,$212.70 ,$579.60 ,$579.60 ,$579.60 ,$624.68 ,$521.64 ,$579.60 ,$579.60 ,$579.60 ,$579.60 
ST. JOSEPH'S - CHIPPEWA FALLS,46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$326.87 ,$245.15 ,$16.35 ,$326.87 ,$210.50 ,$144.08 ,$228.81 ,$16.35 ,$271.30 ,$16.84 ,$215.73 ,$310.53 , N/A ,$261.50 ,$297.45 ,$16.35 ,$307.26 ,$310.53 ,$294.18 ,$277.84 ,$16.35 ,$16.35 ,$16.35 ,$238.62 ,$144.08 ,$290.91 ,$294.18 ,$294.18 ,$261.50 ,$148.40 ,$179.78 ,$294.18 ,$144.08 ,$294.18 ,$144.08 ,$310.53 ,$324.18 ,$300.72 ,$17.33 ,$297.45 ,$144.08 ,$201.16 ,$210.50 ,$201.16 ,$294.18 ,$294.18 ,$243.94 ,$227.67 ,$145.52 ,$17.17 ,$305.62 ,$151.28 ,$16.35 ,$284.38 ,$144.08 ,$294.18 ,$144.08 ,$294.18 ,$294.18 ,$294.18 ,$317.06 ,$264.76 ,$294.18 ,$294.18 ,$294.18 ,$294.18 
ST. JOSEPH'S - CHIPPEWA FALLS,46000004,94060,HC SPIROMETRY/PFT PRE  AND  POST,460,1 ,$585.04 ,$438.78 ,$32.14 ,$614.50 ,$376.77 ,$273.11 ,$409.53 ,$32.14 ,$485.58 ,$33.10 ,$386.13 ,$555.79 , N/A ,$468.03 ,$532.39 ,$32.14 ,$549.94 ,$555.79 ,$526.54 ,$497.28 ,$32.14 ,$32.14 ,$32.14 ,$427.08 ,$273.11 ,$520.69 ,$526.54 ,$526.54 ,$468.03 ,$281.31 ,$321.77 ,$526.54 ,$273.11 ,$526.54 ,$273.11 ,$555.79 ,$614.50 ,$538.24 ,$34.07 ,$532.39 ,$273.11 ,$360.03 ,$376.77 ,$360.03 ,$526.54 ,$526.54 ,$436.62 ,$407.48 ,$275.84 ,$33.75 ,$547.01 ,$286.77 ,$32.14 ,$508.98 ,$273.11 ,$526.54 ,$273.11 ,$526.54 ,$526.54 ,$526.54 ,$567.49 ,$473.88 ,$526.54 ,$526.54 ,$526.54 ,$526.54 
ST. JOSEPH'S - CHIPPEWA FALLS,46000006,94070,HC SPIROMETRY/PFT CPLX,460,1 ,$910.82 ,$683.12 ,$32.14 ,$910.82 ,$586.57 ,$273.11 ,$637.57 ,$32.14 ,$755.98 ,$33.10 ,$601.14 ,$865.28 , N/A ,$728.66 ,$828.85 ,$32.14 ,$856.17 ,$865.28 ,$819.74 ,$774.20 ,$32.14 ,$32.14 ,$32.14 ,$664.90 ,$273.11 ,$810.63 ,$819.74 ,$819.74 ,$728.66 ,$281.31 ,$500.95 ,$819.74 ,$273.11 ,$819.74 ,$273.11 ,$865.28 ,$614.50 ,$837.95 ,$34.07 ,$828.85 ,$273.11 ,$560.52 ,$586.57 ,$560.52 ,$819.74 ,$819.74 ,$679.75 ,$634.39 ,$275.84 ,$33.75 ,$851.62 ,$286.77 ,$32.14 ,$792.41 ,$273.11 ,$819.74 ,$273.11 ,$819.74 ,$819.74 ,$819.74 ,$883.50 ,$737.76 ,$819.74 ,$819.74 ,$819.74 ,$819.74 
ST. JOSEPH'S - CHIPPEWA FALLS,46000007,94150,HC VITAL CAPACITY TOTAL,460,1 ,$198.18 ,$148.64 ,$16.35 ,$324.18 ,$127.63 ,$144.08 ,$138.73 ,$16.35 ,$164.49 ,$16.84 ,$130.80 ,$188.27 , N/A ,$158.54 ,$180.34 ,$16.35 ,$186.29 ,$188.27 ,$178.36 ,$168.45 ,$16.35 ,$16.35 ,$16.35 ,$144.67 ,$144.08 ,$176.38 ,$178.36 ,$178.36 ,$158.54 ,$148.40 ,$109.00 ,$178.36 ,$144.08 ,$178.36 ,$144.08 ,$188.27 ,$324.18 ,$182.33 ,$17.33 ,$180.34 ,$144.08 ,$121.96 ,$127.63 ,$121.96 ,$178.36 ,$178.36 ,$147.90 ,$138.03 ,$145.52 ,$17.17 ,$185.30 ,$151.28 ,$16.35 ,$172.42 ,$144.08 ,$178.36 ,$144.08 ,$178.36 ,$178.36 ,$178.36 ,$192.23 ,$160.53 ,$178.36 ,$178.36 ,$178.36 ,$178.36 
ST. JOSEPH'S - CHIPPEWA FALLS,46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,$278.12 ,$208.59 ,$32.14 ,$614.50 ,$179.11 ,$273.11 ,$194.68 ,$32.14 ,$230.84 ,$33.10 ,$183.56 ,$264.21 , N/A ,$222.50 ,$253.09 ,$32.14 ,$261.43 ,$264.21 ,$250.31 ,$236.40 ,$32.14 ,$32.14 ,$32.14 ,$203.03 ,$273.11 ,$247.53 ,$250.31 ,$250.31 ,$222.50 ,$281.31 ,$152.97 ,$250.31 ,$273.11 ,$250.31 ,$273.11 ,$264.21 ,$614.50 ,$255.87 ,$34.07 ,$253.09 ,$273.11 ,$171.16 ,$179.11 ,$171.16 ,$250.31 ,$250.31 ,$207.56 ,$193.71 ,$275.84 ,$33.75 ,$260.04 ,$286.77 ,$32.14 ,$241.96 ,$273.11 ,$250.31 ,$273.11 ,$250.31 ,$250.31 ,$250.31 ,$269.78 ,$225.28 ,$250.31 ,$250.31 ,$250.31 ,$250.31 
ST. JOSEPH'S - CHIPPEWA FALLS,46000014,94618,HC WALK TEST 6 MIN,460,1 ,$115.58 ,$86.69 ,$16.35 ,$261.82 ,$74.43 ,$116.36 ,$80.91 ,$16.35 ,$95.93 ,$16.84 ,$76.28 ,$109.80 , N/A ,$92.46 ,$105.18 ,$16.35 ,$108.65 ,$109.80 ,$104.02 ,$98.24 ,$16.35 ,$16.35 ,$16.35 ,$84.37 ,$116.36 ,$102.87 ,$104.02 ,$104.02 ,$92.46 ,$119.85 ,$63.57 ,$104.02 ,$116.36 ,$104.02 ,$116.36 ,$109.80 ,$261.82 ,$106.33 ,$17.33 ,$105.18 ,$116.36 ,$71.13 ,$74.43 ,$71.13 ,$104.02 ,$104.02 ,$86.26 ,$80.50 ,$117.53 ,$17.17 ,$108.07 ,$122.18 ,$16.35 ,$100.55 ,$116.36 ,$104.02 ,$116.36 ,$104.02 ,$104.02 ,$104.02 ,$112.11 ,$93.62 ,$104.02 ,$104.02 ,$104.02 ,$104.02 
ST. JOSEPH'S - CHIPPEWA FALLS,46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$370.79 ,$278.09 ,$16.35 ,$370.79 ,$238.79 , N/A ,$259.55 ,$16.35 ,$307.76 ,$16.84 ,$244.72 ,$352.25 , N/A ,$296.63 ,$337.42 ,$16.35 ,$348.54 ,$352.25 ,$333.71 ,$315.17 ,$16.35 ,$16.35 ,$16.35 ,$270.68 , N/A ,$330.00 ,$333.71 ,$333.71 ,$296.63 , N/A ,$203.93 ,$333.71 , N/A ,$333.71 , N/A ,$352.25 , N/A ,$341.13 ,$17.33 ,$337.42 , N/A ,$228.18 ,$238.79 ,$228.18 ,$333.71 ,$333.71 ,$276.72 ,$258.26 , N/A ,$17.17 ,$346.69 , N/A ,$16.35 ,$322.59 , N/A ,$333.71 , N/A ,$333.71 ,$333.71 ,$333.71 ,$359.67 ,$300.34 ,$333.71 ,$333.71 ,$333.71 ,$333.71 
ST. JOSEPH'S - CHIPPEWA FALLS,46000018,94762,HC OXIMETRY OVERNIGHT,460,1 ,$293.70 ,$220.28 ,$16.35 ,$324.18 ,$189.14 ,$144.08 ,$205.59 ,$16.35 ,$243.77 ,$16.84 ,$193.84 ,$279.02 , N/A ,$234.96 ,$267.27 ,$16.35 ,$276.08 ,$279.02 ,$264.33 ,$249.65 ,$16.35 ,$16.35 ,$16.35 ,$214.40 ,$144.08 ,$261.39 ,$264.33 ,$264.33 ,$234.96 ,$148.40 ,$161.54 ,$264.33 ,$144.08 ,$264.33 ,$144.08 ,$279.02 ,$324.18 ,$270.20 ,$17.33 ,$267.27 ,$144.08 ,$180.74 ,$189.14 ,$180.74 ,$264.33 ,$264.33 ,$219.19 ,$204.56 ,$145.52 ,$17.17 ,$274.61 ,$151.28 ,$16.35 ,$255.52 ,$144.08 ,$264.33 ,$144.08 ,$264.33 ,$264.33 ,$264.33 ,$284.89 ,$237.90 ,$264.33 ,$264.33 ,$264.33 ,$264.33 
ST. JOSEPH'S - CHIPPEWA FALLS,46000021,94760,HC PULSE OX SINGLE,460,1 ,$75.52 ,$56.64 ,$41.54 ,$75.52 ,$48.63 , N/A ,$52.86 , N/A ,$62.68 , N/A ,$49.84 ,$71.74 , N/A ,$60.42 ,$68.72 , N/A ,$70.99 ,$71.74 ,$67.97 ,$64.19 , N/A , N/A , N/A ,$55.13 , N/A ,$67.21 ,$67.97 ,$67.97 ,$60.42 , N/A ,$41.54 ,$67.97 , N/A ,$67.97 , N/A ,$71.74 , N/A ,$69.48 , N/A ,$68.72 , N/A ,$46.48 ,$48.63 ,$46.48 ,$67.97 ,$67.97 ,$56.36 ,$52.60 , N/A , N/A ,$70.61 , N/A , N/A ,$65.70 , N/A ,$67.97 , N/A ,$67.97 ,$67.97 ,$67.97 ,$73.25 ,$61.17 ,$67.97 ,$67.97 ,$67.97 ,$67.97 
ST. JOSEPH'S - CHIPPEWA FALLS,46000023,94761,HC PULSE OX MULTI DETERMIN,360,1 ,$214.51 ,$160.88 ,$117.98 ,$214.51 ,$138.14 , N/A ,$150.16 , N/A , N/A , N/A , N/A ,$203.78 , N/A ,$171.61 ,$195.20 , N/A , N/A ,$203.78 ,$193.06 ,$182.33 , N/A , N/A , N/A ,$156.59 , N/A ,$190.91 ,$193.06 ,$193.06 ,$171.61 , N/A ,$117.98 ,$193.06 , N/A ,$193.06 , N/A ,$201.64 , N/A ,$197.35 , N/A ,$195.20 , N/A ,$132.01 ,$138.14 ,$132.01 ,$193.06 ,$193.06 ,$160.09 , N/A , N/A , N/A ,$200.57 , N/A , N/A ,$186.62 , N/A ,$193.06 , N/A ,$193.06 ,$193.06 ,$193.06 ,$208.07 ,$173.75 ,$193.06 ,$193.06 ,$193.06 ,$193.06 
ST. JOSEPH'S - CHIPPEWA FALLS,47000003,92586,HC NEWBORN HEARING SCREENING,470,1 ,$580.86 ,$435.65 ,$319.47 ,$580.86 ,$374.07 , N/A ,$406.60 , N/A ,$482.11 , N/A ,$383.37 ,$551.82 , N/A ,$464.69 ,$528.58 , N/A ,$546.01 ,$551.82 ,$522.77 ,$493.73 , N/A , N/A , N/A ,$424.03 , N/A ,$516.97 ,$522.77 ,$522.77 ,$464.69 , N/A ,$319.47 ,$522.77 , N/A ,$522.77 , N/A ,$551.82 , N/A ,$534.39 , N/A ,$528.58 , N/A ,$357.46 ,$374.07 ,$357.46 ,$522.77 ,$522.77 ,$433.50 ,$404.57 , N/A , N/A ,$543.10 , N/A , N/A ,$505.35 , N/A ,$522.77 , N/A ,$522.77 ,$522.77 ,$522.77 ,$563.43 ,$470.50 ,$522.77 ,$522.77 ,$522.77 ,$522.77 
ST. JOSEPH'S - CHIPPEWA FALLS,47000004,92626,HC EVAL AUDITORY REHAB 1ST HR,470,1 ,$452.00 ,$339.00 ,$72.56 ,$452.00 ,$291.09 ,$144.08 ,$316.40 ,$72.56 ,$375.16 ,$74.74 ,$298.32 ,$429.40 , N/A ,$361.60 ,$411.32 ,$72.56 ,$424.88 ,$429.40 ,$406.80 ,$384.20 ,$72.56 ,$72.56 ,$72.56 ,$329.96 ,$144.08 ,$402.28 ,$406.80 ,$406.80 ,$361.60 ,$148.40 ,$248.60 ,$406.80 ,$144.08 ,$406.80 ,$144.08 ,$429.40 ,$324.18 ,$415.84 ,$76.91 ,$411.32 ,$144.08 ,$278.16 ,$291.09 ,$278.16 ,$406.80 ,$406.80 ,$337.33 ,$314.82 ,$145.52 ,$76.19 ,$422.62 ,$151.28 ,$72.56 ,$393.24 ,$144.08 ,$406.80 ,$144.08 ,$406.80 ,$406.80 ,$406.80 ,$438.44 ,$366.12 ,$406.80 ,$406.80 ,$406.80 ,$406.80 
ST. JOSEPH'S - CHIPPEWA FALLS,47000005,92627,HC EVAL AUDITORY REHAB EA ADDL 15MIN,470,1 ,$113.00 ,$84.75 ,$62.15 ,$113.00 ,$72.77 , N/A ,$79.10 ,$72.56 ,$93.79 ,$74.74 ,$74.58 ,$107.35 , N/A ,$90.40 ,$102.83 ,$72.56 ,$106.22 ,$107.35 ,$101.70 ,$96.05 ,$72.56 ,$72.56 ,$72.56 ,$82.49 , N/A ,$100.57 ,$101.70 ,$101.70 ,$90.40 , N/A ,$62.15 ,$101.70 , N/A ,$101.70 , N/A ,$107.35 , N/A ,$103.96 ,$76.91 ,$102.83 , N/A ,$69.54 ,$72.77 ,$69.54 ,$101.70 ,$101.70 ,$84.33 ,$78.70 , N/A ,$76.19 ,$105.66 , N/A ,$72.56 ,$98.31 , N/A ,$101.70 , N/A ,$101.70 ,$101.70 ,$101.70 ,$109.61 ,$91.53 ,$101.70 ,$101.70 ,$101.70 ,$101.70 
ST. JOSEPH'S - CHIPPEWA FALLS,47000006,92630,HC AUDITORY REHAB PRELINGUAL HEARING LOSS 15MIN,470,1 ,$126.00 ,$94.50 ,$10.14 ,$126.00 ,$81.14 , N/A ,$88.20 ,$10.14 ,$104.58 ,$10.44 ,$83.16 ,$119.70 , N/A ,$100.80 ,$114.66 ,$10.14 ,$118.44 ,$119.70 ,$113.40 ,$107.10 ,$10.14 ,$10.14 ,$10.14 ,$91.98 , N/A ,$112.14 ,$113.40 ,$113.40 ,$100.80 , N/A ,$69.30 ,$113.40 , N/A ,$113.40 , N/A ,$119.70 , N/A ,$115.92 ,$10.75 ,$114.66 , N/A ,$77.54 ,$81.14 ,$77.54 ,$113.40 ,$113.40 ,$94.03 ,$87.76 , N/A ,$10.65 ,$117.81 , N/A ,$10.14 ,$109.62 , N/A ,$113.40 , N/A ,$113.40 ,$113.40 ,$113.40 ,$122.22 ,$102.06 ,$113.40 ,$113.40 ,$113.40 ,$113.40 
ST. JOSEPH'S - CHIPPEWA FALLS,47000007,92630,HC AUDITORY REHAB PRELINGUAL HEARING LOSS 30MIN,470,1 ,$251.00 ,$188.25 ,$10.14 ,$251.00 ,$161.64 , N/A ,$175.70 ,$10.14 ,$208.33 ,$10.44 ,$165.66 ,$238.45 , N/A ,$200.80 ,$228.41 ,$10.14 ,$235.94 ,$238.45 ,$225.90 ,$213.35 ,$10.14 ,$10.14 ,$10.14 ,$183.23 , N/A ,$223.39 ,$225.90 ,$225.90 ,$200.80 , N/A ,$138.05 ,$225.90 , N/A ,$225.90 , N/A ,$238.45 , N/A ,$230.92 ,$10.75 ,$228.41 , N/A ,$154.47 ,$161.64 ,$154.47 ,$225.90 ,$225.90 ,$187.32 ,$174.82 , N/A ,$10.65 ,$234.69 , N/A ,$10.14 ,$218.37 , N/A ,$225.90 , N/A ,$225.90 ,$225.90 ,$225.90 ,$243.47 ,$203.31 ,$225.90 ,$225.90 ,$225.90 ,$225.90 
ST. JOSEPH'S - CHIPPEWA FALLS,47000008,92630,HC AUDITORY REHAB PRELINGUAL HEARING LOSS 45MIN,470,1 ,$376.00 ,$282.00 ,$10.14 ,$376.00 ,$242.14 , N/A ,$263.20 ,$10.14 ,$312.08 ,$10.44 ,$248.16 ,$357.20 , N/A ,$300.80 ,$342.16 ,$10.14 ,$353.44 ,$357.20 ,$338.40 ,$319.60 ,$10.14 ,$10.14 ,$10.14 ,$274.48 , N/A ,$334.64 ,$338.40 ,$338.40 ,$300.80 , N/A ,$206.80 ,$338.40 , N/A ,$338.40 , N/A ,$357.20 , N/A ,$345.92 ,$10.75 ,$342.16 , N/A ,$231.39 ,$242.14 ,$231.39 ,$338.40 ,$338.40 ,$280.61 ,$261.88 , N/A ,$10.65 ,$351.56 , N/A ,$10.14 ,$327.12 , N/A ,$338.40 , N/A ,$338.40 ,$338.40 ,$338.40 ,$364.72 ,$304.56 ,$338.40 ,$338.40 ,$338.40 ,$338.40 
ST. JOSEPH'S - CHIPPEWA FALLS,47000009,92630,HC AUDITORY REHAB PRELINGUAL HEARING LOSS 60MIN,470,1 ,$502.00 ,$376.50 ,$10.14 ,$502.00 ,$323.29 , N/A ,$351.40 ,$10.14 ,$416.66 ,$10.44 ,$331.32 ,$476.90 , N/A ,$401.60 ,$456.82 ,$10.14 ,$471.88 ,$476.90 ,$451.80 ,$426.70 ,$10.14 ,$10.14 ,$10.14 ,$366.46 , N/A ,$446.78 ,$451.80 ,$451.80 ,$401.60 , N/A ,$276.10 ,$451.80 , N/A ,$451.80 , N/A ,$476.90 , N/A ,$461.84 ,$10.75 ,$456.82 , N/A ,$308.93 ,$323.29 ,$308.93 ,$451.80 ,$451.80 ,$374.64 ,$349.64 , N/A ,$10.65 ,$469.37 , N/A ,$10.14 ,$436.74 , N/A ,$451.80 , N/A ,$451.80 ,$451.80 ,$451.80 ,$486.94 ,$406.62 ,$451.80 ,$451.80 ,$451.80 ,$451.80 
ST. JOSEPH'S - CHIPPEWA FALLS,47000010,92633,HC AUDITORY REHAB POSTLINGUAL HEARING LOSS 15MIN,470,1 ,$126.00 ,$94.50 ,$10.14 ,$126.00 ,$81.14 , N/A ,$88.20 ,$10.14 ,$104.58 ,$10.44 ,$83.16 ,$119.70 , N/A ,$100.80 ,$114.66 ,$10.14 ,$118.44 ,$119.70 ,$113.40 ,$107.10 ,$10.14 ,$10.14 ,$10.14 ,$91.98 , N/A ,$112.14 ,$113.40 ,$113.40 ,$100.80 , N/A ,$69.30 ,$113.40 , N/A ,$113.40 , N/A ,$119.70 , N/A ,$115.92 ,$10.75 ,$114.66 , N/A ,$77.54 ,$81.14 ,$77.54 ,$113.40 ,$113.40 ,$94.03 ,$87.76 , N/A ,$10.65 ,$117.81 , N/A ,$10.14 ,$109.62 , N/A ,$113.40 , N/A ,$113.40 ,$113.40 ,$113.40 ,$122.22 ,$102.06 ,$113.40 ,$113.40 ,$113.40 ,$113.40 
ST. JOSEPH'S - CHIPPEWA FALLS,47000011,92633,HC AUDITORY REHAB POSTLINGUAL HEARING LOSS 30MIN,470,1 ,$251.00 ,$188.25 ,$10.14 ,$251.00 ,$161.64 , N/A ,$175.70 ,$10.14 ,$208.33 ,$10.44 ,$165.66 ,$238.45 , N/A ,$200.80 ,$228.41 ,$10.14 ,$235.94 ,$238.45 ,$225.90 ,$213.35 ,$10.14 ,$10.14 ,$10.14 ,$183.23 , N/A ,$223.39 ,$225.90 ,$225.90 ,$200.80 , N/A ,$138.05 ,$225.90 , N/A ,$225.90 , N/A ,$238.45 , N/A ,$230.92 ,$10.75 ,$228.41 , N/A ,$154.47 ,$161.64 ,$154.47 ,$225.90 ,$225.90 ,$187.32 ,$174.82 , N/A ,$10.65 ,$234.69 , N/A ,$10.14 ,$218.37 , N/A ,$225.90 , N/A ,$225.90 ,$225.90 ,$225.90 ,$243.47 ,$203.31 ,$225.90 ,$225.90 ,$225.90 ,$225.90 
ST. JOSEPH'S - CHIPPEWA FALLS,47000012,92633,HC AUDITORY REHAB POSTLINGUAL HEARING LOSS 45MIN,470,1 ,$376.00 ,$282.00 ,$10.14 ,$376.00 ,$242.14 , N/A ,$263.20 ,$10.14 ,$312.08 ,$10.44 ,$248.16 ,$357.20 , N/A ,$300.80 ,$342.16 ,$10.14 ,$353.44 ,$357.20 ,$338.40 ,$319.60 ,$10.14 ,$10.14 ,$10.14 ,$274.48 , N/A ,$334.64 ,$338.40 ,$338.40 ,$300.80 , N/A ,$206.80 ,$338.40 , N/A ,$338.40 , N/A ,$357.20 , N/A ,$345.92 ,$10.75 ,$342.16 , N/A ,$231.39 ,$242.14 ,$231.39 ,$338.40 ,$338.40 ,$280.61 ,$261.88 , N/A ,$10.65 ,$351.56 , N/A ,$10.14 ,$327.12 , N/A ,$338.40 , N/A ,$338.40 ,$338.40 ,$338.40 ,$364.72 ,$304.56 ,$338.40 ,$338.40 ,$338.40 ,$338.40 
ST. JOSEPH'S - CHIPPEWA FALLS,47000013,92633,HC AUDITORY REHAB POSTLINGUAL HEARING LOSS 60MIN,470,1 ,$502.00 ,$376.50 ,$10.14 ,$502.00 ,$323.29 , N/A ,$351.40 ,$10.14 ,$416.66 ,$10.44 ,$331.32 ,$476.90 , N/A ,$401.60 ,$456.82 ,$10.14 ,$471.88 ,$476.90 ,$451.80 ,$426.70 ,$10.14 ,$10.14 ,$10.14 ,$366.46 , N/A ,$446.78 ,$451.80 ,$451.80 ,$401.60 , N/A ,$276.10 ,$451.80 , N/A ,$451.80 , N/A ,$476.90 , N/A ,$461.84 ,$10.75 ,$456.82 , N/A ,$308.93 ,$323.29 ,$308.93 ,$451.80 ,$451.80 ,$374.64 ,$349.64 , N/A ,$10.65 ,$469.37 , N/A ,$10.14 ,$436.74 , N/A ,$451.80 , N/A ,$451.80 ,$451.80 ,$451.80 ,$486.94 ,$406.62 ,$451.80 ,$451.80 ,$451.80 ,$451.80 
ST. JOSEPH'S - CHIPPEWA FALLS,48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,"$2,001.00 ","$1,500.75 ",$202.92 ,"$2,001.00 ","$1,288.64 ",$579.72 ,"$1,400.70 ",$202.92 ,"$1,660.83 ",$209.01 ,"$1,320.66 ","$1,900.95 ", N/A ,"$1,600.80 ","$1,820.91 ",$202.92 ,"$1,880.94 ","$1,900.95 ","$1,800.90 ","$1,700.85 ",$202.92 ,$202.92 ,$202.92 ,"$1,460.73 ",$579.72 ,"$1,780.89 ","$1,800.90 ","$1,800.90 ","$1,600.80 ",$597.11 ,"$1,100.55 ","$1,800.90 ",$579.72 ,"$1,800.90 ",$579.72 ,"$1,900.95 ","$1,304.37 ","$1,840.92 ",$215.10 ,"$1,820.91 ",$579.72 ,"$1,231.42 ","$1,288.64 ","$1,231.42 ","$1,800.90 ","$1,800.90 ","$1,493.35 ","$1,393.70 ",$585.52 ,$213.07 ,"$1,870.94 ",$608.71 ,$202.92 ,"$1,740.87 ",$579.72 ,"$1,800.90 ",$579.72 ,"$1,800.90 ","$1,800.90 ","$1,800.90 ","$1,940.97 ","$1,620.81 ","$1,800.90 ","$1,800.90 ","$1,800.90 ","$1,800.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,48100005,33210,HC INS/REPL TPM SGL ELEC/CATH 33210,481,1 ,"$5,557.00 ","$4,167.75 ",$533.72 ,"$18,943.56 ","$3,578.71 ","$8,419.36 ","$3,889.90 ",$533.72 ,"$5,557.00 ",$549.73 ,"$5,557.00 ","$5,279.15 ", N/A ,"$4,445.60 ","$5,056.87 ",$533.72 ,"$5,223.58 ","$5,279.15 ","$5,001.30 ","$4,723.45 ",$533.72 ,$533.72 ,$533.72 ,"$4,056.61 ","$8,419.36 ","$4,945.73 ","$5,001.30 ","$5,001.30 ","$4,445.60 ","$8,671.94 ","$3,056.35 ","$5,001.30 ","$8,419.36 ","$5,001.30 ","$8,419.36 ","$5,279.15 ","$18,943.56 ","$5,112.44 ",$565.74 ,"$5,056.87 ","$8,419.36 ","$3,419.78 ","$3,578.71 ","$3,419.78 ","$5,001.30 ","$5,001.30 ","$4,147.19 ","$5,001.30 ","$8,503.55 ",$560.41 ,"$5,195.80 ","$8,840.33 ",$533.72 ,"$4,834.59 ","$8,419.36 ","$5,001.30 ","$8,419.36 ","$5,001.30 ","$5,001.30 ","$5,001.30 ","$5,390.29 ","$4,501.17 ","$5,001.30 ","$5,001.30 ","$5,001.30 ","$5,001.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,48100067,61650,HC THPY INFS NON-THROMBO INTITIAL,481,1 ,$928.36 ,$696.27 ,$510.60 ,"$3,741.59 ",$597.86 , N/A ,$649.85 ,$928.36 ,$928.36 ,"$3,635.69 ",$928.36 ,$881.94 , N/A ,$742.69 ,$844.81 ,$928.36 ,$872.66 ,$881.94 ,$835.52 ,$789.11 ,"$3,529.80 ","$3,529.80 ","$3,529.80 ",$677.70 , N/A ,$826.24 ,$835.52 ,$835.52 ,$742.69 , N/A ,$510.60 ,$835.52 , N/A ,$835.52 , N/A ,$881.94 , N/A ,$854.09 ,"$3,741.59 ",$844.81 , N/A ,$571.31 ,$597.86 ,$571.31 ,$835.52 ,$835.52 ,$692.84 , N/A , N/A ,"$3,706.29 ",$868.02 , N/A ,$928.36 ,$807.67 , N/A ,$835.52 , N/A ,$835.52 ,$835.52 ,$835.52 ,$900.51 ,$751.97 ,$835.52 ,$835.52 ,$835.52 ,$835.52 
ST. JOSEPH'S - CHIPPEWA FALLS,48100139,93660,HC TILT TABLE EVALUATION 93660,481,1 ,"$1,175.60 ",$881.70 ,$52.64 ,"$1,175.60 ",$757.09 ,$503.73 ,$822.92 ,$52.64 ,"$1,175.60 ",$54.22 ,"$1,175.60 ","$1,116.82 ", N/A ,$940.48 ,"$1,069.80 ",$52.64 ,"$1,105.06 ","$1,116.82 ","$1,058.04 ",$999.26 ,$52.64 ,$52.64 ,$52.64 ,$858.19 ,$503.73 ,"$1,046.28 ","$1,058.04 ","$1,058.04 ",$940.48 ,$518.85 ,$646.58 ,"$1,058.04 ",$503.73 ,"$1,058.04 ",$503.73 ,"$1,116.82 ","$1,133.40 ","$1,081.55 ",$55.80 ,"$1,069.80 ",$503.73 ,$723.46 ,$757.09 ,$723.46 ,"$1,058.04 ","$1,058.04 ",$877.35 ,$794.24 ,$508.77 ,$55.27 ,"$1,099.19 ",$528.92 ,$52.64 ,"$1,022.77 ",$503.73 ,"$1,058.04 ",$503.73 ,"$1,058.04 ","$1,058.04 ","$1,058.04 ","$1,140.33 ",$952.24 ,"$1,058.04 ","$1,058.04 ","$1,058.04 ","$1,058.04 "
ST. JOSEPH'S - CHIPPEWA FALLS,48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,"$1,023.80 ",$767.85 ,$52.64 ,"$1,023.80 ",$659.33 ,$273.11 ,$716.66 ,$52.64 ,$849.75 ,$54.22 ,$675.71 ,$972.61 , N/A ,$819.04 ,$931.66 ,$52.64 ,$962.37 ,$972.61 ,$921.42 ,$870.23 ,$52.64 ,$52.64 ,$52.64 ,$747.37 ,$273.11 ,$911.18 ,$921.42 ,$921.42 ,$819.04 ,$281.31 ,$563.09 ,$921.42 ,$273.11 ,$921.42 ,$273.11 ,$972.61 ,$614.50 ,$941.90 ,$55.80 ,$931.66 ,$273.11 ,$630.05 ,$659.33 ,$630.05 ,$921.42 ,$921.42 ,$764.06 ,$713.08 ,$275.84 ,$55.27 ,$957.25 ,$286.77 ,$52.64 ,$890.71 ,$273.11 ,$921.42 ,$273.11 ,$921.42 ,$921.42 ,$921.42 ,$993.09 ,$829.28 ,$921.42 ,$921.42 ,$921.42 ,$921.42 
ST. JOSEPH'S - CHIPPEWA FALLS,48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$3,543.52 ","$2,657.64 ",$145.75 ,"$3,543.52 ","$2,282.03 ",$498.63 ,"$2,480.46 ",$145.75 ,"$2,941.12 ",$150.12 ,"$2,338.72 ","$3,366.34 ", N/A ,"$2,834.82 ","$3,224.60 ",$145.75 ,"$3,330.91 ","$3,366.34 ","$3,189.17 ","$3,011.99 ",$145.75 ,$145.75 ,$145.75 ,"$2,586.77 ",$498.63 ,"$3,153.73 ","$3,189.17 ","$3,189.17 ","$2,834.82 ",$513.59 ,"$1,948.94 ","$3,189.17 ",$498.63 ,"$3,189.17 ",$498.63 ,"$3,366.34 ","$1,121.92 ","$3,260.04 ",$154.50 ,"$3,224.60 ",$498.63 ,"$2,180.68 ","$2,282.03 ","$2,180.68 ","$3,189.17 ","$3,189.17 ","$2,644.53 ","$2,468.06 ",$503.62 ,$153.04 ,"$3,313.19 ",$523.56 ,$145.75 ,"$3,082.86 ",$498.63 ,"$3,189.17 ",$498.63 ,"$3,189.17 ","$3,189.17 ","$3,189.17 ","$3,437.21 ","$2,870.25 ","$3,189.17 ","$3,189.17 ","$3,189.17 ","$3,189.17 "
ST. JOSEPH'S - CHIPPEWA FALLS,48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,$687.38 ,$515.54 ,$145.75 ,$687.38 ,$442.67 ,$237.45 ,$481.17 ,$145.75 ,$570.53 ,$150.12 ,$453.67 ,$653.01 , N/A ,$549.90 ,$625.52 ,$145.75 ,$646.14 ,$653.01 ,$618.64 ,$584.27 ,$145.75 ,$145.75 ,$145.75 ,$501.79 ,$237.45 ,$611.77 ,$618.64 ,$618.64 ,$549.90 ,$244.58 ,$378.06 ,$618.64 ,$237.45 ,$618.64 ,$237.45 ,$653.01 ,$534.27 ,$632.39 ,$154.50 ,$625.52 ,$237.45 ,$423.01 ,$442.67 ,$423.01 ,$618.64 ,$618.64 ,$512.99 ,$478.76 ,$239.83 ,$153.04 ,$642.70 ,$249.32 ,$145.75 ,$598.02 ,$237.45 ,$618.64 ,$237.45 ,$618.64 ,$618.64 ,$618.64 ,$666.76 ,$556.78 ,$618.64 ,$618.64 ,$618.64 ,$618.64 
ST. JOSEPH'S - CHIPPEWA FALLS,48300003,93312,HC ECHO TEE CMPL W/PF,483,1 ,"$1,552.45 ","$1,164.34 ",$145.75 ,"$1,552.45 ",$999.78 ,$498.63 ,"$1,086.72 ",$145.75 ,"$1,288.53 ",$150.12 ,"$1,024.62 ","$1,474.83 ", N/A ,"$1,241.96 ","$1,412.73 ",$145.75 ,"$1,459.30 ","$1,474.83 ","$1,397.21 ","$1,319.58 ",$145.75 ,$145.75 ,$145.75 ,"$1,133.29 ",$498.63 ,"$1,381.68 ","$1,397.21 ","$1,397.21 ","$1,241.96 ",$513.59 ,$853.85 ,"$1,397.21 ",$498.63 ,"$1,397.21 ",$498.63 ,"$1,474.83 ","$1,121.92 ","$1,428.25 ",$154.50 ,"$1,412.73 ",$498.63 ,$955.38 ,$999.78 ,$955.38 ,"$1,397.21 ","$1,397.21 ","$1,158.59 ","$1,081.28 ",$503.62 ,$153.04 ,"$1,451.54 ",$523.56 ,$145.75 ,"$1,350.63 ",$498.63 ,"$1,397.21 ",$498.63 ,"$1,397.21 ","$1,397.21 ","$1,397.21 ","$1,505.88 ","$1,257.48 ","$1,397.21 ","$1,397.21 ","$1,397.21 ","$1,397.21 "
ST. JOSEPH'S - CHIPPEWA FALLS,48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$978.10 ,$733.58 ,$34.74 ,$978.10 ,$629.90 , N/A ,$684.67 ,$34.74 ,$811.82 ,$35.78 ,$645.55 ,$929.20 , N/A ,$782.48 ,$890.07 ,$34.74 ,$919.41 ,$929.20 ,$880.29 ,$831.39 ,$34.74 ,$34.74 ,$34.74 ,$714.01 , N/A ,$870.51 ,$880.29 ,$880.29 ,$782.48 , N/A ,$537.96 ,$880.29 , N/A ,$880.29 , N/A ,$929.20 , N/A ,$899.85 ,$36.82 ,$890.07 , N/A ,$601.92 ,$629.90 ,$601.92 ,$880.29 ,$880.29 ,$729.96 ,$681.25 , N/A ,$36.48 ,$914.52 , N/A ,$34.74 ,$850.95 , N/A ,$880.29 , N/A ,$880.29 ,$880.29 ,$880.29 ,$948.76 ,$792.26 ,$880.29 ,$880.29 ,$880.29 ,$880.29 
ST. JOSEPH'S - CHIPPEWA FALLS,48300007,93350,HC ECHO REST  AND  STRESS W/PF,483,1 ,"$1,243.19 ",$932.39 ,$145.75 ,"$1,243.19 ",$800.61 ,$498.63 ,$870.23 ,$145.75 ,"$1,031.85 ",$150.12 ,$820.51 ,"$1,181.03 ", N/A ,$994.55 ,"$1,131.30 ",$145.75 ,"$1,168.60 ","$1,181.03 ","$1,118.87 ","$1,056.71 ",$145.75 ,$145.75 ,$145.75 ,$907.53 ,$498.63 ,"$1,106.44 ","$1,118.87 ","$1,118.87 ",$994.55 ,$513.59 ,$683.75 ,"$1,118.87 ",$498.63 ,"$1,118.87 ",$498.63 ,"$1,181.03 ","$1,121.92 ","$1,143.73 ",$154.50 ,"$1,131.30 ",$498.63 ,$765.06 ,$800.61 ,$765.06 ,"$1,118.87 ","$1,118.87 ",$927.79 ,$865.88 ,$503.62 ,$153.04 ,"$1,162.38 ",$523.56 ,$145.75 ,"$1,081.58 ",$498.63 ,"$1,118.87 ",$498.63 ,"$1,118.87 ","$1,118.87 ","$1,118.87 ","$1,205.89 ","$1,006.98 ","$1,118.87 ","$1,118.87 ","$1,118.87 ","$1,118.87 "
ST. JOSEPH'S - CHIPPEWA FALLS,48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,$978.10 ,$733.58 ,$145.75 ,$978.10 ,$629.90 , N/A ,$684.67 ,$145.75 ,$811.82 ,$150.12 ,$645.55 ,$929.20 , N/A ,$782.48 ,$890.07 ,$145.75 ,$919.41 ,$929.20 ,$880.29 ,$831.39 ,$145.75 ,$145.75 ,$145.75 ,$714.01 , N/A ,$870.51 ,$880.29 ,$880.29 ,$782.48 , N/A ,$537.96 ,$880.29 , N/A ,$880.29 , N/A ,$929.20 , N/A ,$899.85 ,$154.50 ,$890.07 , N/A ,$601.92 ,$629.90 ,$601.92 ,$880.29 ,$880.29 ,$729.96 ,$681.25 , N/A ,$153.04 ,$914.52 , N/A ,$145.75 ,$850.95 , N/A ,$880.29 , N/A ,$880.29 ,$880.29 ,$880.29 ,$948.76 ,$792.26 ,$880.29 ,$880.29 ,$880.29 ,$880.29 
ST. JOSEPH'S - CHIPPEWA FALLS,48300012,93313,HC ECHO TEE PROBE PLACEMENT,483,1 ,"$2,199.04 ","$1,649.28 ",$145.75 ,"$2,199.04 ","$1,416.18 ",$498.63 ,"$1,539.33 ",$145.75 ,"$1,825.20 ",$150.12 ,"$1,451.37 ","$2,089.09 ", N/A ,"$1,759.23 ","$2,001.13 ",$145.75 ,"$2,067.10 ","$2,089.09 ","$1,979.14 ","$1,869.18 ",$145.75 ,$145.75 ,$145.75 ,"$1,605.30 ",$498.63 ,"$1,957.15 ","$1,979.14 ","$1,979.14 ","$1,759.23 ",$513.59 ,"$1,209.47 ","$1,979.14 ",$498.63 ,"$1,979.14 ",$498.63 ,"$2,089.09 ","$1,121.92 ","$2,023.12 ",$154.50 ,"$2,001.13 ",$498.63 ,"$1,353.29 ","$1,416.18 ","$1,353.29 ","$1,979.14 ","$1,979.14 ","$1,641.14 ","$1,531.63 ",$503.62 ,$153.04 ,"$2,056.10 ",$523.56 ,$145.75 ,"$1,913.16 ",$498.63 ,"$1,979.14 ",$498.63 ,"$1,979.14 ","$1,979.14 ","$1,979.14 ","$2,133.07 ","$1,781.22 ","$1,979.14 ","$1,979.14 ","$1,979.14 ","$1,979.14 "
ST. JOSEPH'S - CHIPPEWA FALLS,48300016,C8924,HC ECHO TTE W/W/O CONT  AND  W/CONT LIMIT,483,1 ,"$1,001.72 ",$751.29 ,$145.75 ,"$1,001.72 ",$645.11 ,$380.02 ,$701.20 ,$145.75 ,$831.43 ,$150.12 ,$661.14 ,$951.63 , N/A ,$801.38 ,$911.57 ,$145.75 ,$941.62 ,$951.63 ,$901.55 ,$851.46 ,$145.75 ,$145.75 ,$145.75 ,$731.26 ,$380.02 ,$891.53 ,$901.55 ,$901.55 ,$801.38 ,$391.42 ,$550.95 ,$901.55 ,$380.02 ,$901.55 ,$380.02 ,$951.63 ,$855.04 ,$921.58 ,$154.50 ,$911.57 ,$380.02 ,$616.46 ,$645.11 ,$616.46 ,$901.55 ,$901.55 ,$747.58 ,$697.70 ,$383.82 ,$153.04 ,$936.61 ,$399.02 ,$145.75 ,$871.50 ,$380.02 ,$901.55 ,$380.02 ,$901.55 ,$901.55 ,$901.55 ,$971.67 ,$811.39 ,$901.55 ,$901.55 ,$901.55 ,$901.55 
ST. JOSEPH'S - CHIPPEWA FALLS,48300017,C8925,HC ECHO TEE 2D W/W/O CONT  AND  W/CONT W/PF,483,1 ,"$2,369.73 ","$1,777.30 ",$145.75 ,"$2,369.73 ","$1,526.11 ",$738.30 ,"$1,658.81 ",$145.75 ,"$1,966.88 ",$150.12 ,"$1,564.02 ","$2,251.24 ", N/A ,"$1,895.78 ","$2,156.45 ",$145.75 ,"$2,227.55 ","$2,251.24 ","$2,132.76 ","$2,014.27 ",$145.75 ,$145.75 ,$145.75 ,"$1,729.90 ",$738.30 ,"$2,109.06 ","$2,132.76 ","$2,132.76 ","$1,895.78 ",$760.45 ,"$1,303.35 ","$2,132.76 ",$738.30 ,"$2,132.76 ",$738.30 ,"$2,251.24 ","$1,661.17 ","$2,180.15 ",$154.50 ,"$2,156.45 ",$738.30 ,"$1,458.33 ","$1,526.11 ","$1,458.33 ","$2,132.76 ","$2,132.76 ","$1,768.53 ","$1,650.52 ",$745.68 ,$153.04 ,"$2,215.70 ",$775.22 ,$145.75 ,"$2,061.67 ",$738.30 ,"$2,132.76 ",$738.30 ,"$2,132.76 ","$2,132.76 ","$2,132.76 ","$2,298.64 ","$1,919.48 ","$2,132.76 ","$2,132.76 ","$2,132.76 ","$2,132.76 "
ST. JOSEPH'S - CHIPPEWA FALLS,48300018,C8928,HC ECHO TTE 2D STRESS W/W/O CONT  AND  W/CONT W/PF,483,1 ,"$1,176.53 ",$882.40 ,$145.75 ,"$1,661.17 ",$757.69 ,$738.30 ,$823.57 ,$145.75 ,$976.52 ,$150.12 ,$776.51 ,"$1,117.70 ", N/A ,$941.22 ,"$1,070.64 ",$145.75 ,"$1,105.94 ","$1,117.70 ","$1,058.88 ","$1,000.05 ",$145.75 ,$145.75 ,$145.75 ,$858.87 ,$738.30 ,"$1,047.11 ","$1,058.88 ","$1,058.88 ",$941.22 ,$760.45 ,$647.09 ,"$1,058.88 ",$738.30 ,"$1,058.88 ",$738.30 ,"$1,117.70 ","$1,661.17 ","$1,082.41 ",$154.50 ,"$1,070.64 ",$738.30 ,$724.04 ,$757.69 ,$724.04 ,"$1,058.88 ","$1,058.88 ",$878.04 ,$819.45 ,$745.68 ,$153.04 ,"$1,100.06 ",$775.22 ,$145.75 ,"$1,023.58 ",$738.30 ,"$1,058.88 ",$738.30 ,"$1,058.88 ","$1,058.88 ","$1,058.88 ","$1,141.23 ",$952.99 ,"$1,058.88 ","$1,058.88 ","$1,058.88 ","$1,058.88 "
ST. JOSEPH'S - CHIPPEWA FALLS,48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT  AND  W/CONT,483,1 ,"$3,351.00 ","$2,513.25 ",$145.75 ,"$3,351.00 ","$2,158.04 ",$738.30 ,"$2,345.70 ",$145.75 ,"$2,781.33 ",$150.12 ,"$2,211.66 ","$3,183.45 ", N/A ,"$2,680.80 ","$3,049.41 ",$145.75 ,"$3,149.94 ","$3,183.45 ","$3,015.90 ","$2,848.35 ",$145.75 ,$145.75 ,$145.75 ,"$2,446.23 ",$738.30 ,"$2,982.39 ","$3,015.90 ","$3,015.90 ","$2,680.80 ",$760.45 ,"$1,843.05 ","$3,015.90 ",$738.30 ,"$3,015.90 ",$738.30 ,"$3,183.45 ","$1,661.17 ","$3,082.92 ",$154.50 ,"$3,049.41 ",$738.30 ,"$2,062.21 ","$2,158.04 ","$2,062.21 ","$3,015.90 ","$3,015.90 ","$2,500.85 ","$2,333.97 ",$745.68 ,$153.04 ,"$3,133.19 ",$775.22 ,$145.75 ,"$2,915.37 ",$738.30 ,"$3,015.90 ",$738.30 ,"$3,015.90 ","$3,015.90 ","$3,015.90 ","$3,250.47 ","$2,714.31 ","$3,015.90 ","$3,015.90 ","$3,015.90 ","$3,015.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000004,11001,HC INFECTED SKIN; EA ADDL 10% BODY,510,1 ,$56.00 ,$42.00 ,$30.80 ,$125.18 ,$36.06 , N/A ,$39.20 ,$56.00 ,$56.00 ,$121.63 ,$56.00 ,$53.20 , N/A ,$44.80 ,$50.96 ,$56.00 ,$52.64 ,$53.20 ,$50.40 ,$47.60 ,$118.09 ,$118.09 ,$118.09 ,$40.88 , N/A ,$49.84 ,$50.40 ,$50.40 ,$44.80 , N/A ,$30.80 ,$50.40 , N/A ,$50.40 , N/A ,$53.20 , N/A ,$51.52 ,$125.18 ,$50.96 , N/A ,$34.46 ,$36.06 ,$34.46 ,$50.40 ,$50.40 ,$41.79 ,$39.00 , N/A ,$123.99 ,$52.36 , N/A ,$56.00 ,$48.72 , N/A ,$50.40 , N/A ,$50.40 ,$50.40 ,$50.40 ,$54.32 ,$45.36 ,$50.40 ,$50.40 ,$50.40 ,$50.40 
ST. JOSEPH'S - CHIPPEWA FALLS,51000005,11042,HC DEBR SKIN/SUBQ TISS INIT 20CM FAC,510,1 ,"$1,047.00 ",$785.25 ,$118.09 ,"$1,047.00 ",$674.27 ,$356.69 ,$732.90 ,$118.09 ,$162.00 ,$121.63 ,$128.00 ,$994.65 , N/A ,$837.60 ,$952.77 ,$118.09 ,$984.18 ,$994.65 ,$942.30 ,$889.95 ,$118.09 ,$118.09 ,$118.09 ,$764.31 ,$356.69 ,$931.83 ,$942.30 ,$942.30 ,$837.60 ,$367.39 ,$575.85 ,$942.30 ,$356.69 ,$942.30 ,$356.69 ,$994.65 ,$802.54 ,$963.24 ,$125.18 ,$952.77 ,$356.69 ,$644.32 ,$674.27 ,$644.32 ,$942.30 ,$942.30 ,$781.38 ,$729.24 ,$360.25 ,$123.99 ,$978.95 ,$374.52 ,$118.09 ,$910.89 ,$356.69 ,$942.30 ,$356.69 ,$942.30 ,$942.30 ,$942.30 ,"$1,015.59 ",$848.07 ,$942.30 ,$942.30 ,$942.30 ,$942.30 
ST. JOSEPH'S - CHIPPEWA FALLS,51000006,11043,HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC,510,1 ,$992.00 ,$744.00 ,$118.09 ,"$1,216.07 ",$638.85 ,$540.47 ,$694.40 ,$118.09 ,$162.00 ,$121.63 ,$128.00 ,$942.40 , N/A ,$793.60 ,$902.72 ,$118.09 ,$932.48 ,$942.40 ,$892.80 ,$843.20 ,$118.09 ,$118.09 ,$118.09 ,$724.16 ,$540.47 ,$882.88 ,$892.80 ,$892.80 ,$793.60 ,$556.69 ,$545.60 ,$892.80 ,$540.47 ,$892.80 ,$540.47 ,$942.40 ,"$1,216.07 ",$912.64 ,$125.18 ,$902.72 ,$540.47 ,$610.48 ,$638.85 ,$610.48 ,$892.80 ,$892.80 ,$740.33 ,$690.93 ,$545.88 ,$123.99 ,$927.52 ,$567.49 ,$118.09 ,$863.04 ,$540.47 ,$892.80 ,$540.47 ,$892.80 ,$892.80 ,$892.80 ,$962.24 ,$803.52 ,$892.80 ,$892.80 ,$892.80 ,$892.80 
ST. JOSEPH'S - CHIPPEWA FALLS,51000007,11044,HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC,510,1 ,"$2,980.00 ","$2,235.00 ",$128.00 ,"$3,266.98 ","$1,919.12 ","$1,451.99 ","$2,086.00 ",$315.09 ,$162.00 ,$324.54 ,$128.00 ,"$2,831.00 ", N/A ,"$2,384.00 ","$2,711.80 ",$315.09 ,"$2,801.20 ","$2,831.00 ","$2,682.00 ","$2,533.00 ",$315.09 ,$315.09 ,$315.09 ,"$2,175.40 ","$1,451.99 ","$2,652.20 ","$2,682.00 ","$2,682.00 ","$2,384.00 ","$1,495.55 ","$1,639.00 ","$2,682.00 ","$1,451.99 ","$2,682.00 ","$1,451.99 ","$2,831.00 ","$3,266.98 ","$2,741.60 ",$334.00 ,"$2,711.80 ","$1,451.99 ","$1,833.89 ","$1,919.12 ","$1,833.89 ","$2,682.00 ","$2,682.00 ","$2,223.97 ","$2,075.57 ","$1,466.51 ",$330.84 ,"$2,786.30 ","$1,524.59 ",$315.09 ,"$2,592.60 ","$1,451.99 ","$2,682.00 ","$1,451.99 ","$2,682.00 ","$2,682.00 ","$2,682.00 ","$2,890.60 ","$2,413.80 ","$2,682.00 ","$2,682.00 ","$2,682.00 ","$2,682.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000009,11045,HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC,510,1 ,"$1,028.00 ",$771.00 ,$128.00 ,"$1,028.00 ",$662.03 , N/A ,$719.60 ,$315.09 ,$162.00 ,$324.54 ,$128.00 ,$976.60 , N/A ,$822.40 ,$935.48 ,$315.09 ,$966.32 ,$976.60 ,$925.20 ,$873.80 ,$315.09 ,$315.09 ,$315.09 ,$750.44 , N/A ,$914.92 ,$925.20 ,$925.20 ,$822.40 , N/A ,$565.40 ,$925.20 , N/A ,$925.20 , N/A ,$976.60 , N/A ,$945.76 ,$334.00 ,$935.48 , N/A ,$632.63 ,$662.03 ,$632.63 ,$925.20 ,$925.20 ,$767.20 ,$716.00 , N/A ,$330.84 ,$961.18 , N/A ,$315.09 ,$894.36 , N/A ,$925.20 , N/A ,$925.20 ,$925.20 ,$925.20 ,$997.16 ,$832.68 ,$925.20 ,$925.20 ,$925.20 ,$925.20 
ST. JOSEPH'S - CHIPPEWA FALLS,51000010,11046,HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC,510,1 ,$992.00 ,$744.00 ,$128.00 ,$992.00 ,$638.85 , N/A ,$694.40 ,$315.09 ,$162.00 ,$324.54 ,$128.00 ,$942.40 , N/A ,$793.60 ,$902.72 ,$315.09 ,$932.48 ,$942.40 ,$892.80 ,$843.20 ,$315.09 ,$315.09 ,$315.09 ,$724.16 , N/A ,$882.88 ,$892.80 ,$892.80 ,$793.60 , N/A ,$545.60 ,$892.80 , N/A ,$892.80 , N/A ,$942.40 , N/A ,$912.64 ,$334.00 ,$902.72 , N/A ,$610.48 ,$638.85 ,$610.48 ,$892.80 ,$892.80 ,$740.33 ,$690.93 , N/A ,$330.84 ,$927.52 , N/A ,$315.09 ,$863.04 , N/A ,$892.80 , N/A ,$892.80 ,$892.80 ,$892.80 ,$962.24 ,$803.52 ,$892.80 ,$892.80 ,$892.80 ,$892.80 
ST. JOSEPH'S - CHIPPEWA FALLS,51000011,11047,HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC,510,1 ,"$2,980.00 ","$2,235.00 ",$128.00 ,"$2,980.00 ","$1,919.12 ", N/A ,"$2,086.00 ",$315.09 ,$162.00 ,$324.54 ,$128.00 ,"$2,831.00 ", N/A ,"$2,384.00 ","$2,711.80 ",$315.09 ,"$2,801.20 ","$2,831.00 ","$2,682.00 ","$2,533.00 ",$315.09 ,$315.09 ,$315.09 ,"$2,175.40 ", N/A ,"$2,652.20 ","$2,682.00 ","$2,682.00 ","$2,384.00 ", N/A ,"$1,639.00 ","$2,682.00 ", N/A ,"$2,682.00 ", N/A ,"$2,831.00 ", N/A ,"$2,741.60 ",$334.00 ,"$2,711.80 ", N/A ,"$1,833.89 ","$1,919.12 ","$1,833.89 ","$2,682.00 ","$2,682.00 ","$2,223.97 ","$2,075.57 ", N/A ,$330.84 ,"$2,786.30 ", N/A ,$315.09 ,"$2,592.60 ", N/A ,"$2,682.00 ", N/A ,"$2,682.00 ","$2,682.00 ","$2,682.00 ","$2,890.60 ","$2,413.80 ","$2,682.00 ","$2,682.00 ","$2,682.00 ","$2,682.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000012,11055,HC PARING LESN BENIGN 1 FAC,510,1 ,$315.00 ,$236.25 ,$51.36 ,$416.96 ,$202.86 ,$185.31 ,$220.50 ,$51.36 ,$162.00 ,$52.90 ,$128.00 ,$299.25 , N/A ,$252.00 ,$286.65 ,$51.36 ,$296.10 ,$299.25 ,$283.50 ,$267.75 ,$51.36 ,$51.36 ,$51.36 ,$229.95 ,$185.31 ,$280.35 ,$283.50 ,$283.50 ,$252.00 ,$190.87 ,$173.25 ,$283.50 ,$185.31 ,$283.50 ,$185.31 ,$299.25 ,$416.96 ,$289.80 ,$54.44 ,$286.65 ,$185.31 ,$193.85 ,$202.86 ,$193.85 ,$283.50 ,$283.50 ,$235.08 ,$219.40 ,$187.17 ,$53.93 ,$294.53 ,$194.58 ,$51.36 ,$274.05 ,$185.31 ,$283.50 ,$185.31 ,$283.50 ,$283.50 ,$283.50 ,$305.55 ,$255.15 ,$283.50 ,$283.50 ,$283.50 ,$283.50 
ST. JOSEPH'S - CHIPPEWA FALLS,51000014,11056,HC PARING LESN BENIGN 2-4 FAC,510,1 ,$297.00 ,$222.75 ,$51.36 ,$416.96 ,$191.27 ,$185.31 ,$207.90 ,$51.36 ,$162.00 ,$52.90 ,$128.00 ,$282.15 , N/A ,$237.60 ,$270.27 ,$51.36 ,$279.18 ,$282.15 ,$267.30 ,$252.45 ,$51.36 ,$51.36 ,$51.36 ,$216.81 ,$185.31 ,$264.33 ,$267.30 ,$267.30 ,$237.60 ,$190.87 ,$163.35 ,$267.30 ,$185.31 ,$267.30 ,$185.31 ,$282.15 ,$416.96 ,$273.24 ,$54.44 ,$270.27 ,$185.31 ,$182.77 ,$191.27 ,$182.77 ,$267.30 ,$267.30 ,$221.65 ,$206.86 ,$187.17 ,$53.93 ,$277.70 ,$194.58 ,$51.36 ,$258.39 ,$185.31 ,$267.30 ,$185.31 ,$267.30 ,$267.30 ,$267.30 ,$288.09 ,$240.57 ,$267.30 ,$267.30 ,$267.30 ,$267.30 
ST. JOSEPH'S - CHIPPEWA FALLS,51000019,11000,HC DEBR SKIN 10% BODY SURFACE,510,1 ,$110.00 ,$82.50 ,$60.50 ,"$1,216.07 ",$70.84 ,$540.47 ,$77.00 ,$110.00 ,$110.00 ,$121.63 ,$110.00 ,$104.50 , N/A ,$88.00 ,$100.10 ,$110.00 ,$103.40 ,$104.50 ,$99.00 ,$93.50 ,$118.09 ,$118.09 ,$118.09 ,$80.30 ,$540.47 ,$97.90 ,$99.00 ,$99.00 ,$88.00 ,$556.69 ,$60.50 ,$99.00 ,$540.47 ,$99.00 ,$540.47 ,$104.50 ,"$1,216.07 ",$101.20 ,$125.18 ,$100.10 ,$540.47 ,$67.69 ,$70.84 ,$67.69 ,$99.00 ,$99.00 ,$82.09 ,$76.62 ,$545.88 ,$123.99 ,$102.85 ,$567.49 ,$110.00 ,$95.70 ,$540.47 ,$99.00 ,$540.47 ,$99.00 ,$99.00 ,$99.00 ,$106.70 ,$89.10 ,$99.00 ,$99.00 ,$99.00 ,$99.00 
ST. JOSEPH'S - CHIPPEWA FALLS,51000021,11719,HC TRIM NAILS NONDYSTROPHIC FAC,510,1 ,$174.00 ,$130.50 ,$20.60 ,$174.00 ,$112.06 ,$57.44 ,$121.80 ,$20.60 ,$162.00 ,$21.22 ,$128.00 ,$165.30 , N/A ,$139.20 ,$158.34 ,$20.60 ,$163.56 ,$165.30 ,$156.60 ,$147.90 ,$20.60 ,$20.60 ,$20.60 ,$127.02 ,$57.44 ,$154.86 ,$156.60 ,$156.60 ,$139.20 ,$59.17 ,$95.70 ,$156.60 ,$57.44 ,$156.60 ,$57.44 ,$165.30 ,$129.25 ,$160.08 ,$21.84 ,$158.34 ,$57.44 ,$107.08 ,$112.06 ,$107.08 ,$156.60 ,$156.60 ,$129.86 ,$121.19 ,$58.02 ,$21.63 ,$162.69 ,$60.31 ,$20.60 ,$151.38 ,$57.44 ,$156.60 ,$57.44 ,$156.60 ,$156.60 ,$156.60 ,$168.78 ,$140.94 ,$156.60 ,$156.60 ,$156.60 ,$156.60 
ST. JOSEPH'S - CHIPPEWA FALLS,51000023,11720,HC DEBR NAIL(S) UP TO 5,510,1 ,$297.00 ,$222.75 ,$20.60 ,$297.00 ,$191.27 ,$57.44 ,$207.90 ,$20.60 ,$162.00 ,$21.22 ,$128.00 ,$282.15 , N/A ,$237.60 ,$270.27 ,$20.60 ,$279.18 ,$282.15 ,$267.30 ,$252.45 ,$20.60 ,$20.60 ,$20.60 ,$216.81 ,$57.44 ,$264.33 ,$267.30 ,$267.30 ,$237.60 ,$59.17 ,$163.35 ,$267.30 ,$57.44 ,$267.30 ,$57.44 ,$282.15 ,$129.25 ,$273.24 ,$21.84 ,$270.27 ,$57.44 ,$182.77 ,$191.27 ,$182.77 ,$267.30 ,$267.30 ,$221.65 ,$206.86 ,$58.02 ,$21.63 ,$277.70 ,$60.31 ,$20.60 ,$258.39 ,$57.44 ,$267.30 ,$57.44 ,$267.30 ,$267.30 ,$267.30 ,$288.09 ,$240.57 ,$267.30 ,$267.30 ,$267.30 ,$267.30 
ST. JOSEPH'S - CHIPPEWA FALLS,51000024,11721,HC DEBR NAIL(S) 6 OR MORE,510,1 ,$297.00 ,$222.75 ,$20.60 ,$297.00 ,$191.27 ,$57.44 ,$207.90 ,$20.60 ,$162.00 ,$21.22 ,$128.00 ,$282.15 , N/A ,$237.60 ,$270.27 ,$20.60 ,$279.18 ,$282.15 ,$267.30 ,$252.45 ,$20.60 ,$20.60 ,$20.60 ,$216.81 ,$57.44 ,$264.33 ,$267.30 ,$267.30 ,$237.60 ,$59.17 ,$163.35 ,$267.30 ,$57.44 ,$267.30 ,$57.44 ,$282.15 ,$129.25 ,$273.24 ,$21.84 ,$270.27 ,$57.44 ,$182.77 ,$191.27 ,$182.77 ,$267.30 ,$267.30 ,$221.65 ,$206.86 ,$58.02 ,$21.63 ,$277.70 ,$60.31 ,$20.60 ,$258.39 ,$57.44 ,$267.30 ,$57.44 ,$267.30 ,$267.30 ,$267.30 ,$288.09 ,$240.57 ,$267.30 ,$267.30 ,$267.30 ,$267.30 
ST. JOSEPH'S - CHIPPEWA FALLS,51000025,11750,HC REMOVE NAIL BED FACIL,510,1 ,"$1,490.00 ","$1,117.50 ",$128.00 ,"$1,490.00 ",$959.56 ,$356.69 ,"$1,043.00 ",$139.95 ,$162.00 ,$144.15 ,$128.00 ,"$1,415.50 ", N/A ,"$1,192.00 ","$1,355.90 ",$139.95 ,"$1,400.60 ","$1,415.50 ","$1,341.00 ","$1,266.50 ",$139.95 ,$139.95 ,$139.95 ,"$1,087.70 ",$356.69 ,"$1,326.10 ","$1,341.00 ","$1,341.00 ","$1,192.00 ",$367.39 ,$819.50 ,"$1,341.00 ",$356.69 ,"$1,341.00 ",$356.69 ,"$1,415.50 ",$802.54 ,"$1,370.80 ",$148.35 ,"$1,355.90 ",$356.69 ,$916.95 ,$959.56 ,$916.95 ,"$1,341.00 ","$1,341.00 ","$1,111.99 ","$1,037.79 ",$360.25 ,$146.95 ,"$1,393.15 ",$374.52 ,$139.95 ,"$1,296.30 ",$356.69 ,"$1,341.00 ",$356.69 ,"$1,341.00 ","$1,341.00 ","$1,341.00 ","$1,445.30 ","$1,206.90 ","$1,341.00 ","$1,341.00 ","$1,341.00 ","$1,341.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000028,15100,HC AUTOGRPH T A L 100SQCM< FAC,510,1 ,"$1,183.00 ",$887.25 ,$128.00 ,"$3,976.93 ",$761.85 ,"$1,767.52 ",$828.10 ,$615.10 ,$162.00 ,$633.55 ,$128.00 ,"$1,123.85 ", N/A ,$946.40 ,"$1,076.53 ",$615.10 ,"$1,112.02 ","$1,123.85 ","$1,064.70 ","$1,005.55 ",$615.10 ,$615.10 ,$615.10 ,$863.59 ,"$1,767.52 ","$1,052.87 ","$1,064.70 ","$1,064.70 ",$946.40 ,"$1,820.55 ",$650.65 ,"$1,064.70 ","$1,767.52 ","$1,064.70 ","$1,767.52 ","$1,123.85 ","$3,976.93 ","$1,088.36 ",$652.01 ,"$1,076.53 ","$1,767.52 ",$728.02 ,$761.85 ,$728.02 ,"$1,064.70 ","$1,064.70 ",$882.87 ,$823.96 ,"$1,785.20 ",$645.86 ,"$1,106.11 ","$1,855.90 ",$615.10 ,"$1,029.21 ","$1,767.52 ","$1,064.70 ","$1,767.52 ","$1,064.70 ","$1,064.70 ","$1,064.70 ","$1,147.51 ",$958.23 ,"$1,064.70 ","$1,064.70 ","$1,064.70 ","$1,064.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000051,20240,HC BX BN OPEN-SUPERFICIAL,510,1 ,"$8,361.00 ","$6,270.75 ",$128.00 ,"$8,361.00 ","$5,384.48 ","$2,446.83 ","$5,852.70 ",$547.96 ,$162.00 ,$564.40 ,$128.00 ,"$7,942.95 ", N/A ,"$6,688.80 ","$7,608.51 ",$547.96 ,"$7,859.34 ","$7,942.95 ","$7,524.90 ","$7,106.85 ",$547.96 ,$547.96 ,$547.96 ,"$6,103.53 ","$2,446.83 ","$7,441.29 ","$7,524.90 ","$7,524.90 ","$6,688.80 ","$2,520.24 ","$4,598.55 ","$7,524.90 ","$2,446.83 ","$7,524.90 ","$2,446.83 ","$7,942.95 ","$5,505.37 ","$7,692.12 ",$580.84 ,"$7,608.51 ","$2,446.83 ","$5,145.36 ","$5,384.48 ","$5,145.36 ","$7,524.90 ","$7,524.90 ","$6,239.81 ","$5,823.44 ","$2,471.30 ",$575.36 ,"$7,817.54 ","$2,569.17 ",$547.96 ,"$7,274.07 ","$2,446.83 ","$7,524.90 ","$2,446.83 ","$7,524.90 ","$7,524.90 ","$7,524.90 ","$8,110.17 ","$6,772.41 ","$7,524.90 ","$7,524.90 ","$7,524.90 ","$7,524.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000052,29445,HC APPL CAST LEG RIGID CONTACT FAC,510,1 ,$924.00 ,$693.00 ,$59.15 ,$924.00 ,$595.06 ,$248.95 ,$646.80 ,$59.15 ,$162.00 ,$60.92 ,$128.00 ,$877.80 , N/A ,$739.20 ,$840.84 ,$59.15 ,$868.56 ,$877.80 ,$831.60 ,$785.40 ,$59.15 ,$59.15 ,$59.15 ,$674.52 ,$248.95 ,$822.36 ,$831.60 ,$831.60 ,$739.20 ,$256.42 ,$508.20 ,$831.60 ,$248.95 ,$831.60 ,$248.95 ,$877.80 ,$560.14 ,$850.08 ,$62.70 ,$840.84 ,$248.95 ,$568.63 ,$595.06 ,$568.63 ,$831.60 ,$831.60 ,$689.58 ,$643.57 ,$251.44 ,$62.11 ,$863.94 ,$261.40 ,$59.15 ,$803.88 ,$248.95 ,$831.60 ,$248.95 ,$831.60 ,$831.60 ,$831.60 ,$896.28 ,$748.44 ,$831.60 ,$831.60 ,$831.60 ,$831.60 
ST. JOSEPH'S - CHIPPEWA FALLS,51000053,29580,HC APPLY UNNA BOOT,510,1 ,$416.00 ,$312.00 ,$59.15 ,$416.00 ,$267.90 ,$145.80 ,$291.20 ,$59.15 ,$162.00 ,$60.92 ,$128.00 ,$395.20 , N/A ,$332.80 ,$378.56 ,$59.15 ,$391.04 ,$395.20 ,$374.40 ,$353.60 ,$59.15 ,$59.15 ,$59.15 ,$303.68 ,$145.80 ,$370.24 ,$374.40 ,$374.40 ,$332.80 ,$150.17 ,$228.80 ,$374.40 ,$145.80 ,$374.40 ,$145.80 ,$395.20 ,$328.04 ,$382.72 ,$62.70 ,$378.56 ,$145.80 ,$256.01 ,$267.90 ,$256.01 ,$374.40 ,$374.40 ,$310.46 ,$289.74 ,$147.25 ,$62.11 ,$388.96 ,$153.09 ,$59.15 ,$361.92 ,$145.80 ,$374.40 ,$145.80 ,$374.40 ,$374.40 ,$374.40 ,$403.52 ,$336.96 ,$374.40 ,$374.40 ,$374.40 ,$374.40 
ST. JOSEPH'S - CHIPPEWA FALLS,51000055,29581,HC APPLY MULTI COMP LOWER LEG FAC,510,1 ,$405.00 ,$303.75 ,$59.15 ,$405.00 ,$260.82 ,$145.80 ,$283.50 ,$59.15 ,$162.00 ,$60.92 ,$128.00 ,$384.75 , N/A ,$324.00 ,$368.55 ,$59.15 ,$380.70 ,$384.75 ,$364.50 ,$344.25 ,$59.15 ,$59.15 ,$59.15 ,$295.65 ,$145.80 ,$360.45 ,$364.50 ,$364.50 ,$324.00 ,$150.17 ,$222.75 ,$364.50 ,$145.80 ,$364.50 ,$145.80 ,$384.75 ,$328.04 ,$372.60 ,$62.70 ,$368.55 ,$145.80 ,$249.24 ,$260.82 ,$249.24 ,$364.50 ,$364.50 ,$302.25 ,$282.08 ,$147.25 ,$62.11 ,$378.68 ,$153.09 ,$59.15 ,$352.35 ,$145.80 ,$364.50 ,$145.80 ,$364.50 ,$364.50 ,$364.50 ,$392.85 ,$328.05 ,$364.50 ,$364.50 ,$364.50 ,$364.50 
ST. JOSEPH'S - CHIPPEWA FALLS,51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$135.31 ,$101.48 ,$13.88 ,$143.96 ,$87.14 ,$63.98 ,$94.72 ,$13.88 ,$112.31 ,$14.30 ,$89.30 ,$128.54 , N/A ,$108.25 ,$123.13 ,$13.88 ,$127.19 ,$128.54 ,$121.78 ,$115.01 ,$13.88 ,$13.88 ,$13.88 ,$98.78 ,$63.98 ,$120.43 ,$121.78 ,$121.78 ,$108.25 ,$65.90 ,$74.42 ,$121.78 ,$63.98 ,$121.78 ,$63.98 ,$128.54 ,$143.96 ,$124.49 ,$14.71 ,$123.13 ,$63.98 ,$83.27 ,$87.14 ,$83.27 ,$121.78 ,$121.78 ,$100.98 ,$94.24 ,$64.62 ,$14.57 ,$126.51 ,$67.18 ,$13.88 ,$117.72 ,$63.98 ,$121.78 ,$63.98 ,$121.78 ,$121.78 ,$121.78 ,$131.25 ,$109.60 ,$121.78 ,$121.78 ,$121.78 ,$121.78 
ST. JOSEPH'S - CHIPPEWA FALLS,51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$245.53 ,$184.15 ,$13.88 ,$475.00 ,$158.12 ,$211.11 ,$171.87 ,$13.88 ,$203.79 ,$14.30 ,$162.05 ,$233.25 , N/A ,$196.42 ,$223.43 ,$13.88 ,$230.80 ,$233.25 ,$220.98 ,$208.70 ,$13.88 ,$13.88 ,$13.88 ,$179.24 ,$211.11 ,$218.52 ,$220.98 ,$220.98 ,$196.42 ,$217.44 ,$135.04 ,$220.98 ,$211.11 ,$220.98 ,$211.11 ,$233.25 ,$475.00 ,$225.89 ,$14.71 ,$223.43 ,$211.11 ,$151.10 ,$158.12 ,$151.10 ,$220.98 ,$220.98 ,$183.24 ,$171.01 ,$213.22 ,$14.57 ,$229.57 ,$221.67 ,$13.88 ,$213.61 ,$211.11 ,$220.98 ,$211.11 ,$220.98 ,$220.98 ,$220.98 ,$238.16 ,$198.88 ,$220.98 ,$220.98 ,$220.98 ,$220.98 
ST. JOSEPH'S - CHIPPEWA FALLS,51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$201.78 ,$151.34 ,$13.88 ,$201.78 ,$129.95 ,$41.30 ,$141.25 ,$13.88 ,$167.48 ,$14.30 ,$133.17 ,$191.69 , N/A ,$161.42 ,$183.62 ,$13.88 ,$189.67 ,$191.69 ,$181.60 ,$171.51 ,$13.88 ,$13.88 ,$13.88 ,$147.30 ,$41.30 ,$179.58 ,$181.60 ,$181.60 ,$161.42 ,$42.54 ,$110.98 ,$181.60 ,$41.30 ,$181.60 ,$41.30 ,$191.69 ,$92.92 ,$185.64 ,$14.71 ,$183.62 ,$41.30 ,$124.18 ,$129.95 ,$124.18 ,$181.60 ,$181.60 ,$150.59 ,$140.54 ,$41.71 ,$14.57 ,$188.66 ,$43.37 ,$13.88 ,$175.55 ,$41.30 ,$181.60 ,$41.30 ,$181.60 ,$181.60 ,$181.60 ,$195.73 ,$163.44 ,$181.60 ,$181.60 ,$181.60 ,$181.60 
ST. JOSEPH'S - CHIPPEWA FALLS,51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$163.20 ,$122.40 ,$13.88 ,$163.20 ,$105.10 , N/A ,$114.24 ,$13.88 ,$135.46 ,$14.30 ,$107.71 ,$155.04 , N/A ,$130.56 ,$148.51 ,$13.88 ,$153.41 ,$155.04 ,$146.88 ,$138.72 ,$13.88 ,$13.88 ,$13.88 ,$119.14 , N/A ,$145.25 ,$146.88 ,$146.88 ,$130.56 , N/A ,$89.76 ,$146.88 , N/A ,$146.88 , N/A ,$155.04 , N/A ,$150.14 ,$14.71 ,$148.51 , N/A ,$100.43 ,$105.10 ,$100.43 ,$146.88 ,$146.88 ,$121.80 ,$113.67 , N/A ,$14.57 ,$152.59 , N/A ,$13.88 ,$141.98 , N/A ,$146.88 , N/A ,$146.88 ,$146.88 ,$146.88 ,$158.30 ,$132.19 ,$146.88 ,$146.88 ,$146.88 ,$146.88 
ST. JOSEPH'S - CHIPPEWA FALLS,51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$98.00 ,$73.50 ,$13.88 ,$129.25 ,$63.11 ,$57.44 ,$68.60 ,$13.88 ,$98.00 ,$14.30 ,$98.00 ,$93.10 , N/A ,$78.40 ,$89.18 ,$13.88 ,$92.12 ,$93.10 ,$88.20 ,$83.30 ,$13.88 ,$13.88 ,$13.88 ,$71.54 ,$57.44 ,$87.22 ,$88.20 ,$88.20 ,$78.40 ,$59.17 ,$53.90 ,$88.20 ,$57.44 ,$88.20 ,$57.44 ,$93.10 ,$129.25 ,$90.16 ,$14.71 ,$89.18 ,$57.44 ,$60.31 ,$63.11 ,$60.31 ,$88.20 ,$88.20 ,$73.14 ,$68.26 ,$58.02 ,$14.57 ,$91.63 ,$60.31 ,$13.88 ,$85.26 ,$57.44 ,$88.20 ,$57.44 ,$88.20 ,$88.20 ,$88.20 ,$95.06 ,$79.38 ,$88.20 ,$88.20 ,$88.20 ,$88.20 
ST. JOSEPH'S - CHIPPEWA FALLS,51000072,97597,HC DEBR SKIN PART THICKNESS <20CM FAC,510,1 ,$543.00 ,$407.25 ,$58.71 ,$543.00 ,$349.69 ,$185.31 ,$380.10 ,$58.71 ,$162.00 ,$60.47 ,$128.00 ,$515.85 , N/A ,$434.40 ,$494.13 ,$58.71 ,$510.42 ,$515.85 ,$488.70 ,$461.55 ,$58.71 ,$58.71 ,$58.71 ,$396.39 ,$185.31 ,$483.27 ,$488.70 ,$488.70 ,$434.40 ,$190.87 ,$298.65 ,$488.70 ,$185.31 ,$488.70 ,$185.31 ,$515.85 ,$416.96 ,$499.56 ,$62.23 ,$494.13 ,$185.31 ,$334.16 ,$349.69 ,$334.16 ,$488.70 ,$488.70 ,$405.24 ,$378.20 ,$187.17 ,$61.65 ,$507.71 ,$194.58 ,$58.71 ,$472.41 ,$185.31 ,$488.70 ,$185.31 ,$488.70 ,$488.70 ,$488.70 ,$526.71 ,$439.83 ,$488.70 ,$488.70 ,$488.70 ,$488.70 
ST. JOSEPH'S - CHIPPEWA FALLS,51000079,97597,HC DEBR SKIN INTL 20CM BIL UNNA FACIL,510,1 ,$561.00 ,$420.75 ,$58.71 ,$561.00 ,$361.28 ,$185.31 ,$392.70 ,$58.71 ,$162.00 ,$60.47 ,$128.00 ,$532.95 , N/A ,$448.80 ,$510.51 ,$58.71 ,$527.34 ,$532.95 ,$504.90 ,$476.85 ,$58.71 ,$58.71 ,$58.71 ,$409.53 ,$185.31 ,$499.29 ,$504.90 ,$504.90 ,$448.80 ,$190.87 ,$308.55 ,$504.90 ,$185.31 ,$504.90 ,$185.31 ,$532.95 ,$416.96 ,$516.12 ,$62.23 ,$510.51 ,$185.31 ,$345.24 ,$361.28 ,$345.24 ,$504.90 ,$504.90 ,$418.67 ,$390.74 ,$187.17 ,$61.65 ,$524.54 ,$194.58 ,$58.71 ,$488.07 ,$185.31 ,$504.90 ,$185.31 ,$504.90 ,$504.90 ,$504.90 ,$544.17 ,$454.41 ,$504.90 ,$504.90 ,$504.90 ,$504.90 
ST. JOSEPH'S - CHIPPEWA FALLS,51000080,97597,HC DEBR SKIN INTL 20CM NWPT/UNNA FAC,510,1 ,$522.24 ,$391.68 ,$58.71 ,$522.24 ,$336.32 ,$185.31 ,$365.57 ,$58.71 ,$162.00 ,$60.47 ,$128.00 ,$496.13 , N/A ,$417.79 ,$475.24 ,$58.71 ,$490.91 ,$496.13 ,$470.02 ,$443.90 ,$58.71 ,$58.71 ,$58.71 ,$381.24 ,$185.31 ,$464.79 ,$470.02 ,$470.02 ,$417.79 ,$190.87 ,$287.23 ,$470.02 ,$185.31 ,$470.02 ,$185.31 ,$496.13 ,$416.96 ,$480.46 ,$62.23 ,$475.24 ,$185.31 ,$321.39 ,$336.32 ,$321.39 ,$470.02 ,$470.02 ,$389.75 ,$363.74 ,$187.17 ,$61.65 ,$488.29 ,$194.58 ,$58.71 ,$454.35 ,$185.31 ,$470.02 ,$185.31 ,$470.02 ,$470.02 ,$470.02 ,$506.57 ,$423.01 ,$470.02 ,$470.02 ,$470.02 ,$470.02 
ST. JOSEPH'S - CHIPPEWA FALLS,51000083,97597,HC DEBR SKIN INTL 20CM WRAP BILAT FAC,510,1 ,$561.00 ,$420.75 ,$58.71 ,$561.00 ,$361.28 ,$185.31 ,$392.70 ,$58.71 ,$162.00 ,$60.47 ,$128.00 ,$532.95 , N/A ,$448.80 ,$510.51 ,$58.71 ,$527.34 ,$532.95 ,$504.90 ,$476.85 ,$58.71 ,$58.71 ,$58.71 ,$409.53 ,$185.31 ,$499.29 ,$504.90 ,$504.90 ,$448.80 ,$190.87 ,$308.55 ,$504.90 ,$185.31 ,$504.90 ,$185.31 ,$532.95 ,$416.96 ,$516.12 ,$62.23 ,$510.51 ,$185.31 ,$345.24 ,$361.28 ,$345.24 ,$504.90 ,$504.90 ,$418.67 ,$390.74 ,$187.17 ,$61.65 ,$524.54 ,$194.58 ,$58.71 ,$488.07 ,$185.31 ,$504.90 ,$185.31 ,$504.90 ,$504.90 ,$504.90 ,$544.17 ,$454.41 ,$504.90 ,$504.90 ,$504.90 ,$504.90 
ST. JOSEPH'S - CHIPPEWA FALLS,51000084,97597,HC DEBR SKIN INTL 20CM WRAP FACILITY,510,1 ,$561.00 ,$420.75 ,$58.71 ,$561.00 ,$361.28 ,$185.31 ,$392.70 ,$58.71 ,$162.00 ,$60.47 ,$128.00 ,$532.95 , N/A ,$448.80 ,$510.51 ,$58.71 ,$527.34 ,$532.95 ,$504.90 ,$476.85 ,$58.71 ,$58.71 ,$58.71 ,$409.53 ,$185.31 ,$499.29 ,$504.90 ,$504.90 ,$448.80 ,$190.87 ,$308.55 ,$504.90 ,$185.31 ,$504.90 ,$185.31 ,$532.95 ,$416.96 ,$516.12 ,$62.23 ,$510.51 ,$185.31 ,$345.24 ,$361.28 ,$345.24 ,$504.90 ,$504.90 ,$418.67 ,$390.74 ,$187.17 ,$61.65 ,$524.54 ,$194.58 ,$58.71 ,$488.07 ,$185.31 ,$504.90 ,$185.31 ,$504.90 ,$504.90 ,$504.90 ,$544.17 ,$454.41 ,$504.90 ,$504.90 ,$504.90 ,$504.90 
ST. JOSEPH'S - CHIPPEWA FALLS,51000086,97597,HC DEBR SKIN INTL 20CM/UNNA FACILITY,510,1 ,$561.00 ,$420.75 ,$58.71 ,$561.00 ,$361.28 ,$185.31 ,$392.70 ,$58.71 ,$162.00 ,$60.47 ,$128.00 ,$532.95 , N/A ,$448.80 ,$510.51 ,$58.71 ,$527.34 ,$532.95 ,$504.90 ,$476.85 ,$58.71 ,$58.71 ,$58.71 ,$409.53 ,$185.31 ,$499.29 ,$504.90 ,$504.90 ,$448.80 ,$190.87 ,$308.55 ,$504.90 ,$185.31 ,$504.90 ,$185.31 ,$532.95 ,$416.96 ,$516.12 ,$62.23 ,$510.51 ,$185.31 ,$345.24 ,$361.28 ,$345.24 ,$504.90 ,$504.90 ,$418.67 ,$390.74 ,$187.17 ,$61.65 ,$524.54 ,$194.58 ,$58.71 ,$488.07 ,$185.31 ,$504.90 ,$185.31 ,$504.90 ,$504.90 ,$504.90 ,$544.17 ,$454.41 ,$504.90 ,$504.90 ,$504.90 ,$504.90 
ST. JOSEPH'S - CHIPPEWA FALLS,51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$212.64 ,$159.48 ,$38.23 ,$212.64 ,$136.94 , N/A ,$148.85 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$202.01 , N/A ,$170.11 ,$193.50 ,$38.23 ,$199.88 ,$202.01 ,$191.38 ,$180.74 ,$38.23 ,$38.23 ,$38.23 ,$155.23 , N/A ,$189.25 ,$191.38 ,$191.38 ,$170.11 , N/A ,$116.95 ,$191.38 , N/A ,$191.38 , N/A ,$202.01 , N/A ,$195.63 ,$40.52 ,$193.50 , N/A ,$130.86 ,$136.94 ,$130.86 ,$191.38 ,$191.38 ,$158.69 ,$148.10 , N/A ,$40.14 ,$198.82 , N/A ,$38.23 ,$185.00 , N/A ,$191.38 , N/A ,$191.38 ,$191.38 ,$191.38 ,$206.26 ,$172.24 ,$191.38 ,$191.38 ,$191.38 ,$191.38 
ST. JOSEPH'S - CHIPPEWA FALLS,51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$278.07 ,$208.55 ,$38.23 ,$278.07 ,$179.08 , N/A ,$194.65 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$264.17 , N/A ,$222.46 ,$253.04 ,$38.23 ,$261.39 ,$264.17 ,$250.26 ,$236.36 ,$38.23 ,$38.23 ,$38.23 ,$202.99 , N/A ,$247.48 ,$250.26 ,$250.26 ,$222.46 , N/A ,$152.94 ,$250.26 , N/A ,$250.26 , N/A ,$264.17 , N/A ,$255.82 ,$40.52 ,$253.04 , N/A ,$171.12 ,$179.08 ,$171.12 ,$250.26 ,$250.26 ,$207.52 ,$193.68 , N/A ,$40.14 ,$260.00 , N/A ,$38.23 ,$241.92 , N/A ,$250.26 , N/A ,$250.26 ,$250.26 ,$250.26 ,$269.73 ,$225.24 ,$250.26 ,$250.26 ,$250.26 ,$250.26 
ST. JOSEPH'S - CHIPPEWA FALLS,51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$389.74 ,$292.31 ,$38.23 ,$389.74 ,$250.99 , N/A ,$272.82 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$370.25 , N/A ,$311.79 ,$354.66 ,$38.23 ,$366.36 ,$370.25 ,$350.77 ,$331.28 ,$38.23 ,$38.23 ,$38.23 ,$284.51 , N/A ,$346.87 ,$350.77 ,$350.77 ,$311.79 , N/A ,$214.36 ,$350.77 , N/A ,$350.77 , N/A ,$370.25 , N/A ,$358.56 ,$40.52 ,$354.66 , N/A ,$239.85 ,$250.99 ,$239.85 ,$350.77 ,$350.77 ,$290.86 ,$271.45 , N/A ,$40.14 ,$364.41 , N/A ,$38.23 ,$339.07 , N/A ,$350.77 , N/A ,$350.77 ,$350.77 ,$350.77 ,$378.05 ,$315.69 ,$350.77 ,$350.77 ,$350.77 ,$350.77 
ST. JOSEPH'S - CHIPPEWA FALLS,51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,$520.15 ,$390.11 ,$38.23 ,$520.15 ,$334.98 , N/A ,$364.11 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$494.14 , N/A ,$416.12 ,$473.34 ,$38.23 ,$488.94 ,$494.14 ,$468.14 ,$442.13 ,$38.23 ,$38.23 ,$38.23 ,$379.71 , N/A ,$462.93 ,$468.14 ,$468.14 ,$416.12 , N/A ,$286.08 ,$468.14 , N/A ,$468.14 , N/A ,$494.14 , N/A ,$478.54 ,$40.52 ,$473.34 , N/A ,$320.10 ,$334.98 ,$320.10 ,$468.14 ,$468.14 ,$388.19 ,$362.28 , N/A ,$40.14 ,$486.34 , N/A ,$38.23 ,$452.53 , N/A ,$468.14 , N/A ,$468.14 ,$468.14 ,$468.14 ,$504.55 ,$421.32 ,$468.14 ,$468.14 ,$468.14 ,$468.14 
ST. JOSEPH'S - CHIPPEWA FALLS,51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$112.70 ,$84.53 ,$38.23 ,$112.70 ,$72.58 , N/A ,$78.89 ,$38.23 ,$112.70 ,$39.38 ,$112.70 ,$107.07 , N/A ,$90.16 ,$102.56 ,$38.23 ,$105.94 ,$107.07 ,$101.43 ,$95.80 ,$38.23 ,$38.23 ,$38.23 ,$82.27 , N/A ,$100.30 ,$101.43 ,$101.43 ,$90.16 , N/A ,$61.99 ,$101.43 , N/A ,$101.43 , N/A ,$107.07 , N/A ,$103.68 ,$40.52 ,$102.56 , N/A ,$69.36 ,$72.58 ,$69.36 ,$101.43 ,$101.43 ,$84.11 ,$78.50 , N/A ,$40.14 ,$105.37 , N/A ,$38.23 ,$98.05 , N/A ,$101.43 , N/A ,$101.43 ,$101.43 ,$101.43 ,$109.32 ,$91.29 ,$101.43 ,$101.43 ,$101.43 ,$101.43 
ST. JOSEPH'S - CHIPPEWA FALLS,51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$138.00 ,$103.50 ,$38.23 ,$138.00 ,$88.87 , N/A ,$96.60 ,$38.23 ,$138.00 ,$39.38 ,$128.00 ,$131.10 , N/A ,$110.40 ,$125.58 ,$38.23 ,$129.72 ,$131.10 ,$124.20 ,$117.30 ,$38.23 ,$38.23 ,$38.23 ,$100.74 , N/A ,$122.82 ,$124.20 ,$124.20 ,$110.40 , N/A ,$75.90 ,$124.20 , N/A ,$124.20 , N/A ,$131.10 , N/A ,$126.96 ,$40.52 ,$125.58 , N/A ,$84.93 ,$88.87 ,$84.93 ,$124.20 ,$124.20 ,$102.99 ,$96.12 , N/A ,$40.14 ,$129.03 , N/A ,$38.23 ,$120.06 , N/A ,$124.20 , N/A ,$124.20 ,$124.20 ,$124.20 ,$133.86 ,$111.78 ,$124.20 ,$124.20 ,$124.20 ,$124.20 
ST. JOSEPH'S - CHIPPEWA FALLS,51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$173.88 ,$130.41 ,$38.23 ,$173.88 ,$111.98 , N/A ,$121.72 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$165.19 , N/A ,$139.10 ,$158.23 ,$38.23 ,$163.45 ,$165.19 ,$156.49 ,$147.80 ,$38.23 ,$38.23 ,$38.23 ,$126.93 , N/A ,$154.75 ,$156.49 ,$156.49 ,$139.10 , N/A ,$95.63 ,$156.49 , N/A ,$156.49 , N/A ,$165.19 , N/A ,$159.97 ,$40.52 ,$158.23 , N/A ,$107.01 ,$111.98 ,$107.01 ,$156.49 ,$156.49 ,$129.77 ,$121.11 , N/A ,$40.14 ,$162.58 , N/A ,$38.23 ,$151.28 , N/A ,$156.49 , N/A ,$156.49 ,$156.49 ,$156.49 ,$168.66 ,$140.84 ,$156.49 ,$156.49 ,$156.49 ,$156.49 
ST. JOSEPH'S - CHIPPEWA FALLS,51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$256.96 ,$192.72 ,$38.23 ,$256.96 ,$165.48 , N/A ,$179.87 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$244.11 , N/A ,$205.57 ,$233.83 ,$38.23 ,$241.54 ,$244.11 ,$231.26 ,$218.42 ,$38.23 ,$38.23 ,$38.23 ,$187.58 , N/A ,$228.69 ,$231.26 ,$231.26 ,$205.57 , N/A ,$141.33 ,$231.26 , N/A ,$231.26 , N/A ,$244.11 , N/A ,$236.40 ,$40.52 ,$233.83 , N/A ,$158.13 ,$165.48 ,$158.13 ,$231.26 ,$231.26 ,$191.77 ,$178.97 , N/A ,$40.14 ,$240.26 , N/A ,$38.23 ,$223.56 , N/A ,$231.26 , N/A ,$231.26 ,$231.26 ,$231.26 ,$249.25 ,$208.14 ,$231.26 ,$231.26 ,$231.26 ,$231.26 
ST. JOSEPH'S - CHIPPEWA FALLS,51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$392.92 ,$294.69 ,$38.23 ,$392.92 ,$253.04 , N/A ,$275.04 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$373.27 , N/A ,$314.34 ,$357.56 ,$38.23 ,$369.34 ,$373.27 ,$353.63 ,$333.98 ,$38.23 ,$38.23 ,$38.23 ,$286.83 , N/A ,$349.70 ,$353.63 ,$353.63 ,$314.34 , N/A ,$216.11 ,$353.63 , N/A ,$353.63 , N/A ,$373.27 , N/A ,$361.49 ,$40.52 ,$357.56 , N/A ,$241.80 ,$253.04 ,$241.80 ,$353.63 ,$353.63 ,$293.24 ,$273.67 , N/A ,$40.14 ,$367.38 , N/A ,$38.23 ,$341.84 , N/A ,$353.63 , N/A ,$353.63 ,$353.63 ,$353.63 ,$381.13 ,$318.27 ,$353.63 ,$353.63 ,$353.63 ,$353.63 
ST. JOSEPH'S - CHIPPEWA FALLS,51000145,G0127,HC TRIM NAILS DYSTROPHIC FAC,510,1 ,$174.00 ,$130.50 ,$20.60 ,$174.00 ,$112.06 ,$57.44 ,$121.80 ,$20.60 ,$162.00 ,$21.22 ,$128.00 ,$165.30 , N/A ,$139.20 ,$158.34 ,$20.60 ,$163.56 ,$165.30 ,$156.60 ,$147.90 ,$20.60 ,$20.60 ,$20.60 ,$127.02 ,$57.44 ,$154.86 ,$156.60 ,$156.60 ,$139.20 ,$59.17 ,$95.70 ,$156.60 ,$57.44 ,$156.60 ,$57.44 ,$165.30 ,$129.25 ,$160.08 ,$21.84 ,$158.34 ,$57.44 ,$107.08 ,$112.06 ,$107.08 ,$156.60 ,$156.60 ,$129.86 ,$121.19 ,$58.02 ,$21.63 ,$162.69 ,$60.31 ,$20.60 ,$151.38 ,$57.44 ,$156.60 ,$57.44 ,$156.60 ,$156.60 ,$156.60 ,$168.78 ,$140.94 ,$156.60 ,$156.60 ,$156.60 ,$156.60 
ST. JOSEPH'S - CHIPPEWA FALLS,51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$79.38 ,$59.54 ,$0.73 ,$79.38 ,$51.12 ,$3.00 ,$55.57 ,$0.73 ,$5.25 ,$0.75 ,$4.20 ,$75.41 , N/A ,$63.50 ,$72.24 ,$0.73 ,$74.62 ,$75.41 ,$71.44 ,$67.47 ,$0.73 ,$0.73 ,$0.73 ,$57.95 ,$3.00 ,$70.65 ,$71.44 ,$71.44 ,$63.50 ,$3.09 ,$43.66 ,$71.44 ,$3.00 ,$71.44 ,$3.00 ,$75.41 ,$6.75 ,$73.03 ,$0.77 ,$72.24 ,$3.00 ,$48.85 ,$51.12 ,$48.85 ,$71.44 ,$71.44 ,$59.24 ,$55.29 ,$3.03 ,$0.77 ,$74.22 ,$3.15 ,$0.73 ,$69.06 ,$3.00 ,$71.44 ,$3.00 ,$71.44 ,$71.44 ,$71.44 ,$77.00 ,$64.30 ,$71.44 ,$71.44 ,$71.44 ,$71.44 
ST. JOSEPH'S - CHIPPEWA FALLS,51000159,16020,HC BURN DRS  AND /OR DEBRID <5% FACIL,510,1 ,$561.00 ,$420.75 ,$58.71 ,$561.00 ,$361.28 ,$185.31 ,$392.70 ,$58.71 ,$162.00 ,$60.47 ,$128.00 ,$532.95 , N/A ,$448.80 ,$510.51 ,$58.71 ,$527.34 ,$532.95 ,$504.90 ,$476.85 ,$58.71 ,$58.71 ,$58.71 ,$409.53 ,$185.31 ,$499.29 ,$504.90 ,$504.90 ,$448.80 ,$190.87 ,$308.55 ,$504.90 ,$185.31 ,$504.90 ,$185.31 ,$532.95 ,$416.96 ,$516.12 ,$62.23 ,$510.51 ,$185.31 ,$345.24 ,$361.28 ,$345.24 ,$504.90 ,$504.90 ,$418.67 ,$390.74 ,$187.17 ,$61.65 ,$524.54 ,$194.58 ,$58.71 ,$488.07 ,$185.31 ,$504.90 ,$185.31 ,$504.90 ,$504.90 ,$504.90 ,$544.17 ,$454.41 ,$504.90 ,$504.90 ,$504.90 ,$504.90 
ST. JOSEPH'S - CHIPPEWA FALLS,51000161,17110,HC DESTRUCT BENIGN LESION <15 FACIL,510,1 ,$325.00 ,$243.75 ,$51.36 ,$416.96 ,$209.30 ,$185.31 ,$227.50 ,$51.36 ,$162.00 ,$52.90 ,$128.00 ,$308.75 , N/A ,$260.00 ,$295.75 ,$51.36 ,$305.50 ,$308.75 ,$292.50 ,$276.25 ,$51.36 ,$51.36 ,$51.36 ,$237.25 ,$185.31 ,$289.25 ,$292.50 ,$292.50 ,$260.00 ,$190.87 ,$178.75 ,$292.50 ,$185.31 ,$292.50 ,$185.31 ,$308.75 ,$416.96 ,$299.00 ,$54.44 ,$295.75 ,$185.31 ,$200.01 ,$209.30 ,$200.01 ,$292.50 ,$292.50 ,$242.55 ,$226.36 ,$187.17 ,$53.93 ,$303.88 ,$194.58 ,$51.36 ,$282.75 ,$185.31 ,$292.50 ,$185.31 ,$292.50 ,$292.50 ,$292.50 ,$315.25 ,$263.25 ,$292.50 ,$292.50 ,$292.50 ,$292.50 
ST. JOSEPH'S - CHIPPEWA FALLS,51000169,17250,HC CHEM CAUTERY FACILITY,510,1 ,$512.58 ,$384.44 ,$51.36 ,$512.58 ,$330.10 ,$185.31 ,$358.81 ,$51.36 ,$162.00 ,$52.90 ,$128.00 ,$486.95 , N/A ,$410.06 ,$466.45 ,$51.36 ,$481.83 ,$486.95 ,$461.32 ,$435.69 ,$51.36 ,$51.36 ,$51.36 ,$374.18 ,$185.31 ,$456.20 ,$461.32 ,$461.32 ,$410.06 ,$190.87 ,$281.92 ,$461.32 ,$185.31 ,$461.32 ,$185.31 ,$486.95 ,$416.96 ,$471.57 ,$54.44 ,$466.45 ,$185.31 ,$315.44 ,$330.10 ,$315.44 ,$461.32 ,$461.32 ,$382.54 ,$357.01 ,$187.17 ,$53.93 ,$479.26 ,$194.58 ,$51.36 ,$445.94 ,$185.31 ,$461.32 ,$185.31 ,$461.32 ,$461.32 ,$461.32 ,$497.20 ,$415.19 ,$461.32 ,$461.32 ,$461.32 ,$461.32 
ST. JOSEPH'S - CHIPPEWA FALLS,51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$242.00 ,$181.50 ,$22.63 ,$261.82 ,$155.85 ,$116.36 ,$169.40 ,$22.63 ,$162.00 ,$23.31 ,$128.00 ,$229.90 , N/A ,$193.60 ,$220.22 ,$22.63 ,$227.48 ,$229.90 ,$217.80 ,$205.70 ,$22.63 ,$22.63 ,$22.63 ,$176.66 ,$116.36 ,$215.38 ,$217.80 ,$217.80 ,$193.60 ,$119.85 ,$133.10 ,$217.80 ,$116.36 ,$217.80 ,$116.36 ,$229.90 ,$261.82 ,$222.64 ,$23.99 ,$220.22 ,$116.36 ,$148.93 ,$155.85 ,$148.93 ,$217.80 ,$217.80 ,$180.60 ,$168.55 ,$117.53 ,$23.76 ,$226.27 ,$122.18 ,$22.63 ,$210.54 ,$116.36 ,$217.80 ,$116.36 ,$217.80 ,$217.80 ,$217.80 ,$234.74 ,$196.02 ,$217.80 ,$217.80 ,$217.80 ,$217.80 
ST. JOSEPH'S - CHIPPEWA FALLS,51000172,51702,HC CATH BLADDER SMP,510,1 ,$114.00 ,$85.50 ,$22.63 ,$261.82 ,$73.42 ,$116.36 ,$79.80 ,$22.63 ,$114.00 ,$23.31 ,$114.00 ,$108.30 , N/A ,$91.20 ,$103.74 ,$22.63 ,$107.16 ,$108.30 ,$102.60 ,$96.90 ,$22.63 ,$22.63 ,$22.63 ,$83.22 ,$116.36 ,$101.46 ,$102.60 ,$102.60 ,$91.20 ,$119.85 ,$62.70 ,$102.60 ,$116.36 ,$102.60 ,$116.36 ,$108.30 ,$261.82 ,$104.88 ,$23.99 ,$103.74 ,$116.36 ,$70.16 ,$73.42 ,$70.16 ,$102.60 ,$102.60 ,$85.08 ,$79.40 ,$117.53 ,$23.76 ,$106.59 ,$122.18 ,$22.63 ,$99.18 ,$116.36 ,$102.60 ,$116.36 ,$102.60 ,$102.60 ,$102.60 ,$110.58 ,$92.34 ,$102.60 ,$102.60 ,$102.60 ,$102.60 
ST. JOSEPH'S - CHIPPEWA FALLS,51000173,51703,HC CATH BLADDER CPLX,510,1 ,$488.00 ,$366.00 ,$22.63 ,$488.00 ,$314.27 ,$144.08 ,$341.60 ,$22.63 ,$162.00 ,$23.31 ,$128.00 ,$463.60 , N/A ,$390.40 ,$444.08 ,$22.63 ,$458.72 ,$463.60 ,$439.20 ,$414.80 ,$22.63 ,$22.63 ,$22.63 ,$356.24 ,$144.08 ,$434.32 ,$439.20 ,$439.20 ,$390.40 ,$148.40 ,$268.40 ,$439.20 ,$144.08 ,$439.20 ,$144.08 ,$463.60 ,$324.18 ,$448.96 ,$23.99 ,$444.08 ,$144.08 ,$300.32 ,$314.27 ,$300.32 ,$439.20 ,$439.20 ,$364.19 ,$339.89 ,$145.52 ,$23.76 ,$456.28 ,$151.28 ,$22.63 ,$424.56 ,$144.08 ,$439.20 ,$144.08 ,$439.20 ,$439.20 ,$439.20 ,$473.36 ,$395.28 ,$439.20 ,$439.20 ,$439.20 ,$439.20 
ST. JOSEPH'S - CHIPPEWA FALLS,51000175,94780,HC CARSEAT ANALYSIS FIRST 60MIN,510,1 ,$484.77 ,$363.58 ,$16.35 ,$484.77 ,$312.19 ,$34.93 ,$339.34 ,$16.35 ,$162.00 ,$16.84 ,$128.00 ,$460.53 , N/A ,$387.82 ,$441.14 ,$16.35 ,$455.68 ,$460.53 ,$436.29 ,$412.05 ,$16.35 ,$16.35 ,$16.35 ,$353.88 ,$34.93 ,$431.45 ,$436.29 ,$436.29 ,$387.82 ,$35.98 ,$266.62 ,$436.29 ,$34.93 ,$436.29 ,$34.93 ,$460.53 ,$78.59 ,$445.99 ,$17.33 ,$441.14 ,$34.93 ,$298.33 ,$312.19 ,$298.33 ,$436.29 ,$436.29 ,$361.78 ,$337.64 ,$35.28 ,$17.17 ,$453.26 ,$36.68 ,$16.35 ,$421.75 ,$34.93 ,$436.29 ,$34.93 ,$436.29 ,$436.29 ,$436.29 ,$470.23 ,$392.66 ,$436.29 ,$436.29 ,$436.29 ,$436.29 
ST. JOSEPH'S - CHIPPEWA FALLS,51000198,29445,HC APPL/REMOVE CAST FACILITY,510,1 ,$701.00 ,$525.75 ,$59.15 ,$701.00 ,$451.44 ,$248.95 ,$490.70 ,$59.15 ,$162.00 ,$60.92 ,$128.00 ,$665.95 , N/A ,$560.80 ,$637.91 ,$59.15 ,$658.94 ,$665.95 ,$630.90 ,$595.85 ,$59.15 ,$59.15 ,$59.15 ,$511.73 ,$248.95 ,$623.89 ,$630.90 ,$630.90 ,$560.80 ,$256.42 ,$385.55 ,$630.90 ,$248.95 ,$630.90 ,$248.95 ,$665.95 ,$560.14 ,$644.92 ,$62.70 ,$637.91 ,$248.95 ,$431.40 ,$451.44 ,$431.40 ,$630.90 ,$630.90 ,$523.16 ,$488.25 ,$251.44 ,$62.11 ,$655.44 ,$261.40 ,$59.15 ,$609.87 ,$248.95 ,$630.90 ,$248.95 ,$630.90 ,$630.90 ,$630.90 ,$679.97 ,$567.81 ,$630.90 ,$630.90 ,$630.90 ,$630.90 
ST. JOSEPH'S - CHIPPEWA FALLS,51000207,52000,HC CYSTOURETHROSCOPY,510,1 ,"$8,183.00 ","$6,137.25 ",$128.00 ,"$8,183.00 ","$5,269.85 ",$593.69 ,"$5,728.10 ",$490.13 ,$162.00 ,$504.83 ,$128.00 ,"$7,773.85 ", N/A ,"$6,546.40 ","$7,446.53 ",$490.13 ,"$7,692.02 ","$7,773.85 ","$7,364.70 ","$6,955.55 ",$490.13 ,$490.13 ,$490.13 ,"$5,973.59 ",$593.69 ,"$7,282.87 ","$7,364.70 ","$7,364.70 ","$6,546.40 ",$611.50 ,"$4,500.65 ","$7,364.70 ",$593.69 ,"$7,364.70 ",$593.69 ,"$7,773.85 ","$1,335.81 ","$7,528.36 ",$519.54 ,"$7,446.53 ",$593.69 ,"$5,035.82 ","$5,269.85 ","$5,035.82 ","$7,364.70 ","$7,364.70 ","$6,106.97 ","$5,699.46 ",$599.63 ,$514.64 ,"$7,651.11 ",$623.37 ,$490.13 ,"$7,119.21 ",$593.69 ,"$7,364.70 ",$593.69 ,"$7,364.70 ","$7,364.70 ","$7,364.70 ","$7,937.51 ","$6,628.23 ","$7,364.70 ","$7,364.70 ","$7,364.70 ","$7,364.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000320,94781,HC CARSEAT ANALYSIS  EA ADDN 30MIN,510,1 ,$242.38 ,$181.79 ,$16.35 ,$242.38 ,$156.09 , N/A ,$169.67 ,$16.35 ,$162.00 ,$16.84 ,$128.00 ,$230.26 , N/A ,$193.90 ,$220.57 ,$16.35 ,$227.84 ,$230.26 ,$218.14 ,$206.02 ,$16.35 ,$16.35 ,$16.35 ,$176.94 , N/A ,$215.72 ,$218.14 ,$218.14 ,$193.90 , N/A ,$133.31 ,$218.14 , N/A ,$218.14 , N/A ,$230.26 , N/A ,$222.99 ,$17.33 ,$220.57 , N/A ,$149.16 ,$156.09 ,$149.16 ,$218.14 ,$218.14 ,$180.89 ,$168.82 , N/A ,$17.17 ,$226.63 , N/A ,$16.35 ,$210.87 , N/A ,$218.14 , N/A ,$218.14 ,$218.14 ,$218.14 ,$235.11 ,$196.33 ,$218.14 ,$218.14 ,$218.14 ,$218.14 
ST. JOSEPH'S - CHIPPEWA FALLS,51000325,15271,HC APL SKIN SUB TAL<100 INT 25CM,761,1 ,"$5,351.00 ","$4,013.25 ",$615.10 ,"$5,351.00 ","$3,446.04 ","$1,767.52 ","$3,745.70 ",$615.10 ,"$4,441.33 ",$633.55 ,"$3,531.66 ","$5,083.45 ", N/A ,"$4,280.80 ","$4,869.41 ",$615.10 ,"$5,029.94 ","$5,083.45 ","$4,815.90 ","$4,548.35 ",$615.10 ,$615.10 ,$615.10 ,"$3,906.23 ","$1,767.52 ","$4,762.39 ","$4,815.90 ","$4,815.90 ","$4,280.80 ","$1,820.55 ","$2,943.05 ","$4,815.90 ","$1,767.52 ","$4,815.90 ","$1,767.52 ","$5,083.45 ","$3,976.93 ","$4,922.92 ",$652.01 ,"$4,869.41 ","$1,767.52 ","$3,293.01 ","$3,446.04 ","$3,293.01 ","$4,815.90 ","$4,815.90 ","$3,993.45 ","$3,726.97 ","$1,785.20 ",$645.86 ,"$5,003.19 ","$1,855.90 ",$615.10 ,"$4,655.37 ","$1,767.52 ","$4,815.90 ","$1,767.52 ","$4,815.90 ","$4,815.90 ","$4,815.90 ","$5,190.47 ","$4,334.31 ","$4,815.90 ","$4,815.90 ","$4,815.90 ","$4,815.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000329,15275,HC APL SKIN SUB OTH<100 INT 25CM,761,1 ,"$1,181.00 ",$885.75 ,$615.10 ,"$3,976.93 ",$760.56 ,"$1,767.52 ",$826.70 ,$615.10 ,$980.23 ,$633.55 ,$779.46 ,"$1,121.95 ", N/A ,$944.80 ,"$1,074.71 ",$615.10 ,"$1,110.14 ","$1,121.95 ","$1,062.90 ","$1,003.85 ",$615.10 ,$615.10 ,$615.10 ,$862.13 ,"$1,767.52 ","$1,051.09 ","$1,062.90 ","$1,062.90 ",$944.80 ,"$1,820.55 ",$649.55 ,"$1,062.90 ","$1,767.52 ","$1,062.90 ","$1,767.52 ","$1,121.95 ","$3,976.93 ","$1,086.52 ",$652.01 ,"$1,074.71 ","$1,767.52 ",$726.79 ,$760.56 ,$726.79 ,"$1,062.90 ","$1,062.90 ",$881.38 ,$822.57 ,"$1,785.20 ",$645.86 ,"$1,104.24 ","$1,855.90 ",$615.10 ,"$1,027.47 ","$1,767.52 ","$1,062.90 ","$1,767.52 ","$1,062.90 ","$1,062.90 ","$1,062.90 ","$1,145.57 ",$956.61 ,"$1,062.90 ","$1,062.90 ","$1,062.90 ","$1,062.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000333,15271,HC APL SKIN SUB TAL<100 INT 25CM W/PROC,761,1 ,"$5,351.00 ","$4,013.25 ",$615.10 ,"$5,351.00 ","$3,446.04 ","$1,767.52 ","$3,745.70 ",$615.10 ,"$4,441.33 ",$633.55 ,"$3,531.66 ","$5,083.45 ", N/A ,"$4,280.80 ","$4,869.41 ",$615.10 ,"$5,029.94 ","$5,083.45 ","$4,815.90 ","$4,548.35 ",$615.10 ,$615.10 ,$615.10 ,"$3,906.23 ","$1,767.52 ","$4,762.39 ","$4,815.90 ","$4,815.90 ","$4,280.80 ","$1,820.55 ","$2,943.05 ","$4,815.90 ","$1,767.52 ","$4,815.90 ","$1,767.52 ","$5,083.45 ","$3,976.93 ","$4,922.92 ",$652.01 ,"$4,869.41 ","$1,767.52 ","$3,293.01 ","$3,446.04 ","$3,293.01 ","$4,815.90 ","$4,815.90 ","$3,993.45 ","$3,726.97 ","$1,785.20 ",$645.86 ,"$5,003.19 ","$1,855.90 ",$615.10 ,"$4,655.37 ","$1,767.52 ","$4,815.90 ","$1,767.52 ","$4,815.90 ","$4,815.90 ","$4,815.90 ","$5,190.47 ","$4,334.31 ","$4,815.90 ","$4,815.90 ","$4,815.90 ","$4,815.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000335,15275,HC APL SKIN SUB OTH<100 INT 25CM W/PROC,761,1 ,"$5,351.00 ","$4,013.25 ",$615.10 ,"$5,351.00 ","$3,446.04 ","$1,767.52 ","$3,745.70 ",$615.10 ,"$4,441.33 ",$633.55 ,"$3,531.66 ","$5,083.45 ", N/A ,"$4,280.80 ","$4,869.41 ",$615.10 ,"$5,029.94 ","$5,083.45 ","$4,815.90 ","$4,548.35 ",$615.10 ,$615.10 ,$615.10 ,"$3,906.23 ","$1,767.52 ","$4,762.39 ","$4,815.90 ","$4,815.90 ","$4,280.80 ","$1,820.55 ","$2,943.05 ","$4,815.90 ","$1,767.52 ","$4,815.90 ","$1,767.52 ","$5,083.45 ","$3,976.93 ","$4,922.92 ",$652.01 ,"$4,869.41 ","$1,767.52 ","$3,293.01 ","$3,446.04 ","$3,293.01 ","$4,815.90 ","$4,815.90 ","$3,993.45 ","$3,726.97 ","$1,785.20 ",$645.86 ,"$5,003.19 ","$1,855.90 ",$615.10 ,"$4,655.37 ","$1,767.52 ","$4,815.90 ","$1,767.52 ","$4,815.90 ","$4,815.90 ","$4,815.90 ","$5,190.47 ","$4,334.31 ","$4,815.90 ","$4,815.90 ","$4,815.90 ","$4,815.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000348,16025,HC BURN DRESS/DEB 5-10% TOTAL FACIL,761,1 ,$561.00 ,$420.75 ,$58.71 ,$561.00 ,$361.28 ,$185.31 ,$392.70 ,$58.71 ,$465.63 ,$60.47 ,$370.26 ,$532.95 , N/A ,$448.80 ,$510.51 ,$58.71 ,$527.34 ,$532.95 ,$504.90 ,$476.85 ,$58.71 ,$58.71 ,$58.71 ,$409.53 ,$185.31 ,$499.29 ,$504.90 ,$504.90 ,$448.80 ,$190.87 ,$308.55 ,$504.90 ,$185.31 ,$504.90 ,$185.31 ,$532.95 ,$416.96 ,$516.12 ,$62.23 ,$510.51 ,$185.31 ,$345.24 ,$361.28 ,$345.24 ,$504.90 ,$504.90 ,$418.67 ,$390.74 ,$187.17 ,$61.65 ,$524.54 ,$194.58 ,$58.71 ,$488.07 ,$185.31 ,$504.90 ,$185.31 ,$504.90 ,$504.90 ,$504.90 ,$544.17 ,$454.41 ,$504.90 ,$504.90 ,$504.90 ,$504.90 
ST. JOSEPH'S - CHIPPEWA FALLS,51000352,11057,HC PARING LESN BENIGN >4 FAC,510,1 ,$507.00 ,$380.25 ,$51.36 ,$507.00 ,$326.51 ,$185.31 ,$354.90 ,$51.36 ,$162.00 ,$52.90 ,$128.00 ,$481.65 , N/A ,$405.60 ,$461.37 ,$51.36 ,$476.58 ,$481.65 ,$456.30 ,$430.95 ,$51.36 ,$51.36 ,$51.36 ,$370.11 ,$185.31 ,$451.23 ,$456.30 ,$456.30 ,$405.60 ,$190.87 ,$278.85 ,$456.30 ,$185.31 ,$456.30 ,$185.31 ,$481.65 ,$416.96 ,$466.44 ,$54.44 ,$461.37 ,$185.31 ,$312.01 ,$326.51 ,$312.01 ,$456.30 ,$456.30 ,$378.37 ,$353.13 ,$187.17 ,$53.93 ,$474.05 ,$194.58 ,$51.36 ,$441.09 ,$185.31 ,$456.30 ,$185.31 ,$456.30 ,$456.30 ,$456.30 ,$491.79 ,$410.67 ,$456.30 ,$456.30 ,$456.30 ,$456.30 
ST. JOSEPH'S - CHIPPEWA FALLS,51000400,29580,HC APPLY UNNA BOOT BILAT FAC,510,1 ,$809.00 ,$606.75 ,$88.73 ,$809.00 ,$521.00 ,$218.69 ,$566.30 ,$88.73 ,$162.00 ,$91.39 ,$128.00 ,$768.55 , N/A ,$647.20 ,$736.19 ,$88.73 ,$760.46 ,$768.55 ,$728.10 ,$687.65 ,$88.73 ,$88.73 ,$88.73 ,$590.57 ,$218.69 ,$720.01 ,$728.10 ,$728.10 ,$647.20 ,$225.26 ,$444.95 ,$728.10 ,$218.69 ,$728.10 ,$218.69 ,$768.55 ,$492.06 ,$744.28 ,$94.05 ,$736.19 ,$218.69 ,$497.86 ,$521.00 ,$497.86 ,$728.10 ,$728.10 ,$603.76 ,$563.47 ,$220.88 ,$93.17 ,$756.42 ,$229.62 ,$88.73 ,$703.83 ,$218.69 ,$728.10 ,$218.69 ,$728.10 ,$728.10 ,$728.10 ,$784.73 ,$655.29 ,$728.10 ,$728.10 ,$728.10 ,$728.10 
ST. JOSEPH'S - CHIPPEWA FALLS,51000401,29581,HC APPLY MULTI COMP LWR LEG BIL FAC,510,1 ,$405.00 ,$303.75 ,$88.73 ,$492.06 ,$260.82 ,$218.69 ,$283.50 ,$88.73 ,$162.00 ,$91.39 ,$128.00 ,$384.75 , N/A ,$324.00 ,$368.55 ,$88.73 ,$380.70 ,$384.75 ,$364.50 ,$344.25 ,$88.73 ,$88.73 ,$88.73 ,$295.65 ,$218.69 ,$360.45 ,$364.50 ,$364.50 ,$324.00 ,$225.26 ,$222.75 ,$364.50 ,$218.69 ,$364.50 ,$218.69 ,$384.75 ,$492.06 ,$372.60 ,$94.05 ,$368.55 ,$218.69 ,$249.24 ,$260.82 ,$249.24 ,$364.50 ,$364.50 ,$302.25 ,$282.08 ,$220.88 ,$93.17 ,$378.68 ,$229.62 ,$88.73 ,$352.35 ,$218.69 ,$364.50 ,$218.69 ,$364.50 ,$364.50 ,$364.50 ,$392.85 ,$328.05 ,$364.50 ,$364.50 ,$364.50 ,$364.50 
ST. JOSEPH'S - CHIPPEWA FALLS,51000407,11200,HC REMOVAL SKIN TAG LESIONS <=15 FAC,510,1 ,$386.00 ,$289.50 ,$51.36 ,$416.96 ,$248.58 ,$185.31 ,$270.20 ,$51.36 ,$162.00 ,$52.90 ,$128.00 ,$366.70 , N/A ,$308.80 ,$351.26 ,$51.36 ,$362.84 ,$366.70 ,$347.40 ,$328.10 ,$51.36 ,$51.36 ,$51.36 ,$281.78 ,$185.31 ,$343.54 ,$347.40 ,$347.40 ,$308.80 ,$190.87 ,$212.30 ,$347.40 ,$185.31 ,$347.40 ,$185.31 ,$366.70 ,$416.96 ,$355.12 ,$54.44 ,$351.26 ,$185.31 ,$237.54 ,$248.58 ,$237.54 ,$347.40 ,$347.40 ,$288.07 ,$268.85 ,$187.17 ,$53.93 ,$360.91 ,$194.58 ,$51.36 ,$335.82 ,$185.31 ,$347.40 ,$185.31 ,$347.40 ,$347.40 ,$347.40 ,$374.42 ,$312.66 ,$347.40 ,$347.40 ,$347.40 ,$347.40 
ST. JOSEPH'S - CHIPPEWA FALLS,51000417,29515,HC APPL SHRT LEG SPLNT RN,510,1 ,$735.00 ,$551.25 ,$13.65 ,$735.00 ,$473.34 ,$145.80 ,$514.50 ,$13.65 ,$162.00 ,$14.06 ,$128.00 ,$698.25 , N/A ,$588.00 ,$668.85 ,$13.65 ,$690.90 ,$698.25 ,$661.50 ,$624.75 ,$13.65 ,$13.65 ,$13.65 ,$536.55 ,$145.80 ,$654.15 ,$661.50 ,$661.50 ,$588.00 ,$150.17 ,$404.25 ,$661.50 ,$145.80 ,$661.50 ,$145.80 ,$698.25 ,$328.04 ,$676.20 ,$14.47 ,$668.85 ,$145.80 ,$452.32 ,$473.34 ,$452.32 ,$661.50 ,$661.50 ,$548.53 ,$511.93 ,$147.25 ,$14.33 ,$687.23 ,$153.09 ,$13.65 ,$639.45 ,$145.80 ,$661.50 ,$145.80 ,$661.50 ,$661.50 ,$661.50 ,$712.95 ,$595.35 ,$661.50 ,$661.50 ,$661.50 ,$661.50 
ST. JOSEPH'S - CHIPPEWA FALLS,51000427,17999,HC UNLISTED SKIN TISSUE PROCEDURE,510,1 ,$573.00 ,$429.75 ,$51.36 ,$573.00 ,$369.01 ,$185.31 ,$401.10 ,$51.36 ,$162.00 ,$52.90 ,$128.00 ,$544.35 , N/A ,$458.40 ,$521.43 ,$51.36 ,$538.62 ,$544.35 ,$515.70 ,$487.05 ,$51.36 ,$51.36 ,$51.36 ,$418.29 ,$185.31 ,$509.97 ,$515.70 ,$515.70 ,$458.40 ,$190.87 ,$315.15 ,$515.70 ,$185.31 ,$515.70 ,$185.31 ,$544.35 ,$416.96 ,$527.16 ,$54.44 ,$521.43 ,$185.31 ,$352.62 ,$369.01 ,$352.62 ,$515.70 ,$515.70 ,$427.63 ,$399.09 ,$187.17 ,$53.93 ,$535.76 ,$194.58 ,$51.36 ,$498.51 ,$185.31 ,$515.70 ,$185.31 ,$515.70 ,$515.70 ,$515.70 ,$555.81 ,$464.13 ,$515.70 ,$515.70 ,$515.70 ,$515.70 
ST. JOSEPH'S - CHIPPEWA FALLS,51000450,C5271,HC APL SKIN SUB TAL<100 INT 25CM LOW,510,1 ,"$1,635.00 ","$1,226.25 ",$128.00 ,"$1,635.00 ","$1,052.94 ",$540.47 ,"$1,144.50 ",$615.10 ,$162.00 ,$633.55 ,$128.00 ,"$1,553.25 ", N/A ,"$1,308.00 ","$1,487.85 ",$615.10 ,"$1,536.90 ","$1,553.25 ","$1,471.50 ","$1,389.75 ",$615.10 ,$615.10 ,$615.10 ,"$1,193.55 ",$540.47 ,"$1,455.15 ","$1,471.50 ","$1,471.50 ","$1,308.00 ",$556.69 ,$899.25 ,"$1,471.50 ",$540.47 ,"$1,471.50 ",$540.47 ,"$1,553.25 ","$1,216.07 ","$1,504.20 ",$652.01 ,"$1,487.85 ",$540.47 ,"$1,006.18 ","$1,052.94 ","$1,006.18 ","$1,471.50 ","$1,471.50 ","$1,220.20 ","$1,138.78 ",$545.88 ,$645.86 ,"$1,528.73 ",$567.49 ,$615.10 ,"$1,422.45 ",$540.47 ,"$1,471.50 ",$540.47 ,"$1,471.50 ","$1,471.50 ","$1,471.50 ","$1,585.95 ","$1,324.35 ","$1,471.50 ","$1,471.50 ","$1,471.50 ","$1,471.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000457,C5275,HC APL SKIN SUB OTH<100 INT 25CM W/PROC LOW,510,1 ,"$1,635.00 ","$1,226.25 ",$128.00 ,"$1,635.00 ","$1,052.94 ",$540.47 ,"$1,144.50 ",$615.10 ,$162.00 ,$633.55 ,$128.00 ,"$1,553.25 ", N/A ,"$1,308.00 ","$1,487.85 ",$615.10 ,"$1,536.90 ","$1,553.25 ","$1,471.50 ","$1,389.75 ",$615.10 ,$615.10 ,$615.10 ,"$1,193.55 ",$540.47 ,"$1,455.15 ","$1,471.50 ","$1,471.50 ","$1,308.00 ",$556.69 ,$899.25 ,"$1,471.50 ",$540.47 ,"$1,471.50 ",$540.47 ,"$1,553.25 ","$1,216.07 ","$1,504.20 ",$652.01 ,"$1,487.85 ",$540.47 ,"$1,006.18 ","$1,052.94 ","$1,006.18 ","$1,471.50 ","$1,471.50 ","$1,220.20 ","$1,138.78 ",$545.88 ,$645.86 ,"$1,528.73 ",$567.49 ,$615.10 ,"$1,422.45 ",$540.47 ,"$1,471.50 ",$540.47 ,"$1,471.50 ","$1,471.50 ","$1,471.50 ","$1,585.95 ","$1,324.35 ","$1,471.50 ","$1,471.50 ","$1,471.50 ","$1,471.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,51000464,99202,HC CLINIC VISIT LIMITED NEW -25,510,1 ,$212.64 ,$159.48 ,$38.23 ,$212.64 ,$136.94 , N/A ,$148.85 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$202.01 , N/A ,$170.11 ,$193.50 ,$38.23 ,$199.88 ,$202.01 ,$191.38 ,$180.74 ,$38.23 ,$38.23 ,$38.23 ,$155.23 , N/A ,$189.25 ,$191.38 ,$191.38 ,$170.11 , N/A ,$116.95 ,$191.38 , N/A ,$191.38 , N/A ,$202.01 , N/A ,$195.63 ,$40.52 ,$193.50 , N/A ,$130.86 ,$136.94 ,$130.86 ,$191.38 ,$191.38 ,$158.69 ,$148.10 , N/A ,$40.14 ,$198.82 , N/A ,$38.23 ,$185.00 , N/A ,$191.38 , N/A ,$191.38 ,$191.38 ,$191.38 ,$206.26 ,$172.24 ,$191.38 ,$191.38 ,$191.38 ,$191.38 
ST. JOSEPH'S - CHIPPEWA FALLS,51000465,99203,HC CLINIC VISIT INTERM NEW -25,510,1 ,$278.07 ,$208.55 ,$38.23 ,$278.07 ,$179.08 , N/A ,$194.65 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$264.17 , N/A ,$222.46 ,$253.04 ,$38.23 ,$261.39 ,$264.17 ,$250.26 ,$236.36 ,$38.23 ,$38.23 ,$38.23 ,$202.99 , N/A ,$247.48 ,$250.26 ,$250.26 ,$222.46 , N/A ,$152.94 ,$250.26 , N/A ,$250.26 , N/A ,$264.17 , N/A ,$255.82 ,$40.52 ,$253.04 , N/A ,$171.12 ,$179.08 ,$171.12 ,$250.26 ,$250.26 ,$207.52 ,$193.68 , N/A ,$40.14 ,$260.00 , N/A ,$38.23 ,$241.92 , N/A ,$250.26 , N/A ,$250.26 ,$250.26 ,$250.26 ,$269.73 ,$225.24 ,$250.26 ,$250.26 ,$250.26 ,$250.26 
ST. JOSEPH'S - CHIPPEWA FALLS,51000466,99204,HC CLINIC VISIT COMPLEX NEW -25,510,1 ,$389.74 ,$292.31 ,$38.23 ,$389.74 ,$250.99 , N/A ,$272.82 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$370.25 , N/A ,$311.79 ,$354.66 ,$38.23 ,$366.36 ,$370.25 ,$350.77 ,$331.28 ,$38.23 ,$38.23 ,$38.23 ,$284.51 , N/A ,$346.87 ,$350.77 ,$350.77 ,$311.79 , N/A ,$214.36 ,$350.77 , N/A ,$350.77 , N/A ,$370.25 , N/A ,$358.56 ,$40.52 ,$354.66 , N/A ,$239.85 ,$250.99 ,$239.85 ,$350.77 ,$350.77 ,$290.86 ,$271.45 , N/A ,$40.14 ,$364.41 , N/A ,$38.23 ,$339.07 , N/A ,$350.77 , N/A ,$350.77 ,$350.77 ,$350.77 ,$378.05 ,$315.69 ,$350.77 ,$350.77 ,$350.77 ,$350.77 
ST. JOSEPH'S - CHIPPEWA FALLS,51000467,99205,HC CLINIC VISIT COMPREH NEW -25,510,1 ,$520.15 ,$390.11 ,$38.23 ,$520.15 ,$334.98 , N/A ,$364.11 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$494.14 , N/A ,$416.12 ,$473.34 ,$38.23 ,$488.94 ,$494.14 ,$468.14 ,$442.13 ,$38.23 ,$38.23 ,$38.23 ,$379.71 , N/A ,$462.93 ,$468.14 ,$468.14 ,$416.12 , N/A ,$286.08 ,$468.14 , N/A ,$468.14 , N/A ,$494.14 , N/A ,$478.54 ,$40.52 ,$473.34 , N/A ,$320.10 ,$334.98 ,$320.10 ,$468.14 ,$468.14 ,$388.19 ,$362.28 , N/A ,$40.14 ,$486.34 , N/A ,$38.23 ,$452.53 , N/A ,$468.14 , N/A ,$468.14 ,$468.14 ,$468.14 ,$504.55 ,$421.32 ,$468.14 ,$468.14 ,$468.14 ,$468.14 
ST. JOSEPH'S - CHIPPEWA FALLS,51000468,99211,HC CLINIC VISIT BRIEF ESTAB -25,510,1 ,$112.70 ,$84.53 ,$38.23 ,$112.70 ,$72.58 , N/A ,$78.89 ,$38.23 ,$112.70 ,$39.38 ,$112.70 ,$107.07 , N/A ,$90.16 ,$102.56 ,$38.23 ,$105.94 ,$107.07 ,$101.43 ,$95.80 ,$38.23 ,$38.23 ,$38.23 ,$82.27 , N/A ,$100.30 ,$101.43 ,$101.43 ,$90.16 , N/A ,$61.99 ,$101.43 , N/A ,$101.43 , N/A ,$107.07 , N/A ,$103.68 ,$40.52 ,$102.56 , N/A ,$69.36 ,$72.58 ,$69.36 ,$101.43 ,$101.43 ,$84.11 ,$78.50 , N/A ,$40.14 ,$105.37 , N/A ,$38.23 ,$98.05 , N/A ,$101.43 , N/A ,$101.43 ,$101.43 ,$101.43 ,$109.32 ,$91.29 ,$101.43 ,$101.43 ,$101.43 ,$101.43 
ST. JOSEPH'S - CHIPPEWA FALLS,51000469,99212,HC CLINIC VISIT LIMITED ESTAB -25,510,1 ,$138.00 ,$103.50 ,$38.23 ,$138.00 ,$88.87 , N/A ,$96.60 ,$38.23 ,$138.00 ,$39.38 ,$128.00 ,$131.10 , N/A ,$110.40 ,$125.58 ,$38.23 ,$129.72 ,$131.10 ,$124.20 ,$117.30 ,$38.23 ,$38.23 ,$38.23 ,$100.74 , N/A ,$122.82 ,$124.20 ,$124.20 ,$110.40 , N/A ,$75.90 ,$124.20 , N/A ,$124.20 , N/A ,$131.10 , N/A ,$126.96 ,$40.52 ,$125.58 , N/A ,$84.93 ,$88.87 ,$84.93 ,$124.20 ,$124.20 ,$102.99 ,$96.12 , N/A ,$40.14 ,$129.03 , N/A ,$38.23 ,$120.06 , N/A ,$124.20 , N/A ,$124.20 ,$124.20 ,$124.20 ,$133.86 ,$111.78 ,$124.20 ,$124.20 ,$124.20 ,$124.20 
ST. JOSEPH'S - CHIPPEWA FALLS,51000470,99213,HC CLINIC VISIT INTERM EST -25,510,1 ,$173.88 ,$130.41 ,$38.23 ,$173.88 ,$111.98 , N/A ,$121.72 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$165.19 , N/A ,$139.10 ,$158.23 ,$38.23 ,$163.45 ,$165.19 ,$156.49 ,$147.80 ,$38.23 ,$38.23 ,$38.23 ,$126.93 , N/A ,$154.75 ,$156.49 ,$156.49 ,$139.10 , N/A ,$95.63 ,$156.49 , N/A ,$156.49 , N/A ,$165.19 , N/A ,$159.97 ,$40.52 ,$158.23 , N/A ,$107.01 ,$111.98 ,$107.01 ,$156.49 ,$156.49 ,$129.77 ,$121.11 , N/A ,$40.14 ,$162.58 , N/A ,$38.23 ,$151.28 , N/A ,$156.49 , N/A ,$156.49 ,$156.49 ,$156.49 ,$168.66 ,$140.84 ,$156.49 ,$156.49 ,$156.49 ,$156.49 
ST. JOSEPH'S - CHIPPEWA FALLS,51000471,99214,HC CLINIC VISIT COMPLEX EST -25,510,1 ,$256.96 ,$192.72 ,$38.23 ,$256.96 ,$165.48 , N/A ,$179.87 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$244.11 , N/A ,$205.57 ,$233.83 ,$38.23 ,$241.54 ,$244.11 ,$231.26 ,$218.42 ,$38.23 ,$38.23 ,$38.23 ,$187.58 , N/A ,$228.69 ,$231.26 ,$231.26 ,$205.57 , N/A ,$141.33 ,$231.26 , N/A ,$231.26 , N/A ,$244.11 , N/A ,$236.40 ,$40.52 ,$233.83 , N/A ,$158.13 ,$165.48 ,$158.13 ,$231.26 ,$231.26 ,$191.77 ,$178.97 , N/A ,$40.14 ,$240.26 , N/A ,$38.23 ,$223.56 , N/A ,$231.26 , N/A ,$231.26 ,$231.26 ,$231.26 ,$249.25 ,$208.14 ,$231.26 ,$231.26 ,$231.26 ,$231.26 
ST. JOSEPH'S - CHIPPEWA FALLS,51000472,99215,HC CLINIC VISIT COMPREH EST -25,510,1 ,$392.92 ,$294.69 ,$38.23 ,$392.92 ,$253.04 , N/A ,$275.04 ,$38.23 ,$162.00 ,$39.38 ,$128.00 ,$373.27 , N/A ,$314.34 ,$357.56 ,$38.23 ,$369.34 ,$373.27 ,$353.63 ,$333.98 ,$38.23 ,$38.23 ,$38.23 ,$286.83 , N/A ,$349.70 ,$353.63 ,$353.63 ,$314.34 , N/A ,$216.11 ,$353.63 , N/A ,$353.63 , N/A ,$373.27 , N/A ,$361.49 ,$40.52 ,$357.56 , N/A ,$241.80 ,$253.04 ,$241.80 ,$353.63 ,$353.63 ,$293.24 ,$273.67 , N/A ,$40.14 ,$367.38 , N/A ,$38.23 ,$341.84 , N/A ,$353.63 , N/A ,$353.63 ,$353.63 ,$353.63 ,$381.13 ,$318.27 ,$353.63 ,$353.63 ,$353.63 ,$353.63 
ST. JOSEPH'S - CHIPPEWA FALLS,51000478,11042,HC DEBR SKIN/SUBQ TISS INIT W/PROC 20CM,510,1 ,"$1,635.00 ","$1,226.25 ",$118.09 ,"$1,635.00 ","$1,052.94 ",$356.69 ,"$1,144.50 ",$118.09 ,$162.00 ,$121.63 ,$128.00 ,"$1,553.25 ", N/A ,"$1,308.00 ","$1,487.85 ",$118.09 ,"$1,536.90 ","$1,553.25 ","$1,471.50 ","$1,389.75 ",$118.09 ,$118.09 ,$118.09 ,"$1,193.55 ",$356.69 ,"$1,455.15 ","$1,471.50 ","$1,471.50 ","$1,308.00 ",$367.39 ,$899.25 ,"$1,471.50 ",$356.69 ,"$1,471.50 ",$356.69 ,"$1,553.25 ",$802.54 ,"$1,504.20 ",$125.18 ,"$1,487.85 ",$356.69 ,"$1,006.18 ","$1,052.94 ","$1,006.18 ","$1,471.50 ","$1,471.50 ","$1,220.20 ","$1,138.78 ",$360.25 ,$123.99 ,"$1,528.73 ",$374.52 ,$118.09 ,"$1,422.45 ",$356.69 ,"$1,471.50 ",$356.69 ,"$1,471.50 ","$1,471.50 ","$1,471.50 ","$1,585.95 ","$1,324.35 ","$1,471.50 ","$1,471.50 ","$1,471.50 ","$1,471.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,51070001,98960,HC EDUCATION SELF MGNT NON PHY HLTCARE PROF,510,1 ,$79.00 ,$59.25 ,$20.62 ,$79.00 ,$50.88 , N/A ,$55.30 ,$20.62 ,$79.00 ,$21.24 ,$79.00 ,$75.05 , N/A ,$63.20 ,$71.89 ,$20.62 ,$74.26 ,$75.05 ,$71.10 ,$67.15 ,$20.62 ,$20.62 ,$20.62 ,$57.67 , N/A ,$70.31 ,$71.10 ,$71.10 ,$63.20 , N/A ,$43.45 ,$71.10 , N/A ,$71.10 , N/A ,$75.05 , N/A ,$72.68 ,$21.86 ,$71.89 , N/A ,$48.62 ,$50.88 ,$48.62 ,$71.10 ,$71.10 ,$58.96 ,$55.02 , N/A ,$21.65 ,$73.87 , N/A ,$20.62 ,$68.73 , N/A ,$71.10 , N/A ,$71.10 ,$71.10 ,$71.10 ,$76.63 ,$63.99 ,$71.10 ,$71.10 ,$71.10 ,$71.10 
ST. JOSEPH'S - CHIPPEWA FALLS,55190011,99601,HH COMPLEX SVS HOME INFUSION/VIST 2 HOURS,551,1 ,$213.00 ,$159.75 ,$40.45 ,$213.00 ,$137.17 , N/A ,$149.10 , N/A ,$176.79 , N/A ,$140.58 ,$202.35 , N/A ,$170.40 ,$193.83 , N/A ,$200.22 ,$202.35 ,$191.70 ,$181.05 , N/A , N/A , N/A ,$155.49 , N/A ,$189.57 ,$191.70 ,$191.70 ,$170.40 , N/A ,$117.15 ,$191.70 , N/A ,$191.70 , N/A ,$202.35 , N/A ,$195.96 ,$42.88 ,$193.83 , N/A ,$131.08 ,$137.17 ,$131.08 ,$191.70 ,$191.70 ,$158.96 ,$148.35 , N/A , N/A ,$199.16 , N/A ,$40.45 ,$185.31 , N/A ,$191.70 , N/A ,$191.70 ,$191.70 ,$191.70 ,$206.61 ,$172.53 ,$191.70 ,$191.70 ,$191.70 ,$191.70 
ST. JOSEPH'S - CHIPPEWA FALLS,55190012,99602,HH COMPLEX SVS HOME INFUSION EACH ADDTL HR,551,1 ,$107.00 ,$80.25 ,$40.45 ,$107.00 ,$68.91 , N/A ,$74.90 , N/A ,$88.81 , N/A ,$70.62 ,$101.65 , N/A ,$85.60 ,$97.37 , N/A ,$100.58 ,$101.65 ,$96.30 ,$90.95 , N/A , N/A , N/A ,$78.11 , N/A ,$95.23 ,$96.30 ,$96.30 ,$85.60 , N/A ,$58.85 ,$96.30 , N/A ,$96.30 , N/A ,$101.65 , N/A ,$98.44 ,$42.88 ,$97.37 , N/A ,$65.85 ,$68.91 ,$65.85 ,$96.30 ,$96.30 ,$79.85 ,$74.53 , N/A , N/A ,$100.05 , N/A ,$40.45 ,$93.09 , N/A ,$96.30 , N/A ,$96.30 ,$96.30 ,$96.30 ,$103.79 ,$86.67 ,$96.30 ,$96.30 ,$96.30 ,$96.30 
ST. JOSEPH'S - CHIPPEWA FALLS,55190013,99601,HH COMPLEX SVS HOME INFUSION/VIST SPECIALIZED CHEMO/IG 2 HOURS,551,1 ,$213.00 ,$159.75 ,$40.45 ,$213.00 ,$137.17 , N/A ,$149.10 , N/A ,$176.79 , N/A ,$140.58 ,$202.35 , N/A ,$170.40 ,$193.83 , N/A ,$200.22 ,$202.35 ,$191.70 ,$181.05 , N/A , N/A , N/A ,$155.49 , N/A ,$189.57 ,$191.70 ,$191.70 ,$170.40 , N/A ,$117.15 ,$191.70 , N/A ,$191.70 , N/A ,$202.35 , N/A ,$195.96 ,$42.88 ,$193.83 , N/A ,$131.08 ,$137.17 ,$131.08 ,$191.70 ,$191.70 ,$158.96 ,$148.35 , N/A , N/A ,$199.16 , N/A ,$40.45 ,$185.31 , N/A ,$191.70 , N/A ,$191.70 ,$191.70 ,$191.70 ,$206.61 ,$172.53 ,$191.70 ,$191.70 ,$191.70 ,$191.70 
ST. JOSEPH'S - CHIPPEWA FALLS,55190014,99602,HH COMPLEX SVS HOME INFUSION SPECIALIZED CHEMO/IG EACH ADDTL HR,551,1 ,$107.00 ,$80.25 ,$40.45 ,$107.00 ,$68.91 , N/A ,$74.90 , N/A ,$88.81 , N/A ,$70.62 ,$101.65 , N/A ,$85.60 ,$97.37 , N/A ,$100.58 ,$101.65 ,$96.30 ,$90.95 , N/A , N/A , N/A ,$78.11 , N/A ,$95.23 ,$96.30 ,$96.30 ,$85.60 , N/A ,$58.85 ,$96.30 , N/A ,$96.30 , N/A ,$101.65 , N/A ,$98.44 ,$42.88 ,$97.37 , N/A ,$65.85 ,$68.91 ,$65.85 ,$96.30 ,$96.30 ,$79.85 ,$74.53 , N/A , N/A ,$100.05 , N/A ,$40.45 ,$93.09 , N/A ,$96.30 , N/A ,$96.30 ,$96.30 ,$96.30 ,$103.79 ,$86.67 ,$96.30 ,$96.30 ,$96.30 ,$96.30 
ST. JOSEPH'S - CHIPPEWA FALLS,61000000,70543,HC MRI ORBIT/FACE/NECK W AND W/O CON,610,1 ,"$6,473.00 ","$4,854.75 ",$140.15 ,"$6,473.00 ","$4,168.61 ",$380.02 ,"$4,531.10 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$6,149.35 ", N/A ,"$5,178.40 ","$5,890.43 ",$140.15 ,"$6,084.62 ","$6,149.35 ","$5,825.70 ","$5,502.05 ",$140.15 ,$140.15 ,$140.15 ,"$4,725.29 ",$380.02 ,"$5,760.97 ","$5,825.70 ","$5,825.70 ","$5,178.40 ",$391.42 ,"$3,560.15 ","$5,825.70 ",$380.02 ,"$5,825.70 ",$380.02 ,"$6,149.35 ",$855.04 ,"$5,955.16 ",$148.56 ,"$5,890.43 ",$380.02 ,"$3,983.48 ","$4,168.61 ","$3,983.48 ","$5,825.70 ","$2,455.46 ","$4,830.80 ","$2,143.69 ",$383.82 ,$147.16 ,"$6,052.26 ",$399.02 ,$140.15 ,"$5,631.51 ",$380.02 ,"$5,825.70 ",$380.02 ,"$5,825.70 ","$5,825.70 ","$5,825.70 ","$6,278.81 ","$5,243.13 ","$5,825.70 ","$5,825.70 ","$5,825.70 ","$5,825.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000001,70544,HC MRA HEAD W/O CONTRAST,610,1 ,"$3,692.00 ","$2,769.00 ",$156.81 ,"$3,692.00 ","$2,377.65 ",$237.45 ,"$2,584.40 ",$156.81 ,"$2,680.00 ",$161.51 ,"$2,143.00 ","$3,507.40 ", N/A ,"$2,953.60 ","$3,359.72 ",$156.81 ,"$3,470.48 ","$3,507.40 ","$3,322.80 ","$3,138.20 ",$156.81 ,$156.81 ,$156.81 ,"$2,695.16 ",$237.45 ,"$3,285.88 ","$3,322.80 ","$3,322.80 ","$2,953.60 ",$244.58 ,"$2,030.60 ","$3,322.80 ",$237.45 ,"$3,322.80 ",$237.45 ,"$3,507.40 ",$534.27 ,"$3,396.64 ",$166.22 ,"$3,359.72 ",$237.45 ,"$2,272.06 ","$2,377.65 ","$2,272.06 ","$3,322.80 ","$1,122.87 ","$2,755.34 ","$2,143.69 ",$239.83 ,$164.65 ,"$3,452.02 ",$249.32 ,$156.81 ,"$3,212.04 ",$237.45 ,"$3,322.80 ",$237.45 ,"$3,322.80 ","$3,322.80 ","$3,322.80 ","$3,581.24 ","$2,990.52 ","$3,322.80 ","$3,322.80 ","$3,322.80 ","$3,322.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000002,70545,HC MRA HEAD W/CONTRAST,610,1 ,"$4,350.00 ","$3,262.50 ",$156.81 ,"$4,350.00 ","$2,801.40 ",$380.02 ,"$3,045.00 ",$156.81 ,"$2,680.00 ",$161.51 ,"$2,143.00 ","$4,132.50 ", N/A ,"$3,480.00 ","$3,958.50 ",$156.81 ,"$4,089.00 ","$4,132.50 ","$3,915.00 ","$3,697.50 ",$156.81 ,$156.81 ,$156.81 ,"$3,175.50 ",$380.02 ,"$3,871.50 ","$3,915.00 ","$3,915.00 ","$3,480.00 ",$391.42 ,"$2,392.50 ","$3,915.00 ",$380.02 ,"$3,915.00 ",$380.02 ,"$4,132.50 ",$855.04 ,"$4,002.00 ",$166.22 ,"$3,958.50 ",$380.02 ,"$2,676.99 ","$2,801.40 ","$2,676.99 ","$3,915.00 ","$1,122.87 ","$3,246.41 ","$2,143.69 ",$383.82 ,$164.65 ,"$4,067.25 ",$399.02 ,$156.81 ,"$3,784.50 ",$380.02 ,"$3,915.00 ",$380.02 ,"$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,219.50 ","$3,523.50 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000003,70546,HC MRA HEAD W AND W/O CONTRAST,610,1 ,"$4,562.00 ","$3,421.50 ",$156.81 ,"$4,562.00 ","$2,937.93 ",$380.02 ,"$3,193.40 ",$156.81 ,"$2,680.00 ",$161.51 ,"$2,143.00 ","$4,333.90 ", N/A ,"$3,649.60 ","$4,151.42 ",$156.81 ,"$4,288.28 ","$4,333.90 ","$4,105.80 ","$3,877.70 ",$156.81 ,$156.81 ,$156.81 ,"$3,330.26 ",$380.02 ,"$4,060.18 ","$4,105.80 ","$4,105.80 ","$3,649.60 ",$391.42 ,"$2,509.10 ","$4,105.80 ",$380.02 ,"$4,105.80 ",$380.02 ,"$4,333.90 ",$855.04 ,"$4,197.04 ",$166.22 ,"$4,151.42 ",$380.02 ,"$2,807.45 ","$2,937.93 ","$2,807.45 ","$4,105.80 ","$2,197.45 ","$3,404.62 ","$2,143.69 ",$383.82 ,$164.65 ,"$4,265.47 ",$399.02 ,$156.81 ,"$3,968.94 ",$380.02 ,"$4,105.80 ",$380.02 ,"$4,105.80 ","$4,105.80 ","$4,105.80 ","$4,425.14 ","$3,695.22 ","$4,105.80 ","$4,105.80 ","$4,105.80 ","$4,105.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000005,70547,HC MRA NECK W/O CONTRAST,610,1 ,"$2,156.00 ","$1,617.00 ",$156.81 ,"$2,156.00 ","$1,388.46 ",$237.45 ,"$1,509.20 ",$156.81 ,"$2,156.00 ",$161.51 ,"$2,143.00 ","$2,048.20 ", N/A ,"$1,724.80 ","$1,961.96 ",$156.81 ,"$2,026.64 ","$2,048.20 ","$1,940.40 ","$1,832.60 ",$156.81 ,$156.81 ,$156.81 ,"$1,573.88 ",$237.45 ,"$1,918.84 ","$1,940.40 ","$1,940.40 ","$1,724.80 ",$244.58 ,"$1,185.80 ","$1,940.40 ",$237.45 ,"$1,940.40 ",$237.45 ,"$2,048.20 ",$534.27 ,"$1,983.52 ",$166.22 ,"$1,961.96 ",$237.45 ,"$1,326.80 ","$1,388.46 ","$1,326.80 ","$1,940.40 ","$1,122.87 ","$1,609.02 ","$1,940.40 ",$239.83 ,$164.65 ,"$2,015.86 ",$249.32 ,$156.81 ,"$1,875.72 ",$237.45 ,"$1,940.40 ",$237.45 ,"$1,940.40 ","$1,940.40 ","$1,940.40 ","$2,091.32 ","$1,746.36 ","$1,940.40 ","$1,940.40 ","$1,940.40 ","$1,940.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000006,70548,HC MRA NECK W/CONTRAST,610,1 ,"$2,673.00 ","$2,004.75 ",$156.81 ,"$2,673.00 ","$1,721.41 ",$380.02 ,"$1,871.10 ",$156.81 ,"$2,673.00 ",$161.51 ,"$2,143.00 ","$2,539.35 ", N/A ,"$2,138.40 ","$2,432.43 ",$156.81 ,"$2,512.62 ","$2,539.35 ","$2,405.70 ","$2,272.05 ",$156.81 ,$156.81 ,$156.81 ,"$1,951.29 ",$380.02 ,"$2,378.97 ","$2,405.70 ","$2,405.70 ","$2,138.40 ",$391.42 ,"$1,470.15 ","$2,405.70 ",$380.02 ,"$2,405.70 ",$380.02 ,"$2,539.35 ",$855.04 ,"$2,459.16 ",$166.22 ,"$2,432.43 ",$380.02 ,"$1,644.96 ","$1,721.41 ","$1,644.96 ","$2,405.70 ","$1,122.87 ","$1,994.86 ","$2,143.69 ",$383.82 ,$164.65 ,"$2,499.26 ",$399.02 ,$156.81 ,"$2,325.51 ",$380.02 ,"$2,405.70 ",$380.02 ,"$2,405.70 ","$2,405.70 ","$2,405.70 ","$2,592.81 ","$2,165.13 ","$2,405.70 ","$2,405.70 ","$2,405.70 ","$2,405.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000007,70549,HC MRA NECK W AND W/O CONTRAST,610,1 ,"$6,143.00 ","$4,607.25 ",$156.81 ,"$6,143.00 ","$3,956.09 ",$380.02 ,"$4,300.10 ",$156.81 ,"$2,680.00 ",$161.51 ,"$2,143.00 ","$5,835.85 ", N/A ,"$4,914.40 ","$5,590.13 ",$156.81 ,"$5,774.42 ","$5,835.85 ","$5,528.70 ","$5,221.55 ",$156.81 ,$156.81 ,$156.81 ,"$4,484.39 ",$380.02 ,"$5,467.27 ","$5,528.70 ","$5,528.70 ","$4,914.40 ",$391.42 ,"$3,378.65 ","$5,528.70 ",$380.02 ,"$5,528.70 ",$380.02 ,"$5,835.85 ",$855.04 ,"$5,651.56 ",$166.22 ,"$5,590.13 ",$380.02 ,"$3,780.40 ","$3,956.09 ","$3,780.40 ","$5,528.70 ","$2,197.45 ","$4,584.52 ","$2,143.69 ",$383.82 ,$164.65 ,"$5,743.71 ",$399.02 ,$156.81 ,"$5,344.41 ",$380.02 ,"$5,528.70 ",$380.02 ,"$5,528.70 ","$5,528.70 ","$5,528.70 ","$5,958.71 ","$4,975.83 ","$5,528.70 ","$5,528.70 ","$5,528.70 ","$5,528.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000008,70551,HC MRI BRAIN W/O CONTRAST,610,1 ,"$5,157.00 ","$3,867.75 ",$79.99 ,"$5,157.00 ","$3,321.11 ",$237.45 ,"$3,609.90 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$4,899.15 ", N/A ,"$4,125.60 ","$4,692.87 ",$79.99 ,"$4,847.58 ","$4,899.15 ","$4,641.30 ","$4,383.45 ",$79.99 ,$79.99 ,$79.99 ,"$3,764.61 ",$237.45 ,"$4,589.73 ","$4,641.30 ","$4,641.30 ","$4,125.60 ",$244.58 ,"$2,836.35 ","$4,641.30 ",$237.45 ,"$4,641.30 ",$237.45 ,"$4,899.15 ",$534.27 ,"$4,744.44 ",$84.79 ,"$4,692.87 ",$237.45 ,"$3,173.62 ","$3,321.11 ","$3,173.62 ","$4,641.30 ","$2,046.99 ","$3,848.67 ","$2,143.69 ",$239.83 ,$83.99 ,"$4,821.80 ",$249.32 ,$79.99 ,"$4,486.59 ",$237.45 ,"$4,641.30 ",$237.45 ,"$4,641.30 ","$4,641.30 ","$4,641.30 ","$5,002.29 ","$4,177.17 ","$4,641.30 ","$4,641.30 ","$4,641.30 ","$4,641.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000009,70552,HC MRI BRAIN W/CON,610,1 ,"$5,526.00 ","$4,144.50 ",$140.15 ,"$5,526.00 ","$3,558.74 ",$380.02 ,"$3,868.20 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$5,249.70 ", N/A ,"$4,420.80 ","$5,028.66 ",$140.15 ,"$5,194.44 ","$5,249.70 ","$4,973.40 ","$4,697.10 ",$140.15 ,$140.15 ,$140.15 ,"$4,033.98 ",$380.02 ,"$4,918.14 ","$4,973.40 ","$4,973.40 ","$4,420.80 ",$391.42 ,"$3,039.30 ","$4,973.40 ",$380.02 ,"$4,973.40 ",$380.02 ,"$5,249.70 ",$855.04 ,"$5,083.92 ",$148.56 ,"$5,028.66 ",$380.02 ,"$3,400.70 ","$3,558.74 ","$3,400.70 ","$4,973.40 ","$2,481.72 ","$4,124.05 ","$2,143.69 ",$383.82 ,$147.16 ,"$5,166.81 ",$399.02 ,$140.15 ,"$4,807.62 ",$380.02 ,"$4,973.40 ",$380.02 ,"$4,973.40 ","$4,973.40 ","$4,973.40 ","$5,360.22 ","$4,476.06 ","$4,973.40 ","$4,973.40 ","$4,973.40 ","$4,973.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000010,70553,HC MRI BRAIN W AND W/O CONTRAST,610,1 ,"$5,384.00 ","$4,038.00 ",$140.15 ,"$5,384.00 ","$3,467.30 ",$380.02 ,"$3,768.80 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$5,114.80 ", N/A ,"$4,307.20 ","$4,899.44 ",$140.15 ,"$5,060.96 ","$5,114.80 ","$4,845.60 ","$4,576.40 ",$140.15 ,$140.15 ,$140.15 ,"$3,930.32 ",$380.02 ,"$4,791.76 ","$4,845.60 ","$4,845.60 ","$4,307.20 ",$391.42 ,"$2,961.20 ","$4,845.60 ",$380.02 ,"$4,845.60 ",$380.02 ,"$5,114.80 ",$855.04 ,"$4,953.28 ",$148.56 ,"$4,899.44 ",$380.02 ,"$3,313.31 ","$3,467.30 ","$3,313.31 ","$4,845.60 ","$2,870.23 ","$4,018.08 ","$2,143.69 ",$383.82 ,$147.16 ,"$5,034.04 ",$399.02 ,$140.15 ,"$4,684.08 ",$380.02 ,"$4,845.60 ",$380.02 ,"$4,845.60 ","$4,845.60 ","$4,845.60 ","$5,222.48 ","$4,361.04 ","$4,845.60 ","$4,845.60 ","$4,845.60 ","$4,845.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000011,72141,HC MRI C-SPINE W/O CONTRAST,610,1 ,"$3,405.00 ","$2,553.75 ",$79.99 ,"$3,405.00 ","$2,192.82 ",$237.45 ,"$2,383.50 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$3,234.75 ", N/A ,"$2,724.00 ","$3,098.55 ",$79.99 ,"$3,200.70 ","$3,234.75 ","$3,064.50 ","$2,894.25 ",$79.99 ,$79.99 ,$79.99 ,"$2,485.65 ",$237.45 ,"$3,030.45 ","$3,064.50 ","$3,064.50 ","$2,724.00 ",$244.58 ,"$1,872.75 ","$3,064.50 ",$237.45 ,"$3,064.50 ",$237.45 ,"$3,234.75 ",$534.27 ,"$3,132.60 ",$84.79 ,"$3,098.55 ",$237.45 ,"$2,095.44 ","$2,192.82 ","$2,095.44 ","$3,064.50 ","$2,051.16 ","$2,541.15 ","$2,143.69 ",$239.83 ,$83.99 ,"$3,183.68 ",$249.32 ,$79.99 ,"$2,962.35 ",$237.45 ,"$3,064.50 ",$237.45 ,"$3,064.50 ","$3,064.50 ","$3,064.50 ","$3,302.85 ","$2,758.05 ","$3,064.50 ","$3,064.50 ","$3,064.50 ","$3,064.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000012,72142,HC MRI C-SPINE W/CON,610,1 ,"$4,222.00 ","$3,166.50 ",$140.15 ,"$4,222.00 ","$2,718.97 ",$380.02 ,"$2,955.40 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,010.90 ", N/A ,"$3,377.60 ","$3,842.02 ",$140.15 ,"$3,968.68 ","$4,010.90 ","$3,799.80 ","$3,588.70 ",$140.15 ,$140.15 ,$140.15 ,"$3,082.06 ",$380.02 ,"$3,757.58 ","$3,799.80 ","$3,799.80 ","$3,377.60 ",$391.42 ,"$2,322.10 ","$3,799.80 ",$380.02 ,"$3,799.80 ",$380.02 ,"$4,010.90 ",$855.04 ,"$3,884.24 ",$148.56 ,"$3,842.02 ",$380.02 ,"$2,598.22 ","$2,718.97 ","$2,598.22 ","$3,799.80 ","$1,882.91 ","$3,150.88 ","$2,143.69 ",$383.82 ,$147.16 ,"$3,947.57 ",$399.02 ,$140.15 ,"$3,673.14 ",$380.02 ,"$3,799.80 ",$380.02 ,"$3,799.80 ","$3,799.80 ","$3,799.80 ","$4,095.34 ","$3,419.82 ","$3,799.80 ","$3,799.80 ","$3,799.80 ","$3,799.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000013,72146,HC MRI T-SPINE W/O CONTRAST,610,1 ,"$4,140.00 ","$3,105.00 ",$79.99 ,"$4,140.00 ","$2,666.16 ",$237.45 ,"$2,898.00 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$3,933.00 ", N/A ,"$3,312.00 ","$3,767.40 ",$79.99 ,"$3,891.60 ","$3,933.00 ","$3,726.00 ","$3,519.00 ",$79.99 ,$79.99 ,$79.99 ,"$3,022.20 ",$237.45 ,"$3,684.60 ","$3,726.00 ","$3,726.00 ","$3,312.00 ",$244.58 ,"$2,277.00 ","$3,726.00 ",$237.45 ,"$3,726.00 ",$237.45 ,"$3,933.00 ",$534.27 ,"$3,808.80 ",$84.79 ,"$3,767.40 ",$237.45 ,"$2,547.76 ","$2,666.16 ","$2,547.76 ","$3,726.00 ","$2,035.41 ","$3,089.68 ","$2,143.69 ",$239.83 ,$83.99 ,"$3,870.90 ",$249.32 ,$79.99 ,"$3,601.80 ",$237.45 ,"$3,726.00 ",$237.45 ,"$3,726.00 ","$3,726.00 ","$3,726.00 ","$4,015.80 ","$3,353.40 ","$3,726.00 ","$3,726.00 ","$3,726.00 ","$3,726.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000014,72147,HC MRI T-SPINE W/CON,610,1 ,"$4,110.00 ","$3,082.50 ",$140.15 ,"$4,110.00 ","$2,646.84 ",$380.02 ,"$2,877.00 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$3,904.50 ", N/A ,"$3,288.00 ","$3,740.10 ",$140.15 ,"$3,863.40 ","$3,904.50 ","$3,699.00 ","$3,493.50 ",$140.15 ,$140.15 ,$140.15 ,"$3,000.30 ",$380.02 ,"$3,657.90 ","$3,699.00 ","$3,699.00 ","$3,288.00 ",$391.42 ,"$2,260.50 ","$3,699.00 ",$380.02 ,"$3,699.00 ",$380.02 ,"$3,904.50 ",$855.04 ,"$3,781.20 ",$148.56 ,"$3,740.10 ",$380.02 ,"$2,529.29 ","$2,646.84 ","$2,529.29 ","$3,699.00 ","$1,882.91 ","$3,067.29 ","$2,143.69 ",$383.82 ,$147.16 ,"$3,842.85 ",$399.02 ,$140.15 ,"$3,575.70 ",$380.02 ,"$3,699.00 ",$380.02 ,"$3,699.00 ","$3,699.00 ","$3,699.00 ","$3,986.70 ","$3,329.10 ","$3,699.00 ","$3,699.00 ","$3,699.00 ","$3,699.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000016,72148,HC MRI L-SPINE W/O CONTRAST,610,1 ,"$3,151.00 ","$2,363.25 ",$79.99 ,"$3,151.00 ","$2,029.24 ",$237.45 ,"$2,205.70 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$2,993.45 ", N/A ,"$2,520.80 ","$2,867.41 ",$79.99 ,"$2,961.94 ","$2,993.45 ","$2,835.90 ","$2,678.35 ",$79.99 ,$79.99 ,$79.99 ,"$2,300.23 ",$237.45 ,"$2,804.39 ","$2,835.90 ","$2,835.90 ","$2,520.80 ",$244.58 ,"$1,733.05 ","$2,835.90 ",$237.45 ,"$2,835.90 ",$237.45 ,"$2,993.45 ",$534.27 ,"$2,898.92 ",$84.79 ,"$2,867.41 ",$237.45 ,"$1,939.13 ","$2,029.24 ","$1,939.13 ","$2,835.90 ","$2,061.43 ","$2,351.59 ","$2,143.69 ",$239.83 ,$83.99 ,"$2,946.19 ",$249.32 ,$79.99 ,"$2,741.37 ",$237.45 ,"$2,835.90 ",$237.45 ,"$2,835.90 ","$2,835.90 ","$2,835.90 ","$3,056.47 ","$2,552.31 ","$2,835.90 ","$2,835.90 ","$2,835.90 ","$2,835.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000017,72149,HC MRI L-SPINE W/CON,610,1 ,"$3,987.00 ","$2,990.25 ",$140.15 ,"$3,987.00 ","$2,567.63 ",$380.02 ,"$2,790.90 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$3,787.65 ", N/A ,"$3,189.60 ","$3,628.17 ",$140.15 ,"$3,747.78 ","$3,787.65 ","$3,588.30 ","$3,388.95 ",$140.15 ,$140.15 ,$140.15 ,"$2,910.51 ",$380.02 ,"$3,548.43 ","$3,588.30 ","$3,588.30 ","$3,189.60 ",$391.42 ,"$2,192.85 ","$3,588.30 ",$380.02 ,"$3,588.30 ",$380.02 ,"$3,787.65 ",$855.04 ,"$3,668.04 ",$148.56 ,"$3,628.17 ",$380.02 ,"$2,453.60 ","$2,567.63 ","$2,453.60 ","$3,588.30 ","$2,428.60 ","$2,975.50 ","$2,143.69 ",$383.82 ,$147.16 ,"$3,727.85 ",$399.02 ,$140.15 ,"$3,468.69 ",$380.02 ,"$3,588.30 ",$380.02 ,"$3,588.30 ","$3,588.30 ","$3,588.30 ","$3,867.39 ","$3,229.47 ","$3,588.30 ","$3,588.30 ","$3,588.30 ","$3,588.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000018,72156,HC MRI C-SPINE W AND W/O CON,610,1 ,"$5,411.00 ","$4,058.25 ",$140.15 ,"$5,411.00 ","$3,484.68 ",$380.02 ,"$3,787.70 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$5,140.45 ", N/A ,"$4,328.80 ","$4,924.01 ",$140.15 ,"$5,086.34 ","$5,140.45 ","$4,869.90 ","$4,599.35 ",$140.15 ,$140.15 ,$140.15 ,"$3,950.03 ",$380.02 ,"$4,815.79 ","$4,869.90 ","$4,869.90 ","$4,328.80 ",$391.42 ,"$2,976.05 ","$4,869.90 ",$380.02 ,"$4,869.90 ",$380.02 ,"$5,140.45 ",$855.04 ,"$4,978.12 ",$148.56 ,"$4,924.01 ",$380.02 ,"$3,329.93 ","$3,484.68 ","$3,329.93 ","$4,869.90 ","$2,581.91 ","$4,038.23 ","$2,143.69 ",$383.82 ,$147.16 ,"$5,059.29 ",$399.02 ,$140.15 ,"$4,707.57 ",$380.02 ,"$4,869.90 ",$380.02 ,"$4,869.90 ","$4,869.90 ","$4,869.90 ","$5,248.67 ","$4,382.91 ","$4,869.90 ","$4,869.90 ","$4,869.90 ","$4,869.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000019,72157,HC MRI T-SPINE W AND W/O CON,610,1 ,"$4,450.00 ","$3,337.50 ",$140.15 ,"$4,450.00 ","$2,865.80 ",$380.02 ,"$3,115.00 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,227.50 ", N/A ,"$3,560.00 ","$4,049.50 ",$140.15 ,"$4,183.00 ","$4,227.50 ","$4,005.00 ","$3,782.50 ",$140.15 ,$140.15 ,$140.15 ,"$3,248.50 ",$380.02 ,"$3,960.50 ","$4,005.00 ","$4,005.00 ","$3,560.00 ",$391.42 ,"$2,447.50 ","$4,005.00 ",$380.02 ,"$4,005.00 ",$380.02 ,"$4,227.50 ",$855.04 ,"$4,094.00 ",$148.56 ,"$4,049.50 ",$380.02 ,"$2,738.53 ","$2,865.80 ","$2,738.53 ","$4,005.00 ","$2,581.91 ","$3,321.04 ","$2,143.69 ",$383.82 ,$147.16 ,"$4,160.75 ",$399.02 ,$140.15 ,"$3,871.50 ",$380.02 ,"$4,005.00 ",$380.02 ,"$4,005.00 ","$4,005.00 ","$4,005.00 ","$4,316.50 ","$3,604.50 ","$4,005.00 ","$4,005.00 ","$4,005.00 ","$4,005.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000020,72158,HC MRI L-SPINE W AND W/O CON,610,1 ,"$5,879.00 ","$4,409.25 ",$140.15 ,"$5,879.00 ","$3,786.08 ",$380.02 ,"$4,115.30 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$5,585.05 ", N/A ,"$4,703.20 ","$5,349.89 ",$140.15 ,"$5,526.26 ","$5,585.05 ","$5,291.10 ","$4,997.15 ",$140.15 ,$140.15 ,$140.15 ,"$4,291.67 ",$380.02 ,"$5,232.31 ","$5,291.10 ","$5,291.10 ","$4,703.20 ",$391.42 ,"$3,233.45 ","$5,291.10 ",$380.02 ,"$5,291.10 ",$380.02 ,"$5,585.05 ",$855.04 ,"$5,408.68 ",$148.56 ,"$5,349.89 ",$380.02 ,"$3,617.94 ","$3,786.08 ","$3,617.94 ","$5,291.10 ","$2,608.80 ","$4,387.50 ","$2,143.69 ",$383.82 ,$147.16 ,"$5,496.87 ",$399.02 ,$140.15 ,"$5,114.73 ",$380.02 ,"$5,291.10 ",$380.02 ,"$5,291.10 ","$5,291.10 ","$5,291.10 ","$5,702.63 ","$4,761.99 ","$5,291.10 ","$5,291.10 ","$5,291.10 ","$5,291.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000021,72195,HC MRI PELVIS W/O CON,610,1 ,"$3,307.00 ","$2,480.25 ",$79.99 ,"$3,307.00 ","$2,129.71 ",$237.45 ,"$2,314.90 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$3,141.65 ", N/A ,"$2,645.60 ","$3,009.37 ",$79.99 ,"$3,108.58 ","$3,141.65 ","$2,976.30 ","$2,810.95 ",$79.99 ,$79.99 ,$79.99 ,"$2,414.11 ",$237.45 ,"$2,943.23 ","$2,976.30 ","$2,976.30 ","$2,645.60 ",$244.58 ,"$1,818.85 ","$2,976.30 ",$237.45 ,"$2,976.30 ",$237.45 ,"$3,141.65 ",$534.27 ,"$3,042.44 ",$84.79 ,"$3,009.37 ",$237.45 ,"$2,035.13 ","$2,129.71 ","$2,035.13 ","$2,976.30 ","$1,111.27 ","$2,468.01 ","$2,143.69 ",$239.83 ,$83.99 ,"$3,092.05 ",$249.32 ,$79.99 ,"$2,877.09 ",$237.45 ,"$2,976.30 ",$237.45 ,"$2,976.30 ","$2,976.30 ","$2,976.30 ","$3,207.79 ","$2,678.67 ","$2,976.30 ","$2,976.30 ","$2,976.30 ","$2,976.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000022,72196,HC MRI PELVIS W/CON,610,1 ,"$3,468.00 ","$2,601.00 ",$140.15 ,"$3,468.00 ","$2,233.39 ",$380.02 ,"$2,427.60 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$3,294.60 ", N/A ,"$2,774.40 ","$3,155.88 ",$140.15 ,"$3,259.92 ","$3,294.60 ","$3,121.20 ","$2,947.80 ",$140.15 ,$140.15 ,$140.15 ,"$2,531.64 ",$380.02 ,"$3,086.52 ","$3,121.20 ","$3,121.20 ","$2,774.40 ",$391.42 ,"$1,907.40 ","$3,121.20 ",$380.02 ,"$3,121.20 ",$380.02 ,"$3,294.60 ",$855.04 ,"$3,190.56 ",$148.56 ,"$3,155.88 ",$380.02 ,"$2,134.21 ","$2,233.39 ","$2,134.21 ","$3,121.20 ","$1,928.34 ","$2,588.17 ","$2,143.69 ",$383.82 ,$147.16 ,"$3,242.58 ",$399.02 ,$140.15 ,"$3,017.16 ",$380.02 ,"$3,121.20 ",$380.02 ,"$3,121.20 ","$3,121.20 ","$3,121.20 ","$3,363.96 ","$2,809.08 ","$3,121.20 ","$3,121.20 ","$3,121.20 ","$3,121.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000023,72197,HC MRI PELVIS W AND W/O CON,610,1 ,"$4,555.00 ","$3,416.25 ",$140.15 ,"$4,555.00 ","$2,933.42 ",$380.02 ,"$3,188.50 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,327.25 ", N/A ,"$3,644.00 ","$4,145.05 ",$140.15 ,"$4,281.70 ","$4,327.25 ","$4,099.50 ","$3,871.75 ",$140.15 ,$140.15 ,$140.15 ,"$3,325.15 ",$380.02 ,"$4,053.95 ","$4,099.50 ","$4,099.50 ","$3,644.00 ",$391.42 ,"$2,505.25 ","$4,099.50 ",$380.02 ,"$4,099.50 ",$380.02 ,"$4,327.25 ",$855.04 ,"$4,190.60 ",$148.56 ,"$4,145.05 ",$380.02 ,"$2,803.15 ","$2,933.42 ","$2,803.15 ","$4,099.50 ","$2,461.24 ","$3,399.40 ","$2,143.69 ",$383.82 ,$147.16 ,"$4,258.93 ",$399.02 ,$140.15 ,"$3,962.85 ",$380.02 ,"$4,099.50 ",$380.02 ,"$4,099.50 ","$4,099.50 ","$4,099.50 ","$4,418.35 ","$3,689.55 ","$4,099.50 ","$4,099.50 ","$4,099.50 ","$4,099.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000024,73218,HC MRI UPPR EXT NONJOINT W/O CONTRAST,610,1 ,"$1,593.00 ","$1,194.75 ",$79.99 ,"$1,593.00 ","$1,025.89 ",$237.45 ,"$1,115.10 ",$79.99 ,"$1,593.00 ",$82.39 ,"$1,593.00 ","$1,513.35 ", N/A ,"$1,274.40 ","$1,449.63 ",$79.99 ,"$1,497.42 ","$1,513.35 ","$1,433.70 ","$1,354.05 ",$79.99 ,$79.99 ,$79.99 ,"$1,162.89 ",$237.45 ,"$1,417.77 ","$1,433.70 ","$1,433.70 ","$1,274.40 ",$244.58 ,$876.15 ,"$1,433.70 ",$237.45 ,"$1,433.70 ",$237.45 ,"$1,513.35 ",$534.27 ,"$1,465.56 ",$84.79 ,"$1,449.63 ",$237.45 ,$980.33 ,"$1,025.89 ",$980.33 ,"$1,433.70 ","$1,106.47 ","$1,188.86 ","$1,433.70 ",$239.83 ,$83.99 ,"$1,489.46 ",$249.32 ,$79.99 ,"$1,385.91 ",$237.45 ,"$1,433.70 ",$237.45 ,"$1,433.70 ","$1,433.70 ","$1,433.70 ","$1,545.21 ","$1,290.33 ","$1,433.70 ","$1,433.70 ","$1,433.70 ","$1,433.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$2,694.00 ","$2,020.50 ",$140.15 ,"$2,694.00 ","$1,734.94 ",$380.02 ,"$1,885.80 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$2,559.30 ", N/A ,"$2,155.20 ","$2,451.54 ",$140.15 ,"$2,532.36 ","$2,559.30 ","$2,424.60 ","$2,289.90 ",$140.15 ,$140.15 ,$140.15 ,"$1,966.62 ",$380.02 ,"$2,397.66 ","$2,424.60 ","$2,424.60 ","$2,155.20 ",$391.42 ,"$1,481.70 ","$2,424.60 ",$380.02 ,"$2,424.60 ",$380.02 ,"$2,559.30 ",$855.04 ,"$2,478.48 ",$148.56 ,"$2,451.54 ",$380.02 ,"$1,657.89 ","$1,734.94 ","$1,657.89 ","$2,424.60 ","$1,326.78 ","$2,010.53 ","$2,143.69 ",$383.82 ,$147.16 ,"$2,518.89 ",$399.02 ,$140.15 ,"$2,343.78 ",$380.02 ,"$2,424.60 ",$380.02 ,"$2,424.60 ","$2,424.60 ","$2,424.60 ","$2,613.18 ","$2,182.14 ","$2,424.60 ","$2,424.60 ","$2,424.60 ","$2,424.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000026,73220,HC MRI UPPR EXT NONJOINT W AND W/O CONTRAST,610,1 ,"$3,010.00 ","$2,257.50 ",$140.15 ,"$3,010.00 ","$1,938.44 ",$380.02 ,"$2,107.00 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$2,859.50 ", N/A ,"$2,408.00 ","$2,739.10 ",$140.15 ,"$2,829.40 ","$2,859.50 ","$2,709.00 ","$2,558.50 ",$140.15 ,$140.15 ,$140.15 ,"$2,197.30 ",$380.02 ,"$2,678.90 ","$2,709.00 ","$2,709.00 ","$2,408.00 ",$391.42 ,"$1,655.50 ","$2,709.00 ",$380.02 ,"$2,709.00 ",$380.02 ,"$2,859.50 ",$855.04 ,"$2,769.20 ",$148.56 ,"$2,739.10 ",$380.02 ,"$1,852.35 ","$1,938.44 ","$1,852.35 ","$2,709.00 ","$2,042.44 ","$2,246.36 ","$2,143.69 ",$383.82 ,$147.16 ,"$2,814.35 ",$399.02 ,$140.15 ,"$2,618.70 ",$380.02 ,"$2,709.00 ",$380.02 ,"$2,709.00 ","$2,709.00 ","$2,709.00 ","$2,919.70 ","$2,438.10 ","$2,709.00 ","$2,709.00 ","$2,709.00 ","$2,709.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$3,151.00 ","$2,363.25 ",$79.99 ,"$3,151.00 ","$2,029.24 ",$237.45 ,"$2,205.70 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$2,993.45 ", N/A ,"$2,520.80 ","$2,867.41 ",$79.99 ,"$2,961.94 ","$2,993.45 ","$2,835.90 ","$2,678.35 ",$79.99 ,$79.99 ,$79.99 ,"$2,300.23 ",$237.45 ,"$2,804.39 ","$2,835.90 ","$2,835.90 ","$2,520.80 ",$244.58 ,"$1,733.05 ","$2,835.90 ",$237.45 ,"$2,835.90 ",$237.45 ,"$2,993.45 ",$534.27 ,"$2,898.92 ",$84.79 ,"$2,867.41 ",$237.45 ,"$1,939.13 ","$2,029.24 ","$1,939.13 ","$2,835.90 ","$2,083.82 ","$2,351.59 ","$2,143.69 ",$239.83 ,$83.99 ,"$2,946.19 ",$249.32 ,$79.99 ,"$2,741.37 ",$237.45 ,"$2,835.90 ",$237.45 ,"$2,835.90 ","$2,835.90 ","$2,835.90 ","$3,056.47 ","$2,552.31 ","$2,835.90 ","$2,835.90 ","$2,835.90 ","$2,835.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000028,73222,HC MRI UPPR EXT JOINT W/CONTRAST,610,1 ,"$4,380.00 ","$3,285.00 ",$140.15 ,"$4,380.00 ","$2,820.72 ",$738.30 ,"$3,066.00 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,161.00 ", N/A ,"$3,504.00 ","$3,985.80 ",$140.15 ,"$4,117.20 ","$4,161.00 ","$3,942.00 ","$3,723.00 ",$140.15 ,$140.15 ,$140.15 ,"$3,197.40 ",$738.30 ,"$3,898.20 ","$3,942.00 ","$3,942.00 ","$3,504.00 ",$760.45 ,"$2,409.00 ","$3,942.00 ",$738.30 ,"$3,942.00 ",$738.30 ,"$4,161.00 ","$1,661.17 ","$4,029.60 ",$148.56 ,"$3,985.80 ",$738.30 ,"$2,695.45 ","$2,820.72 ","$2,695.45 ","$3,942.00 ","$1,326.78 ","$3,268.79 ","$2,143.69 ",$745.68 ,$147.16 ,"$4,095.30 ",$775.22 ,$140.15 ,"$3,810.60 ",$738.30 ,"$3,942.00 ",$738.30 ,"$3,942.00 ","$3,942.00 ","$3,942.00 ","$4,248.60 ","$3,547.80 ","$3,942.00 ","$3,942.00 ","$3,942.00 ","$3,942.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000029,73223,HC MRI UPPR EXT JOINT W AND W/O CONTRAST,610,1 ,"$4,686.00 ","$3,514.50 ",$140.15 ,"$4,686.00 ","$3,017.78 ",$380.02 ,"$3,280.20 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,451.70 ", N/A ,"$3,748.80 ","$4,264.26 ",$140.15 ,"$4,404.84 ","$4,451.70 ","$4,217.40 ","$3,983.10 ",$140.15 ,$140.15 ,$140.15 ,"$3,420.78 ",$380.02 ,"$4,170.54 ","$4,217.40 ","$4,217.40 ","$3,748.80 ",$391.42 ,"$2,577.30 ","$4,217.40 ",$380.02 ,"$4,217.40 ",$380.02 ,"$4,451.70 ",$855.04 ,"$4,311.12 ",$148.56 ,"$4,264.26 ",$380.02 ,"$2,883.76 ","$3,017.78 ","$2,883.76 ","$4,217.40 ","$2,455.46 ","$3,497.16 ","$2,143.69 ",$383.82 ,$147.16 ,"$4,381.41 ",$399.02 ,$140.15 ,"$4,076.82 ",$380.02 ,"$4,217.40 ",$380.02 ,"$4,217.40 ","$4,217.40 ","$4,217.40 ","$4,545.42 ","$3,795.66 ","$4,217.40 ","$4,217.40 ","$4,217.40 ","$4,217.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000030,73718,HC MRI LE NONJOINT WO CONTRAST,610,1 ,"$2,579.00 ","$1,934.25 ",$79.99 ,"$2,579.00 ","$1,660.88 ",$237.45 ,"$1,805.30 ",$79.99 ,"$2,579.00 ",$82.39 ,"$2,143.00 ","$2,450.05 ", N/A ,"$2,063.20 ","$2,346.89 ",$79.99 ,"$2,424.26 ","$2,450.05 ","$2,321.10 ","$2,192.15 ",$79.99 ,$79.99 ,$79.99 ,"$1,882.67 ",$237.45 ,"$2,295.31 ","$2,321.10 ","$2,321.10 ","$2,063.20 ",$244.58 ,"$1,418.45 ","$2,321.10 ",$237.45 ,"$2,321.10 ",$237.45 ,"$2,450.05 ",$534.27 ,"$2,372.68 ",$84.79 ,"$2,346.89 ",$237.45 ,"$1,587.12 ","$1,660.88 ","$1,587.12 ","$2,321.10 ","$1,106.47 ","$1,924.71 ","$2,143.69 ",$239.83 ,$83.99 ,"$2,411.37 ",$249.32 ,$79.99 ,"$2,243.73 ",$237.45 ,"$2,321.10 ",$237.45 ,"$2,321.10 ","$2,321.10 ","$2,321.10 ","$2,501.63 ","$2,088.99 ","$2,321.10 ","$2,321.10 ","$2,321.10 ","$2,321.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000032,73719,HC MRI LE NONJOINT W/ CONTRAST,610,1 ,"$3,692.00 ","$2,769.00 ",$140.15 ,"$3,692.00 ","$2,377.65 ",$380.02 ,"$2,584.40 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$3,507.40 ", N/A ,"$2,953.60 ","$3,359.72 ",$140.15 ,"$3,470.48 ","$3,507.40 ","$3,322.80 ","$3,138.20 ",$140.15 ,$140.15 ,$140.15 ,"$2,695.16 ",$380.02 ,"$3,285.88 ","$3,322.80 ","$3,322.80 ","$2,953.60 ",$391.42 ,"$2,030.60 ","$3,322.80 ",$380.02 ,"$3,322.80 ",$380.02 ,"$3,507.40 ",$855.04 ,"$3,396.64 ",$148.56 ,"$3,359.72 ",$380.02 ,"$2,272.06 ","$2,377.65 ","$2,272.06 ","$3,322.80 ","$1,326.78 ","$2,755.34 ","$2,143.69 ",$383.82 ,$147.16 ,"$3,452.02 ",$399.02 ,$140.15 ,"$3,212.04 ",$380.02 ,"$3,322.80 ",$380.02 ,"$3,322.80 ","$3,322.80 ","$3,322.80 ","$3,581.24 ","$2,990.52 ","$3,322.80 ","$3,322.80 ","$3,322.80 ","$3,322.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$3,989.00 ","$2,991.75 ",$140.15 ,"$3,989.00 ","$2,568.92 ",$380.02 ,"$2,792.30 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$3,789.55 ", N/A ,"$3,191.20 ","$3,629.99 ",$140.15 ,"$3,749.66 ","$3,789.55 ","$3,590.10 ","$3,390.65 ",$140.15 ,$140.15 ,$140.15 ,"$2,911.97 ",$380.02 ,"$3,550.21 ","$3,590.10 ","$3,590.10 ","$3,191.20 ",$391.42 ,"$2,193.95 ","$3,590.10 ",$380.02 ,"$3,590.10 ",$380.02 ,"$3,789.55 ",$855.04 ,"$3,669.88 ",$148.56 ,"$3,629.99 ",$380.02 ,"$2,454.83 ","$2,568.92 ","$2,454.83 ","$3,590.10 ","$2,042.44 ","$2,976.99 ","$2,143.69 ",$383.82 ,$147.16 ,"$3,729.72 ",$399.02 ,$140.15 ,"$3,470.43 ",$380.02 ,"$3,590.10 ",$380.02 ,"$3,590.10 ","$3,590.10 ","$3,590.10 ","$3,869.33 ","$3,231.09 ","$3,590.10 ","$3,590.10 ","$3,590.10 ","$3,590.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$4,250.00 ","$3,187.50 ",$79.99 ,"$4,250.00 ","$2,737.00 ",$237.45 ,"$2,975.00 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$4,037.50 ", N/A ,"$3,400.00 ","$3,867.50 ",$79.99 ,"$3,995.00 ","$4,037.50 ","$3,825.00 ","$3,612.50 ",$79.99 ,$79.99 ,$79.99 ,"$3,102.50 ",$237.45 ,"$3,782.50 ","$3,825.00 ","$3,825.00 ","$3,400.00 ",$244.58 ,"$2,337.50 ","$3,825.00 ",$237.45 ,"$3,825.00 ",$237.45 ,"$4,037.50 ",$534.27 ,"$3,910.00 ",$84.79 ,"$3,867.50 ",$237.45 ,"$2,615.45 ","$2,737.00 ","$2,615.45 ","$3,825.00 ","$2,083.82 ","$3,171.78 ","$2,143.69 ",$239.83 ,$83.99 ,"$3,973.75 ",$249.32 ,$79.99 ,"$3,697.50 ",$237.45 ,"$3,825.00 ",$237.45 ,"$3,825.00 ","$3,825.00 ","$3,825.00 ","$4,122.50 ","$3,442.50 ","$3,825.00 ","$3,825.00 ","$3,825.00 ","$3,825.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$4,273.00 ","$3,204.75 ",$140.15 ,"$4,273.00 ","$2,751.81 ",$738.30 ,"$2,991.10 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,059.35 ", N/A ,"$3,418.40 ","$3,888.43 ",$140.15 ,"$4,016.62 ","$4,059.35 ","$3,845.70 ","$3,632.05 ",$140.15 ,$140.15 ,$140.15 ,"$3,119.29 ",$738.30 ,"$3,802.97 ","$3,845.70 ","$3,845.70 ","$3,418.40 ",$760.45 ,"$2,350.15 ","$3,845.70 ",$738.30 ,"$3,845.70 ",$738.30 ,"$4,059.35 ","$1,661.17 ","$3,931.16 ",$148.56 ,"$3,888.43 ",$738.30 ,"$2,629.60 ","$2,751.81 ","$2,629.60 ","$3,845.70 ","$1,326.78 ","$3,188.94 ","$2,143.69 ",$745.68 ,$147.16 ,"$3,995.26 ",$775.22 ,$140.15 ,"$3,717.51 ",$738.30 ,"$3,845.70 ",$738.30 ,"$3,845.70 ","$3,845.70 ","$3,845.70 ","$4,144.81 ","$3,461.13 ","$3,845.70 ","$3,845.70 ","$3,845.70 ","$3,845.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$4,893.00 ","$3,669.75 ",$140.15 ,"$4,893.00 ","$3,151.09 ",$380.02 ,"$3,425.10 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,648.35 ", N/A ,"$3,914.40 ","$4,452.63 ",$140.15 ,"$4,599.42 ","$4,648.35 ","$4,403.70 ","$4,159.05 ",$140.15 ,$140.15 ,$140.15 ,"$3,571.89 ",$380.02 ,"$4,354.77 ","$4,403.70 ","$4,403.70 ","$3,914.40 ",$391.42 ,"$2,691.15 ","$4,403.70 ",$380.02 ,"$4,403.70 ",$380.02 ,"$4,648.35 ",$855.04 ,"$4,501.56 ",$148.56 ,"$4,452.63 ",$380.02 ,"$3,011.15 ","$3,151.09 ","$3,011.15 ","$4,403.70 ","$2,455.46 ","$3,651.65 ","$2,143.69 ",$383.82 ,$147.16 ,"$4,574.96 ",$399.02 ,$140.15 ,"$4,256.91 ",$380.02 ,"$4,403.70 ",$380.02 ,"$4,403.70 ","$4,403.70 ","$4,403.70 ","$4,746.21 ","$3,963.33 ","$4,403.70 ","$4,403.70 ","$4,403.70 ","$4,403.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000038,74181,HC MRI ABDOMEN W/O CON,610,1 ,"$3,481.00 ","$2,610.75 ",$79.99 ,"$3,481.00 ","$2,241.76 ",$237.45 ,"$2,436.70 ",$79.99 ,"$2,680.00 ",$82.39 ,"$2,143.00 ","$3,306.95 ", N/A ,"$2,784.80 ","$3,167.71 ",$79.99 ,"$3,272.14 ","$3,306.95 ","$3,132.90 ","$2,958.85 ",$79.99 ,$79.99 ,$79.99 ,"$2,541.13 ",$237.45 ,"$3,098.09 ","$3,132.90 ","$3,132.90 ","$2,784.80 ",$244.58 ,"$1,914.55 ","$3,132.90 ",$237.45 ,"$3,132.90 ",$237.45 ,"$3,306.95 ",$534.27 ,"$3,202.52 ",$84.79 ,"$3,167.71 ",$237.45 ,"$2,142.21 ","$2,241.76 ","$2,142.21 ","$3,132.90 ","$2,014.28 ","$2,597.87 ","$2,143.69 ",$239.83 ,$83.99 ,"$3,254.74 ",$249.32 ,$79.99 ,"$3,028.47 ",$237.45 ,"$3,132.90 ",$237.45 ,"$3,132.90 ","$3,132.90 ","$3,132.90 ","$3,376.57 ","$2,819.61 ","$3,132.90 ","$3,132.90 ","$3,132.90 ","$3,132.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000039,74182,HC MRI ABDOMEN W/CON,610,1 ,"$3,944.00 ","$2,958.00 ",$140.15 ,"$3,944.00 ","$2,539.94 ",$380.02 ,"$2,760.80 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$3,746.80 ", N/A ,"$3,155.20 ","$3,589.04 ",$140.15 ,"$3,707.36 ","$3,746.80 ","$3,549.60 ","$3,352.40 ",$140.15 ,$140.15 ,$140.15 ,"$2,879.12 ",$380.02 ,"$3,510.16 ","$3,549.60 ","$3,549.60 ","$3,155.20 ",$391.42 ,"$2,169.20 ","$3,549.60 ",$380.02 ,"$3,549.60 ",$380.02 ,"$3,746.80 ",$855.04 ,"$3,628.48 ",$148.56 ,"$3,589.04 ",$380.02 ,"$2,427.14 ","$2,539.94 ","$2,427.14 ","$3,549.60 ","$1,330.66 ","$2,943.41 ","$2,143.69 ",$383.82 ,$147.16 ,"$3,687.64 ",$399.02 ,$140.15 ,"$3,431.28 ",$380.02 ,"$3,549.60 ",$380.02 ,"$3,549.60 ","$3,549.60 ","$3,549.60 ","$3,825.68 ","$3,194.64 ","$3,549.60 ","$3,549.60 ","$3,549.60 ","$3,549.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000040,74183,HC MRI ABDOMEN W AND W/O CON,610,1 ,"$4,661.00 ","$3,495.75 ",$140.15 ,"$4,661.00 ","$3,001.68 ",$380.02 ,"$3,262.70 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$4,427.95 ", N/A ,"$3,728.80 ","$4,241.51 ",$140.15 ,"$4,381.34 ","$4,427.95 ","$4,194.90 ","$3,961.85 ",$140.15 ,$140.15 ,$140.15 ,"$3,402.53 ",$380.02 ,"$4,148.29 ","$4,194.90 ","$4,194.90 ","$3,728.80 ",$391.42 ,"$2,563.55 ","$4,194.90 ",$380.02 ,"$4,194.90 ",$380.02 ,"$4,427.95 ",$855.04 ,"$4,288.12 ",$148.56 ,"$4,241.51 ",$380.02 ,"$2,868.38 ","$3,001.68 ","$2,868.38 ","$4,194.90 ","$2,461.24 ","$3,478.50 ","$2,143.69 ",$383.82 ,$147.16 ,"$4,358.04 ",$399.02 ,$140.15 ,"$4,055.07 ",$380.02 ,"$4,194.90 ",$380.02 ,"$4,194.90 ","$4,194.90 ","$4,194.90 ","$4,521.17 ","$3,775.41 ","$4,194.90 ","$4,194.90 ","$4,194.90 ","$4,194.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000051,C8900,HC MRA ABDOMEN W/CONTRAST,610,1 ,"$1,914.00 ","$1,435.50 ",$156.81 ,"$1,914.00 ","$1,232.62 ",$380.02 ,"$1,339.80 ",$156.81 ,"$1,914.00 ",$161.51 ,"$1,914.00 ","$1,818.30 ", N/A ,"$1,531.20 ","$1,741.74 ",$156.81 ,"$1,799.16 ","$1,818.30 ","$1,722.60 ","$1,626.90 ",$156.81 ,$156.81 ,$156.81 ,"$1,397.22 ",$380.02 ,"$1,703.46 ","$1,722.60 ","$1,722.60 ","$1,531.20 ",$391.42 ,"$1,052.70 ","$1,722.60 ",$380.02 ,"$1,722.60 ",$380.02 ,"$1,818.30 ",$855.04 ,"$1,760.88 ",$166.22 ,"$1,741.74 ",$380.02 ,"$1,177.88 ","$1,232.62 ","$1,177.88 ","$1,722.60 ","$1,722.60 ","$1,428.42 ","$1,722.60 ",$383.82 ,$164.65 ,"$1,789.59 ",$399.02 ,$156.81 ,"$1,665.18 ",$380.02 ,"$1,722.60 ",$380.02 ,"$1,722.60 ","$1,722.60 ","$1,722.60 ","$1,856.58 ","$1,550.34 ","$1,722.60 ","$1,722.60 ","$1,722.60 ","$1,722.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000053,C8902,HC MRA ABDOMEN W AND W/O CON,610,1 ,"$3,634.00 ","$2,725.50 ",$156.81 ,"$3,634.00 ","$2,340.30 ",$380.02 ,"$2,543.80 ",$156.81 ,"$2,680.00 ",$161.51 ,"$2,143.00 ","$3,452.30 ", N/A ,"$2,907.20 ","$3,306.94 ",$156.81 ,"$3,415.96 ","$3,452.30 ","$3,270.60 ","$3,088.90 ",$156.81 ,$156.81 ,$156.81 ,"$2,652.82 ",$380.02 ,"$3,234.26 ","$3,270.60 ","$3,270.60 ","$2,907.20 ",$391.42 ,"$1,998.70 ","$3,270.60 ",$380.02 ,"$3,270.60 ",$380.02 ,"$3,452.30 ",$855.04 ,"$3,343.28 ",$166.22 ,"$3,306.94 ",$380.02 ,"$2,236.36 ","$2,340.30 ","$2,236.36 ","$3,270.60 ","$3,270.60 ","$2,712.05 ","$2,143.69 ",$383.82 ,$164.65 ,"$3,397.79 ",$399.02 ,$156.81 ,"$3,161.58 ",$380.02 ,"$3,270.60 ",$380.02 ,"$3,270.60 ","$3,270.60 ","$3,270.60 ","$3,524.98 ","$2,943.54 ","$3,270.60 ","$3,270.60 ","$3,270.60 ","$3,270.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$3,850.00 ","$2,887.50 ",$156.81 ,"$3,850.00 ","$2,479.40 ",$380.02 ,"$2,695.00 ",$156.81 ,"$2,680.00 ",$161.51 ,"$2,143.00 ","$3,657.50 ", N/A ,"$3,080.00 ","$3,503.50 ",$156.81 ,"$3,619.00 ","$3,657.50 ","$3,465.00 ","$3,272.50 ",$156.81 ,$156.81 ,$156.81 ,"$2,810.50 ",$380.02 ,"$3,426.50 ","$3,465.00 ","$3,465.00 ","$3,080.00 ",$391.42 ,"$2,117.50 ","$3,465.00 ",$380.02 ,"$3,465.00 ",$380.02 ,"$3,657.50 ",$855.04 ,"$3,542.00 ",$166.22 ,"$3,503.50 ",$380.02 ,"$2,369.29 ","$2,479.40 ","$2,369.29 ","$3,465.00 ","$3,465.00 ","$2,873.26 ","$2,143.69 ",$383.82 ,$164.65 ,"$3,599.75 ",$399.02 ,$156.81 ,"$3,349.50 ",$380.02 ,"$3,465.00 ",$380.02 ,"$3,465.00 ","$3,465.00 ","$3,465.00 ","$3,734.50 ","$3,118.50 ","$3,465.00 ","$3,465.00 ","$3,465.00 ","$3,465.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000068,C8918,HC MRA PELVIS W/CON,610,1 ,"$2,195.00 ","$1,646.25 ",$156.81 ,"$2,195.00 ","$1,413.58 ",$380.02 ,"$1,536.50 ",$156.81 ,"$2,195.00 ",$161.51 ,"$2,143.00 ","$2,085.25 ", N/A ,"$1,756.00 ","$1,997.45 ",$156.81 ,"$2,063.30 ","$2,085.25 ","$1,975.50 ","$1,865.75 ",$156.81 ,$156.81 ,$156.81 ,"$1,602.35 ",$380.02 ,"$1,953.55 ","$1,975.50 ","$1,975.50 ","$1,756.00 ",$391.42 ,"$1,207.25 ","$1,975.50 ",$380.02 ,"$1,975.50 ",$380.02 ,"$2,085.25 ",$855.04 ,"$2,019.40 ",$166.22 ,"$1,997.45 ",$380.02 ,"$1,350.80 ","$1,413.58 ","$1,350.80 ","$1,975.50 ","$1,975.50 ","$1,638.13 ","$1,975.50 ",$383.82 ,$164.65 ,"$2,052.33 ",$399.02 ,$156.81 ,"$1,909.65 ",$380.02 ,"$1,975.50 ",$380.02 ,"$1,975.50 ","$1,975.50 ","$1,975.50 ","$2,129.15 ","$1,777.95 ","$1,975.50 ","$1,975.50 ","$1,975.50 ","$1,975.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000070,C8920,HC MRA PELVIS W AND W/O CONTRAST,610,1 ,"$2,677.00 ","$2,007.75 ",$156.81 ,"$2,677.00 ","$1,723.99 ",$380.02 ,"$1,873.90 ",$156.81 ,"$2,677.00 ",$161.51 ,"$2,143.00 ","$2,543.15 ", N/A ,"$2,141.60 ","$2,436.07 ",$156.81 ,"$2,516.38 ","$2,543.15 ","$2,409.30 ","$2,275.45 ",$156.81 ,$156.81 ,$156.81 ,"$1,954.21 ",$380.02 ,"$2,382.53 ","$2,409.30 ","$2,409.30 ","$2,141.60 ",$391.42 ,"$1,472.35 ","$2,409.30 ",$380.02 ,"$2,409.30 ",$380.02 ,"$2,543.15 ",$855.04 ,"$2,462.84 ",$166.22 ,"$2,436.07 ",$380.02 ,"$1,647.43 ","$1,723.99 ","$1,647.43 ","$2,409.30 ","$2,409.30 ","$1,997.85 ","$2,143.69 ",$383.82 ,$164.65 ,"$2,503.00 ",$399.02 ,$156.81 ,"$2,328.99 ",$380.02 ,"$2,409.30 ",$380.02 ,"$2,409.30 ","$2,409.30 ","$2,409.30 ","$2,596.69 ","$2,168.37 ","$2,409.30 ","$2,409.30 ","$2,409.30 ","$2,409.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000071,C8934,HC MRA UPPR EXT W/CONTRAST,610,1 ,"$1,720.00 ","$1,290.00 ",$156.81 ,"$1,720.00 ","$1,107.68 ",$380.02 ,"$1,204.00 ",$156.81 ,"$1,720.00 ",$161.51 ,"$1,720.00 ","$1,634.00 ", N/A ,"$1,376.00 ","$1,565.20 ",$156.81 ,"$1,616.80 ","$1,634.00 ","$1,548.00 ","$1,462.00 ",$156.81 ,$156.81 ,$156.81 ,"$1,255.60 ",$380.02 ,"$1,530.80 ","$1,548.00 ","$1,548.00 ","$1,376.00 ",$391.42 ,$946.00 ,"$1,548.00 ",$380.02 ,"$1,548.00 ",$380.02 ,"$1,634.00 ",$855.04 ,"$1,582.40 ",$166.22 ,"$1,565.20 ",$380.02 ,"$1,058.49 ","$1,107.68 ","$1,058.49 ","$1,548.00 ","$1,548.00 ","$1,283.64 ","$1,548.00 ",$383.82 ,$164.65 ,"$1,608.20 ",$399.02 ,$156.81 ,"$1,496.40 ",$380.02 ,"$1,548.00 ",$380.02 ,"$1,548.00 ","$1,548.00 ","$1,548.00 ","$1,668.40 ","$1,393.20 ","$1,548.00 ","$1,548.00 ","$1,548.00 ","$1,548.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000073,70553,HC MRI BRAIN W AND W/O CONTRAST PITUITARY,610,1 ,"$5,384.00 ","$4,038.00 ",$140.15 ,"$5,384.00 ","$3,467.30 ",$380.02 ,"$3,768.80 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$5,114.80 ", N/A ,"$4,307.20 ","$4,899.44 ",$140.15 ,"$5,060.96 ","$5,114.80 ","$4,845.60 ","$4,576.40 ",$140.15 ,$140.15 ,$140.15 ,"$3,930.32 ",$380.02 ,"$4,791.76 ","$4,845.60 ","$4,845.60 ","$4,307.20 ",$391.42 ,"$2,961.20 ","$4,845.60 ",$380.02 ,"$4,845.60 ",$380.02 ,"$5,114.80 ",$855.04 ,"$4,953.28 ",$148.56 ,"$4,899.44 ",$380.02 ,"$3,313.31 ","$3,467.30 ","$3,313.31 ","$4,845.60 ","$2,870.23 ","$4,018.08 ","$2,143.69 ",$383.82 ,$147.16 ,"$5,034.04 ",$399.02 ,$140.15 ,"$4,684.08 ",$380.02 ,"$4,845.60 ",$380.02 ,"$4,845.60 ","$4,845.60 ","$4,845.60 ","$5,222.48 ","$4,361.04 ","$4,845.60 ","$4,845.60 ","$4,845.60 ","$4,845.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,61000076,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,610,1 ,"$4,095.00 ","$3,071.25 ",$140.15 ,"$4,095.00 ","$2,637.18 ",$380.02 ,"$2,866.50 ",$140.15 ,"$2,680.00 ",$144.35 ,"$2,143.00 ","$3,890.25 ", N/A ,"$3,276.00 ","$3,726.45 ",$140.15 ,"$3,849.30 ","$3,890.25 ","$3,685.50 ","$3,480.75 ",$140.15 ,$140.15 ,$140.15 ,"$2,989.35 ",$380.02 ,"$3,644.55 ","$3,685.50 ","$3,685.50 ","$3,276.00 ",$391.42 ,"$2,252.25 ","$3,685.50 ",$380.02 ,"$3,685.50 ",$380.02 ,"$3,890.25 ",$855.04 ,"$3,767.40 ",$148.56 ,"$3,726.45 ",$380.02 ,"$2,520.06 ","$2,637.18 ","$2,520.06 ","$3,685.50 ","$1,326.78 ","$3,056.10 ","$2,143.69 ",$383.82 ,$147.16 ,"$3,828.83 ",$399.02 ,$140.15 ,"$3,562.65 ",$380.02 ,"$3,685.50 ",$380.02 ,"$3,685.50 ","$3,685.50 ","$3,685.50 ","$3,972.15 ","$3,316.95 ","$3,685.50 ","$3,685.50 ","$3,685.50 ","$3,685.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,61800002,73225,HC MRA UPPER EXT W/ OR W/O CONTRAST,618,1 ,"$1,720.00 ","$1,290.00 ",$156.81 ,"$1,720.00 ","$1,107.68 ", N/A ,"$1,204.00 ",$156.81 ,"$1,720.00 ",$161.51 ,"$1,720.00 ","$1,634.00 ", N/A ,"$1,376.00 ","$1,565.20 ",$156.81 ,"$1,616.80 ","$1,634.00 ","$1,548.00 ","$1,462.00 ",$156.81 ,$156.81 ,$156.81 ,"$1,255.60 ", N/A ,"$1,530.80 ","$1,548.00 ","$1,548.00 ","$1,376.00 ", N/A ,$946.00 ,"$1,548.00 ", N/A ,"$1,548.00 ", N/A ,"$1,634.00 ", N/A ,"$1,582.40 ",$166.22 ,"$1,565.20 ", N/A ,"$1,058.49 ","$1,107.68 ","$1,058.49 ","$1,548.00 ","$1,288.14 ","$1,283.64 ","$1,548.00 ", N/A ,$164.65 ,"$1,608.20 ", N/A ,$156.81 ,"$1,496.40 ", N/A ,"$1,548.00 ", N/A ,"$1,548.00 ","$1,548.00 ","$1,548.00 ","$1,668.40 ","$1,393.20 ","$1,548.00 ","$1,548.00 ","$1,548.00 ","$1,548.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,61800005,C8936,HC MRA UPPR EXT W/  AND  W/O CONTRAST,618,1 ,"$1,720.00 ","$1,290.00 ",$156.81 ,"$1,720.00 ","$1,107.68 ",$380.02 ,"$1,204.00 ",$156.81 ,"$1,720.00 ",$161.51 ,"$1,720.00 ","$1,634.00 ", N/A ,"$1,376.00 ","$1,565.20 ",$156.81 ,"$1,616.80 ","$1,634.00 ","$1,548.00 ","$1,462.00 ",$156.81 ,$156.81 ,$156.81 ,"$1,255.60 ",$380.02 ,"$1,530.80 ","$1,548.00 ","$1,548.00 ","$1,376.00 ",$391.42 ,$946.00 ,"$1,548.00 ",$380.02 ,"$1,548.00 ",$380.02 ,"$1,634.00 ",$855.04 ,"$1,582.40 ",$166.22 ,"$1,565.20 ",$380.02 ,"$1,058.49 ","$1,107.68 ","$1,058.49 ","$1,548.00 ","$1,548.00 ","$1,283.64 ","$1,548.00 ",$383.82 ,$164.65 ,"$1,608.20 ",$399.02 ,$156.81 ,"$1,496.40 ",$380.02 ,"$1,548.00 ",$380.02 ,"$1,548.00 ","$1,548.00 ","$1,548.00 ","$1,668.40 ","$1,393.20 ","$1,548.00 ","$1,548.00 ","$1,548.00 ","$1,548.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,63600003,Q4102,HC OASIS PER SQ CENTIMETER,636,1 ,$34.00 ,$25.50 ,$13.72 ,$34.00 ,$21.90 , N/A ,$23.80 , N/A ,$17.15 , N/A ,$13.72 ,$32.30 , N/A ,$27.20 ,$30.94 , N/A ,$31.96 ,$32.30 ,$30.60 ,$28.90 , N/A , N/A , N/A ,$24.82 , N/A ,$30.26 ,$30.60 ,$30.60 ,$27.20 , N/A ,$18.70 ,$30.60 , N/A ,$30.60 , N/A ,$32.30 , N/A ,$31.28 , N/A ,$30.94 , N/A ,$20.92 ,$21.90 ,$20.92 ,$30.60 ,$30.60 ,$25.37 ,$14.71 , N/A , N/A ,$31.79 , N/A , N/A ,$29.58 , N/A ,$30.60 , N/A ,$30.60 ,$30.60 ,$30.60 ,$32.98 ,$27.54 ,$30.60 ,$30.60 ,$30.60 ,$30.60 
ST. JOSEPH'S - CHIPPEWA FALLS,63600009,Q4186,HC EPIFIX PER SQ CM,636,1 ,$741.00 ,$555.75 ,$216.03 ,$741.00 ,$477.20 , N/A ,$518.70 , N/A ,$270.04 , N/A ,$216.03 ,$703.95 , N/A ,$592.80 ,$674.31 , N/A ,$696.54 ,$703.95 ,$666.90 ,$629.85 , N/A , N/A , N/A ,$540.93 , N/A ,$659.49 ,$666.90 ,$666.90 ,$592.80 , N/A ,$407.55 ,$666.90 , N/A ,$666.90 , N/A ,$703.95 , N/A ,$681.72 , N/A ,$674.31 , N/A ,$456.01 ,$477.20 ,$456.01 ,$666.90 ,$666.90 ,$553.01 ,$231.56 , N/A , N/A ,$692.84 , N/A , N/A ,$644.67 , N/A ,$666.90 , N/A ,$666.90 ,$666.90 ,$666.90 ,$718.77 ,$600.21 ,$666.90 ,$666.90 ,$666.90 ,$666.90 
ST. JOSEPH'S - CHIPPEWA FALLS,63600010,Q4124,HC OASIS TRI LAYER ULTRA,636,1 ,$29.00 ,$21.75 ,$15.95 ,$29.00 ,$18.68 , N/A ,$20.30 , N/A ,$24.07 , N/A ,$19.14 ,$27.55 , N/A ,$23.20 ,$26.39 , N/A ,$27.26 ,$27.55 ,$26.10 ,$24.65 , N/A , N/A , N/A ,$21.17 , N/A ,$25.81 ,$26.10 ,$26.10 ,$23.20 , N/A ,$15.95 ,$26.10 , N/A ,$26.10 , N/A ,$27.55 , N/A ,$26.68 , N/A ,$26.39 , N/A ,$17.85 ,$18.68 ,$17.85 ,$26.10 ,$26.10 ,$21.64 ,$20.20 , N/A , N/A ,$27.12 , N/A , N/A ,$25.23 , N/A ,$26.10 , N/A ,$26.10 ,$26.10 ,$26.10 ,$28.13 ,$23.49 ,$26.10 ,$26.10 ,$26.10 ,$26.10 
ST. JOSEPH'S - CHIPPEWA FALLS,63600014,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER,636,1 ,$174.00 ,$130.50 ,$95.70 ,$174.00 ,$112.06 , N/A ,$121.80 , N/A ,$174.00 , N/A ,$154.91 ,$165.30 , N/A ,$139.20 ,$158.34 , N/A ,$163.56 ,$165.30 ,$156.60 ,$147.90 , N/A , N/A , N/A ,$127.02 , N/A ,$154.86 ,$156.60 ,$156.60 ,$139.20 , N/A ,$95.70 ,$156.60 , N/A ,$156.60 , N/A ,$165.30 , N/A ,$160.08 , N/A ,$158.34 , N/A ,$107.08 ,$112.06 ,$107.08 ,$156.60 ,$156.60 ,$129.86 ,$156.60 , N/A , N/A ,$162.69 , N/A , N/A ,$151.38 , N/A ,$156.60 , N/A ,$156.60 ,$156.60 ,$156.60 ,$168.78 ,$140.94 ,$156.60 ,$156.60 ,$156.60 ,$156.60 
ST. JOSEPH'S - CHIPPEWA FALLS,63600019,M1145,"HC MFN DRUG ADD-ON, PER DOSE",636,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 
ST. JOSEPH'S - CHIPPEWA FALLS,63600190,Q4160,HC NUSHIELD PER SQ CM,636,1 ,"$1,305.00 ",$978.75 ,$134.32 ,"$1,305.00 ",$840.42 , N/A ,$913.50 , N/A ,$167.90 , N/A ,$134.32 ,"$1,239.75 ", N/A ,"$1,044.00 ","$1,187.55 ", N/A ,"$1,226.70 ","$1,239.75 ","$1,174.50 ","$1,109.25 ", N/A , N/A , N/A ,$952.65 , N/A ,"$1,161.45 ","$1,174.50 ","$1,174.50 ","$1,044.00 ", N/A ,$717.75 ,"$1,174.50 ", N/A ,"$1,174.50 ", N/A ,"$1,239.75 ", N/A ,"$1,200.60 ", N/A ,"$1,187.55 ", N/A ,$803.10 ,$840.42 ,$803.10 ,"$1,174.50 ","$1,174.50 ",$973.92 ,$143.97 , N/A , N/A ,"$1,220.18 ", N/A , N/A ,"$1,135.35 ", N/A ,"$1,174.50 ", N/A ,"$1,174.50 ","$1,174.50 ","$1,174.50 ","$1,265.85 ","$1,057.05 ","$1,174.50 ","$1,174.50 ","$1,174.50 ","$1,174.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,68300003,G0390,HC LEVEL 2 TRAUMA ACTIVATION,683,1 ,"$5,981.00 ","$4,485.75 ",$38.23 ,"$5,981.00 ","$3,851.76 ", N/A ,"$4,186.70 ",$38.23 ,"$4,964.23 ",$39.38 ,"$3,947.46 ","$5,681.95 ", N/A ,"$4,784.80 ","$5,442.71 ",$38.23 ,"$5,622.14 ","$5,681.95 ","$5,382.90 ","$5,083.85 ",$38.23 ,$38.23 ,$38.23 ,"$4,366.13 ", N/A ,"$5,323.09 ","$5,382.90 ","$5,382.90 ","$4,784.80 ", N/A ,"$3,289.55 ","$5,382.90 ", N/A ,"$5,382.90 ", N/A ,"$5,681.95 ", N/A ,"$5,502.52 ",$40.52 ,"$5,442.71 ", N/A ,"$3,680.71 ","$3,851.76 ","$3,680.71 ","$5,382.90 ","$5,382.90 ","$4,463.62 ","$4,165.77 ", N/A ,$40.14 ,"$5,592.24 ", N/A ,$38.23 ,"$5,203.47 ", N/A ,"$5,382.90 ", N/A ,"$5,382.90 ","$5,382.90 ","$5,382.90 ","$5,801.57 ","$4,844.61 ","$5,382.90 ","$5,382.90 ","$5,382.90 ","$5,382.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,68300004,N/A,HC TRAUMA RESPONSE LEVEL 3,683,1 ,"$3,040.00 ","$2,280.00 ","$1,672.00 ","$3,040.00 ","$1,957.76 ", N/A ,"$2,128.00 ", N/A ,"$2,523.20 ", N/A ,"$2,006.40 ","$2,888.00 ", N/A ,"$2,432.00 ","$2,766.40 ", N/A ,"$2,857.60 ","$2,888.00 ","$2,736.00 ","$2,584.00 ", N/A , N/A , N/A ,"$2,219.20 ", N/A ,"$2,705.60 ","$2,736.00 ","$2,736.00 ","$2,432.00 ", N/A ,"$1,672.00 ","$2,736.00 ", N/A ,"$2,736.00 ", N/A ,"$2,888.00 ", N/A ,"$2,796.80 ", N/A ,"$2,766.40 ", N/A ,"$1,870.82 ","$1,957.76 ","$1,870.82 ","$2,736.00 ","$2,736.00 ","$2,268.75 ","$2,117.36 ", N/A , N/A ,"$2,842.40 ", N/A , N/A ,"$2,644.80 ", N/A ,"$2,736.00 ", N/A ,"$2,736.00 ","$2,736.00 ","$2,736.00 ","$2,948.80 ","$2,462.40 ","$2,736.00 ","$2,736.00 ","$2,736.00 ","$2,736.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,68300006,N/A,HC TRAUMA RESPONSE LEVEL 1,683,1 ,"$8,856.00 ","$6,642.00 ","$4,870.80 ","$8,856.00 ","$5,703.26 ", N/A ,"$6,199.20 ", N/A ,"$7,350.48 ", N/A ,"$5,844.96 ","$8,413.20 ", N/A ,"$7,084.80 ","$8,058.96 ", N/A ,"$8,324.64 ","$8,413.20 ","$7,970.40 ","$7,527.60 ", N/A , N/A , N/A ,"$6,464.88 ", N/A ,"$7,881.84 ","$7,970.40 ","$7,970.40 ","$7,084.80 ", N/A ,"$4,870.80 ","$7,970.40 ", N/A ,"$7,970.40 ", N/A ,"$8,413.20 ", N/A ,"$8,147.52 ", N/A ,"$8,058.96 ", N/A ,"$5,449.98 ","$5,703.26 ","$5,449.98 ","$7,970.40 ","$7,970.40 ","$6,609.23 ","$6,168.20 ", N/A , N/A ,"$8,280.36 ", N/A , N/A ,"$7,704.72 ", N/A ,"$7,970.40 ", N/A ,"$7,970.40 ","$7,970.40 ","$7,970.40 ","$8,590.32 ","$7,173.36 ","$7,970.40 ","$7,970.40 ","$7,970.40 ","$7,970.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,68300007,N/A,HC TRAUMA RESPONSE LEVEL 2,683,1 ,"$5,981.00 ","$4,485.75 ","$3,289.55 ","$5,981.00 ","$3,851.76 ", N/A ,"$4,186.70 ", N/A ,"$4,964.23 ", N/A ,"$3,947.46 ","$5,681.95 ", N/A ,"$4,784.80 ","$5,442.71 ", N/A ,"$5,622.14 ","$5,681.95 ","$5,382.90 ","$5,083.85 ", N/A , N/A , N/A ,"$4,366.13 ", N/A ,"$5,323.09 ","$5,382.90 ","$5,382.90 ","$4,784.80 ", N/A ,"$3,289.55 ","$5,382.90 ", N/A ,"$5,382.90 ", N/A ,"$5,681.95 ", N/A ,"$5,502.52 ", N/A ,"$5,442.71 ", N/A ,"$3,680.71 ","$3,851.76 ","$3,680.71 ","$5,382.90 ","$5,382.90 ","$4,463.62 ","$4,165.77 ", N/A , N/A ,"$5,592.24 ", N/A , N/A ,"$5,203.47 ", N/A ,"$5,382.90 ", N/A ,"$5,382.90 ","$5,382.90 ","$5,382.90 ","$5,801.57 ","$4,844.61 ","$5,382.90 ","$5,382.90 ","$5,382.90 ","$5,382.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,71000206,N/A,HC PACU RECOVERY INITIAL 15MIN,710,1 ,$386.00 ,$289.50 ,$212.30 ,$386.00 ,$248.58 , N/A ,$270.20 , N/A ,$320.38 , N/A ,$254.76 ,$366.70 , N/A ,$308.80 ,$351.26 , N/A ,$362.84 ,$366.70 ,$347.40 ,$328.10 , N/A , N/A , N/A ,$281.78 , N/A ,$343.54 ,$347.40 ,$347.40 ,$308.80 , N/A ,$212.30 ,$347.40 , N/A ,$347.40 , N/A ,$366.70 , N/A ,$355.12 , N/A ,$351.26 , N/A ,$237.54 ,$248.58 ,$237.54 ,$347.40 ,$347.40 ,$288.07 ,$268.85 , N/A , N/A ,$360.91 , N/A , N/A ,$335.82 , N/A ,$347.40 , N/A ,$347.40 ,$347.40 ,$347.40 ,$374.42 ,$312.66 ,$347.40 ,$347.40 ,$347.40 ,$347.40 
ST. JOSEPH'S - CHIPPEWA FALLS,71000207,N/A,HC PACU RECOVERY ADDL 15MIN,710,1 ,$386.00 ,$289.50 ,$212.30 ,$386.00 ,$248.58 , N/A ,$270.20 , N/A ,$320.38 , N/A ,$254.76 ,$366.70 , N/A ,$308.80 ,$351.26 , N/A ,$362.84 ,$366.70 ,$347.40 ,$328.10 , N/A , N/A , N/A ,$281.78 , N/A ,$343.54 ,$347.40 ,$347.40 ,$308.80 , N/A ,$212.30 ,$347.40 , N/A ,$347.40 , N/A ,$366.70 , N/A ,$355.12 , N/A ,$351.26 , N/A ,$237.54 ,$248.58 ,$237.54 ,$347.40 ,$347.40 ,$288.07 ,$268.85 , N/A , N/A ,$360.91 , N/A , N/A ,$335.82 , N/A ,$347.40 , N/A ,$347.40 ,$347.40 ,$347.40 ,$374.42 ,$312.66 ,$347.40 ,$347.40 ,$347.40 ,$347.40 
ST. JOSEPH'S - CHIPPEWA FALLS,71000214,N/A,HC PHASE II RECOVERY <1HR,710,1 ,$539.00 ,$404.25 ,$296.45 ,$539.00 ,$347.12 , N/A ,$377.30 , N/A ,$447.37 , N/A ,$355.74 ,$512.05 , N/A ,$431.20 ,$490.49 , N/A ,$506.66 ,$512.05 ,$485.10 ,$458.15 , N/A , N/A , N/A ,$393.47 , N/A ,$479.71 ,$485.10 ,$485.10 ,$431.20 , N/A ,$296.45 ,$485.10 , N/A ,$485.10 , N/A ,$512.05 , N/A ,$495.88 , N/A ,$490.49 , N/A ,$331.70 ,$347.12 ,$331.70 ,$485.10 ,$485.10 ,$402.26 ,$375.41 , N/A , N/A ,$503.97 , N/A , N/A ,$468.93 , N/A ,$485.10 , N/A ,$485.10 ,$485.10 ,$485.10 ,$522.83 ,$436.59 ,$485.10 ,$485.10 ,$485.10 ,$485.10 
ST. JOSEPH'S - CHIPPEWA FALLS,71000215,N/A,HC PHASE II RECOVERY 1-2HRS,710,1 ,"$1,077.00 ",$807.75 ,$592.35 ,"$1,077.00 ",$693.59 , N/A ,$753.90 , N/A ,$893.91 , N/A ,$710.82 ,"$1,023.15 ", N/A ,$861.60 ,$980.07 , N/A ,"$1,012.38 ","$1,023.15 ",$969.30 ,$915.45 , N/A , N/A , N/A ,$786.21 , N/A ,$958.53 ,$969.30 ,$969.30 ,$861.60 , N/A ,$592.35 ,$969.30 , N/A ,$969.30 , N/A ,"$1,023.15 ", N/A ,$990.84 , N/A ,$980.07 , N/A ,$662.79 ,$693.59 ,$662.79 ,$969.30 ,$969.30 ,$803.77 ,$750.13 , N/A , N/A ,"$1,007.00 ", N/A , N/A ,$936.99 , N/A ,$969.30 , N/A ,$969.30 ,$969.30 ,$969.30 ,"$1,044.69 ",$872.37 ,$969.30 ,$969.30 ,$969.30 ,$969.30 
ST. JOSEPH'S - CHIPPEWA FALLS,71000216,N/A,HC PHASE II RECOVERY 2-3HRS,710,1 ,"$1,576.00 ","$1,182.00 ",$866.80 ,"$1,576.00 ","$1,014.94 ", N/A ,"$1,103.20 ", N/A ,"$1,308.08 ", N/A ,"$1,040.16 ","$1,497.20 ", N/A ,"$1,260.80 ","$1,434.16 ", N/A ,"$1,481.44 ","$1,497.20 ","$1,418.40 ","$1,339.60 ", N/A , N/A , N/A ,"$1,150.48 ", N/A ,"$1,402.64 ","$1,418.40 ","$1,418.40 ","$1,260.80 ", N/A ,$866.80 ,"$1,418.40 ", N/A ,"$1,418.40 ", N/A ,"$1,497.20 ", N/A ,"$1,449.92 ", N/A ,"$1,434.16 ", N/A ,$969.87 ,"$1,014.94 ",$969.87 ,"$1,418.40 ","$1,418.40 ","$1,176.17 ","$1,097.68 ", N/A , N/A ,"$1,473.56 ", N/A , N/A ,"$1,371.12 ", N/A ,"$1,418.40 ", N/A ,"$1,418.40 ","$1,418.40 ","$1,418.40 ","$1,528.72 ","$1,276.56 ","$1,418.40 ","$1,418.40 ","$1,418.40 ","$1,418.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,71000217,N/A,HC PHASE II RECOVERY 3-4HRS,710,1 ,"$2,102.00 ","$1,576.50 ","$1,156.10 ","$2,102.00 ","$1,353.69 ", N/A ,"$1,471.40 ", N/A ,"$1,744.66 ", N/A ,"$1,387.32 ","$1,996.90 ", N/A ,"$1,681.60 ","$1,912.82 ", N/A ,"$1,975.88 ","$1,996.90 ","$1,891.80 ","$1,786.70 ", N/A , N/A , N/A ,"$1,534.46 ", N/A ,"$1,870.78 ","$1,891.80 ","$1,891.80 ","$1,681.60 ", N/A ,"$1,156.10 ","$1,891.80 ", N/A ,"$1,891.80 ", N/A ,"$1,996.90 ", N/A ,"$1,933.84 ", N/A ,"$1,912.82 ", N/A ,"$1,293.57 ","$1,353.69 ","$1,293.57 ","$1,891.80 ","$1,891.80 ","$1,568.72 ","$1,464.04 ", N/A , N/A ,"$1,965.37 ", N/A , N/A ,"$1,828.74 ", N/A ,"$1,891.80 ", N/A ,"$1,891.80 ","$1,891.80 ","$1,891.80 ","$2,038.94 ","$1,702.62 ","$1,891.80 ","$1,891.80 ","$1,891.80 ","$1,891.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,71000218,N/A,HC OUTPAT RECOVERY MAJOR,710,1 ,$580.00 ,$435.00 ,$319.00 ,$580.00 ,$373.52 , N/A ,$406.00 , N/A ,$481.40 , N/A ,$382.80 ,$551.00 , N/A ,$464.00 ,$527.80 , N/A ,$545.20 ,$551.00 ,$522.00 ,$493.00 , N/A , N/A , N/A ,$423.40 , N/A ,$516.20 ,$522.00 ,$522.00 ,$464.00 , N/A ,$319.00 ,$522.00 , N/A ,$522.00 , N/A ,$551.00 , N/A ,$533.60 , N/A ,$527.80 , N/A ,$356.93 ,$373.52 ,$356.93 ,$522.00 ,$522.00 ,$432.85 ,$403.97 , N/A , N/A ,$542.30 , N/A , N/A ,$504.60 , N/A ,$522.00 , N/A ,$522.00 ,$522.00 ,$522.00 ,$562.60 ,$469.80 ,$522.00 ,$522.00 ,$522.00 ,$522.00 
ST. JOSEPH'S - CHIPPEWA FALLS,71000219,N/A,HC OUTPAT RECOVERY MINOR,710,1 ,$312.00 ,$234.00 ,$171.60 ,$312.00 ,$200.93 , N/A ,$218.40 , N/A ,$258.96 , N/A ,$205.92 ,$296.40 , N/A ,$249.60 ,$283.92 , N/A ,$293.28 ,$296.40 ,$280.80 ,$265.20 , N/A , N/A , N/A ,$227.76 , N/A ,$277.68 ,$280.80 ,$280.80 ,$249.60 , N/A ,$171.60 ,$280.80 , N/A ,$280.80 , N/A ,$296.40 , N/A ,$287.04 , N/A ,$283.92 , N/A ,$192.00 ,$200.93 ,$192.00 ,$280.80 ,$280.80 ,$232.85 ,$217.31 , N/A , N/A ,$291.72 , N/A , N/A ,$271.44 , N/A ,$280.80 , N/A ,$280.80 ,$280.80 ,$280.80 ,$302.64 ,$252.72 ,$280.80 ,$280.80 ,$280.80 ,$280.80 
ST. JOSEPH'S - CHIPPEWA FALLS,71000220,N/A,HC C-SECTION RECOVERY,710,1 ,$815.00 ,$611.25 ,$448.25 ,$815.00 ,$524.86 , N/A ,$570.50 , N/A ,$676.45 , N/A ,$537.90 ,$774.25 , N/A ,$652.00 ,$741.65 , N/A ,$766.10 ,$774.25 ,$733.50 ,$692.75 , N/A , N/A , N/A ,$594.95 , N/A ,$725.35 ,$733.50 ,$733.50 ,$652.00 , N/A ,$448.25 ,$733.50 , N/A ,$733.50 , N/A ,$774.25 , N/A ,$749.80 , N/A ,$741.65 , N/A ,$501.55 ,$524.86 ,$501.55 ,$733.50 ,$733.50 ,$608.23 ,$567.65 , N/A , N/A ,$762.03 , N/A , N/A ,$709.05 , N/A ,$733.50 , N/A ,$733.50 ,$733.50 ,$733.50 ,$790.55 ,$660.15 ,$733.50 ,$733.50 ,$733.50 ,$733.50 
ST. JOSEPH'S - CHIPPEWA FALLS,71000227,N/A,HC C-SECTION RECOVERY 2HR,710,1 ,"$1,450.00 ","$1,087.50 ",$797.50 ,"$1,450.00 ",$933.80 , N/A ,"$1,015.00 ", N/A ,"$1,203.50 ", N/A ,$957.00 ,"$1,377.50 ", N/A ,"$1,160.00 ","$1,319.50 ", N/A ,"$1,363.00 ","$1,377.50 ","$1,305.00 ","$1,232.50 ", N/A , N/A , N/A ,"$1,058.50 ", N/A ,"$1,290.50 ","$1,305.00 ","$1,305.00 ","$1,160.00 ", N/A ,$797.50 ,"$1,305.00 ", N/A ,"$1,305.00 ", N/A ,"$1,377.50 ", N/A ,"$1,334.00 ", N/A ,"$1,319.50 ", N/A ,$892.33 ,$933.80 ,$892.33 ,"$1,305.00 ","$1,305.00 ","$1,082.14 ","$1,009.93 ", N/A , N/A ,"$1,355.75 ", N/A , N/A ,"$1,261.50 ", N/A ,"$1,305.00 ", N/A ,"$1,305.00 ","$1,305.00 ","$1,305.00 ","$1,406.50 ","$1,174.50 ","$1,305.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,72000001,N/A,HC FETAL MONITORING PER HOUR,720,1 ,$209.00 ,$156.75 ,$114.95 ,$209.00 ,$134.60 , N/A ,$146.30 , N/A ,$173.47 , N/A ,$137.94 ,$198.55 , N/A ,$167.20 ,$190.19 , N/A ,$196.46 ,$198.55 ,$188.10 ,$177.65 , N/A , N/A , N/A ,$152.57 , N/A ,$186.01 ,$188.10 ,$188.10 ,$167.20 , N/A ,$114.95 ,$188.10 , N/A ,$188.10 , N/A ,$198.55 , N/A ,$192.28 , N/A ,$190.19 , N/A ,$128.62 ,$134.60 ,$128.62 ,$188.10 ,$188.10 ,$155.98 ,$145.57 , N/A , N/A ,$195.42 , N/A , N/A ,$181.83 , N/A ,$188.10 , N/A ,$188.10 ,$188.10 ,$188.10 ,$202.73 ,$169.29 ,$188.10 ,$188.10 ,$188.10 ,$188.10 
ST. JOSEPH'S - CHIPPEWA FALLS,72000008,59412,HC EXTERNAL CEPHALIC VERSION,720,1 ,"$1,095.83 ",$821.87 ,$204.42 ,"$6,091.95 ",$705.71 ,"$2,707.53 ",$767.08 ,$204.42 ,$909.54 ,$210.55 ,$723.25 ,"$1,041.04 ", N/A ,$876.66 ,$997.21 ,$204.42 ,"$1,030.08 ","$1,041.04 ",$986.25 ,$931.46 ,$204.42 ,$204.42 ,$204.42 ,$799.96 ,"$2,707.53 ",$975.29 ,$986.25 ,$986.25 ,$876.66 ,"$2,788.76 ",$602.71 ,$986.25 ,"$2,707.53 ",$986.25 ,"$2,707.53 ","$1,041.04 ","$6,091.95 ","$1,008.16 ",$216.69 ,$997.21 ,"$2,707.53 ",$674.37 ,$705.71 ,$674.37 ,$986.25 ,$986.25 ,$817.82 ,$763.25 ,"$2,734.61 ",$214.64 ,"$1,024.60 ","$2,842.91 ",$204.42 ,$953.37 ,"$2,707.53 ",$986.25 ,"$2,707.53 ",$986.25 ,$986.25 ,$986.25 ,"$1,062.96 ",$887.62 ,$986.25 ,$986.25 ,$986.25 ,$986.25 
ST. JOSEPH'S - CHIPPEWA FALLS,72000010,99465,HC DELIV/BIRTH ROOM RESUSCITATION,720,1 ,$415.68 ,$311.76 ,$228.62 ,"$1,304.37 ",$267.70 ,$579.72 ,$290.98 ,$285.38 ,$345.01 ,$293.94 ,$274.35 ,$394.90 , N/A ,$332.54 ,$378.27 ,$285.38 ,$390.74 ,$394.90 ,$374.11 ,$353.33 ,$285.38 ,$285.38 ,$285.38 ,$303.45 ,$579.72 ,$369.96 ,$374.11 ,$374.11 ,$332.54 ,$597.11 ,$228.62 ,$374.11 ,$579.72 ,$374.11 ,$579.72 ,$394.90 ,"$1,304.37 ",$382.43 ,$302.50 ,$378.27 ,$579.72 ,$255.81 ,$267.70 ,$255.81 ,$374.11 ,$374.11 ,$310.22 ,$289.52 ,$585.52 ,$299.65 ,$388.66 ,$608.71 ,$285.38 ,$361.64 ,$579.72 ,$374.11 ,$579.72 ,$374.11 ,$374.11 ,$374.11 ,$403.21 ,$336.70 ,$374.11 ,$374.11 ,$374.11 ,$374.11 
ST. JOSEPH'S - CHIPPEWA FALLS,72000012,N/A,HC FHR AUSCULTATION,720,1 ,$71.00 ,$53.25 ,$39.05 ,$71.00 ,$45.72 , N/A ,$49.70 , N/A ,$58.93 , N/A ,$46.86 ,$67.45 , N/A ,$56.80 ,$64.61 , N/A ,$66.74 ,$67.45 ,$63.90 ,$60.35 , N/A , N/A , N/A ,$51.83 , N/A ,$63.19 ,$63.90 ,$63.90 ,$56.80 , N/A ,$39.05 ,$63.90 , N/A ,$63.90 , N/A ,$67.45 , N/A ,$65.32 , N/A ,$64.61 , N/A ,$43.69 ,$45.72 ,$43.69 ,$63.90 ,$63.90 ,$52.99 ,$49.45 , N/A , N/A ,$66.39 , N/A , N/A ,$61.77 , N/A ,$63.90 , N/A ,$63.90 ,$63.90 ,$63.90 ,$68.87 ,$57.51 ,$63.90 ,$63.90 ,$63.90 ,$63.90 
ST. JOSEPH'S - CHIPPEWA FALLS,72000016,N/A,HC POST PARTUM HEM CARE < 2 HRS,720,1 ,"$2,250.00 ","$1,687.50 ","$1,237.50 ","$2,250.00 ","$1,449.00 ", N/A ,"$1,575.00 ", N/A ,"$1,867.50 ", N/A ,"$1,485.00 ","$2,137.50 ", N/A ,"$1,800.00 ","$2,047.50 ", N/A ,"$2,115.00 ","$2,137.50 ","$2,025.00 ","$1,912.50 ", N/A , N/A , N/A ,"$1,642.50 ", N/A ,"$2,002.50 ","$2,025.00 ","$2,025.00 ","$1,800.00 ", N/A ,"$1,237.50 ","$2,025.00 ", N/A ,"$2,025.00 ", N/A ,"$2,137.50 ", N/A ,"$2,070.00 ", N/A ,"$2,047.50 ", N/A ,"$1,384.65 ","$1,449.00 ","$1,384.65 ","$2,025.00 ","$2,025.00 ","$1,679.18 ","$1,567.13 ", N/A , N/A ,"$2,103.75 ", N/A , N/A ,"$1,957.50 ", N/A ,"$2,025.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,025.00 ","$2,182.50 ","$1,822.50 ","$2,025.00 ","$2,025.00 ","$2,025.00 ","$2,025.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,72000017,N/A,HC POST PARTUM HEM CARE > 2 HRS,720,1 ,$817.00 ,$612.75 ,$449.35 ,$817.00 ,$526.15 , N/A ,$571.90 , N/A ,$678.11 , N/A ,$539.22 ,$776.15 , N/A ,$653.60 ,$743.47 , N/A ,$767.98 ,$776.15 ,$735.30 ,$694.45 , N/A , N/A , N/A ,$596.41 , N/A ,$727.13 ,$735.30 ,$735.30 ,$653.60 , N/A ,$449.35 ,$735.30 , N/A ,$735.30 , N/A ,$776.15 , N/A ,$751.64 , N/A ,$743.47 , N/A ,$502.78 ,$526.15 ,$502.78 ,$735.30 ,$735.30 ,$609.73 ,$569.04 , N/A , N/A ,$763.90 , N/A , N/A ,$710.79 , N/A ,$735.30 , N/A ,$735.30 ,$735.30 ,$735.30 ,$792.49 ,$661.77 ,$735.30 ,$735.30 ,$735.30 ,$735.30 
ST. JOSEPH'S - CHIPPEWA FALLS,72100007,N/A,HC LABOR PREMATURE,721,1 ,$652.00 ,$489.00 ,$358.60 ,$652.00 ,$419.89 , N/A ,$456.40 , N/A ,$541.16 , N/A ,$430.32 ,$619.40 , N/A ,$521.60 ,$593.32 , N/A ,$612.88 ,$619.40 ,$586.80 ,$554.20 , N/A , N/A , N/A ,$475.96 , N/A ,$580.28 ,$586.80 ,$586.80 ,$521.60 , N/A ,$358.60 ,$586.80 , N/A ,$586.80 , N/A ,$619.40 , N/A ,$599.84 , N/A ,$593.32 , N/A ,$401.24 ,$419.89 ,$401.24 ,$586.80 ,$586.80 ,$486.59 ,$454.12 , N/A , N/A ,$609.62 , N/A , N/A ,$567.24 , N/A ,$586.80 , N/A ,$586.80 ,$586.80 ,$586.80 ,$632.44 ,$528.12 ,$586.80 ,$586.80 ,$586.80 ,$586.80 
ST. JOSEPH'S - CHIPPEWA FALLS,72100008,N/A,HC LABOR LEVEL 1,721,1 ,"$1,203.00 ",$902.25 ,$661.65 ,"$1,203.00 ",$774.73 , N/A ,$842.10 , N/A ,$998.49 , N/A ,$793.98 ,"$1,142.85 ", N/A ,$962.40 ,"$1,094.73 ", N/A ,"$1,130.82 ","$1,142.85 ","$1,082.70 ","$1,022.55 ", N/A , N/A , N/A ,$878.19 , N/A ,"$1,070.67 ","$1,082.70 ","$1,082.70 ",$962.40 , N/A ,$661.65 ,"$1,082.70 ", N/A ,"$1,082.70 ", N/A ,"$1,142.85 ", N/A ,"$1,106.76 ", N/A ,"$1,094.73 ", N/A ,$740.33 ,$774.73 ,$740.33 ,"$1,082.70 ","$1,082.70 ",$897.80 ,$837.89 , N/A , N/A ,"$1,124.81 ", N/A , N/A ,"$1,046.61 ", N/A ,"$1,082.70 ", N/A ,"$1,082.70 ","$1,082.70 ","$1,082.70 ","$1,166.91 ",$974.43 ,"$1,082.70 ","$1,082.70 ","$1,082.70 ","$1,082.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,72100009,N/A,HC LABOR LEVEL 2,721,1 ,"$2,671.00 ","$2,003.25 ","$1,469.05 ","$2,671.00 ","$1,720.12 ", N/A ,"$1,869.70 ", N/A ,"$2,216.93 ", N/A ,"$1,762.86 ","$2,537.45 ", N/A ,"$2,136.80 ","$2,430.61 ", N/A ,"$2,510.74 ","$2,537.45 ","$2,403.90 ","$2,270.35 ", N/A , N/A , N/A ,"$1,949.83 ", N/A ,"$2,377.19 ","$2,403.90 ","$2,403.90 ","$2,136.80 ", N/A ,"$1,469.05 ","$2,403.90 ", N/A ,"$2,403.90 ", N/A ,"$2,537.45 ", N/A ,"$2,457.32 ", N/A ,"$2,430.61 ", N/A ,"$1,643.73 ","$1,720.12 ","$1,643.73 ","$2,403.90 ","$2,403.90 ","$1,993.37 ","$1,860.35 ", N/A , N/A ,"$2,497.39 ", N/A , N/A ,"$2,323.77 ", N/A ,"$2,403.90 ", N/A ,"$2,403.90 ","$2,403.90 ","$2,403.90 ","$2,590.87 ","$2,163.51 ","$2,403.90 ","$2,403.90 ","$2,403.90 ","$2,403.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,72100010,N/A,HC LABOR LEVEL 3,721,1 ,"$3,652.00 ","$2,739.00 ","$2,008.60 ","$3,652.00 ","$2,351.89 ", N/A ,"$2,556.40 ", N/A ,"$3,031.16 ", N/A ,"$2,410.32 ","$3,469.40 ", N/A ,"$2,921.60 ","$3,323.32 ", N/A ,"$3,432.88 ","$3,469.40 ","$3,286.80 ","$3,104.20 ", N/A , N/A , N/A ,"$2,665.96 ", N/A ,"$3,250.28 ","$3,286.80 ","$3,286.80 ","$2,921.60 ", N/A ,"$2,008.60 ","$3,286.80 ", N/A ,"$3,286.80 ", N/A ,"$3,469.40 ", N/A ,"$3,359.84 ", N/A ,"$3,323.32 ", N/A ,"$2,247.44 ","$2,351.89 ","$2,247.44 ","$3,286.80 ","$3,286.80 ","$2,725.49 ","$2,543.62 ", N/A , N/A ,"$3,414.62 ", N/A , N/A ,"$3,177.24 ", N/A ,"$3,286.80 ", N/A ,"$3,286.80 ","$3,286.80 ","$3,286.80 ","$3,542.44 ","$2,958.12 ","$3,286.80 ","$3,286.80 ","$3,286.80 ","$3,286.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,72100011,N/A,HC LABOR LEVEL 4,721,1 ,"$6,172.00 ","$4,629.00 ","$3,394.60 ","$6,172.00 ","$3,974.77 ", N/A ,"$4,320.40 ", N/A ,"$5,122.76 ", N/A ,"$4,073.52 ","$5,863.40 ", N/A ,"$4,937.60 ","$5,616.52 ", N/A ,"$5,801.68 ","$5,863.40 ","$5,554.80 ","$5,246.20 ", N/A , N/A , N/A ,"$4,505.56 ", N/A ,"$5,493.08 ","$5,554.80 ","$5,554.80 ","$4,937.60 ", N/A ,"$3,394.60 ","$5,554.80 ", N/A ,"$5,554.80 ", N/A ,"$5,863.40 ", N/A ,"$5,678.24 ", N/A ,"$5,616.52 ", N/A ,"$3,798.25 ","$3,974.77 ","$3,798.25 ","$5,554.80 ","$5,554.80 ","$4,606.16 ","$4,298.80 ", N/A , N/A ,"$5,770.82 ", N/A , N/A ,"$5,369.64 ", N/A ,"$5,554.80 ", N/A ,"$5,554.80 ","$5,554.80 ","$5,554.80 ","$5,986.84 ","$4,999.32 ","$5,554.80 ","$5,554.80 ","$5,554.80 ","$5,554.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,72200009,N/A,HC DELIVERY,722,1 ,"$2,687.00 ","$2,015.25 ","$1,477.85 ","$2,687.00 ","$1,730.43 ", N/A ,"$1,880.90 ", N/A ,"$2,230.21 ", N/A ,"$1,773.42 ","$2,552.65 ", N/A ,"$2,149.60 ","$2,445.17 ", N/A ,"$2,525.78 ","$2,552.65 ","$2,418.30 ","$2,283.95 ", N/A , N/A , N/A ,"$1,961.51 ", N/A ,"$2,391.43 ","$2,418.30 ","$2,418.30 ","$2,149.60 ", N/A ,"$1,477.85 ","$2,418.30 ", N/A ,"$2,418.30 ", N/A ,"$2,552.65 ", N/A ,"$2,472.04 ", N/A ,"$2,445.17 ", N/A ,"$1,653.58 ","$1,730.43 ","$1,653.58 ","$2,418.30 ","$2,418.30 ","$2,005.31 ","$1,871.50 ", N/A , N/A ,"$2,512.35 ", N/A , N/A ,"$2,337.69 ", N/A ,"$2,418.30 ", N/A ,"$2,418.30 ","$2,418.30 ","$2,418.30 ","$2,606.39 ","$2,176.47 ","$2,418.30 ","$2,418.30 ","$2,418.30 ","$2,418.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,72200013,N/A,HC DEMISE CARE,722,1 ,$584.00 ,$438.00 ,$321.20 ,$584.00 ,$376.10 , N/A ,$408.80 , N/A ,$484.72 , N/A ,$385.44 ,$554.80 , N/A ,$467.20 ,$531.44 , N/A ,$548.96 ,$554.80 ,$525.60 ,$496.40 , N/A , N/A , N/A ,$426.32 , N/A ,$519.76 ,$525.60 ,$525.60 ,$467.20 , N/A ,$321.20 ,$525.60 , N/A ,$525.60 , N/A ,$554.80 , N/A ,$537.28 , N/A ,$531.44 , N/A ,$359.39 ,$376.10 ,$359.39 ,$525.60 ,$525.60 ,$435.84 ,$406.76 , N/A , N/A ,$546.04 , N/A , N/A ,$508.08 , N/A ,$525.60 , N/A ,$525.60 ,$525.60 ,$525.60 ,$566.48 ,$473.04 ,$525.60 ,$525.60 ,$525.60 ,$525.60 
ST. JOSEPH'S - CHIPPEWA FALLS,72300003,54150,HC CIRCUMCISION W/DEVICE,723,1 ,$417.00 ,$312.75 ,$229.35 ,"$4,157.42 ",$268.55 ,"$1,847.74 ",$291.90 ,$417.00 ,$346.11 ,$635.18 ,$275.22 ,$396.15 , N/A ,$333.60 ,$379.47 ,$417.00 ,$391.98 ,$396.15 ,$375.30 ,$354.45 ,$616.68 ,$616.68 ,$616.68 ,$304.41 ,"$1,847.74 ",$371.13 ,$375.30 ,$375.30 ,$333.60 ,"$1,903.17 ",$229.35 ,$375.30 ,"$1,847.74 ",$375.30 ,"$1,847.74 ",$396.15 ,"$4,157.42 ",$383.64 ,$653.68 ,$379.47 ,"$1,847.74 ",$256.62 ,$268.55 ,$256.62 ,$375.30 ,$375.30 ,$311.21 ,$290.44 ,"$1,866.22 ",$647.51 ,$389.90 ,"$1,940.13 ",$417.00 ,$362.79 ,"$1,847.74 ",$375.30 ,"$1,847.74 ",$375.30 ,$375.30 ,$375.30 ,$404.49 ,$337.77 ,$375.30 ,$375.30 ,$375.30 ,$375.30 
ST. JOSEPH'S - CHIPPEWA FALLS,73000002,93005,HC EKG,730,1 ,$167.94 ,$125.96 ,$8.28 ,$167.94 ,$108.15 ,$57.44 ,$117.56 ,$8.28 ,$139.39 ,$8.53 ,$110.84 ,$159.54 , N/A ,$134.35 ,$152.83 ,$8.28 ,$157.86 ,$159.54 ,$151.15 ,$142.75 ,$8.28 ,$8.28 ,$8.28 ,$122.60 ,$57.44 ,$149.47 ,$151.15 ,$151.15 ,$134.35 ,$59.17 ,$92.37 ,$151.15 ,$57.44 ,$151.15 ,$57.44 ,$159.54 ,$129.25 ,$154.50 ,$8.78 ,$152.83 ,$57.44 ,$103.35 ,$108.15 ,$103.35 ,$151.15 ,$151.15 ,$125.33 ,$116.97 ,$58.02 ,$8.69 ,$157.02 ,$60.31 ,$8.28 ,$146.11 ,$57.44 ,$151.15 ,$57.44 ,$151.15 ,$151.15 ,$151.15 ,$162.90 ,$136.03 ,$151.15 ,$151.15 ,$151.15 ,$151.15 
ST. JOSEPH'S - CHIPPEWA FALLS,73000003,93041,HC EKG RHYTHM STRIP TRACING,730,1 ,$143.84 ,$107.88 ,$8.28 ,$143.84 ,$92.63 ,$57.44 ,$100.69 ,$8.28 ,$119.39 ,$8.53 ,$94.93 ,$136.65 , N/A ,$115.07 ,$130.89 ,$8.28 ,$135.21 ,$136.65 ,$129.46 ,$122.26 ,$8.28 ,$8.28 ,$8.28 ,$105.00 ,$57.44 ,$128.02 ,$129.46 ,$129.46 ,$115.07 ,$59.17 ,$79.11 ,$129.46 ,$57.44 ,$129.46 ,$57.44 ,$136.65 ,$129.25 ,$132.33 ,$8.78 ,$130.89 ,$57.44 ,$88.52 ,$92.63 ,$88.52 ,$129.46 ,$129.46 ,$107.35 ,$100.18 ,$58.02 ,$8.69 ,$134.49 ,$60.31 ,$8.28 ,$125.14 ,$57.44 ,$129.46 ,$57.44 ,$129.46 ,$129.46 ,$129.46 ,$139.52 ,$116.51 ,$129.46 ,$129.46 ,$129.46 ,$129.46 
ST. JOSEPH'S - CHIPPEWA FALLS,73100000,93225,HC HOLTER MONITOR RECORDING,731,1 ,$332.69 ,$249.52 ,$21.45 ,$332.69 ,$214.25 ,$116.36 ,$232.88 ,$21.45 ,$276.13 ,$22.09 ,$219.58 ,$316.06 , N/A ,$266.15 ,$302.75 ,$21.45 ,$312.73 ,$316.06 ,$299.42 ,$282.79 ,$21.45 ,$21.45 ,$21.45 ,$242.86 ,$116.36 ,$296.09 ,$299.42 ,$299.42 ,$266.15 ,$119.85 ,$182.98 ,$299.42 ,$116.36 ,$299.42 ,$116.36 ,$316.06 ,$261.82 ,$306.07 ,$22.74 ,$302.75 ,$116.36 ,$204.74 ,$214.25 ,$204.74 ,$299.42 ,$299.42 ,$248.29 ,$231.72 ,$117.53 ,$22.52 ,$311.07 ,$122.18 ,$21.45 ,$289.44 ,$116.36 ,$299.42 ,$116.36 ,$299.42 ,$299.42 ,$299.42 ,$322.71 ,$269.48 ,$299.42 ,$299.42 ,$299.42 ,$299.42 
ST. JOSEPH'S - CHIPPEWA FALLS,73100002,93226,HC HOLTER SCAN  AND  REPORT 48 HR,731,1 ,$393.93 ,$295.45 ,$21.45 ,$393.93 ,$253.69 ,$116.36 ,$275.75 ,$21.45 ,$326.96 ,$22.09 ,$259.99 ,$374.23 , N/A ,$315.14 ,$358.48 ,$21.45 ,$370.29 ,$374.23 ,$354.54 ,$334.84 ,$21.45 ,$21.45 ,$21.45 ,$287.57 ,$116.36 ,$350.60 ,$354.54 ,$354.54 ,$315.14 ,$119.85 ,$216.66 ,$354.54 ,$116.36 ,$354.54 ,$116.36 ,$374.23 ,$261.82 ,$362.42 ,$22.74 ,$358.48 ,$116.36 ,$242.42 ,$253.69 ,$242.42 ,$354.54 ,$354.54 ,$293.99 ,$274.37 ,$117.53 ,$22.52 ,$368.32 ,$122.18 ,$21.45 ,$342.72 ,$116.36 ,$354.54 ,$116.36 ,$354.54 ,$354.54 ,$354.54 ,$382.11 ,$319.08 ,$354.54 ,$354.54 ,$354.54 ,$354.54 
ST. JOSEPH'S - CHIPPEWA FALLS,74000002,95805,HC MULTIPLE SLEEP LATENCY,740,1 ,"$2,900.15 ","$2,175.11 ",$239.33 ,"$2,900.15 ","$1,867.70 ",$503.73 ,"$2,030.11 ",$239.33 ,"$2,900.15 ",$246.51 ,"$2,358.00 ","$2,755.14 ", N/A ,"$2,320.12 ","$2,639.14 ",$239.33 ,"$2,726.14 ","$2,755.14 ","$2,610.14 ","$2,465.13 ",$239.33 ,$239.33 ,$239.33 ,"$2,117.11 ",$503.73 ,"$2,581.13 ","$2,610.14 ","$2,610.14 ","$2,320.12 ",$518.85 ,"$1,595.08 ","$2,610.14 ",$503.73 ,"$2,610.14 ",$503.73 ,"$2,755.14 ","$1,133.40 ","$2,668.14 ",$253.69 ,"$2,639.14 ",$503.73 ,"$1,784.75 ","$1,867.70 ","$1,784.75 ","$2,610.14 ","$2,610.14 ","$2,164.38 ","$2,036.51 ",$508.77 ,$251.30 ,"$2,711.64 ",$528.92 ,$239.33 ,"$2,523.13 ",$503.73 ,"$2,610.14 ",$503.73 ,"$2,610.14 ","$2,610.14 ","$2,610.14 ","$2,813.15 ","$2,349.12 ","$2,610.14 ","$2,610.14 ","$2,610.14 ","$2,610.14 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000003,95806,HC SLEEP STUDY UNATTENDED,740,1 ,$733.14 ,$549.86 ,$44.39 ,$733.14 ,$472.14 ,$144.08 ,$513.20 ,$44.39 ,$733.14 ,$45.72 ,$733.14 ,$696.48 , N/A ,$586.51 ,$667.16 ,$44.39 ,$689.15 ,$696.48 ,$659.83 ,$623.17 ,$44.39 ,$44.39 ,$44.39 ,$535.19 ,$144.08 ,$652.49 ,$659.83 ,$659.83 ,$586.51 ,$148.40 ,$403.23 ,$659.83 ,$144.08 ,$659.83 ,$144.08 ,$696.48 ,$324.18 ,$674.49 ,$47.05 ,$667.16 ,$144.08 ,$451.17 ,$472.14 ,$451.17 ,$659.83 ,$659.83 ,$547.14 ,$407.30 ,$145.52 ,$46.61 ,$685.49 ,$151.28 ,$44.39 ,$637.83 ,$144.08 ,$659.83 ,$144.08 ,$659.83 ,$659.83 ,$659.83 ,$711.15 ,$593.84 ,$659.83 ,$659.83 ,$659.83 ,$659.83 
ST. JOSEPH'S - CHIPPEWA FALLS,74000006,95810,HC SLEEP STUDY,740,1 ,"$4,973.68 ","$3,730.26 ",$239.33 ,"$4,973.68 ","$3,203.05 ",$949.42 ,"$3,481.58 ",$239.33 ,"$2,948.00 ",$246.51 ,"$2,358.00 ","$4,725.00 ", N/A ,"$3,978.94 ","$4,526.05 ",$239.33 ,"$4,675.26 ","$4,725.00 ","$4,476.31 ","$4,227.63 ",$239.33 ,$239.33 ,$239.33 ,"$3,630.79 ",$949.42 ,"$4,426.58 ","$4,476.31 ","$4,476.31 ","$3,978.94 ",$977.90 ,"$2,735.52 ","$4,476.31 ",$949.42 ,"$4,476.31 ",$949.42 ,"$4,725.00 ","$2,136.19 ","$4,575.79 ",$253.69 ,"$4,526.05 ",$949.42 ,"$3,060.80 ","$3,203.05 ","$3,060.80 ","$4,476.31 ","$4,476.31 ","$3,711.86 ","$2,036.51 ",$958.91 ,$251.30 ,"$4,650.39 ",$996.89 ,$239.33 ,"$4,327.10 ",$949.42 ,"$4,476.31 ",$949.42 ,"$4,476.31 ","$4,476.31 ","$4,476.31 ","$4,824.47 ","$4,028.68 ","$4,476.31 ","$4,476.31 ","$4,476.31 ","$4,476.31 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000009,95811,HC SLEEP STUDY W/CPAP,740,1 ,"$5,825.45 ","$4,369.09 ",$239.33 ,"$5,825.45 ","$3,751.59 ",$949.42 ,"$4,077.82 ",$239.33 ,"$2,948.00 ",$246.51 ,"$2,358.00 ","$5,534.18 ", N/A ,"$4,660.36 ","$5,301.16 ",$239.33 ,"$5,475.92 ","$5,534.18 ","$5,242.91 ","$4,951.63 ",$239.33 ,$239.33 ,$239.33 ,"$4,252.58 ",$949.42 ,"$5,184.65 ","$5,242.91 ","$5,242.91 ","$4,660.36 ",$977.90 ,"$3,204.00 ","$5,242.91 ",$949.42 ,"$5,242.91 ",$949.42 ,"$5,534.18 ","$2,136.19 ","$5,359.41 ",$253.69 ,"$5,301.16 ",$949.42 ,"$3,584.98 ","$3,751.59 ","$3,584.98 ","$5,242.91 ","$5,242.91 ","$4,347.53 ","$2,036.51 ",$958.91 ,$251.30 ,"$5,446.80 ",$996.89 ,$239.33 ,"$5,068.14 ",$949.42 ,"$5,242.91 ",$949.42 ,"$5,242.91 ","$5,242.91 ","$5,242.91 ","$5,650.69 ","$4,718.61 ","$5,242.91 ","$5,242.91 ","$5,242.91 ","$5,242.91 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000016,95819,HC EEG AWAKE/ASLEEP,740,1 ,"$1,377.10 ","$1,032.83 ",$100.32 ,"$1,377.10 ",$886.85 ,$273.11 ,$963.97 ,$100.32 ,"$1,142.99 ",$103.33 ,$908.89 ,"$1,308.25 ", N/A ,"$1,101.68 ","$1,253.16 ",$100.32 ,"$1,294.47 ","$1,308.25 ","$1,239.39 ","$1,170.54 ",$100.32 ,$100.32 ,$100.32 ,"$1,005.28 ",$273.11 ,"$1,225.62 ","$1,239.39 ","$1,239.39 ","$1,101.68 ",$281.31 ,$757.41 ,"$1,239.39 ",$273.11 ,"$1,239.39 ",$273.11 ,"$1,308.25 ",$614.50 ,"$1,266.93 ",$106.34 ,"$1,253.16 ",$273.11 ,$847.47 ,$886.85 ,$847.47 ,"$1,239.39 ","$1,239.39 ","$1,027.73 ","$1,239.39 ",$275.84 ,$105.34 ,"$1,287.59 ",$286.77 ,$100.32 ,"$1,198.08 ",$273.11 ,"$1,239.39 ",$273.11 ,"$1,239.39 ","$1,239.39 ","$1,239.39 ","$1,335.79 ","$1,115.45 ","$1,239.39 ","$1,239.39 ","$1,239.39 ","$1,239.39 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000041,95782,HC SLEEP STUDY ONE ON ONE <6 YRS,740,1 ,"$4,873.92 ","$3,655.44 ",$239.33 ,"$4,873.92 ","$3,138.80 ",$949.42 ,"$3,411.74 ",$239.33 ,"$2,948.00 ",$246.51 ,"$2,358.00 ","$4,630.22 ", N/A ,"$3,899.14 ","$4,435.27 ",$239.33 ,"$4,581.48 ","$4,630.22 ","$4,386.53 ","$4,142.83 ",$239.33 ,$239.33 ,$239.33 ,"$3,557.96 ",$949.42 ,"$4,337.79 ","$4,386.53 ","$4,386.53 ","$3,899.14 ",$977.90 ,"$2,680.66 ","$4,386.53 ",$949.42 ,"$4,386.53 ",$949.42 ,"$4,630.22 ","$2,136.19 ","$4,484.01 ",$253.69 ,"$4,435.27 ",$949.42 ,"$2,999.41 ","$3,138.80 ","$2,999.41 ","$4,386.53 ","$4,386.53 ","$3,637.41 ","$2,036.51 ",$958.91 ,$251.30 ,"$4,557.12 ",$996.89 ,$239.33 ,"$4,240.31 ",$949.42 ,"$4,386.53 ",$949.42 ,"$4,386.53 ","$4,386.53 ","$4,386.53 ","$4,727.70 ","$3,947.88 ","$4,386.53 ","$4,386.53 ","$4,386.53 ","$4,386.53 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000042,95783,HC SLEEP STUDY W/CPAP ONE ON ONE <6 YRS,740,1 ,"$5,548.00 ","$4,161.00 ",$239.33 ,"$5,548.00 ","$3,572.91 ",$949.42 ,"$3,883.60 ",$239.33 ,"$2,948.00 ",$246.51 ,"$2,358.00 ","$5,270.60 ", N/A ,"$4,438.40 ","$5,048.68 ",$239.33 ,"$5,215.12 ","$5,270.60 ","$4,993.20 ","$4,715.80 ",$239.33 ,$239.33 ,$239.33 ,"$4,050.04 ",$949.42 ,"$4,937.72 ","$4,993.20 ","$4,993.20 ","$4,438.40 ",$977.90 ,"$3,051.40 ","$4,993.20 ",$949.42 ,"$4,993.20 ",$949.42 ,"$5,270.60 ","$2,136.19 ","$5,104.16 ",$253.69 ,"$5,048.68 ",$949.42 ,"$3,414.24 ","$3,572.91 ","$3,414.24 ","$4,993.20 ","$4,993.20 ","$4,140.47 ","$2,036.51 ",$958.91 ,$251.30 ,"$5,187.38 ",$996.89 ,$239.33 ,"$4,826.76 ",$949.42 ,"$4,993.20 ",$949.42 ,"$4,993.20 ","$4,993.20 ","$4,993.20 ","$5,381.56 ","$4,493.88 ","$4,993.20 ","$4,993.20 ","$4,993.20 ","$4,993.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000045,95810,HC SLEEP STUDY PSG 4+ PARAMETERS >6YRS -52,740,1 ,"$2,395.04 ","$1,796.28 ",$239.33 ,"$2,395.04 ","$1,542.41 ",$474.71 ,"$1,676.53 ",$239.33 ,"$2,395.04 ",$246.51 ,"$2,358.00 ","$2,275.29 ", N/A ,"$1,916.03 ","$2,179.49 ",$239.33 ,"$2,251.34 ","$2,275.29 ","$2,155.54 ","$2,035.78 ",$239.33 ,$239.33 ,$239.33 ,"$1,748.38 ",$474.71 ,"$2,131.59 ","$2,155.54 ","$2,155.54 ","$1,916.03 ",$488.95 ,"$1,317.27 ","$2,155.54 ",$474.71 ,"$2,155.54 ",$474.71 ,"$2,275.29 ","$1,068.10 ","$2,203.44 ",$253.69 ,"$2,179.49 ",$474.71 ,"$1,473.91 ","$1,542.41 ","$1,473.91 ","$2,155.54 ","$2,155.54 ","$1,787.42 ","$2,036.51 ",$479.46 ,$251.30 ,"$2,239.36 ",$498.45 ,$239.33 ,"$2,083.68 ",$474.71 ,"$2,155.54 ",$474.71 ,"$2,155.54 ","$2,155.54 ","$2,155.54 ","$2,323.19 ","$1,939.98 ","$2,155.54 ","$2,155.54 ","$2,155.54 ","$2,155.54 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000046,95811,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP >6YR-52,740,1 ,"$2,446.07 ","$1,834.55 ",$239.33 ,"$2,446.07 ","$1,575.27 ",$474.71 ,"$1,712.25 ",$239.33 ,"$2,446.07 ",$246.51 ,"$2,358.00 ","$2,323.77 ", N/A ,"$1,956.86 ","$2,225.92 ",$239.33 ,"$2,299.31 ","$2,323.77 ","$2,201.46 ","$2,079.16 ",$239.33 ,$239.33 ,$239.33 ,"$1,785.63 ",$474.71 ,"$2,177.00 ","$2,201.46 ","$2,201.46 ","$1,956.86 ",$488.95 ,"$1,345.34 ","$2,201.46 ",$474.71 ,"$2,201.46 ",$474.71 ,"$2,323.77 ","$1,068.10 ","$2,250.38 ",$253.69 ,"$2,225.92 ",$474.71 ,"$1,505.31 ","$1,575.27 ","$1,505.31 ","$2,201.46 ","$2,201.46 ","$1,825.50 ","$2,036.51 ",$479.46 ,$251.30 ,"$2,287.08 ",$498.45 ,$239.33 ,"$2,128.08 ",$474.71 ,"$2,201.46 ",$474.71 ,"$2,201.46 ","$2,201.46 ","$2,201.46 ","$2,372.69 ","$1,981.32 ","$2,201.46 ","$2,201.46 ","$2,201.46 ","$2,201.46 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000047,95782,HC SLEEP STUDY PSG 4+ PARAMETERS <6YRS-52,740,1 ,"$2,395.04 ","$1,796.28 ",$239.33 ,"$2,395.04 ","$1,542.41 ",$474.71 ,"$1,676.53 ",$239.33 ,"$2,395.04 ",$246.51 ,"$2,358.00 ","$2,275.29 ", N/A ,"$1,916.03 ","$2,179.49 ",$239.33 ,"$2,251.34 ","$2,275.29 ","$2,155.54 ","$2,035.78 ",$239.33 ,$239.33 ,$239.33 ,"$1,748.38 ",$474.71 ,"$2,131.59 ","$2,155.54 ","$2,155.54 ","$1,916.03 ",$488.95 ,"$1,317.27 ","$2,155.54 ",$474.71 ,"$2,155.54 ",$474.71 ,"$2,275.29 ","$1,068.10 ","$2,203.44 ",$253.69 ,"$2,179.49 ",$474.71 ,"$1,473.91 ","$1,542.41 ","$1,473.91 ","$2,155.54 ","$2,155.54 ","$1,787.42 ","$2,036.51 ",$479.46 ,$251.30 ,"$2,239.36 ",$498.45 ,$239.33 ,"$2,083.68 ",$474.71 ,"$2,155.54 ",$474.71 ,"$2,155.54 ","$2,155.54 ","$2,155.54 ","$2,323.19 ","$1,939.98 ","$2,155.54 ","$2,155.54 ","$2,155.54 ","$2,155.54 "
ST. JOSEPH'S - CHIPPEWA FALLS,74000048,95783,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP<6YRS-52,740,1 ,"$2,446.07 ","$1,834.55 ",$239.33 ,"$2,446.07 ","$1,575.27 ",$474.71 ,"$1,712.25 ",$239.33 ,"$2,446.07 ",$246.51 ,"$2,358.00 ","$2,323.77 ", N/A ,"$1,956.86 ","$2,225.92 ",$239.33 ,"$2,299.31 ","$2,323.77 ","$2,201.46 ","$2,079.16 ",$239.33 ,$239.33 ,$239.33 ,"$1,785.63 ",$474.71 ,"$2,177.00 ","$2,201.46 ","$2,201.46 ","$1,956.86 ",$488.95 ,"$1,345.34 ","$2,201.46 ",$474.71 ,"$2,201.46 ",$474.71 ,"$2,323.77 ","$1,068.10 ","$2,250.38 ",$253.69 ,"$2,225.92 ",$474.71 ,"$1,505.31 ","$1,575.27 ","$1,505.31 ","$2,201.46 ","$2,201.46 ","$1,825.50 ","$2,036.51 ",$479.46 ,$251.30 ,"$2,287.08 ",$498.45 ,$239.33 ,"$2,128.08 ",$474.71 ,"$2,201.46 ",$474.71 ,"$2,201.46 ","$2,201.46 ","$2,201.46 ","$2,372.69 ","$1,981.32 ","$2,201.46 ","$2,201.46 ","$2,201.46 ","$2,201.46 "
ST. JOSEPH'S - CHIPPEWA FALLS,75000018,N/A,HC EGD/BANDING,750,1 ,"$3,465.00 ","$2,598.75 ","$1,905.75 ","$3,465.00 ","$2,231.46 ", N/A ,"$2,425.50 ", N/A , N/A , N/A , N/A ,"$3,291.75 ", N/A ,"$2,772.00 ","$3,153.15 ", N/A , N/A ,"$3,291.75 ","$3,118.50 ","$2,945.25 ", N/A , N/A , N/A ,"$2,529.45 ", N/A ,"$3,083.85 ","$3,118.50 ","$3,118.50 ","$2,772.00 ", N/A ,"$1,905.75 ","$3,118.50 ", N/A ,"$3,118.50 ", N/A ,"$3,291.75 ", N/A ,"$3,187.80 ", N/A ,"$3,153.15 ", N/A , N/A ,"$2,231.46 ", N/A ,"$3,118.50 ","$3,118.50 ","$2,585.93 ", N/A , N/A , N/A ,"$3,239.78 ", N/A , N/A ,"$3,014.55 ", N/A ,"$3,118.50 ", N/A ,"$3,118.50 ","$3,118.50 ","$3,118.50 ","$3,361.05 ","$2,806.65 ","$3,118.50 ","$3,118.50 ","$3,118.50 ","$3,118.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,75000021,N/A,HC EGD/PEG PLACEMENT,750,1 ,"$2,393.00 ","$1,794.75 ","$1,316.15 ","$2,393.00 ","$1,541.09 ", N/A ,"$1,675.10 ", N/A , N/A , N/A , N/A ,"$2,273.35 ", N/A ,"$1,914.40 ","$2,177.63 ", N/A , N/A ,"$2,273.35 ","$2,153.70 ","$2,034.05 ", N/A , N/A , N/A ,"$1,746.89 ", N/A ,"$2,129.77 ","$2,153.70 ","$2,153.70 ","$1,914.40 ", N/A ,"$1,316.15 ","$2,153.70 ", N/A ,"$2,153.70 ", N/A ,"$2,273.35 ", N/A ,"$2,201.56 ", N/A ,"$2,177.63 ", N/A , N/A ,"$1,541.09 ", N/A ,"$2,153.70 ","$2,153.70 ","$1,785.90 ", N/A , N/A , N/A ,"$2,237.46 ", N/A , N/A ,"$2,081.91 ", N/A ,"$2,153.70 ", N/A ,"$2,153.70 ","$2,153.70 ","$2,153.70 ","$2,321.21 ","$1,938.33 ","$2,153.70 ","$2,153.70 ","$2,153.70 ","$2,153.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,75000039,N/A,HC ENTEROSCOPY,750,1 ,"$3,465.00 ","$2,598.75 ","$1,905.75 ","$3,465.00 ","$2,231.46 ", N/A ,"$2,425.50 ", N/A , N/A , N/A , N/A ,"$3,291.75 ", N/A ,"$2,772.00 ","$3,153.15 ", N/A , N/A ,"$3,291.75 ","$3,118.50 ","$2,945.25 ", N/A , N/A , N/A ,"$2,529.45 ", N/A ,"$3,083.85 ","$3,118.50 ","$3,118.50 ","$2,772.00 ", N/A ,"$1,905.75 ","$3,118.50 ", N/A ,"$3,118.50 ", N/A ,"$3,291.75 ", N/A ,"$3,187.80 ", N/A ,"$3,153.15 ", N/A , N/A ,"$2,231.46 ", N/A ,"$3,118.50 ","$3,118.50 ","$2,585.93 ", N/A , N/A , N/A ,"$3,239.78 ", N/A , N/A ,"$3,014.55 ", N/A ,"$3,118.50 ", N/A ,"$3,118.50 ","$3,118.50 ","$3,118.50 ","$3,361.05 ","$2,806.65 ","$3,118.50 ","$3,118.50 ","$3,118.50 ","$3,118.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,75000046,N/A,HC ERCP,750,1 ,"$3,876.00 ","$2,907.00 ","$2,131.80 ","$3,876.00 ","$2,496.14 ", N/A ,"$2,713.20 ", N/A , N/A , N/A , N/A ,"$3,682.20 ", N/A ,"$3,100.80 ","$3,527.16 ", N/A , N/A ,"$3,682.20 ","$3,488.40 ","$3,294.60 ", N/A , N/A , N/A ,"$2,829.48 ", N/A ,"$3,449.64 ","$3,488.40 ","$3,488.40 ","$3,100.80 ", N/A ,"$2,131.80 ","$3,488.40 ", N/A ,"$3,488.40 ", N/A ,"$3,682.20 ", N/A ,"$3,565.92 ", N/A ,"$3,527.16 ", N/A , N/A ,"$2,496.14 ", N/A ,"$3,488.40 ","$3,488.40 ","$2,892.66 ", N/A , N/A , N/A ,"$3,624.06 ", N/A , N/A ,"$3,372.12 ", N/A ,"$3,488.40 ", N/A ,"$3,488.40 ","$3,488.40 ","$3,488.40 ","$3,759.72 ","$3,139.56 ","$3,488.40 ","$3,488.40 ","$3,488.40 ","$3,488.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,75000067,N/A,HC ILEOSCOPY STOMA,750,1 ,"$2,800.00 ","$2,100.00 ","$1,540.00 ","$2,800.00 ","$1,803.20 ", N/A ,"$1,960.00 ", N/A , N/A , N/A , N/A ,"$2,660.00 ", N/A ,"$2,240.00 ","$2,548.00 ", N/A , N/A ,"$2,660.00 ","$2,520.00 ","$2,380.00 ", N/A , N/A , N/A ,"$2,044.00 ", N/A ,"$2,492.00 ","$2,520.00 ","$2,520.00 ","$2,240.00 ", N/A ,"$1,540.00 ","$2,520.00 ", N/A ,"$2,520.00 ", N/A ,"$2,660.00 ", N/A ,"$2,576.00 ", N/A ,"$2,548.00 ", N/A , N/A ,"$1,803.20 ", N/A ,"$2,520.00 ","$2,520.00 ","$2,089.64 ", N/A , N/A , N/A ,"$2,618.00 ", N/A , N/A ,"$2,436.00 ", N/A ,"$2,520.00 ", N/A ,"$2,520.00 ","$2,520.00 ","$2,520.00 ","$2,716.00 ","$2,268.00 ","$2,520.00 ","$2,520.00 ","$2,520.00 ","$2,520.00 "
ST. JOSEPH'S - CHIPPEWA FALLS,75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,"$2,020.08 ","$1,515.06 ",$232.13 ,"$2,020.08 ","$1,300.93 ",$835.02 ,"$1,414.06 ",$232.13 ,"$2,020.08 ",$239.09 ,"$2,020.08 ","$1,919.08 ", N/A ,"$1,616.06 ","$1,838.27 ",$232.13 , N/A ,"$1,919.08 ","$1,818.07 ","$1,717.07 ",$232.13 ,$232.13 ,$232.13 ,"$1,474.66 ",$835.02 ,"$1,797.87 ","$1,818.07 ","$1,818.07 ","$1,616.06 ",$860.07 ,"$1,111.04 ","$1,818.07 ",$835.02 ,"$1,818.07 ",$835.02 ,"$1,919.08 ","$1,878.79 ","$1,858.47 ",$246.06 ,"$1,838.27 ",$835.02 ,"$1,243.16 ","$1,300.93 ","$1,243.16 ","$1,818.07 ","$1,818.07 ","$1,507.59 ","$1,818.07 ",$843.37 ,$243.74 ,"$1,888.77 ",$876.77 ,$232.13 ,"$1,757.47 ",$835.02 ,"$1,818.07 ",$835.02 ,"$1,818.07 ","$1,818.07 ","$1,818.07 ","$1,959.48 ","$1,636.26 ","$1,818.07 ","$1,818.07 ","$1,818.07 ","$1,818.07 "
ST. JOSEPH'S - CHIPPEWA FALLS,75000149,43229,HC ESOPHAGOSCOPY W/ABLATION TUMOR/POLYP,750,1 ,"$3,266.00 ","$2,449.50 ",$651.10 ,"$7,129.44 ","$2,103.30 ","$3,168.64 ","$2,286.20 ",$651.10 ,"$3,266.00 ",$670.63 ,"$3,266.00 ","$3,102.70 ", N/A ,"$2,612.80 ","$2,972.06 ",$651.10 , N/A ,"$3,102.70 ","$2,939.40 ","$2,776.10 ",$651.10 ,$651.10 ,$651.10 ,"$2,384.18 ","$3,168.64 ","$2,906.74 ","$2,939.40 ","$2,939.40 ","$2,612.80 ","$3,263.70 ","$1,796.30 ","$2,939.40 ","$3,168.64 ","$2,939.40 ","$3,168.64 ","$3,102.70 ","$7,129.44 ","$3,004.72 ",$690.17 ,"$2,972.06 ","$3,168.64 ","$2,009.90 ","$2,103.30 ","$2,009.90 ","$2,939.40 ","$2,939.40 ","$2,437.42 ","$2,939.40 ","$3,200.33 ",$683.66 ,"$3,053.71 ","$3,327.07 ",$651.10 ,"$2,841.42 ","$3,168.64 ","$2,939.40 ","$3,168.64 ","$2,939.40 ","$2,939.40 ","$2,939.40 ","$3,168.02 ","$2,645.46 ","$2,939.40 ","$2,939.40 ","$2,939.40 ","$2,939.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001007,91010,HC MOTILITY STUDY ESOPHAGEAL,750,1 ,"$1,519.30 ","$1,139.48 ",$211.20 ,"$1,519.30 ",$978.43 ,$503.73 ,"$1,063.51 ",$211.20 ,"$1,519.30 ",$217.54 ,"$1,519.30 ","$1,443.34 ", N/A ,"$1,215.44 ","$1,382.56 ",$211.20 , N/A ,"$1,443.34 ","$1,367.37 ","$1,291.41 ",$211.20 ,$211.20 ,$211.20 ,"$1,109.09 ",$503.73 ,"$1,352.18 ","$1,367.37 ","$1,367.37 ","$1,215.44 ",$518.85 ,$835.62 ,"$1,367.37 ",$503.73 ,"$1,367.37 ",$503.73 ,"$1,443.34 ","$1,133.40 ","$1,397.76 ",$223.87 ,"$1,382.56 ",$503.73 ,$934.98 ,$978.43 ,$934.98 ,"$1,367.37 ","$1,367.37 ","$1,133.85 ",$794.24 ,$508.77 ,$221.76 ,"$1,420.55 ",$528.92 ,$211.20 ,"$1,321.79 ",$503.73 ,"$1,367.37 ",$503.73 ,"$1,367.37 ","$1,367.37 ","$1,367.37 ","$1,473.72 ","$1,230.63 ","$1,367.37 ","$1,367.37 ","$1,367.37 ","$1,367.37 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001008,N/A,HC EGD W/DILATION,750,1 ,"$3,465.00 ","$2,598.75 ","$1,905.75 ","$3,465.00 ","$2,231.46 ", N/A ,"$2,425.50 ", N/A , N/A , N/A , N/A ,"$3,291.75 ", N/A ,"$2,772.00 ","$3,153.15 ", N/A , N/A ,"$3,291.75 ","$3,118.50 ","$2,945.25 ", N/A , N/A , N/A ,"$2,529.45 ", N/A ,"$3,083.85 ","$3,118.50 ","$3,118.50 ","$2,772.00 ", N/A ,"$1,905.75 ","$3,118.50 ", N/A ,"$3,118.50 ", N/A ,"$3,291.75 ", N/A ,"$3,187.80 ", N/A ,"$3,153.15 ", N/A , N/A ,"$2,231.46 ", N/A ,"$3,118.50 ","$3,118.50 ","$2,585.93 ", N/A , N/A , N/A ,"$3,239.78 ", N/A , N/A ,"$3,014.55 ", N/A ,"$3,118.50 ", N/A ,"$3,118.50 ","$3,118.50 ","$3,118.50 ","$3,361.05 ","$2,806.65 ","$3,118.50 ","$3,118.50 ","$3,118.50 ","$3,118.50 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001009,N/A,HC COLONOSCOPY PROC LEVEL 1,750,1 ,"$1,814.00 ","$1,360.50 ",$997.70 ,"$1,814.00 ","$1,168.22 ", N/A ,"$1,269.80 ", N/A , N/A , N/A , N/A ,"$1,723.30 ", N/A ,"$1,451.20 ","$1,650.74 ", N/A , N/A ,"$1,723.30 ","$1,632.60 ","$1,541.90 ", N/A , N/A , N/A ,"$1,324.22 ", N/A ,"$1,614.46 ","$1,632.60 ","$1,632.60 ","$1,451.20 ", N/A ,$997.70 ,"$1,632.60 ", N/A ,"$1,632.60 ", N/A ,"$1,723.30 ", N/A ,"$1,668.88 ", N/A ,"$1,650.74 ", N/A , N/A ,"$1,168.22 ", N/A ,"$1,632.60 ","$1,632.60 ","$1,353.79 ", N/A , N/A , N/A ,"$1,696.09 ", N/A , N/A ,"$1,578.18 ", N/A ,"$1,632.60 ", N/A ,"$1,632.60 ","$1,632.60 ","$1,632.60 ","$1,759.58 ","$1,469.34 ","$1,632.60 ","$1,632.60 ","$1,632.60 ","$1,632.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001010,N/A,HC COLONOSCOPY PROC LEVEL 2,750,1 ,"$2,667.00 ","$2,000.25 ","$1,466.85 ","$2,667.00 ","$1,717.55 ", N/A ,"$1,866.90 ", N/A , N/A , N/A , N/A ,"$2,533.65 ", N/A ,"$2,133.60 ","$2,426.97 ", N/A , N/A ,"$2,533.65 ","$2,400.30 ","$2,266.95 ", N/A , N/A , N/A ,"$1,946.91 ", N/A ,"$2,373.63 ","$2,400.30 ","$2,400.30 ","$2,133.60 ", N/A ,"$1,466.85 ","$2,400.30 ", N/A ,"$2,400.30 ", N/A ,"$2,533.65 ", N/A ,"$2,453.64 ", N/A ,"$2,426.97 ", N/A , N/A ,"$1,717.55 ", N/A ,"$2,400.30 ","$2,400.30 ","$1,990.38 ", N/A , N/A , N/A ,"$2,493.65 ", N/A , N/A ,"$2,320.29 ", N/A ,"$2,400.30 ", N/A ,"$2,400.30 ","$2,400.30 ","$2,400.30 ","$2,586.99 ","$2,160.27 ","$2,400.30 ","$2,400.30 ","$2,400.30 ","$2,400.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001014,N/A,HC EGD PROC LEVEL 1,750,1 ,"$3,054.00 ","$2,290.50 ","$1,679.70 ","$3,054.00 ","$1,966.78 ", N/A ,"$2,137.80 ", N/A , N/A , N/A , N/A ,"$2,901.30 ", N/A ,"$2,443.20 ","$2,779.14 ", N/A , N/A ,"$2,901.30 ","$2,748.60 ","$2,595.90 ", N/A , N/A , N/A ,"$2,229.42 ", N/A ,"$2,718.06 ","$2,748.60 ","$2,748.60 ","$2,443.20 ", N/A ,"$1,679.70 ","$2,748.60 ", N/A ,"$2,748.60 ", N/A ,"$2,901.30 ", N/A ,"$2,809.68 ", N/A ,"$2,779.14 ", N/A , N/A ,"$1,966.78 ", N/A ,"$2,748.60 ","$2,748.60 ","$2,279.20 ", N/A , N/A , N/A ,"$2,855.49 ", N/A , N/A ,"$2,656.98 ", N/A ,"$2,748.60 ", N/A ,"$2,748.60 ","$2,748.60 ","$2,748.60 ","$2,962.38 ","$2,473.74 ","$2,748.60 ","$2,748.60 ","$2,748.60 ","$2,748.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001025,N/A,HC FLEX SIGMOIDOSCOPY PROC LEVEL 1,750,1 ,"$2,971.00 ","$2,228.25 ","$1,634.05 ","$2,971.00 ","$1,913.32 ", N/A ,"$2,079.70 ", N/A , N/A , N/A , N/A ,"$2,822.45 ", N/A ,"$2,376.80 ","$2,703.61 ", N/A , N/A ,"$2,822.45 ","$2,673.90 ","$2,525.35 ", N/A , N/A , N/A ,"$2,168.83 ", N/A ,"$2,644.19 ","$2,673.90 ","$2,673.90 ","$2,376.80 ", N/A ,"$1,634.05 ","$2,673.90 ", N/A ,"$2,673.90 ", N/A ,"$2,822.45 ", N/A ,"$2,733.32 ", N/A ,"$2,703.61 ", N/A , N/A ,"$1,913.32 ", N/A ,"$2,673.90 ","$2,673.90 ","$2,217.26 ", N/A , N/A , N/A ,"$2,777.89 ", N/A , N/A ,"$2,584.77 ", N/A ,"$2,673.90 ", N/A ,"$2,673.90 ","$2,673.90 ","$2,673.90 ","$2,881.87 ","$2,406.51 ","$2,673.90 ","$2,673.90 ","$2,673.90 ","$2,673.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001043,N/A,HC LASER PROCEDURE EYE,750,1 ,"$2,107.00 ","$1,580.25 ","$1,158.85 ","$2,107.00 ","$1,356.91 ", N/A ,"$1,474.90 ", N/A , N/A , N/A , N/A ,"$2,001.65 ", N/A ,"$1,685.60 ","$1,917.37 ", N/A , N/A ,"$2,001.65 ","$1,896.30 ","$1,790.95 ", N/A , N/A , N/A ,"$1,538.11 ", N/A ,"$1,875.23 ","$1,896.30 ","$1,896.30 ","$1,685.60 ", N/A ,"$1,158.85 ","$1,896.30 ", N/A ,"$1,896.30 ", N/A ,"$2,001.65 ", N/A ,"$1,938.44 ", N/A ,"$1,917.37 ", N/A , N/A ,"$1,356.91 ", N/A ,"$1,896.30 ","$1,896.30 ","$1,572.45 ", N/A , N/A , N/A ,"$1,970.05 ", N/A , N/A ,"$1,833.09 ", N/A ,"$1,896.30 ", N/A ,"$1,896.30 ","$1,896.30 ","$1,896.30 ","$2,043.79 ","$1,706.67 ","$1,896.30 ","$1,896.30 ","$1,896.30 ","$1,896.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001044,N/A,HC COLONOSCOPY W/BIOPSY/POLYP LEVEL 1,750,1 ,"$2,747.00 ","$2,060.25 ","$1,510.85 ","$2,747.00 ","$1,769.07 ", N/A ,"$1,922.90 ", N/A , N/A , N/A , N/A ,"$2,609.65 ", N/A ,"$2,197.60 ","$2,499.77 ", N/A , N/A ,"$2,609.65 ","$2,472.30 ","$2,334.95 ", N/A , N/A , N/A ,"$2,005.31 ", N/A ,"$2,444.83 ","$2,472.30 ","$2,472.30 ","$2,197.60 ", N/A ,"$1,510.85 ","$2,472.30 ", N/A ,"$2,472.30 ", N/A ,"$2,609.65 ", N/A ,"$2,527.24 ", N/A ,"$2,499.77 ", N/A , N/A ,"$1,769.07 ", N/A ,"$2,472.30 ","$2,472.30 ","$2,050.09 ", N/A , N/A , N/A ,"$2,568.45 ", N/A , N/A ,"$2,389.89 ", N/A ,"$2,472.30 ", N/A ,"$2,472.30 ","$2,472.30 ","$2,472.30 ","$2,664.59 ","$2,225.07 ","$2,472.30 ","$2,472.30 ","$2,472.30 ","$2,472.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001066,N/A,HC ESOPHAGOSCOPY FLEXIBLE DX W/BRUSH/WASH -43200,750,1 ,"$2,526.00 ","$1,894.50 ","$1,389.30 ","$2,526.00 ","$1,626.74 ", N/A ,"$1,768.20 ", N/A , N/A , N/A , N/A ,"$2,399.70 ", N/A ,"$2,020.80 ","$2,298.66 ", N/A , N/A ,"$2,399.70 ","$2,273.40 ","$2,147.10 ", N/A , N/A , N/A ,"$1,843.98 ", N/A ,"$2,248.14 ","$2,273.40 ","$2,273.40 ","$2,020.80 ", N/A ,"$1,389.30 ","$2,273.40 ", N/A ,"$2,273.40 ", N/A ,"$2,399.70 ", N/A ,"$2,323.92 ", N/A ,"$2,298.66 ", N/A , N/A ,"$1,626.74 ", N/A ,"$2,273.40 ","$2,273.40 ","$1,885.15 ", N/A , N/A , N/A ,"$2,361.81 ", N/A , N/A ,"$2,197.62 ", N/A ,"$2,273.40 ", N/A ,"$2,273.40 ","$2,273.40 ","$2,273.40 ","$2,450.22 ","$2,046.06 ","$2,273.40 ","$2,273.40 ","$2,273.40 ","$2,273.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,75001223,N/A,HC SMALL BOWEL ENDOSCOPY- 44378,750,1 ,"$5,069.00 ","$3,801.75 ","$2,787.95 ","$5,069.00 ","$3,264.44 ", N/A ,"$3,548.30 ", N/A , N/A , N/A , N/A ,"$4,815.55 ", N/A ,"$4,055.20 ","$4,612.79 ", N/A , N/A ,"$4,815.55 ","$4,562.10 ","$4,308.65 ", N/A , N/A , N/A ,"$3,700.37 ", N/A ,"$4,511.41 ","$4,562.10 ","$4,562.10 ","$4,055.20 ", N/A ,"$2,787.95 ","$4,562.10 ", N/A ,"$4,562.10 ", N/A ,"$4,815.55 ", N/A ,"$4,663.48 ", N/A ,"$4,612.79 ", N/A , N/A ,"$3,264.44 ", N/A ,"$4,562.10 ","$4,562.10 ","$3,782.99 ", N/A , N/A , N/A ,"$4,739.52 ", N/A , N/A ,"$4,410.03 ", N/A ,"$4,562.10 ", N/A ,"$4,562.10 ","$4,562.10 ","$4,562.10 ","$4,916.93 ","$4,105.89 ","$4,562.10 ","$4,562.10 ","$4,562.10 ","$4,562.10 "
ST. JOSEPH'S - CHIPPEWA FALLS,76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,"$1,717.00 ","$1,287.75 ",$200.00 ,"$1,717.00 ","$1,105.75 ",$655.29 ,"$1,201.90 ",$268.66 ,"$1,425.11 ",$276.72 ,"$1,133.22 ","$1,631.15 ",$200.00 ,"$1,373.60 ","$1,562.47 ",$268.66 ,"$1,613.98 ","$1,631.15 ","$1,545.30 ","$1,459.45 ",$268.66 ,$268.66 ,$268.66 ,"$1,253.41 ",$655.29 ,"$1,528.13 ","$1,545.30 ","$1,545.30 ","$1,373.60 ",$674.95 ,$944.35 ,"$1,545.30 ",$655.29 ,"$1,545.30 ",$655.29 ,"$1,631.15 ","$1,474.40 ","$1,579.64 ",$284.78 ,"$1,562.47 ",$655.29 ,"$1,056.64 ","$1,105.75 ","$1,056.64 ","$1,545.30 ","$1,545.30 ","$1,281.40 ","$1,195.89 ",$661.84 ,$282.09 ,"$1,605.40 ",$688.05 ,$268.66 ,"$1,493.79 ",$655.29 ,"$1,545.30 ",$655.29 ,"$1,545.30 ","$1,545.30 ","$1,545.30 ","$1,665.49 ","$1,390.77 ","$1,545.30 ","$1,545.30 ","$1,545.30 ","$1,545.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,76100048,97607,HC NEG PRESS WOUND THERAPY WO DME<50CM,761,1 ,$588.00 ,$441.00 ,$118.09 ,$802.54 ,$378.67 ,$356.69 ,$411.60 ,$118.09 ,$488.04 ,$121.63 ,$388.08 ,$558.60 , N/A ,$470.40 ,$535.08 ,$118.09 ,$552.72 ,$558.60 ,$529.20 ,$499.80 ,$118.09 ,$118.09 ,$118.09 ,$429.24 ,$356.69 ,$523.32 ,$529.20 ,$529.20 ,$470.40 ,$367.39 ,$323.40 ,$529.20 ,$356.69 ,$529.20 ,$356.69 ,$558.60 ,$802.54 ,$540.96 ,$125.18 ,$535.08 ,$356.69 ,$361.86 ,$378.67 ,$361.86 ,$529.20 ,$529.20 ,$438.82 ,$409.54 ,$360.25 ,$123.99 ,$549.78 ,$374.52 ,$118.09 ,$511.56 ,$356.69 ,$529.20 ,$356.69 ,$529.20 ,$529.20 ,$529.20 ,$570.36 ,$476.28 ,$529.20 ,$529.20 ,$529.20 ,$529.20 
ST. JOSEPH'S - CHIPPEWA FALLS,76100049,97608,HC NEG PRESS WOUND THERAPY WO DME>50CM,761,1 ,$806.00 ,$604.50 ,$118.09 ,$806.00 ,$519.06 ,$356.69 ,$564.20 ,$118.09 ,$668.98 ,$121.63 ,$531.96 ,$765.70 , N/A ,$644.80 ,$733.46 ,$118.09 ,$757.64 ,$765.70 ,$725.40 ,$685.10 ,$118.09 ,$118.09 ,$118.09 ,$588.38 ,$356.69 ,$717.34 ,$725.40 ,$725.40 ,$644.80 ,$367.39 ,$443.30 ,$725.40 ,$356.69 ,$725.40 ,$356.69 ,$765.70 ,$802.54 ,$741.52 ,$125.18 ,$733.46 ,$356.69 ,$496.01 ,$519.06 ,$496.01 ,$725.40 ,$725.40 ,$601.52 ,$561.38 ,$360.25 ,$123.99 ,$753.61 ,$374.52 ,$118.09 ,$701.22 ,$356.69 ,$725.40 ,$356.69 ,$725.40 ,$725.40 ,$725.40 ,$781.82 ,$652.86 ,$725.40 ,$725.40 ,$725.40 ,$725.40 
ST. JOSEPH'S - CHIPPEWA FALLS,76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,$248.00 ,$186.00 ,$38.23 ,$248.00 ,$159.71 , N/A ,$173.60 ,$38.23 ,$248.00 ,$39.38 ,$248.00 ,$235.60 ,$200.00 ,$198.40 ,$225.68 ,$38.23 ,$233.12 ,$235.60 ,$223.20 ,$210.80 ,$38.23 ,$38.23 ,$38.23 ,$181.04 , N/A ,$220.72 ,$223.20 ,$223.20 ,$198.40 , N/A ,$136.40 ,$223.20 , N/A ,$223.20 , N/A ,$235.60 , N/A ,$228.16 ,$40.52 ,$225.68 , N/A ,$152.62 ,$159.71 ,$152.62 ,$223.20 ,$223.20 ,$185.08 ,$223.20 , N/A ,$40.14 ,$231.88 , N/A ,$38.23 ,$215.76 , N/A ,$223.20 , N/A ,$223.20 ,$223.20 ,$223.20 ,$240.56 ,$200.88 ,$223.20 ,$223.20 ,$223.20 ,$223.20 
ST. JOSEPH'S - CHIPPEWA FALLS,76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$88.00 ,$66.00 ,$48.40 ,$88.00 ,$56.67 , N/A ,$61.60 , N/A ,$88.00 , N/A ,$88.00 ,$83.60 ,$88.00 ,$70.40 ,$80.08 , N/A ,$82.72 ,$83.60 ,$79.20 ,$74.80 , N/A , N/A , N/A ,$64.24 , N/A ,$78.32 ,$79.20 ,$79.20 ,$70.40 , N/A ,$48.40 ,$79.20 , N/A ,$79.20 , N/A ,$83.60 , N/A ,$80.96 , N/A ,$80.08 , N/A ,$54.16 ,$56.67 ,$54.16 ,$79.20 ,$79.20 ,$65.67 ,$79.20 , N/A , N/A ,$82.28 , N/A , N/A ,$76.56 , N/A ,$79.20 , N/A ,$79.20 ,$79.20 ,$79.20 ,$85.36 ,$71.28 ,$79.20 ,$79.20 ,$79.20 ,$79.20 
ST. JOSEPH'S - CHIPPEWA FALLS,77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$77.55 ,$58.16 ,$12.08 ,$143.96 ,$49.94 ,$63.98 ,$54.29 ,$12.08 ,$64.37 ,$12.44 ,$51.18 ,$73.67 , N/A ,$62.04 ,$70.57 ,$12.08 ,$72.90 ,$73.67 ,$69.80 ,$65.92 ,$12.08 ,$12.08 ,$12.08 ,$56.61 ,$63.98 ,$69.02 ,$69.80 ,$69.80 ,$62.04 ,$65.90 ,$42.65 ,$69.80 ,$63.98 ,$69.80 ,$63.98 ,$73.67 ,$143.96 ,$71.35 ,$12.80 ,$70.57 ,$63.98 ,$47.72 ,$49.94 ,$47.72 ,$69.80 ,$69.80 ,$57.88 ,$54.01 ,$64.62 ,$12.68 ,$72.51 ,$67.18 ,$12.08 ,$67.47 ,$63.98 ,$69.80 ,$63.98 ,$69.80 ,$69.80 ,$69.80 ,$75.22 ,$62.82 ,$69.80 ,$69.80 ,$69.80 ,$69.80 
ST. JOSEPH'S - CHIPPEWA FALLS,77100002,90472,HC IMMUN ADMIN EA ADD VACC,771,1 ,$76.05 ,$57.04 ,$12.08 ,$76.05 ,$48.98 , N/A ,$53.24 ,$12.08 ,$63.12 ,$12.44 ,$50.19 ,$72.25 , N/A ,$60.84 ,$69.21 ,$12.08 ,$71.49 ,$72.25 ,$68.45 ,$64.64 ,$12.08 ,$12.08 ,$12.08 ,$55.52 , N/A ,$67.68 ,$68.45 ,$68.45 ,$60.84 , N/A ,$41.83 ,$68.45 , N/A ,$68.45 , N/A ,$72.25 , N/A ,$69.97 ,$12.80 ,$69.21 , N/A ,$46.80 ,$48.98 ,$46.80 ,$68.45 ,$68.45 ,$56.76 ,$52.97 , N/A ,$12.68 ,$71.11 , N/A ,$12.08 ,$66.16 , N/A ,$68.45 , N/A ,$68.45 ,$68.45 ,$68.45 ,$73.77 ,$61.60 ,$68.45 ,$68.45 ,$68.45 ,$68.45 
ST. JOSEPH'S - CHIPPEWA FALLS,77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$69.80 ,$52.35 ,$12.08 ,$92.92 ,$44.95 ,$41.30 ,$48.86 ,$12.08 ,$57.93 ,$12.44 ,$46.07 ,$66.31 , N/A ,$55.84 ,$63.52 ,$12.08 ,$65.61 ,$66.31 ,$62.82 ,$59.33 ,$12.08 ,$12.08 ,$12.08 ,$50.95 ,$41.30 ,$62.12 ,$62.82 ,$62.82 ,$55.84 ,$42.54 ,$38.39 ,$62.82 ,$41.30 ,$62.82 ,$41.30 ,$66.31 ,$92.92 ,$64.22 ,$12.80 ,$63.52 ,$41.30 ,$42.95 ,$44.95 ,$42.95 ,$62.82 ,$62.82 ,$52.09 ,$48.62 ,$41.71 ,$12.68 ,$65.26 ,$43.37 ,$12.08 ,$60.73 ,$41.30 ,$62.82 ,$41.30 ,$62.82 ,$62.82 ,$62.82 ,$67.71 ,$56.54 ,$62.82 ,$62.82 ,$62.82 ,$62.82 
ST. JOSEPH'S - CHIPPEWA FALLS,77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$69.80 ,$52.35 ,$12.08 ,$92.92 ,$44.95 ,$41.30 ,$48.86 ,$12.08 ,$57.93 ,$12.44 ,$46.07 ,$66.31 , N/A ,$55.84 ,$63.52 ,$12.08 ,$65.61 ,$66.31 ,$62.82 ,$59.33 ,$12.08 ,$12.08 ,$12.08 ,$50.95 ,$41.30 ,$62.12 ,$62.82 ,$62.82 ,$55.84 ,$42.54 ,$38.39 ,$62.82 ,$41.30 ,$62.82 ,$41.30 ,$66.31 ,$92.92 ,$64.22 ,$12.80 ,$63.52 ,$41.30 ,$42.95 ,$44.95 ,$42.95 ,$62.82 ,$62.82 ,$52.09 ,$48.62 ,$41.71 ,$12.68 ,$65.26 ,$43.37 ,$12.08 ,$60.73 ,$41.30 ,$62.82 ,$41.30 ,$62.82 ,$62.82 ,$62.82 ,$67.71 ,$56.54 ,$62.82 ,$62.82 ,$62.82 ,$62.82 
ST. JOSEPH'S - CHIPPEWA FALLS,77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$69.80 ,$52.35 ,$12.08 ,$92.92 ,$44.95 ,$41.30 ,$48.86 ,$12.08 ,$57.93 ,$12.44 ,$46.07 ,$66.31 , N/A ,$55.84 ,$63.52 ,$12.08 ,$65.61 ,$66.31 ,$62.82 ,$59.33 ,$12.08 ,$12.08 ,$12.08 ,$50.95 ,$41.30 ,$62.12 ,$62.82 ,$62.82 ,$55.84 ,$42.54 ,$38.39 ,$62.82 ,$41.30 ,$62.82 ,$41.30 ,$66.31 ,$92.92 ,$64.22 ,$12.80 ,$63.52 ,$41.30 ,$42.95 ,$44.95 ,$42.95 ,$62.82 ,$62.82 ,$52.09 ,$48.62 ,$41.71 ,$12.68 ,$65.26 ,$43.37 ,$12.08 ,$60.73 ,$41.30 ,$62.82 ,$41.30 ,$62.82 ,$62.82 ,$62.82 ,$67.71 ,$56.54 ,$62.82 ,$62.82 ,$62.82 ,$62.82 
ST. JOSEPH'S - CHIPPEWA FALLS,78000001,Q3014,HC TELEHEALTH ORIGINATING FAC FEE,780,1 ,$173.00 ,$129.75 ,$2.57 ,$173.00 ,$111.41 ,$27.59 ,$121.10 ,$2.57 ,$143.59 ,$2.65 ,$114.18 ,$164.35 , N/A ,$138.40 ,$157.43 ,$2.57 ,$162.62 ,$164.35 ,$155.70 ,$147.05 ,$2.57 ,$2.57 ,$2.57 ,$126.29 ,$27.59 ,$153.97 ,$155.70 ,$155.70 ,$138.40 ,$28.42 ,$95.15 ,$155.70 ,$27.59 ,$155.70 ,$27.59 ,$164.35 ,$62.08 ,$159.16 ,$2.72 ,$157.43 ,$27.59 ,$106.46 ,$111.41 ,$106.46 ,$155.70 ,$155.70 ,$129.11 ,$120.49 ,$27.87 ,$2.70 ,$161.76 ,$28.97 ,$2.57 ,$150.51 ,$27.59 ,$155.70 ,$27.59 ,$155.70 ,$155.70 ,$155.70 ,$167.81 ,$140.13 ,$155.70 ,$155.70 ,$155.70 ,$155.70 
ST. JOSEPH'S - CHIPPEWA FALLS,90000007,H0018,HC ALCOHOL AND DRUG SERV- TF,900,1 ,$300.00 ,$225.00 ,$70.00 ,$300.00 ,$193.20 , N/A ,$210.00 ,$164.46 ,$249.00 ,$169.39 ,$198.00 ,$285.00 ,$70.00 ,$240.00 ,$273.00 ,$164.46 ,$282.00 ,$285.00 ,$270.00 ,$255.00 ,$164.46 ,$164.46 ,$164.46 ,$219.00 , N/A ,$267.00 ,$270.00 ,$270.00 ,$240.00 , N/A ,$165.00 ,$270.00 , N/A ,$270.00 , N/A ,$285.00 , N/A ,$276.00 ,$174.33 ,$273.00 , N/A ,$184.62 ,$193.20 ,$184.62 ,$270.00 ,$270.00 ,$223.89 ,$208.95 , N/A ,$172.68 ,$280.50 , N/A ,$164.46 ,$261.00 , N/A ,$270.00 , N/A ,$270.00 ,$270.00 ,$270.00 ,$291.00 ,$243.00 ,$270.00 ,$270.00 ,$270.00 ,$270.00 
ST. JOSEPH'S - CHIPPEWA FALLS,90000008,H0018,HC ALCOHOL AND DRUG SERV- TG,900,1 ,$665.00 ,$498.75 ,$70.00 ,$665.00 ,$428.26 , N/A ,$465.50 ,$164.46 ,$551.95 ,$169.39 ,$438.90 ,$631.75 ,$70.00 ,$532.00 ,$605.15 ,$164.46 ,$625.10 ,$631.75 ,$598.50 ,$565.25 ,$164.46 ,$164.46 ,$164.46 ,$485.45 , N/A ,$591.85 ,$598.50 ,$598.50 ,$532.00 , N/A ,$365.75 ,$598.50 , N/A ,$598.50 , N/A ,$631.75 , N/A ,$611.80 ,$174.33 ,$605.15 , N/A ,$409.24 ,$428.26 ,$409.24 ,$598.50 ,$598.50 ,$496.29 ,$463.17 , N/A ,$172.68 ,$621.78 , N/A ,$164.46 ,$578.55 , N/A ,$598.50 , N/A ,$598.50 ,$598.50 ,$598.50 ,$645.05 ,$538.65 ,$598.50 ,$598.50 ,$598.50 ,$598.50 
ST. JOSEPH'S - CHIPPEWA FALLS,90000009,H0018,HC ALCOHOL AND DRUG SERV- TFHD,900,1 ,$345.00 ,$258.75 ,$70.00 ,$345.00 ,$222.18 , N/A ,$241.50 ,$164.46 ,$286.35 ,$169.39 ,$227.70 ,$327.75 ,$70.00 ,$276.00 ,$313.95 ,$164.46 ,$324.30 ,$327.75 ,$310.50 ,$293.25 ,$164.46 ,$164.46 ,$164.46 ,$251.85 , N/A ,$307.05 ,$310.50 ,$310.50 ,$276.00 , N/A ,$189.75 ,$310.50 , N/A ,$310.50 , N/A ,$327.75 , N/A ,$317.40 ,$174.33 ,$313.95 , N/A ,$212.31 ,$222.18 ,$212.31 ,$310.50 ,$310.50 ,$257.47 ,$240.29 , N/A ,$172.68 ,$322.58 , N/A ,$164.46 ,$300.15 , N/A ,$310.50 , N/A ,$310.50 ,$310.50 ,$310.50 ,$334.65 ,$279.45 ,$310.50 ,$310.50 ,$310.50 ,$310.50 
ST. JOSEPH'S - CHIPPEWA FALLS,90000010,H0018,HC ALCOHOL AND DRUG SERV- TGHD,900,1 ,$756.00 ,$567.00 ,$70.00 ,$756.00 ,$486.86 , N/A ,$529.20 ,$164.46 ,$627.48 ,$169.39 ,$498.96 ,$718.20 ,$70.00 ,$604.80 ,$687.96 ,$164.46 ,$710.64 ,$718.20 ,$680.40 ,$642.60 ,$164.46 ,$164.46 ,$164.46 ,$551.88 , N/A ,$672.84 ,$680.40 ,$680.40 ,$604.80 , N/A ,$415.80 ,$680.40 , N/A ,$680.40 , N/A ,$718.20 , N/A ,$695.52 ,$174.33 ,$687.96 , N/A ,$465.24 ,$486.86 ,$465.24 ,$680.40 ,$680.40 ,$564.20 ,$526.55 , N/A ,$172.68 ,$706.86 , N/A ,$164.46 ,$657.72 , N/A ,$680.40 , N/A ,$680.40 ,$680.40 ,$680.40 ,$733.32 ,$612.36 ,$680.40 ,$680.40 ,$680.40 ,$680.40 
ST. JOSEPH'S - CHIPPEWA FALLS,90000011,H0018,HC ALCOHOL AND DRUG SERV- TFMAHI,900,1 ,$420.00 ,$315.00 ,$70.00 ,$420.00 ,$270.48 , N/A ,$294.00 ,$164.46 ,$348.60 ,$169.39 ,$277.20 ,$399.00 ,$70.00 ,$336.00 ,$382.20 ,$164.46 ,$394.80 ,$399.00 ,$378.00 ,$357.00 ,$164.46 ,$164.46 ,$164.46 ,$306.60 , N/A ,$373.80 ,$378.00 ,$378.00 ,$336.00 , N/A ,$231.00 ,$378.00 , N/A ,$378.00 , N/A ,$399.00 , N/A ,$386.40 ,$174.33 ,$382.20 , N/A ,$258.47 ,$270.48 ,$258.47 ,$378.00 ,$378.00 ,$313.45 ,$292.53 , N/A ,$172.68 ,$392.70 , N/A ,$164.46 ,$365.40 , N/A ,$378.00 , N/A ,$378.00 ,$378.00 ,$378.00 ,$407.40 ,$340.20 ,$378.00 ,$378.00 ,$378.00 ,$378.00 
ST. JOSEPH'S - CHIPPEWA FALLS,90000012,H0018,HC ALCOHOL AND DRUG SERV- TA,900,1 ,$300.00 ,$225.00 ,$70.00 ,$300.00 ,$193.20 , N/A ,$210.00 ,$164.46 ,$249.00 ,$169.39 ,$198.00 ,$285.00 ,$70.00 ,$240.00 ,$273.00 ,$164.46 ,$282.00 ,$285.00 ,$270.00 ,$255.00 ,$164.46 ,$164.46 ,$164.46 ,$219.00 , N/A ,$267.00 ,$270.00 ,$270.00 ,$240.00 , N/A ,$165.00 ,$270.00 , N/A ,$270.00 , N/A ,$285.00 , N/A ,$276.00 ,$174.33 ,$273.00 , N/A ,$184.62 ,$193.20 ,$184.62 ,$270.00 ,$270.00 ,$223.89 ,$208.95 , N/A ,$172.68 ,$280.50 , N/A ,$164.46 ,$261.00 , N/A ,$270.00 , N/A ,$270.00 ,$270.00 ,$270.00 ,$291.00 ,$243.00 ,$270.00 ,$270.00 ,$270.00 ,$270.00 
ST. JOSEPH'S - CHIPPEWA FALLS,91100001,N/A,HC BH/REHAB COUNSELING,911,1 ,$574.00 ,$430.50 ,$150.00 ,$574.00 ,$369.66 , N/A ,$401.80 , N/A ,$476.42 , N/A ,$378.84 ,$545.30 ,$150.00 ,$459.20 ,$522.34 , N/A ,$539.56 ,$545.30 ,$516.60 ,$487.90 , N/A , N/A , N/A ,$419.02 , N/A ,$510.86 ,$516.60 ,$516.60 ,$459.20 , N/A ,$315.70 ,$516.60 , N/A ,$516.60 , N/A ,$545.30 , N/A ,$528.08 , N/A ,$522.34 , N/A ,$353.24 ,$369.66 ,$353.24 ,$516.60 ,$516.60 ,$428.38 ,$399.79 , N/A , N/A ,$536.69 , N/A , N/A ,$499.38 , N/A ,$516.60 , N/A ,$516.60 ,$516.60 ,$516.60 ,$556.78 ,$464.94 ,$516.60 ,$516.60 ,$516.60 ,$516.60 
ST. JOSEPH'S - CHIPPEWA FALLS,91400001,90791,HC EVAL PSYCH DIAG MASTERS,914,1 ,$759.00 ,$569.25 ,$70.00 ,$759.00 ,$488.80 ,$138.08 ,$531.30 ,$82.53 ,$322.00 ,$85.01 ,$258.00 ,$721.05 ,$70.00 ,$607.20 ,$690.69 ,$82.53 ,$713.46 ,$721.05 ,$683.10 ,$645.15 ,$82.53 ,$82.53 ,$82.53 ,$554.07 ,$138.08 ,$675.51 ,$683.10 ,$683.10 ,$607.20 ,$142.22 ,$417.45 ,$683.10 ,$138.08 ,$683.10 ,$138.08 ,$721.05 ,$310.67 ,$698.28 ,$87.48 ,$690.69 ,$138.08 ,$467.09 ,$488.80 ,$467.09 ,$683.10 ,$683.10 ,$566.44 ,$528.64 ,$139.46 ,$86.66 ,$709.67 ,$144.98 ,$82.53 ,$660.33 ,$138.08 ,$683.10 ,$138.08 ,$683.10 ,$683.10 ,$683.10 ,$736.23 ,$614.79 ,$683.10 ,$683.10 ,$683.10 ,$683.10 
ST. JOSEPH'S - CHIPPEWA FALLS,91400003,90791,HC EVAL PSYCH DIAG 60 MIN,914,1 ,$374.29 ,$280.72 ,$70.00 ,$374.29 ,$241.04 ,$138.08 ,$262.00 ,$82.53 ,$322.00 ,$85.01 ,$258.00 ,$355.58 ,$70.00 ,$299.43 ,$340.60 ,$82.53 ,$351.83 ,$355.58 ,$336.86 ,$318.15 ,$82.53 ,$82.53 ,$82.53 ,$273.23 ,$138.08 ,$333.12 ,$336.86 ,$336.86 ,$299.43 ,$142.22 ,$205.86 ,$336.86 ,$138.08 ,$336.86 ,$138.08 ,$355.58 ,$310.67 ,$344.35 ,$87.48 ,$340.60 ,$138.08 ,$230.34 ,$241.04 ,$230.34 ,$336.86 ,$336.86 ,$279.33 ,$260.69 ,$139.46 ,$86.66 ,$349.96 ,$144.98 ,$82.53 ,$325.63 ,$138.08 ,$336.86 ,$138.08 ,$336.86 ,$336.86 ,$336.86 ,$363.06 ,$303.17 ,$336.86 ,$336.86 ,$336.86 ,$336.86 
ST. JOSEPH'S - CHIPPEWA FALLS,91400005,90832,HC THERAPY INDIVIDUAL PSYCH MASTERS 30MIN,914,1 ,$211.12 ,$158.34 ,$38.06 ,$310.67 ,$135.96 ,$138.08 ,$147.78 ,$38.06 ,$211.12 ,$39.20 ,$211.12 ,$200.56 ,$70.00 ,$168.90 ,$192.12 ,$38.06 ,$198.45 ,$200.56 ,$190.01 ,$179.45 ,$38.06 ,$38.06 ,$38.06 ,$154.12 ,$138.08 ,$187.90 ,$190.01 ,$190.01 ,$168.90 ,$142.22 ,$116.12 ,$190.01 ,$138.08 ,$190.01 ,$138.08 ,$200.56 ,$310.67 ,$194.23 ,$40.34 ,$192.12 ,$138.08 ,$129.92 ,$135.96 ,$129.92 ,$190.01 ,$190.01 ,$157.56 ,$147.05 ,$139.46 ,$39.96 ,$197.40 ,$144.98 ,$38.06 ,$183.67 ,$138.08 ,$190.01 ,$138.08 ,$190.01 ,$190.01 ,$190.01 ,$204.79 ,$171.01 ,$190.01 ,$190.01 ,$190.01 ,$190.01 
ST. JOSEPH'S - CHIPPEWA FALLS,91400006,90832,HC THERAPY INDIVIDUAL PSYCH PHD 30MIN,914,1 ,$245.71 ,$184.28 ,$38.06 ,$310.67 ,$158.24 ,$138.08 ,$172.00 ,$38.06 ,$245.71 ,$39.20 ,$245.71 ,$233.42 ,$70.00 ,$196.57 ,$223.60 ,$38.06 ,$230.97 ,$233.42 ,$221.14 ,$208.85 ,$38.06 ,$38.06 ,$38.06 ,$179.37 ,$138.08 ,$218.68 ,$221.14 ,$221.14 ,$196.57 ,$142.22 ,$135.14 ,$221.14 ,$138.08 ,$221.14 ,$138.08 ,$233.42 ,$310.67 ,$226.05 ,$40.34 ,$223.60 ,$138.08 ,$151.21 ,$158.24 ,$151.21 ,$221.14 ,$221.14 ,$183.37 ,$171.14 ,$139.46 ,$39.96 ,$229.74 ,$144.98 ,$38.06 ,$213.77 ,$138.08 ,$221.14 ,$138.08 ,$221.14 ,$221.14 ,$221.14 ,$238.34 ,$199.03 ,$221.14 ,$221.14 ,$221.14 ,$221.14 
ST. JOSEPH'S - CHIPPEWA FALLS,91400008,90834,HC THERAPY INDIVIDUAL PSYCH MASTERS 45MIN,914,1 ,$354.20 ,$265.65 ,$45.91 ,$354.20 ,$228.10 ,$138.08 ,$247.94 ,$45.91 ,$322.00 ,$47.29 ,$258.00 ,$336.49 ,$70.00 ,$283.36 ,$322.32 ,$45.91 ,$332.95 ,$336.49 ,$318.78 ,$301.07 ,$45.91 ,$45.91 ,$45.91 ,$258.57 ,$138.08 ,$315.24 ,$318.78 ,$318.78 ,$283.36 ,$142.22 ,$194.81 ,$318.78 ,$138.08 ,$318.78 ,$138.08 ,$336.49 ,$310.67 ,$325.86 ,$48.66 ,$322.32 ,$138.08 ,$217.97 ,$228.10 ,$217.97 ,$318.78 ,$318.78 ,$264.34 ,$246.70 ,$139.46 ,$48.21 ,$331.18 ,$144.98 ,$45.91 ,$308.15 ,$138.08 ,$318.78 ,$138.08 ,$318.78 ,$318.78 ,$318.78 ,$343.57 ,$286.90 ,$318.78 ,$318.78 ,$318.78 ,$318.78 
ST. JOSEPH'S - CHIPPEWA FALLS,91400009,90834,HC THERAPY INDIVIDUAL PSYCH PHD 45MIN,914,1 ,$368.56 ,$276.42 ,$45.91 ,$368.56 ,$237.35 ,$138.08 ,$257.99 ,$45.91 ,$322.00 ,$47.29 ,$258.00 ,$350.13 ,$70.00 ,$294.85 ,$335.39 ,$45.91 ,$346.45 ,$350.13 ,$331.70 ,$313.28 ,$45.91 ,$45.91 ,$45.91 ,$269.05 ,$138.08 ,$328.02 ,$331.70 ,$331.70 ,$294.85 ,$142.22 ,$202.71 ,$331.70 ,$138.08 ,$331.70 ,$138.08 ,$350.13 ,$310.67 ,$339.08 ,$48.66 ,$335.39 ,$138.08 ,$226.81 ,$237.35 ,$226.81 ,$331.70 ,$331.70 ,$275.06 ,$256.70 ,$139.46 ,$48.21 ,$344.60 ,$144.98 ,$45.91 ,$320.65 ,$138.08 ,$331.70 ,$138.08 ,$331.70 ,$331.70 ,$331.70 ,$357.50 ,$298.53 ,$331.70 ,$331.70 ,$331.70 ,$331.70 
ST. JOSEPH'S - CHIPPEWA FALLS,91400010,90837,HC THERAPY INDIVIDUAL PSYCH MASTERS 60MIN,914,1 ,$462.30 ,$346.73 ,$45.91 ,$462.30 ,$297.72 ,$138.08 ,$323.61 ,$45.91 ,$322.00 ,$47.29 ,$258.00 ,$439.19 ,$70.00 ,$369.84 ,$420.69 ,$45.91 ,$434.56 ,$439.19 ,$416.07 ,$392.96 ,$45.91 ,$45.91 ,$45.91 ,$337.48 ,$138.08 ,$411.45 ,$416.07 ,$416.07 ,$369.84 ,$142.22 ,$254.27 ,$416.07 ,$138.08 ,$416.07 ,$138.08 ,$439.19 ,$310.67 ,$425.32 ,$48.66 ,$420.69 ,$138.08 ,$284.50 ,$297.72 ,$284.50 ,$416.07 ,$416.07 ,$345.01 ,$321.99 ,$139.46 ,$48.21 ,$432.25 ,$144.98 ,$45.91 ,$402.20 ,$138.08 ,$416.07 ,$138.08 ,$416.07 ,$416.07 ,$416.07 ,$448.43 ,$374.46 ,$416.07 ,$416.07 ,$416.07 ,$416.07 
ST. JOSEPH'S - CHIPPEWA FALLS,91400011,90837,HC THERAPY INDIVIDUAL PSYCH PHD 60MIN,914,1 ,$491.42 ,$368.57 ,$45.91 ,$491.42 ,$316.47 ,$138.08 ,$343.99 ,$45.91 ,$322.00 ,$47.29 ,$258.00 ,$466.85 ,$70.00 ,$393.14 ,$447.19 ,$45.91 ,$461.93 ,$466.85 ,$442.28 ,$417.71 ,$45.91 ,$45.91 ,$45.91 ,$358.74 ,$138.08 ,$437.36 ,$442.28 ,$442.28 ,$393.14 ,$142.22 ,$270.28 ,$442.28 ,$138.08 ,$442.28 ,$138.08 ,$466.85 ,$310.67 ,$452.11 ,$48.66 ,$447.19 ,$138.08 ,$302.42 ,$316.47 ,$302.42 ,$442.28 ,$442.28 ,$366.75 ,$342.27 ,$139.46 ,$48.21 ,$459.48 ,$144.98 ,$45.91 ,$427.54 ,$138.08 ,$442.28 ,$138.08 ,$442.28 ,$442.28 ,$442.28 ,$476.68 ,$398.05 ,$442.28 ,$442.28 ,$442.28 ,$442.28 
ST. JOSEPH'S - CHIPPEWA FALLS,91500001,90853,HC THERAPY GROUP PSYCH MASTERS 60MIN,915,1 ,$206.34 ,$154.76 ,$67.24 ,$206.34 ,$132.88 ,$77.22 ,$144.44 ,$67.24 ,$206.34 ,$69.26 ,$206.34 ,$196.02 ,$70.00 ,$165.07 ,$187.77 ,$67.24 ,$193.96 ,$196.02 ,$185.71 ,$175.39 ,$67.24 ,$67.24 ,$67.24 ,$150.63 ,$77.22 ,$183.64 ,$185.71 ,$185.71 ,$165.07 ,$79.53 ,$113.49 ,$185.71 ,$77.22 ,$185.71 ,$77.22 ,$196.02 ,$173.74 ,$189.83 ,$71.27 ,$187.77 ,$77.22 ,$126.98 ,$132.88 ,$126.98 ,$185.71 ,$185.71 ,$153.99 ,$143.72 ,$77.99 ,$70.60 ,$192.93 ,$81.08 ,$67.24 ,$179.52 ,$77.22 ,$185.71 ,$77.22 ,$185.71 ,$185.71 ,$185.71 ,$200.15 ,$167.14 ,$185.71 ,$185.71 ,$185.71 ,$185.71 
ST. JOSEPH'S - CHIPPEWA FALLS,91500002,90853,HC THERAPY GROUP PSYCH MASTERS 90MIN,915,1 ,$219.65 ,$164.74 ,$67.24 ,$219.65 ,$141.45 ,$77.22 ,$153.76 ,$67.24 ,$219.65 ,$69.26 ,$219.65 ,$208.67 ,$70.00 ,$175.72 ,$199.88 ,$67.24 ,$206.47 ,$208.67 ,$197.69 ,$186.70 ,$67.24 ,$67.24 ,$67.24 ,$160.34 ,$77.22 ,$195.49 ,$197.69 ,$197.69 ,$175.72 ,$79.53 ,$120.81 ,$197.69 ,$77.22 ,$197.69 ,$77.22 ,$208.67 ,$173.74 ,$202.08 ,$71.27 ,$199.88 ,$77.22 ,$135.17 ,$141.45 ,$135.17 ,$197.69 ,$197.69 ,$163.92 ,$152.99 ,$77.99 ,$70.60 ,$205.37 ,$81.08 ,$67.24 ,$191.10 ,$77.22 ,$197.69 ,$77.22 ,$197.69 ,$197.69 ,$197.69 ,$213.06 ,$177.92 ,$197.69 ,$197.69 ,$197.69 ,$197.69 
ST. JOSEPH'S - CHIPPEWA FALLS,91500003,90853,HC THERAPY GROUP PSYCH PHD,915,1 ,$57.26 ,$42.95 ,$31.49 ,$173.74 ,$36.88 ,$77.22 ,$40.08 ,$57.26 ,$57.26 ,$69.26 ,$57.26 ,$54.40 ,$57.26 ,$45.81 ,$52.11 ,$57.26 ,$53.82 ,$54.40 ,$51.53 ,$48.67 ,$67.24 ,$67.24 ,$67.24 ,$41.80 ,$77.22 ,$50.96 ,$51.53 ,$51.53 ,$45.81 ,$79.53 ,$31.49 ,$51.53 ,$77.22 ,$51.53 ,$77.22 ,$54.40 ,$173.74 ,$52.68 ,$71.27 ,$52.11 ,$77.22 ,$35.24 ,$36.88 ,$35.24 ,$51.53 ,$51.53 ,$42.73 ,$39.88 ,$77.99 ,$70.60 ,$53.54 ,$81.08 ,$57.26 ,$49.82 ,$77.22 ,$51.53 ,$77.22 ,$51.53 ,$51.53 ,$51.53 ,$55.54 ,$46.38 ,$51.53 ,$51.53 ,$51.53 ,$51.53 
ST. JOSEPH'S - CHIPPEWA FALLS,91500004,G0410,HC THERAPY GROUP NON-FAMILY PER HOUR,915,1 ,$135.00 ,$101.25 ,$67.24 ,$135.00 ,$86.94 , N/A ,$94.50 ,$67.24 ,$135.00 ,$69.26 ,$135.00 ,$128.25 ,$70.00 ,$108.00 ,$122.85 ,$67.24 ,$126.90 ,$128.25 ,$121.50 ,$114.75 ,$67.24 ,$67.24 ,$67.24 ,$98.55 , N/A ,$120.15 ,$121.50 ,$121.50 ,$108.00 , N/A ,$74.25 ,$121.50 , N/A ,$121.50 , N/A ,$128.25 , N/A ,$124.20 ,$71.27 ,$122.85 , N/A ,$83.08 ,$86.94 ,$83.08 ,$121.50 ,$121.50 ,$100.75 ,$94.03 , N/A ,$70.60 ,$126.23 , N/A ,$67.24 ,$117.45 , N/A ,$121.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$130.95 ,$109.35 ,$121.50 ,$121.50 ,$121.50 ,$121.50 
ST. JOSEPH'S - CHIPPEWA FALLS,91500005,G0411,HC THERAPY GROUP INTERACTIVE PER HR,915,1 ,$135.00 ,$101.25 ,$67.24 ,$135.00 ,$86.94 , N/A ,$94.50 ,$67.24 ,$135.00 ,$69.26 ,$135.00 ,$128.25 ,$70.00 ,$108.00 ,$122.85 ,$67.24 ,$126.90 ,$128.25 ,$121.50 ,$114.75 ,$67.24 ,$67.24 ,$67.24 ,$98.55 , N/A ,$120.15 ,$121.50 ,$121.50 ,$108.00 , N/A ,$74.25 ,$121.50 , N/A ,$121.50 , N/A ,$128.25 , N/A ,$124.20 ,$71.27 ,$122.85 , N/A ,$83.08 ,$86.94 ,$83.08 ,$121.50 ,$121.50 ,$100.75 ,$94.03 , N/A ,$70.60 ,$126.23 , N/A ,$67.24 ,$117.45 , N/A ,$121.50 , N/A ,$121.50 ,$121.50 ,$121.50 ,$130.95 ,$109.35 ,$121.50 ,$121.50 ,$121.50 ,$121.50 
ST. JOSEPH'S - CHIPPEWA FALLS,91600003,90847,HC THERAPY FAMILY PSYCH W/PATIENT MASTERS,916,1 ,$462.30 ,$346.73 ,$47.39 ,$462.30 ,$297.72 ,$138.08 ,$323.61 ,$47.39 ,$322.00 ,$48.81 ,$258.00 ,$439.19 , N/A ,$369.84 ,$420.69 ,$47.39 ,$434.56 ,$439.19 ,$416.07 ,$392.96 ,$47.39 ,$47.39 ,$47.39 ,$337.48 ,$138.08 ,$411.45 ,$416.07 ,$416.07 ,$369.84 ,$142.22 ,$254.27 ,$416.07 ,$138.08 ,$416.07 ,$138.08 ,$439.19 ,$310.67 ,$425.32 ,$50.23 ,$420.69 ,$138.08 ,$284.50 ,$297.72 ,$284.50 ,$416.07 ,$416.07 ,$345.01 ,$321.99 ,$139.46 ,$49.76 ,$432.25 ,$144.98 ,$47.39 ,$402.20 ,$138.08 ,$416.07 ,$138.08 ,$416.07 ,$416.07 ,$416.07 ,$448.43 ,$374.46 ,$416.07 ,$416.07 ,$416.07 ,$416.07 
ST. JOSEPH'S - CHIPPEWA FALLS,91600004,90847,HC THERAPY FAMILY PSYCH W/PATIENT PHD,916,1 ,$491.42 ,$368.57 ,$47.39 ,$491.42 ,$316.47 ,$138.08 ,$343.99 ,$47.39 ,$322.00 ,$48.81 ,$258.00 ,$466.85 , N/A ,$393.14 ,$447.19 ,$47.39 ,$461.93 ,$466.85 ,$442.28 ,$417.71 ,$47.39 ,$47.39 ,$47.39 ,$358.74 ,$138.08 ,$437.36 ,$442.28 ,$442.28 ,$393.14 ,$142.22 ,$270.28 ,$442.28 ,$138.08 ,$442.28 ,$138.08 ,$466.85 ,$310.67 ,$452.11 ,$50.23 ,$447.19 ,$138.08 ,$302.42 ,$316.47 ,$302.42 ,$442.28 ,$442.28 ,$366.75 ,$342.27 ,$139.46 ,$49.76 ,$459.48 ,$144.98 ,$47.39 ,$427.54 ,$138.08 ,$442.28 ,$138.08 ,$442.28 ,$442.28 ,$442.28 ,$476.68 ,$398.05 ,$442.28 ,$442.28 ,$442.28 ,$442.28 
ST. JOSEPH'S - CHIPPEWA FALLS,92000001,59020,HC TEST STRESS FETAL,920,1 ,$692.00 ,$519.00 ,$57.86 ,$692.00 ,$445.65 ,$175.81 ,$484.40 ,$57.86 ,$574.36 ,$59.60 ,$456.72 ,$657.40 , N/A ,$553.60 ,$629.72 ,$57.86 ,$650.48 ,$657.40 ,$622.80 ,$588.20 ,$57.86 ,$57.86 ,$57.86 ,$505.16 ,$175.81 ,$615.88 ,$622.80 ,$622.80 ,$553.60 ,$181.08 ,$380.60 ,$622.80 ,$175.81 ,$622.80 ,$175.81 ,$657.40 ,$395.56 ,$636.64 ,$61.33 ,$629.72 ,$175.81 ,$425.86 ,$445.65 ,$425.86 ,$622.80 ,$622.80 ,$516.44 ,$481.98 ,$177.56 ,$60.75 ,$647.02 ,$184.60 ,$57.86 ,$602.04 ,$175.81 ,$622.80 ,$175.81 ,$622.80 ,$622.80 ,$622.80 ,$671.24 ,$560.52 ,$622.80 ,$622.80 ,$622.80 ,$622.80 
ST. JOSEPH'S - CHIPPEWA FALLS,92000002,59025,HC TEST NON STRESS FETAL,920,1 ,$497.00 ,$372.75 ,$57.86 ,$497.00 ,$320.07 ,$175.81 ,$347.90 ,$57.86 ,$412.51 ,$59.60 ,$328.02 ,$472.15 , N/A ,$397.60 ,$452.27 ,$57.86 ,$467.18 ,$472.15 ,$447.30 ,$422.45 ,$57.86 ,$57.86 ,$57.86 ,$362.81 ,$175.81 ,$442.33 ,$447.30 ,$447.30 ,$397.60 ,$181.08 ,$273.35 ,$447.30 ,$175.81 ,$447.30 ,$175.81 ,$472.15 ,$395.56 ,$457.24 ,$61.33 ,$452.27 ,$175.81 ,$305.85 ,$320.07 ,$305.85 ,$447.30 ,$447.30 ,$370.91 ,$346.16 ,$177.56 ,$60.75 ,$464.70 ,$184.60 ,$57.86 ,$432.39 ,$175.81 ,$447.30 ,$175.81 ,$447.30 ,$447.30 ,$447.30 ,$482.09 ,$402.57 ,$447.30 ,$447.30 ,$447.30 ,$447.30 
ST. JOSEPH'S - CHIPPEWA FALLS,92000013,95972,HC ANALYSIS PGS W/PROGRAMMING COMPLEX,920,1 ,$709.85 ,$532.39 ,$46.02 ,$709.85 ,$457.14 ,$103.60 ,$496.90 ,$46.02 ,$589.18 ,$47.40 ,$468.50 ,$674.36 , N/A ,$567.88 ,$645.96 ,$46.02 ,$667.26 ,$674.36 ,$638.87 ,$603.37 ,$46.02 ,$46.02 ,$46.02 ,$518.19 ,$103.60 ,$631.77 ,$638.87 ,$638.87 ,$567.88 ,$106.71 ,$390.42 ,$638.87 ,$103.60 ,$638.87 ,$103.60 ,$674.36 ,$233.10 ,$653.06 ,$48.78 ,$645.96 ,$103.60 ,$436.84 ,$457.14 ,$436.84 ,$638.87 ,$638.87 ,$529.76 ,$494.41 ,$104.64 ,$48.32 ,$663.71 ,$108.78 ,$46.02 ,$617.57 ,$103.60 ,$638.87 ,$103.60 ,$638.87 ,$638.87 ,$638.87 ,$688.55 ,$574.98 ,$638.87 ,$638.87 ,$638.87 ,$638.87 
ST. JOSEPH'S - CHIPPEWA FALLS,92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,475.89 ","$1,106.92 ",$52.74 ,"$1,475.89 ",$950.47 ,$237.45 ,"$1,033.12 ",$52.74 ,"$1,224.99 ",$54.32 ,$974.09 ,"$1,402.10 ", N/A ,"$1,180.71 ","$1,343.06 ",$52.74 ,"$1,387.34 ","$1,402.10 ","$1,328.30 ","$1,254.51 ",$52.74 ,$52.74 ,$52.74 ,"$1,077.40 ",$237.45 ,"$1,313.54 ","$1,328.30 ","$1,328.30 ","$1,180.71 ",$244.58 ,$811.74 ,"$1,328.30 ",$237.45 ,"$1,328.30 ",$237.45 ,"$1,402.10 ",$534.27 ,"$1,357.82 ",$55.90 ,"$1,343.06 ",$237.45 ,$908.26 ,$950.47 ,$908.26 ,"$1,328.30 ","$1,328.30 ","$1,101.46 ","$1,027.96 ",$239.83 ,$55.38 ,"$1,379.96 ",$249.32 ,$52.74 ,"$1,284.02 ",$237.45 ,"$1,328.30 ",$237.45 ,"$1,328.30 ","$1,328.30 ","$1,328.30 ","$1,431.61 ","$1,195.47 ","$1,328.30 ","$1,328.30 ","$1,328.30 ","$1,328.30 "
ST. JOSEPH'S - CHIPPEWA FALLS,92100004,93888,HC DOPPLER TRANSCRANIAL LTD,921,1 ,$391.10 ,$293.33 ,$34.74 ,$391.10 ,$251.87 ,$112.35 ,$273.77 ,$34.74 ,$324.61 ,$35.78 ,$258.13 ,$371.55 , N/A ,$312.88 ,$355.90 ,$34.74 ,$367.63 ,$371.55 ,$351.99 ,$332.44 ,$34.74 ,$34.74 ,$34.74 ,$285.50 ,$112.35 ,$348.08 ,$351.99 ,$351.99 ,$312.88 ,$115.72 ,$215.11 ,$351.99 ,$112.35 ,$351.99 ,$112.35 ,$371.55 ,$252.79 ,$359.81 ,$36.82 ,$355.90 ,$112.35 ,$240.68 ,$251.87 ,$240.68 ,$351.99 ,$351.99 ,$291.88 ,$272.40 ,$113.47 ,$36.48 ,$365.68 ,$117.97 ,$34.74 ,$340.26 ,$112.35 ,$351.99 ,$112.35 ,$351.99 ,$351.99 ,$351.99 ,$379.37 ,$316.79 ,$351.99 ,$351.99 ,$351.99 ,$351.99 
ST. JOSEPH'S - CHIPPEWA FALLS,92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,$331.28 ,$248.46 ,$34.74 ,$331.28 ,$213.34 ,$116.36 ,$231.90 ,$34.74 ,$274.96 ,$35.78 ,$218.64 ,$314.72 , N/A ,$265.02 ,$301.46 ,$34.74 ,$311.40 ,$314.72 ,$298.15 ,$281.59 ,$34.74 ,$34.74 ,$34.74 ,$241.83 ,$116.36 ,$294.84 ,$298.15 ,$298.15 ,$265.02 ,$119.85 ,$182.20 ,$298.15 ,$116.36 ,$298.15 ,$116.36 ,$314.72 ,$261.82 ,$304.78 ,$36.82 ,$301.46 ,$116.36 ,$203.87 ,$213.34 ,$203.87 ,$298.15 ,$298.15 ,$247.23 ,$230.74 ,$117.53 ,$36.48 ,$309.75 ,$122.18 ,$34.74 ,$288.21 ,$116.36 ,$298.15 ,$116.36 ,$298.15 ,$298.15 ,$298.15 ,$321.34 ,$268.34 ,$298.15 ,$298.15 ,$298.15 ,$298.15 
ST. JOSEPH'S - CHIPPEWA FALLS,92100011,93922,HC TCPO2 UNLIATERAL 1-2 LEVEL - 93922-52,921,1 ,$331.28 ,$248.46 ,$34.74 ,$331.28 ,$213.34 ,$58.18 ,$231.90 ,$34.74 ,$274.96 ,$35.78 ,$218.64 ,$314.72 , N/A ,$265.02 ,$301.46 ,$34.74 ,$311.40 ,$314.72 ,$298.15 ,$281.59 ,$34.74 ,$34.74 ,$34.74 ,$241.83 ,$58.18 ,$294.84 ,$298.15 ,$298.15 ,$265.02 ,$59.93 ,$182.20 ,$298.15 ,$58.18 ,$298.15 ,$58.18 ,$314.72 ,$130.91 ,$304.78 ,$36.82 ,$301.46 ,$58.18 ,$203.87 ,$213.34 ,$203.87 ,$298.15 ,$298.15 ,$247.23 ,$230.74 ,$58.76 ,$36.48 ,$309.75 ,$61.09 ,$34.74 ,$288.21 ,$58.18 ,$298.15 ,$58.18 ,$298.15 ,$298.15 ,$298.15 ,$321.34 ,$268.34 ,$298.15 ,$298.15 ,$298.15 ,$298.15 
ST. JOSEPH'S - CHIPPEWA FALLS,92100023,93923,HC TCPO2/ABI/PPG MULT LEVELS,921,1 ,$812.54 ,$609.41 ,$52.64 ,$812.54 ,$523.28 ,$144.08 ,$568.78 ,$52.64 ,$674.41 ,$54.22 ,$536.28 ,$771.91 , N/A ,$650.03 ,$739.41 ,$52.64 ,$763.79 ,$771.91 ,$731.29 ,$690.66 ,$52.64 ,$52.64 ,$52.64 ,$593.15 ,$144.08 ,$723.16 ,$731.29 ,$731.29 ,$650.03 ,$148.40 ,$446.90 ,$731.29 ,$144.08 ,$731.29 ,$144.08 ,$771.91 ,$324.18 ,$747.54 ,$55.80 ,$739.41 ,$144.08 ,$500.04 ,$523.28 ,$500.04 ,$731.29 ,$731.29 ,$606.40 ,$565.93 ,$145.52 ,$55.27 ,$759.72 ,$151.28 ,$52.64 ,$706.91 ,$144.08 ,$731.29 ,$144.08 ,$731.29 ,$731.29 ,$731.29 ,$788.16 ,$658.16 ,$731.29 ,$731.29 ,$731.29 ,$731.29 
ST. JOSEPH'S - CHIPPEWA FALLS,92100030,93923,HC RESTING ARTERIAL LOWER BILATERAL,921,1 ,$812.54 ,$609.41 ,$52.64 ,$812.54 ,$523.28 ,$144.08 ,$568.78 ,$52.64 ,$674.41 ,$54.22 ,$536.28 ,$771.91 , N/A ,$650.03 ,$739.41 ,$52.64 ,$763.79 ,$771.91 ,$731.29 ,$690.66 ,$52.64 ,$52.64 ,$52.64 ,$593.15 ,$144.08 ,$723.16 ,$731.29 ,$731.29 ,$650.03 ,$148.40 ,$446.90 ,$731.29 ,$144.08 ,$731.29 ,$144.08 ,$771.91 ,$324.18 ,$747.54 ,$55.80 ,$739.41 ,$144.08 ,$500.04 ,$523.28 ,$500.04 ,$731.29 ,$731.29 ,$606.40 ,$565.93 ,$145.52 ,$55.27 ,$759.72 ,$151.28 ,$52.64 ,$706.91 ,$144.08 ,$731.29 ,$144.08 ,$731.29 ,$731.29 ,$731.29 ,$788.16 ,$658.16 ,$731.29 ,$731.29 ,$731.29 ,$731.29 
ST. JOSEPH'S - CHIPPEWA FALLS,92100032,93924,HC DOPPLER ARTERY LWR EXT STRESS,921,1 ,$739.16 ,$554.37 ,$34.74 ,$739.16 ,$476.02 ,$273.11 ,$517.41 ,$34.74 ,$613.50 ,$35.78 ,$487.85 ,$702.20 , N/A ,$591.33 ,$672.64 ,$34.74 ,$694.81 ,$702.20 ,$665.24 ,$628.29 ,$34.74 ,$34.74 ,$34.74 ,$539.59 ,$273.11 ,$657.85 ,$665.24 ,$665.24 ,$591.33 ,$281.31 ,$406.54 ,$665.24 ,$273.11 ,$665.24 ,$273.11 ,$702.20 ,$614.50 ,$680.03 ,$36.82 ,$672.64 ,$273.11 ,$454.88 ,$476.02 ,$454.88 ,$665.24 ,$665.24 ,$551.64 ,$514.82 ,$275.84 ,$36.48 ,$691.11 ,$286.77 ,$34.74 ,$643.07 ,$273.11 ,$665.24 ,$273.11 ,$665.24 ,$665.24 ,$665.24 ,$716.99 ,$598.72 ,$665.24 ,$665.24 ,$665.24 ,$665.24 
ST. JOSEPH'S - CHIPPEWA FALLS,92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,"$1,111.00 ",$833.25 ,$52.74 ,"$1,111.00 ",$715.48 ,$237.45 ,$777.70 ,$52.74 ,$922.13 ,$54.32 ,$733.26 ,"$1,055.45 ", N/A ,$888.80 ,"$1,011.01 ",$52.74 ,"$1,044.34 ","$1,055.45 ",$999.90 ,$944.35 ,$52.74 ,$52.74 ,$52.74 ,$811.03 ,$237.45 ,$988.79 ,$999.90 ,$999.90 ,$888.80 ,$244.58 ,$611.05 ,$999.90 ,$237.45 ,$999.90 ,$237.45 ,"$1,055.45 ",$534.27 ,"$1,022.12 ",$55.90 ,"$1,011.01 ",$237.45 ,$683.71 ,$715.48 ,$683.71 ,$999.90 ,$999.90 ,$829.14 ,$773.81 ,$239.83 ,$55.38 ,"$1,038.79 ",$249.32 ,$52.74 ,$966.57 ,$237.45 ,$999.90 ,$237.45 ,$999.90 ,$999.90 ,$999.90 ,"$1,077.67 ",$899.91 ,$999.90 ,$999.90 ,$999.90 ,$999.90 
ST. JOSEPH'S - CHIPPEWA FALLS,92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,$839.00 ,$629.25 ,$34.74 ,$839.00 ,$540.32 ,$112.35 ,$587.30 ,$34.74 ,$696.37 ,$35.78 ,$553.74 ,$797.05 , N/A ,$671.20 ,$763.49 ,$34.74 ,$788.66 ,$797.05 ,$755.10 ,$713.15 ,$34.74 ,$34.74 ,$34.74 ,$612.47 ,$112.35 ,$746.71 ,$755.10 ,$755.10 ,$671.20 ,$115.72 ,$461.45 ,$755.10 ,$112.35 ,$755.10 ,$112.35 ,$797.05 ,$252.79 ,$771.88 ,$36.82 ,$763.49 ,$112.35 ,$516.32 ,$540.32 ,$516.32 ,$755.10 ,$755.10 ,$626.15 ,$584.36 ,$113.47 ,$36.48 ,$784.47 ,$117.97 ,$34.74 ,$729.93 ,$112.35 ,$755.10 ,$112.35 ,$755.10 ,$755.10 ,$755.10 ,$813.83 ,$679.59 ,$755.10 ,$755.10 ,$755.10 ,$755.10 
ST. JOSEPH'S - CHIPPEWA FALLS,92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$1,218.00 ",$913.50 ,$34.74 ,"$1,218.00 ",$784.39 ,$237.45 ,$852.60 ,$34.74 ,"$1,010.94 ",$35.78 ,$803.88 ,"$1,157.10 ", N/A ,$974.40 ,"$1,108.38 ",$34.74 ,"$1,144.92 ","$1,157.10 ","$1,096.20 ","$1,035.30 ",$34.74 ,$34.74 ,$34.74 ,$889.14 ,$237.45 ,"$1,084.02 ","$1,096.20 ","$1,096.20 ",$974.40 ,$244.58 ,$669.90 ,"$1,096.20 ",$237.45 ,"$1,096.20 ",$237.45 ,"$1,157.10 ",$534.27 ,"$1,120.56 ",$36.82 ,"$1,108.38 ",$237.45 ,$749.56 ,$784.39 ,$749.56 ,"$1,096.20 ","$1,096.20 ",$908.99 ,$848.34 ,$239.83 ,$36.48 ,"$1,138.83 ",$249.32 ,$34.74 ,"$1,059.66 ",$237.45 ,"$1,096.20 ",$237.45 ,"$1,096.20 ","$1,096.20 ","$1,096.20 ","$1,181.46 ",$986.58 ,"$1,096.20 ","$1,096.20 ","$1,096.20 ","$1,096.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,$962.00 ,$721.50 ,$34.74 ,$962.00 ,$619.53 ,$112.35 ,$673.40 ,$34.74 ,$798.46 ,$35.78 ,$634.92 ,$913.90 , N/A ,$769.60 ,$875.42 ,$34.74 ,$904.28 ,$913.90 ,$865.80 ,$817.70 ,$34.74 ,$34.74 ,$34.74 ,$702.26 ,$112.35 ,$856.18 ,$865.80 ,$865.80 ,$769.60 ,$115.72 ,$529.10 ,$865.80 ,$112.35 ,$865.80 ,$112.35 ,$913.90 ,$252.79 ,$885.04 ,$36.82 ,$875.42 ,$112.35 ,$592.01 ,$619.53 ,$592.01 ,$865.80 ,$865.80 ,$717.94 ,$670.03 ,$113.47 ,$36.48 ,$899.47 ,$117.97 ,$34.74 ,$836.94 ,$112.35 ,$865.80 ,$112.35 ,$865.80 ,$865.80 ,$865.80 ,$933.14 ,$779.22 ,$865.80 ,$865.80 ,$865.80 ,$865.80 
ST. JOSEPH'S - CHIPPEWA FALLS,92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$1,334.00 ","$1,000.50 ",$52.74 ,"$1,334.00 ",$859.10 ,$237.45 ,$933.80 ,$52.74 ,"$1,107.22 ",$54.32 ,$880.44 ,"$1,267.30 ", N/A ,"$1,067.20 ","$1,213.94 ",$52.74 ,"$1,253.96 ","$1,267.30 ","$1,200.60 ","$1,133.90 ",$52.74 ,$52.74 ,$52.74 ,$973.82 ,$237.45 ,"$1,187.26 ","$1,200.60 ","$1,200.60 ","$1,067.20 ",$244.58 ,$733.70 ,"$1,200.60 ",$237.45 ,"$1,200.60 ",$237.45 ,"$1,267.30 ",$534.27 ,"$1,227.28 ",$55.90 ,"$1,213.94 ",$237.45 ,$820.94 ,$859.10 ,$820.94 ,"$1,200.60 ","$1,200.60 ",$995.56 ,$929.13 ,$239.83 ,$55.38 ,"$1,247.29 ",$249.32 ,$52.74 ,"$1,160.58 ",$237.45 ,"$1,200.60 ",$237.45 ,"$1,200.60 ","$1,200.60 ","$1,200.60 ","$1,293.98 ","$1,080.54 ","$1,200.60 ","$1,200.60 ","$1,200.60 ","$1,200.60 "
ST. JOSEPH'S - CHIPPEWA FALLS,92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,$997.00 ,$747.75 ,$34.74 ,$997.00 ,$642.07 ,$112.35 ,$697.90 ,$34.74 ,$827.51 ,$35.78 ,$658.02 ,$947.15 , N/A ,$797.60 ,$907.27 ,$34.74 ,$937.18 ,$947.15 ,$897.30 ,$847.45 ,$34.74 ,$34.74 ,$34.74 ,$727.81 ,$112.35 ,$887.33 ,$897.30 ,$897.30 ,$797.60 ,$115.72 ,$548.35 ,$897.30 ,$112.35 ,$897.30 ,$112.35 ,$947.15 ,$252.79 ,$917.24 ,$36.82 ,$907.27 ,$112.35 ,$613.55 ,$642.07 ,$613.55 ,$897.30 ,$897.30 ,$744.06 ,$694.41 ,$113.47 ,$36.48 ,$932.20 ,$117.97 ,$34.74 ,$867.39 ,$112.35 ,$897.30 ,$112.35 ,$897.30 ,$897.30 ,$897.30 ,$967.09 ,$807.57 ,$897.30 ,$897.30 ,$897.30 ,$897.30 
ST. JOSEPH'S - CHIPPEWA FALLS,92100044,93971,HC VENOUS REFLUX ASSESSMENT UNILAT,921,1 ,$997.00 ,$747.75 ,$34.74 ,$997.00 ,$642.07 ,$112.35 ,$697.90 ,$34.74 ,$827.51 ,$35.78 ,$658.02 ,$947.15 , N/A ,$797.60 ,$907.27 ,$34.74 ,$937.18 ,$947.15 ,$897.30 ,$847.45 ,$34.74 ,$34.74 ,$34.74 ,$727.81 ,$112.35 ,$887.33 ,$897.30 ,$897.30 ,$797.60 ,$115.72 ,$548.35 ,$897.30 ,$112.35 ,$897.30 ,$112.35 ,$947.15 ,$252.79 ,$917.24 ,$36.82 ,$907.27 ,$112.35 ,$613.55 ,$642.07 ,$613.55 ,$897.30 ,$897.30 ,$744.06 ,$694.41 ,$113.47 ,$36.48 ,$932.20 ,$117.97 ,$34.74 ,$867.39 ,$112.35 ,$897.30 ,$112.35 ,$897.30 ,$897.30 ,$897.30 ,$967.09 ,$807.57 ,$897.30 ,$897.30 ,$897.30 ,$897.30 
ST. JOSEPH'S - CHIPPEWA FALLS,92100046,93990,HC DUPLEX HEMODIALYSIS ACCESS,921,1 ,$330.00 ,$247.50 ,$34.74 ,$330.00 ,$212.52 ,$112.35 ,$231.00 ,$34.74 ,$273.90 ,$35.78 ,$217.80 ,$313.50 , N/A ,$264.00 ,$300.30 ,$34.74 ,$310.20 ,$313.50 ,$297.00 ,$280.50 ,$34.74 ,$34.74 ,$34.74 ,$240.90 ,$112.35 ,$293.70 ,$297.00 ,$297.00 ,$264.00 ,$115.72 ,$181.50 ,$297.00 ,$112.35 ,$297.00 ,$112.35 ,$313.50 ,$252.79 ,$303.60 ,$36.82 ,$300.30 ,$112.35 ,$203.08 ,$212.52 ,$203.08 ,$297.00 ,$297.00 ,$246.28 ,$229.85 ,$113.47 ,$36.48 ,$308.55 ,$117.97 ,$34.74 ,$287.10 ,$112.35 ,$297.00 ,$112.35 ,$297.00 ,$297.00 ,$297.00 ,$320.10 ,$267.30 ,$297.00 ,$297.00 ,$297.00 ,$297.00 
ST. JOSEPH'S - CHIPPEWA FALLS,92100053,93985,HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL BILATERAL STUDY,921,1 ,$575.00 ,$431.25 ,$34.74 ,$575.00 ,$370.30 ,$237.45 ,$402.50 ,$34.74 ,$477.25 ,$35.78 ,$379.50 ,$546.25 , N/A ,$460.00 ,$523.25 ,$34.74 ,$540.50 ,$546.25 ,$517.50 ,$488.75 ,$34.74 ,$34.74 ,$34.74 ,$419.75 ,$237.45 ,$511.75 ,$517.50 ,$517.50 ,$460.00 ,$244.58 ,$316.25 ,$517.50 ,$237.45 ,$517.50 ,$237.45 ,$546.25 ,$534.27 ,$529.00 ,$36.82 ,$523.25 ,$237.45 ,$353.86 ,$370.30 ,$353.86 ,$517.50 ,$517.50 ,$429.12 ,$400.49 ,$239.83 ,$36.48 ,$537.63 ,$249.32 ,$34.74 ,$500.25 ,$237.45 ,$517.50 ,$237.45 ,$517.50 ,$517.50 ,$517.50 ,$557.75 ,$465.75 ,$517.50 ,$517.50 ,$517.50 ,$517.50 
ST. JOSEPH'S - CHIPPEWA FALLS,92100054,93986,HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL UNILATERAL STUDY,921,1 ,$575.00 ,$431.25 ,$34.74 ,$575.00 ,$370.30 ,$112.35 ,$402.50 ,$34.74 ,$477.25 ,$35.78 ,$379.50 ,$546.25 , N/A ,$460.00 ,$523.25 ,$34.74 ,$540.50 ,$546.25 ,$517.50 ,$488.75 ,$34.74 ,$34.74 ,$34.74 ,$419.75 ,$112.35 ,$511.75 ,$517.50 ,$517.50 ,$460.00 ,$115.72 ,$316.25 ,$517.50 ,$112.35 ,$517.50 ,$112.35 ,$546.25 ,$252.79 ,$529.00 ,$36.82 ,$523.25 ,$112.35 ,$353.86 ,$370.30 ,$353.86 ,$517.50 ,$517.50 ,$429.12 ,$400.49 ,$113.47 ,$36.48 ,$537.63 ,$117.97 ,$34.74 ,$500.25 ,$112.35 ,$517.50 ,$112.35 ,$517.50 ,$517.50 ,$517.50 ,$557.75 ,$465.75 ,$517.50 ,$517.50 ,$517.50 ,$517.50 
ST. JOSEPH'S - CHIPPEWA FALLS,92200000,95860,HC EMG ONE EXTREMITY,922,1 ,$367.00 ,$275.25 ,$42.84 ,$367.00 ,$236.35 ,$116.36 ,$256.90 ,$42.84 ,$304.61 ,$44.13 ,$242.22 ,$348.65 , N/A ,$293.60 ,$333.97 ,$42.84 ,$344.98 ,$348.65 ,$330.30 ,$311.95 ,$42.84 ,$42.84 ,$42.84 ,$267.91 ,$116.36 ,$326.63 ,$330.30 ,$330.30 ,$293.60 ,$119.85 ,$201.85 ,$330.30 ,$116.36 ,$330.30 ,$116.36 ,$348.65 ,$261.82 ,$337.64 ,$45.41 ,$333.97 ,$116.36 ,$225.85 ,$236.35 ,$225.85 ,$330.30 ,$330.30 ,$273.89 ,$255.62 ,$117.53 ,$44.98 ,$343.15 ,$122.18 ,$42.84 ,$319.29 ,$116.36 ,$330.30 ,$116.36 ,$330.30 ,$330.30 ,$330.30 ,$355.99 ,$297.27 ,$330.30 ,$330.30 ,$330.30 ,$330.30 
ST. JOSEPH'S - CHIPPEWA FALLS,92200029,95870,HC EMG NON LIMB,922,1 ,$212.00 ,$159.00 ,$42.84 ,$261.82 ,$136.53 ,$116.36 ,$148.40 ,$42.84 ,$175.96 ,$44.13 ,$139.92 ,$201.40 , N/A ,$169.60 ,$192.92 ,$42.84 ,$199.28 ,$201.40 ,$190.80 ,$180.20 ,$42.84 ,$42.84 ,$42.84 ,$154.76 ,$116.36 ,$188.68 ,$190.80 ,$190.80 ,$169.60 ,$119.85 ,$116.60 ,$190.80 ,$116.36 ,$190.80 ,$116.36 ,$201.40 ,$261.82 ,$195.04 ,$45.41 ,$192.92 ,$116.36 ,$130.46 ,$136.53 ,$130.46 ,$190.80 ,$190.80 ,$158.22 ,$147.66 ,$117.53 ,$44.98 ,$198.22 ,$122.18 ,$42.84 ,$184.44 ,$116.36 ,$190.80 ,$116.36 ,$190.80 ,$190.80 ,$190.80 ,$205.64 ,$171.72 ,$190.80 ,$190.80 ,$190.80 ,$190.80 
ST. JOSEPH'S - CHIPPEWA FALLS,94000103,E0202,HC PHOTO THERAPY INITIATE,940,1 ,$370.27 ,$277.70 ,$74.05 ,$370.27 ,$238.45 ,$74.05 ,$259.19 , N/A ,$307.32 , N/A ,$244.38 ,$351.76 , N/A ,$296.22 ,$336.95 , N/A ,$348.05 ,$351.76 ,$333.24 ,$314.73 , N/A , N/A , N/A ,$270.30 ,$74.05 ,$329.54 ,$333.24 ,$333.24 ,$296.22 ,$76.28 ,$203.65 ,$333.24 ,$74.05 ,$333.24 ,$74.05 ,$351.76 ,$166.62 ,$340.65 , N/A ,$336.95 ,$74.05 ,$227.86 ,$238.45 ,$227.86 ,$333.24 ,$333.24 ,$276.33 ,$257.89 ,$74.79 , N/A ,$346.20 ,$77.75 , N/A ,$322.13 ,$74.05 ,$333.24 ,$74.05 ,$333.24 ,$333.24 ,$333.24 ,$359.16 ,$299.92 ,$333.24 ,$333.24 ,$333.24 ,$333.24 
ST. JOSEPH'S - CHIPPEWA FALLS,94000104,96372,HC INJECTION IM/SUBQ,940,1 ,$135.31 ,$101.48 ,$13.88 ,$143.96 ,$87.14 ,$63.98 ,$94.72 ,$13.88 ,$112.31 ,$14.30 ,$89.30 ,$128.54 , N/A ,$108.25 ,$123.13 ,$13.88 ,$127.19 ,$128.54 ,$121.78 ,$115.01 ,$13.88 ,$13.88 ,$13.88 ,$98.78 ,$63.98 ,$120.43 ,$121.78 ,$121.78 ,$108.25 ,$65.90 ,$74.42 ,$121.78 ,$63.98 ,$121.78 ,$63.98 ,$128.54 ,$143.96 ,$124.49 ,$14.71 ,$123.13 ,$63.98 ,$83.27 ,$87.14 ,$83.27 ,$121.78 ,$121.78 ,$100.98 ,$94.24 ,$64.62 ,$14.57 ,$126.51 ,$67.18 ,$13.88 ,$117.72 ,$63.98 ,$121.78 ,$63.98 ,$121.78 ,$121.78 ,$121.78 ,$131.25 ,$109.60 ,$121.78 ,$121.78 ,$121.78 ,$121.78 
ST. JOSEPH'S - CHIPPEWA FALLS,94000105,96374,HC INJ IV PUSH SINGL/INITIAL,940,1 ,$245.53 ,$184.15 ,$13.88 ,$475.00 ,$158.12 ,$211.11 ,$171.87 ,$13.88 ,$203.79 ,$14.30 ,$162.05 ,$233.25 , N/A ,$196.42 ,$223.43 ,$13.88 ,$230.80 ,$233.25 ,$220.98 ,$208.70 ,$13.88 ,$13.88 ,$13.88 ,$179.24 ,$211.11 ,$218.52 ,$220.98 ,$220.98 ,$196.42 ,$217.44 ,$135.04 ,$220.98 ,$211.11 ,$220.98 ,$211.11 ,$233.25 ,$475.00 ,$225.89 ,$14.71 ,$223.43 ,$211.11 ,$151.10 ,$158.12 ,$151.10 ,$220.98 ,$220.98 ,$183.24 ,$171.01 ,$213.22 ,$14.57 ,$229.57 ,$221.67 ,$13.88 ,$213.61 ,$211.11 ,$220.98 ,$211.11 ,$220.98 ,$220.98 ,$220.98 ,$238.16 ,$198.88 ,$220.98 ,$220.98 ,$220.98 ,$220.98 
ST. JOSEPH'S - CHIPPEWA FALLS,94000108,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$284.00 ,$213.00 ,$18.43 ,$284.00 ,$182.90 ,$116.36 ,$198.80 ,$18.43 ,$235.72 ,$18.98 ,$187.44 ,$269.80 , N/A ,$227.20 ,$258.44 ,$18.43 ,$266.96 ,$269.80 ,$255.60 ,$241.40 ,$18.43 ,$18.43 ,$18.43 ,$207.32 ,$116.36 ,$252.76 ,$255.60 ,$255.60 ,$227.20 ,$119.85 ,$156.20 ,$255.60 ,$116.36 ,$255.60 ,$116.36 ,$269.80 ,$261.82 ,$261.28 ,$19.54 ,$258.44 ,$116.36 ,$174.77 ,$182.90 ,$174.77 ,$255.60 ,$255.60 ,$211.95 ,$197.81 ,$117.53 ,$19.35 ,$265.54 ,$122.18 ,$18.43 ,$247.08 ,$116.36 ,$255.60 ,$116.36 ,$255.60 ,$255.60 ,$255.60 ,$275.48 ,$230.04 ,$255.60 ,$255.60 ,$255.60 ,$255.60 
ST. JOSEPH'S - CHIPPEWA FALLS,94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$48.00 ,$36.00 ,$26.40 ,$80.60 ,$30.91 ,$30.45 ,$33.60 ,$48.00 ,$39.84 ,$63.59 ,$31.68 ,$45.60 , N/A ,$38.40 ,$43.68 ,$48.00 ,$45.12 ,$45.60 ,$43.20 ,$40.80 ,$61.74 ,$61.74 ,$61.74 ,$35.04 ,$30.45 ,$42.72 ,$43.20 ,$43.20 ,$38.40 ,$30.45 ,$26.40 ,$43.20 ,$30.45 ,$43.20 ,$30.45 ,$45.60 ,$80.60 ,$44.16 ,$65.44 ,$43.68 ,$30.45 ,$29.54 ,$30.91 ,$29.54 ,$43.20 ,$43.20 ,$35.82 ,$33.43 ,$30.45 ,$64.83 ,$44.88 ,$31.97 ,$48.00 ,$41.76 ,$30.45 ,$43.20 ,$35.82 ,$43.20 ,$43.20 ,$43.20 ,$46.56 ,$38.88 ,$43.20 ,$43.20 ,$43.20 ,$43.20 
ST. JOSEPH'S - CHIPPEWA FALLS,94200006,97803,HC NUTRITION THRPY RE-EVAL 15 MIN,942,1 ,$41.00 ,$30.75 ,$22.55 ,$69.98 ,$26.40 ,$26.44 ,$28.70 ,$41.00 ,$34.03 ,$63.59 ,$27.06 ,$38.95 , N/A ,$32.80 ,$37.31 ,$41.00 ,$38.54 ,$38.95 ,$36.90 ,$34.85 ,$61.74 ,$61.74 ,$61.74 ,$29.93 ,$26.44 ,$36.49 ,$36.90 ,$36.90 ,$32.80 ,$26.44 ,$22.55 ,$36.90 ,$26.44 ,$36.90 ,$26.44 ,$38.95 ,$69.98 ,$37.72 ,$65.44 ,$37.31 ,$26.44 ,$25.23 ,$26.40 ,$25.23 ,$36.90 ,$36.90 ,$30.60 ,$28.56 ,$26.44 ,$64.83 ,$38.34 ,$27.76 ,$41.00 ,$35.67 ,$26.44 ,$36.90 ,$31.10 ,$36.90 ,$36.90 ,$36.90 ,$39.77 ,$33.21 ,$36.90 ,$36.90 ,$36.90 ,$36.90 
ST. JOSEPH'S - CHIPPEWA FALLS,94200017,99406,HC TOBACCO COUNSELING,942,1 ,$35.63 ,$26.72 ,$7.57 ,$61.02 ,$22.95 ,$27.12 ,$24.94 ,$7.57 ,$29.57 ,$7.80 ,$23.52 ,$33.85 , N/A ,$28.50 ,$32.42 ,$7.57 ,$33.49 ,$33.85 ,$32.07 ,$30.29 ,$7.57 ,$7.57 ,$7.57 ,$26.01 ,$27.12 ,$31.71 ,$32.07 ,$32.07 ,$28.50 ,$27.93 ,$19.60 ,$32.07 ,$27.12 ,$32.07 ,$27.12 ,$33.85 ,$61.02 ,$32.78 ,$8.02 ,$32.42 ,$27.12 ,$21.93 ,$22.95 ,$21.93 ,$32.07 ,$32.07 ,$26.59 ,$24.82 ,$27.39 ,$7.95 ,$33.31 ,$28.48 ,$7.57 ,$31.00 ,$27.12 ,$32.07 ,$27.12 ,$32.07 ,$32.07 ,$32.07 ,$34.56 ,$28.86 ,$32.07 ,$32.07 ,$32.07 ,$32.07 
ST. JOSEPH'S - CHIPPEWA FALLS,94200018,99407,HC TOBACCO COUNSELING >10 MINUTES,942,1 ,$33.18 ,$24.89 ,$7.57 ,$61.02 ,$21.37 ,$27.12 ,$23.23 ,$7.57 ,$27.54 ,$7.80 ,$21.90 ,$31.52 , N/A ,$26.54 ,$30.19 ,$7.57 ,$31.19 ,$31.52 ,$29.86 ,$28.20 ,$7.57 ,$7.57 ,$7.57 ,$24.22 ,$27.12 ,$29.53 ,$29.86 ,$29.86 ,$26.54 ,$27.93 ,$18.25 ,$29.86 ,$27.12 ,$29.86 ,$27.12 ,$31.52 ,$61.02 ,$30.53 ,$8.02 ,$30.19 ,$27.12 ,$20.42 ,$21.37 ,$20.42 ,$29.86 ,$29.86 ,$24.76 ,$23.11 ,$27.39 ,$7.95 ,$31.02 ,$28.48 ,$7.57 ,$28.87 ,$27.12 ,$29.86 ,$27.12 ,$29.86 ,$29.86 ,$29.86 ,$32.18 ,$26.88 ,$29.86 ,$29.86 ,$29.86 ,$29.86 
ST. JOSEPH'S - CHIPPEWA FALLS,94200019,N/A,HC LACTATION CONSULT 30 MIN,942,1 ,$291.00 ,$218.25 ,$160.05 ,$291.00 ,$187.40 , N/A ,$203.70 , N/A ,$241.53 , N/A ,$192.06 ,$276.45 , N/A ,$232.80 ,$264.81 , N/A ,$273.54 ,$276.45 ,$261.90 ,$247.35 , N/A , N/A , N/A ,$212.43 , N/A ,$258.99 ,$261.90 ,$261.90 ,$232.80 , N/A ,$160.05 ,$261.90 , N/A ,$261.90 , N/A ,$276.45 , N/A ,$267.72 , N/A ,$264.81 , N/A ,$179.08 ,$187.40 ,$179.08 ,$261.90 ,$261.90 ,$217.17 ,$202.68 , N/A , N/A ,$272.09 , N/A , N/A ,$253.17 , N/A ,$261.90 , N/A ,$261.90 ,$261.90 ,$261.90 ,$282.27 ,$235.71 ,$261.90 ,$261.90 ,$261.90 ,$261.90 
ST. JOSEPH'S - CHIPPEWA FALLS,94200021,N/A,HC LACTATION CONSULT 60 MIN,942,1 ,$438.00 ,$328.50 ,$240.90 ,$438.00 ,$282.07 , N/A ,$306.60 , N/A ,$363.54 , N/A ,$289.08 ,$416.10 , N/A ,$350.40 ,$398.58 , N/A ,$411.72 ,$416.10 ,$394.20 ,$372.30 , N/A , N/A , N/A ,$319.74 , N/A ,$389.82 ,$394.20 ,$394.20 ,$350.40 , N/A ,$240.90 ,$394.20 , N/A ,$394.20 , N/A ,$416.10 , N/A ,$402.96 , N/A ,$398.58 , N/A ,$269.55 ,$282.07 ,$269.55 ,$394.20 ,$394.20 ,$326.88 ,$305.07 , N/A , N/A ,$409.53 , N/A , N/A ,$381.06 , N/A ,$394.20 , N/A ,$394.20 ,$394.20 ,$394.20 ,$424.86 ,$354.78 ,$394.20 ,$394.20 ,$394.20 ,$394.20 
ST. JOSEPH'S - CHIPPEWA FALLS,94300004,93797,HC CARDIAC REHAB W/O EKG SESSION,943,1 ,$285.32 ,$213.99 ,$47.12 ,$285.32 ,$183.75 ,$119.79 ,$199.72 ,$47.12 ,$268.00 ,$48.53 ,$214.00 ,$271.05 , N/A ,$228.26 ,$259.64 ,$47.12 ,$268.20 ,$271.05 ,$256.79 ,$242.52 ,$47.12 ,$47.12 ,$47.12 ,$208.28 ,$119.79 ,$253.93 ,$256.79 ,$256.79 ,$228.26 ,$123.38 ,$156.93 ,$256.79 ,$119.79 ,$256.79 ,$119.79 ,$271.05 ,$269.52 ,$262.49 ,$49.95 ,$259.64 ,$119.79 ,$175.59 ,$183.75 ,$175.59 ,$256.79 ,$256.79 ,$212.93 ,$155.42 ,$120.99 ,$49.48 ,$266.77 ,$125.78 ,$47.12 ,$248.23 ,$119.79 ,$256.79 ,$119.79 ,$256.79 ,$256.79 ,$256.79 ,$276.76 ,$231.11 ,$256.79 ,$256.79 ,$256.79 ,$256.79 
ST. JOSEPH'S - CHIPPEWA FALLS,94300009,93798,HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT),943,1 ,$333.03 ,$249.77 ,$47.12 ,$333.03 ,$214.47 ,$119.79 ,$233.12 ,$47.12 ,$268.00 ,$48.53 ,$214.00 ,$316.38 , N/A ,$266.42 ,$303.06 ,$47.12 ,$313.05 ,$316.38 ,$299.73 ,$283.08 ,$47.12 ,$47.12 ,$47.12 ,$243.11 ,$119.79 ,$296.40 ,$299.73 ,$299.73 ,$266.42 ,$123.38 ,$183.17 ,$299.73 ,$119.79 ,$299.73 ,$119.79 ,$316.38 ,$269.52 ,$306.39 ,$49.95 ,$303.06 ,$119.79 ,$204.95 ,$214.47 ,$204.95 ,$299.73 ,$299.73 ,$248.54 ,$155.42 ,$120.99 ,$49.48 ,$311.38 ,$125.78 ,$47.12 ,$289.74 ,$119.79 ,$299.73 ,$119.79 ,$299.73 ,$299.73 ,$299.73 ,$323.04 ,$269.75 ,$299.73 ,$299.73 ,$299.73 ,$299.73 
ST. JOSEPH'S - CHIPPEWA FALLS,94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$23.00 ,$17.25 ,$12.65 ,$23.00 ,$14.81 , N/A ,$16.10 , N/A ,$23.00 , N/A ,$23.00 ,$21.85 , N/A ,$18.40 ,$20.93 , N/A ,$21.62 ,$21.85 ,$20.70 ,$19.55 , N/A , N/A , N/A ,$16.79 , N/A ,$20.47 ,$20.70 ,$20.70 ,$18.40 , N/A ,$12.65 ,$20.70 , N/A ,$20.70 , N/A ,$21.85 , N/A ,$21.16 , N/A ,$20.93 , N/A ,$14.15 ,$14.81 ,$14.15 ,$20.70 ,$20.70 ,$17.16 ,$20.70 , N/A , N/A ,$21.51 , N/A , N/A ,$20.01 , N/A ,$20.70 , N/A ,$20.70 ,$20.70 ,$20.70 ,$22.31 ,$18.63 ,$20.70 ,$20.70 ,$20.70 ,$20.70 
ST. JOSEPH'S - CHIPPEWA FALLS,94400010,90791,HC EVAL PSYCH DIAG DRUG 60MIN,944,1 ,$471.50 ,$353.63 ,$50.00 ,$471.50 ,$303.65 ,$138.08 ,$330.05 ,$82.53 ,$471.50 ,$85.01 ,$471.50 ,$447.93 ,$50.00 ,$377.20 ,$429.07 ,$82.53 ,$443.21 ,$447.93 ,$424.35 ,$400.78 ,$82.53 ,$82.53 ,$82.53 ,$344.20 ,$138.08 ,$419.64 ,$424.35 ,$424.35 ,$377.20 ,$142.22 ,$259.33 ,$424.35 ,$138.08 ,$424.35 ,$138.08 ,$447.93 ,$310.67 ,$433.78 ,$87.48 ,$429.07 ,$138.08 ,$290.16 ,$303.65 ,$290.16 ,$424.35 ,$424.35 ,$351.88 ,$328.40 ,$139.46 ,$86.66 ,$440.85 ,$144.98 ,$82.53 ,$410.21 ,$138.08 ,$424.35 ,$138.08 ,$424.35 ,$424.35 ,$424.35 ,$457.36 ,$381.92 ,$424.35 ,$424.35 ,$424.35 ,$424.35 
ST. JOSEPH'S - CHIPPEWA FALLS,94400011,90791,HC EVAL PSYCH DIAG DRUG 90MIN,944,1 ,$615.25 ,$461.44 ,$50.00 ,$615.25 ,$396.22 ,$138.08 ,$430.68 ,$82.53 ,$615.25 ,$85.01 ,$514.00 ,$584.49 ,$50.00 ,$492.20 ,$559.88 ,$82.53 ,$578.34 ,$584.49 ,$553.73 ,$522.96 ,$82.53 ,$82.53 ,$82.53 ,$449.13 ,$138.08 ,$547.57 ,$553.73 ,$553.73 ,$492.20 ,$142.22 ,$338.39 ,$553.73 ,$138.08 ,$553.73 ,$138.08 ,$584.49 ,$310.67 ,$566.03 ,$87.48 ,$559.88 ,$138.08 ,$378.62 ,$396.22 ,$378.62 ,$553.73 ,$553.73 ,$459.16 ,$428.52 ,$139.46 ,$86.66 ,$575.26 ,$144.98 ,$82.53 ,$535.27 ,$138.08 ,$553.73 ,$138.08 ,$553.73 ,$553.73 ,$553.73 ,$596.79 ,$498.35 ,$553.73 ,$553.73 ,$553.73 ,$553.73 
ST. JOSEPH'S - CHIPPEWA FALLS,94400012,90791,HC EVAL PSYCH DIAG DRUG 120MIN,944,1 ,$805.00 ,$603.75 ,$50.00 ,$805.00 ,$518.42 ,$138.08 ,$563.50 ,$82.53 ,$642.00 ,$85.01 ,$514.00 ,$764.75 ,$50.00 ,$644.00 ,$732.55 ,$82.53 ,$756.70 ,$764.75 ,$724.50 ,$684.25 ,$82.53 ,$82.53 ,$82.53 ,$587.65 ,$138.08 ,$716.45 ,$724.50 ,$724.50 ,$644.00 ,$142.22 ,$442.75 ,$724.50 ,$138.08 ,$724.50 ,$138.08 ,$764.75 ,$310.67 ,$740.60 ,$87.48 ,$732.55 ,$138.08 ,$495.40 ,$518.42 ,$495.40 ,$724.50 ,$724.50 ,$600.77 ,$560.68 ,$139.46 ,$86.66 ,$752.68 ,$144.98 ,$82.53 ,$700.35 ,$138.08 ,$724.50 ,$138.08 ,$724.50 ,$724.50 ,$724.50 ,$780.85 ,$652.05 ,$724.50 ,$724.50 ,$724.50 ,$724.50 
ST. JOSEPH'S - CHIPPEWA FALLS,94400013,90832,HC DRUG THERAPY INDIVIDUAL 30MIN,944,1 ,$199.53 ,$149.65 ,$38.06 ,$310.67 ,$128.50 ,$138.08 ,$139.67 ,$38.06 ,$199.53 ,$39.20 ,$199.53 ,$189.55 ,$50.00 ,$159.62 ,$181.57 ,$38.06 ,$187.56 ,$189.55 ,$179.58 ,$169.60 ,$38.06 ,$38.06 ,$38.06 ,$145.66 ,$138.08 ,$177.58 ,$179.58 ,$179.58 ,$159.62 ,$142.22 ,$109.74 ,$179.58 ,$138.08 ,$179.58 ,$138.08 ,$189.55 ,$310.67 ,$183.57 ,$40.34 ,$181.57 ,$138.08 ,$122.79 ,$128.50 ,$122.79 ,$179.58 ,$179.58 ,$148.91 ,$138.97 ,$139.46 ,$39.96 ,$186.56 ,$144.98 ,$38.06 ,$173.59 ,$138.08 ,$179.58 ,$138.08 ,$179.58 ,$179.58 ,$179.58 ,$193.54 ,$161.62 ,$179.58 ,$179.58 ,$179.58 ,$179.58 
ST. JOSEPH'S - CHIPPEWA FALLS,94400014,90834,HC DRUG THERAPY INDIVIDUAL 45MIN,944,1 ,$327.75 ,$245.81 ,$45.91 ,$327.75 ,$211.07 ,$138.08 ,$229.43 ,$45.91 ,$327.75 ,$47.29 ,$327.75 ,$311.36 ,$50.00 ,$262.20 ,$298.25 ,$45.91 ,$308.09 ,$311.36 ,$294.98 ,$278.59 ,$45.91 ,$45.91 ,$45.91 ,$239.26 ,$138.08 ,$291.70 ,$294.98 ,$294.98 ,$262.20 ,$142.22 ,$180.26 ,$294.98 ,$138.08 ,$294.98 ,$138.08 ,$311.36 ,$310.67 ,$301.53 ,$48.66 ,$298.25 ,$138.08 ,$201.70 ,$211.07 ,$201.70 ,$294.98 ,$294.98 ,$244.60 ,$228.28 ,$139.46 ,$48.21 ,$306.45 ,$144.98 ,$45.91 ,$285.14 ,$138.08 ,$294.98 ,$138.08 ,$294.98 ,$294.98 ,$294.98 ,$317.92 ,$265.48 ,$294.98 ,$294.98 ,$294.98 ,$294.98 
ST. JOSEPH'S - CHIPPEWA FALLS,94400015,90837,HC DRUG THERAPY INDIVIDUAL 60MIN,944,1 ,$431.25 ,$323.44 ,$45.91 ,$431.25 ,$277.73 ,$138.08 ,$301.88 ,$45.91 ,$431.25 ,$47.29 ,$431.25 ,$409.69 ,$50.00 ,$345.00 ,$392.44 ,$45.91 ,$405.38 ,$409.69 ,$388.13 ,$366.56 ,$45.91 ,$45.91 ,$45.91 ,$314.81 ,$138.08 ,$383.81 ,$388.13 ,$388.13 ,$345.00 ,$142.22 ,$237.19 ,$388.13 ,$138.08 ,$388.13 ,$138.08 ,$409.69 ,$310.67 ,$396.75 ,$48.66 ,$392.44 ,$138.08 ,$265.39 ,$277.73 ,$265.39 ,$388.13 ,$388.13 ,$321.84 ,$300.37 ,$139.46 ,$48.21 ,$403.22 ,$144.98 ,$45.91 ,$375.19 ,$138.08 ,$388.13 ,$138.08 ,$388.13 ,$388.13 ,$388.13 ,$418.31 ,$349.31 ,$388.13 ,$388.13 ,$388.13 ,$388.13 
ST. JOSEPH'S - CHIPPEWA FALLS,94400016,90853,HC DRUG THERAPY GROUP 60 MIN,944,1 ,$178.92 ,$134.19 ,$50.00 ,$178.92 ,$115.22 ,$77.22 ,$125.24 ,$67.24 ,$178.92 ,$69.26 ,$178.92 ,$169.97 ,$50.00 ,$143.14 ,$162.82 ,$67.24 ,$168.18 ,$169.97 ,$161.03 ,$152.08 ,$67.24 ,$67.24 ,$67.24 ,$130.61 ,$77.22 ,$159.24 ,$161.03 ,$161.03 ,$143.14 ,$79.53 ,$98.41 ,$161.03 ,$77.22 ,$161.03 ,$77.22 ,$169.97 ,$173.74 ,$164.61 ,$71.27 ,$162.82 ,$77.22 ,$110.11 ,$115.22 ,$110.11 ,$161.03 ,$161.03 ,$133.53 ,$124.62 ,$77.99 ,$70.60 ,$167.29 ,$81.08 ,$67.24 ,$155.66 ,$77.22 ,$161.03 ,$77.22 ,$161.03 ,$161.03 ,$161.03 ,$173.55 ,$144.93 ,$161.03 ,$161.03 ,$161.03 ,$161.03 
ST. JOSEPH'S - CHIPPEWA FALLS,94400017,90853,HC DRUG THERAPY GROUP 90 MIN,944,1 ,$287.50 ,$215.63 ,$50.00 ,$287.50 ,$185.15 ,$77.22 ,$201.25 ,$67.24 ,$287.50 ,$69.26 ,$287.50 ,$273.13 ,$50.00 ,$230.00 ,$261.63 ,$67.24 ,$270.25 ,$273.13 ,$258.75 ,$244.38 ,$67.24 ,$67.24 ,$67.24 ,$209.88 ,$77.22 ,$255.88 ,$258.75 ,$258.75 ,$230.00 ,$79.53 ,$158.13 ,$258.75 ,$77.22 ,$258.75 ,$77.22 ,$273.13 ,$173.74 ,$264.50 ,$71.27 ,$261.63 ,$77.22 ,$176.93 ,$185.15 ,$176.93 ,$258.75 ,$258.75 ,$214.56 ,$200.24 ,$77.99 ,$70.60 ,$268.81 ,$81.08 ,$67.24 ,$250.13 ,$77.22 ,$258.75 ,$77.22 ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 
ST. JOSEPH'S - CHIPPEWA FALLS,94400018,90853,HC DRUG INTENSIVE OUTPAT  PROGRAM,944,1 ,$431.25 ,$323.44 ,$50.00 ,$431.25 ,$277.73 ,$77.22 ,$301.88 ,$67.24 ,$431.25 ,$69.26 ,$431.25 ,$409.69 ,$50.00 ,$345.00 ,$392.44 ,$67.24 ,$405.38 ,$409.69 ,$388.13 ,$366.56 ,$67.24 ,$67.24 ,$67.24 ,$314.81 ,$77.22 ,$383.81 ,$388.13 ,$388.13 ,$345.00 ,$79.53 ,$237.19 ,$388.13 ,$77.22 ,$388.13 ,$77.22 ,$409.69 ,$173.74 ,$396.75 ,$71.27 ,$392.44 ,$77.22 ,$265.39 ,$277.73 ,$265.39 ,$388.13 ,$388.13 ,$321.84 ,$300.37 ,$77.99 ,$70.60 ,$403.22 ,$81.08 ,$67.24 ,$375.19 ,$77.22 ,$388.13 ,$77.22 ,$388.13 ,$388.13 ,$388.13 ,$418.31 ,$349.31 ,$388.13 ,$388.13 ,$388.13 ,$388.13 
ST. JOSEPH'S - CHIPPEWA FALLS,94400019,90853,HC DRUG GROUP THERAPY 120 MIN,944,1 ,$287.50 ,$215.63 ,$50.00 ,$287.50 ,$185.15 ,$77.22 ,$201.25 ,$67.24 ,$287.50 ,$69.26 ,$287.50 ,$273.13 ,$50.00 ,$230.00 ,$261.63 ,$67.24 ,$270.25 ,$273.13 ,$258.75 ,$244.38 ,$67.24 ,$67.24 ,$67.24 ,$209.88 ,$77.22 ,$255.88 ,$258.75 ,$258.75 ,$230.00 ,$79.53 ,$158.13 ,$258.75 ,$77.22 ,$258.75 ,$77.22 ,$273.13 ,$173.74 ,$264.50 ,$71.27 ,$261.63 ,$77.22 ,$176.93 ,$185.15 ,$176.93 ,$258.75 ,$258.75 ,$214.56 ,$200.24 ,$77.99 ,$70.60 ,$268.81 ,$81.08 ,$67.24 ,$250.13 ,$77.22 ,$258.75 ,$77.22 ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 
ST. JOSEPH'S - CHIPPEWA FALLS,94500010,90791,HC EVAL PSYCH DIAG ALCOHOL 60MIN,945,1 ,$471.50 ,$353.63 ,$50.00 ,$471.50 ,$303.65 ,$138.08 ,$330.05 ,$82.53 ,$471.50 ,$85.01 ,$471.50 ,$447.93 ,$50.00 ,$377.20 ,$429.07 ,$82.53 ,$443.21 ,$447.93 ,$424.35 ,$400.78 ,$82.53 ,$82.53 ,$82.53 ,$344.20 ,$138.08 ,$419.64 ,$424.35 ,$424.35 ,$377.20 ,$142.22 ,$259.33 ,$424.35 ,$138.08 ,$424.35 ,$138.08 ,$447.93 ,$310.67 ,$433.78 ,$87.48 ,$429.07 ,$138.08 ,$290.16 ,$303.65 ,$290.16 ,$424.35 ,$424.35 ,$351.88 ,$328.40 ,$139.46 ,$86.66 ,$440.85 ,$144.98 ,$82.53 ,$410.21 ,$138.08 ,$424.35 ,$138.08 ,$424.35 ,$424.35 ,$424.35 ,$457.36 ,$381.92 ,$424.35 ,$424.35 ,$424.35 ,$424.35 
ST. JOSEPH'S - CHIPPEWA FALLS,94500011,90791,HC EVAL PSYCH DIAG ALCOHOL 90MIN,945,1 ,$615.25 ,$461.44 ,$50.00 ,$615.25 ,$396.22 ,$138.08 ,$430.68 ,$82.53 ,$615.25 ,$85.01 ,$514.00 ,$584.49 ,$50.00 ,$492.20 ,$559.88 ,$82.53 ,$578.34 ,$584.49 ,$553.73 ,$522.96 ,$82.53 ,$82.53 ,$82.53 ,$449.13 ,$138.08 ,$547.57 ,$553.73 ,$553.73 ,$492.20 ,$142.22 ,$338.39 ,$553.73 ,$138.08 ,$553.73 ,$138.08 ,$584.49 ,$310.67 ,$566.03 ,$87.48 ,$559.88 ,$138.08 ,$378.62 ,$396.22 ,$378.62 ,$553.73 ,$553.73 ,$459.16 ,$428.52 ,$139.46 ,$86.66 ,$575.26 ,$144.98 ,$82.53 ,$535.27 ,$138.08 ,$553.73 ,$138.08 ,$553.73 ,$553.73 ,$553.73 ,$596.79 ,$498.35 ,$553.73 ,$553.73 ,$553.73 ,$553.73 
ST. JOSEPH'S - CHIPPEWA FALLS,94500012,90791,HC EVAL PSYCH DIAG ALCOHOL 120MIN,945,1 ,$805.00 ,$603.75 ,$50.00 ,$805.00 ,$518.42 ,$138.08 ,$563.50 ,$82.53 ,$642.00 ,$85.01 ,$514.00 ,$764.75 ,$50.00 ,$644.00 ,$732.55 ,$82.53 ,$756.70 ,$764.75 ,$724.50 ,$684.25 ,$82.53 ,$82.53 ,$82.53 ,$587.65 ,$138.08 ,$716.45 ,$724.50 ,$724.50 ,$644.00 ,$142.22 ,$442.75 ,$724.50 ,$138.08 ,$724.50 ,$138.08 ,$764.75 ,$310.67 ,$740.60 ,$87.48 ,$732.55 ,$138.08 ,$495.40 ,$518.42 ,$495.40 ,$724.50 ,$724.50 ,$600.77 ,$560.68 ,$139.46 ,$86.66 ,$752.68 ,$144.98 ,$82.53 ,$700.35 ,$138.08 ,$724.50 ,$138.08 ,$724.50 ,$724.50 ,$724.50 ,$780.85 ,$652.05 ,$724.50 ,$724.50 ,$724.50 ,$724.50 
ST. JOSEPH'S - CHIPPEWA FALLS,94500013,90832,HC ALCOHOL THERAPY INDIVIDUAL 30MIN,945,1 ,$199.53 ,$149.65 ,$38.06 ,$310.67 ,$128.50 ,$138.08 ,$139.67 ,$38.06 ,$199.53 ,$39.20 ,$199.53 ,$189.55 ,$50.00 ,$159.62 ,$181.57 ,$38.06 ,$187.56 ,$189.55 ,$179.58 ,$169.60 ,$38.06 ,$38.06 ,$38.06 ,$145.66 ,$138.08 ,$177.58 ,$179.58 ,$179.58 ,$159.62 ,$142.22 ,$109.74 ,$179.58 ,$138.08 ,$179.58 ,$138.08 ,$189.55 ,$310.67 ,$183.57 ,$40.34 ,$181.57 ,$138.08 ,$122.79 ,$128.50 ,$122.79 ,$179.58 ,$179.58 ,$148.91 ,$138.97 ,$139.46 ,$39.96 ,$186.56 ,$144.98 ,$38.06 ,$173.59 ,$138.08 ,$179.58 ,$138.08 ,$179.58 ,$179.58 ,$179.58 ,$193.54 ,$161.62 ,$179.58 ,$179.58 ,$179.58 ,$179.58 
ST. JOSEPH'S - CHIPPEWA FALLS,94500014,90834,HC ALCOHOL THERAPY INDIVIDUAL 45MIN,945,1 ,$327.75 ,$245.81 ,$45.91 ,$327.75 ,$211.07 ,$138.08 ,$229.43 ,$45.91 ,$327.75 ,$47.29 ,$327.75 ,$311.36 ,$50.00 ,$262.20 ,$298.25 ,$45.91 ,$308.09 ,$311.36 ,$294.98 ,$278.59 ,$45.91 ,$45.91 ,$45.91 ,$239.26 ,$138.08 ,$291.70 ,$294.98 ,$294.98 ,$262.20 ,$142.22 ,$180.26 ,$294.98 ,$138.08 ,$294.98 ,$138.08 ,$311.36 ,$310.67 ,$301.53 ,$48.66 ,$298.25 ,$138.08 ,$201.70 ,$211.07 ,$201.70 ,$294.98 ,$294.98 ,$244.60 ,$228.28 ,$139.46 ,$48.21 ,$306.45 ,$144.98 ,$45.91 ,$285.14 ,$138.08 ,$294.98 ,$138.08 ,$294.98 ,$294.98 ,$294.98 ,$317.92 ,$265.48 ,$294.98 ,$294.98 ,$294.98 ,$294.98 
ST. JOSEPH'S - CHIPPEWA FALLS,94500015,90837,HC ALCOHOL THERAPY INDIVIDUAL 60MIN,945,1 ,$431.25 ,$323.44 ,$45.91 ,$431.25 ,$277.73 ,$138.08 ,$301.88 ,$45.91 ,$431.25 ,$47.29 ,$431.25 ,$409.69 ,$50.00 ,$345.00 ,$392.44 ,$45.91 ,$405.38 ,$409.69 ,$388.13 ,$366.56 ,$45.91 ,$45.91 ,$45.91 ,$314.81 ,$138.08 ,$383.81 ,$388.13 ,$388.13 ,$345.00 ,$142.22 ,$237.19 ,$388.13 ,$138.08 ,$388.13 ,$138.08 ,$409.69 ,$310.67 ,$396.75 ,$48.66 ,$392.44 ,$138.08 ,$265.39 ,$277.73 ,$265.39 ,$388.13 ,$388.13 ,$321.84 ,$300.37 ,$139.46 ,$48.21 ,$403.22 ,$144.98 ,$45.91 ,$375.19 ,$138.08 ,$388.13 ,$138.08 ,$388.13 ,$388.13 ,$388.13 ,$418.31 ,$349.31 ,$388.13 ,$388.13 ,$388.13 ,$388.13 
ST. JOSEPH'S - CHIPPEWA FALLS,94500016,90853,HC ALCOHOL THERAPY GROUP 60 MIN,945,1 ,$178.92 ,$134.19 ,$50.00 ,$178.92 ,$115.22 ,$77.22 ,$125.24 ,$67.24 ,$178.92 ,$69.26 ,$178.92 ,$169.97 ,$50.00 ,$143.14 ,$162.82 ,$67.24 ,$168.18 ,$169.97 ,$161.03 ,$152.08 ,$67.24 ,$67.24 ,$67.24 ,$130.61 ,$77.22 ,$159.24 ,$161.03 ,$161.03 ,$143.14 ,$79.53 ,$98.41 ,$161.03 ,$77.22 ,$161.03 ,$77.22 ,$169.97 ,$173.74 ,$164.61 ,$71.27 ,$162.82 ,$77.22 ,$110.11 ,$115.22 ,$110.11 ,$161.03 ,$161.03 ,$133.53 ,$124.62 ,$77.99 ,$70.60 ,$167.29 ,$81.08 ,$67.24 ,$155.66 ,$77.22 ,$161.03 ,$77.22 ,$161.03 ,$161.03 ,$161.03 ,$173.55 ,$144.93 ,$161.03 ,$161.03 ,$161.03 ,$161.03 
ST. JOSEPH'S - CHIPPEWA FALLS,94500017,90853,HC ALCOHOL THERAPY GROUP 90 MIN,945,1 ,$287.50 ,$215.63 ,$50.00 ,$287.50 ,$185.15 ,$77.22 ,$201.25 ,$67.24 ,$287.50 ,$69.26 ,$287.50 ,$273.13 ,$50.00 ,$230.00 ,$261.63 ,$67.24 ,$270.25 ,$273.13 ,$258.75 ,$244.38 ,$67.24 ,$67.24 ,$67.24 ,$209.88 ,$77.22 ,$255.88 ,$258.75 ,$258.75 ,$230.00 ,$79.53 ,$158.13 ,$258.75 ,$77.22 ,$258.75 ,$77.22 ,$273.13 ,$173.74 ,$264.50 ,$71.27 ,$261.63 ,$77.22 ,$176.93 ,$185.15 ,$176.93 ,$258.75 ,$258.75 ,$214.56 ,$200.24 ,$77.99 ,$70.60 ,$268.81 ,$81.08 ,$67.24 ,$250.13 ,$77.22 ,$258.75 ,$77.22 ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 
ST. JOSEPH'S - CHIPPEWA FALLS,94500018,90853,HC ALCOHOL INTENSIVE OUTPAT PROGRAM,945,1 ,$431.25 ,$323.44 ,$50.00 ,$431.25 ,$277.73 ,$77.22 ,$301.88 ,$67.24 ,$431.25 ,$69.26 ,$431.25 ,$409.69 ,$50.00 ,$345.00 ,$392.44 ,$67.24 ,$405.38 ,$409.69 ,$388.13 ,$366.56 ,$67.24 ,$67.24 ,$67.24 ,$314.81 ,$77.22 ,$383.81 ,$388.13 ,$388.13 ,$345.00 ,$79.53 ,$237.19 ,$388.13 ,$77.22 ,$388.13 ,$77.22 ,$409.69 ,$173.74 ,$396.75 ,$71.27 ,$392.44 ,$77.22 ,$265.39 ,$277.73 ,$265.39 ,$388.13 ,$388.13 ,$321.84 ,$300.37 ,$77.99 ,$70.60 ,$403.22 ,$81.08 ,$67.24 ,$375.19 ,$77.22 ,$388.13 ,$77.22 ,$388.13 ,$388.13 ,$388.13 ,$418.31 ,$349.31 ,$388.13 ,$388.13 ,$388.13 ,$388.13 
ST. JOSEPH'S - CHIPPEWA FALLS,94500019,90853,HC ALCOHOL GROUP THERAPY 120 MIN,945,1 ,$287.50 ,$215.63 ,$50.00 ,$287.50 ,$185.15 ,$77.22 ,$201.25 ,$67.24 ,$287.50 ,$69.26 ,$287.50 ,$273.13 ,$50.00 ,$230.00 ,$261.63 ,$67.24 ,$270.25 ,$273.13 ,$258.75 ,$244.38 ,$67.24 ,$67.24 ,$67.24 ,$209.88 ,$77.22 ,$255.88 ,$258.75 ,$258.75 ,$230.00 ,$79.53 ,$158.13 ,$258.75 ,$77.22 ,$258.75 ,$77.22 ,$273.13 ,$173.74 ,$264.50 ,$71.27 ,$261.63 ,$77.22 ,$176.93 ,$185.15 ,$176.93 ,$258.75 ,$258.75 ,$214.56 ,$200.24 ,$77.99 ,$70.60 ,$268.81 ,$81.08 ,$67.24 ,$250.13 ,$77.22 ,$258.75 ,$77.22 ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 
ST. JOSEPH'S - CHIPPEWA FALLS,94600004,N/A,HC BARIATRIC WHEELCHAIR STRYKER,946,1 ,$104.00 ,$78.00 ,$57.20 ,$104.00 ,$66.98 , N/A ,$72.80 , N/A ,$86.32 , N/A ,$68.64 ,$98.80 , N/A ,$83.20 ,$94.64 , N/A ,$97.76 ,$98.80 ,$93.60 ,$88.40 , N/A , N/A , N/A ,$75.92 , N/A ,$92.56 ,$93.60 ,$93.60 ,$83.20 , N/A ,$57.20 ,$93.60 , N/A ,$93.60 , N/A ,$98.80 , N/A ,$95.68 , N/A ,$94.64 , N/A ,$64.00 ,$66.98 ,$64.00 ,$93.60 ,$93.60 ,$77.62 ,$72.44 , N/A , N/A ,$97.24 , N/A , N/A ,$90.48 , N/A ,$93.60 , N/A ,$93.60 ,$93.60 ,$93.60 ,$100.88 ,$84.24 ,$93.60 ,$93.60 ,$93.60 ,$93.60 
ST. JOSEPH'S - CHIPPEWA FALLS,94800001,94625,HC PHY/QHP OP PULM RHB W/O MNTR,948,1 ,$177.00 ,$132.75 ,$11.17 ,$177.00 ,$113.99 ,$57.44 ,$123.90 ,$11.17 ,$146.91 ,$11.51 ,$116.82 ,$168.15 , N/A ,$141.60 ,$161.07 ,$11.17 ,$166.38 ,$168.15 ,$159.30 ,$150.45 ,$11.17 ,$11.17 ,$11.17 ,$129.21 ,$57.44 ,$157.53 ,$159.30 ,$159.30 ,$141.60 ,$59.17 ,$97.35 ,$159.30 ,$57.44 ,$159.30 ,$57.44 ,$168.15 ,$129.25 ,$162.84 ,$11.84 ,$161.07 ,$57.44 ,$108.93 ,$113.99 ,$108.93 ,$159.30 ,$159.30 ,$132.10 ,$123.28 ,$58.02 ,$11.73 ,$165.50 ,$60.31 ,$11.17 ,$153.99 ,$57.44 ,$159.30 ,$57.44 ,$159.30 ,$159.30 ,$159.30 ,$171.69 ,$143.37 ,$159.30 ,$159.30 ,$159.30 ,$159.30 
ST. JOSEPH'S - CHIPPEWA FALLS,94800002,94626,HC PHY/QHP OP PULM RHB W/MNTR,948,1 ,$177.00 ,$132.75 ,$11.17 ,$177.00 ,$113.99 ,$57.44 ,$123.90 ,$11.17 ,$146.91 ,$11.51 ,$116.82 ,$168.15 , N/A ,$141.60 ,$161.07 ,$11.17 ,$166.38 ,$168.15 ,$159.30 ,$150.45 ,$11.17 ,$11.17 ,$11.17 ,$129.21 ,$57.44 ,$157.53 ,$159.30 ,$159.30 ,$141.60 ,$59.17 ,$97.35 ,$159.30 ,$57.44 ,$159.30 ,$57.44 ,$168.15 ,$129.25 ,$162.84 ,$11.84 ,$161.07 ,$57.44 ,$108.93 ,$113.99 ,$108.93 ,$159.30 ,$159.30 ,$132.10 ,$123.28 ,$58.02 ,$11.73 ,$165.50 ,$60.31 ,$11.17 ,$153.99 ,$57.44 ,$159.30 ,$57.44 ,$159.30 ,$159.30 ,$159.30 ,$171.69 ,$143.37 ,$159.30 ,$159.30 ,$159.30 ,$159.30 
ST. JOSEPH'S - CHIPPEWA FALLS,96000016,99341,PC HOME VISIT NEW PAT LOW SEVERITY 20MIN,960,1 ,$170.00 ,$127.50 ,$38.23 ,$170.00 ,$109.48 , N/A ,$119.00 ,$38.23 ,$141.10 ,$39.38 ,$112.20 ,$161.50 , N/A ,$136.00 ,$154.70 ,$38.23 ,$159.80 ,$161.50 ,$153.00 ,$144.50 ,$38.23 ,$38.23 ,$38.23 ,$124.10 , N/A ,$151.30 ,$153.00 ,$153.00 ,$136.00 , N/A ,$93.50 ,$153.00 , N/A ,$153.00 , N/A ,$161.50 , N/A ,$156.40 ,$40.52 ,$154.70 , N/A ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$153.00 ,$126.87 ,$118.41 , N/A ,$40.14 ,$158.95 , N/A ,$38.23 ,$147.90 , N/A ,$153.00 , N/A ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 
ST. JOSEPH'S - CHIPPEWA FALLS,96000017,99342,PC HOME VISIT NEW PAT MOD SEVERITY 30MIN,960,1 ,$243.00 ,$182.25 ,$38.23 ,$243.00 ,$156.49 , N/A ,$170.10 ,$38.23 ,$201.69 ,$39.38 ,$160.38 ,$230.85 , N/A ,$194.40 ,$221.13 ,$38.23 ,$228.42 ,$230.85 ,$218.70 ,$206.55 ,$38.23 ,$38.23 ,$38.23 ,$177.39 , N/A ,$216.27 ,$218.70 ,$218.70 ,$194.40 , N/A ,$133.65 ,$218.70 , N/A ,$218.70 , N/A ,$230.85 , N/A ,$223.56 ,$40.52 ,$221.13 , N/A ,$149.54 ,$156.49 ,$149.54 ,$218.70 ,$218.70 ,$181.35 ,$169.25 , N/A ,$40.14 ,$227.21 , N/A ,$38.23 ,$211.41 , N/A ,$218.70 , N/A ,$218.70 ,$218.70 ,$218.70 ,$235.71 ,$196.83 ,$218.70 ,$218.70 ,$218.70 ,$218.70 
ST. JOSEPH'S - CHIPPEWA FALLS,96000018,99343,PC HOME VISIT NEW PAT MOD-HIGH SEVERITY 45MIN,960,1 ,$340.00 ,$255.00 ,$38.23 ,$340.00 ,$218.96 , N/A ,$238.00 ,$38.23 ,$282.20 ,$39.38 ,$224.40 ,$323.00 , N/A ,$272.00 ,$309.40 ,$38.23 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$38.23 ,$38.23 ,$38.23 ,$248.20 , N/A ,$302.60 ,$306.00 ,$306.00 ,$272.00 , N/A ,$187.00 ,$306.00 , N/A ,$306.00 , N/A ,$323.00 , N/A ,$312.80 ,$40.52 ,$309.40 , N/A ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$306.00 ,$253.74 ,$236.81 , N/A ,$40.14 ,$317.90 , N/A ,$38.23 ,$295.80 , N/A ,$306.00 , N/A ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 
ST. JOSEPH'S - CHIPPEWA FALLS,96000019,99344,PC HOME VISIT NEW PAT HIGH SEVERITY 60MIN,960,1 ,$437.00 ,$327.75 ,$38.23 ,$437.00 ,$281.43 , N/A ,$305.90 ,$38.23 ,$362.71 ,$39.38 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$38.23 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$38.23 ,$38.23 ,$38.23 ,$319.01 , N/A ,$388.93 ,$393.30 ,$393.30 ,$349.60 , N/A ,$240.35 ,$393.30 , N/A ,$393.30 , N/A ,$415.15 , N/A ,$402.04 ,$40.52 ,$397.67 , N/A ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 , N/A ,$40.14 ,$408.60 , N/A ,$38.23 ,$380.19 , N/A ,$393.30 , N/A ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,96000020,99345,PC HOME VISIT NEW PAT COMPREHENSIVE 75MIN,960,1 ,$583.00 ,$437.25 ,$38.23 ,$583.00 ,$375.45 , N/A ,$408.10 ,$38.23 ,$483.89 ,$39.38 ,$384.78 ,$553.85 , N/A ,$466.40 ,$530.53 ,$38.23 ,$548.02 ,$553.85 ,$524.70 ,$495.55 ,$38.23 ,$38.23 ,$38.23 ,$425.59 , N/A ,$518.87 ,$524.70 ,$524.70 ,$466.40 , N/A ,$320.65 ,$524.70 , N/A ,$524.70 , N/A ,$553.85 , N/A ,$536.36 ,$40.52 ,$530.53 , N/A ,$358.78 ,$375.45 ,$358.78 ,$524.70 ,$524.70 ,$435.09 ,$406.06 , N/A ,$40.14 ,$545.11 , N/A ,$38.23 ,$507.21 , N/A ,$524.70 , N/A ,$524.70 ,$524.70 ,$524.70 ,$565.51 ,$472.23 ,$524.70 ,$524.70 ,$524.70 ,$524.70 
ST. JOSEPH'S - CHIPPEWA FALLS,96000021,99347,PC HOME VISIT ESTAB PAT LIMITED 15MIN,960,1 ,$146.00 ,$109.50 ,$38.23 ,$146.00 ,$94.02 , N/A ,$102.20 ,$38.23 ,$121.18 ,$39.38 ,$96.36 ,$138.70 , N/A ,$116.80 ,$132.86 ,$38.23 ,$137.24 ,$138.70 ,$131.40 ,$124.10 ,$38.23 ,$38.23 ,$38.23 ,$106.58 , N/A ,$129.94 ,$131.40 ,$131.40 ,$116.80 , N/A ,$80.30 ,$131.40 , N/A ,$131.40 , N/A ,$138.70 , N/A ,$134.32 ,$40.52 ,$132.86 , N/A ,$89.85 ,$94.02 ,$89.85 ,$131.40 ,$131.40 ,$108.96 ,$101.69 , N/A ,$40.14 ,$136.51 , N/A ,$38.23 ,$127.02 , N/A ,$131.40 , N/A ,$131.40 ,$131.40 ,$131.40 ,$141.62 ,$118.26 ,$131.40 ,$131.40 ,$131.40 ,$131.40 
ST. JOSEPH'S - CHIPPEWA FALLS,96000022,99348,PC HOME VISIT ESTAB PAT LOW-MOD SEVERITY 25MIN,960,1 ,$219.00 ,$164.25 ,$38.23 ,$219.00 ,$141.04 , N/A ,$153.30 ,$38.23 ,$181.77 ,$39.38 ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 ,$38.23 ,$205.86 ,$208.05 ,$197.10 ,$186.15 ,$38.23 ,$38.23 ,$38.23 ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 ,$40.52 ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$163.44 ,$152.53 , N/A ,$40.14 ,$204.77 , N/A ,$38.23 ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 
ST. JOSEPH'S - CHIPPEWA FALLS,96000023,99349,PC HOME VISIT ESTAB PAT MOD-HIGH SEVERITY 40MIN,960,1 ,$316.00 ,$237.00 ,$38.23 ,$316.00 ,$203.50 , N/A ,$221.20 ,$38.23 ,$262.28 ,$39.38 ,$208.56 ,$300.20 , N/A ,$252.80 ,$287.56 ,$38.23 ,$297.04 ,$300.20 ,$284.40 ,$268.60 ,$38.23 ,$38.23 ,$38.23 ,$230.68 , N/A ,$281.24 ,$284.40 ,$284.40 ,$252.80 , N/A ,$173.80 ,$284.40 , N/A ,$284.40 , N/A ,$300.20 , N/A ,$290.72 ,$40.52 ,$287.56 , N/A ,$194.47 ,$203.50 ,$194.47 ,$284.40 ,$284.40 ,$235.83 ,$220.09 , N/A ,$40.14 ,$295.46 , N/A ,$38.23 ,$274.92 , N/A ,$284.40 , N/A ,$284.40 ,$284.40 ,$284.40 ,$306.52 ,$255.96 ,$284.40 ,$284.40 ,$284.40 ,$284.40 
ST. JOSEPH'S - CHIPPEWA FALLS,96000024,99350,PC HOME VISIT ESTAB PAT COMPREHENSIVE 60 MIN,960,1 ,$437.00 ,$327.75 ,$38.23 ,$437.00 ,$281.43 , N/A ,$305.90 ,$38.23 ,$362.71 ,$39.38 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$38.23 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$38.23 ,$38.23 ,$38.23 ,$319.01 , N/A ,$388.93 ,$393.30 ,$393.30 ,$349.60 , N/A ,$240.35 ,$393.30 , N/A ,$393.30 , N/A ,$415.15 , N/A ,$402.04 ,$40.52 ,$397.67 , N/A ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 , N/A ,$40.14 ,$408.60 , N/A ,$38.23 ,$380.19 , N/A ,$393.30 , N/A ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,96000025,99324,PC ASSISTED LIVING VISIT NEW PAT LOW SEVERITY 20MIN,960,1 ,$170.00 ,$127.50 ,$38.23 ,$170.00 ,$109.48 , N/A ,$119.00 ,$38.23 ,$141.10 ,$39.38 ,$112.20 ,$161.50 , N/A ,$136.00 ,$154.70 ,$38.23 ,$159.80 ,$161.50 ,$153.00 ,$144.50 ,$38.23 ,$38.23 ,$38.23 ,$124.10 , N/A ,$151.30 ,$153.00 ,$153.00 ,$136.00 , N/A ,$93.50 ,$153.00 , N/A ,$153.00 , N/A ,$161.50 , N/A ,$156.40 ,$40.52 ,$154.70 , N/A ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$153.00 ,$126.87 ,$118.41 , N/A ,$40.14 ,$158.95 , N/A ,$38.23 ,$147.90 , N/A ,$153.00 , N/A ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 
ST. JOSEPH'S - CHIPPEWA FALLS,96000026,99325,PC ASSISTED LIVING VISIT NEW PAT MOD SEVERITY 30MIN,960,1 ,$243.00 ,$182.25 ,$38.23 ,$243.00 ,$156.49 , N/A ,$170.10 ,$38.23 ,$201.69 ,$39.38 ,$160.38 ,$230.85 , N/A ,$194.40 ,$221.13 ,$38.23 ,$228.42 ,$230.85 ,$218.70 ,$206.55 ,$38.23 ,$38.23 ,$38.23 ,$177.39 , N/A ,$216.27 ,$218.70 ,$218.70 ,$194.40 , N/A ,$133.65 ,$218.70 , N/A ,$218.70 , N/A ,$230.85 , N/A ,$223.56 ,$40.52 ,$221.13 , N/A ,$149.54 ,$156.49 ,$149.54 ,$218.70 ,$218.70 ,$181.35 ,$169.25 , N/A ,$40.14 ,$227.21 , N/A ,$38.23 ,$211.41 , N/A ,$218.70 , N/A ,$218.70 ,$218.70 ,$218.70 ,$235.71 ,$196.83 ,$218.70 ,$218.70 ,$218.70 ,$218.70 
ST. JOSEPH'S - CHIPPEWA FALLS,96000027,99326,PC ASSISTED LIVING VISIT NEW PAT MOD-HIGH SEVERITY 45MIN,960,1 ,$340.00 ,$255.00 ,$38.23 ,$340.00 ,$218.96 , N/A ,$238.00 ,$38.23 ,$282.20 ,$39.38 ,$224.40 ,$323.00 , N/A ,$272.00 ,$309.40 ,$38.23 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$38.23 ,$38.23 ,$38.23 ,$248.20 , N/A ,$302.60 ,$306.00 ,$306.00 ,$272.00 , N/A ,$187.00 ,$306.00 , N/A ,$306.00 , N/A ,$323.00 , N/A ,$312.80 ,$40.52 ,$309.40 , N/A ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$306.00 ,$253.74 ,$236.81 , N/A ,$40.14 ,$317.90 , N/A ,$38.23 ,$295.80 , N/A ,$306.00 , N/A ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 
ST. JOSEPH'S - CHIPPEWA FALLS,96000028,99327,PC ASSISTED LIVING VISIT NEW PAT HIGH SEVERITY 60MIN,960,1 ,$437.00 ,$327.75 ,$38.23 ,$437.00 ,$281.43 , N/A ,$305.90 ,$38.23 ,$362.71 ,$39.38 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$38.23 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$38.23 ,$38.23 ,$38.23 ,$319.01 , N/A ,$388.93 ,$393.30 ,$393.30 ,$349.60 , N/A ,$240.35 ,$393.30 , N/A ,$393.30 , N/A ,$415.15 , N/A ,$402.04 ,$40.52 ,$397.67 , N/A ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 , N/A ,$40.14 ,$408.60 , N/A ,$38.23 ,$380.19 , N/A ,$393.30 , N/A ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,96000029,99328,PC ASSISTED LIVING VISIT NEW PAT COMPREHENSIVE 75MIN,960,1 ,$583.00 ,$437.25 ,$38.23 ,$583.00 ,$375.45 , N/A ,$408.10 ,$38.23 ,$483.89 ,$39.38 ,$384.78 ,$553.85 , N/A ,$466.40 ,$530.53 ,$38.23 ,$548.02 ,$553.85 ,$524.70 ,$495.55 ,$38.23 ,$38.23 ,$38.23 ,$425.59 , N/A ,$518.87 ,$524.70 ,$524.70 ,$466.40 , N/A ,$320.65 ,$524.70 , N/A ,$524.70 , N/A ,$553.85 , N/A ,$536.36 ,$40.52 ,$530.53 , N/A ,$358.78 ,$375.45 ,$358.78 ,$524.70 ,$524.70 ,$435.09 ,$406.06 , N/A ,$40.14 ,$545.11 , N/A ,$38.23 ,$507.21 , N/A ,$524.70 , N/A ,$524.70 ,$524.70 ,$524.70 ,$565.51 ,$472.23 ,$524.70 ,$524.70 ,$524.70 ,$524.70 
ST. JOSEPH'S - CHIPPEWA FALLS,96000030,99334,PC ASSISTED LIVING VISIT ESTAB PAT LOW SEVERITY 15MIN,960,1 ,$146.00 ,$109.50 ,$38.23 ,$146.00 ,$94.02 , N/A ,$102.20 ,$38.23 ,$121.18 ,$39.38 ,$96.36 ,$138.70 , N/A ,$116.80 ,$132.86 ,$38.23 ,$137.24 ,$138.70 ,$131.40 ,$124.10 ,$38.23 ,$38.23 ,$38.23 ,$106.58 , N/A ,$129.94 ,$131.40 ,$131.40 ,$116.80 , N/A ,$80.30 ,$131.40 , N/A ,$131.40 , N/A ,$138.70 , N/A ,$134.32 ,$40.52 ,$132.86 , N/A ,$89.85 ,$94.02 ,$89.85 ,$131.40 ,$131.40 ,$108.96 ,$101.69 , N/A ,$40.14 ,$136.51 , N/A ,$38.23 ,$127.02 , N/A ,$131.40 , N/A ,$131.40 ,$131.40 ,$131.40 ,$141.62 ,$118.26 ,$131.40 ,$131.40 ,$131.40 ,$131.40 
ST. JOSEPH'S - CHIPPEWA FALLS,96000031,99335,PC ASSISTED LIVING VISIT ESTAB PAT LOW-MOD SEVERITY 25MIN,960,1 ,$219.00 ,$164.25 ,$38.23 ,$219.00 ,$141.04 , N/A ,$153.30 ,$38.23 ,$181.77 ,$39.38 ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 ,$38.23 ,$205.86 ,$208.05 ,$197.10 ,$186.15 ,$38.23 ,$38.23 ,$38.23 ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 ,$40.52 ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$163.44 ,$152.53 , N/A ,$40.14 ,$204.77 , N/A ,$38.23 ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 
ST. JOSEPH'S - CHIPPEWA FALLS,96000032,99336,PC ASSISTED LIVING VISIT ESTAB PAT MOD-HIGH SEVERITY 40MIN,960,1 ,$316.00 ,$237.00 ,$38.23 ,$316.00 ,$203.50 , N/A ,$221.20 ,$38.23 ,$262.28 ,$39.38 ,$208.56 ,$300.20 , N/A ,$252.80 ,$287.56 ,$38.23 ,$297.04 ,$300.20 ,$284.40 ,$268.60 ,$38.23 ,$38.23 ,$38.23 ,$230.68 , N/A ,$281.24 ,$284.40 ,$284.40 ,$252.80 , N/A ,$173.80 ,$284.40 , N/A ,$284.40 , N/A ,$300.20 , N/A ,$290.72 ,$40.52 ,$287.56 , N/A ,$194.47 ,$203.50 ,$194.47 ,$284.40 ,$284.40 ,$235.83 ,$220.09 , N/A ,$40.14 ,$295.46 , N/A ,$38.23 ,$274.92 , N/A ,$284.40 , N/A ,$284.40 ,$284.40 ,$284.40 ,$306.52 ,$255.96 ,$284.40 ,$284.40 ,$284.40 ,$284.40 
ST. JOSEPH'S - CHIPPEWA FALLS,96000033,99337,PC ASSISTED LIVING VISIT ESTAB PAT COMPREHENSIVE 60MIN,960,1 ,$437.00 ,$327.75 ,$38.23 ,$437.00 ,$281.43 , N/A ,$305.90 ,$38.23 ,$362.71 ,$39.38 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$38.23 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$38.23 ,$38.23 ,$38.23 ,$319.01 , N/A ,$388.93 ,$393.30 ,$393.30 ,$349.60 , N/A ,$240.35 ,$393.30 , N/A ,$393.30 , N/A ,$415.15 , N/A ,$402.04 ,$40.52 ,$397.67 , N/A ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$326.13 ,$304.37 , N/A ,$40.14 ,$408.60 , N/A ,$38.23 ,$380.19 , N/A ,$393.30 , N/A ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 
ST. JOSEPH'S - CHIPPEWA FALLS,96000034,99304,PC NURSING FACILITY CARE INITIAL DAY LOW 25MIN,960,1 ,$194.00 ,$145.50 ,$38.23 ,$194.00 ,$124.94 , N/A ,$135.80 ,$38.23 ,$161.02 ,$39.38 ,$128.04 ,$184.30 , N/A ,$155.20 ,$176.54 ,$38.23 ,$182.36 ,$184.30 ,$174.60 ,$164.90 ,$38.23 ,$38.23 ,$38.23 ,$141.62 , N/A ,$172.66 ,$174.60 ,$174.60 ,$155.20 , N/A ,$106.70 ,$174.60 , N/A ,$174.60 , N/A ,$184.30 , N/A ,$178.48 ,$40.52 ,$176.54 , N/A ,$119.39 ,$124.94 ,$119.39 ,$174.60 ,$174.60 ,$144.78 ,$135.12 , N/A ,$40.14 ,$181.39 , N/A ,$38.23 ,$168.78 , N/A ,$174.60 , N/A ,$174.60 ,$174.60 ,$174.60 ,$188.18 ,$157.14 ,$174.60 ,$174.60 ,$174.60 ,$174.60 
ST. JOSEPH'S - CHIPPEWA FALLS,96000035,99305,PC NURSING FACILITY CARE INITIAL DAY MOD 35MIN,960,1 ,$267.00 ,$200.25 ,$38.23 ,$267.00 ,$171.95 , N/A ,$186.90 ,$38.23 ,$221.61 ,$39.38 ,$176.22 ,$253.65 , N/A ,$213.60 ,$242.97 ,$38.23 ,$250.98 ,$253.65 ,$240.30 ,$226.95 ,$38.23 ,$38.23 ,$38.23 ,$194.91 , N/A ,$237.63 ,$240.30 ,$240.30 ,$213.60 , N/A ,$146.85 ,$240.30 , N/A ,$240.30 , N/A ,$253.65 , N/A ,$245.64 ,$40.52 ,$242.97 , N/A ,$164.31 ,$171.95 ,$164.31 ,$240.30 ,$240.30 ,$199.26 ,$185.97 , N/A ,$40.14 ,$249.65 , N/A ,$38.23 ,$232.29 , N/A ,$240.30 , N/A ,$240.30 ,$240.30 ,$240.30 ,$258.99 ,$216.27 ,$240.30 ,$240.30 ,$240.30 ,$240.30 
ST. JOSEPH'S - CHIPPEWA FALLS,96000036,99306,PC NURSING FACILITY CARE INITIAL DAY HIGH 45MIN,960,1 ,$340.00 ,$255.00 ,$38.23 ,$340.00 ,$218.96 , N/A ,$238.00 ,$38.23 ,$282.20 ,$39.38 ,$224.40 ,$323.00 , N/A ,$272.00 ,$309.40 ,$38.23 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$38.23 ,$38.23 ,$38.23 ,$248.20 , N/A ,$302.60 ,$306.00 ,$306.00 ,$272.00 , N/A ,$187.00 ,$306.00 , N/A ,$306.00 , N/A ,$323.00 , N/A ,$312.80 ,$40.52 ,$309.40 , N/A ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$306.00 ,$253.74 ,$236.81 , N/A ,$40.14 ,$317.90 , N/A ,$38.23 ,$295.80 , N/A ,$306.00 , N/A ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 
ST. JOSEPH'S - CHIPPEWA FALLS,96000037,99318,PC NURSING FAC ANNUAL ASSESSMENT 30MIN,960,1 ,$243.00 ,$182.25 ,$38.23 ,$243.00 ,$156.49 , N/A ,$170.10 ,$38.23 ,$201.69 ,$39.38 ,$160.38 ,$230.85 , N/A ,$194.40 ,$221.13 ,$38.23 ,$228.42 ,$230.85 ,$218.70 ,$206.55 ,$38.23 ,$38.23 ,$38.23 ,$177.39 , N/A ,$216.27 ,$218.70 ,$218.70 ,$194.40 , N/A ,$133.65 ,$218.70 , N/A ,$218.70 , N/A ,$230.85 , N/A ,$223.56 ,$40.52 ,$221.13 , N/A ,$149.54 ,$156.49 ,$149.54 ,$218.70 ,$218.70 ,$181.35 ,$169.25 , N/A ,$40.14 ,$227.21 , N/A ,$38.23 ,$211.41 , N/A ,$218.70 , N/A ,$218.70 ,$218.70 ,$218.70 ,$235.71 ,$196.83 ,$218.70 ,$218.70 ,$218.70 ,$218.70 
ST. JOSEPH'S - CHIPPEWA FALLS,96000038,99497,PC ADVANCED CARE PLANNING INIT 30MIN,960,1 ,$267.00 ,$200.25 ,$32.55 ,$267.00 ,$171.95 ,$77.22 ,$186.90 ,$32.55 ,$221.61 ,$33.53 ,$176.22 ,$253.65 , N/A ,$213.60 ,$242.97 ,$32.55 ,$250.98 ,$253.65 ,$240.30 ,$226.95 ,$32.55 ,$32.55 ,$32.55 ,$194.91 ,$77.22 ,$237.63 ,$240.30 ,$240.30 ,$213.60 ,$79.53 ,$146.85 ,$240.30 ,$77.22 ,$240.30 ,$77.22 ,$253.65 ,$173.74 ,$245.64 ,$34.50 ,$242.97 ,$77.22 ,$164.31 ,$171.95 ,$164.31 ,$240.30 ,$240.30 ,$199.26 ,$185.97 ,$77.99 ,$34.18 ,$249.65 ,$81.08 ,$32.55 ,$232.29 ,$77.22 ,$240.30 ,$77.22 ,$240.30 ,$240.30 ,$240.30 ,$258.99 ,$216.27 ,$240.30 ,$240.30 ,$240.30 ,$240.30 
ST. JOSEPH'S - CHIPPEWA FALLS,96000039,99498,PC ADVANCED CARE PLANNING ADDL 30MIN,960,1 ,$219.00 ,$164.25 ,$32.55 ,$219.00 ,$141.04 , N/A ,$153.30 ,$32.55 ,$181.77 ,$33.53 ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 ,$32.55 ,$205.86 ,$208.05 ,$197.10 ,$186.15 ,$32.55 ,$32.55 ,$32.55 ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 ,$34.50 ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$163.44 ,$152.53 , N/A ,$34.18 ,$204.77 , N/A ,$32.55 ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 
ST. JOSEPH'S - CHIPPEWA FALLS,96000040,99354,PC EXTENDED E AND M/PSYCH OP SERVICE INIT HR,960,1 ,$510.00 ,$382.50 ,$280.50 ,$510.00 ,$328.44 , N/A ,$357.00 , N/A ,$423.30 , N/A ,$336.60 ,$484.50 , N/A ,$408.00 ,$464.10 , N/A ,$479.40 ,$484.50 ,$459.00 ,$433.50 , N/A , N/A , N/A ,$372.30 , N/A ,$453.90 ,$459.00 ,$459.00 ,$408.00 , N/A ,$280.50 ,$459.00 , N/A ,$459.00 , N/A ,$484.50 , N/A ,$469.20 , N/A ,$464.10 , N/A ,$313.85 ,$328.44 ,$313.85 ,$459.00 ,$459.00 ,$380.61 ,$355.22 , N/A , N/A ,$476.85 , N/A , N/A ,$443.70 , N/A ,$459.00 , N/A ,$459.00 ,$459.00 ,$459.00 ,$494.70 ,$413.10 ,$459.00 ,$459.00 ,$459.00 ,$459.00 
ST. JOSEPH'S - CHIPPEWA FALLS,96000041,99355,PC EXTENDED E AND M/PSYCH OP SERVICE ADDL 30MIN,960,1 ,$219.00 ,$164.25 ,$120.45 ,$219.00 ,$141.04 , N/A ,$153.30 , N/A ,$181.77 , N/A ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 , N/A ,$205.86 ,$208.05 ,$197.10 ,$186.15 , N/A , N/A , N/A ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 , N/A ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$163.44 ,$152.53 , N/A , N/A ,$204.77 , N/A , N/A ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 
ST. JOSEPH'S - CHIPPEWA FALLS,96000042,99358,PC PROLONG E AND M BEFORE/AFTER DIRECT PAT CARE INIT HR,960,1 ,$510.00 ,$382.50 ,$280.50 ,$510.00 ,$328.44 , N/A ,$357.00 , N/A ,$423.30 , N/A ,$336.60 ,$484.50 , N/A ,$408.00 ,$464.10 , N/A ,$479.40 ,$484.50 ,$459.00 ,$433.50 , N/A , N/A , N/A ,$372.30 , N/A ,$453.90 ,$459.00 ,$459.00 ,$408.00 , N/A ,$280.50 ,$459.00 , N/A ,$459.00 , N/A ,$484.50 , N/A ,$469.20 , N/A ,$464.10 , N/A ,$313.85 ,$328.44 ,$313.85 ,$459.00 ,$459.00 ,$380.61 ,$355.22 , N/A , N/A ,$476.85 , N/A , N/A ,$443.70 , N/A ,$459.00 , N/A ,$459.00 ,$459.00 ,$459.00 ,$494.70 ,$413.10 ,$459.00 ,$459.00 ,$459.00 ,$459.00 
ST. JOSEPH'S - CHIPPEWA FALLS,96000043,99359,PC PROLONG E AND M BEFORE/AFTER DIRECT PAT CARE ADDL 30MIN,960,1 ,$219.00 ,$164.25 ,$120.45 ,$219.00 ,$141.04 , N/A ,$153.30 , N/A ,$181.77 , N/A ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 , N/A ,$205.86 ,$208.05 ,$197.10 ,$186.15 , N/A , N/A , N/A ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 , N/A ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$163.44 ,$152.53 , N/A , N/A ,$204.77 , N/A , N/A ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 
ST. JOSEPH'S - CHIPPEWA FALLS,96080000,36000,PC IV START > 3YR OLD,960,1 ,$299.21 ,$224.41 ,$18.43 ,$299.21 ,$192.69 , N/A ,$209.45 ,$18.43 ,$248.34 ,$18.98 ,$197.48 ,$284.25 , N/A ,$239.37 ,$272.28 ,$18.43 ,$281.26 ,$284.25 ,$269.29 ,$254.33 ,$18.43 ,$18.43 ,$18.43 ,$218.42 , N/A ,$266.30 ,$269.29 ,$269.29 ,$239.37 , N/A ,$164.57 ,$269.29 , N/A ,$269.29 , N/A ,$284.25 , N/A ,$275.27 ,$19.54 ,$272.28 , N/A ,$184.13 ,$192.69 ,$184.13 ,$269.29 ,$269.29 ,$223.30 ,$208.40 , N/A ,$19.35 ,$279.76 , N/A ,$18.43 ,$260.31 , N/A ,$269.29 , N/A ,$269.29 ,$269.29 ,$269.29 ,$290.23 ,$242.36 ,$269.29 ,$269.29 ,$269.29 ,$269.29 
ST. JOSEPH'S - CHIPPEWA FALLS,96080008,92511,PC NASOPHARYNGOSCOPY,960,1 ,$449.02 ,$336.77 ,$34.89 ,$449.02 ,$289.17 ,$169.88 ,$314.31 ,$34.89 ,$372.69 ,$35.94 ,$296.35 ,$426.57 , N/A ,$359.22 ,$408.61 ,$34.89 ,$422.08 ,$426.57 ,$404.12 ,$381.67 ,$34.89 ,$34.89 ,$34.89 ,$327.78 ,$169.88 ,$399.63 ,$404.12 ,$404.12 ,$359.22 ,$174.97 ,$246.96 ,$404.12 ,$169.88 ,$404.12 ,$169.88 ,$426.57 ,$382.22 ,$413.10 ,$36.98 ,$408.61 ,$169.88 ,$276.33 ,$289.17 ,$276.33 ,$404.12 ,$404.12 ,$335.10 ,$312.74 ,$171.57 ,$36.63 ,$419.83 ,$178.37 ,$34.89 ,$390.65 ,$169.88 ,$404.12 ,$169.88 ,$404.12 ,$404.12 ,$404.12 ,$435.55 ,$363.71 ,$404.12 ,$404.12 ,$404.12 ,$404.12 
ST. JOSEPH'S - CHIPPEWA FALLS,96100002,90791,PC EVAL PSYCH DIAG PHD,961,1 ,$700.00 ,$525.00 ,$82.53 ,$700.00 ,$450.80 ,$138.08 ,$490.00 ,$82.53 ,$581.00 ,$85.01 ,$462.00 ,$665.00 , N/A ,$560.00 ,$637.00 ,$82.53 ,$658.00 ,$665.00 ,$630.00 ,$595.00 ,$82.53 ,$82.53 ,$82.53 ,$511.00 ,$138.08 ,$623.00 ,$630.00 ,$630.00 ,$560.00 ,$142.22 ,$385.00 ,$630.00 ,$138.08 ,$630.00 ,$138.08 ,$665.00 ,$310.67 ,$644.00 ,$87.48 ,$637.00 ,$138.08 ,$430.78 ,$450.80 ,$430.78 ,$630.00 ,$630.00 ,$522.41 ,$487.55 ,$139.46 ,$86.66 ,$654.50 ,$144.98 ,$82.53 ,$609.00 ,$138.08 ,$630.00 ,$138.08 ,$630.00 ,$630.00 ,$630.00 ,$679.00 ,$567.00 ,$630.00 ,$630.00 ,$630.00 ,$630.00 
ST. JOSEPH'S - CHIPPEWA FALLS,96100010,96101,PC PSYCH TESTING,961,1 ,$488.00 ,$366.00 ,$268.40 ,$488.00 ,$314.27 , N/A ,$341.60 , N/A ,$405.04 , N/A ,$322.08 ,$463.60 , N/A ,$390.40 ,$444.08 , N/A ,$458.72 ,$463.60 ,$439.20 ,$414.80 , N/A , N/A , N/A ,$356.24 , N/A ,$434.32 ,$439.20 ,$439.20 ,$390.40 , N/A ,$268.40 ,$439.20 , N/A ,$439.20 , N/A ,$463.60 , N/A ,$448.96 , N/A ,$444.08 , N/A ,$300.32 ,$314.27 ,$300.32 ,$439.20 ,$439.20 ,$364.19 ,$339.89 , N/A , N/A ,$456.28 , N/A , N/A ,$424.56 , N/A ,$439.20 , N/A ,$439.20 ,$439.20 ,$439.20 ,$473.36 ,$395.28 ,$439.20 ,$439.20 ,$439.20 ,$439.20 
ST. JOSEPH'S - CHIPPEWA FALLS,96300003,62273,PC INJ EPIDURAL BLD/CLOT PATCH PRO FEE,963,1 ,"$1,333.70 ","$1,000.28 ",$268.66 ,"$1,474.40 ",$858.90 ,$655.29 ,$933.59 ,$268.66 ,"$1,106.97 ",$276.72 ,$880.24 ,"$1,267.02 ", N/A ,"$1,066.96 ","$1,213.67 ",$268.66 ,"$1,253.68 ","$1,267.02 ","$1,200.33 ","$1,133.65 ",$268.66 ,$268.66 ,$268.66 ,$973.60 ,$655.29 ,"$1,186.99 ","$1,200.33 ","$1,200.33 ","$1,066.96 ",$674.95 ,$733.54 ,"$1,200.33 ",$655.29 ,"$1,200.33 ",$655.29 ,"$1,267.02 ","$1,474.40 ","$1,227.00 ",$284.78 ,"$1,213.67 ",$655.29 ,$820.76 ,$858.90 ,$820.76 ,"$1,200.33 ","$1,200.33 ",$995.34 ,$928.92 ,$661.84 ,$282.09 ,"$1,247.01 ",$688.05 ,$268.66 ,"$1,160.32 ",$655.29 ,"$1,200.33 ",$655.29 ,"$1,200.33 ","$1,200.33 ","$1,200.33 ","$1,293.69 ","$1,080.30 ","$1,200.33 ","$1,200.33 ","$1,200.33 ","$1,200.33 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180002,10060,PC DRAIN SKIN ABSCESS SIMPLE,981,1 ,$320.40 ,$240.30 ,$51.36 ,$416.96 ,$206.34 ,$185.31 ,$224.28 ,$51.36 ,$265.93 ,$52.90 ,$211.46 ,$304.38 , N/A ,$256.32 ,$291.56 ,$51.36 ,$301.18 ,$304.38 ,$288.36 ,$272.34 ,$51.36 ,$51.36 ,$51.36 ,$233.89 ,$185.31 ,$285.16 ,$288.36 ,$288.36 ,$256.32 ,$190.87 ,$176.22 ,$288.36 ,$185.31 ,$288.36 ,$185.31 ,$304.38 ,$416.96 ,$294.77 ,$54.44 ,$291.56 ,$185.31 ,$197.17 ,$206.34 ,$197.17 ,$288.36 ,$288.36 ,$239.11 ,$223.16 ,$187.17 ,$53.93 ,$299.57 ,$194.58 ,$51.36 ,$278.75 ,$185.31 ,$288.36 ,$185.31 ,$288.36 ,$288.36 ,$288.36 ,$310.79 ,$259.52 ,$288.36 ,$288.36 ,$288.36 ,$288.36 
ST. JOSEPH'S - CHIPPEWA FALLS,98180003,10061,PC DRAIN SKIN ABSCESS COMPLIC,981,1 ,$622.40 ,$466.80 ,$51.36 ,$802.54 ,$400.83 ,$356.69 ,$435.68 ,$51.36 ,$516.59 ,$52.90 ,$410.78 ,$591.28 , N/A ,$497.92 ,$566.38 ,$51.36 ,$585.06 ,$591.28 ,$560.16 ,$529.04 ,$51.36 ,$51.36 ,$51.36 ,$454.35 ,$356.69 ,$553.94 ,$560.16 ,$560.16 ,$497.92 ,$367.39 ,$342.32 ,$560.16 ,$356.69 ,$560.16 ,$356.69 ,$591.28 ,$802.54 ,$572.61 ,$54.44 ,$566.38 ,$356.69 ,$383.03 ,$400.83 ,$383.03 ,$560.16 ,$560.16 ,$464.50 ,$433.50 ,$360.25 ,$53.93 ,$581.94 ,$374.52 ,$51.36 ,$541.49 ,$356.69 ,$560.16 ,$356.69 ,$560.16 ,$560.16 ,$560.16 ,$603.73 ,$504.14 ,$560.16 ,$560.16 ,$560.16 ,$560.16 
ST. JOSEPH'S - CHIPPEWA FALLS,98180004,10080,PC DRAIN PILONIDAL CYST SIMPL,981,1 ,$483.95 ,$362.96 ,$51.36 ,"$1,444.89 ",$311.66 ,$642.18 ,$338.77 ,$51.36 ,$401.68 ,$52.90 ,$319.41 ,$459.75 , N/A ,$387.16 ,$440.39 ,$51.36 ,$454.91 ,$459.75 ,$435.56 ,$411.36 ,$51.36 ,$51.36 ,$51.36 ,$353.28 ,$642.18 ,$430.72 ,$435.56 ,$435.56 ,$387.16 ,$661.44 ,$266.17 ,$435.56 ,$642.18 ,$435.56 ,$642.18 ,$459.75 ,"$1,444.89 ",$445.23 ,$54.44 ,$440.39 ,$642.18 ,$297.82 ,$311.66 ,$297.82 ,$435.56 ,$435.56 ,$361.17 ,$337.07 ,$648.60 ,$53.93 ,$452.49 ,$674.29 ,$51.36 ,$421.04 ,$642.18 ,$435.56 ,$642.18 ,$435.56 ,$435.56 ,$435.56 ,$469.43 ,$392.00 ,$435.56 ,$435.56 ,$435.56 ,$435.56 
ST. JOSEPH'S - CHIPPEWA FALLS,98180005,10081,PC DRAIN PILONIDAL CYST COMPLIC,981,1 ,$864.33 ,$648.25 ,$344.84 ,"$1,444.89 ",$556.63 ,$642.18 ,$605.03 ,$344.84 ,$717.39 ,$355.19 ,$570.46 ,$821.11 , N/A ,$691.46 ,$786.54 ,$344.84 ,$812.47 ,$821.11 ,$777.90 ,$734.68 ,$344.84 ,$344.84 ,$344.84 ,$630.96 ,$642.18 ,$769.25 ,$777.90 ,$777.90 ,$691.46 ,$661.44 ,$475.38 ,$777.90 ,$642.18 ,$777.90 ,$642.18 ,$821.11 ,"$1,444.89 ",$795.18 ,$365.53 ,$786.54 ,$642.18 ,$531.91 ,$556.63 ,$531.91 ,$777.90 ,$777.90 ,$645.05 ,$602.01 ,$648.60 ,$362.08 ,$808.15 ,$674.29 ,$344.84 ,$751.97 ,$642.18 ,$777.90 ,$642.18 ,$777.90 ,$777.90 ,$777.90 ,$838.40 ,$700.11 ,$777.90 ,$777.90 ,$777.90 ,$777.90 
ST. JOSEPH'S - CHIPPEWA FALLS,98180006,10120,PC REMOVE FOREIGN BODY SIMPLE,981,1 ,$352.00 ,$264.00 ,$51.36 ,$802.54 ,$226.69 ,$356.69 ,$246.40 ,$51.36 ,$292.16 ,$52.90 ,$232.32 ,$334.40 , N/A ,$281.60 ,$320.32 ,$51.36 ,$330.88 ,$334.40 ,$316.80 ,$299.20 ,$51.36 ,$51.36 ,$51.36 ,$256.96 ,$356.69 ,$313.28 ,$316.80 ,$316.80 ,$281.60 ,$367.39 ,$193.60 ,$316.80 ,$356.69 ,$316.80 ,$356.69 ,$334.40 ,$802.54 ,$323.84 ,$54.44 ,$320.32 ,$356.69 ,$216.62 ,$226.69 ,$216.62 ,$316.80 ,$316.80 ,$262.70 ,$245.17 ,$360.25 ,$53.93 ,$329.12 ,$374.52 ,$51.36 ,$306.24 ,$356.69 ,$316.80 ,$356.69 ,$316.80 ,$316.80 ,$316.80 ,$341.44 ,$285.12 ,$316.80 ,$316.80 ,$316.80 ,$316.80 
ST. JOSEPH'S - CHIPPEWA FALLS,98180007,10121,PC REMOVE FOREIGN BODY COMPLIC,981,1 ,$781.31 ,$585.98 ,$360.88 ,"$3,266.98 ",$503.16 ,"$1,451.99 ",$546.92 ,$360.88 ,$648.49 ,$371.71 ,$515.66 ,$742.24 , N/A ,$625.05 ,$710.99 ,$360.88 ,$734.43 ,$742.24 ,$703.18 ,$664.11 ,$360.88 ,$360.88 ,$360.88 ,$570.36 ,"$1,451.99 ",$695.37 ,$703.18 ,$703.18 ,$625.05 ,"$1,495.55 ",$429.72 ,$703.18 ,"$1,451.99 ",$703.18 ,"$1,451.99 ",$742.24 ,"$3,266.98 ",$718.81 ,$382.53 ,$710.99 ,"$1,451.99 ",$480.82 ,$503.16 ,$480.82 ,$703.18 ,$703.18 ,$583.09 ,$544.18 ,"$1,466.51 ",$378.92 ,$730.52 ,"$1,524.59 ",$360.88 ,$679.74 ,"$1,451.99 ",$703.18 ,"$1,451.99 ",$703.18 ,$703.18 ,$703.18 ,$757.87 ,$632.86 ,$703.18 ,$703.18 ,$703.18 ,$703.18 
ST. JOSEPH'S - CHIPPEWA FALLS,98180008,10140,PC DRAINAGE OF HEMATOMA/FLUID,981,1 ,$445.80 ,$334.35 ,$245.19 ,"$3,266.98 ",$287.10 ,"$1,451.99 ",$312.06 ,$344.84 ,$370.01 ,$355.19 ,$294.23 ,$423.51 , N/A ,$356.64 ,$405.68 ,$344.84 ,$419.05 ,$423.51 ,$401.22 ,$378.93 ,$344.84 ,$344.84 ,$344.84 ,$325.43 ,"$1,451.99 ",$396.76 ,$401.22 ,$401.22 ,$356.64 ,"$1,495.55 ",$245.19 ,$401.22 ,"$1,451.99 ",$401.22 ,"$1,451.99 ",$423.51 ,"$3,266.98 ",$410.14 ,$365.53 ,$405.68 ,"$1,451.99 ",$274.35 ,$287.10 ,$274.35 ,$401.22 ,$401.22 ,$332.70 ,$310.50 ,"$1,466.51 ",$362.08 ,$416.82 ,"$1,524.59 ",$344.84 ,$387.85 ,"$1,451.99 ",$401.22 ,"$1,451.99 ",$401.22 ,$401.22 ,$401.22 ,$432.43 ,$361.10 ,$401.22 ,$401.22 ,$401.22 ,$401.22 
ST. JOSEPH'S - CHIPPEWA FALLS,98180009,10160,PC PUNCTURE DRAINAGE OF LESION,981,1 ,$292.90 ,$219.68 ,$51.36 ,$802.54 ,$188.63 ,$356.69 ,$205.03 ,$51.36 ,$243.11 ,$52.90 ,$193.31 ,$278.26 , N/A ,$234.32 ,$266.54 ,$51.36 ,$275.33 ,$278.26 ,$263.61 ,$248.97 ,$51.36 ,$51.36 ,$51.36 ,$213.82 ,$356.69 ,$260.68 ,$263.61 ,$263.61 ,$234.32 ,$367.39 ,$161.10 ,$263.61 ,$356.69 ,$263.61 ,$356.69 ,$278.26 ,$802.54 ,$269.47 ,$54.44 ,$266.54 ,$356.69 ,$180.25 ,$188.63 ,$180.25 ,$263.61 ,$263.61 ,$218.59 ,$204.00 ,$360.25 ,$53.93 ,$273.86 ,$374.52 ,$51.36 ,$254.82 ,$356.69 ,$263.61 ,$356.69 ,$263.61 ,$263.61 ,$263.61 ,$284.11 ,$237.25 ,$263.61 ,$263.61 ,$263.61 ,$263.61 
ST. JOSEPH'S - CHIPPEWA FALLS,98180011,11000,PC SURGICAL CLEANSING OF SKIN,981,1 ,$315.24 ,$236.43 ,$118.09 ,"$1,216.07 ",$203.01 ,$540.47 ,$220.67 ,$118.09 ,$261.65 ,$121.63 ,$208.06 ,$299.48 , N/A ,$252.19 ,$286.87 ,$118.09 ,$296.33 ,$299.48 ,$283.72 ,$267.95 ,$118.09 ,$118.09 ,$118.09 ,$230.13 ,$540.47 ,$280.56 ,$283.72 ,$283.72 ,$252.19 ,$556.69 ,$173.38 ,$283.72 ,$540.47 ,$283.72 ,$540.47 ,$299.48 ,"$1,216.07 ",$290.02 ,$125.18 ,$286.87 ,$540.47 ,$194.00 ,$203.01 ,$194.00 ,$283.72 ,$283.72 ,$235.26 ,$219.56 ,$545.88 ,$123.99 ,$294.75 ,$567.49 ,$118.09 ,$274.26 ,$540.47 ,$283.72 ,$540.47 ,$283.72 ,$283.72 ,$283.72 ,$305.78 ,$255.34 ,$283.72 ,$283.72 ,$283.72 ,$283.72 
ST. JOSEPH'S - CHIPPEWA FALLS,98180012,11001,PC ADDITIONAL CLEANSING OF SKIN,981,1 ,$157.62 ,$118.22 ,$86.69 ,$157.62 ,$101.51 , N/A ,$110.33 ,$118.09 ,$130.82 ,$121.63 ,$104.03 ,$149.74 , N/A ,$126.10 ,$143.43 ,$118.09 ,$148.16 ,$149.74 ,$141.86 ,$133.98 ,$118.09 ,$118.09 ,$118.09 ,$115.06 , N/A ,$140.28 ,$141.86 ,$141.86 ,$126.10 , N/A ,$86.69 ,$141.86 , N/A ,$141.86 , N/A ,$149.74 , N/A ,$145.01 ,$125.18 ,$143.43 , N/A ,$97.00 ,$101.51 ,$97.00 ,$141.86 ,$141.86 ,$117.63 ,$109.78 , N/A ,$123.99 ,$147.37 , N/A ,$118.09 ,$137.13 , N/A ,$141.86 , N/A ,$141.86 ,$141.86 ,$141.86 ,$152.89 ,$127.67 ,$141.86 ,$141.86 ,$141.86 ,$141.86 
ST. JOSEPH'S - CHIPPEWA FALLS,98180021,11042,PC CLEANSING OF SKIN/TISSUE,981,1 ,$551.77 ,$413.83 ,$118.09 ,$802.54 ,$355.34 ,$356.69 ,$386.24 ,$118.09 ,$457.97 ,$121.63 ,$364.17 ,$524.18 , N/A ,$441.42 ,$502.11 ,$118.09 ,$518.66 ,$524.18 ,$496.59 ,$469.00 ,$118.09 ,$118.09 ,$118.09 ,$402.79 ,$356.69 ,$491.08 ,$496.59 ,$496.59 ,$441.42 ,$367.39 ,$303.47 ,$496.59 ,$356.69 ,$496.59 ,$356.69 ,$524.18 ,$802.54 ,$507.63 ,$125.18 ,$502.11 ,$356.69 ,$339.56 ,$355.34 ,$339.56 ,$496.59 ,$496.59 ,$411.79 ,$384.31 ,$360.25 ,$123.99 ,$515.91 ,$374.52 ,$118.09 ,$480.04 ,$356.69 ,$496.59 ,$356.69 ,$496.59 ,$496.59 ,$496.59 ,$535.22 ,$446.93 ,$496.59 ,$496.59 ,$496.59 ,$496.59 
ST. JOSEPH'S - CHIPPEWA FALLS,98180023,11043,PC CLEANSING OF TISSUE/MUSCLE,981,1 ,"$1,095.93 ",$821.95 ,$118.09 ,"$1,216.07 ",$705.78 ,$540.47 ,$767.15 ,$118.09 ,$909.62 ,$121.63 ,$723.31 ,"$1,041.13 ", N/A ,$876.74 ,$997.30 ,$118.09 ,"$1,030.17 ","$1,041.13 ",$986.34 ,$931.54 ,$118.09 ,$118.09 ,$118.09 ,$800.03 ,$540.47 ,$975.38 ,$986.34 ,$986.34 ,$876.74 ,$556.69 ,$602.76 ,$986.34 ,$540.47 ,$986.34 ,$540.47 ,"$1,041.13 ","$1,216.07 ","$1,008.26 ",$125.18 ,$997.30 ,$540.47 ,$674.44 ,$705.78 ,$674.44 ,$986.34 ,$986.34 ,$817.89 ,$763.32 ,$545.88 ,$123.99 ,"$1,024.69 ",$567.49 ,$118.09 ,$953.46 ,$540.47 ,$986.34 ,$540.47 ,$986.34 ,$986.34 ,$986.34 ,"$1,063.05 ",$887.70 ,$986.34 ,$986.34 ,$986.34 ,$986.34 
ST. JOSEPH'S - CHIPPEWA FALLS,98180028,11740,PC DRAIN BLOOD FROM UNDER NAIL,981,1 ,$140.50 ,$105.38 ,$20.60 ,$261.82 ,$90.48 ,$116.36 ,$98.35 ,$20.60 ,$116.62 ,$21.22 ,$92.73 ,$133.48 , N/A ,$112.40 ,$127.86 ,$20.60 ,$132.07 ,$133.48 ,$126.45 ,$119.43 ,$20.60 ,$20.60 ,$20.60 ,$102.57 ,$116.36 ,$125.05 ,$126.45 ,$126.45 ,$112.40 ,$119.85 ,$77.28 ,$126.45 ,$116.36 ,$126.45 ,$116.36 ,$133.48 ,$261.82 ,$129.26 ,$21.84 ,$127.86 ,$116.36 ,$86.46 ,$90.48 ,$86.46 ,$126.45 ,$126.45 ,$104.86 ,$97.86 ,$117.53 ,$21.63 ,$131.37 ,$122.18 ,$20.60 ,$122.24 ,$116.36 ,$126.45 ,$116.36 ,$126.45 ,$126.45 ,$126.45 ,$136.29 ,$113.81 ,$126.45 ,$126.45 ,$126.45 ,$126.45 
ST. JOSEPH'S - CHIPPEWA FALLS,98180029,11750,PC REMOVAL OF NAIL BED,981,1 ,$632.22 ,$474.17 ,$139.95 ,$802.54 ,$407.15 ,$356.69 ,$442.55 ,$139.95 ,$524.74 ,$144.15 ,$417.27 ,$600.61 , N/A ,$505.78 ,$575.32 ,$139.95 ,$594.29 ,$600.61 ,$569.00 ,$537.39 ,$139.95 ,$139.95 ,$139.95 ,$461.52 ,$356.69 ,$562.68 ,$569.00 ,$569.00 ,$505.78 ,$367.39 ,$347.72 ,$569.00 ,$356.69 ,$569.00 ,$356.69 ,$600.61 ,$802.54 ,$581.64 ,$148.35 ,$575.32 ,$356.69 ,$389.07 ,$407.15 ,$389.07 ,$569.00 ,$569.00 ,$471.83 ,$440.34 ,$360.25 ,$146.95 ,$591.13 ,$374.52 ,$139.95 ,$550.03 ,$356.69 ,$569.00 ,$356.69 ,$569.00 ,$569.00 ,$569.00 ,$613.25 ,$512.10 ,$569.00 ,$569.00 ,$569.00 ,$569.00 
ST. JOSEPH'S - CHIPPEWA FALLS,98180031,11765,PC EXC WEDGE SKIN NAIL FOLD,981,1 ,$374.73 ,$281.05 ,$20.60 ,$802.54 ,$241.33 ,$356.69 ,$262.31 ,$20.60 ,$311.03 ,$21.22 ,$247.32 ,$355.99 , N/A ,$299.78 ,$341.00 ,$20.60 ,$352.25 ,$355.99 ,$337.26 ,$318.52 ,$20.60 ,$20.60 ,$20.60 ,$273.55 ,$356.69 ,$333.51 ,$337.26 ,$337.26 ,$299.78 ,$367.39 ,$206.10 ,$337.26 ,$356.69 ,$337.26 ,$356.69 ,$355.99 ,$802.54 ,$344.75 ,$21.84 ,$341.00 ,$356.69 ,$230.61 ,$241.33 ,$230.61 ,$337.26 ,$337.26 ,$279.66 ,$261.00 ,$360.25 ,$21.63 ,$350.37 ,$374.52 ,$20.60 ,$326.02 ,$356.69 ,$337.26 ,$356.69 ,$337.26 ,$337.26 ,$337.26 ,$363.49 ,$303.53 ,$337.26 ,$337.26 ,$337.26 ,$337.26 
ST. JOSEPH'S - CHIPPEWA FALLS,98180032,12001,PC REPR SUPERF WND BODY <2.5CM,981,1 ,$390.20 ,$292.65 ,$58.71 ,$416.96 ,$251.29 ,$185.31 ,$273.14 ,$58.71 ,$323.87 ,$60.47 ,$257.53 ,$370.69 , N/A ,$312.16 ,$355.08 ,$58.71 ,$366.79 ,$370.69 ,$351.18 ,$331.67 ,$58.71 ,$58.71 ,$58.71 ,$284.85 ,$185.31 ,$347.28 ,$351.18 ,$351.18 ,$312.16 ,$190.87 ,$214.61 ,$351.18 ,$185.31 ,$351.18 ,$185.31 ,$370.69 ,$416.96 ,$358.98 ,$62.23 ,$355.08 ,$185.31 ,$240.13 ,$251.29 ,$240.13 ,$351.18 ,$351.18 ,$291.21 ,$271.77 ,$187.17 ,$61.65 ,$364.84 ,$194.58 ,$58.71 ,$339.47 ,$185.31 ,$351.18 ,$185.31 ,$351.18 ,$351.18 ,$351.18 ,$378.49 ,$316.06 ,$351.18 ,$351.18 ,$351.18 ,$351.18 
ST. JOSEPH'S - CHIPPEWA FALLS,98180033,12002,PC REPR SUP NPTERF WND BODY 2.6-7.5,981,1 ,$471.50 ,$353.63 ,$58.71 ,$471.50 ,$303.65 ,$185.31 ,$330.05 ,$58.71 ,$391.35 ,$60.47 ,$311.19 ,$447.93 , N/A ,$377.20 ,$429.07 ,$58.71 ,$443.21 ,$447.93 ,$424.35 ,$400.78 ,$58.71 ,$58.71 ,$58.71 ,$344.20 ,$185.31 ,$419.64 ,$424.35 ,$424.35 ,$377.20 ,$190.87 ,$259.33 ,$424.35 ,$185.31 ,$424.35 ,$185.31 ,$447.93 ,$416.96 ,$433.78 ,$62.23 ,$429.07 ,$185.31 ,$290.16 ,$303.65 ,$290.16 ,$424.35 ,$424.35 ,$351.88 ,$328.40 ,$187.17 ,$61.65 ,$440.85 ,$194.58 ,$58.71 ,$410.21 ,$185.31 ,$424.35 ,$185.31 ,$424.35 ,$424.35 ,$424.35 ,$457.36 ,$381.92 ,$424.35 ,$424.35 ,$424.35 ,$424.35 
ST. JOSEPH'S - CHIPPEWA FALLS,98180034,12004,PC REPR SUPERF WND BODY 7.6-12.5,981,1 ,$585.30 ,$438.98 ,$58.71 ,$585.30 ,$376.93 ,$185.31 ,$409.71 ,$58.71 ,$485.80 ,$60.47 ,$386.30 ,$556.04 , N/A ,$468.24 ,$532.62 ,$58.71 ,$550.18 ,$556.04 ,$526.77 ,$497.51 ,$58.71 ,$58.71 ,$58.71 ,$427.27 ,$185.31 ,$520.92 ,$526.77 ,$526.77 ,$468.24 ,$190.87 ,$321.92 ,$526.77 ,$185.31 ,$526.77 ,$185.31 ,$556.04 ,$416.96 ,$538.48 ,$62.23 ,$532.62 ,$185.31 ,$360.19 ,$376.93 ,$360.19 ,$526.77 ,$526.77 ,$436.81 ,$407.66 ,$187.17 ,$61.65 ,$547.26 ,$194.58 ,$58.71 ,$509.21 ,$185.31 ,$526.77 ,$185.31 ,$526.77 ,$526.77 ,$526.77 ,$567.74 ,$474.09 ,$526.77 ,$526.77 ,$526.77 ,$526.77 
ST. JOSEPH'S - CHIPPEWA FALLS,98180035,12005,PC REPR SUPERF WND BODY 12.6-20,981,1 ,$617.90 ,$463.43 ,$58.71 ,$802.54 ,$397.93 ,$356.69 ,$432.53 ,$58.71 ,$512.86 ,$60.47 ,$407.81 ,$587.01 , N/A ,$494.32 ,$562.29 ,$58.71 ,$580.83 ,$587.01 ,$556.11 ,$525.22 ,$58.71 ,$58.71 ,$58.71 ,$451.07 ,$356.69 ,$549.93 ,$556.11 ,$556.11 ,$494.32 ,$367.39 ,$339.85 ,$556.11 ,$356.69 ,$556.11 ,$356.69 ,$587.01 ,$802.54 ,$568.47 ,$62.23 ,$562.29 ,$356.69 ,$380.26 ,$397.93 ,$380.26 ,$556.11 ,$556.11 ,$461.14 ,$430.37 ,$360.25 ,$61.65 ,$577.74 ,$374.52 ,$58.71 ,$537.57 ,$356.69 ,$556.11 ,$356.69 ,$556.11 ,$556.11 ,$556.11 ,$599.36 ,$500.50 ,$556.11 ,$556.11 ,$556.11 ,$556.11 
ST. JOSEPH'S - CHIPPEWA FALLS,98180036,12006,PC REPR SUPERF WND BODY 20.1-30,981,1 ,$726.10 ,$544.58 ,$58.71 ,$802.54 ,$467.61 ,$356.69 ,$508.27 ,$58.71 ,$602.66 ,$60.47 ,$479.23 ,$689.80 , N/A ,$580.88 ,$660.75 ,$58.71 ,$682.53 ,$689.80 ,$653.49 ,$617.19 ,$58.71 ,$58.71 ,$58.71 ,$530.05 ,$356.69 ,$646.23 ,$653.49 ,$653.49 ,$580.88 ,$367.39 ,$399.36 ,$653.49 ,$356.69 ,$653.49 ,$356.69 ,$689.80 ,$802.54 ,$668.01 ,$62.23 ,$660.75 ,$356.69 ,$446.84 ,$467.61 ,$446.84 ,$653.49 ,$653.49 ,$541.89 ,$505.73 ,$360.25 ,$61.65 ,$678.90 ,$374.52 ,$58.71 ,$631.71 ,$356.69 ,$653.49 ,$356.69 ,$653.49 ,$653.49 ,$653.49 ,$704.32 ,$588.14 ,$653.49 ,$653.49 ,$653.49 ,$653.49 
ST. JOSEPH'S - CHIPPEWA FALLS,98180038,12011,PC REPR SUPERF WND FACE <2.5CM,981,1 ,$471.50 ,$353.63 ,$58.71 ,$471.50 ,$303.65 ,$185.31 ,$330.05 ,$58.71 ,$391.35 ,$60.47 ,$311.19 ,$447.93 , N/A ,$377.20 ,$429.07 ,$58.71 ,$443.21 ,$447.93 ,$424.35 ,$400.78 ,$58.71 ,$58.71 ,$58.71 ,$344.20 ,$185.31 ,$419.64 ,$424.35 ,$424.35 ,$377.20 ,$190.87 ,$259.33 ,$424.35 ,$185.31 ,$424.35 ,$185.31 ,$447.93 ,$416.96 ,$433.78 ,$62.23 ,$429.07 ,$185.31 ,$290.16 ,$303.65 ,$290.16 ,$424.35 ,$424.35 ,$351.88 ,$328.40 ,$187.17 ,$61.65 ,$440.85 ,$194.58 ,$58.71 ,$410.21 ,$185.31 ,$424.35 ,$185.31 ,$424.35 ,$424.35 ,$424.35 ,$457.36 ,$381.92 ,$424.35 ,$424.35 ,$424.35 ,$424.35 
ST. JOSEPH'S - CHIPPEWA FALLS,98180039,12013,PC REPR SUPERF WND FACE 2.6-5,981,1 ,$552.90 ,$414.68 ,$58.71 ,$552.90 ,$356.07 ,$185.31 ,$387.03 ,$58.71 ,$458.91 ,$60.47 ,$364.91 ,$525.26 , N/A ,$442.32 ,$503.14 ,$58.71 ,$519.73 ,$525.26 ,$497.61 ,$469.97 ,$58.71 ,$58.71 ,$58.71 ,$403.62 ,$185.31 ,$492.08 ,$497.61 ,$497.61 ,$442.32 ,$190.87 ,$304.10 ,$497.61 ,$185.31 ,$497.61 ,$185.31 ,$525.26 ,$416.96 ,$508.67 ,$62.23 ,$503.14 ,$185.31 ,$340.25 ,$356.07 ,$340.25 ,$497.61 ,$497.61 ,$412.63 ,$385.09 ,$187.17 ,$61.65 ,$516.96 ,$194.58 ,$58.71 ,$481.02 ,$185.31 ,$497.61 ,$185.31 ,$497.61 ,$497.61 ,$497.61 ,$536.31 ,$447.85 ,$497.61 ,$497.61 ,$497.61 ,$497.61 
ST. JOSEPH'S - CHIPPEWA FALLS,98180040,12014,PC REPR SUPERF WND FACE 5.1-7.5,981,1 ,$585.30 ,$438.98 ,$58.71 ,$585.30 ,$376.93 ,$185.31 ,$409.71 ,$58.71 ,$485.80 ,$60.47 ,$386.30 ,$556.04 , N/A ,$468.24 ,$532.62 ,$58.71 ,$550.18 ,$556.04 ,$526.77 ,$497.51 ,$58.71 ,$58.71 ,$58.71 ,$427.27 ,$185.31 ,$520.92 ,$526.77 ,$526.77 ,$468.24 ,$190.87 ,$321.92 ,$526.77 ,$185.31 ,$526.77 ,$185.31 ,$556.04 ,$416.96 ,$538.48 ,$62.23 ,$532.62 ,$185.31 ,$360.19 ,$376.93 ,$360.19 ,$526.77 ,$526.77 ,$436.81 ,$407.66 ,$187.17 ,$61.65 ,$547.26 ,$194.58 ,$58.71 ,$509.21 ,$185.31 ,$526.77 ,$185.31 ,$526.77 ,$526.77 ,$526.77 ,$567.74 ,$474.09 ,$526.77 ,$526.77 ,$526.77 ,$526.77 
ST. JOSEPH'S - CHIPPEWA FALLS,98180041,12015,PC REPR SUPERF WND FACE 7.6-12.5,981,1 ,$715.40 ,$536.55 ,$58.71 ,$715.40 ,$460.72 ,$185.31 ,$500.78 ,$58.71 ,$593.78 ,$60.47 ,$472.16 ,$679.63 , N/A ,$572.32 ,$651.01 ,$58.71 ,$672.48 ,$679.63 ,$643.86 ,$608.09 ,$58.71 ,$58.71 ,$58.71 ,$522.24 ,$185.31 ,$636.71 ,$643.86 ,$643.86 ,$572.32 ,$190.87 ,$393.47 ,$643.86 ,$185.31 ,$643.86 ,$185.31 ,$679.63 ,$416.96 ,$658.17 ,$62.23 ,$651.01 ,$185.31 ,$440.26 ,$460.72 ,$440.26 ,$643.86 ,$643.86 ,$533.90 ,$498.28 ,$187.17 ,$61.65 ,$668.90 ,$194.58 ,$58.71 ,$622.40 ,$185.31 ,$643.86 ,$185.31 ,$643.86 ,$643.86 ,$643.86 ,$693.94 ,$579.47 ,$643.86 ,$643.86 ,$643.86 ,$643.86 
ST. JOSEPH'S - CHIPPEWA FALLS,98180042,12016,PC REPR SUPERF WND FACE 12.6-20,981,1 ,"$1,010.24 ",$757.68 ,$58.71 ,"$1,010.24 ",$650.59 ,$356.69 ,$707.17 ,$58.71 ,$838.50 ,$60.47 ,$666.76 ,$959.73 , N/A ,$808.19 ,$919.32 ,$58.71 ,$949.63 ,$959.73 ,$909.22 ,$858.70 ,$58.71 ,$58.71 ,$58.71 ,$737.48 ,$356.69 ,$899.11 ,$909.22 ,$909.22 ,$808.19 ,$367.39 ,$555.63 ,$909.22 ,$356.69 ,$909.22 ,$356.69 ,$959.73 ,$802.54 ,$929.42 ,$62.23 ,$919.32 ,$356.69 ,$621.70 ,$650.59 ,$621.70 ,$909.22 ,$909.22 ,$753.94 ,$703.63 ,$360.25 ,$61.65 ,$944.57 ,$374.52 ,$58.71 ,$878.91 ,$356.69 ,$909.22 ,$356.69 ,$909.22 ,$909.22 ,$909.22 ,$979.93 ,$818.29 ,$909.22 ,$909.22 ,$909.22 ,$909.22 
ST. JOSEPH'S - CHIPPEWA FALLS,98180043,12017,PC REPR SUPERF WND FACE 20.1-30,981,1 ,"$1,262.90 ",$947.18 ,$58.71 ,"$1,262.90 ",$813.31 ,$356.69 ,$884.03 ,$58.71 ,"$1,048.21 ",$60.47 ,$833.51 ,"$1,199.76 ", N/A ,"$1,010.32 ","$1,149.24 ",$58.71 ,"$1,187.13 ","$1,199.76 ","$1,136.61 ","$1,073.47 ",$58.71 ,$58.71 ,$58.71 ,$921.92 ,$356.69 ,"$1,123.98 ","$1,136.61 ","$1,136.61 ","$1,010.32 ",$367.39 ,$694.60 ,"$1,136.61 ",$356.69 ,"$1,136.61 ",$356.69 ,"$1,199.76 ",$802.54 ,"$1,161.87 ",$62.23 ,"$1,149.24 ",$356.69 ,$777.19 ,$813.31 ,$777.19 ,"$1,136.61 ","$1,136.61 ",$942.50 ,$879.61 ,$360.25 ,$61.65 ,"$1,180.81 ",$374.52 ,$58.71 ,"$1,098.72 ",$356.69 ,"$1,136.61 ",$356.69 ,"$1,136.61 ","$1,136.61 ","$1,136.61 ","$1,225.01 ","$1,022.95 ","$1,136.61 ","$1,136.61 ","$1,136.61 ","$1,136.61 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180045,12020,PC CLOSURE SUPERF WND DEHIS SIMPLE,981,1 ,$584.03 ,$438.02 ,$118.09 ,"$1,216.07 ",$376.12 ,$540.47 ,$408.82 ,$118.09 ,$484.74 ,$121.63 ,$385.46 ,$554.83 , N/A ,$467.22 ,$531.47 ,$118.09 ,$548.99 ,$554.83 ,$525.63 ,$496.43 ,$118.09 ,$118.09 ,$118.09 ,$426.34 ,$540.47 ,$519.79 ,$525.63 ,$525.63 ,$467.22 ,$556.69 ,$321.22 ,$525.63 ,$540.47 ,$525.63 ,$540.47 ,$554.83 ,"$1,216.07 ",$537.31 ,$125.18 ,$531.47 ,$540.47 ,$359.41 ,$376.12 ,$359.41 ,$525.63 ,$525.63 ,$435.86 ,$406.78 ,$545.88 ,$123.99 ,$546.07 ,$567.49 ,$118.09 ,$508.11 ,$540.47 ,$525.63 ,$540.47 ,$525.63 ,$525.63 ,$525.63 ,$566.51 ,$473.06 ,$525.63 ,$525.63 ,$525.63 ,$525.63 
ST. JOSEPH'S - CHIPPEWA FALLS,98180046,12021,PC CLOSURE SUPERF WND DEHIS W PACKING,981,1 ,$457.75 ,$343.31 ,$118.09 ,$802.54 ,$294.79 ,$356.69 ,$320.43 ,$118.09 ,$379.93 ,$121.63 ,$302.12 ,$434.86 , N/A ,$366.20 ,$416.55 ,$118.09 ,$430.29 ,$434.86 ,$411.98 ,$389.09 ,$118.09 ,$118.09 ,$118.09 ,$334.16 ,$356.69 ,$407.40 ,$411.98 ,$411.98 ,$366.20 ,$367.39 ,$251.76 ,$411.98 ,$356.69 ,$411.98 ,$356.69 ,$434.86 ,$802.54 ,$421.13 ,$125.18 ,$416.55 ,$356.69 ,$281.70 ,$294.79 ,$281.70 ,$411.98 ,$411.98 ,$341.62 ,$318.82 ,$360.25 ,$123.99 ,$428.00 ,$374.52 ,$118.09 ,$398.24 ,$356.69 ,$411.98 ,$356.69 ,$411.98 ,$411.98 ,$411.98 ,$444.02 ,$370.78 ,$411.98 ,$411.98 ,$411.98 ,$411.98 
ST. JOSEPH'S - CHIPPEWA FALLS,98180047,12031,"PC LAYR CLOS WND TRUNK,ARM,LEG <2.5CM",981,1 ,$535.30 ,$401.48 ,$118.09 ,$802.54 ,$344.73 ,$356.69 ,$374.71 ,$118.09 ,$444.30 ,$121.63 ,$353.30 ,$508.54 , N/A ,$428.24 ,$487.12 ,$118.09 ,$503.18 ,$508.54 ,$481.77 ,$455.01 ,$118.09 ,$118.09 ,$118.09 ,$390.77 ,$356.69 ,$476.42 ,$481.77 ,$481.77 ,$428.24 ,$367.39 ,$294.42 ,$481.77 ,$356.69 ,$481.77 ,$356.69 ,$508.54 ,$802.54 ,$492.48 ,$125.18 ,$487.12 ,$356.69 ,$329.42 ,$344.73 ,$329.42 ,$481.77 ,$481.77 ,$399.49 ,$372.84 ,$360.25 ,$123.99 ,$500.51 ,$374.52 ,$118.09 ,$465.71 ,$356.69 ,$481.77 ,$356.69 ,$481.77 ,$481.77 ,$481.77 ,$519.24 ,$433.59 ,$481.77 ,$481.77 ,$481.77 ,$481.77 
ST. JOSEPH'S - CHIPPEWA FALLS,98180048,12032,"PC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5",981,1 ,$711.50 ,$533.63 ,$118.09 ,$802.54 ,$458.21 ,$356.69 ,$498.05 ,$118.09 ,$590.55 ,$121.63 ,$469.59 ,$675.93 , N/A ,$569.20 ,$647.47 ,$118.09 ,$668.81 ,$675.93 ,$640.35 ,$604.78 ,$118.09 ,$118.09 ,$118.09 ,$519.40 ,$356.69 ,$633.24 ,$640.35 ,$640.35 ,$569.20 ,$367.39 ,$391.33 ,$640.35 ,$356.69 ,$640.35 ,$356.69 ,$675.93 ,$802.54 ,$654.58 ,$125.18 ,$647.47 ,$356.69 ,$437.86 ,$458.21 ,$437.86 ,$640.35 ,$640.35 ,$530.99 ,$495.56 ,$360.25 ,$123.99 ,$665.25 ,$374.52 ,$118.09 ,$619.01 ,$356.69 ,$640.35 ,$356.69 ,$640.35 ,$640.35 ,$640.35 ,$690.16 ,$576.32 ,$640.35 ,$640.35 ,$640.35 ,$640.35 
ST. JOSEPH'S - CHIPPEWA FALLS,98180049,12034,"PC LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5",981,1 ,$800.40 ,$600.30 ,$118.09 ,$802.54 ,$515.46 ,$356.69 ,$560.28 ,$118.09 ,$664.33 ,$121.63 ,$528.26 ,$760.38 , N/A ,$640.32 ,$728.36 ,$118.09 ,$752.38 ,$760.38 ,$720.36 ,$680.34 ,$118.09 ,$118.09 ,$118.09 ,$584.29 ,$356.69 ,$712.36 ,$720.36 ,$720.36 ,$640.32 ,$367.39 ,$440.22 ,$720.36 ,$356.69 ,$720.36 ,$356.69 ,$760.38 ,$802.54 ,$736.37 ,$125.18 ,$728.36 ,$356.69 ,$492.57 ,$515.46 ,$492.57 ,$720.36 ,$720.36 ,$597.34 ,$557.48 ,$360.25 ,$123.99 ,$748.37 ,$374.52 ,$118.09 ,$696.35 ,$356.69 ,$720.36 ,$356.69 ,$720.36 ,$720.36 ,$720.36 ,$776.39 ,$648.32 ,$720.36 ,$720.36 ,$720.36 ,$720.36 
ST. JOSEPH'S - CHIPPEWA FALLS,98180050,12035,"PC LAYR CLOS WND TRUNK,ARM,LEG 12.6-20",981,1 ,"$1,085.10 ",$813.83 ,$118.09 ,"$1,085.10 ",$698.80 ,$356.69 ,$759.57 ,$118.09 ,$900.63 ,$121.63 ,$716.17 ,"$1,030.85 ", N/A ,$868.08 ,$987.44 ,$118.09 ,"$1,019.99 ","$1,030.85 ",$976.59 ,$922.34 ,$118.09 ,$118.09 ,$118.09 ,$792.12 ,$356.69 ,$965.74 ,$976.59 ,$976.59 ,$868.08 ,$367.39 ,$596.81 ,$976.59 ,$356.69 ,$976.59 ,$356.69 ,"$1,030.85 ",$802.54 ,$998.29 ,$125.18 ,$987.44 ,$356.69 ,$667.77 ,$698.80 ,$667.77 ,$976.59 ,$976.59 ,$809.81 ,$755.77 ,$360.25 ,$123.99 ,"$1,014.57 ",$374.52 ,$118.09 ,$944.04 ,$356.69 ,$976.59 ,$356.69 ,$976.59 ,$976.59 ,$976.59 ,"$1,052.55 ",$878.93 ,$976.59 ,$976.59 ,$976.59 ,$976.59 
ST. JOSEPH'S - CHIPPEWA FALLS,98180051,12036,"PC LAYR CLOS WND TRUNK,ARM,LEG 20.1-30",981,1 ,"$1,080.31 ",$810.23 ,$118.09 ,"$1,216.07 ",$695.72 ,$540.47 ,$756.22 ,$118.09 ,$896.66 ,$121.63 ,$713.00 ,"$1,026.29 ", N/A ,$864.25 ,$983.08 ,$118.09 ,"$1,015.49 ","$1,026.29 ",$972.28 ,$918.26 ,$118.09 ,$118.09 ,$118.09 ,$788.63 ,$540.47 ,$961.48 ,$972.28 ,$972.28 ,$864.25 ,$556.69 ,$594.17 ,$972.28 ,$540.47 ,$972.28 ,$540.47 ,"$1,026.29 ","$1,216.07 ",$993.89 ,$125.18 ,$983.08 ,$540.47 ,$664.82 ,$695.72 ,$664.82 ,$972.28 ,$972.28 ,$806.24 ,$752.44 ,$545.88 ,$123.99 ,"$1,010.09 ",$567.49 ,$118.09 ,$939.87 ,$540.47 ,$972.28 ,$540.47 ,$972.28 ,$972.28 ,$972.28 ,"$1,047.90 ",$875.05 ,$972.28 ,$972.28 ,$972.28 ,$972.28 
ST. JOSEPH'S - CHIPPEWA FALLS,98180053,12041,PC LAYR CLOS WND REST BODY <2.5CM,981,1 ,$639.00 ,$479.25 ,$118.09 ,$802.54 ,$411.52 ,$356.69 ,$447.30 ,$118.09 ,$530.37 ,$121.63 ,$421.74 ,$607.05 , N/A ,$511.20 ,$581.49 ,$118.09 ,$600.66 ,$607.05 ,$575.10 ,$543.15 ,$118.09 ,$118.09 ,$118.09 ,$466.47 ,$356.69 ,$568.71 ,$575.10 ,$575.10 ,$511.20 ,$367.39 ,$351.45 ,$575.10 ,$356.69 ,$575.10 ,$356.69 ,$607.05 ,$802.54 ,$587.88 ,$125.18 ,$581.49 ,$356.69 ,$393.24 ,$411.52 ,$393.24 ,$575.10 ,$575.10 ,$476.89 ,$445.06 ,$360.25 ,$123.99 ,$597.47 ,$374.52 ,$118.09 ,$555.93 ,$356.69 ,$575.10 ,$356.69 ,$575.10 ,$575.10 ,$575.10 ,$619.83 ,$517.59 ,$575.10 ,$575.10 ,$575.10 ,$575.10 
ST. JOSEPH'S - CHIPPEWA FALLS,98180054,12042,PC LAYR CLOS WND REST BODY 2.6-7.5,981,1 ,$759.80 ,$569.85 ,$118.09 ,$802.54 ,$489.31 ,$356.69 ,$531.86 ,$118.09 ,$630.63 ,$121.63 ,$501.47 ,$721.81 , N/A ,$607.84 ,$691.42 ,$118.09 ,$714.21 ,$721.81 ,$683.82 ,$645.83 ,$118.09 ,$118.09 ,$118.09 ,$554.65 ,$356.69 ,$676.22 ,$683.82 ,$683.82 ,$607.84 ,$367.39 ,$417.89 ,$683.82 ,$356.69 ,$683.82 ,$356.69 ,$721.81 ,$802.54 ,$699.02 ,$125.18 ,$691.42 ,$356.69 ,$467.58 ,$489.31 ,$467.58 ,$683.82 ,$683.82 ,$567.04 ,$529.20 ,$360.25 ,$123.99 ,$710.41 ,$374.52 ,$118.09 ,$661.03 ,$356.69 ,$683.82 ,$356.69 ,$683.82 ,$683.82 ,$683.82 ,$737.01 ,$615.44 ,$683.82 ,$683.82 ,$683.82 ,$683.82 
ST. JOSEPH'S - CHIPPEWA FALLS,98180055,12044,PC LAYR CLOS WND REST BODY 7.6-12.5,981,1 ,$898.00 ,$673.50 ,$118.09 ,"$1,216.07 ",$578.31 ,$540.47 ,$628.60 ,$118.09 ,$745.34 ,$121.63 ,$592.68 ,$853.10 , N/A ,$718.40 ,$817.18 ,$118.09 ,$844.12 ,$853.10 ,$808.20 ,$763.30 ,$118.09 ,$118.09 ,$118.09 ,$655.54 ,$540.47 ,$799.22 ,$808.20 ,$808.20 ,$718.40 ,$556.69 ,$493.90 ,$808.20 ,$540.47 ,$808.20 ,$540.47 ,$853.10 ,"$1,216.07 ",$826.16 ,$125.18 ,$817.18 ,$540.47 ,$552.63 ,$578.31 ,$552.63 ,$808.20 ,$808.20 ,$670.18 ,$625.46 ,$545.88 ,$123.99 ,$839.63 ,$567.49 ,$118.09 ,$781.26 ,$540.47 ,$808.20 ,$540.47 ,$808.20 ,$808.20 ,$808.20 ,$871.06 ,$727.38 ,$808.20 ,$808.20 ,$808.20 ,$808.20 
ST. JOSEPH'S - CHIPPEWA FALLS,98180056,12045,PC LAYR CLOS WND REST BODY 12.6-20,981,1 ,"$1,174.33 ",$880.75 ,$118.09 ,"$1,216.07 ",$756.27 ,$540.47 ,$822.03 ,$118.09 ,$974.69 ,$121.63 ,$775.06 ,"$1,115.61 ", N/A ,$939.46 ,"$1,068.64 ",$118.09 ,"$1,103.87 ","$1,115.61 ","$1,056.90 ",$998.18 ,$118.09 ,$118.09 ,$118.09 ,$857.26 ,$540.47 ,"$1,045.15 ","$1,056.90 ","$1,056.90 ",$939.46 ,$556.69 ,$645.88 ,"$1,056.90 ",$540.47 ,"$1,056.90 ",$540.47 ,"$1,115.61 ","$1,216.07 ","$1,080.38 ",$125.18 ,"$1,068.64 ",$540.47 ,$722.68 ,$756.27 ,$722.68 ,"$1,056.90 ","$1,056.90 ",$876.40 ,$817.92 ,$545.88 ,$123.99 ,"$1,098.00 ",$567.49 ,$118.09 ,"$1,021.67 ",$540.47 ,"$1,056.90 ",$540.47 ,"$1,056.90 ","$1,056.90 ","$1,056.90 ","$1,139.10 ",$951.21 ,"$1,056.90 ","$1,056.90 ","$1,056.90 ","$1,056.90 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180057,12046,PC LAYR CLOS WND REST BODY 20.1-30,981,1 ,"$1,284.68 ",$963.51 ,$118.09 ,"$1,284.68 ",$827.33 ,$540.47 ,$899.28 ,$118.09 ,"$1,066.28 ",$121.63 ,$847.89 ,"$1,220.45 ", N/A ,"$1,027.74 ","$1,169.06 ",$118.09 ,"$1,207.60 ","$1,220.45 ","$1,156.21 ","$1,091.98 ",$118.09 ,$118.09 ,$118.09 ,$937.82 ,$540.47 ,"$1,143.37 ","$1,156.21 ","$1,156.21 ","$1,027.74 ",$556.69 ,$706.57 ,"$1,156.21 ",$540.47 ,"$1,156.21 ",$540.47 ,"$1,220.45 ","$1,216.07 ","$1,181.91 ",$125.18 ,"$1,169.06 ",$540.47 ,$790.59 ,$827.33 ,$790.59 ,"$1,156.21 ","$1,156.21 ",$958.76 ,$894.78 ,$545.88 ,$123.99 ,"$1,201.18 ",$567.49 ,$118.09 ,"$1,117.67 ",$540.47 ,"$1,156.21 ",$540.47 ,"$1,156.21 ","$1,156.21 ","$1,156.21 ","$1,246.14 ","$1,040.59 ","$1,156.21 ","$1,156.21 ","$1,156.21 ","$1,156.21 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180059,12051,"PC LAYR CLOS WND FACE,FACIAL <2.5CM",981,1 ,$928.00 ,$696.00 ,$118.09 ,$928.00 ,$597.63 ,$356.69 ,$649.60 ,$118.09 ,$770.24 ,$121.63 ,$612.48 ,$881.60 , N/A ,$742.40 ,$844.48 ,$118.09 ,$872.32 ,$881.60 ,$835.20 ,$788.80 ,$118.09 ,$118.09 ,$118.09 ,$677.44 ,$356.69 ,$825.92 ,$835.20 ,$835.20 ,$742.40 ,$367.39 ,$510.40 ,$835.20 ,$356.69 ,$835.20 ,$356.69 ,$881.60 ,$802.54 ,$853.76 ,$125.18 ,$844.48 ,$356.69 ,$571.09 ,$597.63 ,$571.09 ,$835.20 ,$835.20 ,$692.57 ,$646.35 ,$360.25 ,$123.99 ,$867.68 ,$374.52 ,$118.09 ,$807.36 ,$356.69 ,$835.20 ,$356.69 ,$835.20 ,$835.20 ,$835.20 ,$900.16 ,$751.68 ,$835.20 ,$835.20 ,$835.20 ,$835.20 
ST. JOSEPH'S - CHIPPEWA FALLS,98180060,12052,"PC LAYR CLOS WND FACE,FACIAL 2.5-5",981,1 ,$889.40 ,$667.05 ,$118.09 ,$889.40 ,$572.77 ,$356.69 ,$622.58 ,$118.09 ,$738.20 ,$121.63 ,$587.00 ,$844.93 , N/A ,$711.52 ,$809.35 ,$118.09 ,$836.04 ,$844.93 ,$800.46 ,$755.99 ,$118.09 ,$118.09 ,$118.09 ,$649.26 ,$356.69 ,$791.57 ,$800.46 ,$800.46 ,$711.52 ,$367.39 ,$489.17 ,$800.46 ,$356.69 ,$800.46 ,$356.69 ,$844.93 ,$802.54 ,$818.25 ,$125.18 ,$809.35 ,$356.69 ,$547.34 ,$572.77 ,$547.34 ,$800.46 ,$800.46 ,$663.76 ,$619.47 ,$360.25 ,$123.99 ,$831.59 ,$374.52 ,$118.09 ,$773.78 ,$356.69 ,$800.46 ,$356.69 ,$800.46 ,$800.46 ,$800.46 ,$862.72 ,$720.41 ,$800.46 ,$800.46 ,$800.46 ,$800.46 
ST. JOSEPH'S - CHIPPEWA FALLS,98180061,12053,"PC LAYR CLOS WND FACE,FACIAL 5.1-7.5",981,1 ,"$1,001.61 ",$751.21 ,$118.09 ,"$1,001.61 ",$645.04 ,$356.69 ,$701.13 ,$118.09 ,$831.34 ,$121.63 ,$661.06 ,$951.53 , N/A ,$801.29 ,$911.47 ,$118.09 ,$941.51 ,$951.53 ,$901.45 ,$851.37 ,$118.09 ,$118.09 ,$118.09 ,$731.18 ,$356.69 ,$891.43 ,$901.45 ,$901.45 ,$801.29 ,$367.39 ,$550.89 ,$901.45 ,$356.69 ,$901.45 ,$356.69 ,$951.53 ,$802.54 ,$921.48 ,$125.18 ,$911.47 ,$356.69 ,$616.39 ,$645.04 ,$616.39 ,$901.45 ,$901.45 ,$747.50 ,$697.62 ,$360.25 ,$123.99 ,$936.51 ,$374.52 ,$118.09 ,$871.40 ,$356.69 ,$901.45 ,$356.69 ,$901.45 ,$901.45 ,$901.45 ,$971.56 ,$811.30 ,$901.45 ,$901.45 ,$901.45 ,$901.45 
ST. JOSEPH'S - CHIPPEWA FALLS,98180062,12054,"PC LAYR CLOS WND FACE,FACIAL 7.6-12.5",981,1 ,"$1,243.38 ",$932.54 ,$118.09 ,"$1,243.38 ",$800.74 ,$356.69 ,$870.37 ,$118.09 ,"$1,032.01 ",$121.63 ,$820.63 ,"$1,181.21 ", N/A ,$994.70 ,"$1,131.48 ",$118.09 ,"$1,168.78 ","$1,181.21 ","$1,119.04 ","$1,056.87 ",$118.09 ,$118.09 ,$118.09 ,$907.67 ,$356.69 ,"$1,106.61 ","$1,119.04 ","$1,119.04 ",$994.70 ,$367.39 ,$683.86 ,"$1,119.04 ",$356.69 ,"$1,119.04 ",$356.69 ,"$1,181.21 ",$802.54 ,"$1,143.91 ",$125.18 ,"$1,131.48 ",$356.69 ,$765.18 ,$800.74 ,$765.18 ,"$1,119.04 ","$1,119.04 ",$927.93 ,$866.01 ,$360.25 ,$123.99 ,"$1,162.56 ",$374.52 ,$118.09 ,"$1,081.74 ",$356.69 ,"$1,119.04 ",$356.69 ,"$1,119.04 ","$1,119.04 ","$1,119.04 ","$1,206.08 ","$1,007.14 ","$1,119.04 ","$1,119.04 ","$1,119.04 ","$1,119.04 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180063,12055,"PC LAYR CLOS WND FACE,FACIAL 12.6-20",981,1 ,"$1,401.51 ","$1,051.13 ",$118.09 ,"$1,401.51 ",$902.57 ,$356.69 ,$981.06 ,$118.09 ,"$1,163.25 ",$121.63 ,$925.00 ,"$1,331.43 ", N/A ,"$1,121.21 ","$1,275.37 ",$118.09 ,"$1,317.42 ","$1,331.43 ","$1,261.36 ","$1,191.28 ",$118.09 ,$118.09 ,$118.09 ,"$1,023.10 ",$356.69 ,"$1,247.34 ","$1,261.36 ","$1,261.36 ","$1,121.21 ",$367.39 ,$770.83 ,"$1,261.36 ",$356.69 ,"$1,261.36 ",$356.69 ,"$1,331.43 ",$802.54 ,"$1,289.39 ",$125.18 ,"$1,275.37 ",$356.69 ,$862.49 ,$902.57 ,$862.49 ,"$1,261.36 ","$1,261.36 ","$1,045.95 ",$976.15 ,$360.25 ,$123.99 ,"$1,310.41 ",$374.52 ,$118.09 ,"$1,219.31 ",$356.69 ,"$1,261.36 ",$356.69 ,"$1,261.36 ","$1,261.36 ","$1,261.36 ","$1,359.46 ","$1,135.22 ","$1,261.36 ","$1,261.36 ","$1,261.36 ","$1,261.36 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180064,12056,"PC LAYR CLOS WND FACE,FACIAL 20.1-30",981,1 ,"$1,635.06 ","$1,226.30 ",$118.09 ,"$1,635.06 ","$1,052.98 ",$356.69 ,"$1,144.54 ",$118.09 ,"$1,357.10 ",$121.63 ,"$1,079.14 ","$1,553.31 ", N/A ,"$1,308.05 ","$1,487.90 ",$118.09 ,"$1,536.96 ","$1,553.31 ","$1,471.55 ","$1,389.80 ",$118.09 ,$118.09 ,$118.09 ,"$1,193.59 ",$356.69 ,"$1,455.20 ","$1,471.55 ","$1,471.55 ","$1,308.05 ",$367.39 ,$899.28 ,"$1,471.55 ",$356.69 ,"$1,471.55 ",$356.69 ,"$1,553.31 ",$802.54 ,"$1,504.26 ",$125.18 ,"$1,487.90 ",$356.69 ,"$1,006.22 ","$1,052.98 ","$1,006.22 ","$1,471.55 ","$1,471.55 ","$1,220.25 ","$1,138.82 ",$360.25 ,$123.99 ,"$1,528.78 ",$374.52 ,$118.09 ,"$1,422.50 ",$356.69 ,"$1,471.55 ",$356.69 ,"$1,471.55 ","$1,471.55 ","$1,471.55 ","$1,586.01 ","$1,324.40 ","$1,471.55 ","$1,471.55 ","$1,471.55 ","$1,471.55 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180065,13100,PC REPR CMPL WND TRUNK 1.1-2.5CM,981,1 ,$583.72 ,$437.79 ,$139.95 ,"$1,216.07 ",$375.92 ,$540.47 ,$408.60 ,$139.95 ,$484.49 ,$144.15 ,$385.26 ,$554.53 , N/A ,$466.98 ,$531.19 ,$139.95 ,$548.70 ,$554.53 ,$525.35 ,$496.16 ,$139.95 ,$139.95 ,$139.95 ,$426.12 ,$540.47 ,$519.51 ,$525.35 ,$525.35 ,$466.98 ,$556.69 ,$321.05 ,$525.35 ,$540.47 ,$525.35 ,$540.47 ,$554.53 ,"$1,216.07 ",$537.02 ,$148.35 ,$531.19 ,$540.47 ,$359.22 ,$375.92 ,$359.22 ,$525.35 ,$525.35 ,$435.63 ,$406.56 ,$545.88 ,$146.95 ,$545.78 ,$567.49 ,$139.95 ,$507.84 ,$540.47 ,$525.35 ,$540.47 ,$525.35 ,$525.35 ,$525.35 ,$566.21 ,$472.81 ,$525.35 ,$525.35 ,$525.35 ,$525.35 
ST. JOSEPH'S - CHIPPEWA FALLS,98180066,13101,PC REPR CMPL WND TRUNK 2.6-7.5CM,981,1 ,"$1,044.76 ",$783.57 ,$139.95 ,"$1,216.07 ",$672.83 ,$540.47 ,$731.33 ,$139.95 ,$867.15 ,$144.15 ,$689.54 ,$992.52 , N/A ,$835.81 ,$950.73 ,$139.95 ,$982.07 ,$992.52 ,$940.28 ,$888.05 ,$139.95 ,$139.95 ,$139.95 ,$762.67 ,$540.47 ,$929.84 ,$940.28 ,$940.28 ,$835.81 ,$556.69 ,$574.62 ,$940.28 ,$540.47 ,$940.28 ,$540.47 ,$992.52 ,"$1,216.07 ",$961.18 ,$148.35 ,$950.73 ,$540.47 ,$642.95 ,$672.83 ,$642.95 ,$940.28 ,$940.28 ,$779.70 ,$727.68 ,$545.88 ,$146.95 ,$976.85 ,$567.49 ,$139.95 ,$908.94 ,$540.47 ,$940.28 ,$540.47 ,$940.28 ,$940.28 ,$940.28 ,"$1,013.42 ",$846.26 ,$940.28 ,$940.28 ,$940.28 ,$940.28 
ST. JOSEPH'S - CHIPPEWA FALLS,98180067,13102,"PC REP,SKIN,TRUNK,CMPLX,+5CM/<",981,1 ,$414.80 ,$311.10 ,$139.95 ,$414.80 ,$267.13 , N/A ,$290.36 ,$139.95 ,$344.28 ,$144.15 ,$273.77 ,$394.06 , N/A ,$331.84 ,$377.47 ,$139.95 ,$389.91 ,$394.06 ,$373.32 ,$352.58 ,$139.95 ,$139.95 ,$139.95 ,$302.80 , N/A ,$369.17 ,$373.32 ,$373.32 ,$331.84 , N/A ,$228.14 ,$373.32 , N/A ,$373.32 , N/A ,$394.06 , N/A ,$381.62 ,$148.35 ,$377.47 , N/A ,$255.27 ,$267.13 ,$255.27 ,$373.32 ,$373.32 ,$309.57 ,$288.91 , N/A ,$146.95 ,$387.84 , N/A ,$139.95 ,$360.88 , N/A ,$373.32 , N/A ,$373.32 ,$373.32 ,$373.32 ,$402.36 ,$335.99 ,$373.32 ,$373.32 ,$373.32 ,$373.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180068,13120,"PC REPR CMPL WND SCALP,EXTR 1.1-2.5",981,1 ,$921.77 ,$691.33 ,$139.95 ,"$1,216.07 ",$593.62 ,$540.47 ,$645.24 ,$139.95 ,$765.07 ,$144.15 ,$608.37 ,$875.68 , N/A ,$737.42 ,$838.81 ,$139.95 ,$866.46 ,$875.68 ,$829.59 ,$783.50 ,$139.95 ,$139.95 ,$139.95 ,$672.89 ,$540.47 ,$820.38 ,$829.59 ,$829.59 ,$737.42 ,$556.69 ,$506.97 ,$829.59 ,$540.47 ,$829.59 ,$540.47 ,$875.68 ,"$1,216.07 ",$848.03 ,$148.35 ,$838.81 ,$540.47 ,$567.26 ,$593.62 ,$567.26 ,$829.59 ,$829.59 ,$687.92 ,$642.01 ,$545.88 ,$146.95 ,$861.86 ,$567.49 ,$139.95 ,$801.94 ,$540.47 ,$829.59 ,$540.47 ,$829.59 ,$829.59 ,$829.59 ,$894.12 ,$746.63 ,$829.59 ,$829.59 ,$829.59 ,$829.59 
ST. JOSEPH'S - CHIPPEWA FALLS,98180069,13121,"PC REPR CMPL WND SCALP,EXTR 2.6-7.5",981,1 ,"$1,413.43 ","$1,060.07 ",$139.95 ,"$1,413.43 ",$910.25 ,$540.47 ,$989.40 ,$139.95 ,"$1,173.15 ",$144.15 ,$932.86 ,"$1,342.76 ", N/A ,"$1,130.74 ","$1,286.22 ",$139.95 ,"$1,328.62 ","$1,342.76 ","$1,272.09 ","$1,201.42 ",$139.95 ,$139.95 ,$139.95 ,"$1,031.80 ",$540.47 ,"$1,257.95 ","$1,272.09 ","$1,272.09 ","$1,130.74 ",$556.69 ,$777.39 ,"$1,272.09 ",$540.47 ,"$1,272.09 ",$540.47 ,"$1,342.76 ","$1,216.07 ","$1,300.36 ",$148.35 ,"$1,286.22 ",$540.47 ,$869.82 ,$910.25 ,$869.82 ,"$1,272.09 ","$1,272.09 ","$1,054.84 ",$984.45 ,$545.88 ,$146.95 ,"$1,321.56 ",$567.49 ,$139.95 ,"$1,229.68 ",$540.47 ,"$1,272.09 ",$540.47 ,"$1,272.09 ","$1,272.09 ","$1,272.09 ","$1,371.03 ","$1,144.88 ","$1,272.09 ","$1,272.09 ","$1,272.09 ","$1,272.09 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180070,13122,"PC REP,SKIN,SCALP/EXTREM+5CM/<",981,1 ,$568.41 ,$426.31 ,$139.95 ,$568.41 ,$366.06 , N/A ,$397.89 ,$139.95 ,$471.78 ,$144.15 ,$375.15 ,$539.99 , N/A ,$454.73 ,$517.25 ,$139.95 ,$534.31 ,$539.99 ,$511.57 ,$483.15 ,$139.95 ,$139.95 ,$139.95 ,$414.94 , N/A ,$505.88 ,$511.57 ,$511.57 ,$454.73 , N/A ,$312.63 ,$511.57 , N/A ,$511.57 , N/A ,$539.99 , N/A ,$522.94 ,$148.35 ,$517.25 , N/A ,$349.80 ,$366.06 ,$349.80 ,$511.57 ,$511.57 ,$424.20 ,$395.90 , N/A ,$146.95 ,$531.46 , N/A ,$139.95 ,$494.52 , N/A ,$511.57 , N/A ,$511.57 ,$511.57 ,$511.57 ,$551.36 ,$460.41 ,$511.57 ,$511.57 ,$511.57 ,$511.57 
ST. JOSEPH'S - CHIPPEWA FALLS,98180071,13131,"PC REPR CMPL WND HEAD,FAC,HAND 1.1-2.5",981,1 ,"$1,167.75 ",$875.81 ,$139.95 ,"$1,167.75 ",$752.03 ,$356.69 ,$817.43 ,$139.95 ,$969.23 ,$144.15 ,$770.72 ,"$1,109.36 ", N/A ,$934.20 ,"$1,062.65 ",$139.95 ,"$1,097.69 ","$1,109.36 ","$1,050.98 ",$992.59 ,$139.95 ,$139.95 ,$139.95 ,$852.46 ,$356.69 ,"$1,039.30 ","$1,050.98 ","$1,050.98 ",$934.20 ,$367.39 ,$642.26 ,"$1,050.98 ",$356.69 ,"$1,050.98 ",$356.69 ,"$1,109.36 ",$802.54 ,"$1,074.33 ",$148.35 ,"$1,062.65 ",$356.69 ,$718.63 ,$752.03 ,$718.63 ,"$1,050.98 ","$1,050.98 ",$871.49 ,$813.34 ,$360.25 ,$146.95 ,"$1,091.85 ",$374.52 ,$139.95 ,"$1,015.94 ",$356.69 ,"$1,050.98 ",$356.69 ,"$1,050.98 ","$1,050.98 ","$1,050.98 ","$1,132.72 ",$945.88 ,"$1,050.98 ","$1,050.98 ","$1,050.98 ","$1,050.98 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180072,13132,"PC REPR CMPL WND HEAD,FAC,HAND 2.6-7.5",981,1 ,"$2,336.70 ","$1,752.53 ",$139.95 ,"$2,336.70 ","$1,504.83 ",$540.47 ,"$1,635.69 ",$139.95 ,"$1,939.46 ",$144.15 ,"$1,542.22 ","$2,219.87 ", N/A ,"$1,869.36 ","$2,126.40 ",$139.95 ,"$2,196.50 ","$2,219.87 ","$2,103.03 ","$1,986.20 ",$139.95 ,$139.95 ,$139.95 ,"$1,705.79 ",$540.47 ,"$2,079.66 ","$2,103.03 ","$2,103.03 ","$1,869.36 ",$556.69 ,"$1,285.19 ","$2,103.03 ",$540.47 ,"$2,103.03 ",$540.47 ,"$2,219.87 ","$1,216.07 ","$2,149.76 ",$148.35 ,"$2,126.40 ",$540.47 ,"$1,438.01 ","$1,504.83 ","$1,438.01 ","$2,103.03 ","$2,103.03 ","$1,743.88 ","$1,627.51 ",$545.88 ,$146.95 ,"$2,184.81 ",$567.49 ,$139.95 ,"$2,032.93 ",$540.47 ,"$2,103.03 ",$540.47 ,"$2,103.03 ","$2,103.03 ","$2,103.03 ","$2,266.60 ","$1,892.73 ","$2,103.03 ","$2,103.03 ","$2,103.03 ","$2,103.03 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180073,13133,"PC REP,FACE,GENITAL,HAND,FT+5CM/<",981,1 ,$829.60 ,$622.20 ,$139.95 ,$829.60 ,$534.26 , N/A ,$580.72 ,$139.95 ,$688.57 ,$144.15 ,$547.54 ,$788.12 , N/A ,$663.68 ,$754.94 ,$139.95 ,$779.82 ,$788.12 ,$746.64 ,$705.16 ,$139.95 ,$139.95 ,$139.95 ,$605.61 , N/A ,$738.34 ,$746.64 ,$746.64 ,$663.68 , N/A ,$456.28 ,$746.64 , N/A ,$746.64 , N/A ,$788.12 , N/A ,$763.23 ,$148.35 ,$754.94 , N/A ,$510.54 ,$534.26 ,$510.54 ,$746.64 ,$746.64 ,$619.13 ,$577.82 , N/A ,$146.95 ,$775.68 , N/A ,$139.95 ,$721.75 , N/A ,$746.64 , N/A ,$746.64 ,$746.64 ,$746.64 ,$804.71 ,$671.98 ,$746.64 ,$746.64 ,$746.64 ,$746.64 
ST. JOSEPH'S - CHIPPEWA FALLS,98180074,13150,"PC REPR CMPL WND LID,NOS,EAR <1CM",981,1 ,$952.49 ,$714.37 ,$523.87 ,$952.49 ,$613.40 , N/A ,$666.74 , N/A ,$790.57 , N/A ,$628.64 ,$904.87 , N/A ,$761.99 ,$866.77 , N/A ,$895.34 ,$904.87 ,$857.24 ,$809.62 , N/A , N/A , N/A ,$695.32 , N/A ,$847.72 ,$857.24 ,$857.24 ,$761.99 , N/A ,$523.87 ,$857.24 , N/A ,$857.24 , N/A ,$904.87 , N/A ,$876.29 , N/A ,$866.77 , N/A ,$586.16 ,$613.40 ,$586.16 ,$857.24 ,$857.24 ,$710.84 ,$663.41 , N/A , N/A ,$890.58 , N/A , N/A ,$828.67 , N/A ,$857.24 , N/A ,$857.24 ,$857.24 ,$857.24 ,$923.92 ,$771.52 ,$857.24 ,$857.24 ,$857.24 ,$857.24 
ST. JOSEPH'S - CHIPPEWA FALLS,98180075,13151,"PC REPR CMPL WND LID,NOS,EAR 1.1-2.5",981,1 ,"$1,351.98 ","$1,013.99 ",$139.95 ,"$1,351.98 ",$870.68 ,$540.47 ,$946.39 ,$139.95 ,"$1,122.14 ",$144.15 ,$892.31 ,"$1,284.38 ", N/A ,"$1,081.58 ","$1,230.30 ",$139.95 ,"$1,270.86 ","$1,284.38 ","$1,216.78 ","$1,149.18 ",$139.95 ,$139.95 ,$139.95 ,$986.95 ,$540.47 ,"$1,203.26 ","$1,216.78 ","$1,216.78 ","$1,081.58 ",$556.69 ,$743.59 ,"$1,216.78 ",$540.47 ,"$1,216.78 ",$540.47 ,"$1,284.38 ","$1,216.07 ","$1,243.82 ",$148.35 ,"$1,230.30 ",$540.47 ,$832.01 ,$870.68 ,$832.01 ,"$1,216.78 ","$1,216.78 ","$1,008.98 ",$941.65 ,$545.88 ,$146.95 ,"$1,264.10 ",$567.49 ,$139.95 ,"$1,176.22 ",$540.47 ,"$1,216.78 ",$540.47 ,"$1,216.78 ","$1,216.78 ","$1,216.78 ","$1,311.42 ","$1,095.10 ","$1,216.78 ","$1,216.78 ","$1,216.78 ","$1,216.78 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180076,13152,"PC REPR CMPL WND LID,NOS,EAR 2.5-7.5",981,1 ,"$2,869.19 ","$2,151.89 ",$139.95 ,"$2,869.19 ","$1,847.76 ",$540.47 ,"$2,008.43 ",$139.95 ,"$2,381.43 ",$144.15 ,"$1,893.67 ","$2,725.73 ", N/A ,"$2,295.35 ","$2,610.96 ",$139.95 ,"$2,697.04 ","$2,725.73 ","$2,582.27 ","$2,438.81 ",$139.95 ,$139.95 ,$139.95 ,"$2,094.51 ",$540.47 ,"$2,553.58 ","$2,582.27 ","$2,582.27 ","$2,295.35 ",$556.69 ,"$1,578.05 ","$2,582.27 ",$540.47 ,"$2,582.27 ",$540.47 ,"$2,725.73 ","$1,216.07 ","$2,639.65 ",$148.35 ,"$2,610.96 ",$540.47 ,"$1,765.70 ","$1,847.76 ","$1,765.70 ","$2,582.27 ","$2,582.27 ","$2,141.28 ","$1,998.39 ",$545.88 ,$146.95 ,"$2,682.69 ",$567.49 ,$139.95 ,"$2,496.20 ",$540.47 ,"$2,582.27 ",$540.47 ,"$2,582.27 ","$2,582.27 ","$2,582.27 ","$2,783.11 ","$2,324.04 ","$2,582.27 ","$2,582.27 ","$2,582.27 ","$2,582.27 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180077,13153,"PC REP,EYELID,NOSE,EAR,LIP+5CM",981,1 ,"$1,060.07 ",$795.05 ,$360.88 ,"$1,060.07 ",$682.69 , N/A ,$742.05 ,$360.88 ,$879.86 ,$371.71 ,$699.65 ,"$1,007.07 ", N/A ,$848.06 ,$964.66 ,$360.88 ,$996.47 ,"$1,007.07 ",$954.06 ,$901.06 ,$360.88 ,$360.88 ,$360.88 ,$773.85 , N/A ,$943.46 ,$954.06 ,$954.06 ,$848.06 , N/A ,$583.04 ,$954.06 , N/A ,$954.06 , N/A ,"$1,007.07 ", N/A ,$975.26 ,$382.53 ,$964.66 , N/A ,$652.37 ,$682.69 ,$652.37 ,$954.06 ,$954.06 ,$791.13 ,$738.34 , N/A ,$378.92 ,$991.17 , N/A ,$360.88 ,$922.26 , N/A ,$954.06 , N/A ,$954.06 ,$954.06 ,$954.06 ,"$1,028.27 ",$858.66 ,$954.06 ,$954.06 ,$954.06 ,$954.06 
ST. JOSEPH'S - CHIPPEWA FALLS,98180080,16000,PC INITIAL RX BURN(S) 1ST DEGREE,981,1 ,$175.91 ,$131.93 ,$58.71 ,$416.96 ,$113.29 ,$185.31 ,$123.14 ,$58.71 ,$146.01 ,$60.47 ,$116.10 ,$167.11 , N/A ,$140.73 ,$160.08 ,$58.71 ,$165.36 ,$167.11 ,$158.32 ,$149.52 ,$58.71 ,$58.71 ,$58.71 ,$128.41 ,$185.31 ,$156.56 ,$158.32 ,$158.32 ,$140.73 ,$190.87 ,$96.75 ,$158.32 ,$185.31 ,$158.32 ,$185.31 ,$167.11 ,$416.96 ,$161.84 ,$62.23 ,$160.08 ,$185.31 ,$108.26 ,$113.29 ,$108.26 ,$158.32 ,$158.32 ,$131.28 ,$122.52 ,$187.17 ,$61.65 ,$164.48 ,$194.58 ,$58.71 ,$153.04 ,$185.31 ,$158.32 ,$185.31 ,$158.32 ,$158.32 ,$158.32 ,$170.63 ,$142.49 ,$158.32 ,$158.32 ,$158.32 ,$158.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180081,16020,PC DRESS/DEBRID SMALL BURN NO ANES,981,1 ,$280.10 ,$210.08 ,$58.71 ,$416.96 ,$180.38 ,$185.31 ,$196.07 ,$58.71 ,$232.48 ,$60.47 ,$184.87 ,$266.10 , N/A ,$224.08 ,$254.89 ,$58.71 ,$263.29 ,$266.10 ,$252.09 ,$238.09 ,$58.71 ,$58.71 ,$58.71 ,$204.47 ,$185.31 ,$249.29 ,$252.09 ,$252.09 ,$224.08 ,$190.87 ,$154.06 ,$252.09 ,$185.31 ,$252.09 ,$185.31 ,$266.10 ,$416.96 ,$257.69 ,$62.23 ,$254.89 ,$185.31 ,$172.37 ,$180.38 ,$172.37 ,$252.09 ,$252.09 ,$209.04 ,$195.09 ,$187.17 ,$61.65 ,$261.89 ,$194.58 ,$58.71 ,$243.69 ,$185.31 ,$252.09 ,$185.31 ,$252.09 ,$252.09 ,$252.09 ,$271.70 ,$226.88 ,$252.09 ,$252.09 ,$252.09 ,$252.09 
ST. JOSEPH'S - CHIPPEWA FALLS,98180082,16025,PC DRESS/DEBRID MED BURN NO ANESTH,981,1 ,$431.86 ,$323.90 ,$58.71 ,$431.86 ,$278.12 ,$185.31 ,$302.30 ,$58.71 ,$358.44 ,$60.47 ,$285.03 ,$410.27 , N/A ,$345.49 ,$392.99 ,$58.71 ,$405.95 ,$410.27 ,$388.67 ,$367.08 ,$58.71 ,$58.71 ,$58.71 ,$315.26 ,$185.31 ,$384.36 ,$388.67 ,$388.67 ,$345.49 ,$190.87 ,$237.52 ,$388.67 ,$185.31 ,$388.67 ,$185.31 ,$410.27 ,$416.96 ,$397.31 ,$62.23 ,$392.99 ,$185.31 ,$265.77 ,$278.12 ,$265.77 ,$388.67 ,$388.67 ,$322.30 ,$300.79 ,$187.17 ,$61.65 ,$403.79 ,$194.58 ,$58.71 ,$375.72 ,$185.31 ,$388.67 ,$185.31 ,$388.67 ,$388.67 ,$388.67 ,$418.90 ,$349.81 ,$388.67 ,$388.67 ,$388.67 ,$388.67 
ST. JOSEPH'S - CHIPPEWA FALLS,98180083,16030,PC DRESS/DEBRID LARGE BURN NO ANESTH,981,1 ,$639.72 ,$479.79 ,$118.09 ,$802.54 ,$411.98 ,$356.69 ,$447.80 ,$118.09 ,$530.97 ,$121.63 ,$422.22 ,$607.73 , N/A ,$511.78 ,$582.15 ,$118.09 ,$601.34 ,$607.73 ,$575.75 ,$543.76 ,$118.09 ,$118.09 ,$118.09 ,$467.00 ,$356.69 ,$569.35 ,$575.75 ,$575.75 ,$511.78 ,$367.39 ,$351.85 ,$575.75 ,$356.69 ,$575.75 ,$356.69 ,$607.73 ,$802.54 ,$588.54 ,$125.18 ,$582.15 ,$356.69 ,$393.68 ,$411.98 ,$393.68 ,$575.75 ,$575.75 ,$477.42 ,$445.57 ,$360.25 ,$123.99 ,$598.14 ,$374.52 ,$118.09 ,$556.56 ,$356.69 ,$575.75 ,$356.69 ,$575.75 ,$575.75 ,$575.75 ,$620.53 ,$518.17 ,$575.75 ,$575.75 ,$575.75 ,$575.75 
ST. JOSEPH'S - CHIPPEWA FALLS,98180088,20102,"PC EXPLORE WOUND,ABDOMEN/FLANK/BACK",981,1 ,"$2,173.16 ","$1,629.87 ",$315.09 ,"$3,976.93 ","$1,399.52 ","$1,767.52 ","$1,521.21 ",$315.09 ,"$1,803.72 ",$324.54 ,"$1,434.29 ","$2,064.50 ", N/A ,"$1,738.53 ","$1,977.58 ",$315.09 ,"$2,042.77 ","$2,064.50 ","$1,955.84 ","$1,847.19 ",$315.09 ,$315.09 ,$315.09 ,"$1,586.41 ","$1,767.52 ","$1,934.11 ","$1,955.84 ","$1,955.84 ","$1,738.53 ","$1,820.55 ","$1,195.24 ","$1,955.84 ","$1,767.52 ","$1,955.84 ","$1,767.52 ","$2,064.50 ","$3,976.93 ","$1,999.31 ",$334.00 ,"$1,977.58 ","$1,767.52 ","$1,337.36 ","$1,399.52 ","$1,337.36 ","$1,955.84 ","$1,955.84 ","$1,621.83 ","$1,513.61 ","$1,785.20 ",$330.84 ,"$2,031.90 ","$1,855.90 ",$315.09 ,"$1,890.65 ","$1,767.52 ","$1,955.84 ","$1,767.52 ","$1,955.84 ","$1,955.84 ","$1,955.84 ","$2,107.97 ","$1,760.26 ","$1,955.84 ","$1,955.84 ","$1,955.84 ","$1,955.84 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180089,20103,"PC EXPLORE WOUND,EXTREMITY",981,1 ,"$2,372.50 ","$1,779.38 ",$118.09 ,"$2,372.50 ","$1,527.89 ",$642.18 ,"$1,660.75 ",$118.09 ,"$1,969.18 ",$121.63 ,"$1,565.85 ","$2,253.88 ", N/A ,"$1,898.00 ","$2,158.98 ",$118.09 ,"$2,230.15 ","$2,253.88 ","$2,135.25 ","$2,016.63 ",$118.09 ,$118.09 ,$118.09 ,"$1,731.93 ",$642.18 ,"$2,111.53 ","$2,135.25 ","$2,135.25 ","$1,898.00 ",$661.44 ,"$1,304.88 ","$2,135.25 ",$642.18 ,"$2,135.25 ",$642.18 ,"$2,253.88 ","$1,444.89 ","$2,182.70 ",$125.18 ,"$2,158.98 ",$642.18 ,"$1,460.04 ","$1,527.89 ","$1,460.04 ","$2,135.25 ","$2,135.25 ","$1,770.60 ","$1,652.45 ",$648.60 ,$123.99 ,"$2,218.29 ",$674.29 ,$118.09 ,"$2,064.08 ",$642.18 ,"$2,135.25 ",$642.18 ,"$2,135.25 ","$2,135.25 ","$2,135.25 ","$2,301.33 ","$1,921.73 ","$2,135.25 ","$2,135.25 ","$2,135.25 ","$2,135.25 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180090,20520,PC REMOVAL OF FOREIGN BODY,981,1 ,$528.24 ,$396.18 ,$290.53 ,"$3,266.98 ",$340.19 ,"$1,451.99 ",$369.77 ,$528.24 ,$438.44 ,$564.40 ,$348.64 ,$501.83 , N/A ,$422.59 ,$480.70 ,$528.24 ,$496.55 ,$501.83 ,$475.42 ,$449.00 ,$547.96 ,$547.96 ,$547.96 ,$385.62 ,"$1,451.99 ",$470.13 ,$475.42 ,$475.42 ,$422.59 ,"$1,495.55 ",$290.53 ,$475.42 ,"$1,451.99 ",$475.42 ,"$1,451.99 ",$501.83 ,"$3,266.98 ",$485.98 ,$580.84 ,$480.70 ,"$1,451.99 ",$325.08 ,$340.19 ,$325.08 ,$475.42 ,$475.42 ,$394.23 ,$367.92 ,"$1,466.51 ",$575.36 ,$493.90 ,"$1,524.59 ",$528.24 ,$459.57 ,"$1,451.99 ",$475.42 ,"$1,451.99 ",$475.42 ,$475.42 ,$475.42 ,$512.39 ,$427.87 ,$475.42 ,$475.42 ,$475.42 ,$475.42 
ST. JOSEPH'S - CHIPPEWA FALLS,98180091,20525,PC REMOVAL OF FOREIGN BODY DEEP/COMPLIC,981,1 ,"$1,629.92 ","$1,222.44 ",$547.96 ,"$5,505.37 ","$1,049.67 ","$2,446.83 ","$1,140.94 ",$547.96 ,"$1,352.83 ",$564.40 ,"$1,075.75 ","$1,548.42 ", N/A ,"$1,303.94 ","$1,483.23 ",$547.96 ,"$1,532.12 ","$1,548.42 ","$1,466.93 ","$1,385.43 ",$547.96 ,$547.96 ,$547.96 ,"$1,189.84 ","$2,446.83 ","$1,450.63 ","$1,466.93 ","$1,466.93 ","$1,303.94 ","$2,520.24 ",$896.46 ,"$1,466.93 ","$2,446.83 ","$1,466.93 ","$2,446.83 ","$1,548.42 ","$5,505.37 ","$1,499.53 ",$580.84 ,"$1,483.23 ","$2,446.83 ","$1,003.05 ","$1,049.67 ","$1,003.05 ","$1,466.93 ","$1,466.93 ","$1,216.41 ","$1,135.24 ","$2,471.30 ",$575.36 ,"$1,523.98 ","$2,569.17 ",$547.96 ,"$1,418.03 ","$2,446.83 ","$1,466.93 ","$2,446.83 ","$1,466.93 ","$1,466.93 ","$1,466.93 ","$1,581.02 ","$1,320.24 ","$1,466.93 ","$1,466.93 ","$1,466.93 ","$1,466.93 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180095,21310,PC CLOSED RX NOSE FRACTURE W/O MANIPULATION,981,1 ,$603.55 ,$452.66 ,$331.95 ,$603.55 ,$388.69 , N/A ,$422.49 , N/A ,$500.95 , N/A ,$398.34 ,$573.37 , N/A ,$482.84 ,$549.23 , N/A ,$567.34 ,$573.37 ,$543.20 ,$513.02 , N/A , N/A , N/A ,$440.59 , N/A ,$537.16 ,$543.20 ,$543.20 ,$482.84 , N/A ,$331.95 ,$543.20 , N/A ,$543.20 , N/A ,$573.37 , N/A ,$555.27 , N/A ,$549.23 , N/A ,$371.42 ,$388.69 ,$371.42 ,$543.20 ,$543.20 ,$450.43 ,$420.37 , N/A , N/A ,$564.32 , N/A , N/A ,$525.09 , N/A ,$543.20 , N/A ,$543.20 ,$543.20 ,$543.20 ,$585.44 ,$488.88 ,$543.20 ,$543.20 ,$543.20 ,$543.20 
ST. JOSEPH'S - CHIPPEWA FALLS,98180096,21315,PC CLOSED RX NOSE FRACTURE W/O STABILIZATION,981,1 ,"$1,041.27 ",$780.95 ,$288.55 ,"$3,140.92 ",$670.58 ,"$1,395.96 ",$728.89 ,$288.55 ,$864.25 ,$297.21 ,$687.24 ,$989.21 , N/A ,$833.02 ,$947.56 ,$288.55 ,$978.79 ,$989.21 ,$937.14 ,$885.08 ,$288.55 ,$288.55 ,$288.55 ,$760.13 ,"$1,395.96 ",$926.73 ,$937.14 ,$937.14 ,$833.02 ,"$1,437.84 ",$572.70 ,$937.14 ,"$1,395.96 ",$937.14 ,"$1,395.96 ",$989.21 ,"$3,140.92 ",$957.97 ,$305.86 ,$947.56 ,"$1,395.96 ",$640.80 ,$670.58 ,$640.80 ,$937.14 ,$937.14 ,$777.10 ,$725.24 ,"$1,409.92 ",$302.98 ,$973.59 ,"$1,465.76 ",$288.55 ,$905.90 ,"$1,395.96 ",$937.14 ,"$1,395.96 ",$937.14 ,$937.14 ,$937.14 ,"$1,010.03 ",$843.43 ,$937.14 ,$937.14 ,$937.14 ,$937.14 
ST. JOSEPH'S - CHIPPEWA FALLS,98180112,23540,PC CLOSED RX A-C JT DISLOC,981,1 ,$851.08 ,$638.31 ,$139.53 ,$851.08 ,$548.10 ,$212.70 ,$595.76 ,$139.53 ,$706.40 ,$143.72 ,$561.71 ,$808.53 , N/A ,$680.86 ,$774.48 ,$139.53 ,$800.02 ,$808.53 ,$765.97 ,$723.42 ,$139.53 ,$139.53 ,$139.53 ,$621.29 ,$212.70 ,$757.46 ,$765.97 ,$765.97 ,$680.86 ,$219.08 ,$468.09 ,$765.97 ,$212.70 ,$765.97 ,$212.70 ,$808.53 ,$478.57 ,$782.99 ,$147.90 ,$774.48 ,$212.70 ,$523.75 ,$548.10 ,$523.75 ,$765.97 ,$765.97 ,$635.16 ,$592.78 ,$214.82 ,$146.51 ,$795.76 ,$223.34 ,$139.53 ,$740.44 ,$212.70 ,$765.97 ,$212.70 ,$765.97 ,$765.97 ,$765.97 ,$825.55 ,$689.37 ,$765.97 ,$765.97 ,$765.97 ,$765.97 
ST. JOSEPH'S - CHIPPEWA FALLS,98180113,23570,PC CLOSED RX SCAPULA FX,981,1 ,$889.82 ,$667.37 ,$139.53 ,$889.82 ,$573.04 ,$212.70 ,$622.87 ,$139.53 ,$738.55 ,$143.72 ,$587.28 ,$845.33 , N/A ,$711.86 ,$809.74 ,$139.53 ,$836.43 ,$845.33 ,$800.84 ,$756.35 ,$139.53 ,$139.53 ,$139.53 ,$649.57 ,$212.70 ,$791.94 ,$800.84 ,$800.84 ,$711.86 ,$219.08 ,$489.40 ,$800.84 ,$212.70 ,$800.84 ,$212.70 ,$845.33 ,$478.57 ,$818.63 ,$147.90 ,$809.74 ,$212.70 ,$547.60 ,$573.04 ,$547.60 ,$800.84 ,$800.84 ,$664.07 ,$619.76 ,$214.82 ,$146.51 ,$831.98 ,$223.34 ,$139.53 ,$774.14 ,$212.70 ,$800.84 ,$212.70 ,$800.84 ,$800.84 ,$800.84 ,$863.13 ,$720.75 ,$800.84 ,$800.84 ,$800.84 ,$800.84 
ST. JOSEPH'S - CHIPPEWA FALLS,98180115,23600,PC CLOSED RX PROX HUMERUS FRACTURE,981,1 ,"$1,134.87 ",$851.15 ,$139.53 ,"$1,134.87 ",$730.86 ,$212.70 ,$794.41 ,$139.53 ,$941.94 ,$143.72 ,$749.01 ,"$1,078.13 ", N/A ,$907.90 ,"$1,032.73 ",$139.53 ,"$1,066.78 ","$1,078.13 ","$1,021.38 ",$964.64 ,$139.53 ,$139.53 ,$139.53 ,$828.46 ,$212.70 ,"$1,010.03 ","$1,021.38 ","$1,021.38 ",$907.90 ,$219.08 ,$624.18 ,"$1,021.38 ",$212.70 ,"$1,021.38 ",$212.70 ,"$1,078.13 ",$478.57 ,"$1,044.08 ",$147.90 ,"$1,032.73 ",$212.70 ,$698.40 ,$730.86 ,$698.40 ,"$1,021.38 ","$1,021.38 ",$846.95 ,$790.44 ,$214.82 ,$146.51 ,"$1,061.10 ",$223.34 ,$139.53 ,$987.34 ,$212.70 ,"$1,021.38 ",$212.70 ,"$1,021.38 ","$1,021.38 ","$1,021.38 ","$1,100.82 ",$919.24 ,"$1,021.38 ","$1,021.38 ","$1,021.38 ","$1,021.38 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180145,25500,PC CLOSED RX RADIAL SHAFT FX,981,1 ,"$1,013.32 ",$759.99 ,$139.53 ,"$1,013.32 ",$652.58 ,$212.70 ,$709.32 ,$139.53 ,$841.06 ,$143.72 ,$668.79 ,$962.65 , N/A ,$810.66 ,$922.12 ,$139.53 ,$952.52 ,$962.65 ,$911.99 ,$861.32 ,$139.53 ,$139.53 ,$139.53 ,$739.72 ,$212.70 ,$901.85 ,$911.99 ,$911.99 ,$810.66 ,$219.08 ,$557.33 ,$911.99 ,$212.70 ,$911.99 ,$212.70 ,$962.65 ,$478.57 ,$932.25 ,$147.90 ,$922.12 ,$212.70 ,$623.60 ,$652.58 ,$623.60 ,$911.99 ,$911.99 ,$756.24 ,$705.78 ,$214.82 ,$146.51 ,$947.45 ,$223.34 ,$139.53 ,$881.59 ,$212.70 ,$911.99 ,$212.70 ,$911.99 ,$911.99 ,$911.99 ,$982.92 ,$820.79 ,$911.99 ,$911.99 ,$911.99 ,$911.99 
ST. JOSEPH'S - CHIPPEWA FALLS,98180151,25560,PC CLOSED RX RAD/ULNA SHAFT FX,981,1 ,"$1,105.49 ",$829.12 ,$139.53 ,"$1,105.49 ",$711.94 ,$212.70 ,$773.84 ,$139.53 ,$917.56 ,$143.72 ,$729.62 ,"$1,050.22 ", N/A ,$884.39 ,"$1,006.00 ",$139.53 ,"$1,039.16 ","$1,050.22 ",$994.94 ,$939.67 ,$139.53 ,$139.53 ,$139.53 ,$807.01 ,$212.70 ,$983.89 ,$994.94 ,$994.94 ,$884.39 ,$219.08 ,$608.02 ,$994.94 ,$212.70 ,$994.94 ,$212.70 ,"$1,050.22 ",$478.57 ,"$1,017.05 ",$147.90 ,"$1,006.00 ",$212.70 ,$680.32 ,$711.94 ,$680.32 ,$994.94 ,$994.94 ,$825.03 ,$769.97 ,$214.82 ,$146.51 ,"$1,033.63 ",$223.34 ,$139.53 ,$961.78 ,$212.70 ,$994.94 ,$212.70 ,$994.94 ,$994.94 ,$994.94 ,"$1,072.33 ",$895.45 ,$994.94 ,$994.94 ,$994.94 ,$994.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180153,25600,PC CLOSED RX DIST RAD/ULNA FX,981,1 ,"$1,166.83 ",$875.12 ,$139.53 ,"$1,166.83 ",$751.44 ,$212.70 ,$816.78 ,$139.53 ,$968.47 ,$143.72 ,$770.11 ,"$1,108.49 ", N/A ,$933.46 ,"$1,061.82 ",$139.53 ,"$1,096.82 ","$1,108.49 ","$1,050.15 ",$991.81 ,$139.53 ,$139.53 ,$139.53 ,$851.79 ,$212.70 ,"$1,038.48 ","$1,050.15 ","$1,050.15 ",$933.46 ,$219.08 ,$641.76 ,"$1,050.15 ",$212.70 ,"$1,050.15 ",$212.70 ,"$1,108.49 ",$478.57 ,"$1,073.48 ",$147.90 ,"$1,061.82 ",$212.70 ,$718.07 ,$751.44 ,$718.07 ,"$1,050.15 ","$1,050.15 ",$870.81 ,$812.70 ,$214.82 ,$146.51 ,"$1,090.99 ",$223.34 ,$139.53 ,"$1,015.14 ",$212.70 ,"$1,050.15 ",$212.70 ,"$1,050.15 ","$1,050.15 ","$1,050.15 ","$1,131.83 ",$945.13 ,"$1,050.15 ","$1,050.15 ","$1,050.15 ","$1,050.15 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180160,25622,PC CLOSED RX NAVICULAR FX,981,1 ,"$1,228.27 ",$921.20 ,$139.53 ,"$1,228.27 ",$791.01 ,$212.70 ,$859.79 ,$139.53 ,"$1,019.46 ",$143.72 ,$810.66 ,"$1,166.86 ", N/A ,$982.62 ,"$1,117.73 ",$139.53 ,"$1,154.57 ","$1,166.86 ","$1,105.44 ","$1,044.03 ",$139.53 ,$139.53 ,$139.53 ,$896.64 ,$212.70 ,"$1,093.16 ","$1,105.44 ","$1,105.44 ",$982.62 ,$219.08 ,$675.55 ,"$1,105.44 ",$212.70 ,"$1,105.44 ",$212.70 ,"$1,166.86 ",$478.57 ,"$1,130.01 ",$147.90 ,"$1,117.73 ",$212.70 ,$755.88 ,$791.01 ,$755.88 ,"$1,105.44 ","$1,105.44 ",$916.66 ,$855.49 ,$214.82 ,$146.51 ,"$1,148.43 ",$223.34 ,$139.53 ,"$1,068.59 ",$212.70 ,"$1,105.44 ",$212.70 ,"$1,105.44 ","$1,105.44 ","$1,105.44 ","$1,191.42 ",$994.90 ,"$1,105.44 ","$1,105.44 ","$1,105.44 ","$1,105.44 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180161,25630,PC CLOSED RX CARPAL FX,981,1 ,"$1,105.49 ",$829.12 ,$139.53 ,"$1,105.49 ",$711.94 ,$212.70 ,$773.84 ,$139.53 ,$917.56 ,$143.72 ,$729.62 ,"$1,050.22 ", N/A ,$884.39 ,"$1,006.00 ",$139.53 ,"$1,039.16 ","$1,050.22 ",$994.94 ,$939.67 ,$139.53 ,$139.53 ,$139.53 ,$807.01 ,$212.70 ,$983.89 ,$994.94 ,$994.94 ,$884.39 ,$219.08 ,$608.02 ,$994.94 ,$212.70 ,$994.94 ,$212.70 ,"$1,050.22 ",$478.57 ,"$1,017.05 ",$147.90 ,"$1,006.00 ",$212.70 ,$680.32 ,$711.94 ,$680.32 ,$994.94 ,$994.94 ,$825.03 ,$769.97 ,$214.82 ,$146.51 ,"$1,033.63 ",$223.34 ,$139.53 ,$961.78 ,$212.70 ,$994.94 ,$212.70 ,$994.94 ,$994.94 ,$994.94 ,"$1,072.33 ",$895.45 ,$994.94 ,$994.94 ,$994.94 ,$994.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180163,25650,PC CLOSED RX ULNA STYLOID FX,981,1 ,"$1,289.72 ",$967.29 ,$139.53 ,"$1,289.72 ",$830.58 ,$212.70 ,$902.80 ,$139.53 ,"$1,070.47 ",$143.72 ,$851.22 ,"$1,225.23 ", N/A ,"$1,031.78 ","$1,173.65 ",$139.53 ,"$1,212.34 ","$1,225.23 ","$1,160.75 ","$1,096.26 ",$139.53 ,$139.53 ,$139.53 ,$941.50 ,$212.70 ,"$1,147.85 ","$1,160.75 ","$1,160.75 ","$1,031.78 ",$219.08 ,$709.35 ,"$1,160.75 ",$212.70 ,"$1,160.75 ",$212.70 ,"$1,225.23 ",$478.57 ,"$1,186.54 ",$147.90 ,"$1,173.65 ",$212.70 ,$793.69 ,$830.58 ,$793.69 ,"$1,160.75 ","$1,160.75 ",$962.52 ,$898.29 ,$214.82 ,$146.51 ,"$1,205.89 ",$223.34 ,$139.53 ,"$1,122.06 ",$212.70 ,"$1,160.75 ",$212.70 ,"$1,160.75 ","$1,160.75 ","$1,160.75 ","$1,251.03 ","$1,044.67 ","$1,160.75 ","$1,160.75 ","$1,160.75 ","$1,160.75 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180169,26010,"PC DRAIN FINGER ABSCESS,SIMPLE",981,1 ,$443.67 ,$332.75 ,$51.36 ,$443.67 ,$285.72 ,$185.31 ,$310.57 ,$51.36 ,$368.25 ,$52.90 ,$292.82 ,$421.49 , N/A ,$354.94 ,$403.74 ,$51.36 ,$417.05 ,$421.49 ,$399.30 ,$377.12 ,$51.36 ,$51.36 ,$51.36 ,$323.88 ,$185.31 ,$394.87 ,$399.30 ,$399.30 ,$354.94 ,$190.87 ,$244.02 ,$399.30 ,$185.31 ,$399.30 ,$185.31 ,$421.49 ,$416.96 ,$408.18 ,$54.44 ,$403.74 ,$185.31 ,$273.03 ,$285.72 ,$273.03 ,$399.30 ,$399.30 ,$331.11 ,$309.02 ,$187.17 ,$53.93 ,$414.83 ,$194.58 ,$51.36 ,$385.99 ,$185.31 ,$399.30 ,$185.31 ,$399.30 ,$399.30 ,$399.30 ,$430.36 ,$359.37 ,$399.30 ,$399.30 ,$399.30 ,$399.30 
ST. JOSEPH'S - CHIPPEWA FALLS,98180170,26011,"PC DRAIN FINGER ABSCESS,COMPLICATED",981,1 ,"$1,373.36 ","$1,030.02 ",$344.84 ,"$3,266.98 ",$884.44 ,"$1,451.99 ",$961.35 ,$344.84 ,"$1,139.89 ",$355.19 ,$906.42 ,"$1,304.69 ", N/A ,"$1,098.69 ","$1,249.76 ",$344.84 ,"$1,290.96 ","$1,304.69 ","$1,236.02 ","$1,167.36 ",$344.84 ,$344.84 ,$344.84 ,"$1,002.55 ","$1,451.99 ","$1,222.29 ","$1,236.02 ","$1,236.02 ","$1,098.69 ","$1,495.55 ",$755.35 ,"$1,236.02 ","$1,451.99 ","$1,236.02 ","$1,451.99 ","$1,304.69 ","$3,266.98 ","$1,263.49 ",$365.53 ,"$1,249.76 ","$1,451.99 ",$845.17 ,$884.44 ,$845.17 ,"$1,236.02 ","$1,236.02 ","$1,024.94 ",$956.55 ,"$1,466.51 ",$362.08 ,"$1,284.09 ","$1,524.59 ",$344.84 ,"$1,194.82 ","$1,451.99 ","$1,236.02 ","$1,451.99 ","$1,236.02 ","$1,236.02 ","$1,236.02 ","$1,332.16 ","$1,112.42 ","$1,236.02 ","$1,236.02 ","$1,236.02 ","$1,236.02 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180175,26600,PC CLOSED RX METACARPAL FX,981,1 ,$817.99 ,$613.49 ,$139.53 ,$817.99 ,$526.79 ,$212.70 ,$572.59 ,$139.53 ,$678.93 ,$143.72 ,$539.87 ,$777.09 , N/A ,$654.39 ,$744.37 ,$139.53 ,$768.91 ,$777.09 ,$736.19 ,$695.29 ,$139.53 ,$139.53 ,$139.53 ,$597.13 ,$212.70 ,$728.01 ,$736.19 ,$736.19 ,$654.39 ,$219.08 ,$449.89 ,$736.19 ,$212.70 ,$736.19 ,$212.70 ,$777.09 ,$478.57 ,$752.55 ,$147.90 ,$744.37 ,$212.70 ,$503.39 ,$526.79 ,$503.39 ,$736.19 ,$736.19 ,$610.47 ,$569.73 ,$214.82 ,$146.51 ,$764.82 ,$223.34 ,$139.53 ,$711.65 ,$212.70 ,$736.19 ,$212.70 ,$736.19 ,$736.19 ,$736.19 ,$793.45 ,$662.57 ,$736.19 ,$736.19 ,$736.19 ,$736.19 
ST. JOSEPH'S - CHIPPEWA FALLS,98180180,26641,"PC TREAT THUMB DISLOC,MANIPULATN",981,1 ,"$1,104.15 ",$828.11 ,$139.53 ,"$1,104.15 ",$711.07 ,$212.70 ,$772.91 ,$139.53 ,$916.44 ,$143.72 ,$728.74 ,"$1,048.94 ", N/A ,$883.32 ,"$1,004.78 ",$139.53 ,"$1,037.90 ","$1,048.94 ",$993.74 ,$938.53 ,$139.53 ,$139.53 ,$139.53 ,$806.03 ,$212.70 ,$982.69 ,$993.74 ,$993.74 ,$883.32 ,$219.08 ,$607.28 ,$993.74 ,$212.70 ,$993.74 ,$212.70 ,"$1,048.94 ",$478.57 ,"$1,015.82 ",$147.90 ,"$1,004.78 ",$212.70 ,$679.49 ,$711.07 ,$679.49 ,$993.74 ,$993.74 ,$824.03 ,$769.04 ,$214.82 ,$146.51 ,"$1,032.38 ",$223.34 ,$139.53 ,$960.61 ,$212.70 ,$993.74 ,$212.70 ,$993.74 ,$993.74 ,$993.74 ,"$1,071.03 ",$894.36 ,$993.74 ,$993.74 ,$993.74 ,$993.74 
ST. JOSEPH'S - CHIPPEWA FALLS,98180186,26700,PC CLOSED RX MC-P DISLOC,981,1 ,$817.99 ,$613.49 ,$139.53 ,$817.99 ,$526.79 ,$212.70 ,$572.59 ,$139.53 ,$678.93 ,$143.72 ,$539.87 ,$777.09 , N/A ,$654.39 ,$744.37 ,$139.53 ,$768.91 ,$777.09 ,$736.19 ,$695.29 ,$139.53 ,$139.53 ,$139.53 ,$597.13 ,$212.70 ,$728.01 ,$736.19 ,$736.19 ,$654.39 ,$219.08 ,$449.89 ,$736.19 ,$212.70 ,$736.19 ,$212.70 ,$777.09 ,$478.57 ,$752.55 ,$147.90 ,$744.37 ,$212.70 ,$503.39 ,$526.79 ,$503.39 ,$736.19 ,$736.19 ,$610.47 ,$569.73 ,$214.82 ,$146.51 ,$764.82 ,$223.34 ,$139.53 ,$711.65 ,$212.70 ,$736.19 ,$212.70 ,$736.19 ,$736.19 ,$736.19 ,$793.45 ,$662.57 ,$736.19 ,$736.19 ,$736.19 ,$736.19 
ST. JOSEPH'S - CHIPPEWA FALLS,98180189,26720,PC CLOSE RX PROX/MID FING SHFT FX,981,1 ,$613.42 ,$460.07 ,$139.53 ,$613.42 ,$395.04 ,$212.70 ,$429.39 ,$139.53 ,$509.14 ,$143.72 ,$404.86 ,$582.75 , N/A ,$490.74 ,$558.21 ,$139.53 ,$576.61 ,$582.75 ,$552.08 ,$521.41 ,$139.53 ,$139.53 ,$139.53 ,$447.80 ,$212.70 ,$545.94 ,$552.08 ,$552.08 ,$490.74 ,$219.08 ,$337.38 ,$552.08 ,$212.70 ,$552.08 ,$212.70 ,$582.75 ,$478.57 ,$564.35 ,$147.90 ,$558.21 ,$212.70 ,$377.50 ,$395.04 ,$377.50 ,$552.08 ,$552.08 ,$457.80 ,$427.25 ,$214.82 ,$146.51 ,$573.55 ,$223.34 ,$139.53 ,$533.68 ,$212.70 ,$552.08 ,$212.70 ,$552.08 ,$552.08 ,$552.08 ,$595.02 ,$496.87 ,$552.08 ,$552.08 ,$552.08 ,$552.08 
ST. JOSEPH'S - CHIPPEWA FALLS,98180190,26725,"PC CLOSE RX PROX/MID FING SHFT FX,MANIP",981,1 ,"$1,098.20 ",$823.65 ,$139.53 ,"$1,098.20 ",$707.24 ,$212.70 ,$768.74 ,$139.53 ,$911.51 ,$143.72 ,$724.81 ,"$1,043.29 ", N/A ,$878.56 ,$999.36 ,$139.53 ,"$1,032.31 ","$1,043.29 ",$988.38 ,$933.47 ,$139.53 ,$139.53 ,$139.53 ,$801.69 ,$212.70 ,$977.40 ,$988.38 ,$988.38 ,$878.56 ,$219.08 ,$604.01 ,$988.38 ,$212.70 ,$988.38 ,$212.70 ,"$1,043.29 ",$478.57 ,"$1,010.34 ",$147.90 ,$999.36 ,$212.70 ,$675.83 ,$707.24 ,$675.83 ,$988.38 ,$988.38 ,$819.59 ,$764.90 ,$214.82 ,$146.51 ,"$1,026.82 ",$223.34 ,$139.53 ,$955.43 ,$212.70 ,$988.38 ,$212.70 ,$988.38 ,$988.38 ,$988.38 ,"$1,065.25 ",$889.54 ,$988.38 ,$988.38 ,$988.38 ,$988.38 
ST. JOSEPH'S - CHIPPEWA FALLS,98180194,26750,PC CLOSE RX DIST FINGR FX,981,1 ,$613.42 ,$460.07 ,$139.53 ,$613.42 ,$395.04 ,$212.70 ,$429.39 ,$139.53 ,$509.14 ,$143.72 ,$404.86 ,$582.75 , N/A ,$490.74 ,$558.21 ,$139.53 ,$576.61 ,$582.75 ,$552.08 ,$521.41 ,$139.53 ,$139.53 ,$139.53 ,$447.80 ,$212.70 ,$545.94 ,$552.08 ,$552.08 ,$490.74 ,$219.08 ,$337.38 ,$552.08 ,$212.70 ,$552.08 ,$212.70 ,$582.75 ,$478.57 ,$564.35 ,$147.90 ,$558.21 ,$212.70 ,$377.50 ,$395.04 ,$377.50 ,$552.08 ,$552.08 ,$457.80 ,$427.25 ,$214.82 ,$146.51 ,$573.55 ,$223.34 ,$139.53 ,$533.68 ,$212.70 ,$552.08 ,$212.70 ,$552.08 ,$552.08 ,$552.08 ,$595.02 ,$496.87 ,$552.08 ,$552.08 ,$552.08 ,$552.08 
ST. JOSEPH'S - CHIPPEWA FALLS,98180195,26755,"PC CLOSE RX DIST FINGR FX,MANIPULATN",981,1 ,$842.50 ,$631.88 ,$139.53 ,$842.50 ,$542.57 ,$212.70 ,$589.75 ,$139.53 ,$699.28 ,$143.72 ,$556.05 ,$800.38 , N/A ,$674.00 ,$766.68 ,$139.53 ,$791.95 ,$800.38 ,$758.25 ,$716.13 ,$139.53 ,$139.53 ,$139.53 ,$615.03 ,$212.70 ,$749.83 ,$758.25 ,$758.25 ,$674.00 ,$219.08 ,$463.38 ,$758.25 ,$212.70 ,$758.25 ,$212.70 ,$800.38 ,$478.57 ,$775.10 ,$147.90 ,$766.68 ,$212.70 ,$518.47 ,$542.57 ,$518.47 ,$758.25 ,$758.25 ,$628.76 ,$586.80 ,$214.82 ,$146.51 ,$787.74 ,$223.34 ,$139.53 ,$732.98 ,$212.70 ,$758.25 ,$212.70 ,$758.25 ,$758.25 ,$758.25 ,$817.23 ,$682.43 ,$758.25 ,$758.25 ,$758.25 ,$758.25 
ST. JOSEPH'S - CHIPPEWA FALLS,98180197,26770,PC CLOSED RX IP JT DISLOCATION,981,1 ,$842.50 ,$631.88 ,$139.53 ,$842.50 ,$542.57 ,$212.70 ,$589.75 ,$139.53 ,$699.28 ,$143.72 ,$556.05 ,$800.38 , N/A ,$674.00 ,$766.68 ,$139.53 ,$791.95 ,$800.38 ,$758.25 ,$716.13 ,$139.53 ,$139.53 ,$139.53 ,$615.03 ,$212.70 ,$749.83 ,$758.25 ,$758.25 ,$674.00 ,$219.08 ,$463.38 ,$758.25 ,$212.70 ,$758.25 ,$212.70 ,$800.38 ,$478.57 ,$775.10 ,$147.90 ,$766.68 ,$212.70 ,$518.47 ,$542.57 ,$518.47 ,$758.25 ,$758.25 ,$628.76 ,$586.80 ,$214.82 ,$146.51 ,$787.74 ,$223.34 ,$139.53 ,$732.98 ,$212.70 ,$758.25 ,$212.70 ,$758.25 ,$758.25 ,$758.25 ,$817.23 ,$682.43 ,$758.25 ,$758.25 ,$758.25 ,$758.25 
ST. JOSEPH'S - CHIPPEWA FALLS,98180209,27250,PC CLOSED RX TRAUMATIC HIP DISLOCATN,981,1 ,"$1,602.08 ","$1,201.56 ",$139.53 ,"$1,602.08 ","$1,031.74 ",$212.70 ,"$1,121.46 ",$139.53 ,"$1,329.73 ",$143.72 ,"$1,057.37 ","$1,521.98 ", N/A ,"$1,281.66 ","$1,457.89 ",$139.53 ,"$1,505.96 ","$1,521.98 ","$1,441.87 ","$1,361.77 ",$139.53 ,$139.53 ,$139.53 ,"$1,169.52 ",$212.70 ,"$1,425.85 ","$1,441.87 ","$1,441.87 ","$1,281.66 ",$219.08 ,$881.14 ,"$1,441.87 ",$212.70 ,"$1,441.87 ",$212.70 ,"$1,521.98 ",$478.57 ,"$1,473.91 ",$147.90 ,"$1,457.89 ",$212.70 ,$985.92 ,"$1,031.74 ",$985.92 ,"$1,441.87 ","$1,441.87 ","$1,195.63 ","$1,115.85 ",$214.82 ,$146.51 ,"$1,497.94 ",$223.34 ,$139.53 ,"$1,393.81 ",$212.70 ,"$1,441.87 ",$212.70 ,"$1,441.87 ","$1,441.87 ","$1,441.87 ","$1,554.02 ","$1,297.68 ","$1,441.87 ","$1,441.87 ","$1,441.87 ","$1,441.87 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180231,27560,PC CLOSED RX KNEECAP DISLOCATN,981,1 ,$797.10 ,$597.83 ,$139.53 ,$797.10 ,$513.33 ,$212.70 ,$557.97 ,$139.53 ,$661.59 ,$143.72 ,$526.09 ,$757.25 , N/A ,$637.68 ,$725.36 ,$139.53 ,$749.27 ,$757.25 ,$717.39 ,$677.54 ,$139.53 ,$139.53 ,$139.53 ,$581.88 ,$212.70 ,$709.42 ,$717.39 ,$717.39 ,$637.68 ,$219.08 ,$438.41 ,$717.39 ,$212.70 ,$717.39 ,$212.70 ,$757.25 ,$478.57 ,$733.33 ,$147.90 ,$725.36 ,$212.70 ,$490.54 ,$513.33 ,$490.54 ,$717.39 ,$717.39 ,$594.88 ,$555.18 ,$214.82 ,$146.51 ,$745.29 ,$223.34 ,$139.53 ,$693.48 ,$212.70 ,$717.39 ,$212.70 ,$717.39 ,$717.39 ,$717.39 ,$773.19 ,$645.65 ,$717.39 ,$717.39 ,$717.39 ,$717.39 
ST. JOSEPH'S - CHIPPEWA FALLS,98180232,27562,PC CLOSED RX KNEECAP DISLOC+ANESTH,981,1 ,"$1,323.10 ",$992.33 ,$212.70 ,"$1,323.10 ",$852.08 ,$212.70 ,$926.17 ,$310.07 ,"$1,098.17 ",$319.37 ,$873.25 ,"$1,256.95 ", N/A ,"$1,058.48 ","$1,204.02 ",$310.07 ,"$1,243.71 ","$1,256.95 ","$1,190.79 ","$1,124.64 ",$310.07 ,$310.07 ,$310.07 ,$965.86 ,$212.70 ,"$1,177.56 ","$1,190.79 ","$1,190.79 ","$1,058.48 ",$219.08 ,$727.71 ,"$1,190.79 ",$212.70 ,"$1,190.79 ",$212.70 ,"$1,256.95 ",$478.57 ,"$1,217.25 ",$328.67 ,"$1,204.02 ",$212.70 ,$814.24 ,$852.08 ,$814.24 ,"$1,190.79 ","$1,190.79 ",$987.43 ,$921.54 ,$214.82 ,$325.57 ,"$1,237.10 ",$223.34 ,$310.07 ,"$1,151.10 ",$212.70 ,"$1,190.79 ",$212.70 ,"$1,190.79 ","$1,190.79 ","$1,190.79 ","$1,283.41 ","$1,071.71 ","$1,190.79 ","$1,190.79 ","$1,190.79 ","$1,190.79 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180242,27786,PC CLOSED RX DIST FIBULA FX,981,1 ,"$1,084.40 ",$813.30 ,$139.53 ,"$1,084.40 ",$698.35 ,$212.70 ,$759.08 ,$139.53 ,$900.05 ,$143.72 ,$715.70 ,"$1,030.18 ", N/A ,$867.52 ,$986.80 ,$139.53 ,"$1,019.34 ","$1,030.18 ",$975.96 ,$921.74 ,$139.53 ,$139.53 ,$139.53 ,$791.61 ,$212.70 ,$965.12 ,$975.96 ,$975.96 ,$867.52 ,$219.08 ,$596.42 ,$975.96 ,$212.70 ,$975.96 ,$212.70 ,"$1,030.18 ",$478.57 ,$997.65 ,$147.90 ,$986.80 ,$212.70 ,$667.34 ,$698.35 ,$667.34 ,$975.96 ,$975.96 ,$809.29 ,$755.28 ,$214.82 ,$146.51 ,"$1,013.91 ",$223.34 ,$139.53 ,$943.43 ,$212.70 ,$975.96 ,$212.70 ,$975.96 ,$975.96 ,$975.96 ,"$1,051.87 ",$878.36 ,$975.96 ,$975.96 ,$975.96 ,$975.96 
ST. JOSEPH'S - CHIPPEWA FALLS,98180247,27818,"PC CLOSED RX TRIMALLEOLAR FX,MANIP",981,1 ,"$3,293.00 ","$2,469.75 ",$139.53 ,"$3,293.00 ","$2,120.69 ","$1,437.36 ","$2,305.10 ",$139.53 ,"$2,733.19 ",$143.72 ,"$2,173.38 ","$3,128.35 ", N/A ,"$2,634.40 ","$2,996.63 ",$139.53 ,"$3,095.42 ","$3,128.35 ","$2,963.70 ","$2,799.05 ",$139.53 ,$139.53 ,$139.53 ,"$2,403.89 ","$1,437.36 ","$2,930.77 ","$2,963.70 ","$2,963.70 ","$2,634.40 ","$1,480.48 ","$1,811.15 ","$2,963.70 ","$1,437.36 ","$2,963.70 ","$1,437.36 ","$3,128.35 ","$3,234.06 ","$3,029.56 ",$147.90 ,"$2,996.63 ","$1,437.36 ","$2,026.51 ","$2,120.69 ","$2,026.51 ","$2,963.70 ","$2,963.70 ","$2,457.57 ","$2,293.57 ","$1,451.73 ",$146.51 ,"$3,078.96 ","$1,509.23 ",$139.53 ,"$2,864.91 ","$1,437.36 ","$2,963.70 ","$1,437.36 ","$2,963.70 ","$2,963.70 ","$2,963.70 ","$3,194.21 ","$2,667.33 ","$2,963.70 ","$2,963.70 ","$2,963.70 ","$2,963.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180248,27824,PC CLOSED RX WEIGHT BEAR DIST TIBIA,981,1 ,"$1,220.05 ",$915.04 ,$139.53 ,"$1,220.05 ",$785.71 ,$212.70 ,$854.04 ,$139.53 ,"$1,012.64 ",$143.72 ,$805.23 ,"$1,159.05 ", N/A ,$976.04 ,"$1,110.25 ",$139.53 ,"$1,146.85 ","$1,159.05 ","$1,098.05 ","$1,037.04 ",$139.53 ,$139.53 ,$139.53 ,$890.64 ,$212.70 ,"$1,085.84 ","$1,098.05 ","$1,098.05 ",$976.04 ,$219.08 ,$671.03 ,"$1,098.05 ",$212.70 ,"$1,098.05 ",$212.70 ,"$1,159.05 ",$478.57 ,"$1,122.45 ",$147.90 ,"$1,110.25 ",$212.70 ,$750.82 ,$785.71 ,$750.82 ,"$1,098.05 ","$1,098.05 ",$910.52 ,$849.76 ,$214.82 ,$146.51 ,"$1,140.75 ",$223.34 ,$139.53 ,"$1,061.44 ",$212.70 ,"$1,098.05 ",$212.70 ,"$1,098.05 ","$1,098.05 ","$1,098.05 ","$1,183.45 ",$988.24 ,"$1,098.05 ","$1,098.05 ","$1,098.05 ","$1,098.05 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180262,28470,PC CLOSED RX METATARSAL FX,981,1 ,$833.92 ,$625.44 ,$139.53 ,$833.92 ,$537.04 ,$212.70 ,$583.74 ,$139.53 ,$692.15 ,$143.72 ,$550.39 ,$792.22 , N/A ,$667.14 ,$758.87 ,$139.53 ,$783.88 ,$792.22 ,$750.53 ,$708.83 ,$139.53 ,$139.53 ,$139.53 ,$608.76 ,$212.70 ,$742.19 ,$750.53 ,$750.53 ,$667.14 ,$219.08 ,$458.66 ,$750.53 ,$212.70 ,$750.53 ,$212.70 ,$792.22 ,$478.57 ,$767.21 ,$147.90 ,$758.87 ,$212.70 ,$513.19 ,$537.04 ,$513.19 ,$750.53 ,$750.53 ,$622.35 ,$580.83 ,$214.82 ,$146.51 ,$779.72 ,$223.34 ,$139.53 ,$725.51 ,$212.70 ,$750.53 ,$212.70 ,$750.53 ,$750.53 ,$750.53 ,$808.90 ,$675.48 ,$750.53 ,$750.53 ,$750.53 ,$750.53 
ST. JOSEPH'S - CHIPPEWA FALLS,98180264,28490,PC CLOSED RX BIG TOE FRACTURE,981,1 ,$469.16 ,$351.87 ,$139.53 ,$478.57 ,$302.14 ,$212.70 ,$328.41 ,$139.53 ,$389.40 ,$143.72 ,$309.65 ,$445.70 , N/A ,$375.33 ,$426.94 ,$139.53 ,$441.01 ,$445.70 ,$422.24 ,$398.79 ,$139.53 ,$139.53 ,$139.53 ,$342.49 ,$212.70 ,$417.55 ,$422.24 ,$422.24 ,$375.33 ,$219.08 ,$258.04 ,$422.24 ,$212.70 ,$422.24 ,$212.70 ,$445.70 ,$478.57 ,$431.63 ,$147.90 ,$426.94 ,$212.70 ,$288.72 ,$302.14 ,$288.72 ,$422.24 ,$422.24 ,$350.13 ,$326.77 ,$214.82 ,$146.51 ,$438.66 ,$223.34 ,$139.53 ,$408.17 ,$212.70 ,$422.24 ,$212.70 ,$422.24 ,$422.24 ,$422.24 ,$455.09 ,$380.02 ,$422.24 ,$422.24 ,$422.24 ,$422.24 
ST. JOSEPH'S - CHIPPEWA FALLS,98180267,28510,PC CLOSED RX TOE FX,981,1 ,$451.69 ,$338.77 ,$139.53 ,$478.57 ,$290.89 ,$212.70 ,$316.18 ,$139.53 ,$374.90 ,$143.72 ,$298.12 ,$429.11 , N/A ,$361.35 ,$411.04 ,$139.53 ,$424.59 ,$429.11 ,$406.52 ,$383.94 ,$139.53 ,$139.53 ,$139.53 ,$329.73 ,$212.70 ,$402.00 ,$406.52 ,$406.52 ,$361.35 ,$219.08 ,$248.43 ,$406.52 ,$212.70 ,$406.52 ,$212.70 ,$429.11 ,$478.57 ,$415.55 ,$147.90 ,$411.04 ,$212.70 ,$277.97 ,$290.89 ,$277.97 ,$406.52 ,$406.52 ,$337.10 ,$314.60 ,$214.82 ,$146.51 ,$422.33 ,$223.34 ,$139.53 ,$392.97 ,$212.70 ,$406.52 ,$212.70 ,$406.52 ,$406.52 ,$406.52 ,$438.14 ,$365.87 ,$406.52 ,$406.52 ,$406.52 ,$406.52 
ST. JOSEPH'S - CHIPPEWA FALLS,98180268,28515,"PC CLOSED RX TOE FX,MANIPULATN",981,1 ,$585.26 ,$438.95 ,$139.53 ,$585.26 ,$376.91 ,$212.70 ,$409.68 ,$139.53 ,$485.77 ,$143.72 ,$386.27 ,$556.00 , N/A ,$468.21 ,$532.59 ,$139.53 ,$550.14 ,$556.00 ,$526.73 ,$497.47 ,$139.53 ,$139.53 ,$139.53 ,$427.24 ,$212.70 ,$520.88 ,$526.73 ,$526.73 ,$468.21 ,$219.08 ,$321.89 ,$526.73 ,$212.70 ,$526.73 ,$212.70 ,$556.00 ,$478.57 ,$538.44 ,$147.90 ,$532.59 ,$212.70 ,$360.17 ,$376.91 ,$360.17 ,$526.73 ,$526.73 ,$436.78 ,$407.63 ,$214.82 ,$146.51 ,$547.22 ,$223.34 ,$139.53 ,$509.18 ,$212.70 ,$526.73 ,$212.70 ,$526.73 ,$526.73 ,$526.73 ,$567.70 ,$474.06 ,$526.73 ,$526.73 ,$526.73 ,$526.73 
ST. JOSEPH'S - CHIPPEWA FALLS,98180276,28630,PC CLOSED RX MT-PHAL TOE DISLOCATION,981,1 ,$555.98 ,$416.99 ,$139.53 ,$555.98 ,$358.05 ,$212.70 ,$389.19 ,$139.53 ,$461.46 ,$143.72 ,$366.95 ,$528.18 , N/A ,$444.78 ,$505.94 ,$139.53 ,$522.62 ,$528.18 ,$500.38 ,$472.58 ,$139.53 ,$139.53 ,$139.53 ,$405.87 ,$212.70 ,$494.82 ,$500.38 ,$500.38 ,$444.78 ,$219.08 ,$305.79 ,$500.38 ,$212.70 ,$500.38 ,$212.70 ,$528.18 ,$478.57 ,$511.50 ,$147.90 ,$505.94 ,$212.70 ,$342.15 ,$358.05 ,$342.15 ,$500.38 ,$500.38 ,$414.93 ,$387.24 ,$214.82 ,$146.51 ,$519.84 ,$223.34 ,$139.53 ,$483.70 ,$212.70 ,$500.38 ,$212.70 ,$500.38 ,$500.38 ,$500.38 ,$539.30 ,$450.34 ,$500.38 ,$500.38 ,$500.38 ,$500.38 
ST. JOSEPH'S - CHIPPEWA FALLS,98180279,28660,"PC CLOSED RX I-P JT,TOE DISLOCATION",981,1 ,$417.06 ,$312.80 ,$139.53 ,$478.57 ,$268.59 ,$212.70 ,$291.94 ,$139.53 ,$346.16 ,$143.72 ,$275.26 ,$396.21 , N/A ,$333.65 ,$379.52 ,$139.53 ,$392.04 ,$396.21 ,$375.35 ,$354.50 ,$139.53 ,$139.53 ,$139.53 ,$304.45 ,$212.70 ,$371.18 ,$375.35 ,$375.35 ,$333.65 ,$219.08 ,$229.38 ,$375.35 ,$212.70 ,$375.35 ,$212.70 ,$396.21 ,$478.57 ,$383.70 ,$147.90 ,$379.52 ,$212.70 ,$256.66 ,$268.59 ,$256.66 ,$375.35 ,$375.35 ,$311.25 ,$290.48 ,$214.82 ,$146.51 ,$389.95 ,$223.34 ,$139.53 ,$362.84 ,$212.70 ,$375.35 ,$212.70 ,$375.35 ,$375.35 ,$375.35 ,$404.55 ,$337.82 ,$375.35 ,$375.35 ,$375.35 ,$375.35 
ST. JOSEPH'S - CHIPPEWA FALLS,98180286,29105,PC APPLY LONG ARM SPLINT,981,1 ,$364.86 ,$273.65 ,$13.65 ,$364.86 ,$234.97 ,$145.80 ,$255.40 ,$13.65 ,$302.83 ,$14.06 ,$240.81 ,$346.62 , N/A ,$291.89 ,$332.02 ,$13.65 ,$342.97 ,$346.62 ,$328.37 ,$310.13 ,$13.65 ,$13.65 ,$13.65 ,$266.35 ,$145.80 ,$324.73 ,$328.37 ,$328.37 ,$291.89 ,$150.17 ,$200.67 ,$328.37 ,$145.80 ,$328.37 ,$145.80 ,$346.62 ,$328.04 ,$335.67 ,$14.47 ,$332.02 ,$145.80 ,$224.53 ,$234.97 ,$224.53 ,$328.37 ,$328.37 ,$272.30 ,$254.13 ,$147.25 ,$14.33 ,$341.14 ,$153.09 ,$13.65 ,$317.43 ,$145.80 ,$328.37 ,$145.80 ,$328.37 ,$328.37 ,$328.37 ,$353.91 ,$295.54 ,$328.37 ,$328.37 ,$328.37 ,$328.37 
ST. JOSEPH'S - CHIPPEWA FALLS,98180291,29240,PC STRAPPING OF SHOULDER,981,1 ,$152.58 ,$114.44 ,$13.65 ,$261.82 ,$98.26 ,$116.36 ,$106.81 ,$13.65 ,$126.64 ,$14.06 ,$100.70 ,$144.95 , N/A ,$122.06 ,$138.85 ,$13.65 ,$143.43 ,$144.95 ,$137.32 ,$129.69 ,$13.65 ,$13.65 ,$13.65 ,$111.38 ,$116.36 ,$135.80 ,$137.32 ,$137.32 ,$122.06 ,$119.85 ,$83.92 ,$137.32 ,$116.36 ,$137.32 ,$116.36 ,$144.95 ,$261.82 ,$140.37 ,$14.47 ,$138.85 ,$116.36 ,$93.90 ,$98.26 ,$93.90 ,$137.32 ,$137.32 ,$113.87 ,$106.27 ,$117.53 ,$14.33 ,$142.66 ,$122.18 ,$13.65 ,$132.74 ,$116.36 ,$137.32 ,$116.36 ,$137.32 ,$137.32 ,$137.32 ,$148.00 ,$123.59 ,$137.32 ,$137.32 ,$137.32 ,$137.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180294,29345,PC APPLY LONG LEG CAST,981,1 ,$527.60 ,$395.70 ,$59.15 ,$560.14 ,$339.77 ,$248.95 ,$369.32 ,$59.15 ,$437.91 ,$60.92 ,$348.22 ,$501.22 , N/A ,$422.08 ,$480.12 ,$59.15 ,$495.94 ,$501.22 ,$474.84 ,$448.46 ,$59.15 ,$59.15 ,$59.15 ,$385.15 ,$248.95 ,$469.56 ,$474.84 ,$474.84 ,$422.08 ,$256.42 ,$290.18 ,$474.84 ,$248.95 ,$474.84 ,$248.95 ,$501.22 ,$560.14 ,$485.39 ,$62.70 ,$480.12 ,$248.95 ,$324.69 ,$339.77 ,$324.69 ,$474.84 ,$474.84 ,$393.75 ,$367.47 ,$251.44 ,$62.11 ,$493.31 ,$261.40 ,$59.15 ,$459.01 ,$248.95 ,$474.84 ,$248.95 ,$474.84 ,$474.84 ,$474.84 ,$511.77 ,$427.36 ,$474.84 ,$474.84 ,$474.84 ,$474.84 
ST. JOSEPH'S - CHIPPEWA FALLS,98180299,29425,"PC APPLY SHORT LEG CAST,WALKER",981,1 ,$509.33 ,$382.00 ,$59.15 ,$560.14 ,$328.01 ,$248.95 ,$356.53 ,$59.15 ,$422.74 ,$60.92 ,$336.16 ,$483.86 , N/A ,$407.46 ,$463.49 ,$59.15 ,$478.77 ,$483.86 ,$458.40 ,$432.93 ,$59.15 ,$59.15 ,$59.15 ,$371.81 ,$248.95 ,$453.30 ,$458.40 ,$458.40 ,$407.46 ,$256.42 ,$280.13 ,$458.40 ,$248.95 ,$458.40 ,$248.95 ,$483.86 ,$560.14 ,$468.58 ,$62.70 ,$463.49 ,$248.95 ,$313.44 ,$328.01 ,$313.44 ,$458.40 ,$458.40 ,$380.11 ,$354.75 ,$251.44 ,$62.11 ,$476.22 ,$261.40 ,$59.15 ,$443.12 ,$248.95 ,$458.40 ,$248.95 ,$458.40 ,$458.40 ,$458.40 ,$494.05 ,$412.56 ,$458.40 ,$458.40 ,$458.40 ,$458.40 
ST. JOSEPH'S - CHIPPEWA FALLS,98180304,29505,PC APPLY LONG LEG SPLINT,981,1 ,$651.71 ,$488.78 ,$13.65 ,$651.71 ,$419.70 ,$145.80 ,$456.20 ,$13.65 ,$540.92 ,$14.06 ,$430.13 ,$619.12 , N/A ,$521.37 ,$593.06 ,$13.65 ,$612.61 ,$619.12 ,$586.54 ,$553.95 ,$13.65 ,$13.65 ,$13.65 ,$475.75 ,$145.80 ,$580.02 ,$586.54 ,$586.54 ,$521.37 ,$150.17 ,$358.44 ,$586.54 ,$145.80 ,$586.54 ,$145.80 ,$619.12 ,$328.04 ,$599.57 ,$14.47 ,$593.06 ,$145.80 ,$401.06 ,$419.70 ,$401.06 ,$586.54 ,$586.54 ,$486.37 ,$453.92 ,$147.25 ,$14.33 ,$609.35 ,$153.09 ,$13.65 ,$566.99 ,$145.80 ,$586.54 ,$145.80 ,$586.54 ,$586.54 ,$586.54 ,$632.16 ,$527.89 ,$586.54 ,$586.54 ,$586.54 ,$586.54 
ST. JOSEPH'S - CHIPPEWA FALLS,98180306,29530,PC STRAPPING OF KNEE,981,1 ,$163.78 ,$122.84 ,$13.65 ,$261.82 ,$105.47 ,$116.36 ,$114.65 ,$13.65 ,$135.94 ,$14.06 ,$108.09 ,$155.59 , N/A ,$131.02 ,$149.04 ,$13.65 ,$153.95 ,$155.59 ,$147.40 ,$139.21 ,$13.65 ,$13.65 ,$13.65 ,$119.56 ,$116.36 ,$145.76 ,$147.40 ,$147.40 ,$131.02 ,$119.85 ,$90.08 ,$147.40 ,$116.36 ,$147.40 ,$116.36 ,$155.59 ,$261.82 ,$150.68 ,$14.47 ,$149.04 ,$116.36 ,$100.79 ,$105.47 ,$100.79 ,$147.40 ,$147.40 ,$122.23 ,$114.07 ,$117.53 ,$14.33 ,$153.13 ,$122.18 ,$13.65 ,$142.49 ,$116.36 ,$147.40 ,$116.36 ,$147.40 ,$147.40 ,$147.40 ,$158.87 ,$132.66 ,$147.40 ,$147.40 ,$147.40 ,$147.40 
ST. JOSEPH'S - CHIPPEWA FALLS,98180307,29540,PC STRAPPING OF ANKLE,981,1 ,$145.49 ,$109.12 ,$13.65 ,$328.04 ,$93.70 ,$145.80 ,$101.84 ,$13.65 ,$120.76 ,$14.06 ,$96.02 ,$138.22 , N/A ,$116.39 ,$132.40 ,$13.65 ,$136.76 ,$138.22 ,$130.94 ,$123.67 ,$13.65 ,$13.65 ,$13.65 ,$106.21 ,$145.80 ,$129.49 ,$130.94 ,$130.94 ,$116.39 ,$150.17 ,$80.02 ,$130.94 ,$145.80 ,$130.94 ,$145.80 ,$138.22 ,$328.04 ,$133.85 ,$14.47 ,$132.40 ,$145.80 ,$89.53 ,$93.70 ,$89.53 ,$130.94 ,$130.94 ,$108.58 ,$101.33 ,$147.25 ,$14.33 ,$136.03 ,$153.09 ,$13.65 ,$126.58 ,$145.80 ,$130.94 ,$145.80 ,$130.94 ,$130.94 ,$130.94 ,$141.13 ,$117.85 ,$130.94 ,$130.94 ,$130.94 ,$130.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180308,29550,PC STRAPPING OF TOES,981,1 ,$127.31 ,$95.48 ,$13.65 ,$129.25 ,$81.99 ,$57.44 ,$89.12 ,$13.65 ,$105.67 ,$14.06 ,$84.02 ,$120.94 , N/A ,$101.85 ,$115.85 ,$13.65 ,$119.67 ,$120.94 ,$114.58 ,$108.21 ,$13.65 ,$13.65 ,$13.65 ,$92.94 ,$57.44 ,$113.31 ,$114.58 ,$114.58 ,$101.85 ,$59.17 ,$70.02 ,$114.58 ,$57.44 ,$114.58 ,$57.44 ,$120.94 ,$129.25 ,$117.13 ,$14.47 ,$115.85 ,$57.44 ,$78.35 ,$81.99 ,$78.35 ,$114.58 ,$114.58 ,$95.01 ,$88.67 ,$58.02 ,$14.33 ,$119.03 ,$60.31 ,$13.65 ,$110.76 ,$57.44 ,$114.58 ,$57.44 ,$114.58 ,$114.58 ,$114.58 ,$123.49 ,$103.12 ,$114.58 ,$114.58 ,$114.58 ,$114.58 
ST. JOSEPH'S - CHIPPEWA FALLS,98180309,29580,PC APPLY OF PASTE BOOT,981,1 ,$181.87 ,$136.40 ,$59.15 ,$328.04 ,$117.12 ,$145.80 ,$127.31 ,$59.15 ,$150.95 ,$60.92 ,$120.03 ,$172.78 , N/A ,$145.50 ,$165.50 ,$59.15 ,$170.96 ,$172.78 ,$163.68 ,$154.59 ,$59.15 ,$59.15 ,$59.15 ,$132.77 ,$145.80 ,$161.86 ,$163.68 ,$163.68 ,$145.50 ,$150.17 ,$100.03 ,$163.68 ,$145.80 ,$163.68 ,$145.80 ,$172.78 ,$328.04 ,$167.32 ,$62.70 ,$165.50 ,$145.80 ,$111.92 ,$117.12 ,$111.92 ,$163.68 ,$163.68 ,$135.73 ,$126.67 ,$147.25 ,$62.11 ,$170.05 ,$153.09 ,$59.15 ,$158.23 ,$145.80 ,$163.68 ,$145.80 ,$163.68 ,$163.68 ,$163.68 ,$176.41 ,$147.31 ,$163.68 ,$163.68 ,$163.68 ,$163.68 
ST. JOSEPH'S - CHIPPEWA FALLS,98180311,29705,PC REMV/REVISN FULL ARM/LEG CAST,981,1 ,$167.38 ,$125.54 ,$59.15 ,$560.14 ,$107.79 ,$248.95 ,$117.17 ,$59.15 ,$138.93 ,$60.92 ,$110.47 ,$159.01 , N/A ,$133.90 ,$152.32 ,$59.15 ,$157.34 ,$159.01 ,$150.64 ,$142.27 ,$59.15 ,$59.15 ,$59.15 ,$122.19 ,$248.95 ,$148.97 ,$150.64 ,$150.64 ,$133.90 ,$256.42 ,$92.06 ,$150.64 ,$248.95 ,$150.64 ,$248.95 ,$159.01 ,$560.14 ,$153.99 ,$62.70 ,$152.32 ,$248.95 ,$103.01 ,$107.79 ,$103.01 ,$150.64 ,$150.64 ,$124.92 ,$116.58 ,$251.44 ,$62.11 ,$156.50 ,$261.40 ,$59.15 ,$145.62 ,$248.95 ,$150.64 ,$248.95 ,$150.64 ,$150.64 ,$150.64 ,$162.36 ,$135.58 ,$150.64 ,$150.64 ,$150.64 ,$150.64 
ST. JOSEPH'S - CHIPPEWA FALLS,98180312,29710,PC REMV/REVISN SHLDR/HIP SPICA CAST,981,1 ,$290.99 ,$218.24 ,$59.15 ,$560.14 ,$187.40 ,$248.95 ,$203.69 ,$59.15 ,$241.52 ,$60.92 ,$192.05 ,$276.44 , N/A ,$232.79 ,$264.80 ,$59.15 ,$273.53 ,$276.44 ,$261.89 ,$247.34 ,$59.15 ,$59.15 ,$59.15 ,$212.42 ,$248.95 ,$258.98 ,$261.89 ,$261.89 ,$232.79 ,$256.42 ,$160.04 ,$261.89 ,$248.95 ,$261.89 ,$248.95 ,$276.44 ,$560.14 ,$267.71 ,$62.70 ,$264.80 ,$248.95 ,$179.08 ,$187.40 ,$179.08 ,$261.89 ,$261.89 ,$217.17 ,$202.67 ,$251.44 ,$62.11 ,$272.08 ,$261.40 ,$59.15 ,$253.16 ,$248.95 ,$261.89 ,$248.95 ,$261.89 ,$261.89 ,$261.89 ,$282.26 ,$235.70 ,$261.89 ,$261.89 ,$261.89 ,$261.89 
ST. JOSEPH'S - CHIPPEWA FALLS,98180315,29730,PC WINDOWING OF CAST,981,1 ,$131.01 ,$98.26 ,$59.15 ,$328.04 ,$84.37 ,$145.80 ,$91.71 ,$59.15 ,$108.74 ,$60.92 ,$86.47 ,$124.46 , N/A ,$104.81 ,$119.22 ,$59.15 ,$123.15 ,$124.46 ,$117.91 ,$111.36 ,$59.15 ,$59.15 ,$59.15 ,$95.64 ,$145.80 ,$116.60 ,$117.91 ,$117.91 ,$104.81 ,$150.17 ,$72.06 ,$117.91 ,$145.80 ,$117.91 ,$145.80 ,$124.46 ,$328.04 ,$120.53 ,$62.70 ,$119.22 ,$145.80 ,$80.62 ,$84.37 ,$80.62 ,$117.91 ,$117.91 ,$97.77 ,$91.25 ,$147.25 ,$62.11 ,$122.49 ,$153.09 ,$59.15 ,$113.98 ,$145.80 ,$117.91 ,$145.80 ,$117.91 ,$117.91 ,$117.91 ,$127.08 ,$106.12 ,$117.91 ,$117.91 ,$117.91 ,$117.91 
ST. JOSEPH'S - CHIPPEWA FALLS,98180316,29740,PC WEDGING OF CAST,981,1 ,$196.46 ,$147.35 ,$59.15 ,$560.14 ,$126.52 ,$248.95 ,$137.52 ,$59.15 ,$163.06 ,$60.92 ,$129.66 ,$186.64 , N/A ,$157.17 ,$178.78 ,$59.15 ,$184.67 ,$186.64 ,$176.81 ,$166.99 ,$59.15 ,$59.15 ,$59.15 ,$143.42 ,$248.95 ,$174.85 ,$176.81 ,$176.81 ,$157.17 ,$256.42 ,$108.05 ,$176.81 ,$248.95 ,$176.81 ,$248.95 ,$186.64 ,$560.14 ,$180.74 ,$62.70 ,$178.78 ,$248.95 ,$120.90 ,$126.52 ,$120.90 ,$176.81 ,$176.81 ,$146.62 ,$136.83 ,$251.44 ,$62.11 ,$183.69 ,$261.40 ,$59.15 ,$170.92 ,$248.95 ,$176.81 ,$248.95 ,$176.81 ,$176.81 ,$176.81 ,$190.57 ,$159.13 ,$176.81 ,$176.81 ,$176.81 ,$176.81 
ST. JOSEPH'S - CHIPPEWA FALLS,98180319,30020,"PC DRAIN ABSCESS/HEMATOMA,NASAL SEPTUM",981,1 ,$398.67 ,$299.00 ,$219.27 ,"$1,050.12 ",$256.74 ,$466.72 ,$279.07 ,$288.55 ,$330.90 ,$297.21 ,$263.12 ,$378.74 , N/A ,$318.94 ,$362.79 ,$288.55 ,$374.75 ,$378.74 ,$358.80 ,$338.87 ,$288.55 ,$288.55 ,$288.55 ,$291.03 ,$466.72 ,$354.82 ,$358.80 ,$358.80 ,$318.94 ,$480.72 ,$219.27 ,$358.80 ,$466.72 ,$358.80 ,$466.72 ,$378.74 ,"$1,050.12 ",$366.78 ,$305.86 ,$362.79 ,$466.72 ,$245.34 ,$256.74 ,$245.34 ,$358.80 ,$358.80 ,$297.53 ,$277.67 ,$471.39 ,$302.98 ,$372.76 ,$490.06 ,$288.55 ,$346.84 ,$466.72 ,$358.80 ,$466.72 ,$358.80 ,$358.80 ,$358.80 ,$386.71 ,$322.92 ,$358.80 ,$358.80 ,$358.80 ,$358.80 
ST. JOSEPH'S - CHIPPEWA FALLS,98180321,30300,PC REMOVE NASAL FOREIGN BODY,981,1 ,$253.69 ,$190.27 ,$34.89 ,$261.82 ,$163.38 ,$116.36 ,$177.58 ,$34.89 ,$210.56 ,$35.94 ,$167.44 ,$241.01 , N/A ,$202.95 ,$230.86 ,$34.89 ,$238.47 ,$241.01 ,$228.32 ,$215.64 ,$34.89 ,$34.89 ,$34.89 ,$185.19 ,$116.36 ,$225.78 ,$228.32 ,$228.32 ,$202.95 ,$119.85 ,$139.53 ,$228.32 ,$116.36 ,$228.32 ,$116.36 ,$241.01 ,$261.82 ,$233.39 ,$36.98 ,$230.86 ,$116.36 ,$156.12 ,$163.38 ,$156.12 ,$228.32 ,$228.32 ,$189.33 ,$176.70 ,$117.53 ,$36.63 ,$237.20 ,$122.18 ,$34.89 ,$220.71 ,$116.36 ,$228.32 ,$116.36 ,$228.32 ,$228.32 ,$228.32 ,$246.08 ,$205.49 ,$228.32 ,$228.32 ,$228.32 ,$228.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180322,30310,"PC REMV NASAL FOR BODY,GEN ANESTH",981,1 ,$894.13 ,$670.60 ,$288.55 ,"$6,352.09 ",$575.82 ,"$2,823.15 ",$625.89 ,$288.55 ,$742.13 ,$297.21 ,$590.13 ,$849.42 , N/A ,$715.30 ,$813.66 ,$288.55 ,$840.48 ,$849.42 ,$804.72 ,$760.01 ,$288.55 ,$288.55 ,$288.55 ,$652.71 ,"$2,823.15 ",$795.78 ,$804.72 ,$804.72 ,$715.30 ,"$2,907.84 ",$491.77 ,$804.72 ,"$2,823.15 ",$804.72 ,"$2,823.15 ",$849.42 ,"$6,352.09 ",$822.60 ,$305.86 ,$813.66 ,"$2,823.15 ",$550.25 ,$575.82 ,$550.25 ,$804.72 ,$804.72 ,$667.29 ,$622.76 ,"$2,851.38 ",$302.98 ,$836.01 ,"$2,964.31 ",$288.55 ,$777.89 ,"$2,823.15 ",$804.72 ,"$2,823.15 ",$804.72 ,$804.72 ,$804.72 ,$867.31 ,$724.25 ,$804.72 ,$804.72 ,$804.72 ,$804.72 
ST. JOSEPH'S - CHIPPEWA FALLS,98180327,30905,PC CONTROL OF NOSEBLEED,981,1 ,"$1,052.60 ",$789.45 ,$34.89 ,"$1,052.60 ",$677.87 ,$116.36 ,$736.82 ,$34.89 ,$873.66 ,$35.94 ,$694.72 ,$999.97 , N/A ,$842.08 ,$957.87 ,$34.89 ,$989.44 ,$999.97 ,$947.34 ,$894.71 ,$34.89 ,$34.89 ,$34.89 ,$768.40 ,$116.36 ,$936.81 ,$947.34 ,$947.34 ,$842.08 ,$119.85 ,$578.93 ,$947.34 ,$116.36 ,$947.34 ,$116.36 ,$999.97 ,$261.82 ,$968.39 ,$36.98 ,$957.87 ,$116.36 ,$647.77 ,$677.87 ,$647.77 ,$947.34 ,$947.34 ,$785.56 ,$733.14 ,$117.53 ,$36.63 ,$984.18 ,$122.18 ,$34.89 ,$915.76 ,$116.36 ,$947.34 ,$116.36 ,$947.34 ,$947.34 ,$947.34 ,"$1,021.02 ",$852.61 ,$947.34 ,$947.34 ,$947.34 ,$947.34 
ST. JOSEPH'S - CHIPPEWA FALLS,98180329,31500,PC INSERT EMERGENCY ENDOTRACH AIRWAY,981,1 ,$587.20 ,$440.40 ,$218.33 ,$587.20 ,$378.16 ,$218.33 ,$411.04 ,$285.38 ,$487.38 ,$293.94 ,$387.55 ,$557.84 , N/A ,$469.76 ,$534.35 ,$285.38 ,$551.97 ,$557.84 ,$528.48 ,$499.12 ,$285.38 ,$285.38 ,$285.38 ,$428.66 ,$218.33 ,$522.61 ,$528.48 ,$528.48 ,$469.76 ,$224.88 ,$322.96 ,$528.48 ,$218.33 ,$528.48 ,$218.33 ,$557.84 ,$491.23 ,$540.22 ,$302.50 ,$534.35 ,$218.33 ,$361.36 ,$378.16 ,$361.36 ,$528.48 ,$528.48 ,$438.23 ,$408.98 ,$220.51 ,$299.65 ,$549.03 ,$229.25 ,$285.38 ,$510.86 ,$218.33 ,$528.48 ,$218.33 ,$528.48 ,$528.48 ,$528.48 ,$569.58 ,$475.63 ,$528.48 ,$528.48 ,$528.48 ,$528.48 
ST. JOSEPH'S - CHIPPEWA FALLS,98180330,31502,PC TRACH TUBE CHANGE,981,1 ,$484.47 ,$363.35 ,$34.89 ,$491.23 ,$312.00 ,$218.33 ,$339.13 ,$34.89 ,$402.11 ,$35.94 ,$319.75 ,$460.25 , N/A ,$387.58 ,$440.87 ,$34.89 ,$455.40 ,$460.25 ,$436.02 ,$411.80 ,$34.89 ,$34.89 ,$34.89 ,$353.66 ,$218.33 ,$431.18 ,$436.02 ,$436.02 ,$387.58 ,$224.88 ,$266.46 ,$436.02 ,$218.33 ,$436.02 ,$218.33 ,$460.25 ,$491.23 ,$445.71 ,$36.98 ,$440.87 ,$218.33 ,$298.14 ,$312.00 ,$298.14 ,$436.02 ,$436.02 ,$361.56 ,$337.43 ,$220.51 ,$36.63 ,$452.98 ,$229.25 ,$34.89 ,$421.49 ,$218.33 ,$436.02 ,$218.33 ,$436.02 ,$436.02 ,$436.02 ,$469.94 ,$392.42 ,$436.02 ,$436.02 ,$436.02 ,$436.02 
ST. JOSEPH'S - CHIPPEWA FALLS,98180331,31511,"PC LARYNGOSCOPY,INDIRECT+REMV FOR.BODY",981,1 ,"$1,227.45 ",$920.59 ,$34.89 ,"$1,227.45 ",$790.48 ,$169.88 ,$859.22 ,$34.89 ,"$1,018.78 ",$35.94 ,$810.12 ,"$1,166.08 ", N/A ,$981.96 ,"$1,116.98 ",$34.89 ,"$1,153.80 ","$1,166.08 ","$1,104.71 ","$1,043.33 ",$34.89 ,$34.89 ,$34.89 ,$896.04 ,$169.88 ,"$1,092.43 ","$1,104.71 ","$1,104.71 ",$981.96 ,$174.97 ,$675.10 ,"$1,104.71 ",$169.88 ,"$1,104.71 ",$169.88 ,"$1,166.08 ",$382.22 ,"$1,129.25 ",$36.98 ,"$1,116.98 ",$169.88 ,$755.37 ,$790.48 ,$755.37 ,"$1,104.71 ","$1,104.71 ",$916.05 ,$854.92 ,$171.57 ,$36.63 ,"$1,147.67 ",$178.37 ,$34.89 ,"$1,067.88 ",$169.88 ,"$1,104.71 ",$169.88 ,"$1,104.71 ","$1,104.71 ","$1,104.71 ","$1,190.63 ",$994.23 ,"$1,104.71 ","$1,104.71 ","$1,104.71 ","$1,104.71 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180332,31530,"PC LARYNGOSCOPY,DIRCT,OP,F.B. REMVL",981,1 ,"$1,571.05 ","$1,178.29 ",$238.77 ,"$3,473.89 ","$1,011.76 ","$1,543.95 ","$1,099.74 ",$238.77 ,"$1,303.97 ",$245.93 ,"$1,036.89 ","$1,492.50 ", N/A ,"$1,256.84 ","$1,429.66 ",$238.77 ,"$1,476.79 ","$1,492.50 ","$1,413.95 ","$1,335.39 ",$238.77 ,$238.77 ,$238.77 ,"$1,146.87 ","$1,543.95 ","$1,398.23 ","$1,413.95 ","$1,413.95 ","$1,256.84 ","$1,590.27 ",$864.08 ,"$1,413.95 ","$1,543.95 ","$1,413.95 ","$1,543.95 ","$1,492.50 ","$3,473.89 ","$1,445.37 ",$253.10 ,"$1,429.66 ","$1,543.95 ",$966.82 ,"$1,011.76 ",$966.82 ,"$1,413.95 ","$1,413.95 ","$1,172.47 ","$1,094.24 ","$1,559.39 ",$250.71 ,"$1,468.93 ","$1,621.15 ",$238.77 ,"$1,366.81 ","$1,543.95 ","$1,413.95 ","$1,543.95 ","$1,413.95 ","$1,413.95 ","$1,413.95 ","$1,523.92 ","$1,272.55 ","$1,413.95 ","$1,413.95 ","$1,413.95 ","$1,413.95 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180334,31577,"PC LARYNGOSCOPY,FLEX SCOPE,REMV F.B.",981,1 ,"$1,718.29 ","$1,288.72 ",$238.77 ,"$1,718.29 ","$1,106.58 ",$387.89 ,"$1,202.80 ",$238.77 ,"$1,426.18 ",$245.93 ,"$1,134.07 ","$1,632.38 ", N/A ,"$1,374.63 ","$1,563.64 ",$238.77 ,"$1,615.19 ","$1,632.38 ","$1,546.46 ","$1,460.55 ",$238.77 ,$238.77 ,$238.77 ,"$1,254.35 ",$387.89 ,"$1,529.28 ","$1,546.46 ","$1,546.46 ","$1,374.63 ",$399.52 ,$945.06 ,"$1,546.46 ",$387.89 ,"$1,546.46 ",$387.89 ,"$1,632.38 ",$872.75 ,"$1,580.83 ",$253.10 ,"$1,563.64 ",$387.89 ,"$1,057.44 ","$1,106.58 ","$1,057.44 ","$1,546.46 ","$1,546.46 ","$1,282.36 ","$1,196.79 ",$391.77 ,$250.71 ,"$1,606.60 ",$407.28 ,$238.77 ,"$1,494.91 ",$387.89 ,"$1,546.46 ",$387.89 ,"$1,546.46 ","$1,546.46 ","$1,546.46 ","$1,666.74 ","$1,391.81 ","$1,546.46 ","$1,546.46 ","$1,546.46 ","$1,546.46 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180337,31603,"PC TRACHEOSTOMY,EMERG,XTRACH",981,1 ,"$2,862.72 ","$2,147.04 ",$647.13 ,"$3,140.92 ","$1,843.59 ","$1,395.96 ","$2,003.90 ",$647.13 ,"$2,376.06 ",$666.54 ,"$1,889.40 ","$2,719.58 ", N/A ,"$2,290.18 ","$2,605.08 ",$647.13 ,"$2,690.96 ","$2,719.58 ","$2,576.45 ","$2,433.31 ",$647.13 ,$647.13 ,$647.13 ,"$2,089.79 ","$1,395.96 ","$2,547.82 ","$2,576.45 ","$2,576.45 ","$2,290.18 ","$1,437.84 ","$1,574.50 ","$2,576.45 ","$1,395.96 ","$2,576.45 ","$1,395.96 ","$2,719.58 ","$3,140.92 ","$2,633.70 ",$685.96 ,"$2,605.08 ","$1,395.96 ","$1,761.72 ","$1,843.59 ","$1,761.72 ","$2,576.45 ","$2,576.45 ","$2,136.45 ","$1,993.88 ","$1,409.92 ",$679.49 ,"$2,676.64 ","$1,465.76 ",$647.13 ,"$2,490.57 ","$1,395.96 ","$2,576.45 ","$1,395.96 ","$2,576.45 ","$2,576.45 ","$2,576.45 ","$2,776.84 ","$2,318.80 ","$2,576.45 ","$2,576.45 ","$2,576.45 ","$2,576.45 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180338,31605,"PC TRACHEOSTOMY,EMERG,CRICOTHYROID",981,1 ,"$2,504.84 ","$1,878.63 ",$218.33 ,"$2,504.84 ","$1,613.12 ",$218.33 ,"$1,753.39 ",$647.13 ,"$2,079.02 ",$666.54 ,"$1,653.19 ","$2,379.60 ", N/A ,"$2,003.87 ","$2,279.40 ",$647.13 ,"$2,354.55 ","$2,379.60 ","$2,254.36 ","$2,129.11 ",$647.13 ,$647.13 ,$647.13 ,"$1,828.53 ",$218.33 ,"$2,229.31 ","$2,254.36 ","$2,254.36 ","$2,003.87 ",$224.88 ,"$1,377.66 ","$2,254.36 ",$218.33 ,"$2,254.36 ",$218.33 ,"$2,379.60 ",$491.23 ,"$2,304.45 ",$685.96 ,"$2,279.40 ",$218.33 ,"$1,541.48 ","$1,613.12 ","$1,541.48 ","$2,254.36 ","$2,254.36 ","$1,869.36 ","$1,744.62 ",$220.51 ,$679.49 ,"$2,342.03 ",$229.25 ,$647.13 ,"$2,179.21 ",$218.33 ,"$2,254.36 ",$218.33 ,"$2,254.36 ","$2,254.36 ","$2,254.36 ","$2,429.69 ","$2,028.92 ","$2,254.36 ","$2,254.36 ","$2,254.36 ","$2,254.36 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180341,32110,"PC THORACOTOMY,CTRL TRAUMA BLEED",981,1 ,"$7,493.45 ","$5,620.09 ","$1,632.88 ","$7,493.45 ","$4,825.78 ", N/A ,"$5,245.42 ","$1,632.88 ","$6,219.56 ","$1,681.87 ","$4,945.68 ","$7,118.78 ", N/A ,"$5,994.76 ","$6,819.04 ","$1,632.88 ","$7,043.84 ","$7,118.78 ","$6,744.11 ","$6,369.43 ","$1,632.88 ","$1,632.88 ","$1,632.88 ","$5,470.22 ", N/A ,"$6,669.17 ","$6,744.11 ","$6,744.11 ","$5,994.76 ", N/A ,"$4,121.40 ","$6,744.11 ", N/A ,"$6,744.11 ", N/A ,"$7,118.78 ", N/A ,"$6,893.97 ","$1,730.85 ","$6,819.04 ", N/A ,"$4,611.47 ","$4,825.78 ","$4,611.47 ","$6,744.11 ","$6,744.11 ","$5,592.36 ","$5,219.19 ", N/A ,"$1,714.52 ","$7,006.38 ", N/A ,"$1,632.88 ","$6,519.30 ", N/A ,"$6,744.11 ", N/A ,"$6,744.11 ","$6,744.11 ","$6,744.11 ","$7,268.65 ","$6,069.69 ","$6,744.11 ","$6,744.11 ","$6,744.11 ","$6,744.11 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180342,32160,"PC THORACOTOMY,OPEN HEART MASSAGE",981,1 ,"$4,866.86 ","$3,650.15 ","$2,676.77 ","$4,866.86 ","$3,134.26 ", N/A ,"$3,406.80 ", N/A ,"$4,039.49 ", N/A ,"$3,212.13 ","$4,623.52 ", N/A ,"$3,893.49 ","$4,428.84 ", N/A ,"$4,574.85 ","$4,623.52 ","$4,380.17 ","$4,136.83 ", N/A , N/A , N/A ,"$3,552.81 ", N/A ,"$4,331.51 ","$4,380.17 ","$4,380.17 ","$3,893.49 ", N/A ,"$2,676.77 ","$4,380.17 ", N/A ,"$4,380.17 ", N/A ,"$4,623.52 ", N/A ,"$4,477.51 ", N/A ,"$4,428.84 ", N/A ,"$2,995.07 ","$3,134.26 ","$2,995.07 ","$4,380.17 ","$4,380.17 ","$3,632.14 ","$3,389.77 ", N/A , N/A ,"$4,550.51 ", N/A , N/A ,"$4,234.17 ", N/A ,"$4,380.17 ", N/A ,"$4,380.17 ","$4,380.17 ","$4,380.17 ","$4,720.85 ","$3,942.16 ","$4,380.17 ","$4,380.17 ","$4,380.17 ","$4,380.17 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180346,36420,PC VENOUS CUTDOWN <1 Y/O,981,1 ,$326.33 ,$244.75 ,$18.43 ,$326.33 ,$210.16 ,$116.36 ,$228.43 ,$18.43 ,$270.85 ,$18.98 ,$215.38 ,$310.01 , N/A ,$261.06 ,$296.96 ,$18.43 ,$306.75 ,$310.01 ,$293.70 ,$277.38 ,$18.43 ,$18.43 ,$18.43 ,$238.22 ,$116.36 ,$290.43 ,$293.70 ,$293.70 ,$261.06 ,$119.85 ,$179.48 ,$293.70 ,$116.36 ,$293.70 ,$116.36 ,$310.01 ,$261.82 ,$300.22 ,$19.54 ,$296.96 ,$116.36 ,$200.82 ,$210.16 ,$200.82 ,$293.70 ,$293.70 ,$243.54 ,$227.29 ,$117.53 ,$19.35 ,$305.12 ,$122.18 ,$18.43 ,$283.91 ,$116.36 ,$293.70 ,$116.36 ,$293.70 ,$293.70 ,$293.70 ,$316.54 ,$264.33 ,$293.70 ,$293.70 ,$293.70 ,$293.70 
ST. JOSEPH'S - CHIPPEWA FALLS,98180347,36425,PC VENOUS CUTDOWN >1 Y/O,981,1 ,$253.79 ,$190.34 ,$18.43 ,$630.17 ,$163.44 ,$280.07 ,$177.65 ,$18.43 ,$210.65 ,$18.98 ,$167.50 ,$241.10 , N/A ,$203.03 ,$230.95 ,$18.43 ,$238.56 ,$241.10 ,$228.41 ,$215.72 ,$18.43 ,$18.43 ,$18.43 ,$185.27 ,$280.07 ,$225.87 ,$228.41 ,$228.41 ,$203.03 ,$288.48 ,$139.58 ,$228.41 ,$280.07 ,$228.41 ,$280.07 ,$241.10 ,$630.17 ,$233.49 ,$19.54 ,$230.95 ,$280.07 ,$156.18 ,$163.44 ,$156.18 ,$228.41 ,$228.41 ,$189.40 ,$176.76 ,$282.87 ,$19.35 ,$237.29 ,$294.07 ,$18.43 ,$220.80 ,$280.07 ,$228.41 ,$280.07 ,$228.41 ,$228.41 ,$228.41 ,$246.18 ,$205.57 ,$228.41 ,$228.41 ,$228.41 ,$228.41 
ST. JOSEPH'S - CHIPPEWA FALLS,98180349,43752,PC PLACEMENT NG/OG TUBE BY PHYSICIAN,981,1 ,$161.83 ,$121.37 ,$89.01 ,$630.17 ,$104.22 ,$280.07 ,$113.28 ,$161.83 ,$134.32 ,$217.54 ,$106.81 ,$153.74 , N/A ,$129.46 ,$147.27 ,$161.83 ,$152.12 ,$153.74 ,$145.65 ,$137.56 ,$211.20 ,$211.20 ,$211.20 ,$118.14 ,$280.07 ,$144.03 ,$145.65 ,$145.65 ,$129.46 ,$288.48 ,$89.01 ,$145.65 ,$280.07 ,$145.65 ,$280.07 ,$153.74 ,$630.17 ,$148.88 ,$223.87 ,$147.27 ,$280.07 ,$99.59 ,$104.22 ,$99.59 ,$145.65 ,$145.65 ,$120.77 ,$112.71 ,$282.87 ,$221.76 ,$151.31 ,$294.07 ,$161.83 ,$140.79 ,$280.07 ,$145.65 ,$280.07 ,$145.65 ,$145.65 ,$145.65 ,$156.98 ,$131.08 ,$145.65 ,$145.65 ,$145.65 ,$145.65 
ST. JOSEPH'S - CHIPPEWA FALLS,98180350,43760,PC CHANGE GASTROSTOMY TUBE,981,1 ,$332.00 ,$249.00 ,$182.60 ,$332.00 ,$213.81 , N/A ,$232.40 , N/A ,$275.56 , N/A ,$219.12 ,$315.40 , N/A ,$265.60 ,$302.12 , N/A ,$312.08 ,$315.40 ,$298.80 ,$282.20 , N/A , N/A , N/A ,$242.36 , N/A ,$295.48 ,$298.80 ,$298.80 ,$265.60 , N/A ,$182.60 ,$298.80 , N/A ,$298.80 , N/A ,$315.40 , N/A ,$305.44 , N/A ,$302.12 , N/A ,$204.31 ,$213.81 ,$204.31 ,$298.80 ,$298.80 ,$247.77 ,$231.24 , N/A , N/A ,$310.42 , N/A , N/A ,$288.84 , N/A ,$298.80 , N/A ,$298.80 ,$298.80 ,$298.80 ,$322.04 ,$268.92 ,$298.80 ,$298.80 ,$298.80 ,$298.80 
ST. JOSEPH'S - CHIPPEWA FALLS,98180352,59409,"PC OBSTETRICAL CARE,VAG DELIV ONLY",981,1 ,"$2,631.02 ","$1,973.27 ",$681.83 ,"$6,091.95 ","$1,694.38 ","$2,707.53 ","$1,841.71 ",$681.83 ,"$2,183.75 ",$702.28 ,"$1,736.47 ","$2,499.47 ", N/A ,"$2,104.82 ","$2,394.23 ",$681.83 ,"$2,473.16 ","$2,499.47 ","$2,367.92 ","$2,236.37 ",$681.83 ,$681.83 ,$681.83 ,"$1,920.64 ","$2,707.53 ","$2,341.61 ","$2,367.92 ","$2,367.92 ","$2,104.82 ","$2,788.76 ","$1,447.06 ","$2,367.92 ","$2,707.53 ","$2,367.92 ","$2,707.53 ","$2,499.47 ","$6,091.95 ","$2,420.54 ",$722.74 ,"$2,394.23 ","$2,707.53 ","$1,619.13 ","$1,694.38 ","$1,619.13 ","$2,367.92 ","$2,367.92 ","$1,963.53 ","$1,832.51 ","$2,734.61 ",$715.92 ,"$2,460.00 ","$2,842.91 ",$681.83 ,"$2,288.99 ","$2,707.53 ","$2,367.92 ","$2,707.53 ","$2,367.92 ","$2,367.92 ","$2,367.92 ","$2,552.09 ","$2,131.13 ","$2,367.92 ","$2,367.92 ","$2,367.92 ","$2,367.92 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180353,59414,PC DELIVER PLACENTA,981,1 ,$783.78 ,$587.84 ,$431.08 ,"$6,091.95 ",$504.75 ,"$2,707.53 ",$548.65 ,$595.75 ,$650.54 ,$613.62 ,$517.29 ,$744.59 , N/A ,$627.02 ,$713.24 ,$595.75 ,$736.75 ,$744.59 ,$705.40 ,$666.21 ,$595.75 ,$595.75 ,$595.75 ,$572.16 ,"$2,707.53 ",$697.56 ,$705.40 ,$705.40 ,$627.02 ,"$2,788.76 ",$431.08 ,$705.40 ,"$2,707.53 ",$705.40 ,"$2,707.53 ",$744.59 ,"$6,091.95 ",$721.08 ,$631.50 ,$713.24 ,"$2,707.53 ",$482.34 ,$504.75 ,$482.34 ,$705.40 ,$705.40 ,$584.94 ,$545.90 ,"$2,734.61 ",$625.54 ,$732.83 ,"$2,842.91 ",$595.75 ,$681.89 ,"$2,707.53 ",$705.40 ,"$2,707.53 ",$705.40 ,$705.40 ,$705.40 ,$760.27 ,$634.86 ,$705.40 ,$705.40 ,$705.40 ,$705.40 
ST. JOSEPH'S - CHIPPEWA FALLS,98180355,62270,"PC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC",981,1 ,$723.50 ,$542.63 ,$268.66 ,"$1,474.40 ",$465.93 ,$655.29 ,$506.45 ,$268.66 ,$600.51 ,$276.72 ,$477.51 ,$687.33 , N/A ,$578.80 ,$658.39 ,$268.66 ,$680.09 ,$687.33 ,$651.15 ,$614.98 ,$268.66 ,$268.66 ,$268.66 ,$528.16 ,$655.29 ,$643.92 ,$651.15 ,$651.15 ,$578.80 ,$674.95 ,$397.93 ,$651.15 ,$655.29 ,$651.15 ,$655.29 ,$687.33 ,"$1,474.40 ",$665.62 ,$284.78 ,$658.39 ,$655.29 ,$445.24 ,$465.93 ,$445.24 ,$651.15 ,$651.15 ,$539.95 ,$503.92 ,$661.84 ,$282.09 ,$676.47 ,$688.05 ,$268.66 ,$629.45 ,$655.29 ,$651.15 ,$655.29 ,$651.15 ,$651.15 ,$651.15 ,$701.80 ,$586.04 ,$651.15 ,$651.15 ,$651.15 ,$651.15 
ST. JOSEPH'S - CHIPPEWA FALLS,98180358,67938,"PC REMOVE EYELID FOREIGN BODY,EMBEDDED",981,1 ,$324.28 ,$243.21 ,$98.99 ,$607.39 ,$208.84 ,$269.95 ,$227.00 ,$98.99 ,$269.15 ,$101.96 ,$214.02 ,$308.07 , N/A ,$259.42 ,$295.09 ,$98.99 ,$304.82 ,$308.07 ,$291.85 ,$275.64 ,$98.99 ,$98.99 ,$98.99 ,$236.72 ,$269.95 ,$288.61 ,$291.85 ,$291.85 ,$259.42 ,$278.05 ,$178.35 ,$291.85 ,$269.95 ,$291.85 ,$269.95 ,$308.07 ,$607.39 ,$298.34 ,$104.93 ,$295.09 ,$269.95 ,$199.56 ,$208.84 ,$199.56 ,$291.85 ,$291.85 ,$242.01 ,$225.86 ,$272.65 ,$103.94 ,$303.20 ,$283.45 ,$98.99 ,$282.12 ,$269.95 ,$291.85 ,$269.95 ,$291.85 ,$291.85 ,$291.85 ,$314.55 ,$262.67 ,$291.85 ,$291.85 ,$291.85 ,$291.85 
ST. JOSEPH'S - CHIPPEWA FALLS,98180437,92950,PC HEART/LUNG RESUSCITATION (CPR),981,1 ,"$1,112.00 ",$834.00 ,$273.11 ,"$1,112.00 ",$716.13 ,$273.11 ,$778.40 ,$285.38 ,$922.96 ,$293.94 ,$733.92 ,"$1,056.40 ", N/A ,$889.60 ,"$1,011.92 ",$285.38 ,"$1,045.28 ","$1,056.40 ","$1,000.80 ",$945.20 ,$285.38 ,$285.38 ,$285.38 ,$811.76 ,$273.11 ,$989.68 ,"$1,000.80 ","$1,000.80 ",$889.60 ,$281.31 ,$611.60 ,"$1,000.80 ",$273.11 ,"$1,000.80 ",$273.11 ,"$1,056.40 ",$614.50 ,"$1,023.04 ",$302.50 ,"$1,011.92 ",$273.11 ,$684.32 ,$716.13 ,$684.32 ,"$1,000.80 ","$1,000.80 ",$829.89 ,$774.51 ,$275.84 ,$299.65 ,"$1,039.72 ",$286.77 ,$285.38 ,$967.44 ,$273.11 ,"$1,000.80 ",$273.11 ,"$1,000.80 ","$1,000.80 ","$1,000.80 ","$1,078.64 ",$900.72 ,"$1,000.80 ","$1,000.80 ","$1,000.80 ","$1,000.80 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180438,92960,"PC CARDIOVERSION, ELECTIVE;EXTERN",981,1 ,$899.60 ,$674.70 ,$202.92 ,"$1,304.37 ",$579.34 ,$579.72 ,$629.72 ,$202.92 ,$746.67 ,$209.01 ,$593.74 ,$854.62 , N/A ,$719.68 ,$818.64 ,$202.92 ,$845.62 ,$854.62 ,$809.64 ,$764.66 ,$202.92 ,$202.92 ,$202.92 ,$656.71 ,$579.72 ,$800.64 ,$809.64 ,$809.64 ,$719.68 ,$597.11 ,$494.78 ,$809.64 ,$579.72 ,$809.64 ,$579.72 ,$854.62 ,"$1,304.37 ",$827.63 ,$215.10 ,$818.64 ,$579.72 ,$553.61 ,$579.34 ,$553.61 ,$809.64 ,$809.64 ,$671.37 ,$626.57 ,$585.52 ,$213.07 ,$841.13 ,$608.71 ,$202.92 ,$782.65 ,$579.72 ,$809.64 ,$579.72 ,$809.64 ,$809.64 ,$809.64 ,$872.61 ,$728.68 ,$809.64 ,$809.64 ,$809.64 ,$809.64 
ST. JOSEPH'S - CHIPPEWA FALLS,98180443,92977,"PC THROMBOLYSIS,CORONARY,IV INFUSN",981,1 ,"$1,667.43 ","$1,250.57 ",$161.07 ,"$1,667.43 ","$1,073.82 ",$329.04 ,"$1,167.20 ",$161.07 ,"$1,383.97 ",$165.90 ,"$1,100.50 ","$1,584.06 ", N/A ,"$1,333.94 ","$1,517.36 ",$161.07 ,"$1,567.38 ","$1,584.06 ","$1,500.69 ","$1,417.32 ",$161.07 ,$161.07 ,$161.07 ,"$1,217.22 ",$329.04 ,"$1,484.01 ","$1,500.69 ","$1,500.69 ","$1,333.94 ",$338.91 ,$917.09 ,"$1,500.69 ",$329.04 ,"$1,500.69 ",$329.04 ,"$1,584.06 ",$740.34 ,"$1,534.04 ",$170.73 ,"$1,517.36 ",$329.04 ,"$1,026.14 ","$1,073.82 ","$1,026.14 ","$1,500.69 ","$1,500.69 ","$1,244.40 ","$1,161.37 ",$332.33 ,$169.12 ,"$1,559.05 ",$345.49 ,$161.07 ,"$1,450.66 ",$329.04 ,"$1,500.69 ",$329.04 ,"$1,500.69 ","$1,500.69 ","$1,500.69 ","$1,617.41 ","$1,350.62 ","$1,500.69 ","$1,500.69 ","$1,500.69 ","$1,500.69 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180447,93042,"PC RHYTHM ECG, REPORT",981,1 ,$92.40 ,$69.30 ,$8.28 ,$92.40 ,$59.51 , N/A ,$64.68 ,$8.28 ,$76.69 ,$8.53 ,$60.98 ,$87.78 , N/A ,$73.92 ,$84.08 ,$8.28 ,$86.86 ,$87.78 ,$83.16 ,$78.54 ,$8.28 ,$8.28 ,$8.28 ,$67.45 , N/A ,$82.24 ,$83.16 ,$83.16 ,$73.92 , N/A ,$50.82 ,$83.16 , N/A ,$83.16 , N/A ,$87.78 , N/A ,$85.01 ,$8.78 ,$84.08 , N/A ,$56.86 ,$59.51 ,$56.86 ,$83.16 ,$83.16 ,$68.96 ,$64.36 , N/A ,$8.69 ,$86.39 , N/A ,$8.28 ,$80.39 , N/A ,$83.16 , N/A ,$83.16 ,$83.16 ,$83.16 ,$89.63 ,$74.84 ,$83.16 ,$83.16 ,$83.16 ,$83.16 
ST. JOSEPH'S - CHIPPEWA FALLS,98180462,99175,PC INDUCTION OF VOMITING,981,1 ,$150.53 ,$112.90 ,$82.79 ,$223.87 ,$96.94 , N/A ,$105.37 ,$150.53 ,$124.94 ,$217.54 ,$99.35 ,$143.00 , N/A ,$120.42 ,$136.98 ,$150.53 ,$141.50 ,$143.00 ,$135.48 ,$127.95 ,$211.20 ,$211.20 ,$211.20 ,$109.89 , N/A ,$133.97 ,$135.48 ,$135.48 ,$120.42 , N/A ,$82.79 ,$135.48 , N/A ,$135.48 , N/A ,$143.00 , N/A ,$138.49 ,$223.87 ,$136.98 , N/A ,$92.64 ,$96.94 ,$92.64 ,$135.48 ,$135.48 ,$112.34 ,$104.84 , N/A ,$221.76 ,$140.75 , N/A ,$150.53 ,$130.96 , N/A ,$135.48 , N/A ,$135.48 ,$135.48 ,$135.48 ,$146.01 ,$121.93 ,$135.48 ,$135.48 ,$135.48 ,$135.48 
ST. JOSEPH'S - CHIPPEWA FALLS,98180464,99281,"PC EMERGENCY DEPT VISIT,LEVEL I",981,1 ,$158.00 ,$118.50 ,$38.23 ,$168.42 ,$101.75 ,$74.85 ,$110.60 ,$38.23 ,$131.14 ,$39.38 ,$104.28 ,$150.10 , N/A ,$126.40 ,$143.78 ,$38.23 ,$148.52 ,$150.10 ,$142.20 ,$134.30 ,$38.23 ,$38.23 ,$38.23 ,$115.34 ,$74.85 ,$140.62 ,$142.20 ,$142.20 ,$126.40 ,$77.10 ,$86.90 ,$142.20 ,$74.85 ,$142.20 ,$74.85 ,$150.10 ,$168.42 ,$145.36 ,$40.52 ,$143.78 ,$74.85 ,$97.23 ,$101.75 ,$97.23 ,$142.20 ,$142.20 ,$117.92 ,$110.05 ,$75.60 ,$40.14 ,$147.73 ,$78.59 ,$38.23 ,$137.46 ,$74.85 ,$142.20 ,$74.85 ,$142.20 ,$142.20 ,$142.20 ,$153.26 ,$127.98 ,$142.20 ,$142.20 ,$142.20 ,$142.20 
ST. JOSEPH'S - CHIPPEWA FALLS,98180465,99282,"PC EMERGENCY DEPT VISIT,LEVEL II",981,1 ,$212.70 ,$159.53 ,$38.23 ,$304.99 ,$136.98 ,$135.55 ,$148.89 ,$38.23 ,$176.54 ,$39.38 ,$140.38 ,$202.07 , N/A ,$170.16 ,$193.56 ,$38.23 ,$199.94 ,$202.07 ,$191.43 ,$180.80 ,$38.23 ,$38.23 ,$38.23 ,$155.27 ,$135.55 ,$189.30 ,$191.43 ,$191.43 ,$170.16 ,$139.62 ,$116.99 ,$191.43 ,$135.55 ,$191.43 ,$135.55 ,$202.07 ,$304.99 ,$195.68 ,$40.52 ,$193.56 ,$135.55 ,$130.90 ,$136.98 ,$130.90 ,$191.43 ,$191.43 ,$158.74 ,$148.15 ,$136.91 ,$40.14 ,$198.87 ,$142.33 ,$38.23 ,$185.05 ,$135.55 ,$191.43 ,$135.55 ,$191.43 ,$191.43 ,$191.43 ,$206.32 ,$172.29 ,$191.43 ,$191.43 ,$191.43 ,$191.43 
ST. JOSEPH'S - CHIPPEWA FALLS,98180466,99283,"PC EMERGENCY DEPT VISIT,LEVEL III",981,1 ,$327.00 ,$245.25 ,$38.23 ,$537.34 ,$210.59 ,$238.82 ,$228.90 ,$38.23 ,$271.41 ,$39.38 ,$215.82 ,$310.65 , N/A ,$261.60 ,$297.57 ,$38.23 ,$307.38 ,$310.65 ,$294.30 ,$277.95 ,$38.23 ,$38.23 ,$38.23 ,$238.71 ,$238.82 ,$291.03 ,$294.30 ,$294.30 ,$261.60 ,$245.98 ,$179.85 ,$294.30 ,$238.82 ,$294.30 ,$238.82 ,$310.65 ,$537.34 ,$300.84 ,$40.52 ,$297.57 ,$238.82 ,$201.24 ,$210.59 ,$201.24 ,$294.30 ,$294.30 ,$244.04 ,$227.76 ,$241.21 ,$40.14 ,$305.75 ,$250.76 ,$38.23 ,$284.49 ,$238.82 ,$294.30 ,$238.82 ,$294.30 ,$294.30 ,$294.30 ,$317.19 ,$264.87 ,$294.30 ,$294.30 ,$294.30 ,$294.30 
ST. JOSEPH'S - CHIPPEWA FALLS,98180467,99284,"PC EMERGENCY DEPT VISIT,LEVEL IV",981,1 ,$488.50 ,$366.38 ,$38.23 ,$844.65 ,$314.59 ,$375.40 ,$341.95 ,$38.23 ,$405.46 ,$39.38 ,$322.41 ,$464.08 , N/A ,$390.80 ,$444.54 ,$38.23 ,$459.19 ,$464.08 ,$439.65 ,$415.23 ,$38.23 ,$38.23 ,$38.23 ,$356.61 ,$375.40 ,$434.77 ,$439.65 ,$439.65 ,$390.80 ,$386.66 ,$268.68 ,$439.65 ,$375.40 ,$439.65 ,$375.40 ,$464.08 ,$844.65 ,$449.42 ,$40.52 ,$444.54 ,$375.40 ,$300.62 ,$314.59 ,$300.62 ,$439.65 ,$439.65 ,$364.57 ,$340.24 ,$379.15 ,$40.14 ,$456.75 ,$394.17 ,$38.23 ,$425.00 ,$375.40 ,$439.65 ,$375.40 ,$439.65 ,$439.65 ,$439.65 ,$473.85 ,$395.69 ,$439.65 ,$439.65 ,$439.65 ,$439.65 
ST. JOSEPH'S - CHIPPEWA FALLS,98180468,99285,"PC EMERGENCY DEPT VISIT,LEVEL V",981,1 ,$739.10 ,$554.33 ,$38.23 ,"$1,212.38 ",$475.98 ,$538.84 ,$517.37 ,$38.23 ,$613.45 ,$39.38 ,$487.81 ,$702.15 , N/A ,$591.28 ,$672.58 ,$38.23 ,$694.75 ,$702.15 ,$665.19 ,$628.24 ,$38.23 ,$38.23 ,$38.23 ,$539.54 ,$538.84 ,$657.80 ,$665.19 ,$665.19 ,$591.28 ,$555.00 ,$406.51 ,$665.19 ,$538.84 ,$665.19 ,$538.84 ,$702.15 ,"$1,212.38 ",$679.97 ,$40.52 ,$672.58 ,$538.84 ,$454.84 ,$475.98 ,$454.84 ,$665.19 ,$665.19 ,$551.59 ,$514.78 ,$544.23 ,$40.14 ,$691.06 ,$565.78 ,$38.23 ,$643.02 ,$538.84 ,$665.19 ,$538.84 ,$665.19 ,$665.19 ,$665.19 ,$716.93 ,$598.67 ,$665.19 ,$665.19 ,$665.19 ,$665.19 
ST. JOSEPH'S - CHIPPEWA FALLS,98180469,99291,"PC CRITICAL CARE, E/M 30-74 MINUTES",981,1 ,$850.30 ,$637.73 ,$38.23 ,"$1,729.53 ",$547.59 ,$768.68 ,$595.21 ,$38.23 ,$705.75 ,$39.38 ,$561.20 ,$807.79 , N/A ,$680.24 ,$773.77 ,$38.23 ,$799.28 ,$807.79 ,$765.27 ,$722.76 ,$38.23 ,$38.23 ,$38.23 ,$620.72 ,$768.68 ,$756.77 ,$765.27 ,$765.27 ,$680.24 ,$791.74 ,$467.67 ,$765.27 ,$768.68 ,$765.27 ,$768.68 ,$807.79 ,"$1,729.53 ",$782.28 ,$40.52 ,$773.77 ,$768.68 ,$523.27 ,$547.59 ,$523.27 ,$765.27 ,$765.27 ,$634.58 ,$592.23 ,$776.37 ,$40.14 ,$795.03 ,$807.11 ,$38.23 ,$739.76 ,$768.68 ,$765.27 ,$768.68 ,$765.27 ,$765.27 ,$765.27 ,$824.79 ,$688.74 ,$765.27 ,$765.27 ,$765.27 ,$765.27 
ST. JOSEPH'S - CHIPPEWA FALLS,98180470,99292,"PC CRITICAL CARE, ADDL 30 MIN",981,1 ,$421.10 ,$315.83 ,$38.23 ,$421.10 ,$271.19 , N/A ,$294.77 ,$38.23 ,$349.51 ,$39.38 ,$277.93 ,$400.05 , N/A ,$336.88 ,$383.20 ,$38.23 ,$395.83 ,$400.05 ,$378.99 ,$357.94 ,$38.23 ,$38.23 ,$38.23 ,$307.40 , N/A ,$374.78 ,$378.99 ,$378.99 ,$336.88 , N/A ,$231.61 ,$378.99 , N/A ,$378.99 , N/A ,$400.05 , N/A ,$387.41 ,$40.52 ,$383.20 , N/A ,$259.14 ,$271.19 ,$259.14 ,$378.99 ,$378.99 ,$314.27 ,$293.30 , N/A ,$40.14 ,$393.73 , N/A ,$38.23 ,$366.36 , N/A ,$378.99 , N/A ,$378.99 ,$378.99 ,$378.99 ,$408.47 ,$341.09 ,$378.99 ,$378.99 ,$378.99 ,$378.99 
ST. JOSEPH'S - CHIPPEWA FALLS,98180477,28190,PC REMOVE FB FOOT,981,1 ,$847.17 ,$635.38 ,$139.95 ,"$1,444.89 ",$545.58 ,$642.18 ,$593.02 ,$139.95 ,$703.15 ,$144.15 ,$559.13 ,$804.81 , N/A ,$677.74 ,$770.92 ,$139.95 ,$796.34 ,$804.81 ,$762.45 ,$720.09 ,$139.95 ,$139.95 ,$139.95 ,$618.43 ,$642.18 ,$753.98 ,$762.45 ,$762.45 ,$677.74 ,$661.44 ,$465.94 ,$762.45 ,$642.18 ,$762.45 ,$642.18 ,$804.81 ,"$1,444.89 ",$779.40 ,$148.35 ,$770.92 ,$642.18 ,$521.35 ,$545.58 ,$521.35 ,$762.45 ,$762.45 ,$632.24 ,$590.05 ,$648.60 ,$146.95 ,$792.10 ,$674.29 ,$139.95 ,$737.04 ,$642.18 ,$762.45 ,$642.18 ,$762.45 ,$762.45 ,$762.45 ,$821.75 ,$686.21 ,$762.45 ,$762.45 ,$762.45 ,$762.45 
ST. JOSEPH'S - CHIPPEWA FALLS,98180480,11055,PC PARING LESION BENIGN SINGLE,981,1 ,$71.93 ,$53.95 ,$39.56 ,$416.96 ,$46.32 ,$185.31 ,$50.35 ,$51.36 ,$59.70 ,$52.90 ,$47.47 ,$68.33 , N/A ,$57.54 ,$65.46 ,$51.36 ,$67.61 ,$68.33 ,$64.74 ,$61.14 ,$51.36 ,$51.36 ,$51.36 ,$52.51 ,$185.31 ,$64.02 ,$64.74 ,$64.74 ,$57.54 ,$190.87 ,$39.56 ,$64.74 ,$185.31 ,$64.74 ,$185.31 ,$68.33 ,$416.96 ,$66.18 ,$54.44 ,$65.46 ,$185.31 ,$44.27 ,$46.32 ,$44.27 ,$64.74 ,$64.74 ,$53.68 ,$50.10 ,$187.17 ,$53.93 ,$67.25 ,$194.58 ,$51.36 ,$62.58 ,$185.31 ,$64.74 ,$185.31 ,$64.74 ,$64.74 ,$64.74 ,$69.77 ,$58.26 ,$64.74 ,$64.74 ,$64.74 ,$64.74 
ST. JOSEPH'S - CHIPPEWA FALLS,98180484,11300,PC SHAVING LESION TRUNK/ARM/LEG <0.5CM,981,1 ,$232.63 ,$174.47 ,$51.36 ,$802.54 ,$149.81 ,$356.69 ,$162.84 ,$51.36 ,$193.08 ,$52.90 ,$153.54 ,$221.00 , N/A ,$186.10 ,$211.69 ,$51.36 ,$218.67 ,$221.00 ,$209.37 ,$197.74 ,$51.36 ,$51.36 ,$51.36 ,$169.82 ,$356.69 ,$207.04 ,$209.37 ,$209.37 ,$186.10 ,$367.39 ,$127.95 ,$209.37 ,$356.69 ,$209.37 ,$356.69 ,$221.00 ,$802.54 ,$214.02 ,$54.44 ,$211.69 ,$356.69 ,$143.16 ,$149.81 ,$143.16 ,$209.37 ,$209.37 ,$173.61 ,$162.03 ,$360.25 ,$53.93 ,$217.51 ,$374.52 ,$51.36 ,$202.39 ,$356.69 ,$209.37 ,$356.69 ,$209.37 ,$209.37 ,$209.37 ,$225.65 ,$188.43 ,$209.37 ,$209.37 ,$209.37 ,$209.37 
ST. JOSEPH'S - CHIPPEWA FALLS,98180485,11400,PC EXC LESION BENIGN TRUNK/ARM/LEG <0.5CM,981,1 ,$368.98 ,$276.74 ,$139.95 ,"$1,444.89 ",$237.62 ,$642.18 ,$258.29 ,$139.95 ,$306.25 ,$144.15 ,$243.53 ,$350.53 , N/A ,$295.18 ,$335.77 ,$139.95 ,$346.84 ,$350.53 ,$332.08 ,$313.63 ,$139.95 ,$139.95 ,$139.95 ,$269.36 ,$642.18 ,$328.39 ,$332.08 ,$332.08 ,$295.18 ,$661.44 ,$202.94 ,$332.08 ,$642.18 ,$332.08 ,$642.18 ,$350.53 ,"$1,444.89 ",$339.46 ,$148.35 ,$335.77 ,$642.18 ,$227.07 ,$237.62 ,$227.07 ,$332.08 ,$332.08 ,$275.37 ,$256.99 ,$648.60 ,$146.95 ,$345.00 ,$674.29 ,$139.95 ,$321.01 ,$642.18 ,$332.08 ,$642.18 ,$332.08 ,$332.08 ,$332.08 ,$357.91 ,$298.87 ,$332.08 ,$332.08 ,$332.08 ,$332.08 
ST. JOSEPH'S - CHIPPEWA FALLS,98180486,11401,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 0.6-1.0CM,981,1 ,$439.26 ,$329.45 ,$139.95 ,$802.54 ,$282.88 ,$356.69 ,$307.48 ,$139.95 ,$364.59 ,$144.15 ,$289.91 ,$417.30 , N/A ,$351.41 ,$399.73 ,$139.95 ,$412.90 ,$417.30 ,$395.33 ,$373.37 ,$139.95 ,$139.95 ,$139.95 ,$320.66 ,$356.69 ,$390.94 ,$395.33 ,$395.33 ,$351.41 ,$367.39 ,$241.59 ,$395.33 ,$356.69 ,$395.33 ,$356.69 ,$417.30 ,$802.54 ,$404.12 ,$148.35 ,$399.73 ,$356.69 ,$270.32 ,$282.88 ,$270.32 ,$395.33 ,$395.33 ,$327.82 ,$305.94 ,$360.25 ,$146.95 ,$410.71 ,$374.52 ,$139.95 ,$382.16 ,$356.69 ,$395.33 ,$356.69 ,$395.33 ,$395.33 ,$395.33 ,$426.08 ,$355.80 ,$395.33 ,$395.33 ,$395.33 ,$395.33 
ST. JOSEPH'S - CHIPPEWA FALLS,98180487,11402,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM,981,1 ,$562.25 ,$421.69 ,$139.95 ,"$1,444.89 ",$362.09 ,$642.18 ,$393.58 ,$139.95 ,$466.67 ,$144.15 ,$371.09 ,$534.14 , N/A ,$449.80 ,$511.65 ,$139.95 ,$528.52 ,$534.14 ,$506.03 ,$477.91 ,$139.95 ,$139.95 ,$139.95 ,$410.44 ,$642.18 ,$500.40 ,$506.03 ,$506.03 ,$449.80 ,$661.44 ,$309.24 ,$506.03 ,$642.18 ,$506.03 ,$642.18 ,$534.14 ,"$1,444.89 ",$517.27 ,$148.35 ,$511.65 ,$642.18 ,$346.01 ,$362.09 ,$346.01 ,$506.03 ,$506.03 ,$419.61 ,$391.61 ,$648.60 ,$146.95 ,$525.70 ,$674.29 ,$139.95 ,$489.16 ,$642.18 ,$506.03 ,$642.18 ,$506.03 ,$506.03 ,$506.03 ,$545.38 ,$455.42 ,$506.03 ,$506.03 ,$506.03 ,$506.03 
ST. JOSEPH'S - CHIPPEWA FALLS,98180488,11403,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM,981,1 ,$720.28 ,$540.21 ,$139.95 ,"$1,444.89 ",$463.86 ,$642.18 ,$504.20 ,$139.95 ,$597.83 ,$144.15 ,$475.38 ,$684.27 , N/A ,$576.22 ,$655.45 ,$139.95 ,$677.06 ,$684.27 ,$648.25 ,$612.24 ,$139.95 ,$139.95 ,$139.95 ,$525.80 ,$642.18 ,$641.05 ,$648.25 ,$648.25 ,$576.22 ,$661.44 ,$396.15 ,$648.25 ,$642.18 ,$648.25 ,$642.18 ,$684.27 ,"$1,444.89 ",$662.66 ,$148.35 ,$655.45 ,$642.18 ,$443.26 ,$463.86 ,$443.26 ,$648.25 ,$648.25 ,$537.55 ,$501.68 ,$648.60 ,$146.95 ,$673.46 ,$674.29 ,$139.95 ,$626.64 ,$642.18 ,$648.25 ,$642.18 ,$648.25 ,$648.25 ,$648.25 ,$698.67 ,$583.43 ,$648.25 ,$648.25 ,$648.25 ,$648.25 
ST. JOSEPH'S - CHIPPEWA FALLS,98180489,11404,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 3.1-4.0CM,981,1 ,$948.79 ,$711.59 ,$360.88 ,"$3,266.98 ",$611.02 ,"$1,451.99 ",$664.15 ,$360.88 ,$787.50 ,$371.71 ,$626.20 ,$901.35 , N/A ,$759.03 ,$863.40 ,$360.88 ,$891.86 ,$901.35 ,$853.91 ,$806.47 ,$360.88 ,$360.88 ,$360.88 ,$692.62 ,"$1,451.99 ",$844.42 ,$853.91 ,$853.91 ,$759.03 ,"$1,495.55 ",$521.83 ,$853.91 ,"$1,451.99 ",$853.91 ,"$1,451.99 ",$901.35 ,"$3,266.98 ",$872.89 ,$382.53 ,$863.40 ,"$1,451.99 ",$583.89 ,$611.02 ,$583.89 ,$853.91 ,$853.91 ,$708.08 ,$660.83 ,"$1,466.51 ",$378.92 ,$887.12 ,"$1,524.59 ",$360.88 ,$825.45 ,"$1,451.99 ",$853.91 ,"$1,451.99 ",$853.91 ,$853.91 ,$853.91 ,$920.33 ,$768.52 ,$853.91 ,$853.91 ,$853.91 ,$853.91 
ST. JOSEPH'S - CHIPPEWA FALLS,98180490,11420,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET <0.5CM,981,1 ,$368.98 ,$276.74 ,$202.94 ,"$3,266.98 ",$237.62 ,"$1,451.99 ",$258.29 ,$360.88 ,$306.25 ,$371.71 ,$243.53 ,$350.53 , N/A ,$295.18 ,$335.77 ,$360.88 ,$346.84 ,$350.53 ,$332.08 ,$313.63 ,$360.88 ,$360.88 ,$360.88 ,$269.36 ,"$1,451.99 ",$328.39 ,$332.08 ,$332.08 ,$295.18 ,"$1,495.55 ",$202.94 ,$332.08 ,"$1,451.99 ",$332.08 ,"$1,451.99 ",$350.53 ,"$3,266.98 ",$339.46 ,$382.53 ,$335.77 ,"$1,451.99 ",$227.07 ,$237.62 ,$227.07 ,$332.08 ,$332.08 ,$275.37 ,$256.99 ,"$1,466.51 ",$378.92 ,$345.00 ,"$1,524.59 ",$360.88 ,$321.01 ,"$1,451.99 ",$332.08 ,"$1,451.99 ",$332.08 ,$332.08 ,$332.08 ,$357.91 ,$298.87 ,$332.08 ,$332.08 ,$332.08 ,$332.08 
ST. JOSEPH'S - CHIPPEWA FALLS,98180491,11421,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 0.6-1.0CM,981,1 ,$474.40 ,$355.80 ,$139.95 ,"$1,444.89 ",$305.51 ,$642.18 ,$332.08 ,$139.95 ,$393.75 ,$144.15 ,$313.10 ,$450.68 , N/A ,$379.52 ,$431.70 ,$139.95 ,$445.94 ,$450.68 ,$426.96 ,$403.24 ,$139.95 ,$139.95 ,$139.95 ,$346.31 ,$642.18 ,$422.22 ,$426.96 ,$426.96 ,$379.52 ,$661.44 ,$260.92 ,$426.96 ,$642.18 ,$426.96 ,$642.18 ,$450.68 ,"$1,444.89 ",$436.45 ,$148.35 ,$431.70 ,$642.18 ,$291.95 ,$305.51 ,$291.95 ,$426.96 ,$426.96 ,$354.04 ,$330.42 ,$648.60 ,$146.95 ,$443.56 ,$674.29 ,$139.95 ,$412.73 ,$642.18 ,$426.96 ,$642.18 ,$426.96 ,$426.96 ,$426.96 ,$460.17 ,$384.26 ,$426.96 ,$426.96 ,$426.96 ,$426.96 
ST. JOSEPH'S - CHIPPEWA FALLS,98180492,11422,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 1.1-2.0CM,981,1 ,$597.39 ,$448.04 ,$328.56 ,"$3,266.98 ",$384.72 ,"$1,451.99 ",$418.17 ,$360.88 ,$495.83 ,$371.71 ,$394.28 ,$567.52 , N/A ,$477.91 ,$543.62 ,$360.88 ,$561.55 ,$567.52 ,$537.65 ,$507.78 ,$360.88 ,$360.88 ,$360.88 ,$436.09 ,"$1,451.99 ",$531.68 ,$537.65 ,$537.65 ,$477.91 ,"$1,495.55 ",$328.56 ,$537.65 ,"$1,451.99 ",$537.65 ,"$1,451.99 ",$567.52 ,"$3,266.98 ",$549.60 ,$382.53 ,$543.62 ,"$1,451.99 ",$367.63 ,$384.72 ,$367.63 ,$537.65 ,$537.65 ,$445.83 ,$416.08 ,"$1,466.51 ",$378.92 ,$558.56 ,"$1,524.59 ",$360.88 ,$519.73 ,"$1,451.99 ",$537.65 ,"$1,451.99 ",$537.65 ,$537.65 ,$537.65 ,$579.47 ,$483.89 ,$537.65 ,$537.65 ,$537.65 ,$537.65 
ST. JOSEPH'S - CHIPPEWA FALLS,98180493,11423,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 2.1-3.0CM,981,1 ,$878.51 ,$658.88 ,$360.88 ,"$3,266.98 ",$565.76 ,"$1,451.99 ",$614.96 ,$360.88 ,$729.16 ,$371.71 ,$579.82 ,$834.58 , N/A ,$702.81 ,$799.44 ,$360.88 ,$825.80 ,$834.58 ,$790.66 ,$746.73 ,$360.88 ,$360.88 ,$360.88 ,$641.31 ,"$1,451.99 ",$781.87 ,$790.66 ,$790.66 ,$702.81 ,"$1,495.55 ",$483.18 ,$790.66 ,"$1,451.99 ",$790.66 ,"$1,451.99 ",$834.58 ,"$3,266.98 ",$808.23 ,$382.53 ,$799.44 ,"$1,451.99 ",$540.64 ,$565.76 ,$540.64 ,$790.66 ,$790.66 ,$655.63 ,$611.88 ,"$1,466.51 ",$378.92 ,$821.41 ,"$1,524.59 ",$360.88 ,$764.30 ,"$1,451.99 ",$790.66 ,"$1,451.99 ",$790.66 ,$790.66 ,$790.66 ,$852.15 ,$711.59 ,$790.66 ,$790.66 ,$790.66 ,$790.66 
ST. JOSEPH'S - CHIPPEWA FALLS,98180494,11440,PC EXCISION LESION BENIGN FACE/EAR <0.5CM,981,1 ,$439.26 ,$329.45 ,$139.95 ,"$1,444.89 ",$282.88 ,$642.18 ,$307.48 ,$139.95 ,$364.59 ,$144.15 ,$289.91 ,$417.30 , N/A ,$351.41 ,$399.73 ,$139.95 ,$412.90 ,$417.30 ,$395.33 ,$373.37 ,$139.95 ,$139.95 ,$139.95 ,$320.66 ,$642.18 ,$390.94 ,$395.33 ,$395.33 ,$351.41 ,$661.44 ,$241.59 ,$395.33 ,$642.18 ,$395.33 ,$642.18 ,$417.30 ,"$1,444.89 ",$404.12 ,$148.35 ,$399.73 ,$642.18 ,$270.32 ,$282.88 ,$270.32 ,$395.33 ,$395.33 ,$327.82 ,$305.94 ,$648.60 ,$146.95 ,$410.71 ,$674.29 ,$139.95 ,$382.16 ,$642.18 ,$395.33 ,$642.18 ,$395.33 ,$395.33 ,$395.33 ,$426.08 ,$355.80 ,$395.33 ,$395.33 ,$395.33 ,$395.33 
ST. JOSEPH'S - CHIPPEWA FALLS,98180495,11442,PC EXCISION LESION BENIGN FACE/EAR 1.1-2.0CM,981,1 ,$773.09 ,$579.82 ,$139.95 ,"$1,444.89 ",$497.87 ,$642.18 ,$541.16 ,$139.95 ,$641.66 ,$144.15 ,$510.24 ,$734.44 , N/A ,$618.47 ,$703.51 ,$139.95 ,$726.70 ,$734.44 ,$695.78 ,$657.13 ,$139.95 ,$139.95 ,$139.95 ,$564.36 ,$642.18 ,$688.05 ,$695.78 ,$695.78 ,$618.47 ,$661.44 ,$425.20 ,$695.78 ,$642.18 ,$695.78 ,$642.18 ,$734.44 ,"$1,444.89 ",$711.24 ,$148.35 ,$703.51 ,$642.18 ,$475.76 ,$497.87 ,$475.76 ,$695.78 ,$695.78 ,$576.96 ,$538.46 ,$648.60 ,$146.95 ,$722.84 ,$674.29 ,$139.95 ,$672.59 ,$642.18 ,$695.78 ,$642.18 ,$695.78 ,$695.78 ,$695.78 ,$749.90 ,$626.20 ,$695.78 ,$695.78 ,$695.78 ,$695.78 
ST. JOSEPH'S - CHIPPEWA FALLS,98180496,11444,PC EXCISION LESION BENIGN FACE/EAR 3.1-4.0CM,981,1 ,"$1,194.67 ",$896.00 ,$360.88 ,"$3,266.98 ",$769.37 ,"$1,451.99 ",$836.27 ,$360.88 ,$991.58 ,$371.71 ,$788.48 ,"$1,134.94 ", N/A ,$955.74 ,"$1,087.15 ",$360.88 ,"$1,122.99 ","$1,134.94 ","$1,075.20 ","$1,015.47 ",$360.88 ,$360.88 ,$360.88 ,$872.11 ,"$1,451.99 ","$1,063.26 ","$1,075.20 ","$1,075.20 ",$955.74 ,"$1,495.55 ",$657.07 ,"$1,075.20 ","$1,451.99 ","$1,075.20 ","$1,451.99 ","$1,134.94 ","$3,266.98 ","$1,099.10 ",$382.53 ,"$1,087.15 ","$1,451.99 ",$735.20 ,$769.37 ,$735.20 ,"$1,075.20 ","$1,075.20 ",$891.58 ,$832.09 ,"$1,466.51 ",$378.92 ,"$1,117.02 ","$1,524.59 ",$360.88 ,"$1,039.36 ","$1,451.99 ","$1,075.20 ","$1,451.99 ","$1,075.20 ","$1,075.20 ","$1,075.20 ","$1,158.83 ",$967.68 ,"$1,075.20 ","$1,075.20 ","$1,075.20 ","$1,075.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180497,11732,PC AVULSION NAIL PLATE EA ADDL,981,1 ,$152.28 ,$114.21 ,$20.60 ,$152.28 ,$98.07 , N/A ,$106.60 ,$20.60 ,$126.39 ,$21.22 ,$100.50 ,$144.67 , N/A ,$121.82 ,$138.57 ,$20.60 ,$143.14 ,$144.67 ,$137.05 ,$129.44 ,$20.60 ,$20.60 ,$20.60 ,$111.16 , N/A ,$135.53 ,$137.05 ,$137.05 ,$121.82 , N/A ,$83.75 ,$137.05 , N/A ,$137.05 , N/A ,$144.67 , N/A ,$140.10 ,$21.84 ,$138.57 , N/A ,$93.71 ,$98.07 ,$93.71 ,$137.05 ,$137.05 ,$113.65 ,$106.06 , N/A ,$21.63 ,$142.38 , N/A ,$20.60 ,$132.48 , N/A ,$137.05 , N/A ,$137.05 ,$137.05 ,$137.05 ,$147.71 ,$123.35 ,$137.05 ,$137.05 ,$137.05 ,$137.05 
ST. JOSEPH'S - CHIPPEWA FALLS,98180498,11760,PC REPAIR NAIL BED,981,1 ,$796.00 ,$597.00 ,$20.60 ,"$1,216.07 ",$512.62 ,$540.47 ,$557.20 ,$20.60 ,$660.68 ,$21.22 ,$525.36 ,$756.20 , N/A ,$636.80 ,$724.36 ,$20.60 ,$748.24 ,$756.20 ,$716.40 ,$676.60 ,$20.60 ,$20.60 ,$20.60 ,$581.08 ,$540.47 ,$708.44 ,$716.40 ,$716.40 ,$636.80 ,$556.69 ,$437.80 ,$716.40 ,$540.47 ,$716.40 ,$540.47 ,$756.20 ,"$1,216.07 ",$732.32 ,$21.84 ,$724.36 ,$540.47 ,$489.86 ,$512.62 ,$489.86 ,$716.40 ,$716.40 ,$594.05 ,$554.41 ,$545.88 ,$21.63 ,$744.26 ,$567.49 ,$20.60 ,$692.52 ,$540.47 ,$716.40 ,$540.47 ,$716.40 ,$716.40 ,$716.40 ,$772.12 ,$644.76 ,$716.40 ,$716.40 ,$716.40 ,$716.40 
ST. JOSEPH'S - CHIPPEWA FALLS,98180499,15050,PC SKIN PINCH GRAFT,981,1 ,"$2,158.06 ","$1,618.55 ",$139.95 ,"$2,158.06 ","$1,389.79 ",$540.47 ,"$1,510.64 ",$139.95 ,"$1,791.19 ",$144.15 ,"$1,424.32 ","$2,050.16 ", N/A ,"$1,726.45 ","$1,963.83 ",$139.95 ,"$2,028.58 ","$2,050.16 ","$1,942.25 ","$1,834.35 ",$139.95 ,$139.95 ,$139.95 ,"$1,575.38 ",$540.47 ,"$1,920.67 ","$1,942.25 ","$1,942.25 ","$1,726.45 ",$556.69 ,"$1,186.93 ","$1,942.25 ",$540.47 ,"$1,942.25 ",$540.47 ,"$2,050.16 ","$1,216.07 ","$1,985.42 ",$148.35 ,"$1,963.83 ",$540.47 ,"$1,328.07 ","$1,389.79 ","$1,328.07 ","$1,942.25 ","$1,942.25 ","$1,610.56 ","$1,503.09 ",$545.88 ,$146.95 ,"$2,017.79 ",$567.49 ,$139.95 ,"$1,877.51 ",$540.47 ,"$1,942.25 ",$540.47 ,"$1,942.25 ","$1,942.25 ","$1,942.25 ","$2,093.32 ","$1,748.03 ","$1,942.25 ","$1,942.25 ","$1,942.25 ","$1,942.25 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180500,15852,PC DRESSING CHANGE  OTHR THAN BURN W/ANES,981,1 ,$239.82 ,$179.87 ,$58.71 ,"$1,216.07 ",$154.44 ,$540.47 ,$167.87 ,$58.71 ,$199.05 ,$60.47 ,$158.28 ,$227.83 , N/A ,$191.86 ,$218.24 ,$58.71 ,$225.43 ,$227.83 ,$215.84 ,$203.85 ,$58.71 ,$58.71 ,$58.71 ,$175.07 ,$540.47 ,$213.44 ,$215.84 ,$215.84 ,$191.86 ,$556.69 ,$131.90 ,$215.84 ,$540.47 ,$215.84 ,$540.47 ,$227.83 ,"$1,216.07 ",$220.63 ,$62.23 ,$218.24 ,$540.47 ,$147.59 ,$154.44 ,$147.59 ,$215.84 ,$215.84 ,$178.98 ,$167.03 ,$545.88 ,$61.65 ,$224.23 ,$567.49 ,$58.71 ,$208.64 ,$540.47 ,$215.84 ,$540.47 ,$215.84 ,$215.84 ,$215.84 ,$232.63 ,$194.25 ,$215.84 ,$215.84 ,$215.84 ,$215.84 
ST. JOSEPH'S - CHIPPEWA FALLS,98180501,16035,PC ESCHAROTOMY INCISION INITIAL,981,1 ,"$1,599.30 ","$1,199.48 ",$118.09 ,"$1,599.30 ","$1,029.95 ",$356.69 ,"$1,119.51 ",$118.09 ,"$1,327.42 ",$121.63 ,"$1,055.54 ","$1,519.34 ", N/A ,"$1,279.44 ","$1,455.36 ",$118.09 ,"$1,503.34 ","$1,519.34 ","$1,439.37 ","$1,359.41 ",$118.09 ,$118.09 ,$118.09 ,"$1,167.49 ",$356.69 ,"$1,423.38 ","$1,439.37 ","$1,439.37 ","$1,279.44 ",$367.39 ,$879.62 ,"$1,439.37 ",$356.69 ,"$1,439.37 ",$356.69 ,"$1,519.34 ",$802.54 ,"$1,471.36 ",$125.18 ,"$1,455.36 ",$356.69 ,$984.21 ,"$1,029.95 ",$984.21 ,"$1,439.37 ","$1,439.37 ","$1,193.56 ","$1,113.91 ",$360.25 ,$123.99 ,"$1,495.35 ",$374.52 ,$118.09 ,"$1,391.39 ",$356.69 ,"$1,439.37 ",$356.69 ,"$1,439.37 ","$1,439.37 ","$1,439.37 ","$1,551.32 ","$1,295.43 ","$1,439.37 ","$1,439.37 ","$1,439.37 ","$1,439.37 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180502,17000,PC DESTRUCT LESION PREMALIG 1ST LESION,981,1 ,$223.89 ,$167.92 ,$51.36 ,$416.96 ,$144.19 ,$185.31 ,$156.72 ,$51.36 ,$185.83 ,$52.90 ,$147.77 ,$212.70 , N/A ,$179.11 ,$203.74 ,$51.36 ,$210.46 ,$212.70 ,$201.50 ,$190.31 ,$51.36 ,$51.36 ,$51.36 ,$163.44 ,$185.31 ,$199.26 ,$201.50 ,$201.50 ,$179.11 ,$190.87 ,$123.14 ,$201.50 ,$185.31 ,$201.50 ,$185.31 ,$212.70 ,$416.96 ,$205.98 ,$54.44 ,$203.74 ,$185.31 ,$137.78 ,$144.19 ,$137.78 ,$201.50 ,$201.50 ,$167.09 ,$155.94 ,$187.17 ,$53.93 ,$209.34 ,$194.58 ,$51.36 ,$194.78 ,$185.31 ,$201.50 ,$185.31 ,$201.50 ,$201.50 ,$201.50 ,$217.17 ,$181.35 ,$201.50 ,$201.50 ,$201.50 ,$201.50 
ST. JOSEPH'S - CHIPPEWA FALLS,98180503,17110,PC DESTRUCT BENIGN LESION <15 LESIONS,981,1 ,$251.94 ,$188.96 ,$51.36 ,$416.96 ,$162.25 ,$185.31 ,$176.36 ,$51.36 ,$209.11 ,$52.90 ,$166.28 ,$239.34 , N/A ,$201.55 ,$229.27 ,$51.36 ,$236.82 ,$239.34 ,$226.75 ,$214.15 ,$51.36 ,$51.36 ,$51.36 ,$183.92 ,$185.31 ,$224.23 ,$226.75 ,$226.75 ,$201.55 ,$190.87 ,$138.57 ,$226.75 ,$185.31 ,$226.75 ,$185.31 ,$239.34 ,$416.96 ,$231.78 ,$54.44 ,$229.27 ,$185.31 ,$155.04 ,$162.25 ,$155.04 ,$226.75 ,$226.75 ,$188.02 ,$175.48 ,$187.17 ,$53.93 ,$235.56 ,$194.58 ,$51.36 ,$219.19 ,$185.31 ,$226.75 ,$185.31 ,$226.75 ,$226.75 ,$226.75 ,$244.38 ,$204.07 ,$226.75 ,$226.75 ,$226.75 ,$226.75 
ST. JOSEPH'S - CHIPPEWA FALLS,98180504,19000,PC ASPIRATION CYST BREAST,981,1 ,$346.27 ,$259.70 ,$190.45 ,"$1,444.89 ",$223.00 ,$642.18 ,$242.39 ,$198.34 ,$287.40 ,$204.29 ,$228.54 ,$328.96 , N/A ,$277.02 ,$315.11 ,$198.34 ,$325.49 ,$328.96 ,$311.64 ,$294.33 ,$198.34 ,$198.34 ,$198.34 ,$252.78 ,$642.18 ,$308.18 ,$311.64 ,$311.64 ,$277.02 ,$661.44 ,$190.45 ,$311.64 ,$642.18 ,$311.64 ,$642.18 ,$328.96 ,"$1,444.89 ",$318.57 ,$210.24 ,$315.11 ,$642.18 ,$213.09 ,$223.00 ,$213.09 ,$311.64 ,$311.64 ,$258.42 ,$241.18 ,$648.60 ,$208.26 ,$323.76 ,$674.29 ,$198.34 ,$301.25 ,$642.18 ,$311.64 ,$642.18 ,$311.64 ,$311.64 ,$311.64 ,$335.88 ,$280.48 ,$311.64 ,$311.64 ,$311.64 ,$311.64 
ST. JOSEPH'S - CHIPPEWA FALLS,98180505,19020,PC MASTOTOMY W/EXPLORE/DRAIN ABSCESS,981,1 ,"$1,187.07 ",$890.30 ,$439.46 ,"$3,266.98 ",$764.47 ,"$1,451.99 ",$830.95 ,$439.46 ,$985.27 ,$452.64 ,$783.47 ,"$1,127.72 ", N/A ,$949.66 ,"$1,080.23 ",$439.46 ,"$1,115.85 ","$1,127.72 ","$1,068.36 ","$1,009.01 ",$439.46 ,$439.46 ,$439.46 ,$866.56 ,"$1,451.99 ","$1,056.49 ","$1,068.36 ","$1,068.36 ",$949.66 ,"$1,495.55 ",$652.89 ,"$1,068.36 ","$1,451.99 ","$1,068.36 ","$1,451.99 ","$1,127.72 ","$3,266.98 ","$1,092.10 ",$465.83 ,"$1,080.23 ","$1,451.99 ",$730.52 ,$764.47 ,$730.52 ,"$1,068.36 ","$1,068.36 ",$885.91 ,$826.79 ,"$1,466.51 ",$461.43 ,"$1,109.91 ","$1,524.59 ",$439.46 ,"$1,032.75 ","$1,451.99 ","$1,068.36 ","$1,451.99 ","$1,068.36 ","$1,068.36 ","$1,068.36 ","$1,151.46 ",$961.53 ,"$1,068.36 ","$1,068.36 ","$1,068.36 ","$1,068.36 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180506,20550,PC INJ SINGLE TENDON/LIGAMENT,981,1 ,$242.39 ,$181.79 ,$75.55 ,$606.64 ,$156.10 ,$269.62 ,$169.67 ,$75.55 ,$201.18 ,$77.82 ,$159.98 ,$230.27 , N/A ,$193.91 ,$220.57 ,$75.55 ,$227.85 ,$230.27 ,$218.15 ,$206.03 ,$75.55 ,$75.55 ,$75.55 ,$176.94 ,$269.62 ,$215.73 ,$218.15 ,$218.15 ,$193.91 ,$277.70 ,$133.31 ,$218.15 ,$269.62 ,$218.15 ,$269.62 ,$230.27 ,$606.64 ,$223.00 ,$80.08 ,$220.57 ,$269.62 ,$149.17 ,$156.10 ,$149.17 ,$218.15 ,$218.15 ,$180.90 ,$168.82 ,$272.31 ,$79.33 ,$226.63 ,$283.10 ,$75.55 ,$210.88 ,$269.62 ,$218.15 ,$269.62 ,$218.15 ,$218.15 ,$218.15 ,$235.12 ,$196.34 ,$218.15 ,$218.15 ,$218.15 ,$218.15 
ST. JOSEPH'S - CHIPPEWA FALLS,98180507,20552,PC INJ TRIGGER PT 1-2 MUSCLE,981,1 ,$257.70 ,$193.28 ,$75.55 ,$606.64 ,$165.96 ,$269.62 ,$180.39 ,$75.55 ,$213.89 ,$77.82 ,$170.08 ,$244.82 , N/A ,$206.16 ,$234.51 ,$75.55 ,$242.24 ,$244.82 ,$231.93 ,$219.05 ,$75.55 ,$75.55 ,$75.55 ,$188.12 ,$269.62 ,$229.35 ,$231.93 ,$231.93 ,$206.16 ,$277.70 ,$141.74 ,$231.93 ,$269.62 ,$231.93 ,$269.62 ,$244.82 ,$606.64 ,$237.08 ,$80.08 ,$234.51 ,$269.62 ,$158.59 ,$165.96 ,$158.59 ,$231.93 ,$231.93 ,$192.32 ,$179.49 ,$272.31 ,$79.33 ,$240.95 ,$283.10 ,$75.55 ,$224.20 ,$269.62 ,$231.93 ,$269.62 ,$231.93 ,$231.93 ,$231.93 ,$249.97 ,$208.74 ,$231.93 ,$231.93 ,$231.93 ,$231.93 
ST. JOSEPH'S - CHIPPEWA FALLS,98180508,20553,PC INJ TRIGGER PT 3+ MUSCLE,981,1 ,$303.11 ,$227.33 ,$75.55 ,$606.64 ,$195.20 ,$269.62 ,$212.18 ,$75.55 ,$251.58 ,$77.82 ,$200.05 ,$287.95 , N/A ,$242.49 ,$275.83 ,$75.55 ,$284.92 ,$287.95 ,$272.80 ,$257.64 ,$75.55 ,$75.55 ,$75.55 ,$221.27 ,$269.62 ,$269.77 ,$272.80 ,$272.80 ,$242.49 ,$277.70 ,$166.71 ,$272.80 ,$269.62 ,$272.80 ,$269.62 ,$287.95 ,$606.64 ,$278.86 ,$80.08 ,$275.83 ,$269.62 ,$186.53 ,$195.20 ,$186.53 ,$272.80 ,$272.80 ,$226.21 ,$211.12 ,$272.31 ,$79.33 ,$283.41 ,$283.10 ,$75.55 ,$263.71 ,$269.62 ,$272.80 ,$269.62 ,$272.80 ,$272.80 ,$272.80 ,$294.02 ,$245.52 ,$272.80 ,$272.80 ,$272.80 ,$272.80 
ST. JOSEPH'S - CHIPPEWA FALLS,98180509,20612,PC INJ GANGLION CYST,981,1 ,$256.57 ,$192.43 ,$75.55 ,$606.64 ,$165.23 ,$269.62 ,$179.60 ,$75.55 ,$212.95 ,$77.82 ,$169.34 ,$243.74 , N/A ,$205.26 ,$233.48 ,$75.55 ,$241.18 ,$243.74 ,$230.91 ,$218.08 ,$75.55 ,$75.55 ,$75.55 ,$187.30 ,$269.62 ,$228.35 ,$230.91 ,$230.91 ,$205.26 ,$277.70 ,$141.11 ,$230.91 ,$269.62 ,$230.91 ,$269.62 ,$243.74 ,$606.64 ,$236.04 ,$80.08 ,$233.48 ,$269.62 ,$157.89 ,$165.23 ,$157.89 ,$230.91 ,$230.91 ,$191.48 ,$178.70 ,$272.31 ,$79.33 ,$239.89 ,$283.10 ,$75.55 ,$223.22 ,$269.62 ,$230.91 ,$269.62 ,$230.91 ,$230.91 ,$230.91 ,$248.87 ,$207.82 ,$230.91 ,$230.91 ,$230.91 ,$230.91 
ST. JOSEPH'S - CHIPPEWA FALLS,98180510,20950,PC MONT INTRST FLD PRS COMP SYNDR,981,1 ,$875.33 ,$656.50 ,$60.45 ,"$1,444.89 ",$563.71 ,$642.18 ,$612.73 ,$60.45 ,$726.52 ,$62.26 ,$577.72 ,$831.56 , N/A ,$700.26 ,$796.55 ,$60.45 ,$822.81 ,$831.56 ,$787.80 ,$744.03 ,$60.45 ,$60.45 ,$60.45 ,$638.99 ,$642.18 ,$779.04 ,$787.80 ,$787.80 ,$700.26 ,$661.44 ,$481.43 ,$787.80 ,$642.18 ,$787.80 ,$642.18 ,$831.56 ,"$1,444.89 ",$805.30 ,$64.08 ,$796.55 ,$642.18 ,$538.68 ,$563.71 ,$538.68 ,$787.80 ,$787.80 ,$653.26 ,$609.67 ,$648.60 ,$63.47 ,$818.43 ,$674.29 ,$60.45 ,$761.54 ,$642.18 ,$787.80 ,$642.18 ,$787.80 ,$787.80 ,$787.80 ,$849.07 ,$709.02 ,$787.80 ,$787.80 ,$787.80 ,$787.80 
ST. JOSEPH'S - CHIPPEWA FALLS,98180511,24200,PC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,981,1 ,$395.79 ,$296.84 ,$217.68 ,"$3,266.98 ",$254.89 ,"$1,451.99 ",$277.05 ,$395.79 ,$328.51 ,$564.40 ,$261.22 ,$376.00 , N/A ,$316.63 ,$360.17 ,$395.79 ,$372.04 ,$376.00 ,$356.21 ,$336.42 ,$547.96 ,$547.96 ,$547.96 ,$288.93 ,"$1,451.99 ",$352.25 ,$356.21 ,$356.21 ,$316.63 ,"$1,495.55 ",$217.68 ,$356.21 ,"$1,451.99 ",$356.21 ,"$1,451.99 ",$376.00 ,"$3,266.98 ",$364.13 ,$580.84 ,$360.17 ,"$1,451.99 ",$243.57 ,$254.89 ,$243.57 ,$356.21 ,$356.21 ,$295.38 ,$275.67 ,"$1,466.51 ",$575.36 ,$370.06 ,"$1,524.59 ",$395.79 ,$344.34 ,"$1,451.99 ",$356.21 ,"$1,451.99 ",$356.21 ,$356.21 ,$356.21 ,$383.92 ,$320.59 ,$356.21 ,$356.21 ,$356.21 ,$356.21 
ST. JOSEPH'S - CHIPPEWA FALLS,98180512,26418,PC RPR EXTEN TENDON FNGR W/O FREE,981,1 ,"$2,383.49 ","$1,787.62 ",$415.99 ,"$3,234.06 ","$1,534.97 ","$1,437.36 ","$1,668.44 ",$415.99 ,"$1,978.30 ",$428.47 ,"$1,573.10 ","$2,264.32 ", N/A ,"$1,906.79 ","$2,168.98 ",$415.99 ,"$2,240.48 ","$2,264.32 ","$2,145.14 ","$2,025.97 ",$415.99 ,$415.99 ,$415.99 ,"$1,739.95 ","$1,437.36 ","$2,121.31 ","$2,145.14 ","$2,145.14 ","$1,906.79 ","$1,480.48 ","$1,310.92 ","$2,145.14 ","$1,437.36 ","$2,145.14 ","$1,437.36 ","$2,264.32 ","$3,234.06 ","$2,192.81 ",$440.95 ,"$2,168.98 ","$1,437.36 ","$1,466.80 ","$1,534.97 ","$1,466.80 ","$2,145.14 ","$2,145.14 ","$1,778.80 ","$1,660.10 ","$1,451.73 ",$436.79 ,"$2,228.56 ","$1,509.23 ",$415.99 ,"$2,073.64 ","$1,437.36 ","$2,145.14 ","$1,437.36 ","$2,145.14 ","$2,145.14 ","$2,145.14 ","$2,311.99 ","$1,930.63 ","$2,145.14 ","$2,145.14 ","$2,145.14 ","$2,145.14 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180513,26951,PC AMPUT FINGER/THUMB SGL CLSR,981,1 ,"$2,418.00 ","$1,813.50 ",$415.99 ,"$6,575.57 ","$1,557.19 ","$2,922.48 ","$1,692.60 ",$415.99 ,"$2,006.94 ",$428.47 ,"$1,595.88 ","$2,297.10 ", N/A ,"$1,934.40 ","$2,200.38 ",$415.99 ,"$2,272.92 ","$2,297.10 ","$2,176.20 ","$2,055.30 ",$415.99 ,$415.99 ,$415.99 ,"$1,765.14 ","$2,922.48 ","$2,152.02 ","$2,176.20 ","$2,176.20 ","$1,934.40 ","$3,010.15 ","$1,329.90 ","$2,176.20 ","$2,922.48 ","$2,176.20 ","$2,922.48 ","$2,297.10 ","$6,575.57 ","$2,224.56 ",$440.95 ,"$2,200.38 ","$2,922.48 ","$1,488.04 ","$1,557.19 ","$1,488.04 ","$2,176.20 ","$2,176.20 ","$1,804.55 ","$1,684.14 ","$2,951.70 ",$436.79 ,"$2,260.83 ","$3,068.60 ",$415.99 ,"$2,103.66 ","$2,922.48 ","$2,176.20 ","$2,922.48 ","$2,176.20 ","$2,176.20 ","$2,176.20 ","$2,345.46 ","$1,958.58 ","$2,176.20 ","$2,176.20 ","$2,176.20 ","$2,176.20 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180514,27788,PC CLOSED TX FX DISTAL FIBULAR W/MAN,981,1 ,"$1,954.80 ","$1,466.10 ",$139.53 ,"$1,954.80 ","$1,258.89 ",$212.70 ,"$1,368.36 ",$139.53 ,"$1,622.48 ",$143.72 ,"$1,290.17 ","$1,857.06 ", N/A ,"$1,563.84 ","$1,778.87 ",$139.53 ,"$1,837.51 ","$1,857.06 ","$1,759.32 ","$1,661.58 ",$139.53 ,$139.53 ,$139.53 ,"$1,427.00 ",$212.70 ,"$1,739.77 ","$1,759.32 ","$1,759.32 ","$1,563.84 ",$219.08 ,"$1,075.14 ","$1,759.32 ",$212.70 ,"$1,759.32 ",$212.70 ,"$1,857.06 ",$478.57 ,"$1,798.42 ",$147.90 ,"$1,778.87 ",$212.70 ,"$1,202.98 ","$1,258.89 ","$1,202.98 ","$1,759.32 ","$1,759.32 ","$1,458.87 ","$1,361.52 ",$214.82 ,$146.51 ,"$1,827.74 ",$223.34 ,$139.53 ,"$1,700.68 ",$212.70 ,"$1,759.32 ",$212.70 ,"$1,759.32 ","$1,759.32 ","$1,759.32 ","$1,896.16 ","$1,583.39 ","$1,759.32 ","$1,759.32 ","$1,759.32 ","$1,759.32 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180515,28192,PC REMOVE FOREIGN BODY FOOT DEEP,981,1 ,"$1,360.70 ","$1,020.53 ",$547.96 ,"$3,266.98 ",$876.29 ,"$1,451.99 ",$952.49 ,$547.96 ,"$1,129.38 ",$564.40 ,$898.06 ,"$1,292.67 ", N/A ,"$1,088.56 ","$1,238.24 ",$547.96 ,"$1,279.06 ","$1,292.67 ","$1,224.63 ","$1,156.60 ",$547.96 ,$547.96 ,$547.96 ,$993.31 ,"$1,451.99 ","$1,211.02 ","$1,224.63 ","$1,224.63 ","$1,088.56 ","$1,495.55 ",$748.39 ,"$1,224.63 ","$1,451.99 ","$1,224.63 ","$1,451.99 ","$1,292.67 ","$3,266.98 ","$1,251.84 ",$580.84 ,"$1,238.24 ","$1,451.99 ",$837.37 ,$876.29 ,$837.37 ,"$1,224.63 ","$1,224.63 ","$1,015.49 ",$947.73 ,"$1,466.51 ",$575.36 ,"$1,272.25 ","$1,524.59 ",$547.96 ,"$1,183.81 ","$1,451.99 ","$1,224.63 ","$1,451.99 ","$1,224.63 ","$1,224.63 ","$1,224.63 ","$1,319.88 ","$1,102.17 ","$1,224.63 ","$1,224.63 ","$1,224.63 ","$1,224.63 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180516,28200,PC REPAIR FLEXOR/TENDON/FOOT W/O GRAFT EA TENDON,981,1 ,"$2,383.49 ","$1,787.62 ",$677.53 ,"$6,575.57 ","$1,534.97 ","$2,922.48 ","$1,668.44 ",$677.53 ,"$1,978.30 ",$697.86 ,"$1,573.10 ","$2,264.32 ", N/A ,"$1,906.79 ","$2,168.98 ",$677.53 ,"$2,240.48 ","$2,264.32 ","$2,145.14 ","$2,025.97 ",$677.53 ,$677.53 ,$677.53 ,"$1,739.95 ","$2,922.48 ","$2,121.31 ","$2,145.14 ","$2,145.14 ","$1,906.79 ","$3,010.15 ","$1,310.92 ","$2,145.14 ","$2,922.48 ","$2,145.14 ","$2,922.48 ","$2,264.32 ","$6,575.57 ","$2,192.81 ",$718.18 ,"$2,168.98 ","$2,922.48 ","$1,466.80 ","$1,534.97 ","$1,466.80 ","$2,145.14 ","$2,145.14 ","$1,778.80 ","$1,660.10 ","$2,951.70 ",$711.41 ,"$2,228.56 ","$3,068.60 ",$677.53 ,"$2,073.64 ","$2,922.48 ","$2,145.14 ","$2,922.48 ","$2,145.14 ","$2,145.14 ","$2,145.14 ","$2,311.99 ","$1,930.63 ","$2,145.14 ","$2,145.14 ","$2,145.14 ","$2,145.14 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180517,29700,PC REMOVER/REVISION CAST,981,1 ,$145.49 ,$109.12 ,$59.15 ,$560.14 ,$93.70 ,$248.95 ,$101.84 ,$59.15 ,$120.76 ,$60.92 ,$96.02 ,$138.22 , N/A ,$116.39 ,$132.40 ,$59.15 ,$136.76 ,$138.22 ,$130.94 ,$123.67 ,$59.15 ,$59.15 ,$59.15 ,$106.21 ,$248.95 ,$129.49 ,$130.94 ,$130.94 ,$116.39 ,$256.42 ,$80.02 ,$130.94 ,$248.95 ,$130.94 ,$248.95 ,$138.22 ,$560.14 ,$133.85 ,$62.70 ,$132.40 ,$248.95 ,$89.53 ,$93.70 ,$89.53 ,$130.94 ,$130.94 ,$108.58 ,$101.33 ,$251.44 ,$62.11 ,$136.03 ,$261.40 ,$59.15 ,$126.58 ,$248.95 ,$130.94 ,$248.95 ,$130.94 ,$130.94 ,$130.94 ,$141.13 ,$117.85 ,$130.94 ,$130.94 ,$130.94 ,$130.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180518,31505,PC LARYNGOSCOPY INDIRECT,981,1 ,$392.71 ,$294.53 ,$34.89 ,$392.71 ,$252.91 ,$169.88 ,$274.90 ,$34.89 ,$325.95 ,$35.94 ,$259.19 ,$373.07 , N/A ,$314.17 ,$357.37 ,$34.89 ,$369.15 ,$373.07 ,$353.44 ,$333.80 ,$34.89 ,$34.89 ,$34.89 ,$286.68 ,$169.88 ,$349.51 ,$353.44 ,$353.44 ,$314.17 ,$174.97 ,$215.99 ,$353.44 ,$169.88 ,$353.44 ,$169.88 ,$373.07 ,$382.22 ,$361.29 ,$36.98 ,$357.37 ,$169.88 ,$241.67 ,$252.91 ,$241.67 ,$353.44 ,$353.44 ,$293.08 ,$273.52 ,$171.57 ,$36.63 ,$367.18 ,$178.37 ,$34.89 ,$341.66 ,$169.88 ,$353.44 ,$169.88 ,$353.44 ,$353.44 ,$353.44 ,$380.93 ,$318.10 ,$353.44 ,$353.44 ,$353.44 ,$353.44 
ST. JOSEPH'S - CHIPPEWA FALLS,98180519,31515,PC LARYNGOSCOPY DIRECT W OR W/O TRACH ASP,981,1 ,$736.41 ,$552.31 ,$238.77 ,$872.75 ,$474.25 ,$387.89 ,$515.49 ,$238.77 ,$611.22 ,$245.93 ,$486.03 ,$699.59 , N/A ,$589.13 ,$670.13 ,$238.77 ,$692.23 ,$699.59 ,$662.77 ,$625.95 ,$238.77 ,$238.77 ,$238.77 ,$537.58 ,$387.89 ,$655.40 ,$662.77 ,$662.77 ,$589.13 ,$399.52 ,$405.03 ,$662.77 ,$387.89 ,$662.77 ,$387.89 ,$699.59 ,$872.75 ,$677.50 ,$253.10 ,$670.13 ,$387.89 ,$453.19 ,$474.25 ,$453.19 ,$662.77 ,$662.77 ,$549.58 ,$512.91 ,$391.77 ,$250.71 ,$688.54 ,$407.28 ,$238.77 ,$640.68 ,$387.89 ,$662.77 ,$387.89 ,$662.77 ,$662.77 ,$662.77 ,$714.32 ,$596.49 ,$662.77 ,$662.77 ,$662.77 ,$662.77 
ST. JOSEPH'S - CHIPPEWA FALLS,98180520,31525,PC LARYNGOSCOPY DIRECT DX,981,1 ,"$1,080.11 ",$810.08 ,$238.77 ,"$3,473.89 ",$695.59 ,"$1,543.95 ",$756.08 ,$238.77 ,$896.49 ,$245.93 ,$712.87 ,"$1,026.10 ", N/A ,$864.09 ,$982.90 ,$238.77 ,"$1,015.30 ","$1,026.10 ",$972.10 ,$918.09 ,$238.77 ,$238.77 ,$238.77 ,$788.48 ,"$1,543.95 ",$961.30 ,$972.10 ,$972.10 ,$864.09 ,"$1,590.27 ",$594.06 ,$972.10 ,"$1,543.95 ",$972.10 ,"$1,543.95 ","$1,026.10 ","$3,473.89 ",$993.70 ,$253.10 ,$982.90 ,"$1,543.95 ",$664.70 ,$695.59 ,$664.70 ,$972.10 ,$972.10 ,$806.09 ,$752.30 ,"$1,559.39 ",$250.71 ,"$1,009.90 ","$1,621.15 ",$238.77 ,$939.70 ,"$1,543.95 ",$972.10 ,"$1,543.95 ",$972.10 ,$972.10 ,$972.10 ,"$1,047.71 ",$874.89 ,$972.10 ,$972.10 ,$972.10 ,$972.10 
ST. JOSEPH'S - CHIPPEWA FALLS,98180521,31575,PC LARYNGOSCOPY FLEX FIBEROPTIC,981,1 ,$531.00 ,$398.25 ,$34.89 ,$531.00 ,$341.96 ,$169.88 ,$371.70 ,$34.89 ,$440.73 ,$35.94 ,$350.46 ,$504.45 , N/A ,$424.80 ,$483.21 ,$34.89 ,$499.14 ,$504.45 ,$477.90 ,$451.35 ,$34.89 ,$34.89 ,$34.89 ,$387.63 ,$169.88 ,$472.59 ,$477.90 ,$477.90 ,$424.80 ,$174.97 ,$292.05 ,$477.90 ,$169.88 ,$477.90 ,$169.88 ,$504.45 ,$382.22 ,$488.52 ,$36.98 ,$483.21 ,$169.88 ,$326.78 ,$341.96 ,$326.78 ,$477.90 ,$477.90 ,$396.29 ,$369.84 ,$171.57 ,$36.63 ,$496.49 ,$178.37 ,$34.89 ,$461.97 ,$169.88 ,$477.90 ,$169.88 ,$477.90 ,$477.90 ,$477.90 ,$515.07 ,$430.11 ,$477.90 ,$477.90 ,$477.90 ,$477.90 
ST. JOSEPH'S - CHIPPEWA FALLS,98180523,36010,PC INTRO CATH VENA CAVA SUP/IN,981,1 ,"$1,433.77 ","$1,075.33 ",$199.61 ,"$1,433.77 ",$923.35 , N/A ,"$1,003.64 ",$199.61 ,"$1,190.03 ",$205.60 ,$946.29 ,"$1,362.08 ", N/A ,"$1,147.02 ","$1,304.73 ",$199.61 ,"$1,347.74 ","$1,362.08 ","$1,290.39 ","$1,218.70 ",$199.61 ,$199.61 ,$199.61 ,"$1,046.65 ", N/A ,"$1,276.06 ","$1,290.39 ","$1,290.39 ","$1,147.02 ", N/A ,$788.57 ,"$1,290.39 ", N/A ,"$1,290.39 ", N/A ,"$1,362.08 ", N/A ,"$1,319.07 ",$211.59 ,"$1,304.73 ", N/A ,$882.34 ,$923.35 ,$882.34 ,"$1,290.39 ","$1,290.39 ","$1,070.02 ",$998.62 , N/A ,$209.59 ,"$1,340.58 ", N/A ,$199.61 ,"$1,247.38 ", N/A ,"$1,290.39 ", N/A ,"$1,290.39 ","$1,290.39 ","$1,290.39 ","$1,390.76 ","$1,161.35 ","$1,290.39 ","$1,290.39 ","$1,290.39 ","$1,290.39 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180524,36400,PC IV START < 3 YEARS OLD,981,1 ,$145.39 ,$109.04 ,$0.73 ,$145.39 ,$93.63 , N/A ,$101.77 ,$0.73 ,$120.67 ,$0.75 ,$95.96 ,$138.12 , N/A ,$116.31 ,$132.30 ,$0.73 ,$136.67 ,$138.12 ,$130.85 ,$123.58 ,$0.73 ,$0.73 ,$0.73 ,$106.13 , N/A ,$129.40 ,$130.85 ,$130.85 ,$116.31 , N/A ,$79.96 ,$130.85 , N/A ,$130.85 , N/A ,$138.12 , N/A ,$133.76 ,$0.77 ,$132.30 , N/A ,$89.47 ,$93.63 ,$89.47 ,$130.85 ,$130.85 ,$108.50 ,$101.26 , N/A ,$0.77 ,$135.94 , N/A ,$0.73 ,$126.49 , N/A ,$130.85 , N/A ,$130.85 ,$130.85 ,$130.85 ,$141.03 ,$117.77 ,$130.85 ,$130.85 ,$130.85 ,$130.85 
ST. JOSEPH'S - CHIPPEWA FALLS,98180525,36405,PC IV START < 3 YEARS OLD SCALP VEIN,981,1 ,$109.02 ,$81.77 ,$0.73 ,$109.02 ,$70.21 , N/A ,$76.31 ,$0.73 ,$90.49 ,$0.75 ,$71.95 ,$103.57 , N/A ,$87.22 ,$99.21 ,$0.73 ,$102.48 ,$103.57 ,$98.12 ,$92.67 ,$0.73 ,$0.73 ,$0.73 ,$79.58 , N/A ,$97.03 ,$98.12 ,$98.12 ,$87.22 , N/A ,$59.96 ,$98.12 , N/A ,$98.12 , N/A ,$103.57 , N/A ,$100.30 ,$0.77 ,$99.21 , N/A ,$67.09 ,$70.21 ,$67.09 ,$98.12 ,$98.12 ,$81.36 ,$75.93 , N/A ,$0.77 ,$101.93 , N/A ,$0.73 ,$94.85 , N/A ,$98.12 , N/A ,$98.12 ,$98.12 ,$98.12 ,$105.75 ,$88.31 ,$98.12 ,$98.12 ,$98.12 ,$98.12 
ST. JOSEPH'S - CHIPPEWA FALLS,98180526,36406,PC IV START < 3 YEARS OLD OTHER VEIN,981,1 ,$109.02 ,$81.77 ,$0.73 ,$109.02 ,$70.21 , N/A ,$76.31 ,$0.73 ,$90.49 ,$0.75 ,$71.95 ,$103.57 , N/A ,$87.22 ,$99.21 ,$0.73 ,$102.48 ,$103.57 ,$98.12 ,$92.67 ,$0.73 ,$0.73 ,$0.73 ,$79.58 , N/A ,$97.03 ,$98.12 ,$98.12 ,$87.22 , N/A ,$59.96 ,$98.12 , N/A ,$98.12 , N/A ,$103.57 , N/A ,$100.30 ,$0.77 ,$99.21 , N/A ,$67.09 ,$70.21 ,$67.09 ,$98.12 ,$98.12 ,$81.36 ,$75.93 , N/A ,$0.77 ,$101.93 , N/A ,$0.73 ,$94.85 , N/A ,$98.12 , N/A ,$98.12 ,$98.12 ,$98.12 ,$105.75 ,$88.31 ,$98.12 ,$98.12 ,$98.12 ,$98.12 
ST. JOSEPH'S - CHIPPEWA FALLS,98180527,36410,PC VENIPUNCTURE > AGE 3,981,1 ,$109.02 ,$81.77 ,$18.43 ,$109.02 ,$70.21 , N/A ,$76.31 ,$18.43 ,$90.49 ,$18.98 ,$71.95 ,$103.57 , N/A ,$87.22 ,$99.21 ,$18.43 ,$102.48 ,$103.57 ,$98.12 ,$92.67 ,$18.43 ,$18.43 ,$18.43 ,$79.58 , N/A ,$97.03 ,$98.12 ,$98.12 ,$87.22 , N/A ,$59.96 ,$98.12 , N/A ,$98.12 , N/A ,$103.57 , N/A ,$100.30 ,$19.54 ,$99.21 , N/A ,$67.09 ,$70.21 ,$67.09 ,$98.12 ,$98.12 ,$81.36 ,$75.93 , N/A ,$19.35 ,$101.93 , N/A ,$18.43 ,$94.85 , N/A ,$98.12 , N/A ,$98.12 ,$98.12 ,$98.12 ,$105.75 ,$88.31 ,$98.12 ,$98.12 ,$98.12 ,$98.12 
ST. JOSEPH'S - CHIPPEWA FALLS,98180528,36555,PC INS CATH CV NON-TUNL <5 YR,981,1 ,"$1,321.16 ",$990.87 ,$353.23 ,"$6,646.84 ",$850.83 ,"$2,954.15 ",$924.81 ,$353.23 ,"$1,096.56 ",$363.83 ,$871.97 ,"$1,255.10 ", N/A ,"$1,056.93 ","$1,202.26 ",$353.23 ,"$1,241.89 ","$1,255.10 ","$1,189.04 ","$1,122.99 ",$353.23 ,$353.23 ,$353.23 ,$964.45 ,"$2,954.15 ","$1,175.83 ","$1,189.04 ","$1,189.04 ","$1,056.93 ","$3,042.78 ",$726.64 ,"$1,189.04 ","$2,954.15 ","$1,189.04 ","$2,954.15 ","$1,255.10 ","$6,646.84 ","$1,215.47 ",$374.42 ,"$1,202.26 ","$2,954.15 ",$813.04 ,$850.83 ,$813.04 ,"$1,189.04 ","$1,189.04 ",$985.98 ,$920.19 ,"$2,983.69 ",$370.89 ,"$1,235.28 ","$3,101.86 ",$353.23 ,"$1,149.41 ","$2,954.15 ","$1,189.04 ","$2,954.15 ","$1,189.04 ","$1,189.04 ","$1,189.04 ","$1,281.53 ","$1,070.14 ","$1,189.04 ","$1,189.04 ","$1,189.04 ","$1,189.04 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180529,36556,PC INS CATH CV NON-TUNL >5 YRS,981,1 ,$989.60 ,$742.20 ,$353.23 ,"$6,646.84 ",$637.30 ,"$2,954.15 ",$692.72 ,$353.23 ,$821.37 ,$363.83 ,$653.14 ,$940.12 , N/A ,$791.68 ,$900.54 ,$353.23 ,$930.22 ,$940.12 ,$890.64 ,$841.16 ,$353.23 ,$353.23 ,$353.23 ,$722.41 ,"$2,954.15 ",$880.74 ,$890.64 ,$890.64 ,$791.68 ,"$3,042.78 ",$544.28 ,$890.64 ,"$2,954.15 ",$890.64 ,"$2,954.15 ",$940.12 ,"$6,646.84 ",$910.43 ,$374.42 ,$900.54 ,"$2,954.15 ",$609.00 ,$637.30 ,$609.00 ,$890.64 ,$890.64 ,$738.54 ,$689.26 ,"$2,983.69 ",$370.89 ,$925.28 ,"$3,101.86 ",$353.23 ,$860.95 ,"$2,954.15 ",$890.64 ,"$2,954.15 ",$890.64 ,$890.64 ,$890.64 ,$959.91 ,$801.58 ,$890.64 ,$890.64 ,$890.64 ,$890.64 
ST. JOSEPH'S - CHIPPEWA FALLS,98180530,36600,PC ARTERIAL PUNCTURE,981,1 ,$196.46 ,$147.35 ,$18.43 ,$261.82 ,$126.52 ,$116.36 ,$137.52 ,$18.43 ,$163.06 ,$18.98 ,$129.66 ,$186.64 , N/A ,$157.17 ,$178.78 ,$18.43 ,$184.67 ,$186.64 ,$176.81 ,$166.99 ,$18.43 ,$18.43 ,$18.43 ,$143.42 ,$116.36 ,$174.85 ,$176.81 ,$176.81 ,$157.17 ,$119.85 ,$108.05 ,$176.81 ,$116.36 ,$176.81 ,$116.36 ,$186.64 ,$261.82 ,$180.74 ,$19.54 ,$178.78 ,$116.36 ,$120.90 ,$126.52 ,$120.90 ,$176.81 ,$176.81 ,$146.62 ,$136.83 ,$117.53 ,$19.35 ,$183.69 ,$122.18 ,$18.43 ,$170.92 ,$116.36 ,$176.81 ,$116.36 ,$176.81 ,$176.81 ,$176.81 ,$190.57 ,$159.13 ,$176.81 ,$176.81 ,$176.81 ,$176.81 
ST. JOSEPH'S - CHIPPEWA FALLS,98180531,36620,PC CATH/CANN ARTERY PERC,981,1 ,$458.37 ,$343.78 ,$199.61 ,$458.37 ,$295.19 , N/A ,$320.86 ,$199.61 ,$380.45 ,$205.60 ,$302.52 ,$435.45 , N/A ,$366.70 ,$417.12 ,$199.61 ,$430.87 ,$435.45 ,$412.53 ,$389.61 ,$199.61 ,$199.61 ,$199.61 ,$334.61 , N/A ,$407.95 ,$412.53 ,$412.53 ,$366.70 , N/A ,$252.10 ,$412.53 , N/A ,$412.53 , N/A ,$435.45 , N/A ,$421.70 ,$211.59 ,$417.12 , N/A ,$282.08 ,$295.19 ,$282.08 ,$412.53 ,$412.53 ,$342.08 ,$319.25 , N/A ,$209.59 ,$428.58 , N/A ,$199.61 ,$398.78 , N/A ,$412.53 , N/A ,$412.53 ,$412.53 ,$412.53 ,$444.62 ,$371.28 ,$412.53 ,$412.53 ,$412.53 ,$412.53 
ST. JOSEPH'S - CHIPPEWA FALLS,98180532,36680,PC PLACE NDL INFS INTRAOSSEOUS,981,1 ,$523.90 ,$392.93 ,$75.55 ,$630.17 ,$337.39 ,$280.07 ,$366.73 ,$75.55 ,$434.84 ,$77.82 ,$345.77 ,$497.71 , N/A ,$419.12 ,$476.75 ,$75.55 ,$492.47 ,$497.71 ,$471.51 ,$445.32 ,$75.55 ,$75.55 ,$75.55 ,$382.45 ,$280.07 ,$466.27 ,$471.51 ,$471.51 ,$419.12 ,$288.48 ,$288.15 ,$471.51 ,$280.07 ,$471.51 ,$280.07 ,$497.71 ,$630.17 ,$481.99 ,$80.08 ,$476.75 ,$280.07 ,$322.41 ,$337.39 ,$322.41 ,$471.51 ,$471.51 ,$390.99 ,$364.90 ,$282.87 ,$79.33 ,$489.85 ,$294.07 ,$75.55 ,$455.79 ,$280.07 ,$471.51 ,$280.07 ,$471.51 ,$471.51 ,$471.51 ,$508.18 ,$424.36 ,$471.51 ,$471.51 ,$471.51 ,$471.51 
ST. JOSEPH'S - CHIPPEWA FALLS,98180533,37195,PC THROMBOLYSIS CEREBRAL BY IV,981,1 ,"$2,061.37 ","$1,546.03 ",$95.17 ,"$2,061.37 ","$1,327.52 ",$329.04 ,"$1,442.96 ",$95.17 ,"$1,710.94 ",$98.03 ,"$1,360.50 ","$1,958.30 ", N/A ,"$1,649.10 ","$1,875.85 ",$95.17 ,"$1,937.69 ","$1,958.30 ","$1,855.23 ","$1,752.16 ",$95.17 ,$95.17 ,$95.17 ,"$1,504.80 ",$329.04 ,"$1,834.62 ","$1,855.23 ","$1,855.23 ","$1,649.10 ",$338.91 ,"$1,133.75 ","$1,855.23 ",$329.04 ,"$1,855.23 ",$329.04 ,"$1,958.30 ",$740.34 ,"$1,896.46 ",$100.88 ,"$1,875.85 ",$329.04 ,"$1,268.57 ","$1,327.52 ","$1,268.57 ","$1,855.23 ","$1,855.23 ","$1,538.40 ","$1,435.74 ",$332.33 ,$99.93 ,"$1,927.38 ",$345.49 ,$95.17 ,"$1,793.39 ",$329.04 ,"$1,855.23 ",$329.04 ,"$1,855.23 ","$1,855.23 ","$1,855.23 ","$1,999.53 ","$1,669.71 ","$1,855.23 ","$1,855.23 ","$1,855.23 ","$1,855.23 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180534,40800,PC DRAINAGE  MOUTH LESION SIMPLE,981,1 ,$355.41 ,$266.56 ,$34.89 ,"$1,444.89 ",$228.88 ,$642.18 ,$248.79 ,$34.89 ,$294.99 ,$35.94 ,$234.57 ,$337.64 , N/A ,$284.33 ,$323.42 ,$34.89 ,$334.09 ,$337.64 ,$319.87 ,$302.10 ,$34.89 ,$34.89 ,$34.89 ,$259.45 ,$642.18 ,$316.31 ,$319.87 ,$319.87 ,$284.33 ,$661.44 ,$195.48 ,$319.87 ,$642.18 ,$319.87 ,$642.18 ,$337.64 ,"$1,444.89 ",$326.98 ,$36.98 ,$323.42 ,$642.18 ,$218.72 ,$228.88 ,$218.72 ,$319.87 ,$319.87 ,$265.24 ,$247.54 ,$648.60 ,$36.63 ,$332.31 ,$674.29 ,$34.89 ,$309.21 ,$642.18 ,$319.87 ,$642.18 ,$319.87 ,$319.87 ,$319.87 ,$344.75 ,$287.88 ,$319.87 ,$319.87 ,$319.87 ,$319.87 
ST. JOSEPH'S - CHIPPEWA FALLS,98180535,40801,PC DRAINAGE  MOUTH LESION COMPLEX,981,1 ,"$1,476.41 ","$1,107.31 ",$288.55 ,"$1,476.41 ",$950.81 ,$466.72 ,"$1,033.49 ",$288.55 ,"$1,225.42 ",$297.21 ,$974.43 ,"$1,402.59 ", N/A ,"$1,181.13 ","$1,343.53 ",$288.55 ,"$1,387.83 ","$1,402.59 ","$1,328.77 ","$1,254.95 ",$288.55 ,$288.55 ,$288.55 ,"$1,077.78 ",$466.72 ,"$1,314.00 ","$1,328.77 ","$1,328.77 ","$1,181.13 ",$480.72 ,$812.03 ,"$1,328.77 ",$466.72 ,"$1,328.77 ",$466.72 ,"$1,402.59 ","$1,050.12 ","$1,358.30 ",$305.86 ,"$1,343.53 ",$466.72 ,$908.58 ,$950.81 ,$908.58 ,"$1,328.77 ","$1,328.77 ","$1,101.84 ","$1,028.32 ",$471.39 ,$302.98 ,"$1,380.44 ",$490.06 ,$288.55 ,"$1,284.48 ",$466.72 ,"$1,328.77 ",$466.72 ,"$1,328.77 ","$1,328.77 ","$1,328.77 ","$1,432.12 ","$1,195.89 ","$1,328.77 ","$1,328.77 ","$1,328.77 ","$1,328.77 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180536,40804,PC REMOVE  FOREIGN BODY MOUTH SIMPLE,981,1 ,$505.84 ,$379.38 ,$34.89 ,"$1,878.79 ",$325.76 ,$835.02 ,$354.09 ,$34.89 ,$419.85 ,$35.94 ,$333.85 ,$480.55 , N/A ,$404.67 ,$460.31 ,$34.89 ,$475.49 ,$480.55 ,$455.26 ,$429.96 ,$34.89 ,$34.89 ,$34.89 ,$369.26 ,$835.02 ,$450.20 ,$455.26 ,$455.26 ,$404.67 ,$860.07 ,$278.21 ,$455.26 ,$835.02 ,$455.26 ,$835.02 ,$480.55 ,"$1,878.79 ",$465.37 ,$36.98 ,$460.31 ,$835.02 ,$311.29 ,$325.76 ,$311.29 ,$455.26 ,$455.26 ,$377.51 ,$352.32 ,$843.37 ,$36.63 ,$472.96 ,$876.77 ,$34.89 ,$440.08 ,$835.02 ,$455.26 ,$835.02 ,$455.26 ,$455.26 ,$455.26 ,$490.66 ,$409.73 ,$455.26 ,$455.26 ,$455.26 ,$455.26 
ST. JOSEPH'S - CHIPPEWA FALLS,98180537,40830,PC LAC REPAIR VESTIBULE MOUTH < 2.5CM,981,1 ,$437.51 ,$328.13 ,$34.89 ,$491.23 ,$281.76 ,$218.33 ,$306.26 ,$34.89 ,$363.13 ,$35.94 ,$288.76 ,$415.63 , N/A ,$350.01 ,$398.13 ,$34.89 ,$411.26 ,$415.63 ,$393.76 ,$371.88 ,$34.89 ,$34.89 ,$34.89 ,$319.38 ,$218.33 ,$389.38 ,$393.76 ,$393.76 ,$350.01 ,$224.88 ,$240.63 ,$393.76 ,$218.33 ,$393.76 ,$218.33 ,$415.63 ,$491.23 ,$402.51 ,$36.98 ,$398.13 ,$218.33 ,$269.24 ,$281.76 ,$269.24 ,$393.76 ,$393.76 ,$326.51 ,$304.73 ,$220.51 ,$36.63 ,$409.07 ,$229.25 ,$34.89 ,$380.63 ,$218.33 ,$393.76 ,$218.33 ,$393.76 ,$393.76 ,$393.76 ,$424.38 ,$354.38 ,$393.76 ,$393.76 ,$393.76 ,$393.76 
ST. JOSEPH'S - CHIPPEWA FALLS,98180538,40831,PC LAC REPAIR VESTIBULE MOUTH COMPLEX >2.5CM,981,1 ,"$1,093.67 ",$820.25 ,$288.55 ,"$1,093.67 ",$704.32 ,$466.72 ,$765.57 ,$288.55 ,$907.75 ,$297.21 ,$721.82 ,"$1,038.99 ", N/A ,$874.94 ,$995.24 ,$288.55 ,"$1,028.05 ","$1,038.99 ",$984.30 ,$929.62 ,$288.55 ,$288.55 ,$288.55 ,$798.38 ,$466.72 ,$973.37 ,$984.30 ,$984.30 ,$874.94 ,$480.72 ,$601.52 ,$984.30 ,$466.72 ,$984.30 ,$466.72 ,"$1,038.99 ","$1,050.12 ","$1,006.18 ",$305.86 ,$995.24 ,$466.72 ,$673.04 ,$704.32 ,$673.04 ,$984.30 ,$984.30 ,$816.21 ,$761.74 ,$471.39 ,$302.98 ,"$1,022.58 ",$490.06 ,$288.55 ,$951.49 ,$466.72 ,$984.30 ,$466.72 ,$984.30 ,$984.30 ,$984.30 ,"$1,060.86 ",$885.87 ,$984.30 ,$984.30 ,$984.30 ,$984.30 
ST. JOSEPH'S - CHIPPEWA FALLS,98180539,41250,PC RPR LAC MOUTH/TONGUE <2.5CM,981,1 ,$560.50 ,$420.38 ,$34.89 ,$630.17 ,$360.96 ,$280.07 ,$392.35 ,$34.89 ,$465.22 ,$35.94 ,$369.93 ,$532.48 , N/A ,$448.40 ,$510.06 ,$34.89 ,$526.87 ,$532.48 ,$504.45 ,$476.43 ,$34.89 ,$34.89 ,$34.89 ,$409.17 ,$280.07 ,$498.85 ,$504.45 ,$504.45 ,$448.40 ,$288.48 ,$308.28 ,$504.45 ,$280.07 ,$504.45 ,$280.07 ,$532.48 ,$630.17 ,$515.66 ,$36.98 ,$510.06 ,$280.07 ,$344.93 ,$360.96 ,$344.93 ,$504.45 ,$504.45 ,$418.30 ,$390.39 ,$282.87 ,$36.63 ,$524.07 ,$294.07 ,$34.89 ,$487.64 ,$280.07 ,$504.45 ,$280.07 ,$504.45 ,$504.45 ,$504.45 ,$543.69 ,$454.01 ,$504.45 ,$504.45 ,$504.45 ,$504.45 
ST. JOSEPH'S - CHIPPEWA FALLS,98180540,41251,PC RPR LAC MOUTH/TONGUE POSTERIOR 1/3,981,1 ,$710.82 ,$533.12 ,$34.89 ,$710.82 ,$457.77 ,$218.33 ,$497.57 ,$34.89 ,$589.98 ,$35.94 ,$469.14 ,$675.28 , N/A ,$568.66 ,$646.85 ,$34.89 ,$668.17 ,$675.28 ,$639.74 ,$604.20 ,$34.89 ,$34.89 ,$34.89 ,$518.90 ,$218.33 ,$632.63 ,$639.74 ,$639.74 ,$568.66 ,$224.88 ,$390.95 ,$639.74 ,$218.33 ,$639.74 ,$218.33 ,$675.28 ,$491.23 ,$653.95 ,$36.98 ,$646.85 ,$218.33 ,$437.44 ,$457.77 ,$437.44 ,$639.74 ,$639.74 ,$530.49 ,$495.09 ,$220.51 ,$36.63 ,$664.62 ,$229.25 ,$34.89 ,$618.41 ,$218.33 ,$639.74 ,$218.33 ,$639.74 ,$639.74 ,$639.74 ,$689.50 ,$575.76 ,$639.74 ,$639.74 ,$639.74 ,$639.74 
ST. JOSEPH'S - CHIPPEWA FALLS,98180541,41252,PC RPR LAC MOUTH/TONGUE >2.6CM OR COMPLEX,981,1 ,"$1,640.40 ","$1,230.30 ",$34.89 ,"$1,640.40 ","$1,056.42 ",$218.33 ,"$1,148.28 ",$34.89 ,"$1,361.53 ",$35.94 ,"$1,082.66 ","$1,558.38 ", N/A ,"$1,312.32 ","$1,492.76 ",$34.89 ,"$1,541.98 ","$1,558.38 ","$1,476.36 ","$1,394.34 ",$34.89 ,$34.89 ,$34.89 ,"$1,197.49 ",$218.33 ,"$1,459.96 ","$1,476.36 ","$1,476.36 ","$1,312.32 ",$224.88 ,$902.22 ,"$1,476.36 ",$218.33 ,"$1,476.36 ",$218.33 ,"$1,558.38 ",$491.23 ,"$1,509.17 ",$36.98 ,"$1,492.76 ",$218.33 ,"$1,009.50 ","$1,056.42 ","$1,009.50 ","$1,476.36 ","$1,476.36 ","$1,224.23 ","$1,142.54 ",$220.51 ,$36.63 ,"$1,533.77 ",$229.25 ,$34.89 ,"$1,427.15 ",$218.33 ,"$1,476.36 ",$218.33 ,"$1,476.36 ","$1,476.36 ","$1,476.36 ","$1,591.19 ","$1,328.72 ","$1,476.36 ","$1,476.36 ","$1,476.36 ","$1,476.36 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180542,41800,PC DRAIN ABSC/CYST/HEMAT DENTOALVLR,981,1 ,$521.00 ,$390.75 ,$34.89 ,$521.00 ,$335.52 ,$116.36 ,$364.70 ,$34.89 ,$432.43 ,$35.94 ,$343.86 ,$494.95 , N/A ,$416.80 ,$474.11 ,$34.89 ,$489.74 ,$494.95 ,$468.90 ,$442.85 ,$34.89 ,$34.89 ,$34.89 ,$380.33 ,$116.36 ,$463.69 ,$468.90 ,$468.90 ,$416.80 ,$119.85 ,$286.55 ,$468.90 ,$116.36 ,$468.90 ,$116.36 ,$494.95 ,$261.82 ,$479.32 ,$36.98 ,$474.11 ,$116.36 ,$320.62 ,$335.52 ,$320.62 ,$468.90 ,$468.90 ,$388.82 ,$362.88 ,$117.53 ,$36.63 ,$487.14 ,$122.18 ,$34.89 ,$453.27 ,$116.36 ,$468.90 ,$116.36 ,$468.90 ,$468.90 ,$468.90 ,$505.37 ,$422.01 ,$468.90 ,$468.90 ,$468.90 ,$468.90 
ST. JOSEPH'S - CHIPPEWA FALLS,98180543,41805,PC REM FB DENTOALVEOLAR SOFT TISS,981,1 ,$492.17 ,$369.13 ,$270.69 ,"$3,140.92 ",$316.96 ,"$1,395.96 ",$344.52 ,$492.17 ,$408.50 ,$622.04 ,$324.83 ,$467.56 , N/A ,$393.74 ,$447.87 ,$492.17 ,$462.64 ,$467.56 ,$442.95 ,$418.34 ,$603.92 ,$603.92 ,$603.92 ,$359.28 ,"$1,395.96 ",$438.03 ,$442.95 ,$442.95 ,$393.74 ,"$1,437.84 ",$270.69 ,$442.95 ,"$1,395.96 ",$442.95 ,"$1,395.96 ",$467.56 ,"$3,140.92 ",$452.80 ,$640.16 ,$447.87 ,"$1,395.96 ",$302.88 ,$316.96 ,$302.88 ,$442.95 ,$442.95 ,$367.31 ,$342.80 ,"$1,409.92 ",$634.12 ,$460.18 ,"$1,465.76 ",$492.17 ,$428.19 ,"$1,395.96 ",$442.95 ,"$1,395.96 ",$442.95 ,$442.95 ,$442.95 ,$477.40 ,$398.66 ,$442.95 ,$442.95 ,$442.95 ,$442.95 
ST. JOSEPH'S - CHIPPEWA FALLS,98180544,42000,PC I AND D PALATE OR UVULA,981,1 ,$560.50 ,$420.38 ,$34.89 ,$560.50 ,$360.96 ,$218.33 ,$392.35 ,$34.89 ,$465.22 ,$35.94 ,$369.93 ,$532.48 , N/A ,$448.40 ,$510.06 ,$34.89 ,$526.87 ,$532.48 ,$504.45 ,$476.43 ,$34.89 ,$34.89 ,$34.89 ,$409.17 ,$218.33 ,$498.85 ,$504.45 ,$504.45 ,$448.40 ,$224.88 ,$308.28 ,$504.45 ,$218.33 ,$504.45 ,$218.33 ,$532.48 ,$491.23 ,$515.66 ,$36.98 ,$510.06 ,$218.33 ,$344.93 ,$360.96 ,$344.93 ,$504.45 ,$504.45 ,$418.30 ,$390.39 ,$220.51 ,$36.63 ,$524.07 ,$229.25 ,$34.89 ,$487.64 ,$218.33 ,$504.45 ,$218.33 ,$504.45 ,$504.45 ,$504.45 ,$543.69 ,$454.01 ,$504.45 ,$504.45 ,$504.45 ,$504.45 
ST. JOSEPH'S - CHIPPEWA FALLS,98180545,42180,PC RPR LAC PALATE <2CM,981,1 ,$601.50 ,$451.13 ,$288.55 ,"$1,050.12 ",$387.37 ,$466.72 ,$421.05 ,$288.55 ,$499.25 ,$297.21 ,$396.99 ,$571.43 , N/A ,$481.20 ,$547.37 ,$288.55 ,$565.41 ,$571.43 ,$541.35 ,$511.28 ,$288.55 ,$288.55 ,$288.55 ,$439.10 ,$466.72 ,$535.34 ,$541.35 ,$541.35 ,$481.20 ,$480.72 ,$330.83 ,$541.35 ,$466.72 ,$541.35 ,$466.72 ,$571.43 ,"$1,050.12 ",$553.38 ,$305.86 ,$547.37 ,$466.72 ,$370.16 ,$387.37 ,$370.16 ,$541.35 ,$541.35 ,$448.90 ,$418.94 ,$471.39 ,$302.98 ,$562.40 ,$490.06 ,$288.55 ,$523.31 ,$466.72 ,$541.35 ,$466.72 ,$541.35 ,$541.35 ,$541.35 ,$583.46 ,$487.22 ,$541.35 ,$541.35 ,$541.35 ,$541.35 
ST. JOSEPH'S - CHIPPEWA FALLS,98180546,42700,PC I AND D ABSC PERITONSILLAR,981,1 ,$562.45 ,$421.84 ,$34.89 ,$562.45 ,$362.22 ,$218.33 ,$393.72 ,$34.89 ,$466.83 ,$35.94 ,$371.22 ,$534.33 , N/A ,$449.96 ,$511.83 ,$34.89 ,$528.70 ,$534.33 ,$506.21 ,$478.08 ,$34.89 ,$34.89 ,$34.89 ,$410.59 ,$218.33 ,$500.58 ,$506.21 ,$506.21 ,$449.96 ,$224.88 ,$309.35 ,$506.21 ,$218.33 ,$506.21 ,$218.33 ,$534.33 ,$491.23 ,$517.45 ,$36.98 ,$511.83 ,$218.33 ,$346.13 ,$362.22 ,$346.13 ,$506.21 ,$506.21 ,$419.76 ,$391.75 ,$220.51 ,$36.63 ,$525.89 ,$229.25 ,$34.89 ,$489.33 ,$218.33 ,$506.21 ,$218.33 ,$506.21 ,$506.21 ,$506.21 ,$545.58 ,$455.58 ,$506.21 ,$506.21 ,$506.21 ,$506.21 
ST. JOSEPH'S - CHIPPEWA FALLS,98180547,42809,PC REMOVE PHARYNX FOREIGN BODY,981,1 ,$578.59 ,$433.94 ,$34.89 ,$630.17 ,$372.61 ,$280.07 ,$405.01 ,$34.89 ,$480.23 ,$35.94 ,$381.87 ,$549.66 , N/A ,$462.87 ,$526.52 ,$34.89 ,$543.87 ,$549.66 ,$520.73 ,$491.80 ,$34.89 ,$34.89 ,$34.89 ,$422.37 ,$280.07 ,$514.95 ,$520.73 ,$520.73 ,$462.87 ,$288.48 ,$318.22 ,$520.73 ,$280.07 ,$520.73 ,$280.07 ,$549.66 ,$630.17 ,$532.30 ,$36.98 ,$526.52 ,$280.07 ,$356.06 ,$372.61 ,$356.06 ,$520.73 ,$520.73 ,$431.80 ,$402.99 ,$282.87 ,$36.63 ,$540.98 ,$294.07 ,$34.89 ,$503.37 ,$280.07 ,$520.73 ,$280.07 ,$520.73 ,$520.73 ,$520.73 ,$561.23 ,$468.66 ,$520.73 ,$520.73 ,$520.73 ,$520.73 
ST. JOSEPH'S - CHIPPEWA FALLS,98180548,42900,PC SUTURE PHARYNX,981,1 ,"$1,551.94 ","$1,163.96 ",$288.55 ,"$3,140.92 ",$999.45 ,"$1,395.96 ","$1,086.36 ",$288.55 ,"$1,288.11 ",$297.21 ,"$1,024.28 ","$1,474.34 ", N/A ,"$1,241.55 ","$1,412.27 ",$288.55 ,"$1,458.82 ","$1,474.34 ","$1,396.75 ","$1,319.15 ",$288.55 ,$288.55 ,$288.55 ,"$1,132.92 ","$1,395.96 ","$1,381.23 ","$1,396.75 ","$1,396.75 ","$1,241.55 ","$1,437.84 ",$853.57 ,"$1,396.75 ","$1,395.96 ","$1,396.75 ","$1,395.96 ","$1,474.34 ","$3,140.92 ","$1,427.78 ",$305.86 ,"$1,412.27 ","$1,395.96 ",$955.06 ,$999.45 ,$955.06 ,"$1,396.75 ","$1,396.75 ","$1,158.21 ","$1,080.93 ","$1,409.92 ",$302.98 ,"$1,451.06 ","$1,465.76 ",$288.55 ,"$1,350.19 ","$1,395.96 ","$1,396.75 ","$1,395.96 ","$1,396.75 ","$1,396.75 ","$1,396.75 ","$1,505.38 ","$1,257.07 ","$1,396.75 ","$1,396.75 ","$1,396.75 ","$1,396.75 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180549,42960,PC CNTRL HEMORR OROPHARY SIMPLE,981,1 ,$636.33 ,$477.25 ,$288.55 ,"$1,050.12 ",$409.80 ,$466.72 ,$445.43 ,$288.55 ,$528.15 ,$297.21 ,$419.98 ,$604.51 , N/A ,$509.06 ,$579.06 ,$288.55 ,$598.15 ,$604.51 ,$572.70 ,$540.88 ,$288.55 ,$288.55 ,$288.55 ,$464.52 ,$466.72 ,$566.33 ,$572.70 ,$572.70 ,$509.06 ,$480.72 ,$349.98 ,$572.70 ,$466.72 ,$572.70 ,$466.72 ,$604.51 ,"$1,050.12 ",$585.42 ,$305.86 ,$579.06 ,$466.72 ,$391.60 ,$409.80 ,$391.60 ,$572.70 ,$572.70 ,$474.89 ,$443.20 ,$471.39 ,$302.98 ,$594.97 ,$490.06 ,$288.55 ,$553.61 ,$466.72 ,$572.70 ,$466.72 ,$572.70 ,$572.70 ,$572.70 ,$617.24 ,$515.43 ,$572.70 ,$572.70 ,$572.70 ,$572.70 
ST. JOSEPH'S - CHIPPEWA FALLS,98180550,43753,PC INTUBTION GASTRIC LAVAGE,981,1 ,$112.10 ,$84.08 ,$61.66 ,$614.50 ,$72.19 ,$273.11 ,$78.47 ,$112.10 ,$93.04 ,$217.54 ,$73.99 ,$106.50 , N/A ,$89.68 ,$102.01 ,$112.10 ,$105.37 ,$106.50 ,$100.89 ,$95.29 ,$211.20 ,$211.20 ,$211.20 ,$81.83 ,$273.11 ,$99.77 ,$100.89 ,$100.89 ,$89.68 ,$281.31 ,$61.66 ,$100.89 ,$273.11 ,$100.89 ,$273.11 ,$106.50 ,$614.50 ,$103.13 ,$223.87 ,$102.01 ,$273.11 ,$68.99 ,$72.19 ,$68.99 ,$100.89 ,$100.89 ,$83.66 ,$78.08 ,$275.84 ,$221.76 ,$104.81 ,$286.77 ,$112.10 ,$97.53 ,$273.11 ,$100.89 ,$273.11 ,$100.89 ,$100.89 ,$100.89 ,$108.74 ,$90.80 ,$100.89 ,$100.89 ,$100.89 ,$100.89 
ST. JOSEPH'S - CHIPPEWA FALLS,98180551,45300,PC PROCTOSIGMOIDOSCOPY RIGID DIAG,981,1 ,$273.01 ,$204.76 ,$150.16 ,"$1,842.62 ",$175.82 ,$818.94 ,$191.11 ,$273.01 ,$226.60 ,$314.08 ,$180.19 ,$259.36 , N/A ,$218.41 ,$248.44 ,$273.01 ,$256.63 ,$259.36 ,$245.71 ,$232.06 ,$304.93 ,$304.93 ,$304.93 ,$199.30 ,$818.94 ,$242.98 ,$245.71 ,$245.71 ,$218.41 ,$843.51 ,$150.16 ,$245.71 ,$818.94 ,$245.71 ,$818.94 ,$259.36 ,"$1,842.62 ",$251.17 ,$323.23 ,$248.44 ,$818.94 ,$168.01 ,$175.82 ,$168.01 ,$245.71 ,$245.71 ,$203.75 ,$190.15 ,$827.13 ,$320.18 ,$255.26 ,$859.89 ,$273.01 ,$237.52 ,$818.94 ,$245.71 ,$818.94 ,$245.71 ,$245.71 ,$245.71 ,$264.82 ,$221.14 ,$245.71 ,$245.71 ,$245.71 ,$245.71 
ST. JOSEPH'S - CHIPPEWA FALLS,98180552,45330,PC SIGMOIDOSCOPY FLEXIBLE DIAG,981,1 ,$529.98 ,$397.49 ,$291.49 ,"$1,842.62 ",$341.31 ,$818.94 ,$370.99 ,$304.93 ,$439.88 ,$314.08 ,$349.79 ,$503.48 , N/A ,$423.98 ,$482.28 ,$304.93 ,$498.18 ,$503.48 ,$476.98 ,$450.48 ,$304.93 ,$304.93 ,$304.93 ,$386.89 ,$818.94 ,$471.68 ,$476.98 ,$476.98 ,$423.98 ,$843.51 ,$291.49 ,$476.98 ,$818.94 ,$476.98 ,$818.94 ,$503.48 ,"$1,842.62 ",$487.58 ,$323.23 ,$482.28 ,$818.94 ,$326.15 ,$341.31 ,$326.15 ,$476.98 ,$476.98 ,$395.52 ,$369.13 ,$827.13 ,$320.18 ,$495.53 ,$859.89 ,$304.93 ,$461.08 ,$818.94 ,$476.98 ,$818.94 ,$476.98 ,$476.98 ,$476.98 ,$514.08 ,$429.28 ,$476.98 ,$476.98 ,$476.98 ,$476.98 
ST. JOSEPH'S - CHIPPEWA FALLS,98180553,45900,PC REDUCE PROCIDENTIA W/ANESTH,981,1 ,$691.82 ,$518.87 ,$380.50 ,"$1,842.62 ",$445.53 ,$818.94 ,$484.27 ,$462.68 ,$574.21 ,$476.56 ,$456.60 ,$657.23 , N/A ,$553.46 ,$629.56 ,$462.68 ,$650.31 ,$657.23 ,$622.64 ,$588.05 ,$462.68 ,$462.68 ,$462.68 ,$505.03 ,$818.94 ,$615.72 ,$622.64 ,$622.64 ,$553.46 ,$843.51 ,$380.50 ,$622.64 ,$818.94 ,$622.64 ,$818.94 ,$657.23 ,"$1,842.62 ",$636.47 ,$490.44 ,$629.56 ,$818.94 ,$425.75 ,$445.53 ,$425.75 ,$622.64 ,$622.64 ,$516.31 ,$481.85 ,$827.13 ,$485.81 ,$646.85 ,$859.89 ,$462.68 ,$601.88 ,$818.94 ,$622.64 ,$818.94 ,$622.64 ,$622.64 ,$622.64 ,$671.07 ,$560.37 ,$622.64 ,$622.64 ,$622.64 ,$622.64 
ST. JOSEPH'S - CHIPPEWA FALLS,98180554,46040,PC INCISION RECTAL ABSCESS,981,1 ,"$1,257.30 ",$942.98 ,$462.68 ,"$2,407.76 ",$809.70 ,"$1,070.12 ",$880.11 ,$462.68 ,"$1,043.56 ",$476.56 ,$829.82 ,"$1,194.44 ", N/A ,"$1,005.84 ","$1,144.14 ",$462.68 ,"$1,181.86 ","$1,194.44 ","$1,131.57 ","$1,068.71 ",$462.68 ,$462.68 ,$462.68 ,$917.83 ,"$1,070.12 ","$1,119.00 ","$1,131.57 ","$1,131.57 ","$1,005.84 ","$1,102.22 ",$691.52 ,"$1,131.57 ","$1,070.12 ","$1,131.57 ","$1,070.12 ","$1,194.44 ","$2,407.76 ","$1,156.72 ",$490.44 ,"$1,144.14 ","$1,070.12 ",$773.74 ,$809.70 ,$773.74 ,"$1,131.57 ","$1,131.57 ",$938.32 ,$875.71 ,"$1,080.82 ",$485.81 ,"$1,175.58 ","$1,123.63 ",$462.68 ,"$1,093.85 ","$1,070.12 ","$1,131.57 ","$1,070.12 ","$1,131.57 ","$1,131.57 ","$1,131.57 ","$1,219.58 ","$1,018.41 ","$1,131.57 ","$1,131.57 ","$1,131.57 ","$1,131.57 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180555,46050,PC I AND D PERIANAL ABSCESS SUPFIC,981,1 ,$616.91 ,$462.68 ,$339.30 ,"$1,842.62 ",$397.29 ,$818.94 ,$431.84 ,$462.68 ,$512.04 ,$476.56 ,$407.16 ,$586.06 , N/A ,$493.53 ,$561.39 ,$462.68 ,$579.90 ,$586.06 ,$555.22 ,$524.37 ,$462.68 ,$462.68 ,$462.68 ,$450.34 ,$818.94 ,$549.05 ,$555.22 ,$555.22 ,$493.53 ,$843.51 ,$339.30 ,$555.22 ,$818.94 ,$555.22 ,$818.94 ,$586.06 ,"$1,842.62 ",$567.56 ,$490.44 ,$561.39 ,$818.94 ,$379.65 ,$397.29 ,$379.65 ,$555.22 ,$555.22 ,$460.40 ,$429.68 ,$827.13 ,$485.81 ,$576.81 ,$859.89 ,$462.68 ,$536.71 ,$818.94 ,$555.22 ,$818.94 ,$555.22 ,$555.22 ,$555.22 ,$598.40 ,$499.70 ,$555.22 ,$555.22 ,$555.22 ,$555.22 
ST. JOSEPH'S - CHIPPEWA FALLS,98180556,46083,PC INC HEMORRHOID EXTERNAL,981,1 ,$380.50 ,$285.38 ,$209.28 ,$617.87 ,$245.04 ,$274.61 ,$266.35 ,$380.50 ,$315.82 ,$476.56 ,$251.13 ,$361.48 , N/A ,$304.40 ,$346.26 ,$380.50 ,$357.67 ,$361.48 ,$342.45 ,$323.43 ,$462.68 ,$462.68 ,$462.68 ,$277.77 ,$274.61 ,$338.65 ,$342.45 ,$342.45 ,$304.40 ,$282.85 ,$209.28 ,$342.45 ,$274.61 ,$342.45 ,$274.61 ,$361.48 ,$617.87 ,$350.06 ,$490.44 ,$346.26 ,$274.61 ,$234.16 ,$245.04 ,$234.16 ,$342.45 ,$342.45 ,$283.97 ,$265.02 ,$277.35 ,$485.81 ,$355.77 ,$288.34 ,$380.50 ,$331.04 ,$274.61 ,$342.45 ,$274.61 ,$342.45 ,$342.45 ,$342.45 ,$369.09 ,$308.21 ,$342.45 ,$342.45 ,$342.45 ,$342.45 
ST. JOSEPH'S - CHIPPEWA FALLS,98180557,46320,PC EXC THROMBOSED HEMORRHOID EXTERNAL,981,1 ,$593.07 ,$444.80 ,$326.19 ,"$2,407.76 ",$381.94 ,"$1,070.12 ",$415.15 ,$462.68 ,$492.25 ,$476.56 ,$391.43 ,$563.42 , N/A ,$474.46 ,$539.69 ,$462.68 ,$557.49 ,$563.42 ,$533.76 ,$504.11 ,$462.68 ,$462.68 ,$462.68 ,$432.94 ,"$1,070.12 ",$527.83 ,$533.76 ,$533.76 ,$474.46 ,"$1,102.22 ",$326.19 ,$533.76 ,"$1,070.12 ",$533.76 ,"$1,070.12 ",$563.42 ,"$2,407.76 ",$545.62 ,$490.44 ,$539.69 ,"$1,070.12 ",$364.98 ,$381.94 ,$364.98 ,$533.76 ,$533.76 ,$442.61 ,$413.07 ,"$1,080.82 ",$485.81 ,$554.52 ,"$1,123.63 ",$462.68 ,$515.97 ,"$1,070.12 ",$533.76 ,"$1,070.12 ",$533.76 ,$533.76 ,$533.76 ,$575.28 ,$480.39 ,$533.76 ,$533.76 ,$533.76 ,$533.76 
ST. JOSEPH'S - CHIPPEWA FALLS,98180558,46600,PC ANOSCOPY,981,1 ,$204.00 ,$153.00 ,$56.46 ,$261.82 ,$131.38 ,$116.36 ,$142.80 ,$56.46 ,$169.32 ,$58.15 ,$134.64 ,$193.80 , N/A ,$163.20 ,$185.64 ,$56.46 ,$191.76 ,$193.80 ,$183.60 ,$173.40 ,$56.46 ,$56.46 ,$56.46 ,$148.92 ,$116.36 ,$181.56 ,$183.60 ,$183.60 ,$163.20 ,$119.85 ,$112.20 ,$183.60 ,$116.36 ,$183.60 ,$116.36 ,$193.80 ,$261.82 ,$187.68 ,$59.85 ,$185.64 ,$116.36 ,$125.54 ,$131.38 ,$125.54 ,$183.60 ,$183.60 ,$152.25 ,$142.09 ,$117.53 ,$59.28 ,$190.74 ,$122.18 ,$56.46 ,$177.48 ,$116.36 ,$183.60 ,$116.36 ,$183.60 ,$183.60 ,$183.60 ,$197.88 ,$165.24 ,$183.60 ,$183.60 ,$183.60 ,$183.60 
ST. JOSEPH'S - CHIPPEWA FALLS,98180559,46945,PC HEMMORRHOID LIGATION INTERNAL SINGLE,981,1 ,$474.50 ,$355.88 ,$260.98 ,"$5,672.45 ",$305.58 ,"$2,521.09 ",$332.15 ,$462.68 ,$393.84 ,$476.56 ,$313.17 ,$450.78 , N/A ,$379.60 ,$431.80 ,$462.68 ,$446.03 ,$450.78 ,$427.05 ,$403.33 ,$462.68 ,$462.68 ,$462.68 ,$346.39 ,"$2,521.09 ",$422.31 ,$427.05 ,$427.05 ,$379.60 ,"$2,596.72 ",$260.98 ,$427.05 ,"$2,521.09 ",$427.05 ,"$2,521.09 ",$450.78 ,"$5,672.45 ",$436.54 ,$490.44 ,$431.80 ,"$2,521.09 ",$292.01 ,$305.58 ,$292.01 ,$427.05 ,$427.05 ,$354.12 ,$330.49 ,"$2,546.30 ",$485.81 ,$443.66 ,"$2,647.14 ",$462.68 ,$412.82 ,"$2,521.09 ",$427.05 ,"$2,521.09 ",$427.05 ,$427.05 ,$427.05 ,$460.27 ,$384.35 ,$427.05 ,$427.05 ,$427.05 ,$427.05 
ST. JOSEPH'S - CHIPPEWA FALLS,98180560,46946,PC HEMMORRHOID LIGATION INTERNAL MULTIPLE,981,1 ,$711.65 ,$533.74 ,$391.41 ,"$5,672.45 ",$458.30 ,"$2,521.09 ",$498.16 ,$462.68 ,$590.67 ,$476.56 ,$469.69 ,$676.07 , N/A ,$569.32 ,$647.60 ,$462.68 ,$668.95 ,$676.07 ,$640.49 ,$604.90 ,$462.68 ,$462.68 ,$462.68 ,$519.50 ,"$2,521.09 ",$633.37 ,$640.49 ,$640.49 ,$569.32 ,"$2,596.72 ",$391.41 ,$640.49 ,"$2,521.09 ",$640.49 ,"$2,521.09 ",$676.07 ,"$5,672.45 ",$654.72 ,$490.44 ,$647.60 ,"$2,521.09 ",$437.95 ,$458.30 ,$437.95 ,$640.49 ,$640.49 ,$531.10 ,$495.66 ,"$2,546.30 ",$485.81 ,$665.39 ,"$2,647.14 ",$462.68 ,$619.14 ,"$2,521.09 ",$640.49 ,"$2,521.09 ",$640.49 ,$640.49 ,$640.49 ,$690.30 ,$576.44 ,$640.49 ,$640.49 ,$640.49 ,$640.49 
ST. JOSEPH'S - CHIPPEWA FALLS,98180561,49424,PC INJ CONTRAST ABSC/CYST,981,1 ,$387.37 ,$290.53 ,$95.13 ,$387.37 ,$249.47 , N/A ,$271.16 ,$95.13 ,$321.52 ,$97.98 ,$255.66 ,$368.00 , N/A ,$309.90 ,$352.51 ,$95.13 ,$364.13 ,$368.00 ,$348.63 ,$329.26 ,$95.13 ,$95.13 ,$95.13 ,$282.78 , N/A ,$344.76 ,$348.63 ,$348.63 ,$309.90 , N/A ,$213.05 ,$348.63 , N/A ,$348.63 , N/A ,$368.00 , N/A ,$356.38 ,$100.84 ,$352.51 , N/A ,$238.39 ,$249.47 ,$238.39 ,$348.63 ,$348.63 ,$289.09 ,$269.80 , N/A ,$99.89 ,$362.19 , N/A ,$95.13 ,$337.01 , N/A ,$348.63 , N/A ,$348.63 ,$348.63 ,$348.63 ,$375.75 ,$313.77 ,$348.63 ,$348.63 ,$348.63 ,$348.63 
ST. JOSEPH'S - CHIPPEWA FALLS,98180562,51100,PC ASPIRATION BLADDER NEEDLE,981,1 ,$280.51 ,$210.38 ,$119.36 ,$617.87 ,$180.65 ,$274.61 ,$196.36 ,$119.36 ,$232.82 ,$122.94 ,$185.14 ,$266.48 , N/A ,$224.41 ,$255.26 ,$119.36 ,$263.68 ,$266.48 ,$252.46 ,$238.43 ,$119.36 ,$119.36 ,$119.36 ,$204.77 ,$274.61 ,$249.65 ,$252.46 ,$252.46 ,$224.41 ,$282.85 ,$154.28 ,$252.46 ,$274.61 ,$252.46 ,$274.61 ,$266.48 ,$617.87 ,$258.07 ,$126.52 ,$255.26 ,$274.61 ,$172.63 ,$180.65 ,$172.63 ,$252.46 ,$252.46 ,$209.34 ,$195.38 ,$277.35 ,$125.33 ,$262.28 ,$288.34 ,$119.36 ,$244.04 ,$274.61 ,$252.46 ,$274.61 ,$252.46 ,$252.46 ,$252.46 ,$272.09 ,$227.21 ,$252.46 ,$252.46 ,$252.46 ,$252.46 
ST. JOSEPH'S - CHIPPEWA FALLS,98180563,51102,PC ASPIRATION BLADDER INSERT SUPRAPUBIC CATH,981,1 ,$917.90 ,$688.43 ,$490.13 ,"$4,157.42 ",$591.13 ,"$1,847.74 ",$642.53 ,$490.13 ,$761.86 ,$504.83 ,$605.81 ,$872.01 , N/A ,$734.32 ,$835.29 ,$490.13 ,$862.83 ,$872.01 ,$826.11 ,$780.22 ,$490.13 ,$490.13 ,$490.13 ,$670.07 ,"$1,847.74 ",$816.93 ,$826.11 ,$826.11 ,$734.32 ,"$1,903.17 ",$504.85 ,$826.11 ,"$1,847.74 ",$826.11 ,"$1,847.74 ",$872.01 ,"$4,157.42 ",$844.47 ,$519.54 ,$835.29 ,"$1,847.74 ",$564.88 ,$591.13 ,$564.88 ,$826.11 ,$826.11 ,$685.03 ,$639.32 ,"$1,866.22 ",$514.64 ,$858.24 ,"$1,940.13 ",$490.13 ,$798.57 ,"$1,847.74 ",$826.11 ,"$1,847.74 ",$826.11 ,$826.11 ,$826.11 ,$890.36 ,$743.50 ,$826.11 ,$826.11 ,$826.11 ,$826.11 
ST. JOSEPH'S - CHIPPEWA FALLS,98180564,51600,PC INJ CYSTOGRAM,981,1 ,$382.54 ,$286.91 ,$95.13 ,$382.54 ,$246.36 , N/A ,$267.78 ,$95.13 ,$317.51 ,$97.98 ,$252.48 ,$363.41 , N/A ,$306.03 ,$348.11 ,$95.13 ,$359.59 ,$363.41 ,$344.29 ,$325.16 ,$95.13 ,$95.13 ,$95.13 ,$279.25 , N/A ,$340.46 ,$344.29 ,$344.29 ,$306.03 , N/A ,$210.40 ,$344.29 , N/A ,$344.29 , N/A ,$363.41 , N/A ,$351.94 ,$100.84 ,$348.11 , N/A ,$235.42 ,$246.36 ,$235.42 ,$344.29 ,$344.29 ,$285.49 ,$266.44 , N/A ,$99.89 ,$357.67 , N/A ,$95.13 ,$332.81 , N/A ,$344.29 , N/A ,$344.29 ,$344.29 ,$344.29 ,$371.06 ,$309.86 ,$344.29 ,$344.29 ,$344.29 ,$344.29 
ST. JOSEPH'S - CHIPPEWA FALLS,98180565,51700,PC IRRIG/LAVG/INSTL BLADDER,981,1 ,$210.10 ,$157.58 ,$22.63 ,$617.87 ,$135.30 ,$274.61 ,$147.07 ,$22.63 ,$174.38 ,$23.31 ,$138.67 ,$199.60 , N/A ,$168.08 ,$191.19 ,$22.63 ,$197.49 ,$199.60 ,$189.09 ,$178.59 ,$22.63 ,$22.63 ,$22.63 ,$153.37 ,$274.61 ,$186.99 ,$189.09 ,$189.09 ,$168.08 ,$282.85 ,$115.56 ,$189.09 ,$274.61 ,$189.09 ,$274.61 ,$199.60 ,$617.87 ,$193.29 ,$23.99 ,$191.19 ,$274.61 ,$129.30 ,$135.30 ,$129.30 ,$189.09 ,$189.09 ,$156.80 ,$146.33 ,$277.35 ,$23.76 ,$196.44 ,$288.34 ,$22.63 ,$182.79 ,$274.61 ,$189.09 ,$274.61 ,$189.09 ,$189.09 ,$189.09 ,$203.80 ,$170.18 ,$189.09 ,$189.09 ,$189.09 ,$189.09 
ST. JOSEPH'S - CHIPPEWA FALLS,98180566,51701,PC CATH BLADDER NON-INDWELLING,981,1 ,$189.10 ,$141.83 ,$22.63 ,$261.82 ,$121.78 ,$116.36 ,$132.37 ,$22.63 ,$156.95 ,$23.31 ,$124.81 ,$179.65 , N/A ,$151.28 ,$172.08 ,$22.63 ,$177.75 ,$179.65 ,$170.19 ,$160.74 ,$22.63 ,$22.63 ,$22.63 ,$138.04 ,$116.36 ,$168.30 ,$170.19 ,$170.19 ,$151.28 ,$119.85 ,$104.01 ,$170.19 ,$116.36 ,$170.19 ,$116.36 ,$179.65 ,$261.82 ,$173.97 ,$23.99 ,$172.08 ,$116.36 ,$116.37 ,$121.78 ,$116.37 ,$170.19 ,$170.19 ,$141.13 ,$131.71 ,$117.53 ,$23.76 ,$176.81 ,$122.18 ,$22.63 ,$164.52 ,$116.36 ,$170.19 ,$116.36 ,$170.19 ,$170.19 ,$170.19 ,$183.43 ,$153.17 ,$170.19 ,$170.19 ,$170.19 ,$170.19 
ST. JOSEPH'S - CHIPPEWA FALLS,98180567,51703,PC CATH BLADDER COMPLEX,981,1 ,$331.47 ,$248.60 ,$22.63 ,$331.47 ,$213.47 ,$144.08 ,$232.03 ,$22.63 ,$275.12 ,$23.31 ,$218.77 ,$314.90 , N/A ,$265.18 ,$301.64 ,$22.63 ,$311.58 ,$314.90 ,$298.32 ,$281.75 ,$22.63 ,$22.63 ,$22.63 ,$241.97 ,$144.08 ,$295.01 ,$298.32 ,$298.32 ,$265.18 ,$148.40 ,$182.31 ,$298.32 ,$144.08 ,$298.32 ,$144.08 ,$314.90 ,$324.18 ,$304.95 ,$23.99 ,$301.64 ,$144.08 ,$203.99 ,$213.47 ,$203.99 ,$298.32 ,$298.32 ,$247.38 ,$230.87 ,$145.52 ,$23.76 ,$309.92 ,$151.28 ,$22.63 ,$288.38 ,$144.08 ,$298.32 ,$144.08 ,$298.32 ,$298.32 ,$298.32 ,$321.53 ,$268.49 ,$298.32 ,$298.32 ,$298.32 ,$298.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180568,51705,PC CHG TUBE CYSTOSTOMY SIMPLE,981,1 ,$382.54 ,$286.91 ,$62.73 ,$617.87 ,$246.36 ,$274.61 ,$267.78 ,$62.73 ,$317.51 ,$64.61 ,$252.48 ,$363.41 , N/A ,$306.03 ,$348.11 ,$62.73 ,$359.59 ,$363.41 ,$344.29 ,$325.16 ,$62.73 ,$62.73 ,$62.73 ,$279.25 ,$274.61 ,$340.46 ,$344.29 ,$344.29 ,$306.03 ,$282.85 ,$210.40 ,$344.29 ,$274.61 ,$344.29 ,$274.61 ,$363.41 ,$617.87 ,$351.94 ,$66.49 ,$348.11 ,$274.61 ,$235.42 ,$246.36 ,$235.42 ,$344.29 ,$344.29 ,$285.49 ,$266.44 ,$277.35 ,$65.87 ,$357.67 ,$288.34 ,$62.73 ,$332.81 ,$274.61 ,$344.29 ,$274.61 ,$344.29 ,$344.29 ,$344.29 ,$371.06 ,$309.86 ,$344.29 ,$344.29 ,$344.29 ,$344.29 
ST. JOSEPH'S - CHIPPEWA FALLS,98180569,53060,PC DRAIN SKENE GLAND ABSCESS/CYST,981,1 ,$546.22 ,$409.67 ,$300.42 ,"$4,157.42 ",$351.77 ,"$1,847.74 ",$382.35 ,$546.22 ,$453.36 ,$950.37 ,$360.51 ,$518.91 , N/A ,$436.98 ,$497.06 ,$546.22 ,$513.45 ,$518.91 ,$491.60 ,$464.29 ,$922.69 ,$922.69 ,$922.69 ,$398.74 ,"$1,847.74 ",$486.14 ,$491.60 ,$491.60 ,$436.98 ,"$1,903.17 ",$300.42 ,$491.60 ,"$1,847.74 ",$491.60 ,"$1,847.74 ",$518.91 ,"$4,157.42 ",$502.52 ,$978.05 ,$497.06 ,"$1,847.74 ",$336.14 ,$351.77 ,$336.14 ,$491.60 ,$491.60 ,$407.64 ,$380.44 ,"$1,866.22 ",$968.82 ,$510.72 ,"$1,940.13 ",$546.22 ,$475.21 ,"$1,847.74 ",$491.60 ,"$1,847.74 ",$491.60 ,$491.60 ,$491.60 ,$529.83 ,$442.44 ,$491.60 ,$491.60 ,$491.60 ,$491.60 
ST. JOSEPH'S - CHIPPEWA FALLS,98180570,53600,PC DILAT URETH STRICTURE SOUND INITIAL,981,1 ,$409.66 ,$307.25 ,$22.63 ,$617.87 ,$263.82 ,$274.61 ,$286.76 ,$22.63 ,$340.02 ,$23.31 ,$270.38 ,$389.18 , N/A ,$327.73 ,$372.79 ,$22.63 ,$385.08 ,$389.18 ,$368.69 ,$348.21 ,$22.63 ,$22.63 ,$22.63 ,$299.05 ,$274.61 ,$364.60 ,$368.69 ,$368.69 ,$327.73 ,$282.85 ,$225.31 ,$368.69 ,$274.61 ,$368.69 ,$274.61 ,$389.18 ,$617.87 ,$376.89 ,$23.99 ,$372.79 ,$274.61 ,$252.10 ,$263.82 ,$252.10 ,$368.69 ,$368.69 ,$305.73 ,$285.33 ,$277.35 ,$23.76 ,$383.03 ,$288.34 ,$22.63 ,$356.40 ,$274.61 ,$368.69 ,$274.61 ,$368.69 ,$368.69 ,$368.69 ,$397.37 ,$331.82 ,$368.69 ,$368.69 ,$368.69 ,$368.69 
ST. JOSEPH'S - CHIPPEWA FALLS,98180571,53620,PC DILAT URETH STRICTURE FILIFORM  AND  FOLLOWER INITIAL,981,1 ,$682.67 ,$512.00 ,$119.36 ,"$1,335.81 ",$439.64 ,$593.69 ,$477.87 ,$119.36 ,$566.62 ,$122.94 ,$450.56 ,$648.54 , N/A ,$546.14 ,$621.23 ,$119.36 ,$641.71 ,$648.54 ,$614.40 ,$580.27 ,$119.36 ,$119.36 ,$119.36 ,$498.35 ,$593.69 ,$607.58 ,$614.40 ,$614.40 ,$546.14 ,$611.50 ,$375.47 ,$614.40 ,$593.69 ,$614.40 ,$593.69 ,$648.54 ,"$1,335.81 ",$628.06 ,$126.52 ,$621.23 ,$593.69 ,$420.12 ,$439.64 ,$420.12 ,$614.40 ,$614.40 ,$509.48 ,$475.48 ,$599.63 ,$125.33 ,$638.30 ,$623.37 ,$119.36 ,$593.92 ,$593.69 ,$614.40 ,$593.69 ,$614.40 ,$614.40 ,$614.40 ,$662.19 ,$552.96 ,$614.40 ,$614.40 ,$614.40 ,$614.40 
ST. JOSEPH'S - CHIPPEWA FALLS,98180572,54220,PC IRRIG CORPORA CAVNOSA,981,1 ,"$1,309.65 ",$982.24 ,$22.63 ,"$1,309.65 ",$843.41 ,$274.61 ,$916.76 ,$22.63 ,"$1,087.01 ",$23.31 ,$864.37 ,"$1,244.17 ", N/A ,"$1,047.72 ","$1,191.78 ",$22.63 ,"$1,231.07 ","$1,244.17 ","$1,178.69 ","$1,113.20 ",$22.63 ,$22.63 ,$22.63 ,$956.04 ,$274.61 ,"$1,165.59 ","$1,178.69 ","$1,178.69 ","$1,047.72 ",$282.85 ,$720.31 ,"$1,178.69 ",$274.61 ,"$1,178.69 ",$274.61 ,"$1,244.17 ",$617.87 ,"$1,204.88 ",$23.99 ,"$1,191.78 ",$274.61 ,$805.96 ,$843.41 ,$805.96 ,"$1,178.69 ","$1,178.69 ",$977.39 ,$912.17 ,$277.35 ,$23.76 ,"$1,224.52 ",$288.34 ,$22.63 ,"$1,139.40 ",$274.61 ,"$1,178.69 ",$274.61 ,"$1,178.69 ","$1,178.69 ","$1,178.69 ","$1,270.36 ","$1,060.82 ","$1,178.69 ","$1,178.69 ","$1,178.69 ","$1,178.69 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180573,54235,PC INJ PENILE W/RX,981,1 ,$503.68 ,$377.76 ,$22.63 ,$617.87 ,$324.37 ,$274.61 ,$352.58 ,$22.63 ,$418.05 ,$23.31 ,$332.43 ,$478.50 , N/A ,$402.94 ,$458.35 ,$22.63 ,$473.46 ,$478.50 ,$453.31 ,$428.13 ,$22.63 ,$22.63 ,$22.63 ,$367.69 ,$274.61 ,$448.28 ,$453.31 ,$453.31 ,$402.94 ,$282.85 ,$277.02 ,$453.31 ,$274.61 ,$453.31 ,$274.61 ,$478.50 ,$617.87 ,$463.39 ,$23.99 ,$458.35 ,$274.61 ,$309.96 ,$324.37 ,$309.96 ,$453.31 ,$453.31 ,$375.90 ,$350.81 ,$277.35 ,$23.76 ,$470.94 ,$288.34 ,$22.63 ,$438.20 ,$274.61 ,$453.31 ,$274.61 ,$453.31 ,$453.31 ,$453.31 ,$488.57 ,$407.98 ,$453.31 ,$453.31 ,$453.31 ,$453.31 
ST. JOSEPH'S - CHIPPEWA FALLS,98180574,54450,PC MANIP FORESKIN STRETCH,981,1 ,$503.68 ,$377.76 ,$119.36 ,$617.87 ,$324.37 ,$274.61 ,$352.58 ,$119.36 ,$418.05 ,$122.94 ,$332.43 ,$478.50 , N/A ,$402.94 ,$458.35 ,$119.36 ,$473.46 ,$478.50 ,$453.31 ,$428.13 ,$119.36 ,$119.36 ,$119.36 ,$367.69 ,$274.61 ,$448.28 ,$453.31 ,$453.31 ,$402.94 ,$282.85 ,$277.02 ,$453.31 ,$274.61 ,$453.31 ,$274.61 ,$478.50 ,$617.87 ,$463.39 ,$126.52 ,$458.35 ,$274.61 ,$309.96 ,$324.37 ,$309.96 ,$453.31 ,$453.31 ,$375.90 ,$350.81 ,$277.35 ,$125.33 ,$470.94 ,$288.34 ,$119.36 ,$438.20 ,$274.61 ,$453.31 ,$274.61 ,$453.31 ,$453.31 ,$453.31 ,$488.57 ,$407.98 ,$453.31 ,$453.31 ,$453.31 ,$453.31 
ST. JOSEPH'S - CHIPPEWA FALLS,98180575,54700,PC I AND D EPIDIDYMIS TESTIS OR SCROTAL SPACE,981,1 ,$974.38 ,$730.79 ,$535.91 ,"$4,157.42 ",$627.50 ,"$1,847.74 ",$682.07 ,$646.68 ,$808.74 ,$666.08 ,$643.09 ,$925.66 , N/A ,$779.50 ,$886.69 ,$646.68 ,$915.92 ,$925.66 ,$876.94 ,$828.22 ,$646.68 ,$646.68 ,$646.68 ,$711.30 ,"$1,847.74 ",$867.20 ,$876.94 ,$876.94 ,$779.50 ,"$1,903.17 ",$535.91 ,$876.94 ,"$1,847.74 ",$876.94 ,"$1,847.74 ",$925.66 ,"$4,157.42 ",$896.43 ,$685.48 ,$886.69 ,"$1,847.74 ",$599.63 ,$627.50 ,$599.63 ,$876.94 ,$876.94 ,$727.18 ,$678.66 ,"$1,866.22 ",$679.01 ,$911.05 ,"$1,940.13 ",$646.68 ,$847.71 ,"$1,847.74 ",$876.94 ,"$1,847.74 ",$876.94 ,$876.94 ,$876.94 ,$945.15 ,$789.25 ,$876.94 ,$876.94 ,$876.94 ,$876.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180576,55100,PC DRAIN ABSC SCROTAL WALL,981,1 ,$505.22 ,$378.92 ,$277.87 ,"$3,266.98 ",$325.36 ,"$1,451.99 ",$353.65 ,$505.22 ,$419.33 ,$666.08 ,$333.45 ,$479.96 , N/A ,$404.18 ,$459.75 ,$505.22 ,$474.91 ,$479.96 ,$454.70 ,$429.44 ,$646.68 ,$646.68 ,$646.68 ,$368.81 ,"$1,451.99 ",$449.65 ,$454.70 ,$454.70 ,$404.18 ,"$1,495.55 ",$277.87 ,$454.70 ,"$1,451.99 ",$454.70 ,"$1,451.99 ",$479.96 ,"$3,266.98 ",$464.80 ,$685.48 ,$459.75 ,"$1,451.99 ",$310.91 ,$325.36 ,$310.91 ,$454.70 ,$454.70 ,$377.05 ,$351.89 ,"$1,466.51 ",$679.01 ,$472.38 ,"$1,524.59 ",$505.22 ,$439.54 ,"$1,451.99 ",$454.70 ,"$1,451.99 ",$454.70 ,$454.70 ,$454.70 ,$490.06 ,$409.23 ,$454.70 ,$454.70 ,$454.70 ,$454.70 
ST. JOSEPH'S - CHIPPEWA FALLS,98180577,56405,PC I AND D ABSCESS VULVA/PERINEAL,981,1 ,$584.60 ,$438.45 ,$61.96 ,$654.86 ,$376.48 ,$291.05 ,$409.22 ,$61.96 ,$485.22 ,$63.82 ,$385.84 ,$555.37 , N/A ,$467.68 ,$531.99 ,$61.96 ,$549.52 ,$555.37 ,$526.14 ,$496.91 ,$61.96 ,$61.96 ,$61.96 ,$426.76 ,$291.05 ,$520.29 ,$526.14 ,$526.14 ,$467.68 ,$299.78 ,$321.53 ,$526.14 ,$291.05 ,$526.14 ,$291.05 ,$555.37 ,$654.86 ,$537.83 ,$65.68 ,$531.99 ,$291.05 ,$359.76 ,$376.48 ,$359.76 ,$526.14 ,$526.14 ,$436.29 ,$407.17 ,$293.96 ,$65.06 ,$546.60 ,$305.60 ,$61.96 ,$508.60 ,$291.05 ,$526.14 ,$291.05 ,$526.14 ,$526.14 ,$526.14 ,$567.06 ,$473.53 ,$526.14 ,$526.14 ,$526.14 ,$526.14 
ST. JOSEPH'S - CHIPPEWA FALLS,98180578,56420,PC I AND D ABSCESS GLAND BARTHOLINS,981,1 ,$643.10 ,$482.33 ,$61.96 ,$643.10 ,$414.16 ,$175.81 ,$450.17 ,$61.96 ,$533.77 ,$63.82 ,$424.45 ,$610.95 , N/A ,$514.48 ,$585.22 ,$61.96 ,$604.51 ,$610.95 ,$578.79 ,$546.64 ,$61.96 ,$61.96 ,$61.96 ,$469.46 ,$175.81 ,$572.36 ,$578.79 ,$578.79 ,$514.48 ,$181.08 ,$353.71 ,$578.79 ,$175.81 ,$578.79 ,$175.81 ,$610.95 ,$395.56 ,$591.65 ,$65.68 ,$585.22 ,$175.81 ,$395.76 ,$414.16 ,$395.76 ,$578.79 ,$578.79 ,$479.95 ,$447.92 ,$177.56 ,$65.06 ,$601.30 ,$184.60 ,$61.96 ,$559.50 ,$175.81 ,$578.79 ,$175.81 ,$578.79 ,$578.79 ,$578.79 ,$623.81 ,$520.91 ,$578.79 ,$578.79 ,$578.79 ,$578.79 
ST. JOSEPH'S - CHIPPEWA FALLS,98180579,56501,PC DESTRUCT VULVA LESION SIMPLE,981,1 ,$517.04 ,$387.78 ,$284.37 ,"$3,976.93 ",$332.97 ,"$1,767.52 ",$361.93 ,$517.04 ,$429.14 ,$787.53 ,$341.25 ,$491.19 , N/A ,$413.63 ,$470.51 ,$517.04 ,$486.02 ,$491.19 ,$465.34 ,$439.48 ,$764.59 ,$764.59 ,$764.59 ,$377.44 ,"$1,767.52 ",$460.17 ,$465.34 ,$465.34 ,$413.63 ,"$1,820.55 ",$284.37 ,$465.34 ,"$1,767.52 ",$465.34 ,"$1,767.52 ",$491.19 ,"$3,976.93 ",$475.68 ,$810.47 ,$470.51 ,"$1,767.52 ",$318.19 ,$332.97 ,$318.19 ,$465.34 ,$465.34 ,$385.87 ,$360.12 ,"$1,785.20 ",$802.82 ,$483.43 ,"$1,855.90 ",$517.04 ,$449.82 ,"$1,767.52 ",$465.34 ,"$1,767.52 ",$465.34 ,$465.34 ,$465.34 ,$501.53 ,$418.80 ,$465.34 ,$465.34 ,$465.34 ,$465.34 
ST. JOSEPH'S - CHIPPEWA FALLS,98180580,57020,PC COLPOCENTESIS PELVIC,981,1 ,$537.90 ,$403.43 ,$143.77 ,"$10,238.64 ",$346.41 ,"$4,550.51 ",$376.53 ,$143.77 ,$446.46 ,$148.08 ,$355.01 ,$511.01 , N/A ,$430.32 ,$489.49 ,$143.77 ,$505.63 ,$511.01 ,$484.11 ,$457.22 ,$143.77 ,$143.77 ,$143.77 ,$392.67 ,"$4,550.51 ",$478.73 ,$484.11 ,$484.11 ,$430.32 ,"$4,687.02 ",$295.85 ,$484.11 ,"$4,550.51 ",$484.11 ,"$4,550.51 ",$511.01 ,"$10,238.64 ",$494.87 ,$152.40 ,$489.49 ,"$4,550.51 ",$331.02 ,$346.41 ,$331.02 ,$484.11 ,$484.11 ,$401.43 ,$374.65 ,"$4,596.01 ",$150.96 ,$502.94 ,"$4,778.04 ",$143.77 ,$467.97 ,"$4,550.51 ",$484.11 ,"$4,550.51 ",$484.11 ,$484.11 ,$484.11 ,$521.76 ,$435.70 ,$484.11 ,$484.11 ,$484.11 ,$484.11 
ST. JOSEPH'S - CHIPPEWA FALLS,98180581,57160,PC FITTING/INSERT INTRAVAG DEVICE,981,1 ,$215.16 ,$161.37 ,$61.96 ,$395.56 ,$138.56 ,$175.81 ,$150.61 ,$61.96 ,$178.58 ,$63.82 ,$142.01 ,$204.40 , N/A ,$172.13 ,$195.80 ,$61.96 ,$202.25 ,$204.40 ,$193.64 ,$182.89 ,$61.96 ,$61.96 ,$61.96 ,$157.07 ,$175.81 ,$191.49 ,$193.64 ,$193.64 ,$172.13 ,$181.08 ,$118.34 ,$193.64 ,$175.81 ,$193.64 ,$175.81 ,$204.40 ,$395.56 ,$197.95 ,$65.68 ,$195.80 ,$175.81 ,$132.41 ,$138.56 ,$132.41 ,$193.64 ,$193.64 ,$160.57 ,$149.86 ,$177.56 ,$65.06 ,$201.17 ,$184.60 ,$61.96 ,$187.19 ,$175.81 ,$193.64 ,$175.81 ,$193.64 ,$193.64 ,$193.64 ,$208.71 ,$174.28 ,$193.64 ,$193.64 ,$193.64 ,$193.64 
ST. JOSEPH'S - CHIPPEWA FALLS,98180582,57180,PC TREAT VAGINAL BLEEDING,981,1 ,$553.31 ,$414.98 ,$143.77 ,$553.31 ,$356.33 ,$175.81 ,$387.32 ,$143.77 ,$459.25 ,$148.08 ,$365.18 ,$525.64 , N/A ,$442.65 ,$503.51 ,$143.77 ,$520.11 ,$525.64 ,$497.98 ,$470.31 ,$143.77 ,$143.77 ,$143.77 ,$403.92 ,$175.81 ,$492.45 ,$497.98 ,$497.98 ,$442.65 ,$181.08 ,$304.32 ,$497.98 ,$175.81 ,$497.98 ,$175.81 ,$525.64 ,$395.56 ,$509.05 ,$152.40 ,$503.51 ,$175.81 ,$340.51 ,$356.33 ,$340.51 ,$497.98 ,$497.98 ,$412.94 ,$385.38 ,$177.56 ,$150.96 ,$517.34 ,$184.60 ,$143.77 ,$481.38 ,$175.81 ,$497.98 ,$175.81 ,$497.98 ,$497.98 ,$497.98 ,$536.71 ,$448.18 ,$497.98 ,$497.98 ,$497.98 ,$497.98 
ST. JOSEPH'S - CHIPPEWA FALLS,98180583,57200,PC RPR SUT VAGINA COLPORRHAPHY,981,1 ,"$1,618.42 ","$1,213.82 ",$764.59 ,"$6,091.95 ","$1,042.26 ","$2,707.53 ","$1,132.89 ",$764.59 ,"$1,343.29 ",$787.53 ,"$1,068.16 ","$1,537.50 ", N/A ,"$1,294.74 ","$1,472.76 ",$764.59 ,"$1,521.31 ","$1,537.50 ","$1,456.58 ","$1,375.66 ",$764.59 ,$764.59 ,$764.59 ,"$1,181.45 ","$2,707.53 ","$1,440.39 ","$1,456.58 ","$1,456.58 ","$1,294.74 ","$2,788.76 ",$890.13 ,"$1,456.58 ","$2,707.53 ","$1,456.58 ","$2,707.53 ","$1,537.50 ","$6,091.95 ","$1,488.95 ",$810.47 ,"$1,472.76 ","$2,707.53 ",$995.98 ,"$1,042.26 ",$995.98 ,"$1,456.58 ","$1,456.58 ","$1,207.83 ","$1,127.23 ","$2,734.61 ",$802.82 ,"$1,513.22 ","$2,842.91 ",$764.59 ,"$1,408.03 ","$2,707.53 ","$1,456.58 ","$2,707.53 ","$1,456.58 ","$1,456.58 ","$1,456.58 ","$1,569.87 ","$1,310.92 ","$1,456.58 ","$1,456.58 ","$1,456.58 ","$1,456.58 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180584,57510,PC CAUTERIZATION CERVIX ELECTRO,981,1 ,$639.00 ,$479.25 ,$351.45 ,"$6,091.95 ",$411.52 ,"$2,707.53 ",$447.30 ,$639.00 ,$530.37 ,$735.03 ,$421.74 ,$607.05 , N/A ,$511.20 ,$581.49 ,$639.00 ,$600.66 ,$607.05 ,$575.10 ,$543.15 ,$713.62 ,$713.62 ,$713.62 ,$466.47 ,"$2,707.53 ",$568.71 ,$575.10 ,$575.10 ,$511.20 ,"$2,788.76 ",$351.45 ,$575.10 ,"$2,707.53 ",$575.10 ,"$2,707.53 ",$607.05 ,"$6,091.95 ",$587.88 ,$756.44 ,$581.49 ,"$2,707.53 ",$393.24 ,$411.52 ,$393.24 ,$575.10 ,$575.10 ,$476.89 ,$445.06 ,"$2,734.61 ",$749.30 ,$597.47 ,"$2,842.91 ",$639.00 ,$555.93 ,"$2,707.53 ",$575.10 ,"$2,707.53 ",$575.10 ,$575.10 ,$575.10 ,$619.83 ,$517.59 ,$575.10 ,$575.10 ,$575.10 ,$575.10 
ST. JOSEPH'S - CHIPPEWA FALLS,98180585,58301,PC REM DVC INTRAUTERINE,981,1 ,$400.21 ,$300.16 ,$61.96 ,$654.86 ,$257.74 ,$291.05 ,$280.15 ,$61.96 ,$332.17 ,$63.82 ,$264.14 ,$380.20 , N/A ,$320.17 ,$364.19 ,$61.96 ,$376.20 ,$380.20 ,$360.19 ,$340.18 ,$61.96 ,$61.96 ,$61.96 ,$292.15 ,$291.05 ,$356.19 ,$360.19 ,$360.19 ,$320.17 ,$299.78 ,$220.12 ,$360.19 ,$291.05 ,$360.19 ,$291.05 ,$380.20 ,$654.86 ,$368.19 ,$65.68 ,$364.19 ,$291.05 ,$246.29 ,$257.74 ,$246.29 ,$360.19 ,$360.19 ,$298.68 ,$278.75 ,$293.96 ,$65.06 ,$374.20 ,$305.60 ,$61.96 ,$348.18 ,$291.05 ,$360.19 ,$291.05 ,$360.19 ,$360.19 ,$360.19 ,$388.20 ,$324.17 ,$360.19 ,$360.19 ,$360.19 ,$360.19 
ST. JOSEPH'S - CHIPPEWA FALLS,98180586,59514,PC DELIVERY CESAREAN,981,1 ,"$3,482.71 ","$2,612.03 ",$818.92 ,"$3,482.71 ","$2,242.87 ", N/A ,"$2,437.90 ",$818.92 ,"$2,890.65 ",$843.49 ,"$2,298.59 ","$3,308.57 ", N/A ,"$2,786.17 ","$3,169.27 ",$818.92 ,"$3,273.75 ","$3,308.57 ","$3,134.44 ","$2,960.30 ",$818.92 ,$818.92 ,$818.92 ,"$2,542.38 ", N/A ,"$3,099.61 ","$3,134.44 ","$3,134.44 ","$2,786.17 ", N/A ,"$1,915.49 ","$3,134.44 ", N/A ,"$3,134.44 ", N/A ,"$3,308.57 ", N/A ,"$3,204.09 ",$868.06 ,"$3,169.27 ", N/A ,"$2,143.26 ","$2,242.87 ","$2,143.26 ","$3,134.44 ","$3,134.44 ","$2,599.15 ","$2,425.71 ", N/A ,$859.87 ,"$3,256.33 ", N/A ,$818.92 ,"$3,029.96 ", N/A ,"$3,134.44 ", N/A ,"$3,134.44 ","$3,134.44 ","$3,134.44 ","$3,378.23 ","$2,821.00 ","$3,134.44 ","$3,134.44 ","$3,134.44 ","$3,134.44 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180588,61020,PC PUNCTURE VENTRCLR BRAIN REMOVE FLUID,981,1 ,$969.45 ,$727.09 ,$136.73 ,"$1,911.39 ",$624.33 ,$849.51 ,$678.62 ,$136.73 ,$804.64 ,$140.83 ,$639.84 ,$920.98 , N/A ,$775.56 ,$882.20 ,$136.73 ,$911.28 ,$920.98 ,$872.51 ,$824.03 ,$136.73 ,$136.73 ,$136.73 ,$707.70 ,$849.51 ,$862.81 ,$872.51 ,$872.51 ,$775.56 ,$874.99 ,$533.20 ,$872.51 ,$849.51 ,$872.51 ,$849.51 ,$920.98 ,"$1,911.39 ",$891.89 ,$144.93 ,$882.20 ,$849.51 ,$596.60 ,$624.33 ,$596.60 ,$872.51 ,$872.51 ,$723.50 ,$675.22 ,$858.00 ,$143.57 ,$906.44 ,$891.99 ,$136.73 ,$843.42 ,$849.51 ,$872.51 ,$849.51 ,$872.51 ,$872.51 ,$872.51 ,$940.37 ,$785.25 ,$872.51 ,$872.51 ,$872.51 ,$872.51 
ST. JOSEPH'S - CHIPPEWA FALLS,98180589,62311,PC INJ EPIDURAL SUBARACH L/S S,981,1 ,$911.39 ,$683.54 ,$501.26 ,$911.39 ,$586.94 , N/A ,$637.97 , N/A ,$756.45 , N/A ,$601.52 ,$865.82 , N/A ,$729.11 ,$829.36 , N/A ,$856.71 ,$865.82 ,$820.25 ,$774.68 , N/A , N/A , N/A ,$665.31 , N/A ,$811.14 ,$820.25 ,$820.25 ,$729.11 , N/A ,$501.26 ,$820.25 , N/A ,$820.25 , N/A ,$865.82 , N/A ,$838.48 , N/A ,$829.36 , N/A ,$560.87 ,$586.94 ,$560.87 ,$820.25 ,$820.25 ,$680.17 ,$634.78 , N/A , N/A ,$852.15 , N/A , N/A ,$792.91 , N/A ,$820.25 , N/A ,$820.25 ,$820.25 ,$820.25 ,$884.05 ,$738.23 ,$820.25 ,$820.25 ,$820.25 ,$820.25 
ST. JOSEPH'S - CHIPPEWA FALLS,98180590,64400,PC INJ ANES NERVE TRIGEMINAL,981,1 ,$694.38 ,$520.79 ,$136.73 ,$694.38 ,$447.18 ,$269.62 ,$486.07 ,$136.73 ,$576.34 ,$140.83 ,$458.29 ,$659.66 , N/A ,$555.50 ,$631.89 ,$136.73 ,$652.72 ,$659.66 ,$624.94 ,$590.22 ,$136.73 ,$136.73 ,$136.73 ,$506.90 ,$269.62 ,$618.00 ,$624.94 ,$624.94 ,$555.50 ,$277.70 ,$381.91 ,$624.94 ,$269.62 ,$624.94 ,$269.62 ,$659.66 ,$606.64 ,$638.83 ,$144.93 ,$631.89 ,$269.62 ,$427.32 ,$447.18 ,$427.32 ,$624.94 ,$624.94 ,$518.22 ,$483.64 ,$272.31 ,$143.57 ,$649.25 ,$283.10 ,$136.73 ,$604.11 ,$269.62 ,$624.94 ,$269.62 ,$624.94 ,$624.94 ,$624.94 ,$673.55 ,$562.45 ,$624.94 ,$624.94 ,$624.94 ,$624.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180591,64499,PC INJ ANES NERVE FACIAL,981,1 ,$631.20 ,$473.40 ,$347.16 ,$631.20 ,$406.49 , N/A ,$441.84 , N/A ,$523.90 , N/A ,$416.59 ,$599.64 , N/A ,$504.96 ,$574.39 , N/A ,$593.33 ,$599.64 ,$568.08 ,$536.52 , N/A , N/A , N/A ,$460.78 , N/A ,$561.77 ,$568.08 ,$568.08 ,$504.96 , N/A ,$347.16 ,$568.08 , N/A ,$568.08 , N/A ,$599.64 , N/A ,$580.70 , N/A ,$574.39 , N/A ,$388.44 ,$406.49 ,$388.44 ,$568.08 ,$568.08 ,$471.06 ,$439.63 , N/A , N/A ,$590.17 , N/A , N/A ,$549.14 , N/A ,$568.08 , N/A ,$568.08 ,$568.08 ,$568.08 ,$612.26 ,$511.27 ,$568.08 ,$568.08 ,$568.08 ,$568.08 
ST. JOSEPH'S - CHIPPEWA FALLS,98180592,64405,PC INJ ANES NERVE OCCIPITAL,981,1 ,$490.12 ,$367.59 ,$136.73 ,$606.64 ,$315.64 ,$269.62 ,$343.08 ,$136.73 ,$406.80 ,$140.83 ,$323.48 ,$465.61 , N/A ,$392.10 ,$446.01 ,$136.73 ,$460.71 ,$465.61 ,$441.11 ,$416.60 ,$136.73 ,$136.73 ,$136.73 ,$357.79 ,$269.62 ,$436.21 ,$441.11 ,$441.11 ,$392.10 ,$277.70 ,$269.57 ,$441.11 ,$269.62 ,$441.11 ,$269.62 ,$465.61 ,$606.64 ,$450.91 ,$144.93 ,$446.01 ,$269.62 ,$301.62 ,$315.64 ,$301.62 ,$441.11 ,$441.11 ,$365.78 ,$341.37 ,$272.31 ,$143.57 ,$458.26 ,$283.10 ,$136.73 ,$426.40 ,$269.62 ,$441.11 ,$269.62 ,$441.11 ,$441.11 ,$441.11 ,$475.42 ,$397.00 ,$441.11 ,$441.11 ,$441.11 ,$441.11 
ST. JOSEPH'S - CHIPPEWA FALLS,98180593,64420,PC INJ ANES NERVE INTERCOSTAL SINGLE,981,1 ,$980.44 ,$735.33 ,$136.73 ,"$1,474.40 ",$631.40 ,$655.29 ,$686.31 ,$136.73 ,$813.77 ,$140.83 ,$647.09 ,$931.42 , N/A ,$784.35 ,$892.20 ,$136.73 ,$921.61 ,$931.42 ,$882.40 ,$833.37 ,$136.73 ,$136.73 ,$136.73 ,$715.72 ,$655.29 ,$872.59 ,$882.40 ,$882.40 ,$784.35 ,$674.95 ,$539.24 ,$882.40 ,$655.29 ,$882.40 ,$655.29 ,$931.42 ,"$1,474.40 ",$902.00 ,$144.93 ,$892.20 ,$655.29 ,$603.36 ,$631.40 ,$603.36 ,$882.40 ,$882.40 ,$731.70 ,$682.88 ,$661.84 ,$143.57 ,$916.71 ,$688.05 ,$136.73 ,$852.98 ,$655.29 ,$882.40 ,$655.29 ,$882.40 ,$882.40 ,$882.40 ,$951.03 ,$794.16 ,$882.40 ,$882.40 ,$882.40 ,$882.40 
ST. JOSEPH'S - CHIPPEWA FALLS,98180594,64421,PC INJ ANES NERVE INTERCOSTAL MULTIPLE,981,1 ,"$1,307.19 ",$980.39 ,$364.34 ,"$1,911.39 ",$841.83 ,$849.51 ,$915.03 ,$364.34 ,"$1,084.97 ",$375.27 ,$862.75 ,"$1,241.83 ", N/A ,"$1,045.75 ","$1,189.54 ",$364.34 ,"$1,228.76 ","$1,241.83 ","$1,176.47 ","$1,111.11 ",$364.34 ,$364.34 ,$364.34 ,$954.25 ,$849.51 ,"$1,163.40 ","$1,176.47 ","$1,176.47 ","$1,045.75 ",$874.99 ,$718.95 ,"$1,176.47 ",$849.51 ,"$1,176.47 ",$849.51 ,"$1,241.83 ","$1,911.39 ","$1,202.61 ",$386.20 ,"$1,189.54 ",$849.51 ,$804.44 ,$841.83 ,$804.44 ,"$1,176.47 ","$1,176.47 ",$975.56 ,$910.46 ,$858.00 ,$382.56 ,"$1,222.22 ",$891.99 ,$364.34 ,"$1,137.26 ",$849.51 ,"$1,176.47 ",$849.51 ,"$1,176.47 ","$1,176.47 ","$1,176.47 ","$1,267.97 ","$1,058.82 ","$1,176.47 ","$1,176.47 ","$1,176.47 ","$1,176.47 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180595,64430,PC INJ ANES NERVE PUDENDAL,981,1 ,$735.38 ,$551.54 ,$364.34 ,"$1,911.39 ",$473.58 ,$849.51 ,$514.77 ,$364.34 ,$610.37 ,$375.27 ,$485.35 ,$698.61 , N/A ,$588.30 ,$669.20 ,$364.34 ,$691.26 ,$698.61 ,$661.84 ,$625.07 ,$364.34 ,$364.34 ,$364.34 ,$536.83 ,$849.51 ,$654.49 ,$661.84 ,$661.84 ,$588.30 ,$874.99 ,$404.46 ,$661.84 ,$849.51 ,$661.84 ,$849.51 ,$698.61 ,"$1,911.39 ",$676.55 ,$386.20 ,$669.20 ,$849.51 ,$452.55 ,$473.58 ,$452.55 ,$661.84 ,$661.84 ,$548.81 ,$512.19 ,$858.00 ,$382.56 ,$687.58 ,$891.99 ,$364.34 ,$639.78 ,$849.51 ,$661.84 ,$849.51 ,$661.84 ,$661.84 ,$661.84 ,$713.32 ,$595.66 ,$661.84 ,$661.84 ,$661.84 ,$661.84 
ST. JOSEPH'S - CHIPPEWA FALLS,98180596,64447,PC INJ ANES NERVE FEMORAL SGL,981,1 ,$571.91 ,$428.93 ,$136.73 ,"$1,474.40 ",$368.31 ,$655.29 ,$400.34 ,$136.73 ,$474.69 ,$140.83 ,$377.46 ,$543.31 , N/A ,$457.53 ,$520.44 ,$136.73 ,$537.60 ,$543.31 ,$514.72 ,$486.12 ,$136.73 ,$136.73 ,$136.73 ,$417.49 ,$655.29 ,$509.00 ,$514.72 ,$514.72 ,$457.53 ,$674.95 ,$314.55 ,$514.72 ,$655.29 ,$514.72 ,$655.29 ,$543.31 ,"$1,474.40 ",$526.16 ,$144.93 ,$520.44 ,$655.29 ,$351.95 ,$368.31 ,$351.95 ,$514.72 ,$514.72 ,$426.82 ,$398.34 ,$661.84 ,$143.57 ,$534.74 ,$688.05 ,$136.73 ,$497.56 ,$655.29 ,$514.72 ,$655.29 ,$514.72 ,$514.72 ,$514.72 ,$554.75 ,$463.25 ,$514.72 ,$514.72 ,$514.72 ,$514.72 
ST. JOSEPH'S - CHIPPEWA FALLS,98180597,65435,PC REM CORNEAL EPITHELIUM,981,1 ,$395.38 ,$296.54 ,$166.68 ,"$1,880.31 ",$254.62 ,$835.69 ,$276.77 ,$166.68 ,$328.17 ,$171.68 ,$260.95 ,$375.61 , N/A ,$316.30 ,$359.80 ,$166.68 ,$371.66 ,$375.61 ,$355.84 ,$336.07 ,$166.68 ,$166.68 ,$166.68 ,$288.63 ,$835.69 ,$351.89 ,$355.84 ,$355.84 ,$316.30 ,$860.77 ,$217.46 ,$355.84 ,$835.69 ,$355.84 ,$835.69 ,$375.61 ,"$1,880.31 ",$363.75 ,$176.68 ,$359.80 ,$835.69 ,$243.32 ,$254.62 ,$243.32 ,$355.84 ,$355.84 ,$295.07 ,$275.38 ,$844.05 ,$175.01 ,$369.68 ,$877.47 ,$166.68 ,$343.98 ,$835.69 ,$355.84 ,$835.69 ,$355.84 ,$355.84 ,$355.84 ,$383.52 ,$320.26 ,$355.84 ,$355.84 ,$355.84 ,$355.84 
ST. JOSEPH'S - CHIPPEWA FALLS,98180598,67700,PC I AND D BLEPHAROTOMY EYELID,981,1 ,$340.50 ,$255.38 ,$98.99 ,$607.39 ,$219.28 ,$269.95 ,$238.35 ,$98.99 ,$282.62 ,$101.96 ,$224.73 ,$323.48 , N/A ,$272.40 ,$309.86 ,$98.99 ,$320.07 ,$323.48 ,$306.45 ,$289.43 ,$98.99 ,$98.99 ,$98.99 ,$248.57 ,$269.95 ,$303.05 ,$306.45 ,$306.45 ,$272.40 ,$278.05 ,$187.28 ,$306.45 ,$269.95 ,$306.45 ,$269.95 ,$323.48 ,$607.39 ,$313.26 ,$104.93 ,$309.86 ,$269.95 ,$209.54 ,$219.28 ,$209.54 ,$306.45 ,$306.45 ,$254.12 ,$237.16 ,$272.65 ,$103.94 ,$318.37 ,$283.45 ,$98.99 ,$296.24 ,$269.95 ,$306.45 ,$269.95 ,$306.45 ,$306.45 ,$306.45 ,$330.29 ,$275.81 ,$306.45 ,$306.45 ,$306.45 ,$306.45 
ST. JOSEPH'S - CHIPPEWA FALLS,98180599,67715,PC CANTHOTOMY INC EYELID FOLD,981,1 ,$470.08 ,$352.56 ,$258.54 ,"$4,646.33 ",$302.73 ,"$2,065.04 ",$329.06 ,$421.13 ,$390.17 ,$433.76 ,$310.25 ,$446.58 , N/A ,$376.06 ,$427.77 ,$421.13 ,$441.88 ,$446.58 ,$423.07 ,$399.57 ,$421.13 ,$421.13 ,$421.13 ,$343.16 ,"$2,065.04 ",$418.37 ,$423.07 ,$423.07 ,$376.06 ,"$2,126.99 ",$258.54 ,$423.07 ,"$2,065.04 ",$423.07 ,"$2,065.04 ",$446.58 ,"$4,646.33 ",$432.47 ,$446.40 ,$427.77 ,"$2,065.04 ",$289.29 ,$302.73 ,$289.29 ,$423.07 ,$423.07 ,$350.82 ,$327.41 ,"$2,085.69 ",$442.19 ,$439.52 ,"$2,168.29 ",$421.13 ,$408.97 ,"$2,065.04 ",$423.07 ,"$2,065.04 ",$423.07 ,$423.07 ,$423.07 ,$455.98 ,$380.76 ,$423.07 ,$423.07 ,$423.07 ,$423.07 
ST. JOSEPH'S - CHIPPEWA FALLS,98180600,69000,PC DRAIN ABSC/HEMA EAR EXT SMP,981,1 ,$472.65 ,$354.49 ,$34.89 ,"$1,444.89 ",$304.39 ,$642.18 ,$330.86 ,$34.89 ,$392.30 ,$35.94 ,$311.95 ,$449.02 , N/A ,$378.12 ,$430.11 ,$34.89 ,$444.29 ,$449.02 ,$425.39 ,$401.75 ,$34.89 ,$34.89 ,$34.89 ,$345.03 ,$642.18 ,$420.66 ,$425.39 ,$425.39 ,$378.12 ,$661.44 ,$259.96 ,$425.39 ,$642.18 ,$425.39 ,$642.18 ,$449.02 ,"$1,444.89 ",$434.84 ,$36.98 ,$430.11 ,$642.18 ,$290.87 ,$304.39 ,$290.87 ,$425.39 ,$425.39 ,$352.74 ,$329.20 ,$648.60 ,$36.63 ,$441.93 ,$674.29 ,$34.89 ,$411.21 ,$642.18 ,$425.39 ,$642.18 ,$425.39 ,$425.39 ,$425.39 ,$458.47 ,$382.85 ,$425.39 ,$425.39 ,$425.39 ,$425.39 
ST. JOSEPH'S - CHIPPEWA FALLS,98180601,69020,PC DRAIN EXT AUDITORY CANAL,981,1 ,$507.69 ,$380.77 ,$34.89 ,"$1,444.89 ",$326.95 ,$642.18 ,$355.38 ,$34.89 ,$421.38 ,$35.94 ,$335.08 ,$482.31 , N/A ,$406.15 ,$462.00 ,$34.89 ,$477.23 ,$482.31 ,$456.92 ,$431.54 ,$34.89 ,$34.89 ,$34.89 ,$370.61 ,$642.18 ,$451.84 ,$456.92 ,$456.92 ,$406.15 ,$661.44 ,$279.23 ,$456.92 ,$642.18 ,$456.92 ,$642.18 ,$482.31 ,"$1,444.89 ",$467.07 ,$36.98 ,$462.00 ,$642.18 ,$312.43 ,$326.95 ,$312.43 ,$456.92 ,$456.92 ,$378.89 ,$353.61 ,$648.60 ,$36.63 ,$474.69 ,$674.29 ,$34.89 ,$441.69 ,$642.18 ,$456.92 ,$642.18 ,$456.92 ,$456.92 ,$456.92 ,$492.46 ,$411.23 ,$456.92 ,$456.92 ,$456.92 ,$456.92 
ST. JOSEPH'S - CHIPPEWA FALLS,98180602,69200,PC REM FOREIGN BODY CANAL AUD EXT,981,1 ,$385.11 ,$288.83 ,$34.89 ,$385.11 ,$248.01 ,$116.36 ,$269.58 ,$34.89 ,$319.64 ,$35.94 ,$254.17 ,$365.85 , N/A ,$308.09 ,$350.45 ,$34.89 ,$362.00 ,$365.85 ,$346.60 ,$327.34 ,$34.89 ,$34.89 ,$34.89 ,$281.13 ,$116.36 ,$342.75 ,$346.60 ,$346.60 ,$308.09 ,$119.85 ,$211.81 ,$346.60 ,$116.36 ,$346.60 ,$116.36 ,$365.85 ,$261.82 ,$354.30 ,$36.98 ,$350.45 ,$116.36 ,$237.00 ,$248.01 ,$237.00 ,$346.60 ,$346.60 ,$287.41 ,$268.23 ,$117.53 ,$36.63 ,$360.08 ,$122.18 ,$34.89 ,$335.05 ,$116.36 ,$346.60 ,$116.36 ,$346.60 ,$346.60 ,$346.60 ,$373.56 ,$311.94 ,$346.60 ,$346.60 ,$346.60 ,$346.60 
ST. JOSEPH'S - CHIPPEWA FALLS,98180603,69210,PC REMOVE CERUMEN IMPACTED W/INSTRUMENT,981,1 ,$158.60 ,$118.95 ,$34.89 ,$158.60 ,$102.14 ,$57.44 ,$111.02 ,$34.89 ,$131.64 ,$35.94 ,$104.68 ,$150.67 , N/A ,$126.88 ,$144.33 ,$34.89 ,$149.08 ,$150.67 ,$142.74 ,$134.81 ,$34.89 ,$34.89 ,$34.89 ,$115.78 ,$57.44 ,$141.15 ,$142.74 ,$142.74 ,$126.88 ,$59.17 ,$87.23 ,$142.74 ,$57.44 ,$142.74 ,$57.44 ,$150.67 ,$129.25 ,$145.91 ,$36.98 ,$144.33 ,$57.44 ,$97.60 ,$102.14 ,$97.60 ,$142.74 ,$142.74 ,$118.36 ,$110.46 ,$58.02 ,$36.63 ,$148.29 ,$60.31 ,$34.89 ,$137.98 ,$57.44 ,$142.74 ,$57.44 ,$142.74 ,$142.74 ,$142.74 ,$153.84 ,$128.47 ,$142.74 ,$142.74 ,$142.74 ,$142.74 
ST. JOSEPH'S - CHIPPEWA FALLS,98180604,90945,PC DIALYSIS PROC OTHER THAN HEMO,981,1 ,$537.18 ,$402.89 ,$240.37 ,$844.65 ,$345.94 ,$375.40 ,$376.03 ,$240.37 ,$445.86 ,$247.58 ,$354.54 ,$510.32 , N/A ,$429.74 ,$488.83 ,$240.37 ,$504.95 ,$510.32 ,$483.46 ,$456.60 ,$240.37 ,$240.37 ,$240.37 ,$392.14 ,$375.40 ,$478.09 ,$483.46 ,$483.46 ,$429.74 ,$386.66 ,$295.45 ,$483.46 ,$375.40 ,$483.46 ,$375.40 ,$510.32 ,$844.65 ,$494.21 ,$254.79 ,$488.83 ,$375.40 ,$330.58 ,$345.94 ,$330.58 ,$483.46 ,$483.46 ,$400.90 ,$374.15 ,$379.15 ,$252.39 ,$502.26 ,$394.17 ,$240.37 ,$467.35 ,$375.40 ,$483.46 ,$375.40 ,$483.46 ,$483.46 ,$483.46 ,$521.06 ,$435.12 ,$483.46 ,$483.46 ,$483.46 ,$483.46 
ST. JOSEPH'S - CHIPPEWA FALLS,98180605,92100,PC SERIAL TONOMETRY EXAM,981,1 ,$114.77 ,$86.08 ,$22.85 ,$114.77 ,$73.91 , N/A ,$80.34 ,$22.85 ,$95.26 ,$23.54 ,$75.75 ,$109.03 , N/A ,$91.82 ,$104.44 ,$22.85 ,$107.88 ,$109.03 ,$103.29 ,$97.55 ,$22.85 ,$22.85 ,$22.85 ,$83.78 , N/A ,$102.15 ,$103.29 ,$103.29 ,$91.82 , N/A ,$63.12 ,$103.29 , N/A ,$103.29 , N/A ,$109.03 , N/A ,$105.59 ,$24.22 ,$104.44 , N/A ,$70.63 ,$73.91 ,$70.63 ,$103.29 ,$103.29 ,$85.65 ,$79.94 , N/A ,$23.99 ,$107.31 , N/A ,$22.85 ,$99.85 , N/A ,$103.29 , N/A ,$103.29 ,$103.29 ,$103.29 ,$111.33 ,$92.96 ,$103.29 ,$103.29 ,$103.29 ,$103.29 
ST. JOSEPH'S - CHIPPEWA FALLS,98180606,92953,PC TEMPORARY EXTERNAL PACING,981,1 ,$299.82 ,$224.87 ,$164.90 ,"$1,304.37 ",$193.08 ,$579.72 ,$209.87 ,$202.92 ,$248.85 ,$209.01 ,$197.88 ,$284.83 , N/A ,$239.86 ,$272.84 ,$202.92 ,$281.83 ,$284.83 ,$269.84 ,$254.85 ,$202.92 ,$202.92 ,$202.92 ,$218.87 ,$579.72 ,$266.84 ,$269.84 ,$269.84 ,$239.86 ,$597.11 ,$164.90 ,$269.84 ,$579.72 ,$269.84 ,$579.72 ,$284.83 ,"$1,304.37 ",$275.83 ,$215.10 ,$272.84 ,$579.72 ,$184.51 ,$193.08 ,$184.51 ,$269.84 ,$269.84 ,$223.76 ,$208.82 ,$585.52 ,$213.07 ,$280.33 ,$608.71 ,$202.92 ,$260.84 ,$579.72 ,$269.84 ,$579.72 ,$269.84 ,$269.84 ,$269.84 ,$290.83 ,$242.85 ,$269.84 ,$269.84 ,$269.84 ,$269.84 
ST. JOSEPH'S - CHIPPEWA FALLS,98180607,99151,PC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN,981,1 ,$244.80 ,$183.60 ,$7.51 ,$244.80 ,$157.65 , N/A ,$171.36 ,$7.51 ,$203.18 ,$7.74 ,$161.57 ,$232.56 , N/A ,$195.84 ,$222.77 ,$7.51 ,$230.11 ,$232.56 ,$220.32 ,$208.08 ,$7.51 ,$7.51 ,$7.51 ,$178.70 , N/A ,$217.87 ,$220.32 ,$220.32 ,$195.84 , N/A ,$134.64 ,$220.32 , N/A ,$220.32 , N/A ,$232.56 , N/A ,$225.22 ,$7.96 ,$222.77 , N/A ,$150.65 ,$157.65 ,$150.65 ,$220.32 ,$220.32 ,$182.69 ,$170.50 , N/A ,$7.89 ,$228.89 , N/A ,$7.51 ,$212.98 , N/A ,$220.32 , N/A ,$220.32 ,$220.32 ,$220.32 ,$237.46 ,$198.29 ,$220.32 ,$220.32 ,$220.32 ,$220.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180608,99152,PC MODERATE SEDATION SAME PHY >5HY 1ST 15MIN,981,1 ,$203.90 ,$152.93 ,$7.51 ,$203.90 ,$131.31 , N/A ,$142.73 ,$7.51 ,$169.24 ,$7.74 ,$134.57 ,$193.71 , N/A ,$163.12 ,$185.55 ,$7.51 ,$191.67 ,$193.71 ,$183.51 ,$173.32 ,$7.51 ,$7.51 ,$7.51 ,$148.85 , N/A ,$181.47 ,$183.51 ,$183.51 ,$163.12 , N/A ,$112.15 ,$183.51 , N/A ,$183.51 , N/A ,$193.71 , N/A ,$187.59 ,$7.96 ,$185.55 , N/A ,$125.48 ,$131.31 ,$125.48 ,$183.51 ,$183.51 ,$152.17 ,$142.02 , N/A ,$7.89 ,$190.65 , N/A ,$7.51 ,$177.39 , N/A ,$183.51 , N/A ,$183.51 ,$183.51 ,$183.51 ,$197.78 ,$165.16 ,$183.51 ,$183.51 ,$183.51 ,$183.51 
ST. JOSEPH'S - CHIPPEWA FALLS,98180609,99153,PC MODERATE SEDATION SAME PHY EA ADDL 15MIN,981,1 ,$79.22 ,$59.42 ,$7.51 ,$79.22 ,$51.02 , N/A ,$55.45 ,$7.51 ,$65.75 ,$7.74 ,$52.29 ,$75.26 , N/A ,$63.38 ,$72.09 ,$7.51 ,$74.47 ,$75.26 ,$71.30 ,$67.34 ,$7.51 ,$7.51 ,$7.51 ,$57.83 , N/A ,$70.51 ,$71.30 ,$71.30 ,$63.38 , N/A ,$43.57 ,$71.30 , N/A ,$71.30 , N/A ,$75.26 , N/A ,$72.88 ,$7.96 ,$72.09 , N/A ,$48.75 ,$51.02 ,$48.75 ,$71.30 ,$71.30 ,$59.12 ,$55.18 , N/A ,$7.89 ,$74.07 , N/A ,$7.51 ,$68.92 , N/A ,$71.30 , N/A ,$71.30 ,$71.30 ,$71.30 ,$76.84 ,$64.17 ,$71.30 ,$71.30 ,$71.30 ,$71.30 
ST. JOSEPH'S - CHIPPEWA FALLS,98180610,99155,PC MODERATE SEDATION DIFF PHY <5YR 1ST 15MIN,981,1 ,$224.30 ,$168.23 ,$7.51 ,$224.30 ,$144.45 , N/A ,$157.01 ,$7.51 ,$186.17 ,$7.74 ,$148.04 ,$213.09 , N/A ,$179.44 ,$204.11 ,$7.51 ,$210.84 ,$213.09 ,$201.87 ,$190.66 ,$7.51 ,$7.51 ,$7.51 ,$163.74 , N/A ,$199.63 ,$201.87 ,$201.87 ,$179.44 , N/A ,$123.37 ,$201.87 , N/A ,$201.87 , N/A ,$213.09 , N/A ,$206.36 ,$7.96 ,$204.11 , N/A ,$138.03 ,$144.45 ,$138.03 ,$201.87 ,$201.87 ,$167.40 ,$156.23 , N/A ,$7.89 ,$209.72 , N/A ,$7.51 ,$195.14 , N/A ,$201.87 , N/A ,$201.87 ,$201.87 ,$201.87 ,$217.57 ,$181.68 ,$201.87 ,$201.87 ,$201.87 ,$201.87 
ST. JOSEPH'S - CHIPPEWA FALLS,98180611,99156,PC MODERATE SEDATION DIFF PHY >5YR 1ST 15MIN,981,1 ,$183.60 ,$137.70 ,$7.51 ,$183.60 ,$118.24 , N/A ,$128.52 ,$7.51 ,$152.39 ,$7.74 ,$121.18 ,$174.42 , N/A ,$146.88 ,$167.08 ,$7.51 ,$172.58 ,$174.42 ,$165.24 ,$156.06 ,$7.51 ,$7.51 ,$7.51 ,$134.03 , N/A ,$163.40 ,$165.24 ,$165.24 ,$146.88 , N/A ,$100.98 ,$165.24 , N/A ,$165.24 , N/A ,$174.42 , N/A ,$168.91 ,$7.96 ,$167.08 , N/A ,$112.99 ,$118.24 ,$112.99 ,$165.24 ,$165.24 ,$137.02 ,$127.88 , N/A ,$7.89 ,$171.67 , N/A ,$7.51 ,$159.73 , N/A ,$165.24 , N/A ,$165.24 ,$165.24 ,$165.24 ,$178.09 ,$148.72 ,$165.24 ,$165.24 ,$165.24 ,$165.24 
ST. JOSEPH'S - CHIPPEWA FALLS,98180612,99157,PC MODERATE SEDATION DIFF PHY EA ADDL 15MIN,981,1 ,$79.20 ,$59.40 ,$7.51 ,$79.20 ,$51.00 , N/A ,$55.44 ,$7.51 ,$65.74 ,$7.74 ,$52.27 ,$75.24 , N/A ,$63.36 ,$72.07 ,$7.51 ,$74.45 ,$75.24 ,$71.28 ,$67.32 ,$7.51 ,$7.51 ,$7.51 ,$57.82 , N/A ,$70.49 ,$71.28 ,$71.28 ,$63.36 , N/A ,$43.56 ,$71.28 , N/A ,$71.28 , N/A ,$75.24 , N/A ,$72.86 ,$7.96 ,$72.07 , N/A ,$48.74 ,$51.00 ,$48.74 ,$71.28 ,$71.28 ,$59.11 ,$55.16 , N/A ,$7.89 ,$74.05 , N/A ,$7.51 ,$68.90 , N/A ,$71.28 , N/A ,$71.28 ,$71.28 ,$71.28 ,$76.82 ,$64.15 ,$71.28 ,$71.28 ,$71.28 ,$71.28 
ST. JOSEPH'S - CHIPPEWA FALLS,98180613,21480,PC TX DISL JAW CLS-BILAT,981,1 ,$621.70 ,$466.28 ,$52.34 ,$717.85 ,$400.37 ,$319.05 ,$435.19 ,$52.34 ,$516.01 ,$53.91 ,$410.32 ,$590.62 , N/A ,$497.36 ,$565.75 ,$52.34 ,$584.40 ,$590.62 ,$559.53 ,$528.45 ,$52.34 ,$52.34 ,$52.34 ,$453.84 ,$319.05 ,$553.31 ,$559.53 ,$559.53 ,$497.36 ,$328.62 ,$341.94 ,$559.53 ,$319.05 ,$559.53 ,$319.05 ,$590.62 ,$717.85 ,$571.96 ,$55.48 ,$565.75 ,$319.05 ,$382.59 ,$400.37 ,$382.59 ,$559.53 ,$559.53 ,$463.97 ,$433.01 ,$322.24 ,$54.96 ,$581.29 ,$335.00 ,$52.34 ,$540.88 ,$319.05 ,$559.53 ,$319.05 ,$559.53 ,$559.53 ,$559.53 ,$603.05 ,$503.58 ,$559.53 ,$559.53 ,$559.53 ,$559.53 
ST. JOSEPH'S - CHIPPEWA FALLS,98180614,30901,PC CONTROL NOSEBLEED ANTER SIMPLE-BILAT,981,1 ,$383.80 ,$287.85 ,$52.34 ,$383.80 ,$247.17 ,$116.36 ,$268.66 ,$52.34 ,$318.55 ,$53.91 ,$253.31 ,$364.61 , N/A ,$307.04 ,$349.26 ,$52.34 ,$360.77 ,$364.61 ,$345.42 ,$326.23 ,$52.34 ,$52.34 ,$52.34 ,$280.17 ,$116.36 ,$341.58 ,$345.42 ,$345.42 ,$307.04 ,$119.85 ,$211.09 ,$345.42 ,$116.36 ,$345.42 ,$116.36 ,$364.61 ,$261.82 ,$353.10 ,$55.48 ,$349.26 ,$116.36 ,$236.19 ,$247.17 ,$236.19 ,$345.42 ,$345.42 ,$286.43 ,$267.32 ,$117.53 ,$54.96 ,$358.85 ,$122.18 ,$52.34 ,$333.91 ,$116.36 ,$345.42 ,$116.36 ,$345.42 ,$345.42 ,$345.42 ,$372.29 ,$310.88 ,$345.42 ,$345.42 ,$345.42 ,$345.42 
ST. JOSEPH'S - CHIPPEWA FALLS,98180615,99281,PC ER LEVEL 1 -25,981,1 ,$158.00 ,$118.50 ,$38.23 ,$168.42 ,$101.75 ,$74.85 ,$110.60 ,$38.23 ,$131.14 ,$39.38 ,$104.28 ,$150.10 , N/A ,$126.40 ,$143.78 ,$38.23 ,$148.52 ,$150.10 ,$142.20 ,$134.30 ,$38.23 ,$38.23 ,$38.23 ,$115.34 ,$74.85 ,$140.62 ,$142.20 ,$142.20 ,$126.40 ,$77.10 ,$86.90 ,$142.20 ,$74.85 ,$142.20 ,$74.85 ,$150.10 ,$168.42 ,$145.36 ,$40.52 ,$143.78 ,$74.85 ,$97.23 ,$101.75 ,$97.23 ,$142.20 ,$142.20 ,$117.92 ,$110.05 ,$75.60 ,$40.14 ,$147.73 ,$78.59 ,$38.23 ,$137.46 ,$74.85 ,$142.20 ,$74.85 ,$142.20 ,$142.20 ,$142.20 ,$153.26 ,$127.98 ,$142.20 ,$142.20 ,$142.20 ,$142.20 
ST. JOSEPH'S - CHIPPEWA FALLS,98180616,99282,PC ER LEVEL 2 -25,981,1 ,$212.70 ,$159.53 ,$38.23 ,$304.99 ,$136.98 ,$135.55 ,$148.89 ,$38.23 ,$176.54 ,$39.38 ,$140.38 ,$202.07 , N/A ,$170.16 ,$193.56 ,$38.23 ,$199.94 ,$202.07 ,$191.43 ,$180.80 ,$38.23 ,$38.23 ,$38.23 ,$155.27 ,$135.55 ,$189.30 ,$191.43 ,$191.43 ,$170.16 ,$139.62 ,$116.99 ,$191.43 ,$135.55 ,$191.43 ,$135.55 ,$202.07 ,$304.99 ,$195.68 ,$40.52 ,$193.56 ,$135.55 ,$130.90 ,$136.98 ,$130.90 ,$191.43 ,$191.43 ,$158.74 ,$148.15 ,$136.91 ,$40.14 ,$198.87 ,$142.33 ,$38.23 ,$185.05 ,$135.55 ,$191.43 ,$135.55 ,$191.43 ,$191.43 ,$191.43 ,$206.32 ,$172.29 ,$191.43 ,$191.43 ,$191.43 ,$191.43 
ST. JOSEPH'S - CHIPPEWA FALLS,98180617,99283,PC ER LEVEL 3 -25,981,1 ,$327.00 ,$245.25 ,$38.23 ,$537.34 ,$210.59 ,$238.82 ,$228.90 ,$38.23 ,$271.41 ,$39.38 ,$215.82 ,$310.65 , N/A ,$261.60 ,$297.57 ,$38.23 ,$307.38 ,$310.65 ,$294.30 ,$277.95 ,$38.23 ,$38.23 ,$38.23 ,$238.71 ,$238.82 ,$291.03 ,$294.30 ,$294.30 ,$261.60 ,$245.98 ,$179.85 ,$294.30 ,$238.82 ,$294.30 ,$238.82 ,$310.65 ,$537.34 ,$300.84 ,$40.52 ,$297.57 ,$238.82 ,$201.24 ,$210.59 ,$201.24 ,$294.30 ,$294.30 ,$244.04 ,$227.76 ,$241.21 ,$40.14 ,$305.75 ,$250.76 ,$38.23 ,$284.49 ,$238.82 ,$294.30 ,$238.82 ,$294.30 ,$294.30 ,$294.30 ,$317.19 ,$264.87 ,$294.30 ,$294.30 ,$294.30 ,$294.30 
ST. JOSEPH'S - CHIPPEWA FALLS,98180618,99284,PC ER LEVEL 4 -25,981,1 ,$488.50 ,$366.38 ,$38.23 ,$844.65 ,$314.59 ,$375.40 ,$341.95 ,$38.23 ,$405.46 ,$39.38 ,$322.41 ,$464.08 , N/A ,$390.80 ,$444.54 ,$38.23 ,$459.19 ,$464.08 ,$439.65 ,$415.23 ,$38.23 ,$38.23 ,$38.23 ,$356.61 ,$375.40 ,$434.77 ,$439.65 ,$439.65 ,$390.80 ,$386.66 ,$268.68 ,$439.65 ,$375.40 ,$439.65 ,$375.40 ,$464.08 ,$844.65 ,$449.42 ,$40.52 ,$444.54 ,$375.40 ,$300.62 ,$314.59 ,$300.62 ,$439.65 ,$439.65 ,$364.57 ,$340.24 ,$379.15 ,$40.14 ,$456.75 ,$394.17 ,$38.23 ,$425.00 ,$375.40 ,$439.65 ,$375.40 ,$439.65 ,$439.65 ,$439.65 ,$473.85 ,$395.69 ,$439.65 ,$439.65 ,$439.65 ,$439.65 
ST. JOSEPH'S - CHIPPEWA FALLS,98180619,99285,PC ER LEVEL 5 -25,981,1 ,$739.10 ,$554.33 ,$38.23 ,"$1,212.38 ",$475.98 ,$538.84 ,$517.37 ,$38.23 ,$613.45 ,$39.38 ,$487.81 ,$702.15 , N/A ,$591.28 ,$672.58 ,$38.23 ,$694.75 ,$702.15 ,$665.19 ,$628.24 ,$38.23 ,$38.23 ,$38.23 ,$539.54 ,$538.84 ,$657.80 ,$665.19 ,$665.19 ,$591.28 ,$555.00 ,$406.51 ,$665.19 ,$538.84 ,$665.19 ,$538.84 ,$702.15 ,"$1,212.38 ",$679.97 ,$40.52 ,$672.58 ,$538.84 ,$454.84 ,$475.98 ,$454.84 ,$665.19 ,$665.19 ,$551.59 ,$514.78 ,$544.23 ,$40.14 ,$691.06 ,$565.78 ,$38.23 ,$643.02 ,$538.84 ,$665.19 ,$538.84 ,$665.19 ,$665.19 ,$665.19 ,$716.93 ,$598.67 ,$665.19 ,$665.19 ,$665.19 ,$665.19 
ST. JOSEPH'S - CHIPPEWA FALLS,98180620,99291,PC CRITICAL CARE 30-74 MIN -25,981,1 ,$850.30 ,$637.73 ,$38.23 ,"$1,729.53 ",$547.59 ,$768.68 ,$595.21 ,$38.23 ,$705.75 ,$39.38 ,$561.20 ,$807.79 , N/A ,$680.24 ,$773.77 ,$38.23 ,$799.28 ,$807.79 ,$765.27 ,$722.76 ,$38.23 ,$38.23 ,$38.23 ,$620.72 ,$768.68 ,$756.77 ,$765.27 ,$765.27 ,$680.24 ,$791.74 ,$467.67 ,$765.27 ,$768.68 ,$765.27 ,$768.68 ,$807.79 ,"$1,729.53 ",$782.28 ,$40.52 ,$773.77 ,$768.68 ,$523.27 ,$547.59 ,$523.27 ,$765.27 ,$765.27 ,$634.58 ,$592.23 ,$776.37 ,$40.14 ,$795.03 ,$807.11 ,$38.23 ,$739.76 ,$768.68 ,$765.27 ,$768.68 ,$765.27 ,$765.27 ,$765.27 ,$824.79 ,$688.74 ,$765.27 ,$765.27 ,$765.27 ,$765.27 
ST. JOSEPH'S - CHIPPEWA FALLS,98180621,20600,PC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,981,1 ,$257.70 ,$193.28 ,$75.55 ,$606.64 ,$165.96 ,$269.62 ,$180.39 ,$75.55 ,$213.89 ,$77.82 ,$170.08 ,$244.82 , N/A ,$206.16 ,$234.51 ,$75.55 ,$242.24 ,$244.82 ,$231.93 ,$219.05 ,$75.55 ,$75.55 ,$75.55 ,$188.12 ,$269.62 ,$229.35 ,$231.93 ,$231.93 ,$206.16 ,$277.70 ,$141.74 ,$231.93 ,$269.62 ,$231.93 ,$269.62 ,$244.82 ,$606.64 ,$237.08 ,$80.08 ,$234.51 ,$269.62 ,$158.59 ,$165.96 ,$158.59 ,$231.93 ,$231.93 ,$192.32 ,$179.49 ,$272.31 ,$79.33 ,$240.95 ,$283.10 ,$75.55 ,$224.20 ,$269.62 ,$231.93 ,$269.62 ,$231.93 ,$231.93 ,$231.93 ,$249.97 ,$208.74 ,$231.93 ,$231.93 ,$231.93 ,$231.93 
ST. JOSEPH'S - CHIPPEWA FALLS,98180622,20600,PC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,981,1 ,$257.70 ,$193.28 ,$75.55 ,$606.64 ,$165.96 ,$269.62 ,$180.39 ,$75.55 ,$213.89 ,$77.82 ,$170.08 ,$244.82 , N/A ,$206.16 ,$234.51 ,$75.55 ,$242.24 ,$244.82 ,$231.93 ,$219.05 ,$75.55 ,$75.55 ,$75.55 ,$188.12 ,$269.62 ,$229.35 ,$231.93 ,$231.93 ,$206.16 ,$277.70 ,$141.74 ,$231.93 ,$269.62 ,$231.93 ,$269.62 ,$244.82 ,$606.64 ,$237.08 ,$80.08 ,$234.51 ,$269.62 ,$158.59 ,$165.96 ,$158.59 ,$231.93 ,$231.93 ,$192.32 ,$179.49 ,$272.31 ,$79.33 ,$240.95 ,$283.10 ,$75.55 ,$224.20 ,$269.62 ,$231.93 ,$269.62 ,$231.93 ,$231.93 ,$231.93 ,$249.97 ,$208.74 ,$231.93 ,$231.93 ,$231.93 ,$231.93 
ST. JOSEPH'S - CHIPPEWA FALLS,98180623,20605,PC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,981,1 ,$274.70 ,$206.03 ,$75.55 ,$606.64 ,$176.91 ,$269.62 ,$192.29 ,$75.55 ,$228.00 ,$77.82 ,$181.30 ,$260.97 , N/A ,$219.76 ,$249.98 ,$75.55 ,$258.22 ,$260.97 ,$247.23 ,$233.50 ,$75.55 ,$75.55 ,$75.55 ,$200.53 ,$269.62 ,$244.48 ,$247.23 ,$247.23 ,$219.76 ,$277.70 ,$151.09 ,$247.23 ,$269.62 ,$247.23 ,$269.62 ,$260.97 ,$606.64 ,$252.72 ,$80.08 ,$249.98 ,$269.62 ,$169.05 ,$176.91 ,$169.05 ,$247.23 ,$247.23 ,$205.01 ,$191.33 ,$272.31 ,$79.33 ,$256.84 ,$283.10 ,$75.55 ,$238.99 ,$269.62 ,$247.23 ,$269.62 ,$247.23 ,$247.23 ,$247.23 ,$266.46 ,$222.51 ,$247.23 ,$247.23 ,$247.23 ,$247.23 
ST. JOSEPH'S - CHIPPEWA FALLS,98180624,20605,PC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,981,1 ,$274.70 ,$206.03 ,$75.55 ,$606.64 ,$176.91 ,$269.62 ,$192.29 ,$75.55 ,$228.00 ,$77.82 ,$181.30 ,$260.97 , N/A ,$219.76 ,$249.98 ,$75.55 ,$258.22 ,$260.97 ,$247.23 ,$233.50 ,$75.55 ,$75.55 ,$75.55 ,$200.53 ,$269.62 ,$244.48 ,$247.23 ,$247.23 ,$219.76 ,$277.70 ,$151.09 ,$247.23 ,$269.62 ,$247.23 ,$269.62 ,$260.97 ,$606.64 ,$252.72 ,$80.08 ,$249.98 ,$269.62 ,$169.05 ,$176.91 ,$169.05 ,$247.23 ,$247.23 ,$205.01 ,$191.33 ,$272.31 ,$79.33 ,$256.84 ,$283.10 ,$75.55 ,$238.99 ,$269.62 ,$247.23 ,$269.62 ,$247.23 ,$247.23 ,$247.23 ,$266.46 ,$222.51 ,$247.23 ,$247.23 ,$247.23 ,$247.23 
ST. JOSEPH'S - CHIPPEWA FALLS,98180625,20610,PC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,981,1 ,$324.70 ,$243.53 ,$75.55 ,$606.64 ,$209.11 ,$269.62 ,$227.29 ,$75.55 ,$269.50 ,$77.82 ,$214.30 ,$308.47 , N/A ,$259.76 ,$295.48 ,$75.55 ,$305.22 ,$308.47 ,$292.23 ,$276.00 ,$75.55 ,$75.55 ,$75.55 ,$237.03 ,$269.62 ,$288.98 ,$292.23 ,$292.23 ,$259.76 ,$277.70 ,$178.59 ,$292.23 ,$269.62 ,$292.23 ,$269.62 ,$308.47 ,$606.64 ,$298.72 ,$80.08 ,$295.48 ,$269.62 ,$199.82 ,$209.11 ,$199.82 ,$292.23 ,$292.23 ,$242.32 ,$226.15 ,$272.31 ,$79.33 ,$303.59 ,$283.10 ,$75.55 ,$282.49 ,$269.62 ,$292.23 ,$269.62 ,$292.23 ,$292.23 ,$292.23 ,$314.96 ,$263.01 ,$292.23 ,$292.23 ,$292.23 ,$292.23 
ST. JOSEPH'S - CHIPPEWA FALLS,98180626,20610,PC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,981,1 ,$324.70 ,$243.53 ,$75.55 ,$606.64 ,$209.11 ,$269.62 ,$227.29 ,$75.55 ,$269.50 ,$77.82 ,$214.30 ,$308.47 , N/A ,$259.76 ,$295.48 ,$75.55 ,$305.22 ,$308.47 ,$292.23 ,$276.00 ,$75.55 ,$75.55 ,$75.55 ,$237.03 ,$269.62 ,$288.98 ,$292.23 ,$292.23 ,$259.76 ,$277.70 ,$178.59 ,$292.23 ,$269.62 ,$292.23 ,$269.62 ,$308.47 ,$606.64 ,$298.72 ,$80.08 ,$295.48 ,$269.62 ,$199.82 ,$209.11 ,$199.82 ,$292.23 ,$292.23 ,$242.32 ,$226.15 ,$272.31 ,$79.33 ,$303.59 ,$283.10 ,$75.55 ,$282.49 ,$269.62 ,$292.23 ,$269.62 ,$292.23 ,$292.23 ,$292.23 ,$314.96 ,$263.01 ,$292.23 ,$292.23 ,$292.23 ,$292.23 
ST. JOSEPH'S - CHIPPEWA FALLS,98180627,21480,PC TX DISL JAW CLS-LT,981,1 ,$621.70 ,$466.28 ,$34.89 ,$621.70 ,$400.37 ,$212.70 ,$435.19 ,$34.89 ,$516.01 ,$35.94 ,$410.32 ,$590.62 , N/A ,$497.36 ,$565.75 ,$34.89 ,$584.40 ,$590.62 ,$559.53 ,$528.45 ,$34.89 ,$34.89 ,$34.89 ,$453.84 ,$212.70 ,$553.31 ,$559.53 ,$559.53 ,$497.36 ,$219.08 ,$341.94 ,$559.53 ,$212.70 ,$559.53 ,$212.70 ,$590.62 ,$478.57 ,$571.96 ,$36.98 ,$565.75 ,$212.70 ,$382.59 ,$400.37 ,$382.59 ,$559.53 ,$559.53 ,$463.97 ,$433.01 ,$214.82 ,$36.63 ,$581.29 ,$223.34 ,$34.89 ,$540.88 ,$212.70 ,$559.53 ,$212.70 ,$559.53 ,$559.53 ,$559.53 ,$603.05 ,$503.58 ,$559.53 ,$559.53 ,$559.53 ,$559.53 
ST. JOSEPH'S - CHIPPEWA FALLS,98180628,21480,PC TX DISL JAW CLS-RT,981,1 ,$621.70 ,$466.28 ,$34.89 ,$621.70 ,$400.37 ,$212.70 ,$435.19 ,$34.89 ,$516.01 ,$35.94 ,$410.32 ,$590.62 , N/A ,$497.36 ,$565.75 ,$34.89 ,$584.40 ,$590.62 ,$559.53 ,$528.45 ,$34.89 ,$34.89 ,$34.89 ,$453.84 ,$212.70 ,$553.31 ,$559.53 ,$559.53 ,$497.36 ,$219.08 ,$341.94 ,$559.53 ,$212.70 ,$559.53 ,$212.70 ,$590.62 ,$478.57 ,$571.96 ,$36.98 ,$565.75 ,$212.70 ,$382.59 ,$400.37 ,$382.59 ,$559.53 ,$559.53 ,$463.97 ,$433.01 ,$214.82 ,$36.63 ,$581.29 ,$223.34 ,$34.89 ,$540.88 ,$212.70 ,$559.53 ,$212.70 ,$559.53 ,$559.53 ,$559.53 ,$603.05 ,$503.58 ,$559.53 ,$559.53 ,$559.53 ,$559.53 
ST. JOSEPH'S - CHIPPEWA FALLS,98180629,23500,PC TX FX CLAVICLE W/O MANIP-LT,981,1 ,$754.90 ,$566.18 ,$139.53 ,$754.90 ,$486.16 ,$212.70 ,$528.43 ,$139.53 ,$626.57 ,$143.72 ,$498.23 ,$717.16 , N/A ,$603.92 ,$686.96 ,$139.53 ,$709.61 ,$717.16 ,$679.41 ,$641.67 ,$139.53 ,$139.53 ,$139.53 ,$551.08 ,$212.70 ,$671.86 ,$679.41 ,$679.41 ,$603.92 ,$219.08 ,$415.20 ,$679.41 ,$212.70 ,$679.41 ,$212.70 ,$717.16 ,$478.57 ,$694.51 ,$147.90 ,$686.96 ,$212.70 ,$464.57 ,$486.16 ,$464.57 ,$679.41 ,$679.41 ,$563.38 ,$525.79 ,$214.82 ,$146.51 ,$705.83 ,$223.34 ,$139.53 ,$656.76 ,$212.70 ,$679.41 ,$212.70 ,$679.41 ,$679.41 ,$679.41 ,$732.25 ,$611.47 ,$679.41 ,$679.41 ,$679.41 ,$679.41 
ST. JOSEPH'S - CHIPPEWA FALLS,98180630,23500,PC TX FX CLAVICLE W/O MANIP-RT,981,1 ,$754.90 ,$566.18 ,$139.53 ,$754.90 ,$486.16 ,$212.70 ,$528.43 ,$139.53 ,$626.57 ,$143.72 ,$498.23 ,$717.16 , N/A ,$603.92 ,$686.96 ,$139.53 ,$709.61 ,$717.16 ,$679.41 ,$641.67 ,$139.53 ,$139.53 ,$139.53 ,$551.08 ,$212.70 ,$671.86 ,$679.41 ,$679.41 ,$603.92 ,$219.08 ,$415.20 ,$679.41 ,$212.70 ,$679.41 ,$212.70 ,$717.16 ,$478.57 ,$694.51 ,$147.90 ,$686.96 ,$212.70 ,$464.57 ,$486.16 ,$464.57 ,$679.41 ,$679.41 ,$563.38 ,$525.79 ,$214.82 ,$146.51 ,$705.83 ,$223.34 ,$139.53 ,$656.76 ,$212.70 ,$679.41 ,$212.70 ,$679.41 ,$679.41 ,$679.41 ,$732.25 ,$611.47 ,$679.41 ,$679.41 ,$679.41 ,$679.41 
ST. JOSEPH'S - CHIPPEWA FALLS,98180631,23650,PC TX DISL SHOULDER W/MAN CLS-LT,981,1 ,"$1,036.60 ",$777.45 ,$139.53 ,"$1,036.60 ",$667.57 ,$212.70 ,$725.62 ,$139.53 ,$860.38 ,$143.72 ,$684.16 ,$984.77 , N/A ,$829.28 ,$943.31 ,$139.53 ,$974.40 ,$984.77 ,$932.94 ,$881.11 ,$139.53 ,$139.53 ,$139.53 ,$756.72 ,$212.70 ,$922.57 ,$932.94 ,$932.94 ,$829.28 ,$219.08 ,$570.13 ,$932.94 ,$212.70 ,$932.94 ,$212.70 ,$984.77 ,$478.57 ,$953.67 ,$147.90 ,$943.31 ,$212.70 ,$637.92 ,$667.57 ,$637.92 ,$932.94 ,$932.94 ,$773.61 ,$721.99 ,$214.82 ,$146.51 ,$969.22 ,$223.34 ,$139.53 ,$901.84 ,$212.70 ,$932.94 ,$212.70 ,$932.94 ,$932.94 ,$932.94 ,"$1,005.50 ",$839.65 ,$932.94 ,$932.94 ,$932.94 ,$932.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180632,23650,PC TX DISL SHOULDER W/MAN CLS-RT,981,1 ,"$1,036.60 ",$777.45 ,$139.53 ,"$1,036.60 ",$667.57 ,$212.70 ,$725.62 ,$139.53 ,$860.38 ,$143.72 ,$684.16 ,$984.77 , N/A ,$829.28 ,$943.31 ,$139.53 ,$974.40 ,$984.77 ,$932.94 ,$881.11 ,$139.53 ,$139.53 ,$139.53 ,$756.72 ,$212.70 ,$922.57 ,$932.94 ,$932.94 ,$829.28 ,$219.08 ,$570.13 ,$932.94 ,$212.70 ,$932.94 ,$212.70 ,$984.77 ,$478.57 ,$953.67 ,$147.90 ,$943.31 ,$212.70 ,$637.92 ,$667.57 ,$637.92 ,$932.94 ,$932.94 ,$773.61 ,$721.99 ,$214.82 ,$146.51 ,$969.22 ,$223.34 ,$139.53 ,$901.84 ,$212.70 ,$932.94 ,$212.70 ,$932.94 ,$932.94 ,$932.94 ,"$1,005.50 ",$839.65 ,$932.94 ,$932.94 ,$932.94 ,$932.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180633,23655,PC DIS SHOULDER W/ANES CLS-LT,981,1 ,"$1,264.50 ",$948.38 ,$310.07 ,"$3,234.06 ",$814.34 ,"$1,437.36 ",$885.15 ,$310.07 ,"$1,049.54 ",$319.37 ,$834.57 ,"$1,201.28 ", N/A ,"$1,011.60 ","$1,150.70 ",$310.07 ,"$1,188.63 ","$1,201.28 ","$1,138.05 ","$1,074.83 ",$310.07 ,$310.07 ,$310.07 ,$923.09 ,"$1,437.36 ","$1,125.41 ","$1,138.05 ","$1,138.05 ","$1,011.60 ","$1,480.48 ",$695.48 ,"$1,138.05 ","$1,437.36 ","$1,138.05 ","$1,437.36 ","$1,201.28 ","$3,234.06 ","$1,163.34 ",$328.67 ,"$1,150.70 ","$1,437.36 ",$778.17 ,$814.34 ,$778.17 ,"$1,138.05 ","$1,138.05 ",$943.70 ,$880.72 ,"$1,451.73 ",$325.57 ,"$1,182.31 ","$1,509.23 ",$310.07 ,"$1,100.12 ","$1,437.36 ","$1,138.05 ","$1,437.36 ","$1,138.05 ","$1,138.05 ","$1,138.05 ","$1,226.57 ","$1,024.25 ","$1,138.05 ","$1,138.05 ","$1,138.05 ","$1,138.05 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180634,23655,PC DIS SHOULDER W/ANES CLS-RT,981,1 ,"$1,264.50 ",$948.38 ,$310.07 ,"$3,234.06 ",$814.34 ,"$1,437.36 ",$885.15 ,$310.07 ,"$1,049.54 ",$319.37 ,$834.57 ,"$1,201.28 ", N/A ,"$1,011.60 ","$1,150.70 ",$310.07 ,"$1,188.63 ","$1,201.28 ","$1,138.05 ","$1,074.83 ",$310.07 ,$310.07 ,$310.07 ,$923.09 ,"$1,437.36 ","$1,125.41 ","$1,138.05 ","$1,138.05 ","$1,011.60 ","$1,480.48 ",$695.48 ,"$1,138.05 ","$1,437.36 ","$1,138.05 ","$1,437.36 ","$1,201.28 ","$3,234.06 ","$1,163.34 ",$328.67 ,"$1,150.70 ","$1,437.36 ",$778.17 ,$814.34 ,$778.17 ,"$1,138.05 ","$1,138.05 ",$943.70 ,$880.72 ,"$1,451.73 ",$325.57 ,"$1,182.31 ","$1,509.23 ",$310.07 ,"$1,100.12 ","$1,437.36 ","$1,138.05 ","$1,437.36 ","$1,138.05 ","$1,138.05 ","$1,138.05 ","$1,226.57 ","$1,024.25 ","$1,138.05 ","$1,138.05 ","$1,138.05 ","$1,138.05 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180635,24640,PC TX CHILD NURSEMAID W/MAN-LT,981,1 ,$463.60 ,$347.70 ,$139.53 ,$478.57 ,$298.56 ,$212.70 ,$324.52 ,$139.53 ,$384.79 ,$143.72 ,$305.98 ,$440.42 , N/A ,$370.88 ,$421.88 ,$139.53 ,$435.78 ,$440.42 ,$417.24 ,$394.06 ,$139.53 ,$139.53 ,$139.53 ,$338.43 ,$212.70 ,$412.60 ,$417.24 ,$417.24 ,$370.88 ,$219.08 ,$254.98 ,$417.24 ,$212.70 ,$417.24 ,$212.70 ,$440.42 ,$478.57 ,$426.51 ,$147.90 ,$421.88 ,$212.70 ,$285.30 ,$298.56 ,$285.30 ,$417.24 ,$417.24 ,$345.98 ,$322.90 ,$214.82 ,$146.51 ,$433.47 ,$223.34 ,$139.53 ,$403.33 ,$212.70 ,$417.24 ,$212.70 ,$417.24 ,$417.24 ,$417.24 ,$449.69 ,$375.52 ,$417.24 ,$417.24 ,$417.24 ,$417.24 
ST. JOSEPH'S - CHIPPEWA FALLS,98180636,24640,PC TX CHILD NURSEMAID W/MAN-RT,981,1 ,$463.60 ,$347.70 ,$139.53 ,$478.57 ,$298.56 ,$212.70 ,$324.52 ,$139.53 ,$384.79 ,$143.72 ,$305.98 ,$440.42 , N/A ,$370.88 ,$421.88 ,$139.53 ,$435.78 ,$440.42 ,$417.24 ,$394.06 ,$139.53 ,$139.53 ,$139.53 ,$338.43 ,$212.70 ,$412.60 ,$417.24 ,$417.24 ,$370.88 ,$219.08 ,$254.98 ,$417.24 ,$212.70 ,$417.24 ,$212.70 ,$440.42 ,$478.57 ,$426.51 ,$147.90 ,$421.88 ,$212.70 ,$285.30 ,$298.56 ,$285.30 ,$417.24 ,$417.24 ,$345.98 ,$322.90 ,$214.82 ,$146.51 ,$433.47 ,$223.34 ,$139.53 ,$403.33 ,$212.70 ,$417.24 ,$212.70 ,$417.24 ,$417.24 ,$417.24 ,$449.69 ,$375.52 ,$417.24 ,$417.24 ,$417.24 ,$417.24 
ST. JOSEPH'S - CHIPPEWA FALLS,98180637,27840,PC DIS ANKLE W/O ANES-LT,981,1 ,"$1,287.77 ",$965.83 ,$139.53 ,"$1,287.77 ",$829.32 ,$212.70 ,$901.44 ,$139.53 ,"$1,068.85 ",$143.72 ,$849.93 ,"$1,223.38 ", N/A ,"$1,030.22 ","$1,171.87 ",$139.53 ,"$1,210.50 ","$1,223.38 ","$1,158.99 ","$1,094.60 ",$139.53 ,$139.53 ,$139.53 ,$940.07 ,$212.70 ,"$1,146.12 ","$1,158.99 ","$1,158.99 ","$1,030.22 ",$219.08 ,$708.27 ,"$1,158.99 ",$212.70 ,"$1,158.99 ",$212.70 ,"$1,223.38 ",$478.57 ,"$1,184.75 ",$147.90 ,"$1,171.87 ",$212.70 ,$792.49 ,$829.32 ,$792.49 ,"$1,158.99 ","$1,158.99 ",$961.06 ,$896.93 ,$214.82 ,$146.51 ,"$1,204.07 ",$223.34 ,$139.53 ,"$1,120.36 ",$212.70 ,"$1,158.99 ",$212.70 ,"$1,158.99 ","$1,158.99 ","$1,158.99 ","$1,249.14 ","$1,043.09 ","$1,158.99 ","$1,158.99 ","$1,158.99 ","$1,158.99 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180638,27840,PC DIS ANKLE W/O ANES-RT,981,1 ,"$1,287.77 ",$965.83 ,$139.53 ,"$1,287.77 ",$829.32 ,$212.70 ,$901.44 ,$139.53 ,"$1,068.85 ",$143.72 ,$849.93 ,"$1,223.38 ", N/A ,"$1,030.22 ","$1,171.87 ",$139.53 ,"$1,210.50 ","$1,223.38 ","$1,158.99 ","$1,094.60 ",$139.53 ,$139.53 ,$139.53 ,$940.07 ,$212.70 ,"$1,146.12 ","$1,158.99 ","$1,158.99 ","$1,030.22 ",$219.08 ,$708.27 ,"$1,158.99 ",$212.70 ,"$1,158.99 ",$212.70 ,"$1,223.38 ",$478.57 ,"$1,184.75 ",$147.90 ,"$1,171.87 ",$212.70 ,$792.49 ,$829.32 ,$792.49 ,"$1,158.99 ","$1,158.99 ",$961.06 ,$896.93 ,$214.82 ,$146.51 ,"$1,204.07 ",$223.34 ,$139.53 ,"$1,120.36 ",$212.70 ,"$1,158.99 ",$212.70 ,"$1,158.99 ","$1,158.99 ","$1,158.99 ","$1,249.14 ","$1,043.09 ","$1,158.99 ","$1,158.99 ","$1,158.99 ","$1,158.99 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180639,29065,PC APPL CAST ARM LONG-LT,981,1 ,$432.30 ,$324.23 ,$59.15 ,$560.14 ,$278.40 ,$248.95 ,$302.61 ,$59.15 ,$358.81 ,$60.92 ,$285.32 ,$410.69 , N/A ,$345.84 ,$393.39 ,$59.15 ,$406.36 ,$410.69 ,$389.07 ,$367.46 ,$59.15 ,$59.15 ,$59.15 ,$315.58 ,$248.95 ,$384.75 ,$389.07 ,$389.07 ,$345.84 ,$256.42 ,$237.77 ,$389.07 ,$248.95 ,$389.07 ,$248.95 ,$410.69 ,$560.14 ,$397.72 ,$62.70 ,$393.39 ,$248.95 ,$266.04 ,$278.40 ,$266.04 ,$389.07 ,$389.07 ,$322.63 ,$301.10 ,$251.44 ,$62.11 ,$404.20 ,$261.40 ,$59.15 ,$376.10 ,$248.95 ,$389.07 ,$248.95 ,$389.07 ,$389.07 ,$389.07 ,$419.33 ,$350.16 ,$389.07 ,$389.07 ,$389.07 ,$389.07 
ST. JOSEPH'S - CHIPPEWA FALLS,98180640,29065,PC APPL CAST ARM LONG-RT,981,1 ,$432.30 ,$324.23 ,$59.15 ,$560.14 ,$278.40 ,$248.95 ,$302.61 ,$59.15 ,$358.81 ,$60.92 ,$285.32 ,$410.69 , N/A ,$345.84 ,$393.39 ,$59.15 ,$406.36 ,$410.69 ,$389.07 ,$367.46 ,$59.15 ,$59.15 ,$59.15 ,$315.58 ,$248.95 ,$384.75 ,$389.07 ,$389.07 ,$345.84 ,$256.42 ,$237.77 ,$389.07 ,$248.95 ,$389.07 ,$248.95 ,$410.69 ,$560.14 ,$397.72 ,$62.70 ,$393.39 ,$248.95 ,$266.04 ,$278.40 ,$266.04 ,$389.07 ,$389.07 ,$322.63 ,$301.10 ,$251.44 ,$62.11 ,$404.20 ,$261.40 ,$59.15 ,$376.10 ,$248.95 ,$389.07 ,$248.95 ,$389.07 ,$389.07 ,$389.07 ,$419.33 ,$350.16 ,$389.07 ,$389.07 ,$389.07 ,$389.07 
ST. JOSEPH'S - CHIPPEWA FALLS,98180641,29075,PC APPL CAST ARM SHRT-LT,981,1 ,$324.28 ,$243.21 ,$59.15 ,$560.14 ,$208.84 ,$248.95 ,$227.00 ,$59.15 ,$269.15 ,$60.92 ,$214.02 ,$308.07 , N/A ,$259.42 ,$295.09 ,$59.15 ,$304.82 ,$308.07 ,$291.85 ,$275.64 ,$59.15 ,$59.15 ,$59.15 ,$236.72 ,$248.95 ,$288.61 ,$291.85 ,$291.85 ,$259.42 ,$256.42 ,$178.35 ,$291.85 ,$248.95 ,$291.85 ,$248.95 ,$308.07 ,$560.14 ,$298.34 ,$62.70 ,$295.09 ,$248.95 ,$199.56 ,$208.84 ,$199.56 ,$291.85 ,$291.85 ,$242.01 ,$225.86 ,$251.44 ,$62.11 ,$303.20 ,$261.40 ,$59.15 ,$282.12 ,$248.95 ,$291.85 ,$248.95 ,$291.85 ,$291.85 ,$291.85 ,$314.55 ,$262.67 ,$291.85 ,$291.85 ,$291.85 ,$291.85 
ST. JOSEPH'S - CHIPPEWA FALLS,98180642,29075,PC APPL CAST ARM SHRT-RT,981,1 ,$324.28 ,$243.21 ,$59.15 ,$560.14 ,$208.84 ,$248.95 ,$227.00 ,$59.15 ,$269.15 ,$60.92 ,$214.02 ,$308.07 , N/A ,$259.42 ,$295.09 ,$59.15 ,$304.82 ,$308.07 ,$291.85 ,$275.64 ,$59.15 ,$59.15 ,$59.15 ,$236.72 ,$248.95 ,$288.61 ,$291.85 ,$291.85 ,$259.42 ,$256.42 ,$178.35 ,$291.85 ,$248.95 ,$291.85 ,$248.95 ,$308.07 ,$560.14 ,$298.34 ,$62.70 ,$295.09 ,$248.95 ,$199.56 ,$208.84 ,$199.56 ,$291.85 ,$291.85 ,$242.01 ,$225.86 ,$251.44 ,$62.11 ,$303.20 ,$261.40 ,$59.15 ,$282.12 ,$248.95 ,$291.85 ,$248.95 ,$291.85 ,$291.85 ,$291.85 ,$314.55 ,$262.67 ,$291.85 ,$291.85 ,$291.85 ,$291.85 
ST. JOSEPH'S - CHIPPEWA FALLS,98180643,29105,PC APPL LONG ARM SPLNT-LT,981,1 ,$275.00 ,$206.25 ,$13.65 ,$328.04 ,$177.10 ,$145.80 ,$192.50 ,$13.65 ,$228.25 ,$14.06 ,$181.50 ,$261.25 , N/A ,$220.00 ,$250.25 ,$13.65 ,$258.50 ,$261.25 ,$247.50 ,$233.75 ,$13.65 ,$13.65 ,$13.65 ,$200.75 ,$145.80 ,$244.75 ,$247.50 ,$247.50 ,$220.00 ,$150.17 ,$151.25 ,$247.50 ,$145.80 ,$247.50 ,$145.80 ,$261.25 ,$328.04 ,$253.00 ,$14.47 ,$250.25 ,$145.80 ,$169.24 ,$177.10 ,$169.24 ,$247.50 ,$247.50 ,$205.23 ,$191.54 ,$147.25 ,$14.33 ,$257.13 ,$153.09 ,$13.65 ,$239.25 ,$145.80 ,$247.50 ,$145.80 ,$247.50 ,$247.50 ,$247.50 ,$266.75 ,$222.75 ,$247.50 ,$247.50 ,$247.50 ,$247.50 
ST. JOSEPH'S - CHIPPEWA FALLS,98180644,29105,PC APPL LONG ARM SPLNT-RT,981,1 ,$275.00 ,$206.25 ,$13.65 ,$328.04 ,$177.10 ,$145.80 ,$192.50 ,$13.65 ,$228.25 ,$14.06 ,$181.50 ,$261.25 , N/A ,$220.00 ,$250.25 ,$13.65 ,$258.50 ,$261.25 ,$247.50 ,$233.75 ,$13.65 ,$13.65 ,$13.65 ,$200.75 ,$145.80 ,$244.75 ,$247.50 ,$247.50 ,$220.00 ,$150.17 ,$151.25 ,$247.50 ,$145.80 ,$247.50 ,$145.80 ,$261.25 ,$328.04 ,$253.00 ,$14.47 ,$250.25 ,$145.80 ,$169.24 ,$177.10 ,$169.24 ,$247.50 ,$247.50 ,$205.23 ,$191.54 ,$147.25 ,$14.33 ,$257.13 ,$153.09 ,$13.65 ,$239.25 ,$145.80 ,$247.50 ,$145.80 ,$247.50 ,$247.50 ,$247.50 ,$266.75 ,$222.75 ,$247.50 ,$247.50 ,$247.50 ,$247.50 
ST. JOSEPH'S - CHIPPEWA FALLS,98180645,29125,PC SHRT APPL SPLNT ARM STAT-LT,981,1 ,$235.80 ,$176.85 ,$13.65 ,$261.82 ,$151.86 ,$116.36 ,$165.06 ,$13.65 ,$195.71 ,$14.06 ,$155.63 ,$224.01 , N/A ,$188.64 ,$214.58 ,$13.65 ,$221.65 ,$224.01 ,$212.22 ,$200.43 ,$13.65 ,$13.65 ,$13.65 ,$172.13 ,$116.36 ,$209.86 ,$212.22 ,$212.22 ,$188.64 ,$119.85 ,$129.69 ,$212.22 ,$116.36 ,$212.22 ,$116.36 ,$224.01 ,$261.82 ,$216.94 ,$14.47 ,$214.58 ,$116.36 ,$145.11 ,$151.86 ,$145.11 ,$212.22 ,$212.22 ,$175.98 ,$164.23 ,$117.53 ,$14.33 ,$220.47 ,$122.18 ,$13.65 ,$205.15 ,$116.36 ,$212.22 ,$116.36 ,$212.22 ,$212.22 ,$212.22 ,$228.73 ,$191.00 ,$212.22 ,$212.22 ,$212.22 ,$212.22 
ST. JOSEPH'S - CHIPPEWA FALLS,98180646,29125,PC SHRT APPL SPLNT ARM STAT-RT,981,1 ,$235.80 ,$176.85 ,$13.65 ,$261.82 ,$151.86 ,$116.36 ,$165.06 ,$13.65 ,$195.71 ,$14.06 ,$155.63 ,$224.01 , N/A ,$188.64 ,$214.58 ,$13.65 ,$221.65 ,$224.01 ,$212.22 ,$200.43 ,$13.65 ,$13.65 ,$13.65 ,$172.13 ,$116.36 ,$209.86 ,$212.22 ,$212.22 ,$188.64 ,$119.85 ,$129.69 ,$212.22 ,$116.36 ,$212.22 ,$116.36 ,$224.01 ,$261.82 ,$216.94 ,$14.47 ,$214.58 ,$116.36 ,$145.11 ,$151.86 ,$145.11 ,$212.22 ,$212.22 ,$175.98 ,$164.23 ,$117.53 ,$14.33 ,$220.47 ,$122.18 ,$13.65 ,$205.15 ,$116.36 ,$212.22 ,$116.36 ,$212.22 ,$212.22 ,$212.22 ,$228.73 ,$191.00 ,$212.22 ,$212.22 ,$212.22 ,$212.22 
ST. JOSEPH'S - CHIPPEWA FALLS,98180647,29130,PC APPL SPLINT FNGR STATC-LT,981,1 ,$152.58 ,$114.44 ,$13.65 ,$261.82 ,$98.26 ,$116.36 ,$106.81 ,$13.65 ,$126.64 ,$14.06 ,$100.70 ,$144.95 , N/A ,$122.06 ,$138.85 ,$13.65 ,$143.43 ,$144.95 ,$137.32 ,$129.69 ,$13.65 ,$13.65 ,$13.65 ,$111.38 ,$116.36 ,$135.80 ,$137.32 ,$137.32 ,$122.06 ,$119.85 ,$83.92 ,$137.32 ,$116.36 ,$137.32 ,$116.36 ,$144.95 ,$261.82 ,$140.37 ,$14.47 ,$138.85 ,$116.36 ,$93.90 ,$98.26 ,$93.90 ,$137.32 ,$137.32 ,$113.87 ,$106.27 ,$117.53 ,$14.33 ,$142.66 ,$122.18 ,$13.65 ,$132.74 ,$116.36 ,$137.32 ,$116.36 ,$137.32 ,$137.32 ,$137.32 ,$148.00 ,$123.59 ,$137.32 ,$137.32 ,$137.32 ,$137.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180648,29130,PC APPL SPLINT FNGR STATC-RT,981,1 ,$152.58 ,$114.44 ,$13.65 ,$261.82 ,$98.26 ,$116.36 ,$106.81 ,$13.65 ,$126.64 ,$14.06 ,$100.70 ,$144.95 , N/A ,$122.06 ,$138.85 ,$13.65 ,$143.43 ,$144.95 ,$137.32 ,$129.69 ,$13.65 ,$13.65 ,$13.65 ,$111.38 ,$116.36 ,$135.80 ,$137.32 ,$137.32 ,$122.06 ,$119.85 ,$83.92 ,$137.32 ,$116.36 ,$137.32 ,$116.36 ,$144.95 ,$261.82 ,$140.37 ,$14.47 ,$138.85 ,$116.36 ,$93.90 ,$98.26 ,$93.90 ,$137.32 ,$137.32 ,$113.87 ,$106.27 ,$117.53 ,$14.33 ,$142.66 ,$122.18 ,$13.65 ,$132.74 ,$116.36 ,$137.32 ,$116.36 ,$137.32 ,$137.32 ,$137.32 ,$148.00 ,$123.59 ,$137.32 ,$137.32 ,$137.32 ,$137.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180649,29260,PC STRAPPING ELBOW/WRIST-LT,981,1 ,$133.58 ,$100.19 ,$13.65 ,$133.58 ,$86.03 ,$57.44 ,$93.51 ,$13.65 ,$110.87 ,$14.06 ,$88.16 ,$126.90 , N/A ,$106.86 ,$121.56 ,$13.65 ,$125.57 ,$126.90 ,$120.22 ,$113.54 ,$13.65 ,$13.65 ,$13.65 ,$97.51 ,$57.44 ,$118.89 ,$120.22 ,$120.22 ,$106.86 ,$59.17 ,$73.47 ,$120.22 ,$57.44 ,$120.22 ,$57.44 ,$126.90 ,$129.25 ,$122.89 ,$14.47 ,$121.56 ,$57.44 ,$82.21 ,$86.03 ,$82.21 ,$120.22 ,$120.22 ,$99.69 ,$93.04 ,$58.02 ,$14.33 ,$124.90 ,$60.31 ,$13.65 ,$116.21 ,$57.44 ,$120.22 ,$57.44 ,$120.22 ,$120.22 ,$120.22 ,$129.57 ,$108.20 ,$120.22 ,$120.22 ,$120.22 ,$120.22 
ST. JOSEPH'S - CHIPPEWA FALLS,98180650,29260,PC STRAPPING ELBOW/WRIST-RT,981,1 ,$133.58 ,$100.19 ,$13.65 ,$133.58 ,$86.03 ,$57.44 ,$93.51 ,$13.65 ,$110.87 ,$14.06 ,$88.16 ,$126.90 , N/A ,$106.86 ,$121.56 ,$13.65 ,$125.57 ,$126.90 ,$120.22 ,$113.54 ,$13.65 ,$13.65 ,$13.65 ,$97.51 ,$57.44 ,$118.89 ,$120.22 ,$120.22 ,$106.86 ,$59.17 ,$73.47 ,$120.22 ,$57.44 ,$120.22 ,$57.44 ,$126.90 ,$129.25 ,$122.89 ,$14.47 ,$121.56 ,$57.44 ,$82.21 ,$86.03 ,$82.21 ,$120.22 ,$120.22 ,$99.69 ,$93.04 ,$58.02 ,$14.33 ,$124.90 ,$60.31 ,$13.65 ,$116.21 ,$57.44 ,$120.22 ,$57.44 ,$120.22 ,$120.22 ,$120.22 ,$129.57 ,$108.20 ,$120.22 ,$120.22 ,$120.22 ,$120.22 
ST. JOSEPH'S - CHIPPEWA FALLS,98180651,29280,PC STRAPPING HAND/FINGER-LT,981,1 ,$114.46 ,$85.85 ,$13.65 ,$129.25 ,$73.71 ,$57.44 ,$80.12 ,$13.65 ,$95.00 ,$14.06 ,$75.54 ,$108.74 , N/A ,$91.57 ,$104.16 ,$13.65 ,$107.59 ,$108.74 ,$103.01 ,$97.29 ,$13.65 ,$13.65 ,$13.65 ,$83.56 ,$57.44 ,$101.87 ,$103.01 ,$103.01 ,$91.57 ,$59.17 ,$62.95 ,$103.01 ,$57.44 ,$103.01 ,$57.44 ,$108.74 ,$129.25 ,$105.30 ,$14.47 ,$104.16 ,$57.44 ,$70.44 ,$73.71 ,$70.44 ,$103.01 ,$103.01 ,$85.42 ,$79.72 ,$58.02 ,$14.33 ,$107.02 ,$60.31 ,$13.65 ,$99.58 ,$57.44 ,$103.01 ,$57.44 ,$103.01 ,$103.01 ,$103.01 ,$111.03 ,$92.71 ,$103.01 ,$103.01 ,$103.01 ,$103.01 
ST. JOSEPH'S - CHIPPEWA FALLS,98180652,29280,PC STRAPPING HAND/FINGER-RT,981,1 ,$114.46 ,$85.85 ,$13.65 ,$129.25 ,$73.71 ,$57.44 ,$80.12 ,$13.65 ,$95.00 ,$14.06 ,$75.54 ,$108.74 , N/A ,$91.57 ,$104.16 ,$13.65 ,$107.59 ,$108.74 ,$103.01 ,$97.29 ,$13.65 ,$13.65 ,$13.65 ,$83.56 ,$57.44 ,$101.87 ,$103.01 ,$103.01 ,$91.57 ,$59.17 ,$62.95 ,$103.01 ,$57.44 ,$103.01 ,$57.44 ,$108.74 ,$129.25 ,$105.30 ,$14.47 ,$104.16 ,$57.44 ,$70.44 ,$73.71 ,$70.44 ,$103.01 ,$103.01 ,$85.42 ,$79.72 ,$58.02 ,$14.33 ,$107.02 ,$60.31 ,$13.65 ,$99.58 ,$57.44 ,$103.01 ,$57.44 ,$103.01 ,$103.01 ,$103.01 ,$111.03 ,$92.71 ,$103.01 ,$103.01 ,$103.01 ,$103.01 
ST. JOSEPH'S - CHIPPEWA FALLS,98180653,29405,PC APPL CAST LEG SHORT-LT,981,1 ,$436.58 ,$327.44 ,$59.15 ,$560.14 ,$281.16 ,$248.95 ,$305.61 ,$59.15 ,$362.36 ,$60.92 ,$288.14 ,$414.75 , N/A ,$349.26 ,$397.29 ,$59.15 ,$410.39 ,$414.75 ,$392.92 ,$371.09 ,$59.15 ,$59.15 ,$59.15 ,$318.70 ,$248.95 ,$388.56 ,$392.92 ,$392.92 ,$349.26 ,$256.42 ,$240.12 ,$392.92 ,$248.95 ,$392.92 ,$248.95 ,$414.75 ,$560.14 ,$401.65 ,$62.70 ,$397.29 ,$248.95 ,$268.67 ,$281.16 ,$268.67 ,$392.92 ,$392.92 ,$325.82 ,$304.08 ,$251.44 ,$62.11 ,$408.20 ,$261.40 ,$59.15 ,$379.82 ,$248.95 ,$392.92 ,$248.95 ,$392.92 ,$392.92 ,$392.92 ,$423.48 ,$353.63 ,$392.92 ,$392.92 ,$392.92 ,$392.92 
ST. JOSEPH'S - CHIPPEWA FALLS,98180654,29405,PC APPL CAST LEG SHORT-RT,981,1 ,$436.58 ,$327.44 ,$59.15 ,$560.14 ,$281.16 ,$248.95 ,$305.61 ,$59.15 ,$362.36 ,$60.92 ,$288.14 ,$414.75 , N/A ,$349.26 ,$397.29 ,$59.15 ,$410.39 ,$414.75 ,$392.92 ,$371.09 ,$59.15 ,$59.15 ,$59.15 ,$318.70 ,$248.95 ,$388.56 ,$392.92 ,$392.92 ,$349.26 ,$256.42 ,$240.12 ,$392.92 ,$248.95 ,$392.92 ,$248.95 ,$414.75 ,$560.14 ,$401.65 ,$62.70 ,$397.29 ,$248.95 ,$268.67 ,$281.16 ,$268.67 ,$392.92 ,$392.92 ,$325.82 ,$304.08 ,$251.44 ,$62.11 ,$408.20 ,$261.40 ,$59.15 ,$379.82 ,$248.95 ,$392.92 ,$248.95 ,$392.92 ,$392.92 ,$392.92 ,$423.48 ,$353.63 ,$392.92 ,$392.92 ,$392.92 ,$392.92 
ST. JOSEPH'S - CHIPPEWA FALLS,98180655,29505,PC APPL LONG LEG SPLINT-LT,981,1 ,$374.70 ,$281.03 ,$13.65 ,$374.70 ,$241.31 ,$145.80 ,$262.29 ,$13.65 ,$311.00 ,$14.06 ,$247.30 ,$355.97 , N/A ,$299.76 ,$340.98 ,$13.65 ,$352.22 ,$355.97 ,$337.23 ,$318.50 ,$13.65 ,$13.65 ,$13.65 ,$273.53 ,$145.80 ,$333.48 ,$337.23 ,$337.23 ,$299.76 ,$150.17 ,$206.09 ,$337.23 ,$145.80 ,$337.23 ,$145.80 ,$355.97 ,$328.04 ,$344.72 ,$14.47 ,$340.98 ,$145.80 ,$230.59 ,$241.31 ,$230.59 ,$337.23 ,$337.23 ,$279.64 ,$260.98 ,$147.25 ,$14.33 ,$350.34 ,$153.09 ,$13.65 ,$325.99 ,$145.80 ,$337.23 ,$145.80 ,$337.23 ,$337.23 ,$337.23 ,$363.46 ,$303.51 ,$337.23 ,$337.23 ,$337.23 ,$337.23 
ST. JOSEPH'S - CHIPPEWA FALLS,98180656,29505,PC APPL LONG LEG SPLINT-RT,981,1 ,$374.70 ,$281.03 ,$13.65 ,$374.70 ,$241.31 ,$145.80 ,$262.29 ,$13.65 ,$311.00 ,$14.06 ,$247.30 ,$355.97 , N/A ,$299.76 ,$340.98 ,$13.65 ,$352.22 ,$355.97 ,$337.23 ,$318.50 ,$13.65 ,$13.65 ,$13.65 ,$273.53 ,$145.80 ,$333.48 ,$337.23 ,$337.23 ,$299.76 ,$150.17 ,$206.09 ,$337.23 ,$145.80 ,$337.23 ,$145.80 ,$355.97 ,$328.04 ,$344.72 ,$14.47 ,$340.98 ,$145.80 ,$230.59 ,$241.31 ,$230.59 ,$337.23 ,$337.23 ,$279.64 ,$260.98 ,$147.25 ,$14.33 ,$350.34 ,$153.09 ,$13.65 ,$325.99 ,$145.80 ,$337.23 ,$145.80 ,$337.23 ,$337.23 ,$337.23 ,$363.46 ,$303.51 ,$337.23 ,$337.23 ,$337.23 ,$337.23 
ST. JOSEPH'S - CHIPPEWA FALLS,98180657,29515,PC APPL SHORT LEG SPLINT-LT,981,1 ,$243.50 ,$182.63 ,$13.65 ,$328.04 ,$156.81 ,$145.80 ,$170.45 ,$13.65 ,$202.11 ,$14.06 ,$160.71 ,$231.33 , N/A ,$194.80 ,$221.59 ,$13.65 ,$228.89 ,$231.33 ,$219.15 ,$206.98 ,$13.65 ,$13.65 ,$13.65 ,$177.76 ,$145.80 ,$216.72 ,$219.15 ,$219.15 ,$194.80 ,$150.17 ,$133.93 ,$219.15 ,$145.80 ,$219.15 ,$145.80 ,$231.33 ,$328.04 ,$224.02 ,$14.47 ,$221.59 ,$145.80 ,$149.85 ,$156.81 ,$149.85 ,$219.15 ,$219.15 ,$181.72 ,$169.60 ,$147.25 ,$14.33 ,$227.67 ,$153.09 ,$13.65 ,$211.85 ,$145.80 ,$219.15 ,$145.80 ,$219.15 ,$219.15 ,$219.15 ,$236.20 ,$197.24 ,$219.15 ,$219.15 ,$219.15 ,$219.15 
ST. JOSEPH'S - CHIPPEWA FALLS,98180658,29515,PC APPL SHORT LEG SPLINT-RT,981,1 ,$243.50 ,$182.63 ,$13.65 ,$328.04 ,$156.81 ,$145.80 ,$170.45 ,$13.65 ,$202.11 ,$14.06 ,$160.71 ,$231.33 , N/A ,$194.80 ,$221.59 ,$13.65 ,$228.89 ,$231.33 ,$219.15 ,$206.98 ,$13.65 ,$13.65 ,$13.65 ,$177.76 ,$145.80 ,$216.72 ,$219.15 ,$219.15 ,$194.80 ,$150.17 ,$133.93 ,$219.15 ,$145.80 ,$219.15 ,$145.80 ,$231.33 ,$328.04 ,$224.02 ,$14.47 ,$221.59 ,$145.80 ,$149.85 ,$156.81 ,$149.85 ,$219.15 ,$219.15 ,$181.72 ,$169.60 ,$147.25 ,$14.33 ,$227.67 ,$153.09 ,$13.65 ,$211.85 ,$145.80 ,$219.15 ,$145.80 ,$219.15 ,$219.15 ,$219.15 ,$236.20 ,$197.24 ,$219.15 ,$219.15 ,$219.15 ,$219.15 
ST. JOSEPH'S - CHIPPEWA FALLS,98180659,30901,PC CNTRL NOSEBLEED ANT SIMPLE-LT,981,1 ,$383.80 ,$287.85 ,$34.89 ,$383.80 ,$247.17 ,$116.36 ,$268.66 ,$34.89 ,$318.55 ,$35.94 ,$253.31 ,$364.61 , N/A ,$307.04 ,$349.26 ,$34.89 ,$360.77 ,$364.61 ,$345.42 ,$326.23 ,$34.89 ,$34.89 ,$34.89 ,$280.17 ,$116.36 ,$341.58 ,$345.42 ,$345.42 ,$307.04 ,$119.85 ,$211.09 ,$345.42 ,$116.36 ,$345.42 ,$116.36 ,$364.61 ,$261.82 ,$353.10 ,$36.98 ,$349.26 ,$116.36 ,$236.19 ,$247.17 ,$236.19 ,$345.42 ,$345.42 ,$286.43 ,$267.32 ,$117.53 ,$36.63 ,$358.85 ,$122.18 ,$34.89 ,$333.91 ,$116.36 ,$345.42 ,$116.36 ,$345.42 ,$345.42 ,$345.42 ,$372.29 ,$310.88 ,$345.42 ,$345.42 ,$345.42 ,$345.42 
ST. JOSEPH'S - CHIPPEWA FALLS,98180660,30901,PC CNTRL NOSEBLEED ANT SIMPLE-RT,981,1 ,$383.80 ,$287.85 ,$34.89 ,$383.80 ,$247.17 ,$116.36 ,$268.66 ,$34.89 ,$318.55 ,$35.94 ,$253.31 ,$364.61 , N/A ,$307.04 ,$349.26 ,$34.89 ,$360.77 ,$364.61 ,$345.42 ,$326.23 ,$34.89 ,$34.89 ,$34.89 ,$280.17 ,$116.36 ,$341.58 ,$345.42 ,$345.42 ,$307.04 ,$119.85 ,$211.09 ,$345.42 ,$116.36 ,$345.42 ,$116.36 ,$364.61 ,$261.82 ,$353.10 ,$36.98 ,$349.26 ,$116.36 ,$236.19 ,$247.17 ,$236.19 ,$345.42 ,$345.42 ,$286.43 ,$267.32 ,$117.53 ,$36.63 ,$358.85 ,$122.18 ,$34.89 ,$333.91 ,$116.36 ,$345.42 ,$116.36 ,$345.42 ,$345.42 ,$345.42 ,$372.29 ,$310.88 ,$345.42 ,$345.42 ,$345.42 ,$345.42 
ST. JOSEPH'S - CHIPPEWA FALLS,98180661,30903,PC CNTRL NOSEBLEED COMPLEX-LT,981,1 ,$568.00 ,$426.00 ,$34.89 ,$568.00 ,$365.79 ,$116.36 ,$397.60 ,$34.89 ,$471.44 ,$35.94 ,$374.88 ,$539.60 , N/A ,$454.40 ,$516.88 ,$34.89 ,$533.92 ,$539.60 ,$511.20 ,$482.80 ,$34.89 ,$34.89 ,$34.89 ,$414.64 ,$116.36 ,$505.52 ,$511.20 ,$511.20 ,$454.40 ,$119.85 ,$312.40 ,$511.20 ,$116.36 ,$511.20 ,$116.36 ,$539.60 ,$261.82 ,$522.56 ,$36.98 ,$516.88 ,$116.36 ,$349.55 ,$365.79 ,$349.55 ,$511.20 ,$511.20 ,$423.90 ,$395.61 ,$117.53 ,$36.63 ,$531.08 ,$122.18 ,$34.89 ,$494.16 ,$116.36 ,$511.20 ,$116.36 ,$511.20 ,$511.20 ,$511.20 ,$550.96 ,$460.08 ,$511.20 ,$511.20 ,$511.20 ,$511.20 
ST. JOSEPH'S - CHIPPEWA FALLS,98180662,30903,PC CNTRL NOSEBLEED COMPLEX-RT,981,1 ,$568.00 ,$426.00 ,$34.89 ,$568.00 ,$365.79 ,$116.36 ,$397.60 ,$34.89 ,$471.44 ,$35.94 ,$374.88 ,$539.60 , N/A ,$454.40 ,$516.88 ,$34.89 ,$533.92 ,$539.60 ,$511.20 ,$482.80 ,$34.89 ,$34.89 ,$34.89 ,$414.64 ,$116.36 ,$505.52 ,$511.20 ,$511.20 ,$454.40 ,$119.85 ,$312.40 ,$511.20 ,$116.36 ,$511.20 ,$116.36 ,$539.60 ,$261.82 ,$522.56 ,$36.98 ,$516.88 ,$116.36 ,$349.55 ,$365.79 ,$349.55 ,$511.20 ,$511.20 ,$423.90 ,$395.61 ,$117.53 ,$36.63 ,$531.08 ,$122.18 ,$34.89 ,$494.16 ,$116.36 ,$511.20 ,$116.36 ,$511.20 ,$511.20 ,$511.20 ,$550.96 ,$460.08 ,$511.20 ,$511.20 ,$511.20 ,$511.20 
ST. JOSEPH'S - CHIPPEWA FALLS,98180663,32551,PC TUBE THORACOSTOMY-LT,981,1 ,"$1,236.10 ",$927.08 ,$299.20 ,"$3,265.10 ",$796.05 ,"$1,451.15 ",$865.27 ,$299.20 ,"$1,025.96 ",$308.18 ,$815.83 ,"$1,174.30 ", N/A ,$988.88 ,"$1,124.85 ",$299.20 ,"$1,161.93 ","$1,174.30 ","$1,112.49 ","$1,050.69 ",$299.20 ,$299.20 ,$299.20 ,$902.35 ,"$1,451.15 ","$1,100.13 ","$1,112.49 ","$1,112.49 ",$988.88 ,"$1,494.69 ",$679.86 ,"$1,112.49 ","$1,451.15 ","$1,112.49 ","$1,451.15 ","$1,174.30 ","$3,265.10 ","$1,137.21 ",$317.15 ,"$1,124.85 ","$1,451.15 ",$760.70 ,$796.05 ,$760.70 ,"$1,112.49 ","$1,112.49 ",$922.50 ,$860.94 ,"$1,465.67 ",$314.16 ,"$1,155.75 ","$1,523.71 ",$299.20 ,"$1,075.41 ","$1,451.15 ","$1,112.49 ","$1,451.15 ","$1,112.49 ","$1,112.49 ","$1,112.49 ","$1,199.02 ","$1,001.24 ","$1,112.49 ","$1,112.49 ","$1,112.49 ","$1,112.49 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180664,32551,PC TUBE THORACOSTOMY-RT,981,1 ,"$1,236.10 ",$927.08 ,$299.20 ,"$3,265.10 ",$796.05 ,"$1,451.15 ",$865.27 ,$299.20 ,"$1,025.96 ",$308.18 ,$815.83 ,"$1,174.30 ", N/A ,$988.88 ,"$1,124.85 ",$299.20 ,"$1,161.93 ","$1,174.30 ","$1,112.49 ","$1,050.69 ",$299.20 ,$299.20 ,$299.20 ,$902.35 ,"$1,451.15 ","$1,100.13 ","$1,112.49 ","$1,112.49 ",$988.88 ,"$1,494.69 ",$679.86 ,"$1,112.49 ","$1,451.15 ","$1,112.49 ","$1,451.15 ","$1,174.30 ","$3,265.10 ","$1,137.21 ",$317.15 ,"$1,124.85 ","$1,451.15 ",$760.70 ,$796.05 ,$760.70 ,"$1,112.49 ","$1,112.49 ",$922.50 ,$860.94 ,"$1,465.67 ",$314.16 ,"$1,155.75 ","$1,523.71 ",$299.20 ,"$1,075.41 ","$1,451.15 ","$1,112.49 ","$1,451.15 ","$1,112.49 ","$1,112.49 ","$1,112.49 ","$1,199.02 ","$1,001.24 ","$1,112.49 ","$1,112.49 ","$1,112.49 ","$1,112.49 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180665,64450,PC INJ ANES OTHER THAN PERIPHERAL-LT,981,1 ,$504.80 ,$378.60 ,$136.73 ,"$1,474.40 ",$325.09 ,$655.29 ,$353.36 ,$136.73 ,$418.98 ,$140.83 ,$333.17 ,$479.56 , N/A ,$403.84 ,$459.37 ,$136.73 ,$474.51 ,$479.56 ,$454.32 ,$429.08 ,$136.73 ,$136.73 ,$136.73 ,$368.50 ,$655.29 ,$449.27 ,$454.32 ,$454.32 ,$403.84 ,$674.95 ,$277.64 ,$454.32 ,$655.29 ,$454.32 ,$655.29 ,$479.56 ,"$1,474.40 ",$464.42 ,$144.93 ,$459.37 ,$655.29 ,$310.65 ,$325.09 ,$310.65 ,$454.32 ,$454.32 ,$376.73 ,$351.59 ,$661.84 ,$143.57 ,$471.99 ,$688.05 ,$136.73 ,$439.18 ,$655.29 ,$454.32 ,$655.29 ,$454.32 ,$454.32 ,$454.32 ,$489.66 ,$408.89 ,$454.32 ,$454.32 ,$454.32 ,$454.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180666,64450,PC INJ ANES OTHER THAN PERIPHERAL-RT,981,1 ,$504.80 ,$378.60 ,$136.73 ,"$1,474.40 ",$325.09 ,$655.29 ,$353.36 ,$136.73 ,$418.98 ,$140.83 ,$333.17 ,$479.56 , N/A ,$403.84 ,$459.37 ,$136.73 ,$474.51 ,$479.56 ,$454.32 ,$429.08 ,$136.73 ,$136.73 ,$136.73 ,$368.50 ,$655.29 ,$449.27 ,$454.32 ,$454.32 ,$403.84 ,$674.95 ,$277.64 ,$454.32 ,$655.29 ,$454.32 ,$655.29 ,$479.56 ,"$1,474.40 ",$464.42 ,$144.93 ,$459.37 ,$655.29 ,$310.65 ,$325.09 ,$310.65 ,$454.32 ,$454.32 ,$376.73 ,$351.59 ,$661.84 ,$143.57 ,$471.99 ,$688.05 ,$136.73 ,$439.18 ,$655.29 ,$454.32 ,$655.29 ,$454.32 ,$454.32 ,$454.32 ,$489.66 ,$408.89 ,$454.32 ,$454.32 ,$454.32 ,$454.32 
ST. JOSEPH'S - CHIPPEWA FALLS,98180667,65205,PC REMOVE EYE FB CONJUCT SUPER-LT,981,1 ,$292.40 ,$219.30 ,$22.85 ,$292.40 ,$188.31 ,$116.36 ,$204.68 ,$22.85 ,$242.69 ,$23.54 ,$192.98 ,$277.78 , N/A ,$233.92 ,$266.08 ,$22.85 ,$274.86 ,$277.78 ,$263.16 ,$248.54 ,$22.85 ,$22.85 ,$22.85 ,$213.45 ,$116.36 ,$260.24 ,$263.16 ,$263.16 ,$233.92 ,$119.85 ,$160.82 ,$263.16 ,$116.36 ,$263.16 ,$116.36 ,$277.78 ,$261.82 ,$269.01 ,$24.22 ,$266.08 ,$116.36 ,$179.94 ,$188.31 ,$179.94 ,$263.16 ,$263.16 ,$218.22 ,$203.66 ,$117.53 ,$23.99 ,$273.39 ,$122.18 ,$22.85 ,$254.39 ,$116.36 ,$263.16 ,$116.36 ,$263.16 ,$263.16 ,$263.16 ,$283.63 ,$236.84 ,$263.16 ,$263.16 ,$263.16 ,$263.16 
ST. JOSEPH'S - CHIPPEWA FALLS,98180668,65205,PC REMOVE EYE FB CONJUCT SUPER-RT,981,1 ,$292.40 ,$219.30 ,$22.85 ,$292.40 ,$188.31 ,$116.36 ,$204.68 ,$22.85 ,$242.69 ,$23.54 ,$192.98 ,$277.78 , N/A ,$233.92 ,$266.08 ,$22.85 ,$274.86 ,$277.78 ,$263.16 ,$248.54 ,$22.85 ,$22.85 ,$22.85 ,$213.45 ,$116.36 ,$260.24 ,$263.16 ,$263.16 ,$233.92 ,$119.85 ,$160.82 ,$263.16 ,$116.36 ,$263.16 ,$116.36 ,$277.78 ,$261.82 ,$269.01 ,$24.22 ,$266.08 ,$116.36 ,$179.94 ,$188.31 ,$179.94 ,$263.16 ,$263.16 ,$218.22 ,$203.66 ,$117.53 ,$23.99 ,$273.39 ,$122.18 ,$22.85 ,$254.39 ,$116.36 ,$263.16 ,$116.36 ,$263.16 ,$263.16 ,$263.16 ,$283.63 ,$236.84 ,$263.16 ,$263.16 ,$263.16 ,$263.16 
ST. JOSEPH'S - CHIPPEWA FALLS,98180669,65210,PC REMOVE EYE FB CONJUCT EMBED-LT,981,1 ,$307.74 ,$230.81 ,$22.85 ,$630.17 ,$198.18 ,$280.07 ,$215.42 ,$22.85 ,$255.42 ,$23.54 ,$203.11 ,$292.35 , N/A ,$246.19 ,$280.04 ,$22.85 ,$289.28 ,$292.35 ,$276.97 ,$261.58 ,$22.85 ,$22.85 ,$22.85 ,$224.65 ,$280.07 ,$273.89 ,$276.97 ,$276.97 ,$246.19 ,$288.48 ,$169.26 ,$276.97 ,$280.07 ,$276.97 ,$280.07 ,$292.35 ,$630.17 ,$283.12 ,$24.22 ,$280.04 ,$280.07 ,$189.38 ,$198.18 ,$189.38 ,$276.97 ,$276.97 ,$229.67 ,$214.34 ,$282.87 ,$23.99 ,$287.74 ,$294.07 ,$22.85 ,$267.73 ,$280.07 ,$276.97 ,$280.07 ,$276.97 ,$276.97 ,$276.97 ,$298.51 ,$249.27 ,$276.97 ,$276.97 ,$276.97 ,$276.97 
ST. JOSEPH'S - CHIPPEWA FALLS,98180670,65210,PC REMOVE EYE FB CONJUCT EMBED-RT,981,1 ,$307.74 ,$230.81 ,$22.85 ,$630.17 ,$198.18 ,$280.07 ,$215.42 ,$22.85 ,$255.42 ,$23.54 ,$203.11 ,$292.35 , N/A ,$246.19 ,$280.04 ,$22.85 ,$289.28 ,$292.35 ,$276.97 ,$261.58 ,$22.85 ,$22.85 ,$22.85 ,$224.65 ,$280.07 ,$273.89 ,$276.97 ,$276.97 ,$246.19 ,$288.48 ,$169.26 ,$276.97 ,$280.07 ,$276.97 ,$280.07 ,$292.35 ,$630.17 ,$283.12 ,$24.22 ,$280.04 ,$280.07 ,$189.38 ,$198.18 ,$189.38 ,$276.97 ,$276.97 ,$229.67 ,$214.34 ,$282.87 ,$23.99 ,$287.74 ,$294.07 ,$22.85 ,$267.73 ,$280.07 ,$276.97 ,$280.07 ,$276.97 ,$276.97 ,$276.97 ,$298.51 ,$249.27 ,$276.97 ,$276.97 ,$276.97 ,$276.97 
ST. JOSEPH'S - CHIPPEWA FALLS,98180671,65220,PC REMOVE FB CORNL W/O SLIT LAMP-LT,981,1 ,$341.80 ,$256.35 ,$22.85 ,$630.17 ,$220.12 ,$280.07 ,$239.26 ,$22.85 ,$283.69 ,$23.54 ,$225.59 ,$324.71 , N/A ,$273.44 ,$311.04 ,$22.85 ,$321.29 ,$324.71 ,$307.62 ,$290.53 ,$22.85 ,$22.85 ,$22.85 ,$249.51 ,$280.07 ,$304.20 ,$307.62 ,$307.62 ,$273.44 ,$288.48 ,$187.99 ,$307.62 ,$280.07 ,$307.62 ,$280.07 ,$324.71 ,$630.17 ,$314.46 ,$24.22 ,$311.04 ,$280.07 ,$210.34 ,$220.12 ,$210.34 ,$307.62 ,$307.62 ,$255.09 ,$238.06 ,$282.87 ,$23.99 ,$319.58 ,$294.07 ,$22.85 ,$297.37 ,$280.07 ,$307.62 ,$280.07 ,$307.62 ,$307.62 ,$307.62 ,$331.55 ,$276.86 ,$307.62 ,$307.62 ,$307.62 ,$307.62 
ST. JOSEPH'S - CHIPPEWA FALLS,98180672,65220,PC REMOVE FB CORNL W/O SLIT LAMP-RT,981,1 ,$341.80 ,$256.35 ,$22.85 ,$630.17 ,$220.12 ,$280.07 ,$239.26 ,$22.85 ,$283.69 ,$23.54 ,$225.59 ,$324.71 , N/A ,$273.44 ,$311.04 ,$22.85 ,$321.29 ,$324.71 ,$307.62 ,$290.53 ,$22.85 ,$22.85 ,$22.85 ,$249.51 ,$280.07 ,$304.20 ,$307.62 ,$307.62 ,$273.44 ,$288.48 ,$187.99 ,$307.62 ,$280.07 ,$307.62 ,$280.07 ,$324.71 ,$630.17 ,$314.46 ,$24.22 ,$311.04 ,$280.07 ,$210.34 ,$220.12 ,$210.34 ,$307.62 ,$307.62 ,$255.09 ,$238.06 ,$282.87 ,$23.99 ,$319.58 ,$294.07 ,$22.85 ,$297.37 ,$280.07 ,$307.62 ,$280.07 ,$307.62 ,$307.62 ,$307.62 ,$331.55 ,$276.86 ,$307.62 ,$307.62 ,$307.62 ,$307.62 
ST. JOSEPH'S - CHIPPEWA FALLS,98180673,65222,PC REMOVE FB CORNL W/ SLIT LAMP-LT,981,1 ,$376.90 ,$282.68 ,$22.85 ,$376.90 ,$242.72 ,$116.36 ,$263.83 ,$22.85 ,$312.83 ,$23.54 ,$248.75 ,$358.06 , N/A ,$301.52 ,$342.98 ,$22.85 ,$354.29 ,$358.06 ,$339.21 ,$320.37 ,$22.85 ,$22.85 ,$22.85 ,$275.14 ,$116.36 ,$335.44 ,$339.21 ,$339.21 ,$301.52 ,$119.85 ,$207.30 ,$339.21 ,$116.36 ,$339.21 ,$116.36 ,$358.06 ,$261.82 ,$346.75 ,$24.22 ,$342.98 ,$116.36 ,$231.94 ,$242.72 ,$231.94 ,$339.21 ,$339.21 ,$281.28 ,$262.51 ,$117.53 ,$23.99 ,$352.40 ,$122.18 ,$22.85 ,$327.90 ,$116.36 ,$339.21 ,$116.36 ,$339.21 ,$339.21 ,$339.21 ,$365.59 ,$305.29 ,$339.21 ,$339.21 ,$339.21 ,$339.21 
ST. JOSEPH'S - CHIPPEWA FALLS,98180674,65222,PC REMOVE FB CORNL W/ SLIT LAMP-RT,981,1 ,$376.90 ,$282.68 ,$22.85 ,$376.90 ,$242.72 ,$116.36 ,$263.83 ,$22.85 ,$312.83 ,$23.54 ,$248.75 ,$358.06 , N/A ,$301.52 ,$342.98 ,$22.85 ,$354.29 ,$358.06 ,$339.21 ,$320.37 ,$22.85 ,$22.85 ,$22.85 ,$275.14 ,$116.36 ,$335.44 ,$339.21 ,$339.21 ,$301.52 ,$119.85 ,$207.30 ,$339.21 ,$116.36 ,$339.21 ,$116.36 ,$358.06 ,$261.82 ,$346.75 ,$24.22 ,$342.98 ,$116.36 ,$231.94 ,$242.72 ,$231.94 ,$339.21 ,$339.21 ,$281.28 ,$262.51 ,$117.53 ,$23.99 ,$352.40 ,$122.18 ,$22.85 ,$327.90 ,$116.36 ,$339.21 ,$116.36 ,$339.21 ,$339.21 ,$339.21 ,$365.59 ,$305.29 ,$339.21 ,$339.21 ,$339.21 ,$339.21 
ST. JOSEPH'S - CHIPPEWA FALLS,98180675,11446,PC EXCISION LESION BENIGN FACE/EAR >4.0CM,981,1 ,"$1,616.46 ","$1,212.35 ",$555.34 ,"$5,505.37 ","$1,041.00 ","$2,446.83 ","$1,131.52 ",$555.34 ,"$1,341.66 ",$572.00 ,"$1,066.86 ","$1,535.64 ", N/A ,"$1,293.17 ","$1,470.98 ",$555.34 ,"$1,519.47 ","$1,535.64 ","$1,454.81 ","$1,373.99 ",$555.34 ,$555.34 ,$555.34 ,"$1,180.02 ","$2,446.83 ","$1,438.65 ","$1,454.81 ","$1,454.81 ","$1,293.17 ","$2,520.24 ",$889.05 ,"$1,454.81 ","$2,446.83 ","$1,454.81 ","$2,446.83 ","$1,535.64 ","$5,505.37 ","$1,487.14 ",$588.66 ,"$1,470.98 ","$2,446.83 ",$994.77 ,"$1,041.00 ",$994.77 ,"$1,454.81 ","$1,454.81 ","$1,206.36 ","$1,125.86 ","$2,471.30 ",$583.11 ,"$1,511.39 ","$2,569.17 ",$555.34 ,"$1,406.32 ","$2,446.83 ","$1,454.81 ","$2,446.83 ","$1,454.81 ","$1,454.81 ","$1,454.81 ","$1,567.97 ","$1,309.33 ","$1,454.81 ","$1,454.81 ","$1,454.81 ","$1,454.81 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180855,46608,PC ANOSCOPY W/FB REMOVAL,981,1 ,$387.57 ,$290.68 ,$213.16 ,"$1,842.62 ",$249.60 ,$818.94 ,$271.30 ,$304.93 ,$321.68 ,$314.08 ,$255.80 ,$368.19 , N/A ,$310.06 ,$352.69 ,$304.93 ,$364.32 ,$368.19 ,$348.81 ,$329.43 ,$304.93 ,$304.93 ,$304.93 ,$282.93 ,$818.94 ,$344.94 ,$348.81 ,$348.81 ,$310.06 ,$843.51 ,$213.16 ,$348.81 ,$818.94 ,$348.81 ,$818.94 ,$368.19 ,"$1,842.62 ",$356.56 ,$323.23 ,$352.69 ,$818.94 ,$238.51 ,$249.60 ,$238.51 ,$348.81 ,$348.81 ,$289.24 ,$269.94 ,$827.13 ,$320.18 ,$362.38 ,$859.89 ,$304.93 ,$337.19 ,$818.94 ,$348.81 ,$818.94 ,$348.81 ,$348.81 ,$348.81 ,$375.94 ,$313.93 ,$348.81 ,$348.81 ,$348.81 ,$348.81 
ST. JOSEPH'S - CHIPPEWA FALLS,98180857,11200,PC REMOVAL SKIN TAGS <=15 LESIONS,981,1 ,$268.40 ,$201.30 ,$51.36 ,$416.96 ,$172.85 ,$185.31 ,$187.88 ,$51.36 ,$222.77 ,$52.90 ,$177.14 ,$254.98 , N/A ,$214.72 ,$244.24 ,$51.36 ,$252.30 ,$254.98 ,$241.56 ,$228.14 ,$51.36 ,$51.36 ,$51.36 ,$195.93 ,$185.31 ,$238.88 ,$241.56 ,$241.56 ,$214.72 ,$190.87 ,$147.62 ,$241.56 ,$185.31 ,$241.56 ,$185.31 ,$254.98 ,$416.96 ,$246.93 ,$54.44 ,$244.24 ,$185.31 ,$165.17 ,$172.85 ,$165.17 ,$241.56 ,$241.56 ,$200.31 ,$186.94 ,$187.17 ,$53.93 ,$250.95 ,$194.58 ,$51.36 ,$233.51 ,$185.31 ,$241.56 ,$185.31 ,$241.56 ,$241.56 ,$241.56 ,$260.35 ,$217.40 ,$241.56 ,$241.56 ,$241.56 ,$241.56 
ST. JOSEPH'S - CHIPPEWA FALLS,98180858,11730,PC AVULSION NAIL PLATE SINGLE,981,1 ,$313.60 ,$235.20 ,$20.60 ,$416.96 ,$201.96 ,$185.31 ,$219.52 ,$20.60 ,$260.29 ,$21.22 ,$206.98 ,$297.92 , N/A ,$250.88 ,$285.38 ,$20.60 ,$294.78 ,$297.92 ,$282.24 ,$266.56 ,$20.60 ,$20.60 ,$20.60 ,$228.93 ,$185.31 ,$279.10 ,$282.24 ,$282.24 ,$250.88 ,$190.87 ,$172.48 ,$282.24 ,$185.31 ,$282.24 ,$185.31 ,$297.92 ,$416.96 ,$288.51 ,$21.84 ,$285.38 ,$185.31 ,$192.99 ,$201.96 ,$192.99 ,$282.24 ,$282.24 ,$234.04 ,$218.42 ,$187.17 ,$21.63 ,$293.22 ,$194.58 ,$20.60 ,$272.83 ,$185.31 ,$282.24 ,$185.31 ,$282.24 ,$282.24 ,$282.24 ,$304.19 ,$254.02 ,$282.24 ,$282.24 ,$282.24 ,$282.24 
ST. JOSEPH'S - CHIPPEWA FALLS,98180859,17250,PC CHEM CAUTERY WITH AWC PRO,981,1 ,$216.20 ,$162.15 ,$51.36 ,$416.96 ,$139.23 ,$185.31 ,$151.34 ,$51.36 ,$179.45 ,$52.90 ,$142.69 ,$205.39 , N/A ,$172.96 ,$196.74 ,$51.36 ,$203.23 ,$205.39 ,$194.58 ,$183.77 ,$51.36 ,$51.36 ,$51.36 ,$157.83 ,$185.31 ,$192.42 ,$194.58 ,$194.58 ,$172.96 ,$190.87 ,$118.91 ,$194.58 ,$185.31 ,$194.58 ,$185.31 ,$205.39 ,$416.96 ,$198.90 ,$54.44 ,$196.74 ,$185.31 ,$133.05 ,$139.23 ,$133.05 ,$194.58 ,$194.58 ,$161.35 ,$150.58 ,$187.17 ,$53.93 ,$202.15 ,$194.58 ,$51.36 ,$188.09 ,$185.31 ,$194.58 ,$185.31 ,$194.58 ,$194.58 ,$194.58 ,$209.71 ,$175.12 ,$194.58 ,$194.58 ,$194.58 ,$194.58 
ST. JOSEPH'S - CHIPPEWA FALLS,98180860,33210,PC INS/REPL TPM SGL ELEC/CATH,981,1 ,"$1,569.51 ","$1,177.13 ",$533.72 ,"$18,943.56 ","$1,010.76 ","$8,419.36 ","$1,098.66 ",$533.72 ,"$1,302.69 ",$549.73 ,"$1,035.88 ","$1,491.03 ", N/A ,"$1,255.61 ","$1,428.25 ",$533.72 ,"$1,475.34 ","$1,491.03 ","$1,412.56 ","$1,334.08 ",$533.72 ,$533.72 ,$533.72 ,"$1,145.74 ","$8,419.36 ","$1,396.86 ","$1,412.56 ","$1,412.56 ","$1,255.61 ","$8,671.94 ",$863.23 ,"$1,412.56 ","$8,419.36 ","$1,412.56 ","$8,419.36 ","$1,491.03 ","$18,943.56 ","$1,443.95 ",$565.74 ,"$1,428.25 ","$8,419.36 ",$965.88 ,"$1,010.76 ",$965.88 ,"$1,412.56 ","$1,412.56 ","$1,171.33 ","$1,093.16 ","$8,503.55 ",$560.41 ,"$1,467.49 ","$8,840.33 ",$533.72 ,"$1,365.47 ","$8,419.36 ","$1,412.56 ","$8,419.36 ","$1,412.56 ","$1,412.56 ","$1,412.56 ","$1,522.42 ","$1,271.30 ","$1,412.56 ","$1,412.56 ","$1,412.56 ","$1,412.56 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180861,36000,PC IV START > 3YR OLD,981,1 ,$299.21 ,$224.41 ,$18.43 ,$299.21 ,$192.69 , N/A ,$209.45 ,$18.43 ,$248.34 ,$18.98 ,$197.48 ,$284.25 , N/A ,$239.37 ,$272.28 ,$18.43 ,$281.26 ,$284.25 ,$269.29 ,$254.33 ,$18.43 ,$18.43 ,$18.43 ,$218.42 , N/A ,$266.30 ,$269.29 ,$269.29 ,$239.37 , N/A ,$164.57 ,$269.29 , N/A ,$269.29 , N/A ,$284.25 , N/A ,$275.27 ,$19.54 ,$272.28 , N/A ,$184.13 ,$192.69 ,$184.13 ,$269.29 ,$269.29 ,$223.30 ,$208.40 , N/A ,$19.35 ,$279.76 , N/A ,$18.43 ,$260.31 , N/A ,$269.29 , N/A ,$269.29 ,$269.29 ,$269.29 ,$290.23 ,$242.36 ,$269.29 ,$269.29 ,$269.29 ,$269.29 
ST. JOSEPH'S - CHIPPEWA FALLS,98180863,42104,PC EXC LESION PALATE W/O CLOSURE,981,1 ,$792.92 ,$594.69 ,$436.11 ,"$6,352.09 ",$510.64 ,"$2,823.15 ",$555.04 ,$792.92 ,$658.12 ,$940.98 ,$523.33 ,$753.27 , N/A ,$634.34 ,$721.56 ,$792.92 ,$745.34 ,$753.27 ,$713.63 ,$673.98 ,$913.57 ,$913.57 ,$913.57 ,$578.83 ,"$2,823.15 ",$705.70 ,$713.63 ,$713.63 ,$634.34 ,"$2,907.84 ",$436.11 ,$713.63 ,"$2,823.15 ",$713.63 ,"$2,823.15 ",$753.27 ,"$6,352.09 ",$729.49 ,$968.38 ,$721.56 ,"$2,823.15 ",$487.96 ,$510.64 ,$487.96 ,$713.63 ,$713.63 ,$591.76 ,$552.27 ,"$2,851.38 ",$959.25 ,$741.38 ,"$2,964.31 ",$792.92 ,$689.84 ,"$2,823.15 ",$713.63 ,"$2,823.15 ",$713.63 ,$713.63 ,$713.63 ,$769.13 ,$642.27 ,$713.63 ,$713.63 ,$713.63 ,$713.63 
ST. JOSEPH'S - CHIPPEWA FALLS,98180864,51702,PC INSERT CATH BLADDER SIMPLE,981,1 ,$367.70 ,$275.78 ,$22.63 ,$367.70 ,$236.80 ,$116.36 ,$257.39 ,$22.63 ,$305.19 ,$23.31 ,$242.68 ,$349.32 , N/A ,$294.16 ,$334.61 ,$22.63 ,$345.64 ,$349.32 ,$330.93 ,$312.55 ,$22.63 ,$22.63 ,$22.63 ,$268.42 ,$116.36 ,$327.25 ,$330.93 ,$330.93 ,$294.16 ,$119.85 ,$202.24 ,$330.93 ,$116.36 ,$330.93 ,$116.36 ,$349.32 ,$261.82 ,$338.28 ,$23.99 ,$334.61 ,$116.36 ,$226.28 ,$236.80 ,$226.28 ,$330.93 ,$330.93 ,$274.41 ,$256.10 ,$117.53 ,$23.76 ,$343.80 ,$122.18 ,$22.63 ,$319.90 ,$116.36 ,$330.93 ,$116.36 ,$330.93 ,$330.93 ,$330.93 ,$356.67 ,$297.84 ,$330.93 ,$330.93 ,$330.93 ,$330.93 
ST. JOSEPH'S - CHIPPEWA FALLS,98180865,62273,PC ANESTH INJ EPIDURAL BLOOD CLOT/PATCH,981,1 ,"$1,333.70 ","$1,000.28 ",$268.66 ,"$1,474.40 ",$858.90 ,$655.29 ,$933.59 ,$268.66 ,"$1,106.97 ",$276.72 ,$880.24 ,"$1,267.02 ", N/A ,"$1,066.96 ","$1,213.67 ",$268.66 ,"$1,253.68 ","$1,267.02 ","$1,200.33 ","$1,133.65 ",$268.66 ,$268.66 ,$268.66 ,$973.60 ,$655.29 ,"$1,186.99 ","$1,200.33 ","$1,200.33 ","$1,066.96 ",$674.95 ,$733.54 ,"$1,200.33 ",$655.29 ,"$1,200.33 ",$655.29 ,"$1,267.02 ","$1,474.40 ","$1,227.00 ",$284.78 ,"$1,213.67 ",$655.29 ,$820.76 ,$858.90 ,$820.76 ,"$1,200.33 ","$1,200.33 ",$995.34 ,$928.92 ,$661.84 ,$282.09 ,"$1,247.01 ",$688.05 ,$268.66 ,"$1,160.32 ",$655.29 ,"$1,200.33 ",$655.29 ,"$1,200.33 ","$1,200.33 ","$1,200.33 ","$1,293.69 ","$1,080.30 ","$1,200.33 ","$1,200.33 ","$1,200.33 ","$1,200.33 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180866,92511,PC NASOPHARYNGOSCOPY,981,1 ,$449.02 ,$336.77 ,$34.89 ,$449.02 ,$289.17 ,$169.88 ,$314.31 ,$34.89 ,$372.69 ,$35.94 ,$296.35 ,$426.57 , N/A ,$359.22 ,$408.61 ,$34.89 ,$422.08 ,$426.57 ,$404.12 ,$381.67 ,$34.89 ,$34.89 ,$34.89 ,$327.78 ,$169.88 ,$399.63 ,$404.12 ,$404.12 ,$359.22 ,$174.97 ,$246.96 ,$404.12 ,$169.88 ,$404.12 ,$169.88 ,$426.57 ,$382.22 ,$413.10 ,$36.98 ,$408.61 ,$169.88 ,$276.33 ,$289.17 ,$276.33 ,$404.12 ,$404.12 ,$335.10 ,$312.74 ,$171.57 ,$36.63 ,$419.83 ,$178.37 ,$34.89 ,$390.65 ,$169.88 ,$404.12 ,$169.88 ,$404.12 ,$404.12 ,$404.12 ,$435.55 ,$363.71 ,$404.12 ,$404.12 ,$404.12 ,$404.12 
ST. JOSEPH'S - CHIPPEWA FALLS,98180873,93042,PC RHYTHM ECG REPORT,981,1 ,$92.40 ,$69.30 ,$8.28 ,$92.40 ,$59.51 , N/A ,$64.68 ,$8.28 ,$76.69 ,$8.53 ,$60.98 ,$87.78 , N/A ,$73.92 ,$84.08 ,$8.28 ,$86.86 ,$87.78 ,$83.16 ,$78.54 ,$8.28 ,$8.28 ,$8.28 ,$67.45 , N/A ,$82.24 ,$83.16 ,$83.16 ,$73.92 , N/A ,$50.82 ,$83.16 , N/A ,$83.16 , N/A ,$87.78 , N/A ,$85.01 ,$8.78 ,$84.08 , N/A ,$56.86 ,$59.51 ,$56.86 ,$83.16 ,$83.16 ,$68.96 ,$64.36 , N/A ,$8.69 ,$86.39 , N/A ,$8.28 ,$80.39 , N/A ,$83.16 , N/A ,$83.16 ,$83.16 ,$83.16 ,$89.63 ,$74.84 ,$83.16 ,$83.16 ,$83.16 ,$83.16 
ST. JOSEPH'S - CHIPPEWA FALLS,98180880,24600,PC TX DISL ELBOW W/O ANES CLS-LT,981,1 ,"$1,138.18 ",$853.64 ,$139.53 ,"$1,138.18 ",$732.99 ,$212.70 ,$796.73 ,$139.53 ,$944.69 ,$143.72 ,$751.20 ,"$1,081.27 ", N/A ,$910.54 ,"$1,035.74 ",$139.53 ,"$1,069.89 ","$1,081.27 ","$1,024.36 ",$967.45 ,$139.53 ,$139.53 ,$139.53 ,$830.87 ,$212.70 ,"$1,012.98 ","$1,024.36 ","$1,024.36 ",$910.54 ,$219.08 ,$626.00 ,"$1,024.36 ",$212.70 ,"$1,024.36 ",$212.70 ,"$1,081.27 ",$478.57 ,"$1,047.13 ",$147.90 ,"$1,035.74 ",$212.70 ,$700.44 ,$732.99 ,$700.44 ,"$1,024.36 ","$1,024.36 ",$849.42 ,$792.74 ,$214.82 ,$146.51 ,"$1,064.20 ",$223.34 ,$139.53 ,$990.22 ,$212.70 ,"$1,024.36 ",$212.70 ,"$1,024.36 ","$1,024.36 ","$1,024.36 ","$1,104.03 ",$921.93 ,"$1,024.36 ","$1,024.36 ","$1,024.36 ","$1,024.36 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180881,24600,PC TX DISL ELBOW W/O ANES CLS-RT,981,1 ,"$1,138.18 ",$853.64 ,$139.53 ,"$1,138.18 ",$732.99 ,$212.70 ,$796.73 ,$139.53 ,$944.69 ,$143.72 ,$751.20 ,"$1,081.27 ", N/A ,$910.54 ,"$1,035.74 ",$139.53 ,"$1,069.89 ","$1,081.27 ","$1,024.36 ",$967.45 ,$139.53 ,$139.53 ,$139.53 ,$830.87 ,$212.70 ,"$1,012.98 ","$1,024.36 ","$1,024.36 ",$910.54 ,$219.08 ,$626.00 ,"$1,024.36 ",$212.70 ,"$1,024.36 ",$212.70 ,"$1,081.27 ",$478.57 ,"$1,047.13 ",$147.90 ,"$1,035.74 ",$212.70 ,$700.44 ,$732.99 ,$700.44 ,"$1,024.36 ","$1,024.36 ",$849.42 ,$792.74 ,$214.82 ,$146.51 ,"$1,064.20 ",$223.34 ,$139.53 ,$990.22 ,$212.70 ,"$1,024.36 ",$212.70 ,"$1,024.36 ","$1,024.36 ","$1,024.36 ","$1,104.03 ",$921.93 ,"$1,024.36 ","$1,024.36 ","$1,024.36 ","$1,024.36 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180888,25605,"PC CLOSED TX DIST RAD/ULNA FX,MANIPUL-LT",981,1 ,"$3,706.00 ","$2,779.50 ",$139.53 ,"$3,706.00 ","$2,386.66 ","$1,437.36 ","$2,594.20 ",$139.53 ,"$3,075.98 ",$143.72 ,"$2,445.96 ","$3,520.70 ", N/A ,"$2,964.80 ","$3,372.46 ",$139.53 ,"$3,483.64 ","$3,520.70 ","$3,335.40 ","$3,150.10 ",$139.53 ,$139.53 ,$139.53 ,"$2,705.38 ","$1,437.36 ","$3,298.34 ","$3,335.40 ","$3,335.40 ","$2,964.80 ","$1,480.48 ","$2,038.30 ","$3,335.40 ","$1,437.36 ","$3,335.40 ","$1,437.36 ","$3,520.70 ","$3,234.06 ","$3,409.52 ",$147.90 ,"$3,372.46 ","$1,437.36 ","$2,280.67 ","$2,386.66 ","$2,280.67 ","$3,335.40 ","$3,335.40 ","$2,765.79 ","$2,581.23 ","$1,451.73 ",$146.51 ,"$3,465.11 ","$1,509.23 ",$139.53 ,"$3,224.22 ","$1,437.36 ","$3,335.40 ","$1,437.36 ","$3,335.40 ","$3,335.40 ","$3,335.40 ","$3,594.82 ","$3,001.86 ","$3,335.40 ","$3,335.40 ","$3,335.40 ","$3,335.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180889,25605,"PC CLOSED TX DIST RAD/ULNA FX,MANIPUL-RT",981,1 ,"$3,706.00 ","$2,779.50 ",$139.53 ,"$3,706.00 ","$2,386.66 ","$1,437.36 ","$2,594.20 ",$139.53 ,"$3,075.98 ",$143.72 ,"$2,445.96 ","$3,520.70 ", N/A ,"$2,964.80 ","$3,372.46 ",$139.53 ,"$3,483.64 ","$3,520.70 ","$3,335.40 ","$3,150.10 ",$139.53 ,$139.53 ,$139.53 ,"$2,705.38 ","$1,437.36 ","$3,298.34 ","$3,335.40 ","$3,335.40 ","$2,964.80 ","$1,480.48 ","$2,038.30 ","$3,335.40 ","$1,437.36 ","$3,335.40 ","$1,437.36 ","$3,520.70 ","$3,234.06 ","$3,409.52 ",$147.90 ,"$3,372.46 ","$1,437.36 ","$2,280.67 ","$2,386.66 ","$2,280.67 ","$3,335.40 ","$3,335.40 ","$2,765.79 ","$2,581.23 ","$1,451.73 ",$146.51 ,"$3,465.11 ","$1,509.23 ",$139.53 ,"$3,224.22 ","$1,437.36 ","$3,335.40 ","$1,437.36 ","$3,335.40 ","$3,335.40 ","$3,335.40 ","$3,594.82 ","$3,001.86 ","$3,335.40 ","$3,335.40 ","$3,335.40 ","$3,335.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180894,26605,PC CLSD METACARPAL FX W/MANIP-LT,981,1 ,"$2,875.50 ","$2,156.63 ",$139.53 ,"$2,875.50 ","$1,851.82 ",$212.70 ,"$2,012.85 ",$139.53 ,"$2,386.67 ",$143.72 ,"$1,897.83 ","$2,731.73 ", N/A ,"$2,300.40 ","$2,616.71 ",$139.53 ,"$2,702.97 ","$2,731.73 ","$2,587.95 ","$2,444.18 ",$139.53 ,$139.53 ,$139.53 ,"$2,099.12 ",$212.70 ,"$2,559.20 ","$2,587.95 ","$2,587.95 ","$2,300.40 ",$219.08 ,"$1,581.53 ","$2,587.95 ",$212.70 ,"$2,587.95 ",$212.70 ,"$2,731.73 ",$478.57 ,"$2,645.46 ",$147.90 ,"$2,616.71 ",$212.70 ,"$1,769.58 ","$1,851.82 ","$1,769.58 ","$2,587.95 ","$2,587.95 ","$2,145.99 ","$2,002.79 ",$214.82 ,$146.51 ,"$2,688.59 ",$223.34 ,$139.53 ,"$2,501.69 ",$212.70 ,"$2,587.95 ",$212.70 ,"$2,587.95 ","$2,587.95 ","$2,587.95 ","$2,789.24 ","$2,329.16 ","$2,587.95 ","$2,587.95 ","$2,587.95 ","$2,587.95 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180895,26605,PC CLSD METACARPAL FX W/MANIP-RT,981,1 ,"$2,875.50 ","$2,156.63 ",$139.53 ,"$2,875.50 ","$1,851.82 ",$212.70 ,"$2,012.85 ",$139.53 ,"$2,386.67 ",$143.72 ,"$1,897.83 ","$2,731.73 ", N/A ,"$2,300.40 ","$2,616.71 ",$139.53 ,"$2,702.97 ","$2,731.73 ","$2,587.95 ","$2,444.18 ",$139.53 ,$139.53 ,$139.53 ,"$2,099.12 ",$212.70 ,"$2,559.20 ","$2,587.95 ","$2,587.95 ","$2,300.40 ",$219.08 ,"$1,581.53 ","$2,587.95 ",$212.70 ,"$2,587.95 ",$212.70 ,"$2,731.73 ",$478.57 ,"$2,645.46 ",$147.90 ,"$2,616.71 ",$212.70 ,"$1,769.58 ","$1,851.82 ","$1,769.58 ","$2,587.95 ","$2,587.95 ","$2,145.99 ","$2,002.79 ",$214.82 ,$146.51 ,"$2,688.59 ",$223.34 ,$139.53 ,"$2,501.69 ",$212.70 ,"$2,587.95 ",$212.70 ,"$2,587.95 ","$2,587.95 ","$2,587.95 ","$2,789.24 ","$2,329.16 ","$2,587.95 ","$2,587.95 ","$2,587.95 ","$2,587.95 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180901,27265,PC CL TX POST HIP ARTHROPLASTY DISLOCAT-RT,981,1 ,"$1,156.00 ",$867.00 ,$139.53 ,"$1,156.00 ",$744.46 ,$212.70 ,$809.20 ,$139.53 ,$959.48 ,$143.72 ,$762.96 ,"$1,098.20 ", N/A ,$924.80 ,"$1,051.96 ",$139.53 ,"$1,086.64 ","$1,098.20 ","$1,040.40 ",$982.60 ,$139.53 ,$139.53 ,$139.53 ,$843.88 ,$212.70 ,"$1,028.84 ","$1,040.40 ","$1,040.40 ",$924.80 ,$219.08 ,$635.80 ,"$1,040.40 ",$212.70 ,"$1,040.40 ",$212.70 ,"$1,098.20 ",$478.57 ,"$1,063.52 ",$147.90 ,"$1,051.96 ",$212.70 ,$711.40 ,$744.46 ,$711.40 ,"$1,040.40 ","$1,040.40 ",$862.72 ,$805.15 ,$214.82 ,$146.51 ,"$1,080.86 ",$223.34 ,$139.53 ,"$1,005.72 ",$212.70 ,"$1,040.40 ",$212.70 ,"$1,040.40 ","$1,040.40 ","$1,040.40 ","$1,121.32 ",$936.36 ,"$1,040.40 ","$1,040.40 ","$1,040.40 ","$1,040.40 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180908,27808,PC CLOSED TX FX BIMALLEOLAR W/O MANIP-LT,981,1 ,$306.79 ,$230.09 ,$139.53 ,$478.57 ,$197.57 ,$212.70 ,$214.75 ,$139.53 ,$254.64 ,$143.72 ,$202.48 ,$291.45 , N/A ,$245.43 ,$279.18 ,$139.53 ,$288.38 ,$291.45 ,$276.11 ,$260.77 ,$139.53 ,$139.53 ,$139.53 ,$223.96 ,$212.70 ,$273.04 ,$276.11 ,$276.11 ,$245.43 ,$219.08 ,$168.73 ,$276.11 ,$212.70 ,$276.11 ,$212.70 ,$291.45 ,$478.57 ,$282.25 ,$147.90 ,$279.18 ,$212.70 ,$188.80 ,$197.57 ,$188.80 ,$276.11 ,$276.11 ,$228.96 ,$213.68 ,$214.82 ,$146.51 ,$286.85 ,$223.34 ,$139.53 ,$266.91 ,$212.70 ,$276.11 ,$212.70 ,$276.11 ,$276.11 ,$276.11 ,$297.59 ,$248.50 ,$276.11 ,$276.11 ,$276.11 ,$276.11 
ST. JOSEPH'S - CHIPPEWA FALLS,98180909,27808,PC CLOSED TX FX BIMALLEOLAR W/O MANIP-RT,981,1 ,$306.79 ,$230.09 ,$139.53 ,$478.57 ,$197.57 ,$212.70 ,$214.75 ,$139.53 ,$254.64 ,$143.72 ,$202.48 ,$291.45 , N/A ,$245.43 ,$279.18 ,$139.53 ,$288.38 ,$291.45 ,$276.11 ,$260.77 ,$139.53 ,$139.53 ,$139.53 ,$223.96 ,$212.70 ,$273.04 ,$276.11 ,$276.11 ,$245.43 ,$219.08 ,$168.73 ,$276.11 ,$212.70 ,$276.11 ,$212.70 ,$291.45 ,$478.57 ,$282.25 ,$147.90 ,$279.18 ,$212.70 ,$188.80 ,$197.57 ,$188.80 ,$276.11 ,$276.11 ,$228.96 ,$213.68 ,$214.82 ,$146.51 ,$286.85 ,$223.34 ,$139.53 ,$266.91 ,$212.70 ,$276.11 ,$212.70 ,$276.11 ,$276.11 ,$276.11 ,$297.59 ,$248.50 ,$276.11 ,$276.11 ,$276.11 ,$276.11 
ST. JOSEPH'S - CHIPPEWA FALLS,98180910,27818,PC TRIMALLEOLAR ANKLE FX W/MANIP-LT,981,1 ,"$3,293.00 ","$2,469.75 ",$139.53 ,"$3,293.00 ","$2,120.69 ","$1,437.36 ","$2,305.10 ",$139.53 ,"$2,733.19 ",$143.72 ,"$2,173.38 ","$3,128.35 ", N/A ,"$2,634.40 ","$2,996.63 ",$139.53 ,"$3,095.42 ","$3,128.35 ","$2,963.70 ","$2,799.05 ",$139.53 ,$139.53 ,$139.53 ,"$2,403.89 ","$1,437.36 ","$2,930.77 ","$2,963.70 ","$2,963.70 ","$2,634.40 ","$1,480.48 ","$1,811.15 ","$2,963.70 ","$1,437.36 ","$2,963.70 ","$1,437.36 ","$3,128.35 ","$3,234.06 ","$3,029.56 ",$147.90 ,"$2,996.63 ","$1,437.36 ","$2,026.51 ","$2,120.69 ","$2,026.51 ","$2,963.70 ","$2,963.70 ","$2,457.57 ","$2,293.57 ","$1,451.73 ",$146.51 ,"$3,078.96 ","$1,509.23 ",$139.53 ,"$2,864.91 ","$1,437.36 ","$2,963.70 ","$1,437.36 ","$2,963.70 ","$2,963.70 ","$2,963.70 ","$3,194.21 ","$2,667.33 ","$2,963.70 ","$2,963.70 ","$2,963.70 ","$2,963.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180911,27818,PC TRIMALLEOLAR ANKLE FX W/MANIP-RT,981,1 ,"$3,293.00 ","$2,469.75 ",$139.53 ,"$3,293.00 ","$2,120.69 ","$1,437.36 ","$2,305.10 ",$139.53 ,"$2,733.19 ",$143.72 ,"$2,173.38 ","$3,128.35 ", N/A ,"$2,634.40 ","$2,996.63 ",$139.53 ,"$3,095.42 ","$3,128.35 ","$2,963.70 ","$2,799.05 ",$139.53 ,$139.53 ,$139.53 ,"$2,403.89 ","$1,437.36 ","$2,930.77 ","$2,963.70 ","$2,963.70 ","$2,634.40 ","$1,480.48 ","$1,811.15 ","$2,963.70 ","$1,437.36 ","$2,963.70 ","$1,437.36 ","$3,128.35 ","$3,234.06 ","$3,029.56 ",$147.90 ,"$2,996.63 ","$1,437.36 ","$2,026.51 ","$2,120.69 ","$2,026.51 ","$2,963.70 ","$2,963.70 ","$2,457.57 ","$2,293.57 ","$1,451.73 ",$146.51 ,"$3,078.96 ","$1,509.23 ",$139.53 ,"$2,864.91 ","$1,437.36 ","$2,963.70 ","$1,437.36 ","$2,963.70 ","$2,963.70 ","$2,963.70 ","$3,194.21 ","$2,667.33 ","$2,963.70 ","$2,963.70 ","$2,963.70 ","$2,963.70 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180932,64400,PC NERVE BLOCK TRIGEMINAL-LT,981,1 ,$694.38 ,$520.79 ,$136.73 ,$694.38 ,$447.18 ,$269.62 ,$486.07 ,$136.73 ,$576.34 ,$140.83 ,$458.29 ,$659.66 , N/A ,$555.50 ,$631.89 ,$136.73 ,$652.72 ,$659.66 ,$624.94 ,$590.22 ,$136.73 ,$136.73 ,$136.73 ,$506.90 ,$269.62 ,$618.00 ,$624.94 ,$624.94 ,$555.50 ,$277.70 ,$381.91 ,$624.94 ,$269.62 ,$624.94 ,$269.62 ,$659.66 ,$606.64 ,$638.83 ,$144.93 ,$631.89 ,$269.62 ,$427.32 ,$447.18 ,$427.32 ,$624.94 ,$624.94 ,$518.22 ,$483.64 ,$272.31 ,$143.57 ,$649.25 ,$283.10 ,$136.73 ,$604.11 ,$269.62 ,$624.94 ,$269.62 ,$624.94 ,$624.94 ,$624.94 ,$673.55 ,$562.45 ,$624.94 ,$624.94 ,$624.94 ,$624.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180933,64400,PC NERVE BLOCK TRIGEMINAL-RT,981,1 ,$694.38 ,$520.79 ,$136.73 ,$694.38 ,$447.18 ,$269.62 ,$486.07 ,$136.73 ,$576.34 ,$140.83 ,$458.29 ,$659.66 , N/A ,$555.50 ,$631.89 ,$136.73 ,$652.72 ,$659.66 ,$624.94 ,$590.22 ,$136.73 ,$136.73 ,$136.73 ,$506.90 ,$269.62 ,$618.00 ,$624.94 ,$624.94 ,$555.50 ,$277.70 ,$381.91 ,$624.94 ,$269.62 ,$624.94 ,$269.62 ,$659.66 ,$606.64 ,$638.83 ,$144.93 ,$631.89 ,$269.62 ,$427.32 ,$447.18 ,$427.32 ,$624.94 ,$624.94 ,$518.22 ,$483.64 ,$272.31 ,$143.57 ,$649.25 ,$283.10 ,$136.73 ,$604.11 ,$269.62 ,$624.94 ,$269.62 ,$624.94 ,$624.94 ,$624.94 ,$673.55 ,$562.45 ,$624.94 ,$624.94 ,$624.94 ,$624.94 
ST. JOSEPH'S - CHIPPEWA FALLS,98180957,43762,PC REPLACE GASTRO TUBE PERC,981,1 ,$332.00 ,$249.00 ,$62.73 ,$617.87 ,$213.81 ,$274.61 ,$232.40 ,$62.73 ,$275.56 ,$64.61 ,$219.12 ,$315.40 , N/A ,$265.60 ,$302.12 ,$62.73 ,$312.08 ,$315.40 ,$298.80 ,$282.20 ,$62.73 ,$62.73 ,$62.73 ,$242.36 ,$274.61 ,$295.48 ,$298.80 ,$298.80 ,$265.60 ,$282.85 ,$182.60 ,$298.80 ,$274.61 ,$298.80 ,$274.61 ,$315.40 ,$617.87 ,$305.44 ,$66.49 ,$302.12 ,$274.61 ,$204.31 ,$213.81 ,$204.31 ,$298.80 ,$298.80 ,$247.77 ,$231.24 ,$277.35 ,$65.87 ,$310.42 ,$288.34 ,$62.73 ,$288.84 ,$274.61 ,$298.80 ,$274.61 ,$298.80 ,$298.80 ,$298.80 ,$322.04 ,$268.92 ,$298.80 ,$298.80 ,$298.80 ,$298.80 
ST. JOSEPH'S - CHIPPEWA FALLS,98180963,11104,PC BIOPSY SKIN PUNCH INIT LESN,981,1 ,$271.16 ,$203.37 ,$139.95 ,$802.54 ,$174.63 ,$356.69 ,$189.81 ,$139.95 ,$225.06 ,$144.15 ,$178.97 ,$257.60 , N/A ,$216.93 ,$246.76 ,$139.95 ,$254.89 ,$257.60 ,$244.04 ,$230.49 ,$139.95 ,$139.95 ,$139.95 ,$197.95 ,$356.69 ,$241.33 ,$244.04 ,$244.04 ,$216.93 ,$367.39 ,$149.14 ,$244.04 ,$356.69 ,$244.04 ,$356.69 ,$257.60 ,$802.54 ,$249.47 ,$148.35 ,$246.76 ,$356.69 ,$166.87 ,$174.63 ,$166.87 ,$244.04 ,$244.04 ,$202.37 ,$188.86 ,$360.25 ,$146.95 ,$253.53 ,$374.52 ,$139.95 ,$235.91 ,$356.69 ,$244.04 ,$356.69 ,$244.04 ,$244.04 ,$244.04 ,$263.03 ,$219.64 ,$244.04 ,$244.04 ,$244.04 ,$244.04 
ST. JOSEPH'S - CHIPPEWA FALLS,98180973,33016,PC PERICARDIOCENTESIS W/ OR W/O IMAGING,981,1 ,"$1,157.48 ",$868.11 ,$299.20 ,"$3,265.10 ",$745.42 ,"$1,451.15 ",$810.24 ,$299.20 ,$960.71 ,$308.18 ,$763.94 ,"$1,099.61 ", N/A ,$925.98 ,"$1,053.31 ",$299.20 ,"$1,088.03 ","$1,099.61 ","$1,041.73 ",$983.86 ,$299.20 ,$299.20 ,$299.20 ,$844.96 ,"$1,451.15 ","$1,030.16 ","$1,041.73 ","$1,041.73 ",$925.98 ,"$1,494.69 ",$636.61 ,"$1,041.73 ","$1,451.15 ","$1,041.73 ","$1,451.15 ","$1,099.61 ","$3,265.10 ","$1,064.88 ",$317.15 ,"$1,053.31 ","$1,451.15 ",$712.31 ,$745.42 ,$712.31 ,"$1,041.73 ","$1,041.73 ",$863.83 ,$806.18 ,"$1,465.67 ",$314.16 ,"$1,082.24 ","$1,523.71 ",$299.20 ,"$1,007.01 ","$1,451.15 ","$1,041.73 ","$1,451.15 ","$1,041.73 ","$1,041.73 ","$1,041.73 ","$1,122.76 ",$937.56 ,"$1,041.73 ","$1,041.73 ","$1,041.73 ","$1,041.73 "
ST. JOSEPH'S - CHIPPEWA FALLS,98180974,33017,PC PERICARDIAL DRAINAGE =>6 YRS W/O CONGENITAL CARDIAC ANOMALY,981,1 ,"$1,157.48 ",$868.11 ,$299.20 ,"$1,157.48 ",$745.42 , N/A ,$810.24 ,$299.20 ,$960.71 ,$308.18 ,$763.94 ,"$1,099.61 ", N/A ,$925.98 ,"$1,053.31 ",$299.20 ,"$1,088.03 ","$1,099.61 ","$1,041.73 ",$983.86 ,$299.20 ,$299.20 ,$299.20 ,$844.96 , N/A ,"$1,030.16 ","$1,041.73 ","$1,041.73 ",$925.98 , N/A ,$636.61 ,"$1,041.73 ", N/A ,"$1,041.73 ", N/A ,"$1,099.61 ", N/A ,"$1,064.88 ",$317.15 ,"$1,053.31 ", N/A ,$712.31 ,$745.42 ,$712.31 ,"$1,041.73 ","$1,041.73 ",$863.83 ,$806.18 , N/A ,$314.16 ,"$1,082.24 ", N/A ,$299.20 ,"$1,007.01 ", N/A ,"$1,041.73 ", N/A ,"$1,041.73 ","$1,041.73 ","$1,041.73 ","$1,122.76 ",$937.56 ,"$1,041.73 ","$1,041.73 ","$1,041.73 ","$1,041.73 "
ST. JOSEPH'S - CHIPPEWA FALLS,98200002,99202,PC CLINIC VISIT LIMITED NEW PRO,982,1 ,$180.33 ,$135.25 ,$38.23 ,$180.33 ,$116.13 , N/A ,$126.23 ,$38.23 ,$149.67 ,$39.38 ,$119.02 ,$171.31 , N/A ,$144.26 ,$164.10 ,$38.23 ,$169.51 ,$171.31 ,$162.30 ,$153.28 ,$38.23 ,$38.23 ,$38.23 ,$131.64 , N/A ,$160.49 ,$162.30 ,$162.30 ,$144.26 , N/A ,$99.18 ,$162.30 , N/A ,$162.30 , N/A ,$171.31 , N/A ,$165.90 ,$40.52 ,$164.10 , N/A ,$110.98 ,$116.13 ,$110.98 ,$162.30 ,$162.30 ,$134.58 ,$125.60 , N/A ,$40.14 ,$168.61 , N/A ,$38.23 ,$156.89 , N/A ,$162.30 , N/A ,$162.30 ,$162.30 ,$162.30 ,$174.92 ,$146.07 ,$162.30 ,$162.30 ,$162.30 ,$162.30 
ST. JOSEPH'S - CHIPPEWA FALLS,98200003,99203,PC CLINIC VISIT INTERM NEW PRO,982,1 ,$234.89 ,$176.17 ,$38.23 ,$234.89 ,$151.27 , N/A ,$164.42 ,$38.23 ,$194.96 ,$39.38 ,$155.03 ,$223.15 , N/A ,$187.91 ,$213.75 ,$38.23 ,$220.80 ,$223.15 ,$211.40 ,$199.66 ,$38.23 ,$38.23 ,$38.23 ,$171.47 , N/A ,$209.05 ,$211.40 ,$211.40 ,$187.91 , N/A ,$129.19 ,$211.40 , N/A ,$211.40 , N/A ,$223.15 , N/A ,$216.10 ,$40.52 ,$213.75 , N/A ,$144.55 ,$151.27 ,$144.55 ,$211.40 ,$211.40 ,$175.30 ,$163.60 , N/A ,$40.14 ,$219.62 , N/A ,$38.23 ,$204.35 , N/A ,$211.40 , N/A ,$211.40 ,$211.40 ,$211.40 ,$227.84 ,$190.26 ,$211.40 ,$211.40 ,$211.40 ,$211.40 
ST. JOSEPH'S - CHIPPEWA FALLS,98200004,99204,PC CLINIC VISIT COMPLEX NEW PRO,982,1 ,$335.48 ,$251.61 ,$38.23 ,$335.48 ,$216.05 , N/A ,$234.84 ,$38.23 ,$278.45 ,$39.38 ,$221.42 ,$318.71 , N/A ,$268.38 ,$305.29 ,$38.23 ,$315.35 ,$318.71 ,$301.93 ,$285.16 ,$38.23 ,$38.23 ,$38.23 ,$244.90 , N/A ,$298.58 ,$301.93 ,$301.93 ,$268.38 , N/A ,$184.51 ,$301.93 , N/A ,$301.93 , N/A ,$318.71 , N/A ,$308.64 ,$40.52 ,$305.29 , N/A ,$206.45 ,$216.05 ,$206.45 ,$301.93 ,$301.93 ,$250.37 ,$233.66 , N/A ,$40.14 ,$313.67 , N/A ,$38.23 ,$291.87 , N/A ,$301.93 , N/A ,$301.93 ,$301.93 ,$301.93 ,$325.42 ,$271.74 ,$301.93 ,$301.93 ,$301.93 ,$301.93 
ST. JOSEPH'S - CHIPPEWA FALLS,98200005,99205,PC CLINIC VISIT COMPREH NEW PRO,982,1 ,$452.92 ,$339.69 ,$38.23 ,$452.92 ,$291.68 , N/A ,$317.04 ,$38.23 ,$375.92 ,$39.38 ,$298.93 ,$430.27 , N/A ,$362.34 ,$412.16 ,$38.23 ,$425.74 ,$430.27 ,$407.63 ,$384.98 ,$38.23 ,$38.23 ,$38.23 ,$330.63 , N/A ,$403.10 ,$407.63 ,$407.63 ,$362.34 , N/A ,$249.11 ,$407.63 , N/A ,$407.63 , N/A ,$430.27 , N/A ,$416.69 ,$40.52 ,$412.16 , N/A ,$278.73 ,$291.68 ,$278.73 ,$407.63 ,$407.63 ,$338.01 ,$315.46 , N/A ,$40.14 ,$423.48 , N/A ,$38.23 ,$394.04 , N/A ,$407.63 , N/A ,$407.63 ,$407.63 ,$407.63 ,$439.33 ,$366.87 ,$407.63 ,$407.63 ,$407.63 ,$407.63 
ST. JOSEPH'S - CHIPPEWA FALLS,98200006,99211,PC CLINIC VISIT BRIEF EST PRO,982,1 ,$93.70 ,$70.28 ,$38.23 ,$93.70 ,$60.34 , N/A ,$65.59 ,$38.23 ,$77.77 ,$39.38 ,$61.84 ,$89.02 , N/A ,$74.96 ,$85.27 ,$38.23 ,$88.08 ,$89.02 ,$84.33 ,$79.65 ,$38.23 ,$38.23 ,$38.23 ,$68.40 , N/A ,$83.39 ,$84.33 ,$84.33 ,$74.96 , N/A ,$51.54 ,$84.33 , N/A ,$84.33 , N/A ,$89.02 , N/A ,$86.20 ,$40.52 ,$85.27 , N/A ,$57.66 ,$60.34 ,$57.66 ,$84.33 ,$84.33 ,$69.93 ,$65.26 , N/A ,$40.14 ,$87.61 , N/A ,$38.23 ,$81.52 , N/A ,$84.33 , N/A ,$84.33 ,$84.33 ,$84.33 ,$90.89 ,$75.90 ,$84.33 ,$84.33 ,$84.33 ,$84.33 
ST. JOSEPH'S - CHIPPEWA FALLS,98200007,99212,PC CLINIC VISIT LIMIT EST PRO,982,1 ,$115.70 ,$86.78 ,$38.23 ,$115.70 ,$74.51 , N/A ,$80.99 ,$38.23 ,$96.03 ,$39.38 ,$76.36 ,$109.92 , N/A ,$92.56 ,$105.29 ,$38.23 ,$108.76 ,$109.92 ,$104.13 ,$98.35 ,$38.23 ,$38.23 ,$38.23 ,$84.46 , N/A ,$102.97 ,$104.13 ,$104.13 ,$92.56 , N/A ,$63.64 ,$104.13 , N/A ,$104.13 , N/A ,$109.92 , N/A ,$106.44 ,$40.52 ,$105.29 , N/A ,$71.20 ,$74.51 ,$71.20 ,$104.13 ,$104.13 ,$86.35 ,$80.59 , N/A ,$40.14 ,$108.18 , N/A ,$38.23 ,$100.66 , N/A ,$104.13 , N/A ,$104.13 ,$104.13 ,$104.13 ,$112.23 ,$93.72 ,$104.13 ,$104.13 ,$104.13 ,$104.13 
ST. JOSEPH'S - CHIPPEWA FALLS,98200008,99213,PC CLINIC VISIT INTERM EST PRO,982,1 ,$149.30 ,$111.98 ,$38.23 ,$149.30 ,$96.15 , N/A ,$104.51 ,$38.23 ,$123.92 ,$39.38 ,$98.54 ,$141.84 , N/A ,$119.44 ,$135.86 ,$38.23 ,$140.34 ,$141.84 ,$134.37 ,$126.91 ,$38.23 ,$38.23 ,$38.23 ,$108.99 , N/A ,$132.88 ,$134.37 ,$134.37 ,$119.44 , N/A ,$82.12 ,$134.37 , N/A ,$134.37 , N/A ,$141.84 , N/A ,$137.36 ,$40.52 ,$135.86 , N/A ,$91.88 ,$96.15 ,$91.88 ,$134.37 ,$134.37 ,$111.42 ,$103.99 , N/A ,$40.14 ,$139.60 , N/A ,$38.23 ,$129.89 , N/A ,$134.37 , N/A ,$134.37 ,$134.37 ,$134.37 ,$144.82 ,$120.93 ,$134.37 ,$134.37 ,$134.37 ,$134.37 
ST. JOSEPH'S - CHIPPEWA FALLS,98200009,99214,PC CLINIC VISIT COMPLX EST PRO,982,1 ,$213.80 ,$160.35 ,$38.23 ,$213.80 ,$137.69 , N/A ,$149.66 ,$38.23 ,$177.45 ,$39.38 ,$141.11 ,$203.11 , N/A ,$171.04 ,$194.56 ,$38.23 ,$200.97 ,$203.11 ,$192.42 ,$181.73 ,$38.23 ,$38.23 ,$38.23 ,$156.07 , N/A ,$190.28 ,$192.42 ,$192.42 ,$171.04 , N/A ,$117.59 ,$192.42 , N/A ,$192.42 , N/A ,$203.11 , N/A ,$196.70 ,$40.52 ,$194.56 , N/A ,$131.57 ,$137.69 ,$131.57 ,$192.42 ,$192.42 ,$159.56 ,$148.91 , N/A ,$40.14 ,$199.90 , N/A ,$38.23 ,$186.01 , N/A ,$192.42 , N/A ,$192.42 ,$192.42 ,$192.42 ,$207.39 ,$173.18 ,$192.42 ,$192.42 ,$192.42 ,$192.42 
ST. JOSEPH'S - CHIPPEWA FALLS,98200010,99215,PC CLINIC VISIT COMPRH EST PRO,982,1 ,$346.30 ,$259.73 ,$38.23 ,$346.30 ,$223.02 , N/A ,$242.41 ,$38.23 ,$287.43 ,$39.38 ,$228.56 ,$328.99 , N/A ,$277.04 ,$315.13 ,$38.23 ,$325.52 ,$328.99 ,$311.67 ,$294.36 ,$38.23 ,$38.23 ,$38.23 ,$252.80 , N/A ,$308.21 ,$311.67 ,$311.67 ,$277.04 , N/A ,$190.47 ,$311.67 , N/A ,$311.67 , N/A ,$328.99 , N/A ,$318.60 ,$40.52 ,$315.13 , N/A ,$213.11 ,$223.02 ,$213.11 ,$311.67 ,$311.67 ,$258.44 ,$241.20 , N/A ,$40.14 ,$323.79 , N/A ,$38.23 ,$301.28 , N/A ,$311.67 , N/A ,$311.67 ,$311.67 ,$311.67 ,$335.91 ,$280.50 ,$311.67 ,$311.67 ,$311.67 ,$311.67 
ST. JOSEPH'S - CHIPPEWA FALLS,98280000,99217,PC OBSERVATION CARE DISCHARGE,982,1 ,$240.95 ,$180.71 ,$38.23 ,$240.95 ,$155.17 , N/A ,$168.67 ,$38.23 ,$199.99 ,$39.38 ,$159.03 ,$228.90 , N/A ,$192.76 ,$219.26 ,$38.23 ,$226.49 ,$228.90 ,$216.86 ,$204.81 ,$38.23 ,$38.23 ,$38.23 ,$175.89 , N/A ,$214.45 ,$216.86 ,$216.86 ,$192.76 , N/A ,$132.52 ,$216.86 , N/A ,$216.86 , N/A ,$228.90 , N/A ,$221.67 ,$40.52 ,$219.26 , N/A ,$148.28 ,$155.17 ,$148.28 ,$216.86 ,$216.86 ,$179.82 ,$167.82 , N/A ,$40.14 ,$225.29 , N/A ,$38.23 ,$209.63 , N/A ,$216.86 , N/A ,$216.86 ,$216.86 ,$216.86 ,$233.72 ,$195.17 ,$216.86 ,$216.86 ,$216.86 ,$216.86 
ST. JOSEPH'S - CHIPPEWA FALLS,98280001,99241,PC OFFICE CONSULT LEVEL 1,982,1 ,$220.19 ,$165.14 ,$38.23 ,$220.19 ,$141.80 , N/A ,$154.13 ,$38.23 ,$182.76 ,$39.38 ,$145.33 ,$209.18 , N/A ,$176.15 ,$200.37 ,$38.23 ,$206.98 ,$209.18 ,$198.17 ,$187.16 ,$38.23 ,$38.23 ,$38.23 ,$160.74 , N/A ,$195.97 ,$198.17 ,$198.17 ,$176.15 , N/A ,$121.10 ,$198.17 , N/A ,$198.17 , N/A ,$209.18 , N/A ,$202.57 ,$40.52 ,$200.37 , N/A ,$135.50 ,$141.80 ,$135.50 ,$198.17 ,$198.17 ,$164.33 ,$153.36 , N/A ,$40.14 ,$205.88 , N/A ,$38.23 ,$191.57 , N/A ,$198.17 , N/A ,$198.17 ,$198.17 ,$198.17 ,$213.58 ,$178.35 ,$198.17 ,$198.17 ,$198.17 ,$198.17 
ST. JOSEPH'S - CHIPPEWA FALLS,98280002,99242,PC OFFICE CONSULT LEVEL 2,982,1 ,$280.82 ,$210.62 ,$38.23 ,$280.82 ,$180.85 , N/A ,$196.57 ,$38.23 ,$233.08 ,$39.38 ,$185.34 ,$266.78 , N/A ,$224.66 ,$255.55 ,$38.23 ,$263.97 ,$266.78 ,$252.74 ,$238.70 ,$38.23 ,$38.23 ,$38.23 ,$205.00 , N/A ,$249.93 ,$252.74 ,$252.74 ,$224.66 , N/A ,$154.45 ,$252.74 , N/A ,$252.74 , N/A ,$266.78 , N/A ,$258.35 ,$40.52 ,$255.55 , N/A ,$172.82 ,$180.85 ,$172.82 ,$252.74 ,$252.74 ,$209.58 ,$195.59 , N/A ,$40.14 ,$262.57 , N/A ,$38.23 ,$244.31 , N/A ,$252.74 , N/A ,$252.74 ,$252.74 ,$252.74 ,$272.40 ,$227.46 ,$252.74 ,$252.74 ,$252.74 ,$252.74 
ST. JOSEPH'S - CHIPPEWA FALLS,98280003,99243,PC OFFICE CONSULT LEVEL 3,982,1 ,$357.88 ,$268.41 ,$38.23 ,$357.88 ,$230.47 , N/A ,$250.52 ,$38.23 ,$297.04 ,$39.38 ,$236.20 ,$339.99 , N/A ,$286.30 ,$325.67 ,$38.23 ,$336.41 ,$339.99 ,$322.09 ,$304.20 ,$38.23 ,$38.23 ,$38.23 ,$261.25 , N/A ,$318.51 ,$322.09 ,$322.09 ,$286.30 , N/A ,$196.83 ,$322.09 , N/A ,$322.09 , N/A ,$339.99 , N/A ,$329.25 ,$40.52 ,$325.67 , N/A ,$220.24 ,$230.47 ,$220.24 ,$322.09 ,$322.09 ,$267.09 ,$249.26 , N/A ,$40.14 ,$334.62 , N/A ,$38.23 ,$311.36 , N/A ,$322.09 , N/A ,$322.09 ,$322.09 ,$322.09 ,$347.14 ,$289.88 ,$322.09 ,$322.09 ,$322.09 ,$322.09 
ST. JOSEPH'S - CHIPPEWA FALLS,98280004,99244,PC OFFICE CONSULT LEVEL 4,982,1 ,$468.03 ,$351.02 ,$38.23 ,$468.03 ,$301.41 , N/A ,$327.62 ,$38.23 ,$388.46 ,$39.38 ,$308.90 ,$444.63 , N/A ,$374.42 ,$425.91 ,$38.23 ,$439.95 ,$444.63 ,$421.23 ,$397.83 ,$38.23 ,$38.23 ,$38.23 ,$341.66 , N/A ,$416.55 ,$421.23 ,$421.23 ,$374.42 , N/A ,$257.42 ,$421.23 , N/A ,$421.23 , N/A ,$444.63 , N/A ,$430.59 ,$40.52 ,$425.91 , N/A ,$288.03 ,$301.41 ,$288.03 ,$421.23 ,$421.23 ,$349.29 ,$325.98 , N/A ,$40.14 ,$437.61 , N/A ,$38.23 ,$407.19 , N/A ,$421.23 , N/A ,$421.23 ,$421.23 ,$421.23 ,$453.99 ,$379.10 ,$421.23 ,$421.23 ,$421.23 ,$421.23 
ST. JOSEPH'S - CHIPPEWA FALLS,98280005,99245,PC OFFICE CONSULT LEVEL 5.,982,1 ,$591.02 ,$443.27 ,$38.23 ,$591.02 ,$380.62 , N/A ,$413.71 ,$38.23 ,$490.55 ,$39.38 ,$390.07 ,$561.47 , N/A ,$472.82 ,$537.83 ,$38.23 ,$555.56 ,$561.47 ,$531.92 ,$502.37 ,$38.23 ,$38.23 ,$38.23 ,$431.44 , N/A ,$526.01 ,$531.92 ,$531.92 ,$472.82 , N/A ,$325.06 ,$531.92 , N/A ,$531.92 , N/A ,$561.47 , N/A ,$543.74 ,$40.52 ,$537.83 , N/A ,$363.71 ,$380.62 ,$363.71 ,$531.92 ,$531.92 ,$441.08 ,$411.65 , N/A ,$40.14 ,$552.60 , N/A ,$38.23 ,$514.19 , N/A ,$531.92 , N/A ,$531.92 ,$531.92 ,$531.92 ,$573.29 ,$478.73 ,$531.92 ,$531.92 ,$531.92 ,$531.92 
ST. JOSEPH'S - CHIPPEWA FALLS,98300031,17250,PC CHEM CAUTERY PRO,983,1 ,$216.20 ,$162.15 ,$51.36 ,$416.96 ,$139.23 ,$185.31 ,$151.34 ,$51.36 ,$179.45 ,$52.90 ,$142.69 ,$205.39 , N/A ,$172.96 ,$196.74 ,$51.36 ,$203.23 ,$205.39 ,$194.58 ,$183.77 ,$51.36 ,$51.36 ,$51.36 ,$157.83 ,$185.31 ,$192.42 ,$194.58 ,$194.58 ,$172.96 ,$190.87 ,$118.91 ,$194.58 ,$185.31 ,$194.58 ,$185.31 ,$205.39 ,$416.96 ,$198.90 ,$54.44 ,$196.74 ,$185.31 ,$133.05 ,$139.23 ,$133.05 ,$194.58 ,$194.58 ,$161.35 ,$150.58 ,$187.17 ,$53.93 ,$202.15 ,$194.58 ,$51.36 ,$188.09 ,$185.31 ,$194.58 ,$185.31 ,$194.58 ,$194.58 ,$194.58 ,$209.71 ,$175.12 ,$194.58 ,$194.58 ,$194.58 ,$194.58 
ST. JOSEPH'S - CHIPPEWA FALLS,98300036,29580,PC UNNA BOOT APPLICATION PRO,983,1 ,$181.87 ,$136.40 ,$59.15 ,$328.04 ,$117.12 ,$145.80 ,$127.31 ,$59.15 ,$150.95 ,$60.92 ,$120.03 ,$172.78 , N/A ,$145.50 ,$165.50 ,$59.15 ,$170.96 ,$172.78 ,$163.68 ,$154.59 ,$59.15 ,$59.15 ,$59.15 ,$132.77 ,$145.80 ,$161.86 ,$163.68 ,$163.68 ,$145.50 ,$150.17 ,$100.03 ,$163.68 ,$145.80 ,$163.68 ,$145.80 ,$172.78 ,$328.04 ,$167.32 ,$62.70 ,$165.50 ,$145.80 ,$111.92 ,$117.12 ,$111.92 ,$163.68 ,$163.68 ,$135.73 ,$126.67 ,$147.25 ,$62.11 ,$170.05 ,$153.09 ,$59.15 ,$158.23 ,$145.80 ,$163.68 ,$145.80 ,$163.68 ,$163.68 ,$163.68 ,$176.41 ,$147.31 ,$163.68 ,$163.68 ,$163.68 ,$163.68 
ST. JOSEPH'S - CHIPPEWA FALLS,98300043,97597,PC DEBR SKIN INTL 20CM PRO,983,1 ,$163.68 ,$122.76 ,$58.71 ,$416.96 ,$105.41 ,$185.31 ,$114.58 ,$58.71 ,$135.85 ,$60.47 ,$108.03 ,$155.50 , N/A ,$130.94 ,$148.95 ,$58.71 ,$153.86 ,$155.50 ,$147.31 ,$139.13 ,$58.71 ,$58.71 ,$58.71 ,$119.49 ,$185.31 ,$145.68 ,$147.31 ,$147.31 ,$130.94 ,$190.87 ,$90.02 ,$147.31 ,$185.31 ,$147.31 ,$185.31 ,$155.50 ,$416.96 ,$150.59 ,$62.23 ,$148.95 ,$185.31 ,$100.73 ,$105.41 ,$100.73 ,$147.31 ,$147.31 ,$122.15 ,$114.00 ,$187.17 ,$61.65 ,$153.04 ,$194.58 ,$58.71 ,$142.40 ,$185.31 ,$147.31 ,$185.31 ,$147.31 ,$147.31 ,$147.31 ,$158.77 ,$132.58 ,$147.31 ,$147.31 ,$147.31 ,$147.31 
ST. JOSEPH'S - CHIPPEWA FALLS,98300049,97598,PC DEBR SKIN PART THICKNESS EA ADDN>20CM PRO,983,1 ,$206.73 ,$155.05 ,$113.70 ,$334.00 ,$133.13 , N/A ,$144.71 ,$206.73 ,$171.59 ,$324.54 ,$136.44 ,$196.39 , N/A ,$165.38 ,$188.12 ,$206.73 ,$194.33 ,$196.39 ,$186.06 ,$175.72 ,$315.09 ,$315.09 ,$315.09 ,$150.91 , N/A ,$183.99 ,$186.06 ,$186.06 ,$165.38 , N/A ,$113.70 ,$186.06 , N/A ,$186.06 , N/A ,$196.39 , N/A ,$190.19 ,$334.00 ,$188.12 , N/A ,$127.22 ,$133.13 ,$127.22 ,$186.06 ,$186.06 ,$154.28 ,$143.99 , N/A ,$330.84 ,$193.29 , N/A ,$206.73 ,$179.86 , N/A ,$186.06 , N/A ,$186.06 ,$186.06 ,$186.06 ,$200.53 ,$167.45 ,$186.06 ,$186.06 ,$186.06 ,$186.06 
ST. JOSEPH'S - CHIPPEWA FALLS,98300075,99183,PC HYPERBARIC 02 HSHS PRO FEE,983,1 ,$396.00 ,$297.00 ,$217.80 ,$396.00 ,$255.02 , N/A ,$277.20 , N/A ,$328.68 , N/A ,$261.36 ,$376.20 , N/A ,$316.80 ,$360.36 , N/A ,$372.24 ,$376.20 ,$356.40 ,$336.60 , N/A , N/A , N/A ,$289.08 , N/A ,$352.44 ,$356.40 ,$356.40 ,$316.80 , N/A ,$217.80 ,$356.40 , N/A ,$356.40 , N/A ,$376.20 , N/A ,$364.32 , N/A ,$360.36 , N/A ,$243.70 ,$255.02 ,$243.70 ,$356.40 ,$356.40 ,$295.53 ,$275.81 , N/A , N/A ,$370.26 , N/A , N/A ,$344.52 , N/A ,$356.40 , N/A ,$356.40 ,$356.40 ,$356.40 ,$384.12 ,$320.76 ,$356.40 ,$356.40 ,$356.40 ,$356.40 
ST. JOSEPH'S - CHIPPEWA FALLS,98300125,95857,PC TENSILON TEST,983,1 ,$290.68 ,$218.01 ,$42.84 ,$614.50 ,$187.20 ,$273.11 ,$203.48 ,$42.84 ,$241.26 ,$44.13 ,$191.85 ,$276.15 , N/A ,$232.54 ,$264.52 ,$42.84 ,$273.24 ,$276.15 ,$261.61 ,$247.08 ,$42.84 ,$42.84 ,$42.84 ,$212.20 ,$273.11 ,$258.71 ,$261.61 ,$261.61 ,$232.54 ,$281.31 ,$159.87 ,$261.61 ,$273.11 ,$261.61 ,$273.11 ,$276.15 ,$614.50 ,$267.43 ,$45.41 ,$264.52 ,$273.11 ,$178.88 ,$187.20 ,$178.88 ,$261.61 ,$261.61 ,$216.93 ,$202.46 ,$275.84 ,$44.98 ,$271.79 ,$286.77 ,$42.84 ,$252.89 ,$273.11 ,$261.61 ,$273.11 ,$261.61 ,$261.61 ,$261.61 ,$281.96 ,$235.45 ,$261.61 ,$261.61 ,$261.61 ,$261.61 
ST. JOSEPH'S - CHIPPEWA FALLS,98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$95.10 ,$71.33 ,$8.28 ,$95.10 ,$61.24 , N/A ,$66.57 ,$8.28 ,$78.93 ,$8.53 ,$62.77 ,$90.35 , N/A ,$76.08 ,$86.54 ,$8.28 ,$89.39 ,$90.35 ,$85.59 ,$80.84 ,$8.28 ,$8.28 ,$8.28 ,$69.42 , N/A ,$84.64 ,$85.59 ,$85.59 ,$76.08 , N/A ,$52.31 ,$85.59 , N/A ,$85.59 , N/A ,$90.35 , N/A ,$87.49 ,$8.78 ,$86.54 , N/A ,$58.52 ,$61.24 ,$58.52 ,$85.59 ,$85.59 ,$70.97 ,$66.24 , N/A ,$8.69 ,$88.92 , N/A ,$8.28 ,$82.74 , N/A ,$85.59 , N/A ,$85.59 ,$85.59 ,$85.59 ,$92.25 ,$77.03 ,$85.59 ,$85.59 ,$85.59 ,$85.59 
ST. JOSEPH'S - CHIPPEWA FALLS,98500002,93016,PC CARDIAC STRESS TEST SUPERVISION,985,1 ,$208.27 ,$156.20 ,$52.64 ,$208.27 ,$134.13 , N/A ,$145.79 ,$52.64 ,$172.86 ,$54.22 ,$137.46 ,$197.86 , N/A ,$166.62 ,$189.53 ,$52.64 ,$195.77 ,$197.86 ,$187.44 ,$177.03 ,$52.64 ,$52.64 ,$52.64 ,$152.04 , N/A ,$185.36 ,$187.44 ,$187.44 ,$166.62 , N/A ,$114.55 ,$187.44 , N/A ,$187.44 , N/A ,$197.86 , N/A ,$191.61 ,$55.80 ,$189.53 , N/A ,$128.17 ,$134.13 ,$128.17 ,$187.44 ,$187.44 ,$155.43 ,$145.06 , N/A ,$55.27 ,$194.73 , N/A ,$52.64 ,$181.19 , N/A ,$187.44 , N/A ,$187.44 ,$187.44 ,$187.44 ,$202.02 ,$168.70 ,$187.44 ,$187.44 ,$187.44 ,$187.44 
ST. JOSEPH'S - CHIPPEWA FALLS,98500003,93018,PC CARDIOVASCULAR STRESS TEST,985,1 ,$228.62 ,$171.47 ,$52.64 ,$228.62 ,$147.23 , N/A ,$160.03 ,$52.64 ,$189.75 ,$54.22 ,$150.89 ,$217.19 , N/A ,$182.90 ,$208.04 ,$52.64 ,$214.90 ,$217.19 ,$205.76 ,$194.33 ,$52.64 ,$52.64 ,$52.64 ,$166.89 , N/A ,$203.47 ,$205.76 ,$205.76 ,$182.90 , N/A ,$125.74 ,$205.76 , N/A ,$205.76 , N/A ,$217.19 , N/A ,$210.33 ,$55.80 ,$208.04 , N/A ,$140.69 ,$147.23 ,$140.69 ,$205.76 ,$205.76 ,$170.62 ,$159.23 , N/A ,$55.27 ,$213.76 , N/A ,$52.64 ,$198.90 , N/A ,$205.76 , N/A ,$205.76 ,$205.76 ,$205.76 ,$221.76 ,$185.18 ,$205.76 ,$205.76 ,$205.76 ,$205.76 
ST. JOSEPH'S - CHIPPEWA FALLS,98500004,93306,PC ECHO/CARDIAC DOP/COLOR FLOW-26,985,1 ,$995.82 ,$746.87 ,$145.75 ,"$1,121.92 ",$641.31 ,$498.63 ,$697.07 ,$145.75 ,$826.53 ,$150.12 ,$657.24 ,$946.03 , N/A ,$796.66 ,$906.20 ,$145.75 ,$936.07 ,$946.03 ,$896.24 ,$846.45 ,$145.75 ,$145.75 ,$145.75 ,$726.95 ,$498.63 ,$886.28 ,$896.24 ,$896.24 ,$796.66 ,$513.59 ,$547.70 ,$896.24 ,$498.63 ,$896.24 ,$498.63 ,$946.03 ,"$1,121.92 ",$916.15 ,$154.50 ,$906.20 ,$498.63 ,$612.83 ,$641.31 ,$612.83 ,$896.24 ,$896.24 ,$743.18 ,$693.59 ,$503.62 ,$153.04 ,$931.09 ,$523.56 ,$145.75 ,$866.36 ,$498.63 ,$896.24 ,$498.63 ,$896.24 ,$896.24 ,$896.24 ,$965.95 ,$806.61 ,$896.24 ,$896.24 ,$896.24 ,$896.24 
ST. JOSEPH'S - CHIPPEWA FALLS,98500005,93308,PC ECHO 2D W/W/O M-MODE LTD-26,985,1 ,$433.96 ,$325.47 ,$145.75 ,$534.27 ,$279.47 ,$237.45 ,$303.77 ,$145.75 ,$360.19 ,$150.12 ,$286.41 ,$412.26 , N/A ,$347.17 ,$394.90 ,$145.75 ,$407.92 ,$412.26 ,$390.56 ,$368.87 ,$145.75 ,$145.75 ,$145.75 ,$316.79 ,$237.45 ,$386.22 ,$390.56 ,$390.56 ,$347.17 ,$244.58 ,$238.68 ,$390.56 ,$237.45 ,$390.56 ,$237.45 ,$412.26 ,$534.27 ,$399.24 ,$154.50 ,$394.90 ,$237.45 ,$267.06 ,$279.47 ,$267.06 ,$390.56 ,$390.56 ,$323.86 ,$302.25 ,$239.83 ,$153.04 ,$405.75 ,$249.32 ,$145.75 ,$377.55 ,$237.45 ,$390.56 ,$237.45 ,$390.56 ,$390.56 ,$390.56 ,$420.94 ,$351.51 ,$390.56 ,$390.56 ,$390.56 ,$390.56 
ST. JOSEPH'S - CHIPPEWA FALLS,98780000,99218,PC OBSERVATION CARE 1,982,1 ,$301.26 ,$225.95 ,$38.23 ,$301.26 ,$194.01 , N/A ,$210.88 ,$38.23 ,$250.05 ,$39.38 ,$198.83 ,$286.20 , N/A ,$241.01 ,$274.15 ,$38.23 ,$283.18 ,$286.20 ,$271.13 ,$256.07 ,$38.23 ,$38.23 ,$38.23 ,$219.92 , N/A ,$268.12 ,$271.13 ,$271.13 ,$241.01 , N/A ,$165.69 ,$271.13 , N/A ,$271.13 , N/A ,$286.20 , N/A ,$277.16 ,$40.52 ,$274.15 , N/A ,$185.40 ,$194.01 ,$185.40 ,$271.13 ,$271.13 ,$224.83 ,$209.83 , N/A ,$40.14 ,$281.68 , N/A ,$38.23 ,$262.10 , N/A ,$271.13 , N/A ,$271.13 ,$271.13 ,$271.13 ,$292.22 ,$244.02 ,$271.13 ,$271.13 ,$271.13 ,$271.13 
ST. JOSEPH'S - CHIPPEWA FALLS,98780001,99219,PC OBSERVATION CARE 2,982,1 ,$409.66 ,$307.25 ,$38.23 ,$409.66 ,$263.82 , N/A ,$286.76 ,$38.23 ,$340.02 ,$39.38 ,$270.38 ,$389.18 , N/A ,$327.73 ,$372.79 ,$38.23 ,$385.08 ,$389.18 ,$368.69 ,$348.21 ,$38.23 ,$38.23 ,$38.23 ,$299.05 , N/A ,$364.60 ,$368.69 ,$368.69 ,$327.73 , N/A ,$225.31 ,$368.69 , N/A ,$368.69 , N/A ,$389.18 , N/A ,$376.89 ,$40.52 ,$372.79 , N/A ,$252.10 ,$263.82 ,$252.10 ,$368.69 ,$368.69 ,$305.73 ,$285.33 , N/A ,$40.14 ,$383.03 , N/A ,$38.23 ,$356.40 , N/A ,$368.69 , N/A ,$368.69 ,$368.69 ,$368.69 ,$397.37 ,$331.82 ,$368.69 ,$368.69 ,$368.69 ,$368.69 
ST. JOSEPH'S - CHIPPEWA FALLS,98780002,99220,PC OBSERVATION CARE 3,982,1 ,$514.06 ,$385.55 ,$38.23 ,$514.06 ,$331.05 , N/A ,$359.84 ,$38.23 ,$426.67 ,$39.38 ,$339.28 ,$488.36 , N/A ,$411.25 ,$467.79 ,$38.23 ,$483.22 ,$488.36 ,$462.65 ,$436.95 ,$38.23 ,$38.23 ,$38.23 ,$375.26 , N/A ,$457.51 ,$462.65 ,$462.65 ,$411.25 , N/A ,$282.73 ,$462.65 , N/A ,$462.65 , N/A ,$488.36 , N/A ,$472.94 ,$40.52 ,$467.79 , N/A ,$316.35 ,$331.05 ,$316.35 ,$462.65 ,$462.65 ,$383.64 ,$358.04 , N/A ,$40.14 ,$480.65 , N/A ,$38.23 ,$447.23 , N/A ,$462.65 , N/A ,$462.65 ,$462.65 ,$462.65 ,$498.64 ,$416.39 ,$462.65 ,$462.65 ,$462.65 ,$462.65 
ST. JOSEPH'S - CHIPPEWA FALLS,98780003,99234,PC OBSERV HOSP SAME DATE 1,987,1 ,$396.82 ,$297.62 ,$38.23 ,$396.82 ,$255.55 , N/A ,$277.77 ,$38.23 ,$329.36 ,$39.38 ,$261.90 ,$376.98 , N/A ,$317.46 ,$361.11 ,$38.23 ,$373.01 ,$376.98 ,$357.14 ,$337.30 ,$38.23 ,$38.23 ,$38.23 ,$289.68 , N/A ,$353.17 ,$357.14 ,$357.14 ,$317.46 , N/A ,$218.25 ,$357.14 , N/A ,$357.14 , N/A ,$376.98 , N/A ,$365.07 ,$40.52 ,$361.11 , N/A ,$244.20 ,$255.55 ,$244.20 ,$357.14 ,$357.14 ,$296.15 ,$276.39 , N/A ,$40.14 ,$371.03 , N/A ,$38.23 ,$345.23 , N/A ,$357.14 , N/A ,$357.14 ,$357.14 ,$357.14 ,$384.92 ,$321.42 ,$357.14 ,$357.14 ,$357.14 ,$357.14 
ST. JOSEPH'S - CHIPPEWA FALLS,98780004,99235,PC OBSERV HOSP SAME DATE 2,987,1 ,$547.14 ,$410.36 ,$38.23 ,$547.14 ,$352.36 , N/A ,$383.00 ,$38.23 ,$454.13 ,$39.38 ,$361.11 ,$519.78 , N/A ,$437.71 ,$497.90 ,$38.23 ,$514.31 ,$519.78 ,$492.43 ,$465.07 ,$38.23 ,$38.23 ,$38.23 ,$399.41 , N/A ,$486.95 ,$492.43 ,$492.43 ,$437.71 , N/A ,$300.93 ,$492.43 , N/A ,$492.43 , N/A ,$519.78 , N/A ,$503.37 ,$40.52 ,$497.90 , N/A ,$336.71 ,$352.36 ,$336.71 ,$492.43 ,$492.43 ,$408.33 ,$381.08 , N/A ,$40.14 ,$511.58 , N/A ,$38.23 ,$476.01 , N/A ,$492.43 , N/A ,$492.43 ,$492.43 ,$492.43 ,$530.73 ,$443.18 ,$492.43 ,$492.43 ,$492.43 ,$492.43 
ST. JOSEPH'S - CHIPPEWA FALLS,98780005,99236,PC OBSERV HOSP SAME DATE 3,987,1 ,$688.84 ,$516.63 ,$38.23 ,$688.84 ,$443.61 , N/A ,$482.19 ,$38.23 ,$571.74 ,$39.38 ,$454.63 ,$654.40 , N/A ,$551.07 ,$626.84 ,$38.23 ,$647.51 ,$654.40 ,$619.96 ,$585.51 ,$38.23 ,$38.23 ,$38.23 ,$502.85 , N/A ,$613.07 ,$619.96 ,$619.96 ,$551.07 , N/A ,$378.86 ,$619.96 , N/A ,$619.96 , N/A ,$654.40 , N/A ,$633.73 ,$40.52 ,$626.84 , N/A ,$423.91 ,$443.61 ,$423.91 ,$619.96 ,$619.96 ,$514.08 ,$479.78 , N/A ,$40.14 ,$644.07 , N/A ,$38.23 ,$599.29 , N/A ,$619.96 , N/A ,$619.96 ,$619.96 ,$619.96 ,$668.17 ,$557.96 ,$619.96 ,$619.96 ,$619.96 ,$619.96 
ST. JOSEPH'S - CHIPPEWA FALLS,98800013,99221,PC INITIAL HOSPITAL CARE LVL 1 LOW 30MIN,987,1 ,$307.80 ,$230.85 ,$38.23 ,$307.80 ,$198.22 , N/A ,$215.46 ,$38.23 ,$255.47 ,$39.38 ,$203.15 ,$292.41 , N/A ,$246.24 ,$280.10 ,$38.23 ,$289.33 ,$292.41 ,$277.02 ,$261.63 ,$38.23 ,$38.23 ,$38.23 ,$224.69 , N/A ,$273.94 ,$277.02 ,$277.02 ,$246.24 , N/A ,$169.29 ,$277.02 , N/A ,$277.02 , N/A ,$292.41 , N/A ,$283.18 ,$40.52 ,$280.10 , N/A ,$189.42 ,$198.22 ,$189.42 ,$277.02 ,$277.02 ,$229.71 ,$214.38 , N/A ,$40.14 ,$287.79 , N/A ,$38.23 ,$267.79 , N/A ,$277.02 , N/A ,$277.02 ,$277.02 ,$277.02 ,$298.57 ,$249.32 ,$277.02 ,$277.02 ,$277.02 ,$277.02 
ST. JOSEPH'S - CHIPPEWA FALLS,98800015,99222,PC INITIAL HOSPITAL CARE LVL 2 MOD 50MIN,987,1 ,$455.80 ,$341.85 ,$38.23 ,$455.80 ,$293.54 , N/A ,$319.06 ,$38.23 ,$378.31 ,$39.38 ,$300.83 ,$433.01 , N/A ,$364.64 ,$414.78 ,$38.23 ,$428.45 ,$433.01 ,$410.22 ,$387.43 ,$38.23 ,$38.23 ,$38.23 ,$332.73 , N/A ,$405.66 ,$410.22 ,$410.22 ,$364.64 , N/A ,$250.69 ,$410.22 , N/A ,$410.22 , N/A ,$433.01 , N/A ,$419.34 ,$40.52 ,$414.78 , N/A ,$280.50 ,$293.54 ,$280.50 ,$410.22 ,$410.22 ,$340.16 ,$317.46 , N/A ,$40.14 ,$426.17 , N/A ,$38.23 ,$396.55 , N/A ,$410.22 , N/A ,$410.22 ,$410.22 ,$410.22 ,$442.13 ,$369.20 ,$410.22 ,$410.22 ,$410.22 ,$410.22 
ST. JOSEPH'S - CHIPPEWA FALLS,98800016,99223,PC INITIAL HOSPITAL CARE LVL 3 HIGH 70MIN,987,1 ,$621.80 ,$466.35 ,$38.23 ,$621.80 ,$400.44 , N/A ,$435.26 ,$38.23 ,$516.09 ,$39.38 ,$410.39 ,$590.71 , N/A ,$497.44 ,$565.84 ,$38.23 ,$584.49 ,$590.71 ,$559.62 ,$528.53 ,$38.23 ,$38.23 ,$38.23 ,$453.91 , N/A ,$553.40 ,$559.62 ,$559.62 ,$497.44 , N/A ,$341.99 ,$559.62 , N/A ,$559.62 , N/A ,$590.71 , N/A ,$572.06 ,$40.52 ,$565.84 , N/A ,$382.66 ,$400.44 ,$382.66 ,$559.62 ,$559.62 ,$464.05 ,$433.08 , N/A ,$40.14 ,$581.38 , N/A ,$38.23 ,$540.97 , N/A ,$559.62 , N/A ,$559.62 ,$559.62 ,$559.62 ,$603.15 ,$503.66 ,$559.62 ,$559.62 ,$559.62 ,$559.62 
ST. JOSEPH'S - CHIPPEWA FALLS,98800017,99231,PC SUBSQ HOSPITAL CARE LVL 1 LOW 15MIN,987,1 ,$158.00 ,$118.50 ,$38.23 ,$158.00 ,$101.75 , N/A ,$110.60 ,$38.23 ,$131.14 ,$39.38 ,$104.28 ,$150.10 , N/A ,$126.40 ,$143.78 ,$38.23 ,$148.52 ,$150.10 ,$142.20 ,$134.30 ,$38.23 ,$38.23 ,$38.23 ,$115.34 , N/A ,$140.62 ,$142.20 ,$142.20 ,$126.40 , N/A ,$86.90 ,$142.20 , N/A ,$142.20 , N/A ,$150.10 , N/A ,$145.36 ,$40.52 ,$143.78 , N/A ,$97.23 ,$101.75 ,$97.23 ,$142.20 ,$142.20 ,$117.92 ,$110.05 , N/A ,$40.14 ,$147.73 , N/A ,$38.23 ,$137.46 , N/A ,$142.20 , N/A ,$142.20 ,$142.20 ,$142.20 ,$153.26 ,$127.98 ,$142.20 ,$142.20 ,$142.20 ,$142.20 
ST. JOSEPH'S - CHIPPEWA FALLS,98800018,99232,PC SUBSQ HOSPITAL CARE LVL 2 MOD 25MIN,987,1 ,$229.40 ,$172.05 ,$38.23 ,$229.40 ,$147.73 , N/A ,$160.58 ,$38.23 ,$190.40 ,$39.38 ,$151.40 ,$217.93 , N/A ,$183.52 ,$208.75 ,$38.23 ,$215.64 ,$217.93 ,$206.46 ,$194.99 ,$38.23 ,$38.23 ,$38.23 ,$167.46 , N/A ,$204.17 ,$206.46 ,$206.46 ,$183.52 , N/A ,$126.17 ,$206.46 , N/A ,$206.46 , N/A ,$217.93 , N/A ,$211.05 ,$40.52 ,$208.75 , N/A ,$141.17 ,$147.73 ,$141.17 ,$206.46 ,$206.46 ,$171.20 ,$159.78 , N/A ,$40.14 ,$214.49 , N/A ,$38.23 ,$199.58 , N/A ,$206.46 , N/A ,$206.46 ,$206.46 ,$206.46 ,$222.52 ,$185.81 ,$206.46 ,$206.46 ,$206.46 ,$206.46 
ST. JOSEPH'S - CHIPPEWA FALLS,98800019,99233,PC SUBSQ HOSPITAL CARE LVL 3 HIGH 35MIN,987,1 ,$335.10 ,$251.33 ,$38.23 ,$335.10 ,$215.80 , N/A ,$234.57 ,$38.23 ,$278.13 ,$39.38 ,$221.17 ,$318.35 , N/A ,$268.08 ,$304.94 ,$38.23 ,$314.99 ,$318.35 ,$301.59 ,$284.84 ,$38.23 ,$38.23 ,$38.23 ,$244.62 , N/A ,$298.24 ,$301.59 ,$301.59 ,$268.08 , N/A ,$184.31 ,$301.59 , N/A ,$301.59 , N/A ,$318.35 , N/A ,$308.29 ,$40.52 ,$304.94 , N/A ,$206.22 ,$215.80 ,$206.22 ,$301.59 ,$301.59 ,$250.09 ,$233.40 , N/A ,$40.14 ,$313.32 , N/A ,$38.23 ,$291.54 , N/A ,$301.59 , N/A ,$301.59 ,$301.59 ,$301.59 ,$325.05 ,$271.43 ,$301.59 ,$301.59 ,$301.59 ,$301.59 
ST. JOSEPH'S - CHIPPEWA FALLS,98800022,99356,PC PROLONG VISIT IP FIRST HR,988,1 ,$100.00 ,$75.00 ,$55.00 ,$100.00 ,$64.40 , N/A ,$70.00 , N/A ,$83.00 , N/A ,$66.00 ,$95.00 , N/A ,$80.00 ,$91.00 , N/A ,$94.00 ,$95.00 ,$90.00 ,$85.00 , N/A , N/A , N/A ,$73.00 , N/A ,$89.00 ,$90.00 ,$90.00 ,$80.00 , N/A ,$55.00 ,$90.00 , N/A ,$90.00 , N/A ,$95.00 , N/A ,$92.00 , N/A ,$91.00 , N/A ,$61.54 ,$64.40 ,$61.54 ,$90.00 ,$90.00 ,$74.63 ,$69.65 , N/A , N/A ,$93.50 , N/A , N/A ,$87.00 , N/A ,$90.00 , N/A ,$90.00 ,$90.00 ,$90.00 ,$97.00 ,$81.00 ,$90.00 ,$90.00 ,$90.00 ,$90.00 
ST. JOSEPH'S - CHIPPEWA FALLS,98800023,99357,PC PROLONG VST IP EA ADD 30MI,988,1 ,$50.00 ,$37.50 ,$27.50 ,$50.00 ,$32.20 , N/A ,$35.00 , N/A ,$41.50 , N/A ,$33.00 ,$47.50 , N/A ,$40.00 ,$45.50 , N/A ,$47.00 ,$47.50 ,$45.00 ,$42.50 , N/A , N/A , N/A ,$36.50 , N/A ,$44.50 ,$45.00 ,$45.00 ,$40.00 , N/A ,$27.50 ,$45.00 , N/A ,$45.00 , N/A ,$47.50 , N/A ,$46.00 , N/A ,$45.50 , N/A ,$30.77 ,$32.20 ,$30.77 ,$45.00 ,$45.00 ,$37.32 ,$34.83 , N/A , N/A ,$46.75 , N/A , N/A ,$43.50 , N/A ,$45.00 , N/A ,$45.00 ,$45.00 ,$45.00 ,$48.50 ,$40.50 ,$45.00 ,$45.00 ,$45.00 ,$45.00 
ST. JOSEPH'S - CHIPPEWA FALLS,98880000,99251,PC INPATIENT CONSULTATION 1 LIMITED 20MIN,988,1 ,$213.82 ,$160.37 ,$38.23 ,$213.82 ,$137.70 , N/A ,$149.67 ,$38.23 ,$177.47 ,$39.38 ,$141.12 ,$203.13 , N/A ,$171.06 ,$194.58 ,$38.23 ,$200.99 ,$203.13 ,$192.44 ,$181.75 ,$38.23 ,$38.23 ,$38.23 ,$156.09 , N/A ,$190.30 ,$192.44 ,$192.44 ,$171.06 , N/A ,$117.60 ,$192.44 , N/A ,$192.44 , N/A ,$203.13 , N/A ,$196.71 ,$40.52 ,$194.58 , N/A ,$131.58 ,$137.70 ,$131.58 ,$192.44 ,$192.44 ,$159.57 ,$148.93 , N/A ,$40.14 ,$199.92 , N/A ,$38.23 ,$186.02 , N/A ,$192.44 , N/A ,$192.44 ,$192.44 ,$192.44 ,$207.41 ,$173.19 ,$192.44 ,$192.44 ,$192.44 ,$192.44 
ST. JOSEPH'S - CHIPPEWA FALLS,98880001,99252,PC INPATIENT CONSULTATION 2 LOW 40MIN,988,1 ,$309.50 ,$232.13 ,$38.23 ,$309.50 ,$199.32 , N/A ,$216.65 ,$38.23 ,$256.89 ,$39.38 ,$204.27 ,$294.03 , N/A ,$247.60 ,$281.65 ,$38.23 ,$290.93 ,$294.03 ,$278.55 ,$263.08 ,$38.23 ,$38.23 ,$38.23 ,$225.94 , N/A ,$275.46 ,$278.55 ,$278.55 ,$247.60 , N/A ,$170.23 ,$278.55 , N/A ,$278.55 , N/A ,$294.03 , N/A ,$284.74 ,$40.52 ,$281.65 , N/A ,$190.47 ,$199.32 ,$190.47 ,$278.55 ,$278.55 ,$230.98 ,$215.57 , N/A ,$40.14 ,$289.38 , N/A ,$38.23 ,$269.27 , N/A ,$278.55 , N/A ,$278.55 ,$278.55 ,$278.55 ,$300.22 ,$250.70 ,$278.55 ,$278.55 ,$278.55 ,$278.55 
ST. JOSEPH'S - CHIPPEWA FALLS,98880002,99253,PC INPATIENT CONSULTATION 3 MOD 55MIN,988,1 ,$342.50 ,$256.88 ,$38.23 ,$342.50 ,$220.57 , N/A ,$239.75 ,$38.23 ,$284.28 ,$39.38 ,$226.05 ,$325.38 , N/A ,$274.00 ,$311.68 ,$38.23 ,$321.95 ,$325.38 ,$308.25 ,$291.13 ,$38.23 ,$38.23 ,$38.23 ,$250.03 , N/A ,$304.83 ,$308.25 ,$308.25 ,$274.00 , N/A ,$188.38 ,$308.25 , N/A ,$308.25 , N/A ,$325.38 , N/A ,$315.10 ,$40.52 ,$311.68 , N/A ,$210.77 ,$220.57 ,$210.77 ,$308.25 ,$308.25 ,$255.61 ,$238.55 , N/A ,$40.14 ,$320.24 , N/A ,$38.23 ,$297.98 , N/A ,$308.25 , N/A ,$308.25 ,$308.25 ,$308.25 ,$332.23 ,$277.43 ,$308.25 ,$308.25 ,$308.25 ,$308.25 
ST. JOSEPH'S - CHIPPEWA FALLS,98880003,99254,PC INPATIENT CONSULTATION 4 MOD-HIGH 80MIN,988,1 ,$734.60 ,$550.95 ,$38.23 ,$734.60 ,$473.08 , N/A ,$514.22 ,$38.23 ,$609.72 ,$39.38 ,$484.84 ,$697.87 , N/A ,$587.68 ,$668.49 ,$38.23 ,$690.52 ,$697.87 ,$661.14 ,$624.41 ,$38.23 ,$38.23 ,$38.23 ,$536.26 , N/A ,$653.79 ,$661.14 ,$661.14 ,$587.68 , N/A ,$404.03 ,$661.14 , N/A ,$661.14 , N/A ,$697.87 , N/A ,$675.83 ,$40.52 ,$668.49 , N/A ,$452.07 ,$473.08 ,$452.07 ,$661.14 ,$661.14 ,$548.23 ,$511.65 , N/A ,$40.14 ,$686.85 , N/A ,$38.23 ,$639.10 , N/A ,$661.14 , N/A ,$661.14 ,$661.14 ,$661.14 ,$712.56 ,$595.03 ,$661.14 ,$661.14 ,$661.14 ,$661.14 
ST. JOSEPH'S - CHIPPEWA FALLS,98880004,99255,PC INPATIENT CONSULTATION 5 HIGH 110MIN,988,1 ,$677.30 ,$507.98 ,$38.23 ,$677.30 ,$436.18 , N/A ,$474.11 ,$38.23 ,$562.16 ,$39.38 ,$447.02 ,$643.44 , N/A ,$541.84 ,$616.34 ,$38.23 ,$636.66 ,$643.44 ,$609.57 ,$575.71 ,$38.23 ,$38.23 ,$38.23 ,$494.43 , N/A ,$602.80 ,$609.57 ,$609.57 ,$541.84 , N/A ,$372.52 ,$609.57 , N/A ,$609.57 , N/A ,$643.44 , N/A ,$623.12 ,$40.52 ,$616.34 , N/A ,$416.81 ,$436.18 ,$416.81 ,$609.57 ,$609.57 ,$505.47 ,$471.74 , N/A ,$40.14 ,$633.28 , N/A ,$38.23 ,$589.25 , N/A ,$609.57 , N/A ,$609.57 ,$609.57 ,$609.57 ,$656.98 ,$548.61 ,$609.57 ,$609.57 ,$609.57 ,$609.57