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Critical Access Hospital

Aspirus Eagle River Hospital

Eagle River, Wisconsin · Vilas County · Emergency services listed

Aspirus Eagle River Hospital is a critical access hospital at 201 Hospital Road, Eagle River, WI 54521. Phone: (715) 479-7411. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Aspirus Eagle River Hospital is a critical access hospital in Eagle River, Wisconsin. Medicare data lists emergency services. Its official website lists 12 services, specialties and programs. Medicare lists 107 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
12Services listed

Quick answers

Does Aspirus Eagle River Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Aspirus Eagle River Hospital. In a medical emergency, call 911.
Where is Aspirus Eagle River Hospital?
201 Hospital Road, Eagle River, WI 54521, in Vilas County, Wisconsin.
What is the phone number of Aspirus Eagle River Hospital?
(715) 479-7411, as listed by Medicare (CMS).
What is the Medicare star rating of Aspirus Eagle River Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4]

  • Cardiology
  • Cardiovascular Disease
  • Critical Care Medicine
  • Hospital Medicine
  • Infectious Disease
  • Orthopaedic Surgery
  • Pulmonary Disease
  • Surgery, General

Treatments[4]

Programs and centers[5]

  • Sexual Assault Treatment (SANE Program)

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes

Doctors and clinicians (107)

107 doctors and other clinicians list Aspirus Eagle River Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (107)

And 83 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Eagle River

Hospitals in Vilas County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Aspirus Eagle River Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Rated the hospital 9 or 10 out of 1084%National average: 72%
Would definitely recommend the hospital82%National average: 71%
Nurses “always” communicated well88%National average: 80%
Doctors “always” communicated well86%National average: 80%
“Always” got help as soon as they wanted84%National average: 64%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home97%National average: 86%
Room and bathroom “always” clean86%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys58Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart failure patients10.9%
Deaths within 30 days: pneumonia patients13.3%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)16.2%
Readmitted within 30 days: heart failure22%
Readmitted within 30 days: pneumonia18%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)90 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)92%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Aspirus Eagle River Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 87 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $31.98 – $133.73
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: $133.73
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Wisconsin Medicare Advantage Plans: $31.98
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $315 $204.75 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Office/Outpatient New Low Mdm $396 $257.40 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $540 $351 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Office/Outpatient New Moderate Mdm $541 $351.65 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Office/Outpatient New Moderate Mdm 45-59 Minutes $540 $351 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $146.41
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Wisconsin Medicaid Plans: $146.41
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $706 $458.90 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Office/Outpatient New High Mdm $750 $487.50 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $15.45 – $171.38
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: $171.38
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Wisconsin Medicaid Plans: $61.63
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: $127.10
  • Humana — Humana Medicare Ppo/Pos/Hmo Network Plans: $15.45
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Wisconsin Medicaid Plans: $67.01
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Wisconsin Medicare Advantage Plans: $153.43
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Medicare Advantage Plans: $60.96
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Wisconsin Medicaid Plans: $60.42
  • United Healthcare Of Wisconsin, Inc. — Va Community Care Network: $60.77
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $243 $157.95 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Office/Outpatient Established Low Mdm $268 $174.20 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $85.58 – $300.04
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: $300.04
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Medicare Advantage: $164
  • First Health Group Corp — First Health National Rental Ppo Network: $295.20
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Wisconsin Medicaid Plans: $88.15
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $256.91
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Medicare Advantage Plans: $125.68
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Wisconsin Medicaid Plans: $85.58
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $344 $223.60 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Office/Outpatient Established Mod Mdm $399 $259.35 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $496 $322.40 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $308 $200.20 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $496 $322.40 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $795 $516.75 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $493 $320.45 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $795 $516.75 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $426 $276.90 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $517 $336.05 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Preventive Visit, New, Age 40-64 $517 $336.05 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $26.96 – $371.52
Emergency room visit (moderate): 10 of 39 insurance plan rates
  • Aetna — Medicare Advantage Esa: $63.64
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: $291.12
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Hmo: $291.12
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: $277.26
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Traditional Network: $291.12
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: $291.12
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Access Ppo: $64.28
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Dual Hmo Snp: $64.28
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Plus Hmo: $64.28
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Medicare Advantage Plans: $64.28
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT LOW MDM $399 $259.35 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Emergency Level III $992 $644.80 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $45.63 – $624.96
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • Aetna — Medicare Advantage Esa: $108.26
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: $493.82
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: $447.91
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: $493.83
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Access Ppo: $109.34
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Dual Hmo Snp: $109.34
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Plus Hmo: $107.19
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Medicare Advantage Plans: $109.34
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Wisconsin Medicaid Plans: $46.54
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: $337.18
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT MODERATE MDM $672 $436.80 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Emergency Level IV $1,624 $1,055.60 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $66.18 – $875.93
Emergency room visit (high): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage Esa: $156.82
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: $716.04
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Hmo: $716.04
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: $651.95
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: $511.24
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Access Ppo: $159.38
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Dual Hmo Snp: $158.38
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Plus Hmo: $155.27
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Medicare Advantage Plans: $158.38
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Wisconsin Medicaid Plans: $67.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT HIGH MDM $949 $616.85 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Trauma 3 Activation W/O Pre-ED Notiification Lvl 1 -W/O Critical Care $2,256 $1,466.40 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $12.31 – $33.84
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $12.31
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $12.31
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $12.31
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $33.84
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: BASIC METABOLIC PANEL CALCIUM TOTAL $142 $92.30 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Metabolic Panel Total Ca $142 $92.30 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $13.65 – $42.24
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $13.65
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $13.65
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $13.65
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $42.24
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $175 $113.75 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Comprehen Metabolic Panel $175 $113.75 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $41.20 – $191.24
Obstetric blood test panel: rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $41.20
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $41.20
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $41.20
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $191.24
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL $487 $316.55 Not listed in the file
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Obstetric Panel $487 $316.55 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $18.08 – $53.56
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $18.08
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $18.08
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $18.08
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $53.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PANEL $165 $107.25 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Lipid Panel $165 $107.25 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $15.97 – $34.72
Kidney function panel: rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $15.97
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $15.97
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $15.97
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $34.72
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL $158 $102.70 Not listed in the file
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Renal Function Panel $158 $102.70 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $10.87 – $32.68
Liver function panel: rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $10.87
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $10.87
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $10.87
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $32.68
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL $157 $102.05 Not listed in the file
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Hepatic Function Panel $157 $102.05 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $10.30 – $12.68
Urine test (automated, with microscope): rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $10.30
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $10.30
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $10.30
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $12.68
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $62 $40.30 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Macro and Microscopic Beaker1 $62 $40.30 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $7.21 – $13.92
Urine test (manual, without microscope): rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $7.21
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $7.21
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $7.21
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $13.92
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $47 $30.55 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Urinalysis Nonauto W/O Scope $47 $30.55 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $6.08 – $9
Urine test (automated, without microscope): rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $6.08
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $6.08
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $6.08
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $9
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $47 $30.55 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick,Nonautomated (Clini $47 $30.55 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $39.14 – $73.56
PSA (prostate specific antigen) blood test: rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $39.14
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $39.14
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $39.14
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $73.56
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $182 $118.30 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Assay of Psa, Total $182 $118.30 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $28.02 – $67.20
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $28.02
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $28.02
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $28.02
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $67.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: ASSAY OF THYROID STIMULATING HORMONE TSH $173 $112.45 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Thyr Stimulating Horm $173 $112.45 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $10.56 – $31.08
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $10.56
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $10.56
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $10.56
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $31.08
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $123 $79.95 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Complete Cbc W/Auto Diff Wbc $123 $79.95 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $9.01 – $25.88
Complete blood count (CBC), automated: rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $9.01
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $9.01
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $9.01
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $25.88
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: BLOOD COUNT COMPLETE AUTOMATED $94 $61.10 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Complete Cbc, Automated $94 $61.10 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $8.24 – $17.16
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $8.24
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $8.24
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $8.24
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $17.16
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: PROTHROMBIN TIME $71 $46.15 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time Beaker1 $71 $46.15 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $8.96 – $24.04
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $8.96
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $8.96
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $8.96
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $24.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $100 $65 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Ptt, Partial Thromboplastin Beaker1 $100 $65 Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $34.93 – $404.16
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Group Health Cooperative Of Eau Claire — Group Health Wisconsin Medicaid Hmo: $43.64
  • Humana — Humana Medicare Ppo/Pos/Hmo Network Plans: $36.77
  • Multiplan, Inc — Aetna Health Plan Ppo Networks: $404.16
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Wisconsin Medicaid Plans: $44.06
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $232.08
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Medicare Advantage Plans: $34.93
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Wisconsin Medicaid Plans: $42.78
  • United Healthcare Of Wisconsin, Inc. — Va Community Care Network: $37.52
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O CONTRAST MATERIAL $2,403 $1,561.95 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac CT Head/Brain W/O Dye $1,982 $1,288.30 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $100.82
MRI of the brain, before and after contrast: rates for 1 insurance plan
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Medicare Advantage Plans: $100.82
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $8,565 $5,567.25 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Brain MRI Without and With Contrast $7,072 $4,596.80 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $9.69 – $16.72
Chest X-ray, 2 views: rates for 3 insurance plans
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Plus Hmo: $9.69
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Wisconsin Medicare Advantage Plans: $16.72
  • United Healthcare Of Wisconsin, Inc. — Va Community Care Network: $9.70
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: RADIOLOGIC EXAM CHEST 2 VIEWS $484 $314.60 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR CHEST 2 View $330 $214.50 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $550 $357.50 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Lumbar Spine,Min 4 Views $499 $324.35 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro X-Ray Exam of Lower Spine $173 $112.45 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $64.04 – $377.95
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: $377.95
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Medicare Advantage Plans: $64.04
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $5,504 $3,577.60 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: L Spine MRI Without Contrast $4,536 $2,948.40 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/CONTRAST MATERIAL $4,350 $2,827.50 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Pelvis CT Scan With Contrast $3,643 $2,367.95 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro CT Pelvis W/Dye $707 $459.55 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $4,966 $3,227.90 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Rt Joint Lower Ext MRI W/O Contrast $4,083 $2,653.95 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro MRI Jnt of Lwr Extre W/O Dye $883 $573.95 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $81.79 – $808.20
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: $692.19
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Hmo: $692.19
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: $627.84
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Plus Hmo: $81.93
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: $465.75
  • First Health Group Corp — First Health National Rental Ppo Network: $808.20
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Wisconsin Medicare Advantage Plans: $81.79
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: $525.90
  • United Healthcare Of Wisconsin, Inc. — Va Community Care Network: $81.96
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $5,834 $3,792.10 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abd Pelvis W/Contrast $4,936 $3,208.40 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $1,456 $946.40 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Abdomen Complete US $908 $590.20 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro US Exam, Abdom, Complete $548 $356.20 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $1,186 $770.90 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: OB Greater or Equal to 14wks US $746 $484.90 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro OB US >/= 14 Wks, Sngl Fetus $440 $286 Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $217.80
Transvaginal ultrasound: rates for 1 insurance plan
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: $217.80
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: US TRANSVAGINAL $1,051 $683.15 Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Transvaginal Non OB $685 $445.25 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $948 $616.20 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Mm Dm Rt Diag Post Procedure Images Wwo Cad-C $656 $426.40 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Diagnostic Mammography Computer-Aided Detcj Uni $292 $189.80 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $1,198 $778.70 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Diagnostic Mammography Computer-Aided Detcj Bi $837 $544.05 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Diagnostic Mammography Computer-Aided Detcj Bi $361 $234.65 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $29.20 – $192
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage Esa: $33.34
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: $183
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: $183
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: $192
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Access Ppo: $34.35
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Dual Hmo Snp: $34.33
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Mediblue Plus Hmo: $34.33
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Medicare Advantage Plans: $33.66
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: $141.03
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Medicare Advantage: $33.65
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $720 $468 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Screening Mammography Bi 2-View Breast Inc Cad $528 $343.20 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $237 $154.05 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $6,399 $4,159.35 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac L Hrt Cath W/Njx L Ventriculography Img S&I $10,499 $6,824.35 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $1,600 $1,040 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Compre Electrophysiologic W/O Arrhyt Induction $5,908 $3,840.20 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $2,989 $1,942.85 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $10,012 $6,507.80 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation $27,244 $17,708.60 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $89.32 – $403.92
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • Aetna — Medicare Advantage Esa: $89.32
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: $403.92
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $6,524 $4,240.60 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Polysomnography, 4 or More $5,244 $3,408.60 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $149 $96.85 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Therapeutic Exercises $149 $96.85 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $332 $215.80 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Physical Therapy Evaluation Low Complex $332 $215.80 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $346 $224.90 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Physical Therapy Evaluation Mod Complex $346 $224.90 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $422 $274.30 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Physical Therapy Evaluation High Complex $422 $274.30 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES $282 $183.30 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Psychotherapy W/Patient 30 Minutes $119 $77.35 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Psychotherapy W/Patient 30 Minutes $282 $183.30 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $77.18
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Wisconsin Medicaid Plans: $77.18
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY W/PATIENT 45 MINUTES $375 $243.75 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Psychotherapy W/Patient 45 Minutes $157 $102.05 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY W/PATIENT 60 MINUTES $563 $365.95 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Psychotherapy W/Patient 60 Minutes $235 $152.75 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Psychotherapy W/Patient 60 Minutes $563 $365.95 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $453 $294.45 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Family Psychotherapy W/O Patient Present 50 Mins $281 $182.65 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Family Psychotherapy W/O Patient Present 50 Mins $453 $294.45 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $471 $306.15 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Family Psychotherapy W/Patient Present 50 Mins $292 $189.80 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Family Psychotherapy W/Patient Present 50 Mins $471 $306.15 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY $131 $85.15 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Grp Psyctx Pbb $48 $31.20 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $3,312 $2,152.80 Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Exc Cyst/Aberrant Breast Tissue Open 1/> Les $3,312 $2,152.80 Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Pro Exc Cyst/Aberrant Breast Tissue Open 1/> Les|BILATERAL PROCEDURE $4,968 $3,229.20 Not listed in the file
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $10,266 $6,672.90 Not listed in the file
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $10,266 $6,672.90 Not listed in the file
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Pro Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|BILATERAL PROCEDURE $15,399 $10,009.35 Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $10,521 $6,838.65 Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Arthrp Kne Condyle&Platu Medial&Lat Cmprts $10,521 $6,838.65 Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Pro Arthrp Kne Condyle&Platu Medial&Lat Cmprts|BILATERAL PROCEDURE $15,781.50 $10,257.98 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $4,027 $2,617.55 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Shoulder Scope, Bone Shaving $4,027 $2,617.55 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG $4,387 $2,851.55 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg $4,387 $2,851.55 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Pro Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|BILATERAL PROCEDURE $6,580.50 $4,277.32 Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $2,381 $1,547.65 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,107 $1,369.55 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Esophagogastroduodenoscopy Transoral Diagnostic $2,226 $1,446.90 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Esophagogastroduodenoscopy Transoral Diagnostic $2,107 $1,369.55 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $2,434 $1,582.10 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Egd Transoral Biopsy Single/Multiple $2,432 $1,580.80 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Egd Transoral Biopsy Single/Multiple $2,434 $1,582.10 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $2,778 $1,805.70 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Colonoscopy Flx Dx W/Collj Spec When Pfrmd $2,958 $1,922.70 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Colonoscopy Flx Dx W/Collj Spec When Pfrmd $2,778 $1,805.70 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $748
Colonoscopy with biopsy: rates for 1 insurance plan
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: $748
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $3,319 $2,157.35 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Colonoscopy W/Biopsy Single/Multiple $3,219 $2,092.35 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $3,730 $2,424.50 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $3,897 $2,533.05 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $3,730 $2,424.50 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux $3,849 $2,501.85 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: COLON CA SCRN NOT HI RSK IND $1,990 $1,293.50 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Colonoscopy Ca Scrn Not Hi Rsk Ind $2,958 $1,922.70 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Colonoscopy Ca Scrn Not Hi Rsk Ind $1,990 $1,293.50 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY $6,236 $4,053.40 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Laparoscopic Cholecystectomy $14,232 $9,250.80 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Laparoscopic Cholecystectomy $6,236 $4,053.40 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: R1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $4,163 $2,705.95 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Prp I/Hern Init Reduc >5 Yr $10,850 $7,052.50 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Prp I/Hern Init Reduc >5 Yr $4,163 $2,705.95 Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PROSTATE NEEDLE BIOPSY ANY APPROACH $1,460 $949 Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Biopsy of Prostate $2,349 $1,526.85 Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Biopsy of Prostate $1,460 $949 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING $9,908 $6,440.20 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $8,956 $5,821.40 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Hystsc Bx Endometrium&/Polypc +-D&C $5,553 $3,609.45 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Hystsc Bx Endometrium&/Polypc +-D&C $8,956 $5,821.40 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $846 $549.90 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $2,006 $1,303.90 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $846 $549.90 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $1,046 $679.90 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Transfor Epidural L/S Single Lvl-CT $1,645 $1,069.25 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $1,046 $679.90 Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $2,865 $1,862.25 Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Carpal Tunnel Surgery $2,865 $1,862.25 Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Pro Carpal Tunnel Surgery|BILATERAL PROCEDURE $4,297.50 $2,793.38 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: POST-CATARACT LASER SURGERY $2,963 $1,925.95 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac Post-Cataract Laser Surgery $1,808 $1,175.20 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Post-Cataract Laser Surgery $2,963 $1,925.95 Not listed in the file
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $7,113 $4,623.45 Not listed in the file
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: Pro Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp $7,113 $4,623.45 Not listed in the file

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $7,524 $4,890.60 Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $8,912 $5,792.80 Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $8,530 $5,544.50 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $203,482.24
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $203,482.24
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $203,482.24
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $203,482.24
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Hmo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: 87% (a percentage in the contract, not a dollar amount)
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: 78.16% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Ppo And Open Access Plus Benefit Plans: 83.1% (a percentage in the contract, not a dollar amount)
  • Multiplan, Inc — Aetna Health Plan Ppo Networks: 96% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file Not listed in the file
Spinal fusion (not neck), without major complications: rates for 8 insurance plans
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Hmo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: 87% (a percentage in the contract, not a dollar amount)
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: 78.16% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Ppo And Open Access Plus Benefit Plans: 83.1% (a percentage in the contract, not a dollar amount)
  • Multiplan, Inc — Aetna Health Plan Ppo Networks: 96% (a percentage in the contract, not a dollar amount)
  • United Healthcare Of Wisconsin, Inc. — United Healthcare Hmo/Ppo/Pos/Epo Networks: 85.4% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $40,121.12
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $40,121.12
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $40,121.12
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $40,121.12
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Hmo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: 87% (a percentage in the contract, not a dollar amount)
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: 78.16% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Ppo And Open Access Plus Benefit Plans: 83.1% (a percentage in the contract, not a dollar amount)
  • Multiplan, Inc — Aetna Health Plan Ppo Networks: 96% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $50,779.04
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $50,779.04
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $50,779.04
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $50,779.04
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Hmo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: 87% (a percentage in the contract, not a dollar amount)
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: 78.16% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Ppo And Open Access Plus Benefit Plans: 83.1% (a percentage in the contract, not a dollar amount)
  • Multiplan, Inc — Aetna Health Plan Ppo Networks: 96% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $25,806.56
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Hmo Plans: $25,806.56
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Indemnity Plans: $25,806.56
  • Security Health Plan Of Wisconsin, Inc. — Security Health Plan Pos Plans: $25,806.56
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Access Ppo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Hmo: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Blue Preferred Pos: 87% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross Blue Shield Wisconsin — Anthem Federal Employee Program: 87% (a percentage in the contract, not a dollar amount)
  • Aspirus Health Plan, Inc. — Aspirus Health Plan Hmo/Pos: 78.16% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Ppo And Open Access Plus Benefit Plans: 83.1% (a percentage in the contract, not a dollar amount)
  • Multiplan, Inc — Aetna Health Plan Ppo Networks: 96% (a percentage in the contract, not a dollar amount)

Source: Aspirus Eagle River Hospital’s standard charges file (aspirus.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (aspirus.org), because the hospital has no cms-hpt.txt file; both are required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeCritical Access Hospital
Address201 Hospital Road, Eagle River, WI 54521
CountyVilas County
StateWisconsin
Phone(715) 479‑7411
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number521300
Name in Medicare recordsASPIRUS EAGLE RIVER HOSPITAL
Profile levelMedicare data + hospital website
Official websitelocations.aspirus.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Aspirus Eagle River Hospital — locations.aspirus.org
  2. Aspirus Eagle River Hospital - Emergency Department — locations.aspirus.org