Does Flambeau Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Flambeau Hospital. In a medical emergency, call 911.

Where is Flambeau Hospital?

98 Sherry Ave, Park Falls, WI 54552, in Price County, Wisconsin.

What is the phone number of Flambeau Hospital?

(715) 762-7500, as listed by Medicare (CMS).

What is the Medicare star rating of Flambeau Hospital?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Flambeau Hospital — Phone, Address, ER & Ratings

Quick answers

Does Flambeau Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Flambeau Hospital. In a medical emergency, call 911.
Where is Flambeau Hospital?: 98 Sherry Ave, Park Falls, WI 54552, in Price County, Wisconsin.
What is the phone number of Flambeau Hospital?: (715) 762-7500, as listed by Medicare (CMS).
What is the Medicare star rating of Flambeau Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^[4]

Treatments^[4]

Chemotherapy

Procedures^[4]

Outpatient surgical services
Imaging and lab services
Mammography

Programs and centers^[4]

Pharmacy remote dispensing

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Recognition^[4]

Critical Access Hospital, certified by the State of Wisconsin

Doctors and clinicians (129)

129 doctors and other clinicians list Flambeau 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

And 105 more: the button below opens the full list.

Other emergency rooms nearby

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

Marshfield Medical Center - Minocqua35 mi · Minocqua, WI · Acute Care Hospital
Howard Young Medical Center36 mi · Woodruff, WI · Acute Care Hospital
Tamarack Health Hayward Medical Center40 mi · Hayward, WI · Critical Access Hospital
Aspirus Ironwood Hospital41 mi · Ironwood, MI · Critical Access Hospital
Aspirus Tomahawk Hospital46 mi · Tomahawk, WI · Critical Access Hospital

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

Other hospitals near Park Falls

Marshfield Medical Center - Ladysmith46 mi · Ladysmith, WI · Critical Access Hospital

Hospitals in Price 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

Park Manor Ltd0.3 mi · Park Falls, WI · 4 of 5 stars

All nursing homes 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

Family Health Center - Park Falls Dental Center0.0 mi · Park Falls, WI · Community health center
NorthLakes- Park Falls0.4 mi · Park Falls, WI · Community health center
Family Health Center Mercer Center25 mi · Mercer, WI · Community health center

Clinics and urgent care

Marshfield Medical Center - Park Falls Clinic7.2 mi · Park Falls, WI · Rural health clinic
Aspirus Phillips Clinic12 mi · Phillips, WI · Rural health clinic
Marshfield Clinic Phillips Center12 mi · Phillips, WI · Rural health clinic

Pharmacies

Flambeau Hospital Inc7.2 mi · Park Falls, WI · Community/retail pharmacy

Assisted living nearby

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

The Waterford at Park Falls7.2 mi · Park Falls, WI
Aspirus Pleasant View Regency House12 mi · Phillips, WI
Lakeside Villa Business LLC12 mi · Phillips, WI

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 Flambeau 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.

Summary star rating (all survey topics)	5 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Patients got help quickly from staff	5 of 5 stars
Staff explained medicines	5 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	5 of 5 stars
Care Coordination	5 of 5 stars
Symptoms After Stay	5 of 5 stars
Rated the hospital 9 or 10 out of 10	87%National average: 72%
Would definitely recommend the hospital	85%National average: 71%
Nurses “always” communicated well	92%National average: 80%
Doctors “always” communicated well	90%National average: 80%
“Always” got help as soon as they wanted	84%National average: 64%
Staff “always” explained medicines before giving them	82%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	94%National average: 73%
Completed surveys	127Response rate: 46%

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: pneumonia patients	16.5%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure 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)	16.4%
Readmitted within 30 days: heart failure	22%
Readmitted within 30 days: pneumonia	18.7%
Readmitted within 30 days: COPD	20.3%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack

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)	100 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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.

ER wait times in Wisconsin Best hospitals in Wisconsin

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Flambeau 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 →

$ 210 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 58 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 3 TECH	$257	$244.15	$0.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $250.32
New patient office visit (about 30–44 minutes): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $141.35 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $228.73 Anthem BCBS of WI — Medicare Advantage: $0.98 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $239.01 CORVEL — Third Party: $244.15 Coventry — Workers Comp: $246.72 Family Health Center (FHC) — Prepaid Health Svcs: $192.75 First Health — PPO Network: $244.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $244.15 Group Health Cooperative of Eau Claire — ETF - River Region: $210.74
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 3 TECH	$257	$244.15	$141.35 – $250.32
New patient office visit (about 30–44 minutes): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $141.35 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $228.73 Cigna — PPO: $239.01 CORVEL — Third Party: $244.15 Coventry — Workers Comp: $246.72 First Health — PPO Network: $244.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $244.15 Group Health Cooperative of Eau Claire — ETF - River Region: $210.74 Health Partners — PPO: $244.15 Health Smart — PPO Network: $246.72
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: VISIT NEW PAT LEVEL 3-TECH	$106	$100.70	$0.39 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $103.24
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $58.30 Anthem BCBS of WI — Medicare Advantage: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $100.70 Coventry — Workers Comp: $101.76 Family Health Center (FHC) — Prepaid Health Svcs: $79.50 First Health — PPO Network: $100.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $100.70 Group Health Cooperative of Eau Claire — ETF - River Region: $86.92 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $100.70
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 4 TECH	$377	$358.15	$1.39 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $367.20
New patient office visit (about 45–59 minutes): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $207.35 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $335.53 Anthem BCBS of WI — Medicare Advantage: $1.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $350.61 CORVEL — Third Party: $358.15 Coventry — Workers Comp: $361.92 Family Health Center (FHC) — Prepaid Health Svcs: $282.75 First Health — PPO Network: $358.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $358.15 Group Health Cooperative of Eau Claire — ETF - River Region: $309.14
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT NEW PAT LEVEL 4-TECH	$156	$148.20	$0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $151.94
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $85.80 Anthem BCBS of WI — Medicare Advantage: $0.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $148.20 Coventry — Workers Comp: $149.76 Family Health Center (FHC) — Prepaid Health Svcs: $117 First Health — PPO Network: $148.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $148.20 Group Health Cooperative of Eau Claire — ETF - River Region: $127.92 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $148.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 4 TECH	$377	$358.15	$207.35 – $367.20
New patient office visit (about 45–59 minutes): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $207.35 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $335.53 Cigna — PPO: $350.61 CORVEL — Third Party: $358.15 Coventry — Workers Comp: $361.92 First Health — PPO Network: $358.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $358.15 Group Health Cooperative of Eau Claire — ETF - River Region: $309.14 Health Partners — PPO: $358.15 Health Smart — PPO Network: $361.92
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 5 TECH	$494	$469.30	$1.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $481.16
New patient office visit (about 60–74 minutes): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $271.70 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $439.66 Anthem BCBS of WI — Medicare Advantage: $1.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $459.42 CORVEL — Third Party: $469.30 Coventry — Workers Comp: $474.24 Family Health Center (FHC) — Prepaid Health Svcs: $370.50 First Health — PPO Network: $469.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $469.30 Group Health Cooperative of Eau Claire — ETF - River Region: $405.08
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT NEW PAT LEVEL 5-TECH	$204	$193.80	$0.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $198.70
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Anthem BCBS of WI — Medicare Advantage: $0.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $153 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $193.80 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $193.80
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 5 TECH	$494	$469.30	$271.70 – $481.16
New patient office visit (about 60–74 minutes): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $271.70 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $439.66 Cigna — PPO: $459.42 CORVEL — Third Party: $469.30 Coventry — Workers Comp: $474.24 First Health — PPO Network: $469.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $469.30 Group Health Cooperative of Eau Claire — ETF - River Region: $405.08 Health Partners — PPO: $469.30 Health Smart — PPO Network: $474.24
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT EST, LEVEL 3 TECH	$139	$132.05	$0.51 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $135.39
Established patient office visit (about 20–29 minutes): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $76.45 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $123.71 Anthem BCBS of WI — Medicare Advantage: $0.53 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $129.27 CORVEL — Third Party: $132.05 Coventry — Workers Comp: $133.44 Family Health Center (FHC) — Prepaid Health Svcs: $104.25 First Health — PPO Network: $132.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $132.05 Group Health Cooperative of Eau Claire — ETF - River Region: $113.98
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT EST PAT LEVEL 3-TECH	$66	$62.70	$0.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $64.28
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $36.30 Anthem BCBS of WI — Medicare Advantage: $0.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $62.70 Coventry — Workers Comp: $63.36 Family Health Center (FHC) — Prepaid Health Svcs: $49.50 First Health — PPO Network: $62.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $62.70 Group Health Cooperative of Eau Claire — ETF - River Region: $54.12 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $62.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SUBSEQUENT ANTEPARTUM CARE-TECH	$66	$62.70	$0.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $64.28
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $36.30 Anthem BCBS of WI — Medicare Advantage: $0.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $62.70 Coventry — Workers Comp: $63.36 Family Health Center (FHC) — Prepaid Health Svcs: $49.50 First Health — PPO Network: $62.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $62.70 Group Health Cooperative of Eau Claire — ETF - River Region: $54.12 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $62.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT, LEVEL 4 EST TECH	$210	$199.50	$0.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $204.54
Established patient office visit (about 30–39 minutes): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $115.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $186.90 Anthem BCBS of WI — Medicare Advantage: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $195.30 CORVEL — Third Party: $199.50 Coventry — Workers Comp: $201.60 Family Health Center (FHC) — Prepaid Health Svcs: $157.50 First Health — PPO Network: $199.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $199.50 Group Health Cooperative of Eau Claire — ETF - River Region: $172.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT EST PAT LEVEL 4-TECH	$100	$95	$0.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $97.40
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $55 Anthem BCBS of WI — Medicare Advantage: $0.38 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $95 Coventry — Workers Comp: $96 Family Health Center (FHC) — Prepaid Health Svcs: $75 First Health — PPO Network: $95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $95 Group Health Cooperative of Eau Claire — ETF - River Region: $82 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.39 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $95
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT, LEVEL 4 EST TECH	$210	$199.50	$115.50 – $204.54
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $115.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $186.90 Cigna — PPO: $195.30 CORVEL — Third Party: $199.50 Coventry — Workers Comp: $201.60 First Health — PPO Network: $199.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $199.50 Group Health Cooperative of Eau Claire — ETF - River Region: $172.20 Health Partners — PPO: $199.50 Health Smart — PPO Network: $201.60
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT OP CONSULT LEVEL 3-TECH	$151	$143.45	$0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $147.07
Office consultation with a specialist (moderate): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 Family Health Center (FHC) — Prepaid Health Svcs: $113.25 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $143.45 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $143.45
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 3 ESTAB - BASED ON COMPONENT-TECH	$151	$143.45	$0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $147.07
Office consultation with a specialist (moderate): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 Family Health Center (FHC) — Prepaid Health Svcs: $113.25 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $143.45 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $143.45
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 3 NEW - BASED ON TIME 99243-TECH	$151	$143.45	$0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $147.07
Office consultation with a specialist (moderate): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 Family Health Center (FHC) — Prepaid Health Svcs: $113.25 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $143.45 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $143.45
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT OP CONSULT LEVEL 4-TECH	$204	$193.80	$0.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $198.70
Office consultation with a specialist (moderate to high): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Anthem BCBS of WI — Medicare Advantage: $0.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $153 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $193.80 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $193.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 4 ESTAB - BASED ON COMPONENTS-TECH	$204	$193.80	$0.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $198.70
Office consultation with a specialist (moderate to high): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Anthem BCBS of WI — Medicare Advantage: $0.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $153 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $193.80 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $193.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 4 ESTAB - BASED ON TIME 99244-TECH	$204	$193.80	$0.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $198.70
Office consultation with a specialist (moderate to high): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Anthem BCBS of WI — Medicare Advantage: $0.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $153 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $193.80 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $193.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 18-39-TECH	$147	$139.65	$0.54 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $143.18
Preventive checkup, new patient, age 18–39: 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $80.85 Anthem BCBS of WI — Medicare Advantage: $0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $139.65 Coventry — Workers Comp: $141.12 Family Health Center (FHC) — Prepaid Health Svcs: $110.25 First Health — PPO Network: $139.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $139.65 Group Health Cooperative of Eau Claire — ETF - River Region: $120.54 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $139.65
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 18-39-TECH	$147	$139.65	$80.85 – $143.18
Preventive checkup, new patient, age 18–39: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $80.85 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $130.83 Cigna — PPO: $136.71 CORVEL — Third Party: $139.65 Coventry — Workers Comp: $141.12 First Health — PPO Network: $139.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $139.65 Group Health Cooperative of Eau Claire — ETF - River Region: $120.54 Health Partners — PPO: $139.65 Health Smart — PPO Network: $141.12
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 40-64-TECH	$159	$151.05	$0.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $154.87
Preventive checkup, new patient, age 40–64: 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $87.45 Anthem BCBS of WI — Medicare Advantage: $0.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $151.05 Coventry — Workers Comp: $152.64 Family Health Center (FHC) — Prepaid Health Svcs: $119.25 First Health — PPO Network: $151.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $151.05 Group Health Cooperative of Eau Claire — ETF - River Region: $130.38 Group Health Cooperative of Eau Claire — Medicare Advantage: $0.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $151.05
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 40-64-TECH	$159	$151.05	$87.45 – $154.87
Preventive checkup, new patient, age 40–64: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $87.45 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $141.51 Cigna — PPO: $147.87 CORVEL — Third Party: $151.05 Coventry — Workers Comp: $152.64 First Health — PPO Network: $151.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $151.05 Group Health Cooperative of Eau Claire — ETF - River Region: $130.38 Health Partners — PPO: $151.05 Health Smart — PPO Network: $152.64
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3-TECH	$977	$928.15	$3.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $951.60
Emergency room visit (moderate): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $537.35 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $869.53 Anthem BCBS of WI — Medicare Advantage: $3.71 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $908.61 CORVEL — Third Party: $928.15 Coventry — Workers Comp: $937.92 Family Health Center (FHC) — Prepaid Health Svcs: $732.75 First Health — PPO Network: $928.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $928.15 Group Health Cooperative of Eau Claire — ETF - River Region: $801.14
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3-TECH	$977	$928.15	$537.35 – $951.60
Emergency room visit (moderate): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $537.35 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $869.53 Cigna — PPO: $908.61 CORVEL — Third Party: $928.15 Coventry — Workers Comp: $937.92 First Health — PPO Network: $928.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $928.15 Group Health Cooperative of Eau Claire — ETF - River Region: $801.14 Health Partners — PPO: $928.15 Health Smart — PPO Network: $937.92
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4-TECH	$1,323	$1,256.85	$4.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,288.60
Emergency room visit (moderately high): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $727.65 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,177.47 Anthem BCBS of WI — Medicare Advantage: $5.03 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $1,230.39 CORVEL — Third Party: $1,256.85 Coventry — Workers Comp: $1,270.08 Family Health Center (FHC) — Prepaid Health Svcs: $992.25 First Health — PPO Network: $1,256.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,256.85 Group Health Cooperative of Eau Claire — ETF - River Region: $1,084.86
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4-TECH	$1,323	$1,256.85	$727.65 – $1,288.60
Emergency room visit (moderately high): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $727.65 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,177.47 Cigna — PPO: $1,230.39 CORVEL — Third Party: $1,256.85 Coventry — Workers Comp: $1,270.08 First Health — PPO Network: $1,256.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,256.85 Group Health Cooperative of Eau Claire — ETF - River Region: $1,084.86 Health Partners — PPO: $1,256.85 Health Smart — PPO Network: $1,270.08
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5-TECH	$2,010	$1,909.50	$7.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,957.74
Emergency room visit (high): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,105.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,788.90 Anthem BCBS of WI — Medicare Advantage: $7.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $1,869.30 CORVEL — Third Party: $1,909.50 Coventry — Workers Comp: $1,929.60 Family Health Center (FHC) — Prepaid Health Svcs: $1,507.50 First Health — PPO Network: $1,909.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,909.50 Group Health Cooperative of Eau Claire — ETF - River Region: $1,648.20
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5-TECH	$2,010	$1,909.50	$1,105.50 – $1,957.74
Emergency room visit (high): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,105.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,788.90 Cigna — PPO: $1,869.30 CORVEL — Third Party: $1,909.50 Coventry — Workers Comp: $1,929.60 First Health — PPO Network: $1,909.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,909.50 Group Health Cooperative of Eau Claire — ETF - River Region: $1,648.20 Health Partners — PPO: $1,909.50 Health Smart — PPO Network: $1,929.60

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL W TOTAL CA-TECH	$93	$88.35	$0.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $90.58
Basic metabolic panel (blood test): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $52.88 Anthem BCBS of WI — Medicare Advantage: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $86.49 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28 Family Health Center (FHC) — Prepaid Health Svcs: $69.75 First Health — PPO Network: $88.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $88.35 Group Health Cooperative of Eau Claire — ETF - River Region: $76.26
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL W TOTAL CA-TECH	$93	$88.35	$51.15 – $90.58
Basic metabolic panel (blood test): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $82.77 Cigna — PPO: $86.49 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28 First Health — PPO Network: $88.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $88.35 Group Health Cooperative of Eau Claire — ETF - River Region: $76.26 Health Partners — PPO: $88.35 Health Smart — PPO Network: $89.28
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPR METABOLIC PANEL-TECH	$118	$112.10	$0.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $114.93
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $64.90 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $66 Anthem BCBS of WI — Medicare Advantage: $0.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $109.74 CORVEL — Third Party: $112.10 Coventry — Workers Comp: $113.28 Family Health Center (FHC) — Prepaid Health Svcs: $88.50 First Health — PPO Network: $112.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $112.10 Group Health Cooperative of Eau Claire — ETF - River Region: $96.76
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPR METABOLIC PANEL-TECH	$118	$112.10	$64.90 – $114.93
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $64.90 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $105.02 Cigna — PPO: $109.74 CORVEL — Third Party: $112.10 Coventry — Workers Comp: $113.28 First Health — PPO Network: $112.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $112.10 Group Health Cooperative of Eau Claire — ETF - River Region: $96.76 Health Partners — PPO: $112.10 Health Smart — PPO Network: $113.28
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL-TECH	$149	$141.55	$0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $145.13
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $83.69 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $111.75 First Health — PPO Network: $141.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $141.55 Group Health Cooperative of Eau Claire — ETF - River Region: $122.18
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL-TECH	$149	$141.55	$81.95 – $145.13
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $132.61 Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 First Health — PPO Network: $141.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $141.55 Group Health Cooperative of Eau Claire — ETF - River Region: $122.18 Health Partners — PPO: $141.55 Health Smart — PPO Network: $143.04
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL-TECH	$98	$93.10	$0.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $95.45
Kidney function panel: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $53.90 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $54.25 Anthem BCBS of WI — Medicare Advantage: $0.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $91.14 CORVEL — Third Party: $93.10 Coventry — Workers Comp: $94.08 Family Health Center (FHC) — Prepaid Health Svcs: $73.50 First Health — PPO Network: $93.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $93.10 Group Health Cooperative of Eau Claire — ETF - River Region: $80.36
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL-TECH	$98	$93.10	$53.90 – $95.45
Kidney function panel: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $53.90 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $87.22 Cigna — PPO: $91.14 CORVEL — Third Party: $93.10 Coventry — Workers Comp: $94.08 First Health — PPO Network: $93.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $93.10 Group Health Cooperative of Eau Claire — ETF - River Region: $80.36 Health Partners — PPO: $93.10 Health Smart — PPO Network: $94.08
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL-TECH	$93	$88.35	$0.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $90.58
Liver function panel: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $51.06 Anthem BCBS of WI — Medicare Advantage: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $86.49 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28 Family Health Center (FHC) — Prepaid Health Svcs: $69.75 First Health — PPO Network: $88.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $88.35 Group Health Cooperative of Eau Claire — ETF - River Region: $76.26
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL-TECH	$93	$88.35	$51.15 – $90.58
Liver function panel: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $82.77 Cigna — PPO: $86.49 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28 First Health — PPO Network: $88.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $88.35 Group Health Cooperative of Eau Claire — ETF - River Region: $76.26 Health Partners — PPO: $88.35 Health Smart — PPO Network: $89.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W MICRO-TECH	$42	$39.90	$0.16 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $40.91
Urine test (automated, with microscope): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $23.10 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $19.81 Anthem BCBS of WI — Medicare Advantage: $0.16 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $39.06 CORVEL — Third Party: $39.90 Coventry — Workers Comp: $40.32 Family Health Center (FHC) — Prepaid Health Svcs: $31.50 First Health — PPO Network: $39.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $39.90 Group Health Cooperative of Eau Claire — ETF - River Region: $34.44
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W MICRO-TECH	$42	$39.90	$23.10 – $40.91
Urine test (automated, with microscope): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $23.10 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $37.38 Cigna — PPO: $39.06 CORVEL — Third Party: $39.90 Coventry — Workers Comp: $40.32 First Health — PPO Network: $39.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $39.90 Group Health Cooperative of Eau Claire — ETF - River Region: $34.44 Health Partners — PPO: $39.90 Health Smart — PPO Network: $40.32
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NON AUTO WO MICRO-TECH	$36	$34.20	$0.13 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $35.06
Urine test (manual, without microscope): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $19.80 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $21.75 Anthem BCBS of WI — Medicare Advantage: $0.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $33.48 CORVEL — Third Party: $34.20 Coventry — Workers Comp: $34.56 Family Health Center (FHC) — Prepaid Health Svcs: $27 First Health — PPO Network: $34.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $34.20 Group Health Cooperative of Eau Claire — ETF - River Region: $29.52
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIP-POC	$33	$31.35	$0.12 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $32.14
Urine test (manual, without microscope): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $18.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $21.75 Anthem BCBS of WI — Medicare Advantage: $0.13 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $30.69 CORVEL — Third Party: $31.35 Coventry — Workers Comp: $31.68 Family Health Center (FHC) — Prepaid Health Svcs: $24.75 First Health — PPO Network: $31.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $31.35 Group Health Cooperative of Eau Claire — ETF - River Region: $27.06
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONCOLOGY PROTEIN URINE SCREEN	$36	$34.20	$0.13 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $35.06
Urine test (manual, without microscope): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $19.80 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $21.75 Anthem BCBS of WI — Medicare Advantage: $0.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $33.48 CORVEL — Third Party: $34.20 Coventry — Workers Comp: $34.56 Family Health Center (FHC) — Prepaid Health Svcs: $27 First Health — PPO Network: $34.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $34.20 Group Health Cooperative of Eau Claire — ETF - River Region: $29.52
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WO MICROSCOPY-TECH	$31	$29.45	$0.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30.19
Urine test (automated, without microscope): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $14.06 Anthem BCBS of WI — Medicare Advantage: $0.12 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $28.83 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76 Family Health Center (FHC) — Prepaid Health Svcs: $23.25 First Health — PPO Network: $29.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $29.45 Group Health Cooperative of Eau Claire — ETF - River Region: $25.42
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ALBUMIN LEVEL URINE-TECH	$31	$29.45	$0.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30.19
Urine test (automated, without microscope): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $14.06 Anthem BCBS of WI — Medicare Advantage: $0.12 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $28.83 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76 Family Health Center (FHC) — Prepaid Health Svcs: $23.25 First Health — PPO Network: $29.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $29.45 Group Health Cooperative of Eau Claire — ETF - River Region: $25.42
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA BY DIP OR TABLET FOR BILI-TECH	$31	$29.45	$0.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30.19
Urine test (automated, without microscope): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $14.06 Anthem BCBS of WI — Medicare Advantage: $0.12 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $28.83 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76 Family Health Center (FHC) — Prepaid Health Svcs: $23.25 First Health — PPO Network: $29.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $29.45 Group Health Cooperative of Eau Claire — ETF - River Region: $25.42
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL-TECH	$209	$198.55	$0.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $203.57
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $114.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $114.94 Anthem BCBS of WI — Medicare Advantage: $0.79 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $194.37 CORVEL — Third Party: $198.55 Coventry — Workers Comp: $200.64 Family Health Center (FHC) — Prepaid Health Svcs: $156.75 First Health — PPO Network: $198.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $198.55 Group Health Cooperative of Eau Claire — ETF - River Region: $171.38
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA TOTAL-TECH	$209	$198.55	$114.95 – $203.57
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $114.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $186.01 Cigna — PPO: $194.37 CORVEL — Third Party: $198.55 Coventry — Workers Comp: $200.64 First Health — PPO Network: $198.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $198.55 Group Health Cooperative of Eau Claire — ETF - River Region: $171.38 Health Partners — PPO: $198.55 Health Smart — PPO Network: $200.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE-TECH	$182	$172.90	$0.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $177.27
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.10 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $105 Anthem BCBS of WI — Medicare Advantage: $0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $169.26 CORVEL — Third Party: $172.90 Coventry — Workers Comp: $174.72 Family Health Center (FHC) — Prepaid Health Svcs: $136.50 First Health — PPO Network: $172.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $172.90 Group Health Cooperative of Eau Claire — ETF - River Region: $149.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID DIAGNOSTIC CASCADE-TECH	$183	$173.85	$0.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $178.24
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.65 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $105 Anthem BCBS of WI — Medicare Advantage: $0.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $170.19 CORVEL — Third Party: $173.85 Coventry — Workers Comp: $175.68 Family Health Center (FHC) — Prepaid Health Svcs: $137.25 First Health — PPO Network: $173.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $173.85 Group Health Cooperative of Eau Claire — ETF - River Region: $150.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE-TECH	$182	$172.90	$100.10 – $177.27
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.10 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $161.98 Cigna — PPO: $169.26 CORVEL — Third Party: $172.90 Coventry — Workers Comp: $174.72 First Health — PPO Network: $172.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $172.90 Group Health Cooperative of Eau Claire — ETF - River Region: $149.24 Health Partners — PPO: $172.90 Health Smart — PPO Network: $174.72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W AUTO DIFF-TECH	$85	$80.75	$0.31 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $82.79
Complete blood count (CBC) with differential: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $46.75 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $48.56 Anthem BCBS of WI — Medicare Advantage: $0.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $79.05 CORVEL — Third Party: $80.75 Coventry — Workers Comp: $81.60 Family Health Center (FHC) — Prepaid Health Svcs: $63.75 First Health — PPO Network: $80.75 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $80.75 Group Health Cooperative of Eau Claire — ETF - River Region: $69.70
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W AUTO DIFF-TECH	$85	$80.75	$46.75 – $82.79
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $46.75 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $75.65 Cigna — PPO: $79.05 CORVEL — Third Party: $80.75 Coventry — Workers Comp: $81.60 First Health — PPO Network: $80.75 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $80.75 Group Health Cooperative of Eau Claire — ETF - River Region: $69.70 Health Partners — PPO: $80.75 Health Smart — PPO Network: $81.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO WO DIFF-TECH	$70	$66.50	$0.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $68.18
Complete blood count (CBC), automated: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $38.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $40.44 Anthem BCBS of WI — Medicare Advantage: $0.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $65.10 CORVEL — Third Party: $66.50 Coventry — Workers Comp: $67.20 Family Health Center (FHC) — Prepaid Health Svcs: $52.50 First Health — PPO Network: $66.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $66.50 Group Health Cooperative of Eau Claire — ETF - River Region: $57.40
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC AUTO WO DIFF-TECH	$70	$66.50	$38.50 – $68.18
Complete blood count (CBC), automated: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $38.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $62.30 Cigna — PPO: $65.10 CORVEL — Third Party: $66.50 Coventry — Workers Comp: $67.20 First Health — PPO Network: $66.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $66.50 Group Health Cooperative of Eau Claire — ETF - River Region: $57.40 Health Partners — PPO: $66.50 Health Smart — PPO Network: $67.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME-TECH	$45	$42.75	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $43.83
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $26.81 Anthem BCBS of WI — Medicare Advantage: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $41.85 CORVEL — Third Party: $42.75 Coventry — Workers Comp: $43.20 Family Health Center (FHC) — Prepaid Health Svcs: $33.75 First Health — PPO Network: $42.75 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $42.75 Group Health Cooperative of Eau Claire — ETF - River Region: $36.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ANTIPHOSPHOLIPID SYNDROME-TECH	$45	$42.75	$0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $43.83
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $26.81 Anthem BCBS of WI — Medicare Advantage: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $41.85 CORVEL — Third Party: $42.75 Coventry — Workers Comp: $43.20 Family Health Center (FHC) — Prepaid Health Svcs: $33.75 First Health — PPO Network: $42.75 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $42.75 Group Health Cooperative of Eau Claire — ETF - River Region: $36.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME-TECH	$45	$42.75	$24.75 – $43.83
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $40.05 Cigna — PPO: $41.85 CORVEL — Third Party: $42.75 Coventry — Workers Comp: $43.20 First Health — PPO Network: $42.75 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $42.75 Group Health Cooperative of Eau Claire — ETF - River Region: $36.90 Health Partners — PPO: $42.75 Health Smart — PPO Network: $43.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL-TECH	$68	$64.60	$0.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $66.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $37.40 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $37.56 Anthem BCBS of WI — Medicare Advantage: $0.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $63.24 CORVEL — Third Party: $64.60 Coventry — Workers Comp: $65.28 Family Health Center (FHC) — Prepaid Health Svcs: $51 First Health — PPO Network: $64.60 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $64.60 Group Health Cooperative of Eau Claire — ETF - River Region: $55.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL-TECH	$68	$64.60	$37.40 – $66.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $37.40 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $60.52 Cigna — PPO: $63.24 CORVEL — Third Party: $64.60 Coventry — Workers Comp: $65.28 First Health — PPO Network: $64.60 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $64.60 Group Health Cooperative of Eau Claire — ETF - River Region: $55.76 Health Partners — PPO: $64.60 Health Smart — PPO Network: $65.28

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD OR BRAIN WO CNTRST-TECH	$2,191	$2,081.45	$8.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,134.03
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,205.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,949.99 Anthem BCBS of WI — Medicare Advantage: $8.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $2,037.63 CORVEL — Third Party: $2,081.45 Coventry — Workers Comp: $2,103.36 Family Health Center (FHC) — Prepaid Health Svcs: $1,643.25 First Health — PPO Network: $2,081.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $2,081.45 Group Health Cooperative of Eau Claire — ETF - River Region: $1,796.62
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD OR BRAIN WO CNTRST-TECH	$2,191	$2,081.45	$1,205.05 – $2,134.03
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,205.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,949.99 Cigna — PPO: $2,037.63 CORVEL — Third Party: $2,081.45 Coventry — Workers Comp: $2,103.36 First Health — PPO Network: $2,081.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $2,081.45 Group Health Cooperative of Eau Claire — ETF - River Region: $1,796.62 Health Partners — PPO: $2,081.45 Health Smart — PPO Network: $2,103.36
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN WO/W CNTRST + SEQ-TECH	$6,059	$5,756.05	$22.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,901.47
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,332.45 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $5,392.51 Anthem BCBS of WI — Medicare Advantage: $23.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $5,634.87 CORVEL — Third Party: $5,756.05 Coventry — Workers Comp: $5,816.64 Family Health Center (FHC) — Prepaid Health Svcs: $4,544.25 First Health — PPO Network: $5,756.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,756.05 Group Health Cooperative of Eau Claire — ETF - River Region: $4,968.38
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN WO/W CNTRST + SEQ-TECH	$6,059	$5,756.05	$3,332.45 – $5,901.47
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,332.45 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $5,392.51 Cigna — PPO: $5,634.87 CORVEL — Third Party: $5,756.05 Coventry — Workers Comp: $5,816.64 First Health — PPO Network: $5,756.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,756.05 Group Health Cooperative of Eau Claire — ETF - River Region: $4,968.38 Health Partners — PPO: $5,756.05 Health Smart — PPO Network: $5,816.64
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR CHEST 2 VWS FRONTAL&LATL-TECH	$460	$437	$1.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $448.04
Chest X-ray, 2 views: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $253 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $182.50 Anthem BCBS of WI — Medicare Advantage: $1.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $427.80 CORVEL — Third Party: $437 Coventry — Workers Comp: $441.60 Family Health Center (FHC) — Prepaid Health Svcs: $345 First Health — PPO Network: $437 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $437 Group Health Cooperative of Eau Claire — ETF - River Region: $377.20
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XR CHEST 2 VWS FRONTAL&LATL-TECH	$460	$437	$253 – $448.04
Chest X-ray, 2 views: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $253 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $409.40 Cigna — PPO: $427.80 CORVEL — Third Party: $437 Coventry — Workers Comp: $441.60 First Health — PPO Network: $437 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $437 Group Health Cooperative of Eau Claire — ETF - River Region: $377.20 Health Partners — PPO: $437 Health Smart — PPO Network: $441.60
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR SPINE LUMBOSACRAL MIN 4VWS-TECH	$631	$599.45	$2.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $614.59
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $347.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $308.81 Anthem BCBS of WI — Medicare Advantage: $2.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $586.83 CORVEL — Third Party: $599.45 Coventry — Workers Comp: $605.76 Family Health Center (FHC) — Prepaid Health Svcs: $473.25 First Health — PPO Network: $599.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $599.45 Group Health Cooperative of Eau Claire — ETF - River Region: $517.42
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XR SPINE LUMBOSACRAL MIN 4VWS-TECH	$631	$599.45	$347.05 – $614.59
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $347.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $561.59 Cigna — PPO: $586.83 CORVEL — Third Party: $599.45 Coventry — Workers Comp: $605.76 First Health — PPO Network: $599.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $599.45 Group Health Cooperative of Eau Claire — ETF - River Region: $517.42 Health Partners — PPO: $599.45 Health Smart — PPO Network: $605.76
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SPINE LUMBAR WO CNTRST-TECH	$4,393	$4,173.35	$16.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,278.78
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,416.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $3,909.77 Anthem BCBS of WI — Medicare Advantage: $16.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $4,085.49 CORVEL — Third Party: $4,173.35 Coventry — Workers Comp: $4,217.28 Family Health Center (FHC) — Prepaid Health Svcs: $3,294.75 First Health — PPO Network: $4,173.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $4,173.35 Group Health Cooperative of Eau Claire — ETF - River Region: $3,602.26
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI SPINE LUMBAR WO CNTRST-TECH	$4,393	$4,173.35	$2,416.15 – $4,278.78
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,416.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $3,909.77 Cigna — PPO: $4,085.49 CORVEL — Third Party: $4,173.35 Coventry — Workers Comp: $4,217.28 First Health — PPO Network: $4,173.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $4,173.35 Group Health Cooperative of Eau Claire — ETF - River Region: $3,602.26 Health Partners — PPO: $4,173.35 Health Smart — PPO Network: $4,217.28
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-PELVIS W/CONTRAST SI JOINTS	$4,203	$3,992.85	$15.55 – $4,093.72
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,311.65 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $3,740.67 Anthem BCBS of WI — Medicare Advantage: $15.97 Cigna — PPO: $3,908.79 CORVEL — Third Party: $3,992.85 Coventry — Workers Comp: $4,034.88 Family Health Center (FHC) — Prepaid Health Svcs: $3,152.25 First Health — PPO Network: $3,992.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $3,992.85 Group Health Cooperative of Eau Claire — ETF - River Region: $3,446.46
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W/CONTRAST SI JOINTS	$4,203	$3,992.85	$2,311.65 – $4,093.72
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,311.65 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $3,740.67 Cigna — PPO: $3,908.79 CORVEL — Third Party: $3,992.85 Coventry — Workers Comp: $4,034.88 First Health — PPO Network: $3,992.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $3,992.85 Group Health Cooperative of Eau Claire — ETF - River Region: $3,446.46 Health Partners — PPO: $3,992.85 Health Smart — PPO Network: $4,034.88
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT-PELVIS W/CONTRAST	$4,203	$3,992.85	$15.55 – $4,093.72
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,311.65 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $3,740.67 Anthem BCBS of WI — Medicare Advantage: $15.97 Cigna — PPO: $3,908.79 CORVEL — Third Party: $3,992.85 Coventry — Workers Comp: $4,034.88 Family Health Center (FHC) — Prepaid Health Svcs: $3,152.25 First Health — PPO Network: $3,992.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $3,992.85 Group Health Cooperative of Eau Claire — ETF - River Region: $3,446.46
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LWR EXT ANY JT WO CNTRST-TECH	$4,524	$4,297.80	$16.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,406.38
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,488.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $4,026.36 Anthem BCBS of WI — Medicare Advantage: $17.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $4,207.32 CORVEL — Third Party: $4,297.80 Coventry — Workers Comp: $4,343.04 Family Health Center (FHC) — Prepaid Health Svcs: $3,393 First Health — PPO Network: $4,297.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $4,297.80 Group Health Cooperative of Eau Claire — ETF - River Region: $3,709.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI LWR EXT ANY JT WO CNTRST-TECH	$4,524	$4,297.80	$2,488.20 – $4,406.38
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,488.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $4,026.36 Cigna — PPO: $4,207.32 CORVEL — Third Party: $4,297.80 Coventry — Workers Comp: $4,343.04 First Health — PPO Network: $4,297.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $4,297.80 Group Health Cooperative of Eau Claire — ETF - River Region: $3,709.68 Health Partners — PPO: $4,297.80 Health Smart — PPO Network: $4,343.04
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN/PELVIS W CNTRST-TECH	$5,652	$5,369.40	$20.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,505.05
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,108.60 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $5,030.28 Anthem BCBS of WI — Medicare Advantage: $21.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $5,256.36 CORVEL — Third Party: $5,369.40 Coventry — Workers Comp: $5,425.92 Family Health Center (FHC) — Prepaid Health Svcs: $4,239 First Health — PPO Network: $5,369.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,369.40 Group Health Cooperative of Eau Claire — ETF - River Region: $4,634.64
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN/PELVIS W CNTRST-TECH	$5,652	$5,369.40	$3,108.60 – $5,505.05
CT scan of the abdomen and pelvis, with contrast: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,108.60 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $5,030.28 Cigna — PPO: $5,256.36 CORVEL — Third Party: $5,369.40 Coventry — Workers Comp: $5,425.92 First Health — PPO Network: $5,369.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,369.40 Group Health Cooperative of Eau Claire — ETF - River Region: $4,634.64 Health Partners — PPO: $5,369.40 Health Smart — PPO Network: $5,425.92
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMINAL COMPLT-TECH	$1,275	$1,211.25	$4.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,241.85
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.25 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,134.75 Anthem BCBS of WI — Medicare Advantage: $4.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $1,185.75 CORVEL — Third Party: $1,211.25 Coventry — Workers Comp: $1,224 Family Health Center (FHC) — Prepaid Health Svcs: $956.25 First Health — PPO Network: $1,211.25 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,211.25 Group Health Cooperative of Eau Claire — ETF - River Region: $1,045.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMINAL COMPLT-TECH	$1,275	$1,211.25	$701.25 – $1,241.85
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.25 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,134.75 Cigna — PPO: $1,185.75 CORVEL — Third Party: $1,211.25 Coventry — Workers Comp: $1,224 First Health — PPO Network: $1,211.25 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,211.25 Group Health Cooperative of Eau Claire — ETF - River Region: $1,045.50 Health Partners — PPO: $1,211.25 Health Smart — PPO Network: $1,224
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US OB TRANSABD >=14 WKS SNGL-TECH	$1,175	$1,116.25	$4.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,144.45
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $646.25 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,045.75 Anthem BCBS of WI — Medicare Advantage: $4.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $1,092.75 CORVEL — Third Party: $1,116.25 Coventry — Workers Comp: $1,128 Family Health Center (FHC) — Prepaid Health Svcs: $881.25 First Health — PPO Network: $1,116.25 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,116.25 Group Health Cooperative of Eau Claire — ETF - River Region: $963.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US OB TRANSABD >=14 WKS SNGL-TECH	$1,175	$1,116.25	$646.25 – $1,144.45
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $646.25 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,045.75 Cigna — PPO: $1,092.75 CORVEL — Third Party: $1,116.25 Coventry — Workers Comp: $1,128 First Health — PPO Network: $1,116.25 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,116.25 Group Health Cooperative of Eau Claire — ETF - River Region: $963.50 Health Partners — PPO: $1,116.25 Health Smart — PPO Network: $1,128
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND TRANSVAGINAL	$1,031	$979.45	$3.81 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,004.19
Transvaginal ultrasound: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $917.59 Anthem BCBS of WI — Medicare Advantage: $3.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $958.83 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $773.25 First Health — PPO Network: $979.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $979.45 Group Health Cooperative of Eau Claire — ETF - River Region: $845.42
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US FOLLICLE STUDY IVT INFERTILITY-TECH	$1,031	$979.45	$3.81 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,004.19
Transvaginal ultrasound: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $917.59 Anthem BCBS of WI — Medicare Advantage: $3.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $958.83 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $773.25 First Health — PPO Network: $979.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $979.45 Group Health Cooperative of Eau Claire — ETF - River Region: $845.42
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US PELVIS TRANSVAGINAL-TECH	$1,031	$979.45	$3.81 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,004.19
Transvaginal ultrasound: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $917.59 Anthem BCBS of WI — Medicare Advantage: $3.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $958.83 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $773.25 First Health — PPO Network: $979.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $979.45 Group Health Cooperative of Eau Claire — ETF - River Region: $845.42
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 77065 TC TECH DIAG MAMMOGR CAD UNIL-MOBILE	$557	$529.15	$2.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $542.52
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $306.35 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $495.73 Anthem BCBS of WI — Medicare Advantage: $2.12 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $518.01 CORVEL — Third Party: $529.15 Coventry — Workers Comp: $534.72 Family Health Center (FHC) — Prepaid Health Svcs: $417.75 First Health — PPO Network: $529.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $529.15 Group Health Cooperative of Eau Claire — ETF - River Region: $456.74
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: 77065 TC TECH DIAG MAMMOGR CAD UNIL-MOBILE	$557	$529.15	$306.35 – $542.52
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $306.35 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $495.73 Cigna — PPO: $518.01 CORVEL — Third Party: $529.15 Coventry — Workers Comp: $534.72 First Health — PPO Network: $529.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $529.15 Group Health Cooperative of Eau Claire — ETF - River Region: $456.74 Health Partners — PPO: $529.15 Health Smart — PPO Network: $534.72
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 77066 TC DIAG MAMMOGR CAD BIL-MOBILE	$689	$654.55	$2.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $671.09
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $378.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $613.21 Anthem BCBS of WI — Medicare Advantage: $2.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $640.77 CORVEL — Third Party: $654.55 Coventry — Workers Comp: $661.44 Family Health Center (FHC) — Prepaid Health Svcs: $516.75 First Health — PPO Network: $654.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $654.55 Group Health Cooperative of Eau Claire — ETF - River Region: $564.98
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: 77066 TC DIAG MAMMOGR CAD BIL-MOBILE	$689	$654.55	$378.95 – $671.09
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $378.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $613.21 Cigna — PPO: $640.77 CORVEL — Third Party: $654.55 Coventry — Workers Comp: $661.44 First Health — PPO Network: $654.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $654.55 Group Health Cooperative of Eau Claire — ETF - River Region: $564.98 Health Partners — PPO: $654.55 Health Smart — PPO Network: $661.44
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY, UNILATERAL-TECH	$601	$570.95	$2.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $585.37
Screening mammogram, both breasts: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $330.55 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $534.89 Anthem BCBS of WI — Medicare Advantage: $2.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $558.93 CORVEL — Third Party: $570.95 Coventry — Workers Comp: $576.96 Family Health Center (FHC) — Prepaid Health Svcs: $450.75 First Health — PPO Network: $570.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $570.95 Group Health Cooperative of Eau Claire — ETF - River Region: $492.82
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SCR MAMMO INCL CAD UNIL MOBILE-TECH	$601	$570.95	$2.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $585.37
Screening mammogram, both breasts: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $330.55 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $534.89 Anthem BCBS of WI — Medicare Advantage: $2.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $558.93 CORVEL — Third Party: $570.95 Coventry — Workers Comp: $576.96 Family Health Center (FHC) — Prepaid Health Svcs: $450.75 First Health — PPO Network: $570.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $570.95 Group Health Cooperative of Eau Claire — ETF - River Region: $492.82
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SCREEN MAMMOGR,UNIL,CAD	$601	$570.95	$2.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $585.37
Screening mammogram, both breasts: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $330.55 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $534.89 Anthem BCBS of WI — Medicare Advantage: $2.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $558.93 CORVEL — Third Party: $570.95 Coventry — Workers Comp: $576.96 Family Health Center (FHC) — Prepaid Health Svcs: $450.75 First Health — PPO Network: $570.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $570.95 Group Health Cooperative of Eau Claire — ETF - River Region: $492.82

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6+YRS 4+ PA-TECH	$6,058	$5,755.10	$22.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,900.49
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,331.90 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $5,391.62 Anthem BCBS of WI — Medicare Advantage: $23.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $5,633.94 CORVEL — Third Party: $5,755.10 Coventry — Workers Comp: $5,815.68 Family Health Center (FHC) — Prepaid Health Svcs: $4,543.50 First Health — PPO Network: $5,755.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,755.10 Group Health Cooperative of Eau Claire — ETF - River Region: $4,967.56
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6+YRS 4+ PA-TECH	$6,058	$5,755.10	$3,331.90 – $5,900.49
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,331.90 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $5,391.62 Cigna — PPO: $5,633.94 CORVEL — Third Party: $5,755.10 Coventry — Workers Comp: $5,815.68 First Health — PPO Network: $5,755.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,755.10 Group Health Cooperative of Eau Claire — ETF - River Region: $4,967.56 Health Partners — PPO: $5,755.10 Health Smart — PPO Network: $5,815.68

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT THER EXERCISE EA 15MIN-TECH	$150	$142.50	$0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $146.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $82.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $133.50 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $139.50 CORVEL — Third Party: $142.50 Coventry — Workers Comp: $144 Family Health Center (FHC) — Prepaid Health Svcs: $112.50 First Health — PPO Network: $142.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $142.50 Group Health Cooperative of Eau Claire — ETF - River Region: $123
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THER EXERCISE EA 15MIN-TECH	$150	$142.50	$0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $146.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $82.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $133.50 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $139.50 CORVEL — Third Party: $142.50 Coventry — Workers Comp: $144 Family Health Center (FHC) — Prepaid Health Svcs: $112.50 First Health — PPO Network: $142.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $142.50 Group Health Cooperative of Eau Claire — ETF - River Region: $123
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GO In the file: OT THER EXERCISE EA 15MIN-TECH	$150	$142.50	$82.50 – $146.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $82.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $133.50 Cigna — PPO: $139.50 CORVEL — Third Party: $142.50 Coventry — Workers Comp: $144 First Health — PPO Network: $142.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $142.50 Group Health Cooperative of Eau Claire — ETF - River Region: $123 Health Partners — PPO: $142.50 Health Smart — PPO Network: $144
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN-TECH	$310	$294.50	$1.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $301.94
Physical therapy evaluation (moderate complexity): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $170.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $275.90 Anthem BCBS of WI — Medicare Advantage: $1.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $288.30 CORVEL — Third Party: $294.50 Coventry — Workers Comp: $297.60 Family Health Center (FHC) — Prepaid Health Svcs: $232.50 First Health — PPO Network: $294.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $294.50 Group Health Cooperative of Eau Claire — ETF - River Region: $254.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN-TECH	$310	$294.50	$170.50 – $301.94
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $170.50 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $275.90 Cigna — PPO: $288.30 CORVEL — Third Party: $294.50 Coventry — Workers Comp: $297.60 First Health — PPO Network: $294.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $294.50 Group Health Cooperative of Eau Claire — ETF - River Region: $254.20 Health Partners — PPO: $294.50 Health Smart — PPO Network: $297.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN-TECH	$380	$361	$1.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $370.12
Physical therapy evaluation (high complexity): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $209 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $338.20 Anthem BCBS of WI — Medicare Advantage: $1.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $353.40 CORVEL — Third Party: $361 Coventry — Workers Comp: $364.80 Family Health Center (FHC) — Prepaid Health Svcs: $285 First Health — PPO Network: $361 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $361 Group Health Cooperative of Eau Claire — ETF - River Region: $311.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN-TECH	$380	$361	$209 – $370.12
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $209 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $338.20 Cigna — PPO: $353.40 CORVEL — Third Party: $361 Coventry — Workers Comp: $364.80 First Health — PPO Network: $361 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $361 Group Health Cooperative of Eau Claire — ETF - River Region: $311.60 Health Partners — PPO: $361 Health Smart — PPO Network: $364.80
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,QTT-MSW-90832-TECH	$112	$106.40	$0.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $109.09
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $99.68 Anthem BCBS of WI — Medicare Advantage: $0.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $104.16 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $84 First Health — PPO Network: $106.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $106.40 Group Health Cooperative of Eau Claire — ETF - River Region: $91.84
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,30 MIN-PHD 90832-TECH	$112	$106.40	$0.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $109.09
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $99.68 Anthem BCBS of WI — Medicare Advantage: $0.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $104.16 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $84 First Health — PPO Network: $106.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $106.40 Group Health Cooperative of Eau Claire — ETF - River Region: $91.84
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY-30 MIN-MSW/MS 90832-TECH	$112	$106.40	$0.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $109.09
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $99.68 Anthem BCBS of WI — Medicare Advantage: $0.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $104.16 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $84 First Health — PPO Network: $106.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $106.40 Group Health Cooperative of Eau Claire — ETF - River Region: $91.84
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,QTT-MSW-90834-TECH	$149	$141.55	$0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $145.13
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $132.61 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $111.75 First Health — PPO Network: $141.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $141.55 Group Health Cooperative of Eau Claire — ETF - River Region: $122.18
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL; THERAPY,LMFT-MS 90834-TECH	$149	$141.55	$0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $145.13
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $132.61 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $111.75 First Health — PPO Network: $141.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $141.55 Group Health Cooperative of Eau Claire — ETF - River Region: $122.18
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,45 MIN-MSW/MS 90834-TECH	$149	$141.55	$0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $145.13
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $132.61 Anthem BCBS of WI — Medicare Advantage: $0.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $111.75 First Health — PPO Network: $141.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $141.55 Group Health Cooperative of Eau Claire — ETF - River Region: $122.18
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY,LMFT-MS 90837-TECH	$224	$212.80	$0.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $218.18
Psychotherapy, 60 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $199.36 Anthem BCBS of WI — Medicare Advantage: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $208.32 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $168 First Health — PPO Network: $212.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $212.80 Group Health Cooperative of Eau Claire — ETF - River Region: $183.68
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,60 MIN-PHD 90837-TECH	$224	$212.80	$0.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $218.18
Psychotherapy, 60 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $199.36 Anthem BCBS of WI — Medicare Advantage: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $208.32 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $168 First Health — PPO Network: $212.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $212.80 Group Health Cooperative of Eau Claire — ETF - River Region: $183.68
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,60 MIN-MSW/MS 90837-TECH	$224	$212.80	$0.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $218.18
Psychotherapy, 60 minutes: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $199.36 Anthem BCBS of WI — Medicare Advantage: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $208.32 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $168 First Health — PPO Network: $212.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $212.80 Group Health Cooperative of Eau Claire — ETF - River Region: $183.68
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THER W/O PT,50 MIN-PHD 90846-TECH	$180	$171	$0.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $175.32
Family psychotherapy, without the patient: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $160.20 Anthem BCBS of WI — Medicare Advantage: $0.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $167.40 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $135 First Health — PPO Network: $171 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $171 Group Health Cooperative of Eau Claire — ETF - River Region: $147.60
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THER W/O PT,50 MIN-MD 90846-TECH	$180	$171	$0.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $175.32
Family psychotherapy, without the patient: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $160.20 Anthem BCBS of WI — Medicare Advantage: $0.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $167.40 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $135 First Health — PPO Network: $171 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $171 Group Health Cooperative of Eau Claire — ETF - River Region: $147.60
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THER,W/O PT,50MN-MSW/MS 90846-TECH	$180	$171	$0.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $175.32
Family psychotherapy, without the patient: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $160.20 Anthem BCBS of WI — Medicare Advantage: $0.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $167.40 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $135 First Health — PPO Network: $171 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $171 Group Health Cooperative of Eau Claire — ETF - River Region: $147.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY,LMFT-MS 90847-TECH	$187	$177.65	$0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $182.14
Family psychotherapy, with the patient: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $166.43 Anthem BCBS of WI — Medicare Advantage: $0.71 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $173.91 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $140.25 First Health — PPO Network: $177.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $177.65 Group Health Cooperative of Eau Claire — ETF - River Region: $153.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY,50 MIN-PHD 90847-TECH	$187	$177.65	$0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $182.14
Family psychotherapy, with the patient: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $166.43 Anthem BCBS of WI — Medicare Advantage: $0.71 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $173.91 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $140.25 First Health — PPO Network: $177.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $177.65 Group Health Cooperative of Eau Claire — ETF - River Region: $153.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY,50 MIN-MSW/MS 90847-TECH	$187	$177.65	$0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $182.14
Family psychotherapy, with the patient: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $166.43 Anthem BCBS of WI — Medicare Advantage: $0.71 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $173.91 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $140.25 First Health — PPO Network: $177.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $177.65 Group Health Cooperative of Eau Claire — ETF - River Region: $153.34
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY-MSW/MS 90853-TECH	$53	$50.35	$0.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $51.62
Group psychotherapy: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $47.17 Anthem BCBS of WI — Medicare Advantage: $0.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $49.29 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 Family Health Center (FHC) — Prepaid Health Svcs: $39.75 First Health — PPO Network: $50.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $50.35 Group Health Cooperative of Eau Claire — ETF - River Region: $43.46
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY-APNP 90853-TECH	$53	$50.35	$0.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $51.62
Group psychotherapy: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $47.17 Anthem BCBS of WI — Medicare Advantage: $0.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $49.29 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 Family Health Center (FHC) — Prepaid Health Svcs: $39.75 First Health — PPO Network: $50.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $50.35 Group Health Cooperative of Eau Claire — ETF - River Region: $43.46
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP THERAPY-MSW/MS 90853-TECH	$53	$50.35	$29.15 – $51.62
Group psychotherapy: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $47.17 Cigna — PPO: $49.29 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 First Health — PPO Network: $50.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $50.35 Group Health Cooperative of Eau Claire — ETF - River Region: $43.46 Health Partners — PPO: $50.35 Health Smart — PPO Network: $50.88

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXN BRST LESN OPEN >=1 LESN-TECH	$914	$868.30	$3.38 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $890.24
Removal of breast growth (open surgery): 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $502.70 Anthem BCBS of WI — Medicare Advantage: $3.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $868.30 Coventry — Workers Comp: $877.44 Family Health Center (FHC) — Prepaid Health Svcs: $685.50 First Health — PPO Network: $868.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $868.30 Group Health Cooperative of Eau Claire — ETF - River Region: $749.48 Group Health Cooperative of Eau Claire — Medicare Advantage: $3.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $868.30
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXN BRST LESN OPEN >=1 LESN-TECH	$914	$868.30	$502.70 – $890.24
Removal of breast growth (open surgery): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $502.70 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $813.46 Cigna — PPO: $850.02 CORVEL — Third Party: $868.30 Coventry — Workers Comp: $877.44 First Health — PPO Network: $868.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $868.30 Group Health Cooperative of Eau Claire — ETF - River Region: $749.48 Health Partners — PPO: $868.30 Health Smart — PPO Network: $877.44
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAGNOSTIC-TECH	$1,546	$1,468.70	$5.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,505.80
Colonoscopy (diagnostic): 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $850.30 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,375.94 Anthem BCBS of WI — Medicare Advantage: $5.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $1,437.78 CORVEL — Third Party: $1,468.70 Coventry — Workers Comp: $1,484.16 Family Health Center (FHC) — Prepaid Health Svcs: $1,159.50 First Health — PPO Network: $1,468.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,468.70 Group Health Cooperative of Eau Claire — ETF - River Region: $1,267.72
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAGNOSTIC-TECH	$1,546	$1,468.70	$850.30 – $1,505.80
Colonoscopy (diagnostic): 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $850.30 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,375.94 Cigna — PPO: $1,437.78 CORVEL — Third Party: $1,468.70 Coventry — Workers Comp: $1,484.16 First Health — PPO Network: $1,468.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,468.70 Group Health Cooperative of Eau Claire — ETF - River Region: $1,267.72 Health Partners — PPO: $1,468.70 Health Smart — PPO Network: $1,484.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSC FLEX W/BIOPSY-TECH	$1,314	$1,248.30	$4.86 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,279.84
Colonoscopy with biopsy: 10 of 35 insurance plan rates Amish/Mennonite — Amish Mennonite: $722.70 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,169.46 Anthem BCBS of WI — Medicare Advantage: $4.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $1,222.02 CORVEL — Third Party: $1,248.30 Coventry — Workers Comp: $1,261.44 Family Health Center (FHC) — Prepaid Health Svcs: $985.50 First Health — PPO Network: $1,248.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,248.30 Group Health Cooperative of Eau Claire — ETF - River Region: $1,077.48
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSC FLEX W/BIOPSY-TECH	$1,314	$1,248.30	$722.70 – $1,279.84
Colonoscopy with biopsy: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $722.70 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,169.46 Cigna — PPO: $1,222.02 CORVEL — Third Party: $1,248.30 Coventry — Workers Comp: $1,261.44 First Health — PPO Network: $1,248.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,248.30 Group Health Cooperative of Eau Claire — ETF - River Region: $1,077.48 Health Partners — PPO: $1,248.30 Health Smart — PPO Network: $1,261.44
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY PROSTRATE NEEDLE/PUNCH-TECH	$421	$399.95	$1.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $410.05
Prostate biopsy: 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $231.55 Anthem BCBS of WI — Medicare Advantage: $1.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $399.95 Coventry — Workers Comp: $404.16 Family Health Center (FHC) — Prepaid Health Svcs: $315.75 First Health — PPO Network: $399.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $399.95 Group Health Cooperative of Eau Claire — ETF - River Region: $345.22 Group Health Cooperative of Eau Claire — Medicare Advantage: $1.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $399.95
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BIOPSY PROSTRATE NEEDLE/PUNCH-TECH	$421	$399.95	$231.55 – $410.05
Prostate biopsy: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $231.55 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $374.69 Cigna — PPO: $391.53 CORVEL — Third Party: $399.95 Coventry — Workers Comp: $404.16 First Health — PPO Network: $399.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $399.95 Group Health Cooperative of Eau Claire — ETF - River Region: $345.22 Health Partners — PPO: $399.95 Health Smart — PPO Network: $404.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: BIOPSY PROSTATE-TECH	$335	$318.25	$1.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $326.29
Prostate biopsy: 10 of 34 insurance plan rates Amish/Mennonite — Amish Mennonite: $184.25 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $298.15 Anthem BCBS of WI — Medicare Advantage: $1.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $311.55 CORVEL — Third Party: $318.25 Coventry — Workers Comp: $321.60 First Health — PPO Network: $318.25 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $318.25 Group Health Cooperative of Eau Claire — ETF - River Region: $274.70 Group Health Cooperative of Eau Claire — Medicare Advantage: $1.31 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ EPID/SUBARCH LUM/SAC W/GUIDE-TECH	$784	$744.80	$2.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $763.62
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates Amish/Mennonite — Amish Mennonite: $431.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $697.76 Anthem BCBS of WI — Medicare Advantage: $2.98 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $729.12 CORVEL — Third Party: $744.80 Coventry — Workers Comp: $752.64 First Health — PPO Network: $744.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $744.80 Group Health Cooperative of Eau Claire — ETF - River Region: $642.88 Group Health Cooperative of Eau Claire — Medicare Advantage: $3.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ DIAG/THER SUB L/S W/IMAG-TECH	$289	$274.55	$1.07 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $281.49
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $158.95 Anthem BCBS of WI — Medicare Advantage: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $274.55 Coventry — Workers Comp: $277.44 Family Health Center (FHC) — Prepaid Health Svcs: $216.75 First Health — PPO Network: $274.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $274.55 Group Health Cooperative of Eau Claire — ETF - River Region: $236.98 Group Health Cooperative of Eau Claire — Medicare Advantage: $1.13 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $274.55
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ EPID/SUBARCH LUM/SAC W/GUIDE-TECH	$784	$744.80	$431.20 – $763.62
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $431.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $697.76 Cigna — PPO: $729.12 CORVEL — Third Party: $744.80 Coventry — Workers Comp: $752.64 First Health — PPO Network: $744.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $744.80 Group Health Cooperative of Eau Claire — ETF - River Region: $642.88 Health Partners — PPO: $744.80 Health Smart — PPO Network: $752.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ ANES AGNT W/GUIDE-TECH	$784	$744.80	$2.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $763.62
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Amish/Mennonite — Amish Mennonite: $431.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $697.76 Anthem BCBS of WI — Medicare Advantage: $2.98 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $729.12 CORVEL — Third Party: $744.80 Coventry — Workers Comp: $752.64 First Health — PPO Network: $744.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $744.80 Group Health Cooperative of Eau Claire — ETF - River Region: $642.88 Group Health Cooperative of Eau Claire — Medicare Advantage: $3.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ ANES AGNT LMB/SAC-RAD ONLY-TECH	$329	$312.55	$1.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $320.45
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $180.95 Anthem BCBS of WI — Medicare Advantage: $1.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $312.55 Coventry — Workers Comp: $315.84 Family Health Center (FHC) — Prepaid Health Svcs: $246.75 First Health — PPO Network: $312.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $312.55 Group Health Cooperative of Eau Claire — ETF - River Region: $269.78 Group Health Cooperative of Eau Claire — Medicare Advantage: $1.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $312.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ ANES AGNT W/GUIDE-TECH	$784	$744.80	$431.20 – $763.62
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $431.20 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $697.76 Cigna — PPO: $729.12 CORVEL — Third Party: $744.80 Coventry — Workers Comp: $752.64 First Health — PPO Network: $744.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $744.80 Group Health Cooperative of Eau Claire — ETF - River Region: $642.88 Health Partners — PPO: $744.80 Health Smart — PPO Network: $752.64
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY MEDIAN CARPAL TUNNEL-TECH	$1,276	$1,212.20	$4.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,242.82
Carpal tunnel release: 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.80 Anthem BCBS of WI — Medicare Advantage: $4.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $1,212.20 Coventry — Workers Comp: $1,224.96 Family Health Center (FHC) — Prepaid Health Svcs: $957 First Health — PPO Network: $1,212.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,212.20 Group Health Cooperative of Eau Claire — ETF - River Region: $1,046.32 Group Health Cooperative of Eau Claire — Medicare Advantage: $4.98 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $1,212.20
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEUROPLASTY MEDIAN CARPAL TUNNEL-TECH	$1,276	$1,212.20	$701.80 – $1,242.82
Carpal tunnel release: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.80 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $1,135.64 Cigna — PPO: $1,186.68 CORVEL — Third Party: $1,212.20 Coventry — Workers Comp: $1,224.96 First Health — PPO Network: $1,212.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,212.20 Group Health Cooperative of Eau Claire — ETF - River Region: $1,046.32 Health Partners — PPO: $1,212.20 Health Smart — PPO Network: $1,224.96
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DISC SECNDRY MEMB CATARACT LSR-TECH	$949	$901.55	$3.51 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $924.33
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Anthem BCBS of WI — Medicare Advantage: $3.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $901.55 Coventry — Workers Comp: $911.04 Family Health Center (FHC) — Prepaid Health Svcs: $711.75 First Health — PPO Network: $901.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $901.55 Group Health Cooperative of Eau Claire — ETF - River Region: $778.18 Group Health Cooperative of Eau Claire — Medicare Advantage: $3.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $901.55
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG LASER CAPS-EXT SHARE CARE-TECH	$949	$901.55	$3.51 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $924.33
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Anthem BCBS of WI — Medicare Advantage: $3.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CORVEL — Third Party: $901.55 Coventry — Workers Comp: $911.04 Family Health Center (FHC) — Prepaid Health Svcs: $711.75 First Health — PPO Network: $901.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $901.55 Group Health Cooperative of Eau Claire — ETF - River Region: $778.18 Group Health Cooperative of Eau Claire — Medicare Advantage: $3.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — PPO: $901.55
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DISC SECNDRY MEMB CATARACT LSR-TECH	$949	$901.55	$521.95 – $924.33
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Anthem BCBS of WI — HMO/POS/PPO/Traditional: $844.61 Cigna — PPO: $882.57 CORVEL — Third Party: $901.55 Coventry — Workers Comp: $911.04 First Health — PPO Network: $901.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $901.55 Group Health Cooperative of Eau Claire — ETF - River Region: $778.18 Health Partners — PPO: $901.55 Health Smart — PPO Network: $911.04

Source: Flambeau Hospital’s standard charges file (marshfieldclinic.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 20, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as 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 type	Critical Access Hospital
Address	98 Sherry Ave, Park Falls, WI 54552
County	Price County
State	Wisconsin
Phone	(715) 762‑7500
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	521325
Name in Medicare records	FLAMBEAU HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(715) 762‑2484^[4]
Name on the hospital’s website	Marshfield Medical Center-Park Falls
Official website	marshfieldclinic.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Marshfield Medical Center - Park Falls — marshfieldclinic.org

Flambeau Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4]

Treatments^[4]

Procedures^[4]

Programs and centers^[4]

Emergency care (hospital website)^[4]

Recognition^[4]

Doctors and clinicians (129)

Main specialties

Doctors with a page on this site (129)

Other emergency rooms nearby

Other hospitals near Park Falls

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Flambeau Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4]

Treatments[4]

Procedures[4]

Programs and centers[4]

Emergency care (hospital website)[4]

Recognition[4]

Doctors and clinicians (129)

Main specialties

Doctors with a page on this site (129)

Other emergency rooms nearby

Other hospitals near Park Falls

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4]

Treatments^[4]

Procedures^[4]

Programs and centers^[4]

Emergency care (hospital website)^[4]

Recognition^[4]