Quick answers Does Hudson Hospital have an emergency room? Yes. Medicare (CMS) data lists emergency services at Hudson Hospital. In a medical emergency, call 911. Where is Hudson Hospital? 405 Stageline Rd, Hudson, WI 54016, in St. Croix County, Wisconsin. What is the phone number of Hudson Hospital? (715) 531-6000, as listed by Medicare (CMS). What is the Medicare star rating of Hudson Hospital? 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26). Conditions treated[5] [10] Asthma and respiratory conditions Concussion and traumatic brain injury Heart attack and cardiovascular disease Fractures, dislocations and sprains Wounds, lacerations and burns Stroke Broken bones Sprains and strains Burns Mental and behavioral health emergencies Arthritis Bursitis Joint pain ACL tears Neck and back pain Sports injuries Tendonitis Foot and ankle pain Hand and wrist pain Show all 19 CT scans MRI Ultrasound imaging X-rays Physical therapy Injections Orthopedic medications Spine care Orthopedic trauma care Epidural pain relief Nitrous oxide pain relief Aromatherapy Hydrotherapy Music therapy Breastfeeding support CT, MRI, ultrasound and X-ray imaging Total joint replacement Sports surgery Ultrasound-guided procedures Cesarean delivery Vaginal delivery Water birth Vaginal birth after cesarean (VBAC) Swing bed program Lactation Program Milk Depot Program Enhanced care nursery Neonatal virtual care Emergency Department Behavioral Health Tele-Video Program Emergency care (hospital website)[4] [5] [6] Emergency room Yes Open 24/7 Yes Trauma designation Level IV Stroke designation Acute Stroke Ready Hospital (DNV GL)
Visiting and practical information Visiting All visitors welcome; the number of visitors at one time is set with the patient's care team [6] Parking Free parking in the lot closest to the hospital. Main doors lock at 9 p.m.; after hours use the Emergency Center lot off Center Drive [11] Interpreters and languages A multi-language assistance notice for patients is linked from the page [4]
The Joint Commission Gold Seal of Approval Acute Stroke Ready Hospital (DNV) Doctors and clinicians (324) 324 doctors and other clinicians list Hudson Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties Doctors with a page on this site (324) Aaron M. Burnett, MD Emergency Medicine Aaron V. Ous, CNA Certified Registered Nurse Anesthetist (CRNA) Abigale E. Gabrick Physician Assistant Ahmed Elhindi, DO Family Practice Alejandro Mendez, MD Neurosurgery Alexandra L. Muschenheim, MD Diagnostic Radiology Alexandra L. Nyquist, DPM Podiatry Alexandria Sherwood Orthopedic Surgery Allen M. Medini, MD Family Practice Alpana Tiwari, MD Family Practice Alyson A. Sigvertsen Nurse Practitioner Amanda E. Mairs, PA Physician Assistant Amanda M. Gibbs, PA Physician Assistant Amanda M. Kleppe, MD Diagnostic Radiology Amit Sharma, MD Internal Medicine Ana Hanrahan, MD Internal Medicine Andrea C. Knievel, MD General Practice Andrea G. Olson, MD Cardiovascular Disease (Cardiology) Andrea Shahum Infectious Disease Andrew C. Ockuly, DO Orthopedic Surgery Andrew J. Cozadd Physician Assistant Angela C. Brandes, MD Family Practice Angela R. Todd Nurse Practitioner Angela Vong, MD Otolaryngology And 300 more: the button below opens the full list.
See all 324 clinicians Assisted living nearby Licensed homes from the official state license list, by straight-line distance.
About the Medicare star rating CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data What Hudson 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) ★★★★★ 4 of 5 stars Overall rating of the hospital 4 of 5 stars Would recommend the hospital 5 of 5 stars Nurses communicated well 5 of 5 stars Doctors communicated well 4 of 5 stars Patients got help quickly from staff 4 of 5 stars Staff explained medicines 3 of 5 stars Information about recovery at home 4 of 5 stars Room and bathroom kept clean 4 of 5 stars Restfulness of Environment 4 of 5 stars Care Coordination 4 of 5 stars Symptoms After Stay 4 of 5 stars Rated the hospital 9 or 10 out of 10 82% National average: 72% Would definitely recommend the hospital 82% National average: 71% Nurses “always” communicated well 84% National average: 80% Doctors “always” communicated well 83% National average: 80% “Always” got help as soon as they wanted 66% National average: 64% Staff “always” explained medicines before giving them 60% National average: 62% Were given information about recovery at home 91% National average: 86% Room and bathroom “always” clean 74% National average: 73% Completed surveys 301Response rate: 26%
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Infections caught in the hospital What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
Clostridioides difficile (C. diff) intestinal infections 0.948 No different from the national benchmark Not reported to Medicare Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart failure patients 11.3% Deaths within 30 days: pneumonia patients 11.8% Deaths within 30 days: stroke patients 10.5% Not reported to Medicare Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90) Too few cases to report Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Complications after hip or knee replacement
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) 15.9% Readmitted within 30 days: heart failure 21.6% Readmitted within 30 days: pneumonia 17.5% Readmitted within 30 days: COPD 20.3% Not reported to Medicare Readmitted within 30 days: coronary bypass surgery Too few cases to report Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement
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) 122 minutes National average: 162 minutes Patients who left the emergency room before being seen (OP-22) 0% National average: 2% Sepsis patients who got all the recommended early care (SEP-1) 85% National average: 66%
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
See every measure on Medicare Care Compare →
ER wait times and Medicare ratings nearby How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Hudson Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean Hospital charge The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount. Cash price The price the hospital offers if you pay yourself, without insurance (“discounted cash price”). Insurance rates The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance. Hospital and doctor fees A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services. How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 48 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 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit $314 $141.65 $66.63 – $423.87 New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $240.78 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $66.63 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $91.11 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $282.60 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $423.87 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $89.80 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $314 MEDICA [900156] — MEDICA CHOICE [90156] : $197.38 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $115.55 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316] : $93.74 New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit $511 $230.51 $108.43 – $633.23 New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $391.83 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $108.43 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $148.97 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $459.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $633.23 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $146.83 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $511 MEDICA [900156] — MEDICA CHOICE [90156] : $295.45 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $188.05 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316] : $153.27 New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit $695 $313.51 $147.48 – $834.83 New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $532.93 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $147.48 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $202.40 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $625.50 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $834.83 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $199.48 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $695 MEDICA [900156] — MEDICA CHOICE [90156] : $389.13 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $255.76 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316] : $208.24 Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit $199 $89.77 $42.23 – $347.63 Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $194.77 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $42.23 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $66.23 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $179.10 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $347.63 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $108.46 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $65.27 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $199 MEDICA [900156] — MEDICA CHOICE [90156] : $157.01 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $73.23 Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office O/P Est Low 20 Min $254 $114.58 $53.90 – $347.63 Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $194.77 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $53.90 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $74.06 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $228.60 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $347.63 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $138.43 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $72.99 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $254 MEDICA [900156] — MEDICA CHOICE [90156] : $114.55 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $93.47 Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit $209 $94.28 $44.35 – $489.78 Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $286.78 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $44.35 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $69.56 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $188.10 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $489.78 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $113.91 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $68.55 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $209 MEDICA [900156] — MEDICA CHOICE [90156] : $164.90 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $76.91 Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/Outpatient Visit Est $236 $106.46 $50.08 – $489.78 Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $50.08 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $78.54 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $212.40 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $489.78 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $128.62 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $77.41 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $236 MEDICA [900156] — MEDICA CHOICE [90156] : $186.20 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $86.85 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316] : $80.81 Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consultation $364 $164.20 $77.24 – $364 Office consultation with a specialist (moderate): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $279.12 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $77.24 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $121.14 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $327.60 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $129.23 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $198.38 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $119.39 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $364 MEDICA [900156] — MEDICA CHOICE [90156] : $199.41 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $133.95 Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Room visit $881 $397.42 $186.95 – $1,784 Emergency room visit (moderate): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $899 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $186.95 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $293.20 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $792.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $511.15 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $511.15 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $288.97 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $881 MEDICA [900156] — MEDICA CHOICE [90156] : $1,526 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $324.21 Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Room visit $1,365 $615.75 $289.65 – $4,234 Emergency room visit (moderately high): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $4,234 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $289.65 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $454.27 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $1,228.50 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $786.08 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $786.08 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $447.72 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $1,365 MEDICA [900156] — MEDICA CHOICE [90156] : $2,861 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $502.32 Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Room visit $897 $404.64 $190.34 – $5,191 Emergency room visit (high): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $4,234 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $190.34 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $298.52 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $807.30 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,131.81 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $1,131.81 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $294.22 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $897 MEDICA [900156] — MEDICA CHOICE [90156] : $2,974 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $330.10
Lab tests Service Hospital charge Cash price Insurance rates (lowest – highest) Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels $208 $93.83 $8.67 – $208 Basic metabolic panel (blood test): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $29.61 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $57.75 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $8.80 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $187.20 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $33.60 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $113.36 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $8.67 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $208 MEDICA [900156] — MEDICA CHOICE [90156] : $164.11 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $76.54 Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels $259 $116.83 $21.12 – $259 Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $36.96 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $74.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $86.20 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $233.10 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $41.35 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $141.16 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $84.95 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $259 MEDICA [900156] — MEDICA CHOICE [90156] : $204.35 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $95.31 Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels $328 $147.96 $26.78 – $328 Cholesterol panel (lipid panel): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $46.87 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $46.75 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $109.16 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $295.20 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $52.98 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $178.76 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $107.58 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $328 MEDICA [900156] — MEDICA CHOICE [90156] : $258.79 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $120.70 Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels $193 $87.06 $7.38 – $193 Kidney function panel: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $30.38 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $7.38 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $9.03 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $173.70 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $34.89 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $105.19 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $8.90 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $193 MEDICA [900156] — MEDICA CHOICE [90156] : $152.28 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $71.02 Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels $201 $90.67 $16.34 – $201 Liver function panel: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $28.60 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $42.65 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $66.89 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $180.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $32.31 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $109.55 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $65.93 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $201 MEDICA [900156] — MEDICA CHOICE [90156] : $158.59 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $73.97 Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis $80 $36.09 $6.34 – $80 Urine test (automated, with microscope): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $11.10 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $16.98 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $26.62 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $72 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $12.92 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $43.60 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $26.24 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $80 MEDICA [900156] — MEDICA CHOICE [90156] : $63.12 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $29.44 Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis $53 $23.91 $4.50 – $53 Urine test (automated, without microscope): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $7.88 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $11.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $17.64 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $47.70 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $9.05 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $28.89 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $17.38 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $53 MEDICA [900156] — MEDICA CHOICE [90156] : $41.82 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $19.50 PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Chemistry $201 $90.67 $19.49 – $201 PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $64.37 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $42.65 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $66.89 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $180.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $72.37 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $109.55 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $65.93 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $201 MEDICA [900156] — MEDICA CHOICE [90156] : $158.59 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $73.97 Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Chemistry $165 $74.43 $49.50 – $165 Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $58.80 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $49.50 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $54.91 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $148.50 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $65.91 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $89.93 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $54.12 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $165 MEDICA [900156] — MEDICA CHOICE [90156] : $130.19 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $60.72 Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hematology and Coagulation $194 $87.51 $8.24 – $194 Complete blood count (CBC) with differential: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $27.20 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $41.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $64.56 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $174.60 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $31.02 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $105.73 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $63.63 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $194 MEDICA [900156] — MEDICA CHOICE [90156] : $153.07 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $71.39 Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hematology and Coagulation $160 $72.18 $6.63 – $160 Complete blood count (CBC), automated: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $22.65 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $33.95 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $53.25 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $144 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $25.85 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $87.20 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $6.63 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $160 MEDICA [900156] — MEDICA CHOICE [90156] : $126.24 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $58.88 Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hematology and Coagulation $15 $6.77 $3.18 – $25.85 Complete blood count (CBC), automated: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $22.65 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $3.18 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $4.99 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $13.50 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $25.85 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $8.18 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $6.63 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $15 MEDICA [900156] — MEDICA CHOICE [90156] : $11.84 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $5.52 Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hematology and Coagulation $95 $42.85 $4.46 – $95 Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $15.02 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $20.16 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $4.46 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $85.50 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $16.80 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $51.78 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $31.16 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $95 MEDICA [900156] — MEDICA CHOICE [90156] : $74.96 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $34.96 Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hematology and Coagulation $20 $9.02 $4.24 – $20 Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $15.02 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $4.24 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $4.46 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $18 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $16.80 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $10.90 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $6.56 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $20 MEDICA [900156] — MEDICA CHOICE [90156] : $15.78 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $7.36 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hematology and Coagulation $148 $66.76 $12.02 – $148 Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $21.04 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $31.41 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $49.25 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $133.20 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $23.26 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $80.66 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $48.54 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $148 MEDICA [900156] — MEDICA CHOICE [90156] : $116.77 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $54.46
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 · Inpatient or outpatient · Hospital (facility) fee In the file: CT of Head/Brain $1,319 $595 $196.31 – $1,915 CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $1,566 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $470.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $438.96 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $1,187.10 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $327.88 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $196.31 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $432.63 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $1,319 MEDICA [900156] — MEDICA CHOICE [90156] : $1,512 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $485.39 MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI brain with and without contrast $3,541 $1,597.35 $607.75 – $3,541 MRI of the brain, before and after contrast: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,627 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $607.75 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $1,178.44 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $3,186.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $644.59 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $644.59 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $1,161.45 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $3,541 MEDICA [900156] — MEDICA CHOICE [90156] : $2,276 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $1,303.09 Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-ray chest $243 $109.62 $79.70 – $344 Chest X-ray, 2 views: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $186.33 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $118.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $80.87 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $218.70 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $162.54 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $162.54 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $79.70 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $243 MEDICA [900156] — MEDICA CHOICE [90156] : $191.73 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $89.42 X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Xray; Lower spine $399 $179.99 $84.67 – $399 X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $305.95 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $84.67 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $132.79 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $359.10 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $196.31 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $196.31 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $130.87 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $399 MEDICA [900156] — MEDICA CHOICE [90156] : $314.81 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $146.83 MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI lumbar spine $2,676 $1,207.14 $578.05 – $3,091 MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,627 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $578.05 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $890.57 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $2,408.40 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $644.59 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $644.59 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $877.73 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $2,676 MEDICA [900156] — MEDICA CHOICE [90156] : $2,276 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $984.77 CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis with contrast $1,817 $819.65 $327.88 – $1,915 CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $1,566 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $446.60 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $604.70 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $1,635.30 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $327.88 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $327.88 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $595.98 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $1,817 MEDICA [900156] — MEDICA CHOICE [90156] : $1,512 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $668.66 MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI lower extremity joint $3,033 $1,368.19 $578.05 – $3,091 MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,627 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $578.05 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $1,009.38 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $2,729.70 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $644.59 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $644.59 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $994.82 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $3,033 MEDICA [900156] — MEDICA CHOICE [90156] : $2,276 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $1,116.14 CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abdomen and Pelvis with contrast $2,155 $972.12 $327.88 – $2,155 CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $1,566 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $607.75 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $717.18 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $1,939.50 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $327.88 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $644.59 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $706.84 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $2,155 MEDICA [900156] — MEDICA CHOICE [90156] : $1,512 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $793.04 Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound abdomen $690 $311.26 $146.42 – $964 Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $529.09 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $146.42 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $229.63 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $621 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $196.31 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $196.31 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $226.32 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $690 MEDICA [900156] — MEDICA CHOICE [90156] : $729 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $253.92 Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: 14 week OB Ultrasound $726 $327.50 $154.06 – $964 Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $556.70 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $154.06 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $241.61 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $653.40 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $196.31 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $196.31 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $238.13 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $726 MEDICA [900156] — MEDICA CHOICE [90156] : $729 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $267.17 Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Tranvaginal ultrasound $371 $167.36 $78.73 – $964 Transvaginal ultrasound: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $284.48 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $78.73 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $123.47 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $333.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $196.31 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $196.31 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $121.69 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $371 MEDICA [900156] — MEDICA CHOICE [90156] : $729 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $136.53 Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: screening mammogram $565 $254.87 $165 – $680 Screening mammogram, both breasts: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $433.24 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $165 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $188.03 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $508.50 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $501.41 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $501.41 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $185.32 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $565 MEDICA [900156] — MEDICA CHOICE [90156] : $445.79 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $207.92
Heart tests and sleep study Service Hospital charge Cash price Insurance rates (lowest – highest) Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: Electrocardiogram, Complete $70 $31.58 $14.85 – $341 Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $53.68 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $14.85 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $23.30 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $63 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $55.57 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $22.96 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $70 MEDICA [900156] — MEDICA CHOICE [90156] : $25.25 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $25.76 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316] : $23.97 Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep study $4,171 $1,881.54 $885.09 – $4,171 Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $3,198.32 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $885.09 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $1,388.11 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $3,753.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,878.15 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $1,878.15 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $1,368.09 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $4,171 MEDICA [900156] — MEDICA CHOICE [90156] : $1,139.60 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $1,534.93
Physical therapy and mental health Service Hospital charge Cash price Insurance rates (lowest – highest) Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy; 30 minutes $194 $87.51 $41.17 – $296.61 Psychotherapy, 30 minutes: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $148.76 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $41.17 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $64.56 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $174.60 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $296.61 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $296.61 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $63.63 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $194 MEDICA [900156] — MEDICA CHOICE [90156] : $126.13 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $71.39 Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Psytx W Pt 30 Minutes $194 $87.51 $41.17 – $296.61 Psychotherapy, 30 minutes: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $148.76 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $41.17 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $64.56 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $174.60 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $296.61 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $296.61 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $63.63 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $194 MEDICA [900156] — MEDICA CHOICE [90156] : $126.13 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $71.39 Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy; 45 minutes $289 $130.37 $74.37 – $289 Psychotherapy, 45 minutes: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $221.61 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $74.37 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $96.18 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $260.10 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $131.36 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $124.39 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $94.79 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $289 MEDICA [900156] — MEDICA CHOICE [90156] : $191.68 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $106.35 Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Psytx W Pt 60 Minutes $386 $174.12 $110.07 – $393.28 Psychotherapy, 60 minutes: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $295.98 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $110.07 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $128.46 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $347.40 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $193.63 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $183.61 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $126.61 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $386 MEDICA [900156] — MEDICA CHOICE [90156] : $246.25 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $142.05 Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psychotherapy $371 $167.36 $25.30 – $371 Group psychotherapy: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $284.48 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $78.73 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $123.47 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $333.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $170.77 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $170.77 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $121.69 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $371 MEDICA [900156] — MEDICA CHOICE [90156] : $44.16 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $136.53 Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psychotherapy - Alcohol 2.0 Hrs $318 $143.45 $25.30 – $318 Group psychotherapy: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $243.84 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $67.48 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $105.83 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $286.20 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $170.77 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $170.77 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $104.30 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $318 MEDICA [900156] — MEDICA CHOICE [90156] : $44.16 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $117.02 Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psychotherapy - Drug 2.0 Hrs $318 $143.45 $25.30 – $318 Group psychotherapy: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $243.84 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $67.48 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $105.83 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $286.20 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $170.77 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $170.77 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $104.30 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $318 MEDICA [900156] — MEDICA CHOICE [90156] : $44.16 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $117.02
Procedures and surgery Service Hospital charge Cash price Insurance rates (lowest – highest) Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD $3,090 $1,393.90 $1,013.52 – $3,912 Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,417 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $1,135.20 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $1,028.35 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $2,781 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,730.78 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $1,730.78 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $1,013.52 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $3,090 MEDICA [900156] — MEDICA CHOICE [90156] : $2,535 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $1,137.12 Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD with biopsy $3,491 $1,574.79 $1,135.20 – $3,912 Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,417 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $1,135.20 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $1,161.80 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $3,141.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,730.78 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $1,730.78 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $1,145.05 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $3,491 MEDICA [900156] — MEDICA CHOICE [90156] : $2,535 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $1,284.69 Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic colonoscopy $2,686 $1,211.65 $881.01 – $3,912 Colonoscopy (diagnostic): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,417 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $1,371.15 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $893.90 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $2,417.40 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,471.61 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $1,683.05 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $881.01 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $2,686 MEDICA [900156] — MEDICA CHOICE [90156] : $2,535 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $988.45 Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy with biopsy $2,913 $1,314.05 $955.46 – $4,603 Colonoscopy with biopsy: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $4,603 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $1,191.30 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $969.45 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $2,621.70 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,903.19 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $2,176.64 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $955.46 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $2,913 MEDICA [900156] — MEDICA CHOICE [90156] : $2,535 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $1,071.98 Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy with lesion removal $3,693 $1,665.91 $1,191.30 – $4,603 Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $4,603 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $1,191.30 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $1,229.03 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $3,323.70 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,903.19 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $2,176.64 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $1,211.30 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $3,693 MEDICA [900156] — MEDICA CHOICE [90156] : $2,535 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $1,359.02 Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Ca Screen Colonoscopy $2,686 $1,211.65 $881.01 – $2,695 Screening colonoscopy (not high risk): 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,417 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $1,142.90 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $893.90 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $2,417.40 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,471.61 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $1,683.05 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $881.01 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $2,686 MEDICA [900156] — MEDICA CHOICE [90156] : $1,830 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $988.45 Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: injection of diagnostic or therapeutic agent $766 $345.54 $162.55 – $2,695 Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,417 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $162.55 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $254.92 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $689.40 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,278.43 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $1,278.43 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $251.25 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $766 MEDICA [900156] — MEDICA CHOICE [90156] : $1,830 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $281.89 Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Injection foramen epidural; lumbar or sacral $1,100 $496.21 $233.42 – $2,695 Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates BCBS [900043] — BCBS OUT OF STATE [91008] : $2,417 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296] : $233.42 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299] : $366.08 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334] : $990 HEALTHPARTNERS [900713] — HP SELF INSURED [91021] : $1,643.52 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327] : $1,643.52 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307] : $360.80 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261] : $1,100 MEDICA [900156] — MEDICA CHOICE [90156] : $1,830 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314] : $404.80
Source: Hudson Hospital’s standard charges file (healthpartners.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 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 405 Stageline Rd, Hudson, WI 54016 County St. Croix County State Wisconsin Phone (715) 531‑6000 Emergency services Yes Ownership Voluntary non-profit - Private Medicare overall rating 5 of 5 stars Birthing-friendly designation Yes (meets CMS criteria) CMS Certification Number 521335 Name in Medicare records HUDSON HOSPITAL Profile level Medicare data + hospital website Name on the hospital’s website Hudson Hospital & Clinic Official website healthpartners.com Corrections Report an error or suggest an update →