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Critical Access Hospital

Indianhead Medical Center

Also listed as: Indianhead Medical Ctr

Shell Lake, Wisconsin · Washburn County · Emergency services listed

Indianhead Medical Center is a critical access hospital at 113 4th Ave, P O Box 300, Shell Lake, WI 54871. Phone: (715) 468-7833. It has an emergency department.

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

Summary

Indianhead Medical Center is a critical access hospital in Shell Lake, Wisconsin. Medicare data lists emergency services. Its official website lists 49 services, specialties and programs. Medicare lists 24 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

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

Call(715) 468‑7833 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
25Beds (hospital website)
24Doctors and clinicians
49Services listed

Quick answers

Does Indianhead Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Indianhead Medical Center. In a medical emergency, call 911.
Where is Indianhead Medical Center?
113 4th Ave, P O Box 300, Shell Lake, WI 54871, in Washburn County, Wisconsin.
What is the phone number of Indianhead Medical Center?
(715) 468-7833, as listed by Medicare (CMS).
What is the Medicare star rating of Indianhead Medical Center?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][9][16]

Conditions treated[16]

  • Postoperative recovery
  • Orthopedic and musculoskeletal disorders
  • Vertigo
  • Incontinence
  • Coordination and balance issues
  • Neurological and cognitive conditions

Treatments[11][12]

  • Pulmonary function test
  • Infusion therapy
  • Wound care
  • Sleep studies
  • Nutritional assessment with a registered dietitian
  • Diabetic education
  • Hematology lab testing
  • Coagulation lab testing
  • Urinalysis
  • Transfusion medicine
  • Chemistry lab testing
  • Microbiology lab testing
  • Virology lab testing

Procedures[4][14][15]

  • Sleep studies
  • EGD/colonoscopy
  • Hernia repair
  • Cholecystectomy (gallbladder removal)
  • Appendectomy
  • Breast lumpectomy/mastectomy
  • Abscess incision and drainage
  • Paracentesis
  • CT imaging
  • Digital X-rays
  • Ultrasounds
  • Echocardiograms (resting and stress)
  • MRI
  • 3D mammography
  • Bone density scans
  • Nuclear medicine studies
  • EKG

Programs and centers[4]

  • Swing bed program

Emergency care (hospital website)[4][8][13]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingNormal visiting hours are 11:00 am to 8:30 pm[10]
Patient portalIMC Patient Portal (hospital stays)

Doctors and clinicians (24)

24 doctors and other clinicians list Indianhead Medical Center 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 (24)

Other emergency rooms nearby

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

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

Other hospitals near Shell Lake

Hospitals in Washburn County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Indianhead Medical Center 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.

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)17.4%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)106 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Not reported to MedicareSepsis 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: the patient survey, infections caught in the hospital, complications and deaths. 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 WisconsinBest hospitals in Wisconsin

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 43 common services exactly as Indianhead Medical Center 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 43 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE OUTPATIENT NEW 30 MINUTES $430 $344 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE OUTPATIENT NEW 45 MIN $740 $592 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE OUTPATIENT NEW 60 MINUTES $830 $664 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE OUTPATIENT VISIT 15 MINS $340 $272 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE OUTPATIENT VISIT 25 MINUTES $438 $350.40 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULT NEW/ESTAB 40 MIN $415 $332 Not listed in the file
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE CONSULT NEW/ESTAB 60 MIN $486 $388.80 Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: INITIAL PREVENTIVE MED NP 18-39YRS $365 $292 Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: INITIAL PREVENTIVE MEDICINE NEW PATIENT $502 $401.60 Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: E.R. CLINIC - LEVEL 3 $149.50 $119.60 Not listed in the file
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY VISIT MODERATE SEVERITY $880 $704 Not listed in the file
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMER DEPT MODERATE SEVERITY $880 $704 Not listed in the file
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY VISIT HIGH/URGENT SEVERITY $1,260 $1,008 Not listed in the file
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMER DEPT HI SEVERITY URGENT $1,260 $1,008 Not listed in the file
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: E.R. CLINIC - LEVEL 5 $209.30 $167.44 Not listed in the file
Emergency room visit (high): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY VISIT HIGH SEVERITY&THREAT $1,700 $1,360 Not listed in the file
Emergency room visit (high): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERG DEPT HIGH SEVERITY&THREAT $1,700 $1,360 Not listed in the file
Emergency room visit (high): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL-CHEM 8 $170 $136 Not listed in the file
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: PROFILE PRENATAL $67.95 $54.36 Not listed in the file
Obstetric blood test panel: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE $198 $158.40 Not listed in the file
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $93.80 $75.04 Not listed in the file
Kidney function panel: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $70.40 $56.32 Not listed in the file
Liver function panel: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: PROFILE LIVER $66.70 $53.36 Not listed in the file
Liver function panel: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS WITH MICROSCOPY $51 $40.80 Not listed in the file
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URNLS DIP STICK/TAB REGNT AUTO W/O MICRS $41 $32.80 Not listed in the file
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA DIAGNOSTIC CHARGE $116.30 $93.04 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA, TOTAL AND FREE Not listed in the file Not listed in the file Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH - SENSITIVE $215 $172 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC WITH AUTO DIFF $175 $140 Not listed in the file
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC-NO DIFF $84.38 $67.50 Not listed in the file
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME/INR $75 $60 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CONTRAST $2,550 $2,040 Not listed in the file
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W/WO CONTRAST $6,300 $5,040 Not listed in the file
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS $420 $336 Not listed in the file
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: RADEX CHEST 2V FRONT & LAT $257.25 $205.80 Not listed in the file
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR SPINE LUMBAR WITH OBL $588 $470.40 Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L SPINE W/O CONTRAST $4,145 $3,316 Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CONTRAST $2,360 $1,888 Not listed in the file
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOWER JOINT LEFT/RIGHT W/O CONTRAST $4,650 $3,720 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN/PELVIS W CONTRAST $5,450 $4,360 Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US COMP ABDOMEN $990 $792 Not listed in the file
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL $1,300 $1,040 Not listed in the file
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA MAM SCREENING BILATERAL DIGITAL $460 $368 Not listed in the file
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG ROUTINE W/ LEAST 12 LDS W/LR $198 $158.40 Not listed in the file
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG ROUTINE W/ LEAST 12 LDS W/I&R $216 $172.80 Not listed in the file
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: BASELINE SLEEP STUDY $5,100 $4,080 Not listed in the file
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD TRANSORAL DIAGNOSTIC $1,901 $1,520.80 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $2,450 $1,960 Not listed in the file
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFR $3,250 $2,600 Not listed in the file
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $2,998 $2,398.40 Not listed in the file
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: NJX CHOLANGIO PRQ W/IMG GID RS&I $2,839 $2,271.20 Not listed in the file
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY $4,800 $3,840 Not listed in the file
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: RPR 1ST INGUN HRNA AGE 5 YRS/>REDUCIBLE $2,931 $2,344.80 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates
  • Amerihealth — Default: 83% (a percentage in the contract, not a dollar amount)
  • Benefit Plan Administrators EAU CLAIRE WI — Default: 83% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Default: 76% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of WI Anthem — Medicare Advantage: 76% (a percentage in the contract, not a dollar amount)
  • Group Health Cooperative of Eau Claire — Default: 90% (a percentage in the contract, not a dollar amount)
  • Group Health of Eau Claire PMAP — Default: 86% (a percentage in the contract, not a dollar amount)
  • Health Partners of Philadelphia — Default: 84% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 90% (a percentage in the contract, not a dollar amount)
  • Managed Health Network — Default: 89% (a percentage in the contract, not a dollar amount)
  • Security Health Plan — Default: 87% (a percentage in the contract, not a dollar amount)

Source: Indianhead Medical Center’s standard charges file (indianheadmedicalcenter.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the 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 typeCritical Access Hospital
Address113 4th Ave, P O Box 300, Shell Lake, WI 54871
CountyWashburn County
StateWisconsin
Phone(715) 468‑7833
Emergency servicesYes
OwnershipProprietary
Medicare overall ratingNot rated by CMS
CMS Certification Number521342
Name in Medicare recordsINDIANHEAD MEDICAL CTR
Profile levelMedicare data + hospital website
Official websiteindianheadmedicalcenter.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Indianhead Medical Center – Caring Is Our Speciality — indianheadmedicalcenter.com
  2. Indianhead Medical Center – Caring Is Our Speciality — indianheadmedicalcenter.com
  3. Emergency Services – Indianhead Medical Center — indianheadmedicalcenter.com
  4. Specialty Services – Indianhead Medical Center — indianheadmedicalcenter.com
  5. Patients & Visitors – Indianhead Medical Center — indianheadmedicalcenter.com
  6. Laboratory Services – Indianhead Medical Center — indianheadmedicalcenter.com
  7. Hospital – Indianhead Medical Center — indianheadmedicalcenter.com
  8. About Us – Indianhead Medical Center — indianheadmedicalcenter.com
  9. General Surgery – Indianhead Medical Center — indianheadmedicalcenter.com
  10. Radiology – Indianhead Medical Center — indianheadmedicalcenter.com
  11. Physical and Occupational Therapy – Indianhead Medical Center — indianheadmedicalcenter.com