Does Marshfield Medical Center - Neillsville have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Marshfield Medical Center - Neillsville. In a medical emergency, call 911.

Where is Marshfield Medical Center - Neillsville?

216 Sunset Place, Neillsville, WI 54456, in Clark County, Wisconsin.

What is the phone number of Marshfield Medical Center - Neillsville?

(715) 743-3101, as listed by Medicare (CMS).

What is the Medicare star rating of Marshfield Medical Center - Neillsville?

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.

Marshfield Medical Center - Neillsville

Quick answers

Does Marshfield Medical Center - Neillsville have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Marshfield Medical Center - Neillsville. In a medical emergency, call 911.
Where is Marshfield Medical Center - Neillsville?: 216 Sunset Place, Neillsville, WI 54456, in Clark County, Wisconsin.
What is the phone number of Marshfield Medical Center - Neillsville?: (715) 743-3101, as listed by Medicare (CMS).
What is the Medicare star rating of Marshfield Medical Center - Neillsville?: 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]

Treatments^[4]

Cardiac and pulmonary rehabilitation
Infusions
Wound care
Physical therapy (adult and pediatric)
Occupational therapy (adult and pediatric)
Speech therapy (adult and pediatric)

Procedures^[4]

Cataract surgery
Colonoscopy
Surgical services
Digital imaging

Programs and centers^[4]

Sleep Lab
Urgent care
Loyal Center outpatient therapy and occupational health

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Acute Stroke Ready Hospital (The Joint Commission, 2022)

Visiting and practical information

Patient portal	MyMarshfieldClinic

Recognition^[4]

Joint Commission Gold Seal: Acute Stroke Ready Hospital (2022)

Doctors and clinicians (143)

143 doctors and other clinicians list Marshfield Medical Center - Neillsville as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 119 more: the button below opens the full list.

Other emergency rooms nearby

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

Black River Memorial Hospital21 mi · Black River Falls, WI · Critical Access Hospital
Marshfield Medical Center23 mi · Marshfield, WI · Acute Care Hospital
Mayo Clinic Health System Oakridge30 mi · Osseo, WI · Critical Access Hospital
Aspirus Stanley Hospital31 mi · Stanley, WI · Critical Access Hospital
Gundersen Tri-County Hospital & Clinics36 mi · Whitehall, WI · Critical Access Hospital

Other hospitals nearby

Norwood Health Center23 mi · Marshfield, WI · Psychiatric Hospital

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

North Shore Healthcare at Marshfield22 mi · Marshfield, WI · 4 of 5 stars
Meadowbrook at Black River Falls22 mi · Black River Falls, WI · 1 of 5 stars
Pine View Care Center22 mi · Black River Falls, WI · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Compassus Central Wisconsin21 mi · Marshfield, WI · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Compassus Home Health21 mi · Marshfield, WI

All home health agencies in the state →

Dialysis facilities

DaVita Marshfield Dialysis21 mi · Marshfield, WI · 2 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Family Health Center - Neillsville Dental Center1.1 mi · Neillsville, WI · Community health center
Family Health Center - Black River Falls Dental Center20 mi · Black River Falls, WI · Community health center
Ho-Chunk Health Care Center22 mi · Black River Falls, WI · Community health center

Clinics and urgent care

Marshfield Medical Center - Neillsville Clinic1.6 mi · Neillsville, WI · Rural health clinic
Marshfield Clinic Greenwood Center15 mi · Greenwood, WI · Rural health clinic
Aspirus Clinic - Marshfield21 mi · Marshfield, WI · Rural health clinic

Pharmacies

Memorial Hospital, Inc1.6 mi · Neillsville, WI · Pharmacy
Sniteman Inc1.6 mi · Neillsville, WI · Community/retail pharmacy

Assisted living nearby

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

LSS Deep River1.6 mi · Neillsville, WI
Meadow View Manor1.6 mi · Neillsville, WI
Riverside Assisted Living1.6 mi · Neillsville, WI

About the Medicare star rating

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

Medicare quality data

What Marshfield Medical Center - Neillsville 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	79%National average: 72%
Would definitely recommend the hospital	76%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	96%National average: 74%
Area around the room “always” quiet at night	68%National average: 60%
Completed surveys	75Response rate: 44%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	Too few cases to report
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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)	112 minutesNational 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)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 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.

ER wait times in Wisconsin Best hospitals in Wisconsin

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Marshfield Medical Center - Neillsville 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 →

$ 161 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 3 TECH	$257	$244.15	$1.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $596
New patient office visit (about 30–44 minutes): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $141.35 Anthem BCBS of WI — HMO/POS: $558 Anthem BCBS of WI — Medicare Advantage: $1.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $569 Anthem BCBS of WI — Traditional: $596 Besse Forest Products — Direct Employer: $244.15 Cigna — PPO: $239.01 CORVEL — Third Party: $244.15 Coventry — Workers Comp: $246.72 Family Health Center (FHC) — Prepaid Health Svcs: $192.75
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 3 TECH	$257	$244.15	$141.35 – $250.32
New patient office visit (about 30–44 minutes): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $141.35 Anthem BCBS of WI — HMO/POS: $210.74 Anthem BCBS of WI — PPO: $210.74 Anthem BCBS of WI — Traditional: $210.74 Besse Forest Products — Direct Employer: $244.15 Cigna — PPO: $239.01 CORVEL — Third Party: $244.15 Coventry — Workers Comp: $246.72 First Health — PPO Network: $244.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $231.30
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: VISIT NEW PAT LEVEL 3-TECH	$106	$100.70	$0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $103.24
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $58.30 Anthem BCBS of WI — Medicare Advantage: $0.53 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $100.70 Cigna — PPO: $98.58 CORVEL — Third Party: $100.70 Coventry — Workers Comp: $101.76 Family Health Center (FHC) — Prepaid Health Svcs: $79.50 First Health — PPO Network: $100.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $95.40 Group Health Cooperative of Eau Claire — ETF - River Region: $86.92
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 4 TECH	$377	$358.15	$1.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $596
New patient office visit (about 45–59 minutes): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $207.35 Anthem BCBS of WI — HMO/POS: $558 Anthem BCBS of WI — Medicare Advantage: $1.89 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $569 Anthem BCBS of WI — Traditional: $596 Besse Forest Products — Direct Employer: $358.15 Cigna — PPO: $350.61 CORVEL — Third Party: $358.15 Coventry — Workers Comp: $361.92 Family Health Center (FHC) — Prepaid Health Svcs: $282.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT NEW PAT LEVEL 4-TECH	$156	$148.20	$0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $151.94
New patient office visit (about 45–59 minutes): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $85.80 Anthem BCBS of WI — Medicare Advantage: $0.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $148.20 Cigna — PPO: $145.08 CORVEL — Third Party: $148.20 Coventry — Workers Comp: $149.76 Family Health Center (FHC) — Prepaid Health Svcs: $117 First Health — PPO Network: $148.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $140.40 Group Health Cooperative of Eau Claire — ETF - River Region: $127.92
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 4 TECH	$377	$358.15	$207.35 – $367.20
New patient office visit (about 45–59 minutes): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $207.35 Anthem BCBS of WI — HMO/POS: $309.14 Anthem BCBS of WI — PPO: $309.14 Anthem BCBS of WI — Traditional: $309.14 Besse Forest Products — Direct Employer: $358.15 Cigna — PPO: $350.61 CORVEL — Third Party: $358.15 Coventry — Workers Comp: $361.92 First Health — PPO Network: $358.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $339.30
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 5 TECH	$494	$469.30	$2.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $596
New patient office visit (about 60–74 minutes): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $271.70 Anthem BCBS of WI — HMO/POS: $558 Anthem BCBS of WI — Medicare Advantage: $2.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $569 Anthem BCBS of WI — Traditional: $596 Besse Forest Products — Direct Employer: $469.30 Cigna — PPO: $459.42 CORVEL — Third Party: $469.30 Coventry — Workers Comp: $474.24 Family Health Center (FHC) — Prepaid Health Svcs: $370.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT NEW PAT LEVEL 5-TECH	$204	$193.80	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $198.70
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Anthem BCBS of WI — Medicare Advantage: $1.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $193.80 Cigna — PPO: $189.72 CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $153 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $183.60 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT NEW, LEVEL 5 TECH	$494	$469.30	$271.70 – $481.16
New patient office visit (about 60–74 minutes): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $271.70 Anthem BCBS of WI — HMO/POS: $405.08 Anthem BCBS of WI — PPO: $405.08 Anthem BCBS of WI — Traditional: $405.08 Besse Forest Products — Direct Employer: $469.30 Cigna — PPO: $459.42 CORVEL — Third Party: $469.30 Coventry — Workers Comp: $474.24 First Health — PPO Network: $469.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $444.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT EST, LEVEL 3 TECH	$159	$151.05	$0.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $596
Established patient office visit (about 20–29 minutes): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $87.45 Anthem BCBS of WI — HMO/POS: $558 Anthem BCBS of WI — Medicare Advantage: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $569 Anthem BCBS of WI — Traditional: $596 Besse Forest Products — Direct Employer: $151.05 Cigna — PPO: $147.87 CORVEL — Third Party: $151.05 Coventry — Workers Comp: $152.64 Family Health Center (FHC) — Prepaid Health Svcs: $119.25
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT EST PAT LEVEL 3-TECH	$66	$62.70	$0.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $64.28
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $36.30 Anthem BCBS of WI — Medicare Advantage: $0.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $62.70 Cigna — PPO: $61.38 CORVEL — Third Party: $62.70 Coventry — Workers Comp: $63.36 Family Health Center (FHC) — Prepaid Health Svcs: $49.50 First Health — PPO Network: $62.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $59.40 Group Health Cooperative of Eau Claire — ETF - River Region: $54.12
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SUBSEQUENT ANTEPARTUM CARE-TECH	$66	$62.70	$0.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $64.28
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $36.30 Anthem BCBS of WI — Medicare Advantage: $0.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $62.70 Cigna — PPO: $61.38 CORVEL — Third Party: $62.70 Coventry — Workers Comp: $63.36 Family Health Center (FHC) — Prepaid Health Svcs: $49.50 First Health — PPO Network: $62.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $59.40 Group Health Cooperative of Eau Claire — ETF - River Region: $54.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC VISIT, LEVEL 4 EST TECH	$242	$229.90	$1.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $596
Established patient office visit (about 30–39 minutes): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $133.10 Anthem BCBS of WI — HMO/POS: $558 Anthem BCBS of WI — Medicare Advantage: $1.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $569 Anthem BCBS of WI — Traditional: $596 Besse Forest Products — Direct Employer: $229.90 Cigna — PPO: $225.06 CORVEL — Third Party: $229.90 Coventry — Workers Comp: $232.32 Family Health Center (FHC) — Prepaid Health Svcs: $181.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT EST PAT LEVEL 4-TECH	$100	$95	$0.49 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $97.40
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $55 Anthem BCBS of WI — Medicare Advantage: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $95 Cigna — PPO: $93 CORVEL — Third Party: $95 Coventry — Workers Comp: $96 Family Health Center (FHC) — Prepaid Health Svcs: $75 First Health — PPO Network: $95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $90 Group Health Cooperative of Eau Claire — ETF - River Region: $82
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT, LEVEL 4 EST TECH	$242	$229.90	$133.10 – $235.71
Established patient office visit (about 30–39 minutes): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $133.10 Anthem BCBS of WI — HMO/POS: $198.44 Anthem BCBS of WI — PPO: $198.44 Anthem BCBS of WI — Traditional: $198.44 Besse Forest Products — Direct Employer: $229.90 Cigna — PPO: $225.06 CORVEL — Third Party: $229.90 Coventry — Workers Comp: $232.32 First Health — PPO Network: $229.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $217.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT OP CONSULT LEVEL 3-TECH	$151	$143.45	$0.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $147.07
Office consultation with a specialist (moderate): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Anthem BCBS of WI — Medicare Advantage: $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $143.45 Cigna — PPO: $140.43 CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 Family Health Center (FHC) — Prepaid Health Svcs: $113.25 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $135.90 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 3 ESTAB - BASED ON COMPONENT-TECH	$151	$143.45	$0.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $147.07
Office consultation with a specialist (moderate): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Anthem BCBS of WI — Medicare Advantage: $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $143.45 Cigna — PPO: $140.43 CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 Family Health Center (FHC) — Prepaid Health Svcs: $113.25 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $135.90 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 3 NEW - BASED ON TIME 99243-TECH	$151	$143.45	$0.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $147.07
Office consultation with a specialist (moderate): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Anthem BCBS of WI — Medicare Advantage: $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $143.45 Cigna — PPO: $140.43 CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 Family Health Center (FHC) — Prepaid Health Svcs: $113.25 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $135.90 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT OP CONSULT LEVEL 4-TECH	$204	$193.80	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $198.70
Office consultation with a specialist (moderate to high): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Anthem BCBS of WI — Medicare Advantage: $1.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $193.80 Cigna — PPO: $189.72 CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $153 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $183.60 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 4 ESTAB - BASED ON COMPONENTS-TECH	$204	$193.80	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $198.70
Office consultation with a specialist (moderate to high): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Anthem BCBS of WI — Medicare Advantage: $1.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $193.80 Cigna — PPO: $189.72 CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $153 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $183.60 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 4 ESTAB - BASED ON TIME 99244-TECH	$204	$193.80	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $198.70
Office consultation with a specialist (moderate to high): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Anthem BCBS of WI — Medicare Advantage: $1.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $193.80 Cigna — PPO: $189.72 CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $153 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $183.60 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 18-39-TECH	$147	$139.65	$0.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $143.18
Preventive checkup, new patient, age 18–39: 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $80.85 Anthem BCBS of WI — Medicare Advantage: $0.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $139.65 Cigna — PPO: $136.71 CORVEL — Third Party: $139.65 Coventry — Workers Comp: $141.12 Family Health Center (FHC) — Prepaid Health Svcs: $110.25 First Health — PPO Network: $139.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $132.30 Group Health Cooperative of Eau Claire — ETF - River Region: $120.54
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 18-39-TECH	$147	$139.65	$80.85 – $143.18
Preventive checkup, new patient, age 18–39: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $80.85 Anthem BCBS of WI — HMO/POS: $120.54 Anthem BCBS of WI — PPO: $120.54 Anthem BCBS of WI — Traditional: $120.54 Besse Forest Products — Direct Employer: $139.65 Cigna — PPO: $136.71 CORVEL — Third Party: $139.65 Coventry — Workers Comp: $141.12 First Health — PPO Network: $139.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $132.30
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 40-64-TECH	$159	$151.05	$0.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $154.87
Preventive checkup, new patient, age 40–64: 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $87.45 Anthem BCBS of WI — Medicare Advantage: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $151.05 Cigna — PPO: $147.87 CORVEL — Third Party: $151.05 Coventry — Workers Comp: $152.64 Family Health Center (FHC) — Prepaid Health Svcs: $119.25 First Health — PPO Network: $151.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $143.10 Group Health Cooperative of Eau Claire — ETF - River Region: $130.38
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 40-64-TECH	$159	$151.05	$87.45 – $154.87
Preventive checkup, new patient, age 40–64: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $87.45 Anthem BCBS of WI — HMO/POS: $130.38 Anthem BCBS of WI — PPO: $130.38 Anthem BCBS of WI — Traditional: $130.38 Besse Forest Products — Direct Employer: $151.05 Cigna — PPO: $147.87 CORVEL — Third Party: $151.05 Coventry — Workers Comp: $152.64 First Health — PPO Network: $151.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $143.10
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3-TECH	$852	$809.40	$4.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,650
Emergency room visit (moderate): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $468.60 Anthem BCBS of WI — HMO/POS: $2,208 Anthem BCBS of WI — Medicare Advantage: $4.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $2,430 Anthem BCBS of WI — Traditional: $2,650 Besse Forest Products — Direct Employer: $809.40 Cigna — PPO: $792.36 CORVEL — Third Party: $809.40 Coventry — Workers Comp: $817.92 Family Health Center (FHC) — Prepaid Health Svcs: $639
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3-TECH	$852	$809.40	$468.60 – $829.85
Emergency room visit (moderate): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $468.60 Anthem BCBS of WI — HMO/POS: $698.64 Anthem BCBS of WI — PPO: $698.64 Anthem BCBS of WI — Traditional: $698.64 Besse Forest Products — Direct Employer: $809.40 Cigna — PPO: $792.36 CORVEL — Third Party: $809.40 Coventry — Workers Comp: $817.92 First Health — PPO Network: $809.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $766.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4-TECH	$1,157	$1,099.15	$5.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,969
Emergency room visit (moderately high): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $636.35 Anthem BCBS of WI — HMO/POS: $3,864 Anthem BCBS of WI — Medicare Advantage: $5.79 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $4,417 Anthem BCBS of WI — Traditional: $4,969 Besse Forest Products — Direct Employer: $1,099.15 Cigna — PPO: $1,076.01 CORVEL — Third Party: $1,099.15 Coventry — Workers Comp: $1,110.72 Family Health Center (FHC) — Prepaid Health Svcs: $867.75
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4-TECH	$1,157	$1,099.15	$636.35 – $1,126.92
Emergency room visit (moderately high): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $636.35 Anthem BCBS of WI — HMO/POS: $948.74 Anthem BCBS of WI — PPO: $948.74 Anthem BCBS of WI — Traditional: $948.74 Besse Forest Products — Direct Employer: $1,099.15 Cigna — PPO: $1,076.01 CORVEL — Third Party: $1,099.15 Coventry — Workers Comp: $1,110.72 First Health — PPO Network: $1,099.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,041.30
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5-TECH	$1,987	$1,887.65	$9.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,969
Emergency room visit (high): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,092.85 Anthem BCBS of WI — HMO/POS: $3,864 Anthem BCBS of WI — Medicare Advantage: $9.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $4,417 Anthem BCBS of WI — Traditional: $4,969 Besse Forest Products — Direct Employer: $1,887.65 Cigna — PPO: $1,847.91 CORVEL — Third Party: $1,887.65 Coventry — Workers Comp: $1,907.52 Family Health Center (FHC) — Prepaid Health Svcs: $1,490.25
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5-TECH	$1,987	$1,887.65	$1,092.85 – $1,935.34
Emergency room visit (high): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,092.85 Anthem BCBS of WI — HMO/POS: $1,629.34 Anthem BCBS of WI — PPO: $1,629.34 Anthem BCBS of WI — Traditional: $1,629.34 Besse Forest Products — Direct Employer: $1,887.65 Cigna — PPO: $1,847.91 CORVEL — Third Party: $1,887.65 Coventry — Workers Comp: $1,907.52 First Health — PPO Network: $1,887.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,788.30

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL W TOTAL CA-TECH	$93	$88.35	$0.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $90.58
Basic metabolic panel (blood test): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS: $44.41 Anthem BCBS of WI — Medicare Advantage: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $44.41 Anthem BCBS of WI — Traditional: $44.41 Besse Forest Products — Direct Employer: $88.35 Cigna — PPO: $86.49 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28 Family Health Center (FHC) — Prepaid Health Svcs: $69.75
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL W TOTAL CA-TECH	$93	$88.35	$51.15 – $90.58
Basic metabolic panel (blood test): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS: $76.26 Anthem BCBS of WI — PPO: $76.26 Anthem BCBS of WI — Traditional: $76.26 Besse Forest Products — Direct Employer: $88.35 Cigna — PPO: $86.49 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28 First Health — PPO Network: $88.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $83.70
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPR METABOLIC PANEL-TECH	$118	$112.10	$0.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $114.93
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $64.90 Anthem BCBS of WI — HMO/POS: $55.44 Anthem BCBS of WI — Medicare Advantage: $0.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $55.44 Anthem BCBS of WI — Traditional: $55.44 Besse Forest Products — Direct Employer: $112.10 Cigna — PPO: $109.74 CORVEL — Third Party: $112.10 Coventry — Workers Comp: $113.28 Family Health Center (FHC) — Prepaid Health Svcs: $88.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPR METABOLIC PANEL-TECH	$118	$112.10	$64.90 – $114.93
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $64.90 Anthem BCBS of WI — HMO/POS: $96.76 Anthem BCBS of WI — PPO: $96.76 Anthem BCBS of WI — Traditional: $96.76 Besse Forest Products — Direct Employer: $112.10 Cigna — PPO: $109.74 CORVEL — Third Party: $112.10 Coventry — Workers Comp: $113.28 First Health — PPO Network: $112.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $106.20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL-TECH	$149	$141.55	$0.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $145.13
Cholesterol panel (lipid panel): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $70.30 Anthem BCBS of WI — Medicare Advantage: $0.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $70.30 Anthem BCBS of WI — Traditional: $70.30 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $111.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL-TECH	$149	$141.55	$81.95 – $145.13
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $122.18 Anthem BCBS of WI — PPO: $122.18 Anthem BCBS of WI — Traditional: $122.18 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 First Health — PPO Network: $141.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $134.10
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL-TECH	$98	$93.10	$0.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $95.45
Kidney function panel: 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $53.90 Anthem BCBS of WI — HMO/POS: $45.57 Anthem BCBS of WI — Medicare Advantage: $0.49 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $45.57 Anthem BCBS of WI — Traditional: $45.57 Besse Forest Products — Direct Employer: $93.10 Cigna — PPO: $91.14 CORVEL — Third Party: $93.10 Coventry — Workers Comp: $94.08 Family Health Center (FHC) — Prepaid Health Svcs: $73.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL-TECH	$98	$93.10	$53.90 – $95.45
Kidney function panel: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $53.90 Anthem BCBS of WI — HMO/POS: $80.36 Anthem BCBS of WI — PPO: $80.36 Anthem BCBS of WI — Traditional: $80.36 Besse Forest Products — Direct Employer: $93.10 Cigna — PPO: $91.14 CORVEL — Third Party: $93.10 Coventry — Workers Comp: $94.08 First Health — PPO Network: $93.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $88.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL-TECH	$93	$88.35	$0.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $90.58
Liver function panel: 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS: $42.89 Anthem BCBS of WI — Medicare Advantage: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $42.89 Anthem BCBS of WI — Traditional: $42.89 Besse Forest Products — Direct Employer: $88.35 Cigna — PPO: $86.49 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28 Family Health Center (FHC) — Prepaid Health Svcs: $69.75
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL-TECH	$93	$88.35	$51.15 – $90.58
Liver function panel: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS: $76.26 Anthem BCBS of WI — PPO: $76.26 Anthem BCBS of WI — Traditional: $76.26 Besse Forest Products — Direct Employer: $88.35 Cigna — PPO: $86.49 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28 First Health — PPO Network: $88.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $83.70
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W MICRO-TECH	$42	$39.90	$0.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $40.91
Urine test (automated, with microscope): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $23.10 Anthem BCBS of WI — HMO/POS: $16.64 Anthem BCBS of WI — Medicare Advantage: $0.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $16.64 Anthem BCBS of WI — Traditional: $16.64 Besse Forest Products — Direct Employer: $39.90 Cigna — PPO: $39.06 CORVEL — Third Party: $39.90 Coventry — Workers Comp: $40.32 Family Health Center (FHC) — Prepaid Health Svcs: $31.50
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W MICRO-TECH	$42	$39.90	$23.10 – $40.91
Urine test (automated, with microscope): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $23.10 Anthem BCBS of WI — HMO/POS: $34.44 Anthem BCBS of WI — PPO: $34.44 Anthem BCBS of WI — Traditional: $34.44 Besse Forest Products — Direct Employer: $39.90 Cigna — PPO: $39.06 CORVEL — Third Party: $39.90 Coventry — Workers Comp: $40.32 First Health — PPO Network: $39.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $37.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NON AUTO WO MICRO-TECH	$36	$34.20	$0.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $35.06
Urine test (manual, without microscope): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $19.80 Anthem BCBS of WI — HMO/POS: $18.27 Anthem BCBS of WI — Medicare Advantage: $0.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $18.27 Anthem BCBS of WI — Traditional: $18.27 Besse Forest Products — Direct Employer: $34.20 Cigna — PPO: $33.48 CORVEL — Third Party: $34.20 Coventry — Workers Comp: $34.56 Family Health Center (FHC) — Prepaid Health Svcs: $27
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIP-POC	$33	$31.35	$0.16 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $32.14
Urine test (manual, without microscope): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $18.15 Anthem BCBS of WI — HMO/POS: $18.27 Anthem BCBS of WI — Medicare Advantage: $0.17 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $18.27 Anthem BCBS of WI — Traditional: $18.27 Besse Forest Products — Direct Employer: $31.35 Cigna — PPO: $30.69 CORVEL — Third Party: $31.35 Coventry — Workers Comp: $31.68 Family Health Center (FHC) — Prepaid Health Svcs: $24.75
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONCOLOGY PROTEIN URINE SCREEN	$36	$34.20	$0.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $35.06
Urine test (manual, without microscope): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $19.80 Anthem BCBS of WI — HMO/POS: $18.27 Anthem BCBS of WI — Medicare Advantage: $0.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $18.27 Anthem BCBS of WI — Traditional: $18.27 Besse Forest Products — Direct Employer: $34.20 Cigna — PPO: $33.48 CORVEL — Third Party: $34.20 Coventry — Workers Comp: $34.56 Family Health Center (FHC) — Prepaid Health Svcs: $27
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WO MICROSCOPY-TECH	$31	$29.45	$0.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30.19
Urine test (automated, without microscope): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS: $11.81 Anthem BCBS of WI — Medicare Advantage: $0.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $11.81 Anthem BCBS of WI — Traditional: $11.81 Besse Forest Products — Direct Employer: $29.45 Cigna — PPO: $28.83 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76 Family Health Center (FHC) — Prepaid Health Svcs: $23.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ALBUMIN LEVEL URINE-TECH	$31	$29.45	$0.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30.19
Urine test (automated, without microscope): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS: $11.81 Anthem BCBS of WI — Medicare Advantage: $0.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $11.81 Anthem BCBS of WI — Traditional: $11.81 Besse Forest Products — Direct Employer: $29.45 Cigna — PPO: $28.83 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76 Family Health Center (FHC) — Prepaid Health Svcs: $23.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA BY DIP OR TABLET FOR BILI-TECH	$31	$29.45	$0.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30.19
Urine test (automated, without microscope): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS: $11.81 Anthem BCBS of WI — Medicare Advantage: $0.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $11.81 Anthem BCBS of WI — Traditional: $11.81 Besse Forest Products — Direct Employer: $29.45 Cigna — PPO: $28.83 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76 Family Health Center (FHC) — Prepaid Health Svcs: $23.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL-TECH	$209	$198.55	$1.02 – $203.57
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $114.95 Anthem BCBS of WI — HMO/POS: $96.55 Anthem BCBS of WI — Medicare Advantage: $1.04 Anthem BCBS of WI — PPO: $96.55 Anthem BCBS of WI — Traditional: $96.55 Besse Forest Products — Direct Employer: $198.55 Cigna — PPO: $194.37 CORVEL — Third Party: $198.55 Coventry — Workers Comp: $200.64 Family Health Center (FHC) — Prepaid Health Svcs: $156.75
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA TOTAL-TECH	$209	$198.55	$114.95 – $203.57
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $114.95 Anthem BCBS of WI — HMO/POS: $171.38 Anthem BCBS of WI — PPO: $171.38 Anthem BCBS of WI — Traditional: $171.38 Besse Forest Products — Direct Employer: $198.55 Cigna — PPO: $194.37 CORVEL — Third Party: $198.55 Coventry — Workers Comp: $200.64 First Health — PPO Network: $198.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $188.10
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE-TECH	$182	$172.90	$0.89 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $177.27
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.10 Anthem BCBS of WI — HMO/POS: $88.20 Anthem BCBS of WI — Medicare Advantage: $0.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $88.20 Anthem BCBS of WI — Traditional: $88.20 Besse Forest Products — Direct Employer: $172.90 Cigna — PPO: $169.26 CORVEL — Third Party: $172.90 Coventry — Workers Comp: $174.72 Family Health Center (FHC) — Prepaid Health Svcs: $136.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID DIAGNOSTIC CASCADE-TECH	$183	$173.85	$0.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $178.24
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.65 Anthem BCBS of WI — HMO/POS: $88.20 Anthem BCBS of WI — Medicare Advantage: $0.92 Anthem BCBS of WI — PPO: $88.20 Anthem BCBS of WI — Traditional: $88.20 Besse Forest Products — Direct Employer: $173.85 Cigna — PPO: $170.19 CORVEL — Third Party: $173.85 Coventry — Workers Comp: $175.68 Family Health Center (FHC) — Prepaid Health Svcs: $137.25
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE-TECH	$182	$172.90	$100.10 – $177.27
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.10 Anthem BCBS of WI — HMO/POS: $149.24 Anthem BCBS of WI — PPO: $149.24 Anthem BCBS of WI — Traditional: $149.24 Besse Forest Products — Direct Employer: $172.90 Cigna — PPO: $169.26 CORVEL — Third Party: $172.90 Coventry — Workers Comp: $174.72 First Health — PPO Network: $172.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $163.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W AUTO DIFF-TECH	$85	$80.75	$0.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $82.79
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $46.75 Anthem BCBS of WI — HMO/POS: $40.79 Anthem BCBS of WI — Medicare Advantage: $0.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $40.79 Anthem BCBS of WI — Traditional: $40.79 Besse Forest Products — Direct Employer: $80.75 Cigna — PPO: $79.05 CORVEL — Third Party: $80.75 Coventry — Workers Comp: $81.60 Family Health Center (FHC) — Prepaid Health Svcs: $63.75
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W AUTO DIFF-TECH	$85	$80.75	$46.75 – $82.79
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $46.75 Anthem BCBS of WI — HMO/POS: $69.70 Anthem BCBS of WI — PPO: $69.70 Anthem BCBS of WI — Traditional: $69.70 Besse Forest Products — Direct Employer: $80.75 Cigna — PPO: $79.05 CORVEL — Third Party: $80.75 Coventry — Workers Comp: $81.60 First Health — PPO Network: $80.75 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $76.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO WO DIFF-TECH	$70	$66.50	$0.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $68.18
Complete blood count (CBC), automated: 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $38.50 Anthem BCBS of WI — HMO/POS: $33.97 Anthem BCBS of WI — Medicare Advantage: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $33.97 Anthem BCBS of WI — Traditional: $33.97 Besse Forest Products — Direct Employer: $66.50 Cigna — PPO: $65.10 CORVEL — Third Party: $66.50 Coventry — Workers Comp: $67.20 Family Health Center (FHC) — Prepaid Health Svcs: $52.50
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC AUTO WO DIFF-TECH	$70	$66.50	$38.50 – $68.18
Complete blood count (CBC), automated: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $38.50 Anthem BCBS of WI — HMO/POS: $57.40 Anthem BCBS of WI — PPO: $57.40 Anthem BCBS of WI — Traditional: $57.40 Besse Forest Products — Direct Employer: $66.50 Cigna — PPO: $65.10 CORVEL — Third Party: $66.50 Coventry — Workers Comp: $67.20 First Health — PPO Network: $66.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $63
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME-TECH	$45	$42.75	$0.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $43.83
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Anthem BCBS of WI — HMO/POS: $22.52 Anthem BCBS of WI — Medicare Advantage: $0.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $22.52 Anthem BCBS of WI — Traditional: $22.52 Besse Forest Products — Direct Employer: $42.75 Cigna — PPO: $41.85 CORVEL — Third Party: $42.75 Coventry — Workers Comp: $43.20 Family Health Center (FHC) — Prepaid Health Svcs: $33.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ANTIPHOSPHOLIPID SYNDROME-TECH	$45	$42.75	$0.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $43.83
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Anthem BCBS of WI — HMO/POS: $22.52 Anthem BCBS of WI — Medicare Advantage: $0.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $22.52 Anthem BCBS of WI — Traditional: $22.52 Besse Forest Products — Direct Employer: $42.75 Cigna — PPO: $41.85 CORVEL — Third Party: $42.75 Coventry — Workers Comp: $43.20 Family Health Center (FHC) — Prepaid Health Svcs: $33.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME-TECH	$45	$42.75	$24.75 – $43.83
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Anthem BCBS of WI — HMO/POS: $36.90 Anthem BCBS of WI — PPO: $36.90 Anthem BCBS of WI — Traditional: $36.90 Besse Forest Products — Direct Employer: $42.75 Cigna — PPO: $41.85 CORVEL — Third Party: $42.75 Coventry — Workers Comp: $43.20 First Health — PPO Network: $42.75 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $40.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL-TECH	$68	$64.60	$0.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $66.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates Amish/Mennonite — Amish Mennonite: $37.40 Anthem BCBS of WI — HMO/POS: $31.55 Anthem BCBS of WI — Medicare Advantage: $0.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $31.55 Anthem BCBS of WI — Traditional: $31.55 Besse Forest Products — Direct Employer: $64.60 Cigna — PPO: $63.24 CORVEL — Third Party: $64.60 Coventry — Workers Comp: $65.28 Family Health Center (FHC) — Prepaid Health Svcs: $51
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL-TECH	$68	$64.60	$37.40 – $66.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $37.40 Anthem BCBS of WI — HMO/POS: $55.76 Anthem BCBS of WI — PPO: $55.76 Anthem BCBS of WI — Traditional: $55.76 Besse Forest Products — Direct Employer: $64.60 Cigna — PPO: $63.24 CORVEL — Third Party: $64.60 Coventry — Workers Comp: $65.28 First Health — PPO Network: $64.60 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $61.20

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD OR BRAIN WO CNTRST-TECH	$2,191	$2,081.45	$10.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,134.03
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,205.05 Anthem BCBS of WI — HMO/POS: $1,592 Anthem BCBS of WI — Medicare Advantage: $10.96 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $1,740 Anthem BCBS of WI — Traditional: $1,820 Besse Forest Products — Direct Employer: $2,081.45 Cigna — PPO: $2,037.63 CORVEL — Third Party: $2,081.45 Coventry — Workers Comp: $2,103.36 Family Health Center (FHC) — Prepaid Health Svcs: $1,643.25
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD OR BRAIN WO CNTRST-TECH	$2,191	$2,081.45	$1,205.05 – $2,134.03
CT scan of the head or brain, without contrast: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,205.05 Anthem BCBS of WI — HMO/POS: $1,796.62 Anthem BCBS of WI — PPO: $1,796.62 Anthem BCBS of WI — Traditional: $1,796.62 Besse Forest Products — Direct Employer: $2,081.45 Cigna — PPO: $2,037.63 CORVEL — Third Party: $2,081.45 Coventry — Workers Comp: $2,103.36 First Health — PPO Network: $2,081.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,971.90
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN WO/W CNTRST + SEQ-TECH	$6,059	$5,756.05	$29.69 – $5,901.47
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,332.45 Anthem BCBS of WI — HMO/POS: $1,906 Anthem BCBS of WI — Medicare Advantage: $30.30 Anthem BCBS of WI — PPO: $2,047 Anthem BCBS of WI — Traditional: $2,161 Besse Forest Products — Direct Employer: $5,756.05 Cigna — PPO: $5,634.87 CORVEL — Third Party: $5,756.05 Coventry — Workers Comp: $5,816.64 Family Health Center (FHC) — Prepaid Health Svcs: $4,544.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN WO/W CNTRST + SEQ-TECH	$6,059	$5,756.05	$3,332.45 – $5,901.47
MRI of the brain, before and after contrast: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,332.45 Anthem BCBS of WI — HMO/POS: $4,968.38 Anthem BCBS of WI — PPO: $4,968.38 Anthem BCBS of WI — Traditional: $4,968.38 Besse Forest Products — Direct Employer: $5,756.05 Cigna — PPO: $5,634.87 CORVEL — Third Party: $5,756.05 Coventry — Workers Comp: $5,816.64 First Health — PPO Network: $5,756.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,453.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR CHEST 2 VWS FRONTAL&LATL-TECH	$503	$477.85	$2.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $489.92
Chest X-ray, 2 views: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $276.65 Anthem BCBS of WI — HMO/POS: $161.03 Anthem BCBS of WI — Medicare Advantage: $2.52 Anthem BCBS of WI — PPO: $161.03 Anthem BCBS of WI — Traditional: $161.03 Besse Forest Products — Direct Employer: $477.85 Cigna — PPO: $467.79 CORVEL — Third Party: $477.85 Coventry — Workers Comp: $482.88 Family Health Center (FHC) — Prepaid Health Svcs: $377.25
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XR CHEST 2 VWS FRONTAL&LATL-TECH	$503	$477.85	$276.65 – $489.92
Chest X-ray, 2 views: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $276.65 Anthem BCBS of WI — HMO/POS: $412.46 Anthem BCBS of WI — PPO: $412.46 Anthem BCBS of WI — Traditional: $412.46 Besse Forest Products — Direct Employer: $477.85 Cigna — PPO: $467.79 CORVEL — Third Party: $477.85 Coventry — Workers Comp: $482.88 First Health — PPO Network: $477.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $452.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR SPINE LUMBOSACRAL MIN 4VWS-TECH	$631	$599.45	$3.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $614.59
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $347.05 Anthem BCBS of WI — HMO/POS: $272.48 Anthem BCBS of WI — Medicare Advantage: $3.15 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $272.48 Anthem BCBS of WI — Traditional: $272.48 Besse Forest Products — Direct Employer: $599.45 Cigna — PPO: $586.83 CORVEL — Third Party: $599.45 Coventry — Workers Comp: $605.76 Family Health Center (FHC) — Prepaid Health Svcs: $473.25
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XR SPINE LUMBOSACRAL MIN 4VWS-TECH	$631	$599.45	$347.05 – $614.59
X-ray of the lower spine, at least 4 views: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $347.05 Anthem BCBS of WI — HMO/POS: $517.42 Anthem BCBS of WI — PPO: $517.42 Anthem BCBS of WI — Traditional: $517.42 Besse Forest Products — Direct Employer: $599.45 Cigna — PPO: $586.83 CORVEL — Third Party: $599.45 Coventry — Workers Comp: $605.76 First Health — PPO Network: $599.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $567.90
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SPINE LUMBAR WO CNTRST-TECH	$4,393	$4,173.35	$21.53 – $4,278.78
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,416.15 Anthem BCBS of WI — HMO/POS: $1,906 Anthem BCBS of WI — Medicare Advantage: $21.96 Anthem BCBS of WI — PPO: $2,047 Anthem BCBS of WI — Traditional: $2,161 Besse Forest Products — Direct Employer: $4,173.35 Cigna — PPO: $4,085.49 CORVEL — Third Party: $4,173.35 Coventry — Workers Comp: $4,217.28 Family Health Center (FHC) — Prepaid Health Svcs: $3,294.75
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI SPINE LUMBAR WO CNTRST-TECH	$4,393	$4,173.35	$2,416.15 – $4,278.78
MRI of the lower back (lumbar spine), without contrast: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,416.15 Anthem BCBS of WI — HMO/POS: $3,602.26 Anthem BCBS of WI — PPO: $3,602.26 Anthem BCBS of WI — Traditional: $3,602.26 Besse Forest Products — Direct Employer: $4,173.35 Cigna — PPO: $4,085.49 CORVEL — Third Party: $4,173.35 Coventry — Workers Comp: $4,217.28 First Health — PPO Network: $4,173.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $3,953.70
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-PELVIS W/CONTRAST SI JOINTS	$4,203	$3,992.85	$20.59 – $4,093.72
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,311.65 Anthem BCBS of WI — HMO/POS: $1,592 Anthem BCBS of WI — Medicare Advantage: $21.02 Anthem BCBS of WI — PPO: $1,740 Anthem BCBS of WI — Traditional: $1,820 Besse Forest Products — Direct Employer: $3,992.85 Cigna — PPO: $3,908.79 CORVEL — Third Party: $3,992.85 Coventry — Workers Comp: $4,034.88 Family Health Center (FHC) — Prepaid Health Svcs: $3,152.25
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W/CONTRAST SI JOINTS	$4,203	$3,992.85	$2,311.65 – $4,093.72
CT scan of the pelvis, with contrast: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,311.65 Anthem BCBS of WI — HMO/POS: $3,446.46 Anthem BCBS of WI — PPO: $3,446.46 Anthem BCBS of WI — Traditional: $3,446.46 Besse Forest Products — Direct Employer: $3,992.85 Cigna — PPO: $3,908.79 CORVEL — Third Party: $3,992.85 Coventry — Workers Comp: $4,034.88 First Health — PPO Network: $3,992.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $3,782.70
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT-PELVIS W/CONTRAST	$4,203	$3,992.85	$20.59 – $4,093.72
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,311.65 Anthem BCBS of WI — HMO/POS: $1,592 Anthem BCBS of WI — Medicare Advantage: $21.02 Anthem BCBS of WI — PPO: $1,740 Anthem BCBS of WI — Traditional: $1,820 Besse Forest Products — Direct Employer: $3,992.85 Cigna — PPO: $3,908.79 CORVEL — Third Party: $3,992.85 Coventry — Workers Comp: $4,034.88 Family Health Center (FHC) — Prepaid Health Svcs: $3,152.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LWR EXT ANY JT WO CNTRST-TECH	$4,524	$4,297.80	$22.17 – $4,406.38
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,488.20 Anthem BCBS of WI — HMO/POS: $1,906 Anthem BCBS of WI — Medicare Advantage: $22.62 Anthem BCBS of WI — PPO: $2,047 Anthem BCBS of WI — Traditional: $2,161 Besse Forest Products — Direct Employer: $4,297.80 Cigna — PPO: $4,207.32 CORVEL — Third Party: $4,297.80 Coventry — Workers Comp: $4,343.04 Family Health Center (FHC) — Prepaid Health Svcs: $3,393
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI LWR EXT ANY JT WO CNTRST-TECH	$4,524	$4,297.80	$2,488.20 – $4,406.38
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $2,488.20 Anthem BCBS of WI — HMO/POS: $3,709.68 Anthem BCBS of WI — PPO: $3,709.68 Anthem BCBS of WI — Traditional: $3,709.68 Besse Forest Products — Direct Employer: $4,297.80 Cigna — PPO: $4,207.32 CORVEL — Third Party: $4,297.80 Coventry — Workers Comp: $4,343.04 First Health — PPO Network: $4,297.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $4,071.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN/PELVIS W CNTRST-TECH	$5,652	$5,369.40	$27.69 – $5,505.05
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,108.60 Anthem BCBS of WI — HMO/POS: $1,592 Anthem BCBS of WI — Medicare Advantage: $28.26 Anthem BCBS of WI — PPO: $1,740 Anthem BCBS of WI — Traditional: $1,820 Besse Forest Products — Direct Employer: $5,369.40 Cigna — PPO: $5,256.36 CORVEL — Third Party: $5,369.40 Coventry — Workers Comp: $5,425.92 Family Health Center (FHC) — Prepaid Health Svcs: $4,239
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN/PELVIS W CNTRST-TECH	$5,652	$5,369.40	$3,108.60 – $5,505.05
CT scan of the abdomen and pelvis, with contrast: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,108.60 Anthem BCBS of WI — HMO/POS: $4,634.64 Anthem BCBS of WI — PPO: $4,634.64 Anthem BCBS of WI — Traditional: $4,634.64 Besse Forest Products — Direct Employer: $5,369.40 Cigna — PPO: $5,256.36 CORVEL — Third Party: $5,369.40 Coventry — Workers Comp: $5,425.92 First Health — PPO Network: $5,369.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,086.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMINAL COMPLT-TECH	$1,275	$1,211.25	$6.25 – $1,241.85
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.25 Anthem BCBS of WI — HMO/POS: $419 Anthem BCBS of WI — Medicare Advantage: $6.38 Anthem BCBS of WI — PPO: $455 Anthem BCBS of WI — Traditional: $468 Besse Forest Products — Direct Employer: $1,211.25 Cigna — PPO: $1,185.75 CORVEL — Third Party: $1,211.25 Coventry — Workers Comp: $1,224 Family Health Center (FHC) — Prepaid Health Svcs: $956.25
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMINAL COMPLT-TECH	$1,275	$1,211.25	$701.25 – $1,241.85
Ultrasound of the abdomen, complete: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.25 Anthem BCBS of WI — HMO/POS: $1,045.50 Anthem BCBS of WI — PPO: $1,045.50 Anthem BCBS of WI — Traditional: $1,045.50 Besse Forest Products — Direct Employer: $1,211.25 Cigna — PPO: $1,185.75 CORVEL — Third Party: $1,211.25 Coventry — Workers Comp: $1,224 First Health — PPO Network: $1,211.25 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,147.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US OB TRANSABD >=14 WKS SNGL-TECH	$1,175	$1,116.25	$5.76 – $1,144.45
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $646.25 Anthem BCBS of WI — HMO/POS: $419 Anthem BCBS of WI — Medicare Advantage: $5.88 Anthem BCBS of WI — PPO: $455 Anthem BCBS of WI — Traditional: $468 Besse Forest Products — Direct Employer: $1,116.25 Cigna — PPO: $1,092.75 CORVEL — Third Party: $1,116.25 Coventry — Workers Comp: $1,128 Family Health Center (FHC) — Prepaid Health Svcs: $881.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US OB TRANSABD >=14 WKS SNGL-TECH	$1,175	$1,116.25	$646.25 – $1,144.45
Pregnancy ultrasound (after the first trimester): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $646.25 Anthem BCBS of WI — HMO/POS: $963.50 Anthem BCBS of WI — PPO: $963.50 Anthem BCBS of WI — Traditional: $963.50 Besse Forest Products — Direct Employer: $1,116.25 Cigna — PPO: $1,092.75 CORVEL — Third Party: $1,116.25 Coventry — Workers Comp: $1,128 First Health — PPO Network: $1,116.25 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,057.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND TRANSVAGINAL	$1,031	$979.45	$5.05 – $1,004.19
Transvaginal ultrasound: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS: $419 Anthem BCBS of WI — Medicare Advantage: $5.16 Anthem BCBS of WI — PPO: $455 Anthem BCBS of WI — Traditional: $468 Besse Forest Products — Direct Employer: $979.45 Cigna — PPO: $958.83 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $773.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US FOLLICLE STUDY IVT INFERTILITY-TECH	$1,031	$979.45	$5.05 – $1,004.19
Transvaginal ultrasound: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS: $419 Anthem BCBS of WI — Medicare Advantage: $5.16 Anthem BCBS of WI — PPO: $455 Anthem BCBS of WI — Traditional: $468 Besse Forest Products — Direct Employer: $979.45 Cigna — PPO: $958.83 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $773.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US PELVIS TRANSVAGINAL-TECH	$1,031	$979.45	$5.05 – $1,004.19
Transvaginal ultrasound: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS: $419 Anthem BCBS of WI — Medicare Advantage: $5.16 Anthem BCBS of WI — PPO: $455 Anthem BCBS of WI — Traditional: $468 Besse Forest Products — Direct Employer: $979.45 Cigna — PPO: $958.83 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $773.25
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 77065 TC TECH DIAG MAMMOGR CAD UNIL-MOBILE	$557	$529.15	$2.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $542.52
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $306.35 Anthem BCBS of WI — HMO/POS: $257 Anthem BCBS of WI — Medicare Advantage: $2.79 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $284 Anthem BCBS of WI — Traditional: $314 Besse Forest Products — Direct Employer: $529.15 Cigna — PPO: $518.01 CORVEL — Third Party: $529.15 Coventry — Workers Comp: $534.72 Family Health Center (FHC) — Prepaid Health Svcs: $417.75
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: 77065 TC TECH DIAG MAMMOGR CAD UNIL-MOBILE	$557	$529.15	$306.35 – $542.52
Diagnostic mammogram, one breast: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $306.35 Anthem BCBS of WI — HMO/POS: $456.74 Anthem BCBS of WI — PPO: $456.74 Anthem BCBS of WI — Traditional: $456.74 Besse Forest Products — Direct Employer: $529.15 Cigna — PPO: $518.01 CORVEL — Third Party: $529.15 Coventry — Workers Comp: $534.72 First Health — PPO Network: $529.15 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $501.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 77066 TC DIAG MAMMOGR CAD BIL-MOBILE	$689	$654.55	$3.38 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $671.09
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $378.95 Anthem BCBS of WI — HMO/POS: $257 Anthem BCBS of WI — Medicare Advantage: $3.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $284 Anthem BCBS of WI — Traditional: $314 Besse Forest Products — Direct Employer: $654.55 Cigna — PPO: $640.77 CORVEL — Third Party: $654.55 Coventry — Workers Comp: $661.44 Family Health Center (FHC) — Prepaid Health Svcs: $516.75
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: 77066 TC DIAG MAMMOGR CAD BIL-MOBILE	$689	$654.55	$378.95 – $671.09
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $378.95 Anthem BCBS of WI — HMO/POS: $564.98 Anthem BCBS of WI — PPO: $564.98 Anthem BCBS of WI — Traditional: $564.98 Besse Forest Products — Direct Employer: $654.55 Cigna — PPO: $640.77 CORVEL — Third Party: $654.55 Coventry — Workers Comp: $661.44 First Health — PPO Network: $654.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $620.10
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY, UNILATERAL-TECH	$601	$570.95	$2.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $585.37
Screening mammogram, both breasts: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $330.55 Anthem BCBS of WI — HMO/POS: $257 Anthem BCBS of WI — Medicare Advantage: $3 Anthem BCBS of WI — PPO: $284 Anthem BCBS of WI — Traditional: $314 Besse Forest Products — Direct Employer: $570.95 Cigna — PPO: $558.93 CORVEL — Third Party: $570.95 Coventry — Workers Comp: $576.96 Family Health Center (FHC) — Prepaid Health Svcs: $450.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SCR MAMMO INCL CAD UNIL MOBILE-TECH	$601	$570.95	$2.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $585.37
Screening mammogram, both breasts: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $330.55 Anthem BCBS of WI — HMO/POS: $257 Anthem BCBS of WI — Medicare Advantage: $3 Anthem BCBS of WI — PPO: $284 Anthem BCBS of WI — Traditional: $314 Besse Forest Products — Direct Employer: $570.95 Cigna — PPO: $558.93 CORVEL — Third Party: $570.95 Coventry — Workers Comp: $576.96 Family Health Center (FHC) — Prepaid Health Svcs: $450.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SCREEN MAMMOGR,UNIL,CAD	$902	$856.90	$4.42 – $878.55
Screening mammogram, both breasts: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $496.10 Anthem BCBS of WI — HMO/POS: $257 Anthem BCBS of WI — Medicare Advantage: $4.51 Anthem BCBS of WI — PPO: $284 Anthem BCBS of WI — Traditional: $314 Besse Forest Products — Direct Employer: $856.90 Cigna — PPO: $838.86 CORVEL — Third Party: $856.90 Coventry — Workers Comp: $865.92 Family Health Center (FHC) — Prepaid Health Svcs: $676.50

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6+YRS 4+ PA-TECH	$6,058	$5,755.10	$29.68 – $5,900.49
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,331.90 Anthem BCBS of WI — HMO/POS: $2,532 Anthem BCBS of WI — Medicare Advantage: $30.29 Anthem BCBS of WI — PPO: $2,815 Anthem BCBS of WI — Traditional: $2,903 Besse Forest Products — Direct Employer: $5,755.10 Cigna — PPO: $5,633.94 CORVEL — Third Party: $5,755.10 Coventry — Workers Comp: $5,815.68 Family Health Center (FHC) — Prepaid Health Svcs: $4,543.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6+YRS 4+ PA-TECH	$6,058	$5,755.10	$3,331.90 – $5,900.49
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,331.90 Anthem BCBS of WI — HMO/POS: $4,967.56 Anthem BCBS of WI — PPO: $4,967.56 Anthem BCBS of WI — Traditional: $4,967.56 Besse Forest Products — Direct Employer: $5,755.10 Cigna — PPO: $5,633.94 CORVEL — Third Party: $5,755.10 Coventry — Workers Comp: $5,815.68 First Health — PPO Network: $5,755.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $5,452.20

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT THER EXERCISE EA 15MIN-TECH	$150	$142.50	$0.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $82.50 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $142.50 Cigna — PPO: $139.50 CORVEL — Third Party: $142.50 Coventry — Workers Comp: $144 Family Health Center (FHC) — Prepaid Health Svcs: $112.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THER EXERCISE EA 15MIN-TECH	$150	$142.50	$0.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $82.50 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $142.50 Cigna — PPO: $139.50 CORVEL — Third Party: $142.50 Coventry — Workers Comp: $144 Family Health Center (FHC) — Prepaid Health Svcs: $112.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GO In the file: OT THER EXERCISE EA 15MIN-TECH	$150	$142.50	$82.50 – $146.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $82.50 Anthem BCBS of WI — HMO/POS: $123 Anthem BCBS of WI — PPO: $123 Anthem BCBS of WI — Traditional: $123 Besse Forest Products — Direct Employer: $142.50 Cigna — PPO: $139.50 CORVEL — Third Party: $142.50 Coventry — Workers Comp: $144 First Health — PPO Network: $142.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $135
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN-TECH	$363	$344.85	$1.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $353.56
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $199.65 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $1.81 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $344.85 Cigna — PPO: $337.59 CORVEL — Third Party: $344.85 Coventry — Workers Comp: $348.48 Family Health Center (FHC) — Prepaid Health Svcs: $272.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN-TECH	$363	$344.85	$199.65 – $353.56
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $199.65 Anthem BCBS of WI — HMO/POS: $297.66 Anthem BCBS of WI — PPO: $297.66 Anthem BCBS of WI — Traditional: $297.66 Besse Forest Products — Direct Employer: $344.85 Cigna — PPO: $337.59 CORVEL — Third Party: $344.85 Coventry — Workers Comp: $348.48 First Health — PPO Network: $344.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $326.70
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN-TECH	$458	$435.10	$2.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $446.09
Physical therapy evaluation (high complexity): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $251.90 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $2.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $435.10 Cigna — PPO: $425.94 CORVEL — Third Party: $435.10 Coventry — Workers Comp: $439.68 Family Health Center (FHC) — Prepaid Health Svcs: $343.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN-TECH	$458	$435.10	$251.90 – $446.09
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $251.90 Anthem BCBS of WI — HMO/POS: $375.56 Anthem BCBS of WI — PPO: $375.56 Anthem BCBS of WI — Traditional: $375.56 Besse Forest Products — Direct Employer: $435.10 Cigna — PPO: $425.94 CORVEL — Third Party: $435.10 Coventry — Workers Comp: $439.68 First Health — PPO Network: $435.10 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $412.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,QTT-MSW-90832-TECH	$112	$106.40	$0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $106.40 Cigna — PPO: $104.16 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $84
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,30 MIN-PHD 90832-TECH	$112	$106.40	$0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $106.40 Cigna — PPO: $104.16 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $84
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY-30 MIN-MSW/MS 90832-TECH	$112	$106.40	$0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $106.40 Cigna — PPO: $104.16 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $84
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,QTT-MSW-90834-TECH	$149	$141.55	$0.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $111.75
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL; THERAPY,LMFT-MS 90834-TECH	$149	$141.55	$0.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $111.75
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,45 MIN-MSW/MS 90834-TECH	$149	$141.55	$0.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $138.57 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $111.75
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY,LMFT-MS 90837-TECH	$224	$212.80	$1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $1.12 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $212.80 Cigna — PPO: $208.32 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $168
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,60 MIN-PHD 90837-TECH	$224	$212.80	$1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $1.12 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $212.80 Cigna — PPO: $208.32 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $168
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,60 MIN-MSW/MS 90837-TECH	$224	$212.80	$1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $1.12 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $212.80 Cigna — PPO: $208.32 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $168
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THER W/O PT,50 MIN-PHD 90846-TECH	$180	$171	$0.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $171 Cigna — PPO: $167.40 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $135
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THER W/O PT,50 MIN-MD 90846-TECH	$180	$171	$0.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $171 Cigna — PPO: $167.40 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $135
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THER,W/O PT,50MN-MSW/MS 90846-TECH	$180	$171	$0.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $171 Cigna — PPO: $167.40 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $135
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY,LMFT-MS 90847-TECH	$187	$177.65	$0.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Family psychotherapy, with the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $177.65 Cigna — PPO: $173.91 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $140.25
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY,50 MIN-PHD 90847-TECH	$187	$177.65	$0.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Family psychotherapy, with the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $177.65 Cigna — PPO: $173.91 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $140.25
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY,50 MIN-MSW/MS 90847-TECH	$187	$177.65	$0.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Family psychotherapy, with the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $177.65 Cigna — PPO: $173.91 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $140.25
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY-MSW/MS 90853-TECH	$53	$50.35	$0.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Group psychotherapy: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $50.35 Cigna — PPO: $49.29 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 Family Health Center (FHC) — Prepaid Health Svcs: $39.75
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY-APNP 90853-TECH	$53	$50.35	$0.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $264
Group psychotherapy: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Anthem BCBS of WI — HMO/POS: $226 Anthem BCBS of WI — Medicare Advantage: $0.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem BCBS of WI — PPO: $257 Anthem BCBS of WI — Traditional: $264 Besse Forest Products — Direct Employer: $50.35 Cigna — PPO: $49.29 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 Family Health Center (FHC) — Prepaid Health Svcs: $39.75
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP THERAPY-MSW/MS 90853-TECH	$53	$50.35	$29.15 – $51.62
Group psychotherapy: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Anthem BCBS of WI — HMO/POS: $43.46 Anthem BCBS of WI — PPO: $43.46 Anthem BCBS of WI — Traditional: $43.46 Besse Forest Products — Direct Employer: $50.35 Cigna — PPO: $49.29 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 First Health — PPO Network: $50.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $47.70

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXN BRST LESN OPEN >=1 LESN-TECH	$914	$868.30	$4.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $890.24
Removal of breast growth (open surgery): 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $502.70 Anthem BCBS of WI — Medicare Advantage: $4.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $868.30 Cigna — PPO: $850.02 CORVEL — Third Party: $868.30 Coventry — Workers Comp: $877.44 Family Health Center (FHC) — Prepaid Health Svcs: $685.50 First Health — PPO Network: $868.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $822.60 Group Health Cooperative of Eau Claire — ETF - River Region: $749.48
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXN BRST LESN OPEN >=1 LESN-TECH	$914	$868.30	$502.70 – $890.24
Removal of breast growth (open surgery): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $502.70 Anthem BCBS of WI — HMO/POS: $749.48 Anthem BCBS of WI — PPO: $749.48 Anthem BCBS of WI — Traditional: $749.48 Besse Forest Products — Direct Employer: $868.30 Cigna — PPO: $850.02 CORVEL — Third Party: $868.30 Coventry — Workers Comp: $877.44 First Health — PPO Network: $868.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $822.60
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT	Not listed in the file	Not listed in the file	Not listed in the file
Total hip replacement: rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)	Not listed in the file	Not listed in the file	Not listed in the file
Total knee replacement: rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA	Not listed in the file	Not listed in the file	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	Not listed in the file
Upper GI endoscopy with biopsy: rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAGNOSTIC-TECH	$1,546	$1,468.70	$7.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,505.80
Colonoscopy (diagnostic): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $850.30 Anthem BCBS of WI — Medicare Advantage: $7.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $1,468.70 Cigna — PPO: $1,437.78 CORVEL — Third Party: $1,468.70 Coventry — Workers Comp: $1,484.16 Family Health Center (FHC) — Prepaid Health Svcs: $1,159.50 First Health — PPO Network: $1,468.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,391.40 Group Health Cooperative of Eau Claire — ETF - River Region: $1,267.72
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAGNOSTIC-TECH	$1,546	$1,468.70	$850.30 – $1,505.80
Colonoscopy (diagnostic): 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $850.30 Anthem BCBS of WI — HMO/POS: $1,267.72 Anthem BCBS of WI — PPO: $1,267.72 Anthem BCBS of WI — Traditional: $1,267.72 Besse Forest Products — Direct Employer: $1,468.70 Cigna — PPO: $1,437.78 CORVEL — Third Party: $1,468.70 Coventry — Workers Comp: $1,484.16 First Health — PPO Network: $1,468.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,391.40
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSC FLEX W/BIOPSY-TECH	$1,314	$1,248.30	$6.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,279.84
Colonoscopy with biopsy: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $722.70 Anthem BCBS of WI — Medicare Advantage: $6.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $1,248.30 Cigna — PPO: $1,222.02 CORVEL — Third Party: $1,248.30 Coventry — Workers Comp: $1,261.44 Family Health Center (FHC) — Prepaid Health Svcs: $985.50 First Health — PPO Network: $1,248.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,182.60 Group Health Cooperative of Eau Claire — ETF - River Region: $1,077.48
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSC FLEX W/BIOPSY-TECH	$1,314	$1,248.30	$722.70 – $1,279.84
Colonoscopy with biopsy: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $722.70 Anthem BCBS of WI — HMO/POS: $1,077.48 Anthem BCBS of WI — PPO: $1,077.48 Anthem BCBS of WI — Traditional: $1,077.48 Besse Forest Products — Direct Employer: $1,248.30 Cigna — PPO: $1,222.02 CORVEL — Third Party: $1,248.30 Coventry — Workers Comp: $1,261.44 First Health — PPO Network: $1,248.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,182.60
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	Not listed in the file
Colonoscopy with biopsy: rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE	Not listed in the file	Not listed in the file	Not listed in the file
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	Not listed in the file	Not listed in the file	Not listed in the file
Screening colonoscopy (not high risk): rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE	Not listed in the file	Not listed in the file	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY PROSTRATE NEEDLE/PUNCH-TECH	$421	$399.95	$2.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $410.05
Prostate biopsy: 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $231.55 Anthem BCBS of WI — Medicare Advantage: $2.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $399.95 Cigna — PPO: $391.53 CORVEL — Third Party: $399.95 Coventry — Workers Comp: $404.16 Family Health Center (FHC) — Prepaid Health Svcs: $315.75 First Health — PPO Network: $399.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $378.90 Group Health Cooperative of Eau Claire — ETF - River Region: $345.22
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BIOPSY PROSTRATE NEEDLE/PUNCH-TECH	$421	$399.95	$231.55 – $410.05
Prostate biopsy: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $231.55 Anthem BCBS of WI — HMO/POS: $345.22 Anthem BCBS of WI — PPO: $345.22 Anthem BCBS of WI — Traditional: $345.22 Besse Forest Products — Direct Employer: $399.95 Cigna — PPO: $391.53 CORVEL — Third Party: $399.95 Coventry — Workers Comp: $404.16 First Health — PPO Network: $399.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $378.90
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: BIOPSY PROSTATE-TECH	$335	$318.25	$1.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $326.29
Prostate biopsy: 10 of 43 insurance plan rates Amish/Mennonite — Amish Mennonite: $184.25 Anthem BCBS of WI — Medicare Advantage: $1.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $318.25 Cigna — PPO: $311.55 CORVEL — Third Party: $318.25 Coventry — Workers Comp: $321.60 First Health — PPO Network: $318.25 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $301.50 Group Health Cooperative of Eau Claire — ETF - River Region: $274.70 Group Health Cooperative of Eau Claire — Medicare Advantage: $1.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ EPID/SUBARCH LUM/SAC W/GUIDE-TECH	$784	$744.80	$3.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $763.62
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates Amish/Mennonite — Amish Mennonite: $431.20 Anthem BCBS of WI — Medicare Advantage: $3.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $744.80 Cigna — PPO: $729.12 CORVEL — Third Party: $744.80 Coventry — Workers Comp: $752.64 First Health — PPO Network: $744.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $705.60 Group Health Cooperative of Eau Claire — ETF - River Region: $642.88 Group Health Cooperative of Eau Claire — Medicare Advantage: $4.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ DIAG/THER SUB L/S W/IMAG-TECH	$289	$274.55	$1.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $281.49
Spinal injection, lower back (epidural), with imaging guidance: 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $158.95 Anthem BCBS of WI — Medicare Advantage: $1.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $274.55 Cigna — PPO: $268.77 CORVEL — Third Party: $274.55 Coventry — Workers Comp: $277.44 Family Health Center (FHC) — Prepaid Health Svcs: $216.75 First Health — PPO Network: $274.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $260.10 Group Health Cooperative of Eau Claire — ETF - River Region: $236.98
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ EPID/SUBARCH LUM/SAC W/GUIDE-TECH	$784	$744.80	$431.20 – $763.62
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $431.20 Anthem BCBS of WI — HMO/POS: $642.88 Anthem BCBS of WI — PPO: $642.88 Anthem BCBS of WI — Traditional: $642.88 Besse Forest Products — Direct Employer: $744.80 Cigna — PPO: $729.12 CORVEL — Third Party: $744.80 Coventry — Workers Comp: $752.64 First Health — PPO Network: $744.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $705.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ ANES AGNT W/GUIDE-TECH	$784	$744.80	$3.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $763.62
Nerve root injection, lower back, with imaging guidance: 10 of 43 insurance plan rates Amish/Mennonite — Amish Mennonite: $431.20 Anthem BCBS of WI — Medicare Advantage: $3.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $744.80 Cigna — PPO: $729.12 CORVEL — Third Party: $744.80 Coventry — Workers Comp: $752.64 First Health — PPO Network: $744.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $705.60 Group Health Cooperative of Eau Claire — ETF - River Region: $642.88 Group Health Cooperative of Eau Claire — Medicare Advantage: $4.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ ANES AGNT LMB/SAC-RAD ONLY-TECH	$329	$312.55	$1.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $320.45
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $180.95 Anthem BCBS of WI — Medicare Advantage: $1.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $312.55 Cigna — PPO: $305.97 CORVEL — Third Party: $312.55 Coventry — Workers Comp: $315.84 Family Health Center (FHC) — Prepaid Health Svcs: $246.75 First Health — PPO Network: $312.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $296.10 Group Health Cooperative of Eau Claire — ETF - River Region: $269.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ ANES AGNT W/GUIDE-TECH	$784	$744.80	$431.20 – $763.62
Nerve root injection, lower back, with imaging guidance: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $431.20 Anthem BCBS of WI — HMO/POS: $642.88 Anthem BCBS of WI — PPO: $642.88 Anthem BCBS of WI — Traditional: $642.88 Besse Forest Products — Direct Employer: $744.80 Cigna — PPO: $729.12 CORVEL — Third Party: $744.80 Coventry — Workers Comp: $752.64 First Health — PPO Network: $744.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $705.60
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY MEDIAN CARPAL TUNNEL-TECH	$1,276	$1,212.20	$6.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,242.82
Carpal tunnel release: 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.80 Anthem BCBS of WI — Medicare Advantage: $6.38 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $1,212.20 Cigna — PPO: $1,186.68 CORVEL — Third Party: $1,212.20 Coventry — Workers Comp: $1,224.96 Family Health Center (FHC) — Prepaid Health Svcs: $957 First Health — PPO Network: $1,212.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,148.40 Group Health Cooperative of Eau Claire — ETF - River Region: $1,046.32
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEUROPLASTY MEDIAN CARPAL TUNNEL-TECH	$1,276	$1,212.20	$701.80 – $1,242.82
Carpal tunnel release: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.80 Anthem BCBS of WI — HMO/POS: $1,046.32 Anthem BCBS of WI — PPO: $1,046.32 Anthem BCBS of WI — Traditional: $1,046.32 Besse Forest Products — Direct Employer: $1,212.20 Cigna — PPO: $1,186.68 CORVEL — Third Party: $1,212.20 Coventry — Workers Comp: $1,224.96 First Health — PPO Network: $1,212.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,148.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL	Not listed in the file	Not listed in the file	Not listed in the file
Carpal tunnel release: rates for 3 insurance plans Anthem BCBS of WI — HMO/POS: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — PPO: 82% (a percentage in the contract, not a dollar amount) Anthem BCBS of WI — Traditional: 82% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DISC SECNDRY MEMB CATARACT LSR-TECH	$949	$901.55	$4.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $924.33
Laser treatment of clouding after cataract surgery: 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Anthem BCBS of WI — Medicare Advantage: $4.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $901.55 Cigna — PPO: $882.57 CORVEL — Third Party: $901.55 Coventry — Workers Comp: $911.04 Family Health Center (FHC) — Prepaid Health Svcs: $711.75 First Health — PPO Network: $901.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $854.10 Group Health Cooperative of Eau Claire — ETF - River Region: $778.18
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG LASER CAPS-EXT SHARE CARE-TECH	$949	$901.55	$4.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $924.33
Laser treatment of clouding after cataract surgery: 10 of 41 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Anthem BCBS of WI — Medicare Advantage: $4.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Besse Forest Products — Direct Employer: $901.55 Cigna — PPO: $882.57 CORVEL — Third Party: $901.55 Coventry — Workers Comp: $911.04 Family Health Center (FHC) — Prepaid Health Svcs: $711.75 First Health — PPO Network: $901.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $854.10 Group Health Cooperative of Eau Claire — ETF - River Region: $778.18
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DISC SECNDRY MEMB CATARACT LSR-TECH	$949	$901.55	$521.95 – $924.33
Laser treatment of clouding after cataract surgery: 10 of 38 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Anthem BCBS of WI — HMO/POS: $778.18 Anthem BCBS of WI — PPO: $778.18 Anthem BCBS of WI — Traditional: $778.18 Besse Forest Products — Direct Employer: $901.55 Cigna — PPO: $882.57 CORVEL — Third Party: $901.55 Coventry — Workers Comp: $911.04 First Health — PPO Network: $901.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $854.10

Source: Marshfield Medical Center - Neillsville’s standard charges file (marshfieldclinic.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 20, 2026; retrieved November 5, 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	216 Sunset Place, Neillsville, WI 54456
County	Clark County
State	Wisconsin
Phone	(715) 743‑3101
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	521323
Name in Medicare records	MARSHFIELD MEDICAL CENTER - NEILLSVILLE
Profile level	Medicare data + hospital website
Official website	marshfieldclinic.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Neillsville - Marshfield Medical Center in Neillsville — marshfieldclinic.org