Does Marshfield Medical Center - Rice Lake have an emergency room?

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

Where is Marshfield Medical Center - Rice Lake?

1700 West Stout Street, Rice Lake, WI 54868, in Barron County, Wisconsin.

What is the phone number of Marshfield Medical Center - Rice Lake?

(715) 234-1515, as listed by Medicare (CMS).

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

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Marshfield Medical Center - Rice Lake

Quick answers

Does Marshfield Medical Center - Rice Lake have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Marshfield Medical Center - Rice Lake. In a medical emergency, call 911.
Where is Marshfield Medical Center - Rice Lake?: 1700 West Stout Street, Rice Lake, WI 54868, in Barron County, Wisconsin.
What is the phone number of Marshfield Medical Center - Rice Lake?: (715) 234-1515, as listed by Medicare (CMS).
What is the Medicare star rating of Marshfield Medical Center - Rice Lake?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5]

Anesthesiology
Audiology
Cardiology
Counseling
Dermatology
Diabetes Education
Emergency Medicine
Endocrinology
Family Medicine
General Surgery
Hand Surgery
Hematology
Internal Medicine
Medical Oncology
Neuroradiology
Neurosurgery
Nutrition
Obstetrics & Gynecology
Occupational Therapy
Optometry
Orthopedic Surgery
Pain Management
Palliative Care
Pediatrics
Physical Therapy
Podiatry
Psychiatry
Radiation Oncology
Radiology - Body Imaging
Radiology - Breast Imaging
Rheumatology
Speech Therapy
Sports Medicine
Surgical Oncology
Vascular Surgery

Treatments^[5]

Procedures^[5]

Endoscopy
Surgery
Joint replacement

Programs and centers^[5]

Intensive care
Cardiac rehabilitation
Home health and hospice
Oncology
Women's health
Lifeline
Pain management clinic
Rehab

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

Emergency room	Yes

Visiting and practical information

Parking	Patient/visitor parking open 24/7; main lot across the drive from the hospital's main entrance; overflow Northwest lot near surgery side entrance^[6]

Doctors and clinicians (321)

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

Main specialties

Doctors with a page on this site (321)

Aaron M. Vandreel, DODiagnostic Radiology
Aaron R. Dagit, DODiagnostic Radiology
Abdou A. Elhendy, MDCardiovascular Disease (Cardiology)
Abdul-Ghaffaar Clark, MDEmergency Medicine
Abdullah A. Al Twal, MDCritical Care (Intensivists)
Abigail G. Aguirre, PAPhysician Assistant
Adam D. Atkins, MDSports Medicine
Adam H. Kibola, MDHospitalist
Adam P. Wadzinski, DODiagnostic Radiology
Adaora C. Okoli, MDInfectious Disease
Adriane Gianlupi, MDPulmonary Disease
Ahmad Basharat, MDHospitalist
Ahmed Zahid, MDHospitalist
Akash S. Taggarse, MDHospitalist
Alain Rizkallah, MDCardiovascular Disease (Cardiology)
Alboury Sow, MDFamily Practice
Alexandria L. Fox, NPNurse Practitioner
Alexandria Rowe, DCChiropractic
Alissa M. Darker, NPNurse Practitioner
Allyson Darga, MDPsychiatry
Alyson M. Kelsey, PAPhysician Assistant
Amanda Honig, CNACertified Registered Nurse Anesthetist (CRNA)
Amanda L. Stuttgen, NPNurse Practitioner
Amanda R. Butterfield, NPNurse Practitioner

And 297 more: the button below opens the full list.

Other emergency rooms nearby

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

Mayo Clinic Health System-Northland8.5 mi · Barron, WI · Critical Access Hospital
Cumberland Memorial Hospital16 mi · Cumberland, WI · Critical Access Hospital
Indianhead Medical Ctr18 mi · Shell Lake, WI · Critical Access Hospital
Spooner Health System26 mi · Spooner, WI · Critical Access Hospital
Mayo Clinic Health System Chippewa Valley31 mi · Bloomer, WI · Critical Access Hospital

Other hospitals nearby

Marshfield Medical Center - Ladysmith32 mi · Ladysmith, WI · Critical Access 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

Dove Healthcare - Rice Lake0.4 mi · Rice Lake, WI · 5 of 5 stars
Heritage Lakeside1.4 mi · Rice Lake, WI · 1 of 5 stars
Barron Care and Rehabilitation8.1 mi · Barron, WI · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Marshfield Medical Ctr Rice Lake Hospice2.6 mi · Rice Lake, WI · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Marshfield Medical Center - Rice Lake2.6 mi · Rice Lake, WI · 3 of 5 stars
Hearts of Gold20 mi · Shell Lake, WI
Indianhead Medical Ctr Hha20 mi · Shell Lake, WI

All home health agencies in the state →

Dialysis facilities

DaVita Rice Lake2.6 mi · Rice Lake, WI · 2 of 5 stars
Mayo Dialysis - Barron9.9 mi · Barron, WI · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Cedarcrest Surgery Center, LLC2.6 mi · Rice Lake, WI

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Family Health Center - Rice Lake Dental Center0.2 mi · Rice Lake, WI · Community health center
NorthLakes - Rice Lake0.4 mi · Rice Lake, WI · Community health center
Rice Lake School District- Rice Lake Middle School Rm 2040.6 mi · Rice Lake, WI · Community health center

Clinics and urgent care

Marshfield Medical Center - Rice Lake Clinic2.6 mi · Rice Lake, WI · Rural health clinic
Cumberland Healthcare16 mi · Cumberland, WI · Rural health clinic
Marshfield Clinic Cumberland Center16 mi · Cumberland, WI · Rural health clinic

Pharmacies

Marshfield Clinic Inc2.6 mi · Rice Lake, WI · Community/retail pharmacy
Wal-Mart Stores East LP2.6 mi · Rice Lake, WI · Community/retail pharmacy
Walgreen Co2.6 mi · Rice Lake, WI · Pharmacy

Assisted living nearby

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

Cambridge Senior Living2.6 mi · Rice Lake, WI
Chrismark Home LLC2.6 mi · Rice Lake, WI
Chrismark Home Moullette Drive2.6 mi · Rice Lake, WI
Integricare Rice Lake2.6 mi · Rice Lake, 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 - Rice Lake reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	85%National average: 74%
Area around the room “always” quiet at night	60%National average: 60%
Completed surveys	310Response rate: 33%

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	0.738No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	9.3%
Deaths within 30 days: pneumonia patients	15.6%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	12.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.13No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.6%
Readmitted within 30 days: pneumonia	17.8%
Readmitted within 30 days: COPD	20%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	168 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	74%National average: 65%

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 72 common services exactly as Marshfield Medical Center - Rice Lake 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 →

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	$268	$254.60	$134 – $443
New patient office visit (about 30–44 minutes): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $147.40 Anthem BCBS of WI — HMO/POS: $346 Anthem BCBS of WI — PPO: $403 Anthem BCBS of WI — Traditional: $443 Besse Forest Products — Direct Employer: $254.60 Cigna — PPO: $254.60 CORVEL — Third Party: $254.60 Coventry — Workers Comp: $257.28 Family Health Center (FHC) — Prepaid Health Svcs: $134 First Health — PPO Network: $254.60
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	$268	$254.60	$147.40 – $262.64
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $147.40 Besse Forest Products — Direct Employer: $254.60 Cigna — PPO: $254.60 CORVEL — Third Party: $254.60 Coventry — Workers Comp: $257.28 First Health — PPO Network: $254.60 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $257.28 Group Health Cooperative of Eau Claire — ETF - River Region: $219.76 Health Partners — PPO: $254.60 Health Smart — PPO Network: $257.28
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: VISIT NEW PAT LEVEL 3-TECH	$106	$100.70	$58.30 – $103.88
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $58.30 Besse Forest Products — Direct Employer: $100.70 Cigna — PPO: $100.70 CORVEL — Third Party: $100.70 Coventry — Workers Comp: $101.76 First Health — PPO Network: $100.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $101.76 Group Health Cooperative of Eau Claire — ETF - River Region: $86.92 Health Partners — PPO: $100.70 Health Smart — PPO Network: $101.76
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	$394	$374.30	$197 – $443
New patient office visit (about 45–59 minutes): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $216.70 Anthem BCBS of WI — HMO/POS: $346 Anthem BCBS of WI — PPO: $403 Anthem BCBS of WI — Traditional: $443 Besse Forest Products — Direct Employer: $374.30 Cigna — PPO: $374.30 CORVEL — Third Party: $374.30 Coventry — Workers Comp: $378.24 Family Health Center (FHC) — Prepaid Health Svcs: $197 First Health — PPO Network: $374.30
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	$394	$374.30	$216.70 – $386.12
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $216.70 Besse Forest Products — Direct Employer: $374.30 Cigna — PPO: $374.30 CORVEL — Third Party: $374.30 Coventry — Workers Comp: $378.24 First Health — PPO Network: $374.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $378.24 Group Health Cooperative of Eau Claire — ETF - River Region: $323.08 Health Partners — PPO: $374.30 Health Smart — PPO Network: $378.24
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT NEW PAT LEVEL 4-TECH	$156	$148.20	$85.80 – $152.88
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $85.80 Besse Forest Products — Direct Employer: $148.20 Cigna — PPO: $148.20 CORVEL — Third Party: $148.20 Coventry — Workers Comp: $149.76 First Health — PPO Network: $148.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $149.76 Group Health Cooperative of Eau Claire — ETF - River Region: $127.92 Health Partners — PPO: $148.20 Health Smart — PPO Network: $149.76
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	$516	$490.20	$258 – $505.68
New patient office visit (about 60–74 minutes): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $283.80 Anthem BCBS of WI — HMO/POS: $346 Anthem BCBS of WI — PPO: $403 Anthem BCBS of WI — Traditional: $443 Besse Forest Products — Direct Employer: $490.20 Cigna — PPO: $490.20 CORVEL — Third Party: $490.20 Coventry — Workers Comp: $495.36 Family Health Center (FHC) — Prepaid Health Svcs: $258 First Health — PPO Network: $490.20
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	$516	$490.20	$283.80 – $505.68
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $283.80 Besse Forest Products — Direct Employer: $490.20 Cigna — PPO: $490.20 CORVEL — Third Party: $490.20 Coventry — Workers Comp: $495.36 First Health — PPO Network: $490.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $495.36 Group Health Cooperative of Eau Claire — ETF - River Region: $423.12 Health Partners — PPO: $490.20 Health Smart — PPO Network: $495.36
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT NEW PAT LEVEL 5-TECH	$204	$193.80	$112.20 – $199.92
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Besse Forest Products — Direct Employer: $193.80 Cigna — PPO: $193.80 CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $195.84 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28 Health Partners — PPO: $193.80 Health Smart — PPO Network: $195.84
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	$132	$125.40	$66 – $443
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $72.60 Anthem BCBS of WI — HMO/POS: $346 Anthem BCBS of WI — PPO: $403 Anthem BCBS of WI — Traditional: $443 Besse Forest Products — Direct Employer: $125.40 Cigna — PPO: $125.40 CORVEL — Third Party: $125.40 Coventry — Workers Comp: $126.72 Family Health Center (FHC) — Prepaid Health Svcs: $66 First Health — PPO Network: $125.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC VISIT EST, LEVEL 3 TECH	$132	$125.40	$72.60 – $129.36
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $72.60 Besse Forest Products — Direct Employer: $125.40 Cigna — PPO: $125.40 CORVEL — Third Party: $125.40 Coventry — Workers Comp: $126.72 First Health — PPO Network: $125.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $126.72 Group Health Cooperative of Eau Claire — ETF - River Region: $108.24 Health Partners — PPO: $125.40 Health Smart — PPO Network: $126.72
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT EST PAT LEVEL 3-TECH	$66	$62.70	$36.30 – $64.68
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $36.30 Besse Forest Products — Direct Employer: $62.70 Cigna — PPO: $62.70 CORVEL — Third Party: $62.70 Coventry — Workers Comp: $63.36 First Health — PPO Network: $62.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $63.36 Group Health Cooperative of Eau Claire — ETF - River Region: $54.12 Health Partners — PPO: $62.70 Health Smart — PPO Network: $63.36
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	$200	$190	$100 – $443
Established patient office visit (about 30–39 minutes): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $110 Anthem BCBS of WI — HMO/POS: $346 Anthem BCBS of WI — PPO: $403 Anthem BCBS of WI — Traditional: $443 Besse Forest Products — Direct Employer: $190 Cigna — PPO: $190 CORVEL — Third Party: $190 Coventry — Workers Comp: $192 Family Health Center (FHC) — Prepaid Health Svcs: $100 First Health — PPO Network: $190
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	$200	$190	$110 – $196
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $110 Besse Forest Products — Direct Employer: $190 Cigna — PPO: $190 CORVEL — Third Party: $190 Coventry — Workers Comp: $192 First Health — PPO Network: $190 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $192 Group Health Cooperative of Eau Claire — ETF - River Region: $164 Health Partners — PPO: $190 Health Smart — PPO Network: $192
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT EST PAT LEVEL 4-TECH	$100	$95	$55 – $98
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $55 Besse Forest Products — Direct Employer: $95 Cigna — PPO: $95 CORVEL — Third Party: $95 Coventry — Workers Comp: $96 First Health — PPO Network: $95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $96 Group Health Cooperative of Eau Claire — ETF - River Region: $82 Health Partners — PPO: $95 Health Smart — PPO Network: $96
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT OP CONSULT LEVEL 3-TECH	$151	$143.45	$83.05 – $147.98
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Besse Forest Products — Direct Employer: $143.45 Cigna — PPO: $143.45 CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $144.96 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82 Health Partners — PPO: $143.45 Health Smart — PPO Network: $144.96
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	$75.50 – $147.98
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Besse Forest Products — Direct Employer: $143.45 CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 Family Health Center (FHC) — Prepaid Health Svcs: $75.50 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $144.96 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82 Health Partners — PPO: $143.45 Health Smart — PPO Network: $144.96
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 3 ESTAB - BASED ON COMPONENT-TECH	$151	$143.45	$83.05 – $147.98
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $83.05 Besse Forest Products — Direct Employer: $143.45 Cigna — PPO: $143.45 CORVEL — Third Party: $143.45 Coventry — Workers Comp: $144.96 First Health — PPO Network: $143.45 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $144.96 Group Health Cooperative of Eau Claire — ETF - River Region: $123.82 Health Partners — PPO: $143.45 Health Smart — PPO Network: $144.96
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT OP CONSULT LEVEL 4-TECH	$204	$193.80	$112.20 – $199.92
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Besse Forest Products — Direct Employer: $193.80 Cigna — PPO: $193.80 CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $195.84 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28 Health Partners — PPO: $193.80 Health Smart — PPO Network: $195.84
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	$102 – $199.92
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Besse Forest Products — Direct Employer: $193.80 CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 Family Health Center (FHC) — Prepaid Health Svcs: $102 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $195.84 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28 Health Partners — PPO: $193.80 Health Smart — PPO Network: $195.84
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE CONSULT LEVEL 4 ESTAB - BASED ON COMPONENTS-TECH	$204	$193.80	$112.20 – $199.92
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $112.20 Besse Forest Products — Direct Employer: $193.80 Cigna — PPO: $193.80 CORVEL — Third Party: $193.80 Coventry — Workers Comp: $195.84 First Health — PPO Network: $193.80 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $195.84 Group Health Cooperative of Eau Claire — ETF - River Region: $167.28 Health Partners — PPO: $193.80 Health Smart — PPO Network: $195.84
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 – $144.06
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $80.85 Besse Forest Products — Direct Employer: $139.65 Cigna — PPO: $139.65 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: $141.12 Group Health Cooperative of Eau Claire — ETF - River Region: $120.54 Health Partners — PPO: $139.65 Health Smart — PPO Network: $141.12
Preventive checkup, new patient, age 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	$73.50 – $144.06
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $80.85 Besse Forest Products — Direct Employer: $139.65 CORVEL — Third Party: $139.65 Coventry — Workers Comp: $141.12 Family Health Center (FHC) — Prepaid Health Svcs: $73.50 First Health — PPO Network: $139.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $141.12 Group Health Cooperative of Eau Claire — ETF - River Region: $120.54 Health Partners — PPO: $139.65 Health Smart — PPO Network: $141.12
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: VISIT PREV MED INIT AGE 40-64-TECH	$159	$151.05	$87.45 – $155.82
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $87.45 Besse Forest Products — Direct Employer: $151.05 Cigna — PPO: $151.05 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: $152.64 Group Health Cooperative of Eau Claire — ETF - River Region: $130.38 Health Partners — PPO: $151.05 Health Smart — PPO Network: $152.64
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	$79.50 – $155.82
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $87.45 Besse Forest Products — Direct Employer: $151.05 CORVEL — Third Party: $151.05 Coventry — Workers Comp: $152.64 Family Health Center (FHC) — Prepaid Health Svcs: $79.50 First Health — PPO Network: $151.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $152.64 Group Health Cooperative of Eau Claire — ETF - River Region: $130.38 Health Partners — PPO: $151.05 Health Smart — PPO Network: $152.64
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3-TECH	$653	$620.35	$262.92 – $1,183
Emergency room visit (moderate): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $359.15 Anthem BCBS of WI — HMO/POS: $1,033 Anthem BCBS of WI — Medicare Advantage: $270.81 Anthem BCBS of WI — PPO: $1,150 Anthem BCBS of WI — Traditional: $1,183 Besse Forest Products — Direct Employer: $620.35 Cigna — PPO: $620.35 CORVEL — Third Party: $620.35 Coventry — Workers Comp: $626.88 Family Health Center (FHC) — Prepaid Health Svcs: $326.50
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3-TECH	$653	$620.35	$359.15 – $639.94
Emergency room visit (moderate): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $359.15 Besse Forest Products — Direct Employer: $620.35 Cigna — PPO: $620.35 CORVEL — Third Party: $620.35 Coventry — Workers Comp: $626.88 First Health — PPO Network: $620.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $626.88 Group Health Cooperative of Eau Claire — ETF - River Region: $535.46 Health Partners — PPO: $620.35 Health Smart — PPO Network: $626.88
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4-TECH	$1,021	$969.95	$404.33 – $3,550
Emergency room visit (moderately high): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $561.55 Anthem BCBS of WI — HMO/POS: $3,103 Anthem BCBS of WI — Medicare Advantage: $416.46 Anthem BCBS of WI — PPO: $3,448 Anthem BCBS of WI — Traditional: $3,550 Besse Forest Products — Direct Employer: $969.95 Cigna — PPO: $969.95 CORVEL — Third Party: $969.95 Coventry — Workers Comp: $980.16 Family Health Center (FHC) — Prepaid Health Svcs: $510.50
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4-TECH	$1,021	$969.95	$561.55 – $1,000.58
Emergency room visit (moderately high): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $561.55 Besse Forest Products — Direct Employer: $969.95 Cigna — PPO: $969.95 CORVEL — Third Party: $969.95 Coventry — Workers Comp: $980.16 First Health — PPO Network: $969.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $980.16 Group Health Cooperative of Eau Claire — ETF - River Region: $837.22 Health Partners — PPO: $969.95 Health Smart — PPO Network: $980.16
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5-TECH	$1,443	$1,370.85	$582.16 – $3,550
Emergency room visit (high): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $793.65 Anthem BCBS of WI — HMO/POS: $3,103 Anthem BCBS of WI — Medicare Advantage: $599.62 Anthem BCBS of WI — PPO: $3,448 Anthem BCBS of WI — Traditional: $3,550 Besse Forest Products — Direct Employer: $1,370.85 Cigna — PPO: $1,370.85 CORVEL — Third Party: $1,370.85 Coventry — Workers Comp: $1,385.28 Family Health Center (FHC) — Prepaid Health Svcs: $721.50
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5-TECH	$1,443	$1,370.85	$793.65 – $1,414.14
Emergency room visit (high): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $793.65 Besse Forest Products — Direct Employer: $1,370.85 Cigna — PPO: $1,370.85 CORVEL — Third Party: $1,370.85 Coventry — Workers Comp: $1,385.28 First Health — PPO Network: $1,370.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,385.28 Group Health Cooperative of Eau Claire — ETF - River Region: $1,183.26 Health Partners — PPO: $1,370.85 Health Smart — PPO Network: $1,385.28

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	$8.46 – $441.37
Basic metabolic panel (blood test): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS: $44.41 Anthem BCBS of WI — Medicaid HMO: $8.74 Anthem BCBS of WI — Medicare Advantage: $8.71 Anthem BCBS of WI — PPO: $50.76 Anthem BCBS of WI — Traditional: $52.88 Besse Forest Products — Direct Employer: $88.35 Cigna — PPO: $88.35 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28
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 – $91.14
Basic metabolic panel (blood test): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Besse Forest Products — Direct Employer: $88.35 Cigna — PPO: $88.35 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: $89.28 Group Health Cooperative of Eau Claire — ETF - River Region: $76.26 Health Partners — PPO: $88.35 Health Smart — PPO Network: $89.28
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPR METABOLIC PANEL-TECH	$118	$112.10	$10.56 – $441.94
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $64.90 Anthem BCBS of WI — HMO/POS: $55.44 Anthem BCBS of WI — Medicaid HMO: $10.91 Anthem BCBS of WI — Medicare Advantage: $10.88 Anthem BCBS of WI — PPO: $63.36 Anthem BCBS of WI — Traditional: $66 Besse Forest Products — Direct Employer: $112.10 Cigna — PPO: $112.10 CORVEL — Third Party: $112.10 Coventry — Workers Comp: $113.28
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 – $115.64
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $64.90 Besse Forest Products — Direct Employer: $112.10 Cigna — PPO: $112.10 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: $113.28 Group Health Cooperative of Eau Claire — ETF - River Region: $96.76 Health Partners — PPO: $112.10 Health Smart — PPO Network: $113.28
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL-TECH	$149	$141.55	$13.39 – $833.98
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $70.30 Anthem BCBS of WI — Medicaid HMO: $13.84 Anthem BCBS of WI — Medicare Advantage: $13.79 Anthem BCBS of WI — PPO: $80.34 Anthem BCBS of WI — Traditional: $83.69 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $141.55 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL-TECH	$149	$141.55	$81.95 – $146.02
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $141.55 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: $143.04 Group Health Cooperative of Eau Claire — ETF - River Region: $122.18 Health Partners — PPO: $141.55 Health Smart — PPO Network: $143.04
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL-TECH	$98	$93.10	$8.68 – $458.40
Kidney function panel: 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $53.90 Anthem BCBS of WI — HMO/POS: $45.57 Anthem BCBS of WI — Medicaid HMO: $8.97 Anthem BCBS of WI — Medicare Advantage: $8.94 Anthem BCBS of WI — PPO: $52.08 Anthem BCBS of WI — Traditional: $54.25 Besse Forest Products — Direct Employer: $93.10 Cigna — PPO: $93.10 CORVEL — Third Party: $93.10 Coventry — Workers Comp: $94.08
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL-TECH	$98	$93.10	$53.90 – $96.04
Kidney function panel: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $53.90 Besse Forest Products — Direct Employer: $93.10 Cigna — PPO: $93.10 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: $94.08 Group Health Cooperative of Eau Claire — ETF - River Region: $80.36 Health Partners — PPO: $93.10 Health Smart — PPO Network: $94.08
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL-TECH	$93	$88.35	$8.17 – $424.40
Liver function panel: 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Anthem BCBS of WI — HMO/POS: $42.89 Anthem BCBS of WI — Medicaid HMO: $8.44 Anthem BCBS of WI — Medicare Advantage: $8.42 Anthem BCBS of WI — PPO: $49.02 Anthem BCBS of WI — Traditional: $51.06 Besse Forest Products — Direct Employer: $88.35 Cigna — PPO: $88.35 CORVEL — Third Party: $88.35 Coventry — Workers Comp: $89.28
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL-TECH	$93	$88.35	$51.15 – $91.14
Liver function panel: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $51.15 Besse Forest Products — Direct Employer: $88.35 Cigna — PPO: $88.35 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: $89.28 Group Health Cooperative of Eau Claire — ETF - River Region: $76.26 Health Partners — PPO: $88.35 Health Smart — PPO Network: $89.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W MICRO-TECH	$42	$39.90	$3.17 – $169.79
Urine test (automated, with microscope): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $23.10 Anthem BCBS of WI — HMO/POS: $16.64 Anthem BCBS of WI — Medicaid HMO: $3.28 Anthem BCBS of WI — Medicare Advantage: $3.27 Anthem BCBS of WI — PPO: $19.02 Anthem BCBS of WI — Traditional: $19.81 Besse Forest Products — Direct Employer: $39.90 Cigna — PPO: $39.90 CORVEL — Third Party: $39.90 Coventry — Workers Comp: $40.32
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 – $41.16
Urine test (automated, with microscope): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $23.10 Besse Forest Products — Direct Employer: $39.90 Cigna — PPO: $39.90 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: $40.32 Group Health Cooperative of Eau Claire — ETF - River Region: $34.44 Health Partners — PPO: $39.90 Health Smart — PPO Network: $40.32
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NON AUTO WO MICRO-TECH	$36	$34.20	$3.48 – $169.79
Urine test (manual, without microscope): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $19.80 Anthem BCBS of WI — HMO/POS: $18.27 Anthem BCBS of WI — Medicaid HMO: $3.60 Anthem BCBS of WI — Medicare Advantage: $3.58 Anthem BCBS of WI — PPO: $20.88 Anthem BCBS of WI — Traditional: $21.75 Besse Forest Products — Direct Employer: $34.20 Cigna — PPO: $34.20 CORVEL — Third Party: $34.20 Coventry — Workers Comp: $34.56
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIP-POC	$33	$31.35	$3.48 – $169.79
Urine test (manual, without microscope): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $18.15 Anthem BCBS of WI — HMO/POS: $18.27 Anthem BCBS of WI — Medicaid HMO: $3.60 Anthem BCBS of WI — Medicare Advantage: $3.58 Anthem BCBS of WI — PPO: $20.88 Anthem BCBS of WI — Traditional: $21.75 Besse Forest Products — Direct Employer: $31.35 Cigna — PPO: $31.35 CORVEL — Third Party: $31.35 Coventry — Workers Comp: $31.68
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONCOLOGY PROTEIN URINE SCREEN	$36	$34.20	$3.48 – $169.79
Urine test (manual, without microscope): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $19.80 Anthem BCBS of WI — HMO/POS: $18.27 Anthem BCBS of WI — Medicaid HMO: $3.60 Anthem BCBS of WI — Medicare Advantage: $3.58 Anthem BCBS of WI — PPO: $20.88 Anthem BCBS of WI — Traditional: $21.75 Besse Forest Products — Direct Employer: $34.20 Cigna — PPO: $34.20 CORVEL — Third Party: $34.20 Coventry — Workers Comp: $34.56
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	$2.25 – $118.82
Urine test (automated, without microscope): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS: $11.81 Anthem BCBS of WI — Medicaid HMO: $2.32 Anthem BCBS of WI — Medicare Advantage: $2.32 Anthem BCBS of WI — PPO: $13.50 Anthem BCBS of WI — Traditional: $14.06 Besse Forest Products — Direct Employer: $29.45 Cigna — PPO: $29.45 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ALBUMIN LEVEL URINE-TECH	$31	$29.45	$2.25 – $118.82
Urine test (automated, without microscope): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS: $11.81 Anthem BCBS of WI — Medicaid HMO: $2.32 Anthem BCBS of WI — Medicare Advantage: $2.32 Anthem BCBS of WI — PPO: $13.50 Anthem BCBS of WI — Traditional: $14.06 Besse Forest Products — Direct Employer: $29.45 Cigna — PPO: $29.45 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76
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	$2.25 – $118.82
Urine test (automated, without microscope): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $17.05 Anthem BCBS of WI — HMO/POS: $11.81 Anthem BCBS of WI — Medicaid HMO: $2.32 Anthem BCBS of WI — Medicare Advantage: $2.32 Anthem BCBS of WI — PPO: $13.50 Anthem BCBS of WI — Traditional: $14.06 Besse Forest Products — Direct Employer: $29.45 Cigna — PPO: $29.45 CORVEL — Third Party: $29.45 Coventry — Workers Comp: $29.76
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL-TECH	$209	$198.55	$18.39 – $967.70
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $114.95 Anthem BCBS of WI — HMO/POS: $96.55 Anthem BCBS of WI — Medicaid HMO: $19 Anthem BCBS of WI — Medicare Advantage: $18.94 Anthem BCBS of WI — PPO: $110.34 Anthem BCBS of WI — Traditional: $114.94 Besse Forest Products — Direct Employer: $198.55 Cigna — PPO: $198.55 CORVEL — Third Party: $198.55 Coventry — Workers Comp: $200.64
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 – $204.82
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $114.95 Besse Forest Products — Direct Employer: $198.55 Cigna — PPO: $198.55 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: $200.64 Group Health Cooperative of Eau Claire — ETF - River Region: $171.38 Health Partners — PPO: $198.55 Health Smart — PPO Network: $200.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE-TECH	$182	$172.90	$16.80 – $882.80
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.10 Anthem BCBS of WI — HMO/POS: $88.20 Anthem BCBS of WI — Medicaid HMO: $17.36 Anthem BCBS of WI — Medicare Advantage: $17.30 Anthem BCBS of WI — PPO: $100.80 Anthem BCBS of WI — Traditional: $105 Besse Forest Products — Direct Employer: $172.90 Cigna — PPO: $172.90 CORVEL — Third Party: $172.90 Coventry — Workers Comp: $174.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID DIAGNOSTIC CASCADE-TECH	$183	$173.85	$16.80 – $882.80
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.65 Anthem BCBS of WI — HMO/POS: $88.20 Anthem BCBS of WI — Medicaid HMO: $17.36 Anthem BCBS of WI — Medicare Advantage: $17.30 Anthem BCBS of WI — PPO: $100.80 Anthem BCBS of WI — Traditional: $105 Besse Forest Products — Direct Employer: $173.85 Cigna — PPO: $173.85 CORVEL — Third Party: $173.85 Coventry — Workers Comp: $175.68
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 – $178.36
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $100.10 Besse Forest Products — Direct Employer: $172.90 Cigna — PPO: $172.90 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: $174.72 Group Health Cooperative of Eau Claire — ETF - River Region: $149.24 Health Partners — PPO: $172.90 Health Smart — PPO Network: $174.72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W AUTO DIFF-TECH	$85	$80.75	$7.77 – $407.44
Complete blood count (CBC) with differential: 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $46.75 Anthem BCBS of WI — HMO/POS: $40.79 Anthem BCBS of WI — Medicaid HMO: $8.03 Anthem BCBS of WI — Medicare Advantage: $8 Anthem BCBS of WI — PPO: $46.62 Anthem BCBS of WI — Traditional: $48.56 Besse Forest Products — Direct Employer: $80.75 Cigna — PPO: $80.75 CORVEL — Third Party: $80.75 Coventry — Workers Comp: $81.60
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 – $83.30
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $46.75 Besse Forest Products — Direct Employer: $80.75 Cigna — PPO: $80.75 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: $81.60 Group Health Cooperative of Eau Claire — ETF - River Region: $69.70 Health Partners — PPO: $80.75 Health Smart — PPO Network: $81.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO WO DIFF-TECH	$70	$66.50	$6.47 – $339.51
Complete blood count (CBC), automated: 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $38.50 Anthem BCBS of WI — HMO/POS: $33.97 Anthem BCBS of WI — Medicaid HMO: $6.69 Anthem BCBS of WI — Medicare Advantage: $6.66 Anthem BCBS of WI — PPO: $38.82 Anthem BCBS of WI — Traditional: $40.44 Besse Forest Products — Direct Employer: $66.50 Cigna — PPO: $66.50 CORVEL — Third Party: $66.50 Coventry — Workers Comp: $67.20
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 – $68.60
Complete blood count (CBC), automated: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $38.50 Besse Forest Products — Direct Employer: $66.50 Cigna — PPO: $66.50 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: $67.20 Group Health Cooperative of Eau Claire — ETF - River Region: $57.40 Health Partners — PPO: $66.50 Health Smart — PPO Network: $67.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME-TECH	$45	$42.75	$4.29 – $203.72
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Anthem BCBS of WI — HMO/POS: $22.52 Anthem BCBS of WI — Medicaid HMO: $4.43 Anthem BCBS of WI — Medicare Advantage: $4.42 Anthem BCBS of WI — PPO: $25.74 Anthem BCBS of WI — Traditional: $26.81 Besse Forest Products — Direct Employer: $42.75 Cigna — PPO: $42.75 CORVEL — Third Party: $42.75 Coventry — Workers Comp: $43.20
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	$4.29 – $203.72
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Anthem BCBS of WI — HMO/POS: $22.52 Anthem BCBS of WI — Medicaid HMO: $4.43 Anthem BCBS of WI — Medicare Advantage: $4.42 Anthem BCBS of WI — PPO: $25.74 Anthem BCBS of WI — Traditional: $26.81 Besse Forest Products — Direct Employer: $42.75 Cigna — PPO: $42.75 CORVEL — Third Party: $42.75 Coventry — Workers Comp: $43.20
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 – $44.10
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $24.75 Besse Forest Products — Direct Employer: $42.75 Cigna — PPO: $42.75 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: $43.20 Group Health Cooperative of Eau Claire — ETF - River Region: $36.90 Health Partners — PPO: $42.75 Health Smart — PPO Network: $43.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL-TECH	$68	$64.60	$6.01 – $305.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates Amish/Mennonite — Amish Mennonite: $37.40 Anthem BCBS of WI — HMO/POS: $31.55 Anthem BCBS of WI — Medicaid HMO: $6.21 Anthem BCBS of WI — Medicare Advantage: $6.19 Anthem BCBS of WI — PPO: $36.06 Anthem BCBS of WI — Traditional: $37.56 Besse Forest Products — Direct Employer: $64.60 Cigna — PPO: $64.60 CORVEL — Third Party: $64.60 Coventry — Workers Comp: $65.28
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 – $66.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $37.40 Besse Forest Products — Direct Employer: $64.60 Cigna — PPO: $64.60 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: $65.28 Group Health Cooperative of Eau Claire — ETF - River Region: $55.76 Health Partners — PPO: $64.60 Health Smart — PPO Network: $65.28

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD OR BRAIN WO CNTRST-TECH	$1,020	$969	$510 – $1,837
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $561 Anthem BCBS of WI — HMO/POS: $1,608 Anthem BCBS of WI — PPO: $1,758 Anthem BCBS of WI — Traditional: $1,837 Besse Forest Products — Direct Employer: $969 Cigna — PPO: $969 CORVEL — Third Party: $969 Coventry — Workers Comp: $979.20 Family Health Center (FHC) — Prepaid Health Svcs: $510 First Health — PPO Network: $969
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	$1,020	$969	$561 – $999.60
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $561 Besse Forest Products — Direct Employer: $969 Cigna — PPO: $969 CORVEL — Third Party: $969 Coventry — Workers Comp: $979.20 First Health — PPO Network: $969 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $979.20 Group Health Cooperative of Eau Claire — ETF - River Region: $836.40 Health Partners — PPO: $969 Health Smart — PPO Network: $979.20
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	$3,500	$3,325	$1,487.04 – $3,430
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,925 Anthem BCBS of WI — HMO/POS: $1,497.60 Anthem BCBS of WI — PPO: $1,647.36 Anthem BCBS of WI — Traditional: $1,697.28 Besse Forest Products — Direct Employer: $3,325 Cigna — PPO: $3,325 CORVEL — Third Party: $3,325 Coventry — Workers Comp: $3,360 Family Health Center (FHC) — Prepaid Health Svcs: $1,750 First Health — PPO Network: $3,325
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	$3,500	$3,325	$1,925 – $3,430
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,925 Besse Forest Products — Direct Employer: $3,325 Cigna — PPO: $3,325 CORVEL — Third Party: $3,325 Coventry — Workers Comp: $3,360 First Health — PPO Network: $3,325 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $3,360 Group Health Cooperative of Eau Claire — ETF - River Region: $2,870 Health Partners — PPO: $3,325 Health Smart — PPO Network: $3,360
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	$261	$247.95	$122.23 – $1,193.49
Chest X-ray, 2 views: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $143.55 Anthem BCBS of WI — HMO/POS: $161.03 Anthem BCBS of WI — PPO: $177.13 Anthem BCBS of WI — Traditional: $182.50 Besse Forest Products — Direct Employer: $247.95 Cigna — PPO: $247.95 CORVEL — Third Party: $247.95 Coventry — Workers Comp: $250.56 Family Health Center (FHC) — Prepaid Health Svcs: $130.50 First Health — PPO Network: $247.95
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	$261	$247.95	$143.55 – $255.78
Chest X-ray, 2 views: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $143.55 Besse Forest Products — Direct Employer: $247.95 Cigna — PPO: $247.95 CORVEL — Third Party: $247.95 Coventry — Workers Comp: $250.56 First Health — PPO Network: $247.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $250.56 Group Health Cooperative of Eau Claire — ETF - River Region: $214.02 Health Partners — PPO: $247.95 Health Smart — PPO Network: $250.56
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	$462	$438.90	$203.31 – $1,945.04
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $254.10 Anthem BCBS of WI — HMO/POS: $272.48 Anthem BCBS of WI — PPO: $299.72 Anthem BCBS of WI — Traditional: $308.81 Besse Forest Products — Direct Employer: $438.90 Cigna — PPO: $438.90 CORVEL — Third Party: $438.90 Coventry — Workers Comp: $443.52 Family Health Center (FHC) — Prepaid Health Svcs: $231 First Health — PPO Network: $438.90
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	$462	$438.90	$254.10 – $452.76
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $254.10 Besse Forest Products — Direct Employer: $438.90 Cigna — PPO: $438.90 CORVEL — Third Party: $438.90 Coventry — Workers Comp: $443.52 First Health — PPO Network: $438.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $443.52 Group Health Cooperative of Eau Claire — ETF - River Region: $378.84 Health Partners — PPO: $438.90 Health Smart — PPO Network: $443.52
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	$2,082	$1,977.90	$862.95 – $2,040.36
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,145.10 Anthem BCBS of WI — HMO/POS: $862.95 Anthem BCBS of WI — PPO: $949.25 Anthem BCBS of WI — Traditional: $978.01 Besse Forest Products — Direct Employer: $1,977.90 Cigna — PPO: $1,977.90 CORVEL — Third Party: $1,977.90 Coventry — Workers Comp: $1,998.72 Family Health Center (FHC) — Prepaid Health Svcs: $1,041 First Health — PPO Network: $1,977.90
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	$2,082	$1,977.90	$1,145.10 – $2,040.36
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,145.10 Besse Forest Products — Direct Employer: $1,977.90 Cigna — PPO: $1,977.90 CORVEL — Third Party: $1,977.90 Coventry — Workers Comp: $1,998.72 First Health — PPO Network: $1,977.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,998.72 Group Health Cooperative of Eau Claire — ETF - River Region: $1,707.24 Health Partners — PPO: $1,977.90 Health Smart — PPO Network: $1,998.72
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	$2,363	$2,244.85	$169.04 – $2,315.74
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,299.65 Anthem BCBS of WI — HMO/POS: $1,608 Anthem BCBS of WI — Medicare Advantage: $174.11 Anthem BCBS of WI — PPO: $1,758 Anthem BCBS of WI — Traditional: $1,837 Besse Forest Products — Direct Employer: $2,244.85 Cigna — PPO: $2,244.85 CORVEL — Third Party: $2,244.85 Coventry — Workers Comp: $2,268.48 Family Health Center (FHC) — Prepaid Health Svcs: $1,181.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W/CONTRAST SI JOINTS	$2,363	$2,244.85	$1,299.65 – $2,315.74
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,299.65 Besse Forest Products — Direct Employer: $2,244.85 Cigna — PPO: $2,244.85 CORVEL — Third Party: $2,244.85 Coventry — Workers Comp: $2,268.48 First Health — PPO Network: $2,244.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $2,268.48 Group Health Cooperative of Eau Claire — ETF - River Region: $1,937.66 Health Partners — PPO: $2,244.85 Health Smart — PPO Network: $2,268.48
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	$2,363	$2,244.85	$979.11 – $2,315.74
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,299.65 Anthem BCBS of WI — HMO/POS: $1,608 Anthem BCBS of WI — PPO: $1,758 Anthem BCBS of WI — Traditional: $1,837 Besse Forest Products — Direct Employer: $2,244.85 Cigna — PPO: $2,244.85 CORVEL — Third Party: $2,244.85 Coventry — Workers Comp: $2,268.48 Family Health Center (FHC) — Prepaid Health Svcs: $1,181.50 First Health — PPO Network: $2,244.85
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	$2,339	$2,222.05	$989.10 – $2,292.22
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,286.45 Anthem BCBS of WI — HMO/POS: $989.10 Anthem BCBS of WI — PPO: $1,088.01 Anthem BCBS of WI — Traditional: $1,120.98 Besse Forest Products — Direct Employer: $2,222.05 Cigna — PPO: $2,222.05 CORVEL — Third Party: $2,222.05 Coventry — Workers Comp: $2,245.44 Family Health Center (FHC) — Prepaid Health Svcs: $1,169.50 First Health — PPO Network: $2,222.05
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	$2,339	$2,222.05	$1,286.45 – $2,292.22
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,286.45 Besse Forest Products — Direct Employer: $2,222.05 Cigna — PPO: $2,222.05 CORVEL — Third Party: $2,222.05 Coventry — Workers Comp: $2,245.44 First Health — PPO Network: $2,222.05 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $2,245.44 Group Health Cooperative of Eau Claire — ETF - River Region: $1,917.98 Health Partners — PPO: $2,222.05 Health Smart — PPO Network: $2,245.44
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	$2,650	$2,517.50	$1,285.85 – $2,597
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,457.50 Anthem BCBS of WI — HMO/POS: $1,608 Anthem BCBS of WI — PPO: $1,758 Anthem BCBS of WI — Traditional: $1,837 Besse Forest Products — Direct Employer: $2,517.50 Cigna — PPO: $2,517.50 CORVEL — Third Party: $2,517.50 Coventry — Workers Comp: $2,544 Family Health Center (FHC) — Prepaid Health Svcs: $1,325 First Health — PPO Network: $2,517.50
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	$2,650	$2,517.50	$1,457.50 – $2,597
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $1,457.50 Besse Forest Products — Direct Employer: $2,517.50 Cigna — PPO: $2,517.50 CORVEL — Third Party: $2,517.50 Coventry — Workers Comp: $2,544 First Health — PPO Network: $2,517.50 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $2,544 Group Health Cooperative of Eau Claire — ETF - River Region: $2,173 Health Partners — PPO: $2,517.50 Health Smart — PPO Network: $2,544
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMINAL COMPLT-TECH	$963	$914.85	$384.16 – $943.74
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $529.65 Anthem BCBS of WI — HMO/POS: $423 Anthem BCBS of WI — PPO: $460 Anthem BCBS of WI — Traditional: $473 Besse Forest Products — Direct Employer: $914.85 Cigna — PPO: $914.85 CORVEL — Third Party: $914.85 Coventry — Workers Comp: $924.48 Family Health Center (FHC) — Prepaid Health Svcs: $481.50 First Health — PPO Network: $914.85
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMINAL COMPLT-TECH	$963	$914.85	$529.65 – $943.74
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $529.65 Besse Forest Products — Direct Employer: $914.85 Cigna — PPO: $914.85 CORVEL — Third Party: $914.85 Coventry — Workers Comp: $924.48 First Health — PPO Network: $914.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $924.48 Group Health Cooperative of Eau Claire — ETF - River Region: $789.66 Health Partners — PPO: $914.85 Health Smart — PPO Network: $924.48
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	$1,082	$1,027.90	$384.16 – $1,060.36
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $595.10 Anthem BCBS of WI — HMO/POS: $423 Anthem BCBS of WI — PPO: $460 Anthem BCBS of WI — Traditional: $473 Besse Forest Products — Direct Employer: $1,027.90 Cigna — PPO: $1,027.90 CORVEL — Third Party: $1,027.90 Coventry — Workers Comp: $1,038.72 Family Health Center (FHC) — Prepaid Health Svcs: $541 First Health — PPO Network: $1,027.90
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	$1,082	$1,027.90	$595.10 – $1,060.36
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $595.10 Besse Forest Products — Direct Employer: $1,027.90 Cigna — PPO: $1,027.90 CORVEL — Third Party: $1,027.90 Coventry — Workers Comp: $1,038.72 First Health — PPO Network: $1,027.90 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,038.72 Group Health Cooperative of Eau Claire — ETF - River Region: $887.24 Health Partners — PPO: $1,027.90 Health Smart — PPO Network: $1,038.72
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND TRANSVAGINAL	$1,031	$979.45	$384.16 – $1,010.38
Transvaginal ultrasound: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS: $423 Anthem BCBS of WI — PPO: $460 Anthem BCBS of WI — Traditional: $473 Besse Forest Products — Direct Employer: $979.45 Cigna — PPO: $979.45 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $515.50 First Health — PPO Network: $979.45
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	$384.16 – $1,010.38
Transvaginal ultrasound: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS: $423 Anthem BCBS of WI — PPO: $460 Anthem BCBS of WI — Traditional: $473 Besse Forest Products — Direct Employer: $979.45 Cigna — PPO: $979.45 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $515.50 First Health — PPO Network: $979.45
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US PELVIS TRANSVAGINAL-TECH	$1,031	$979.45	$384.16 – $1,010.38
Transvaginal ultrasound: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $567.05 Anthem BCBS of WI — HMO/POS: $423 Anthem BCBS of WI — PPO: $460 Anthem BCBS of WI — Traditional: $473 Besse Forest Products — Direct Employer: $979.45 Cigna — PPO: $979.45 CORVEL — Third Party: $979.45 Coventry — Workers Comp: $989.76 Family Health Center (FHC) — Prepaid Health Svcs: $515.50 First Health — PPO Network: $979.45
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	$428	$406.60	$214 – $467.89
Diagnostic mammogram, one breast: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $235.40 Anthem BCBS of WI — HMO/POS: $259 Anthem BCBS of WI — PPO: $288 Anthem BCBS of WI — Traditional: $316 Besse Forest Products — Direct Employer: $406.60 Cigna — PPO: $406.60 CORVEL — Third Party: $406.60 Coventry — Workers Comp: $410.88 Family Health Center (FHC) — Prepaid Health Svcs: $214 First Health — PPO Network: $406.60
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	$428	$406.60	$235.40 – $419.44
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $235.40 Besse Forest Products — Direct Employer: $406.60 Cigna — PPO: $406.60 CORVEL — Third Party: $406.60 Coventry — Workers Comp: $410.88 First Health — PPO Network: $406.60 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $410.88 Group Health Cooperative of Eau Claire — ETF - River Region: $350.96 Health Partners — PPO: $406.60 Health Smart — PPO Network: $410.88
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	$547	$519.65	$259 – $595.98
Diagnostic mammogram, both breasts: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $300.85 Anthem BCBS of WI — HMO/POS: $259 Anthem BCBS of WI — PPO: $288 Anthem BCBS of WI — Traditional: $316 Besse Forest Products — Direct Employer: $519.65 Cigna — PPO: $519.65 CORVEL — Third Party: $519.65 Coventry — Workers Comp: $525.12 Family Health Center (FHC) — Prepaid Health Svcs: $273.50 First Health — PPO Network: $519.65
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: 77066 TC DIAG MAMMOGR CAD BIL-MOBILE	$547	$519.65	$300.85 – $536.06
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $300.85 Besse Forest Products — Direct Employer: $519.65 Cigna — PPO: $519.65 CORVEL — Third Party: $519.65 Coventry — Workers Comp: $525.12 First Health — PPO Network: $519.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $525.12 Group Health Cooperative of Eau Claire — ETF - River Region: $448.54 Health Partners — PPO: $519.65 Health Smart — PPO Network: $525.12
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY, UNILATERAL-TECH	$450	$427.50	$225 – $492.80
Screening mammogram, both breasts: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $247.50 Anthem BCBS of WI — HMO/POS: $259 Anthem BCBS of WI — PPO: $288 Anthem BCBS of WI — Traditional: $316 Besse Forest Products — Direct Employer: $427.50 Cigna — PPO: $427.50 CORVEL — Third Party: $427.50 Coventry — Workers Comp: $432 Family Health Center (FHC) — Prepaid Health Svcs: $225 First Health — PPO Network: $427.50
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	$450	$427.50	$225 – $492.80
Screening mammogram, both breasts: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $247.50 Anthem BCBS of WI — HMO/POS: $259 Anthem BCBS of WI — PPO: $288 Anthem BCBS of WI — Traditional: $316 Besse Forest Products — Direct Employer: $427.50 Cigna — PPO: $427.50 CORVEL — Third Party: $427.50 Coventry — Workers Comp: $432 Family Health Center (FHC) — Prepaid Health Svcs: $225 First Health — PPO Network: $427.50
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	$259 – $883.96
Screening mammogram, both breasts: 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $496.10 Anthem BCBS of WI — HMO/POS: $259 Anthem BCBS of WI — PPO: $288 Anthem BCBS of WI — Traditional: $316 Besse Forest Products — Direct Employer: $856.90 Cigna — PPO: $856.90 CORVEL — Third Party: $856.90 Coventry — Workers Comp: $865.92 Family Health Center (FHC) — Prepaid Health Svcs: $451 First Health — PPO Network: $856.90

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	$1,929.64 – $5,936.84
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,331.90 Anthem BCBS of WI — HMO/POS: $2,556 Anthem BCBS of WI — PPO: $2,845 Anthem BCBS of WI — Traditional: $2,930 Besse Forest Products — Direct Employer: $5,755.10 Cigna — PPO: $5,755.10 CORVEL — Third Party: $5,755.10 Coventry — Workers Comp: $5,815.68 Family Health Center (FHC) — Prepaid Health Svcs: $3,029 First Health — PPO Network: $5,755.10
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 – $5,936.84
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $3,331.90 Besse Forest Products — Direct Employer: $5,755.10 Cigna — PPO: $5,755.10 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: $5,815.68 Group Health Cooperative of Eau Claire — ETF - River Region: $4,967.56 Health Partners — PPO: $5,755.10 Health Smart — PPO Network: $5,815.68

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT THER EXERCISE EA 15MIN-TECH	$106	$100.70	$53 – $266
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $58.30 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $100.70 Cigna — PPO: $100.70 CORVEL — Third Party: $100.70 Coventry — Workers Comp: $101.76 Family Health Center (FHC) — Prepaid Health Svcs: $53 First Health — PPO Network: $100.70
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	$106	$100.70	$53 – $266
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $58.30 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $100.70 Cigna — PPO: $100.70 CORVEL — Third Party: $100.70 Coventry — Workers Comp: $101.76 Family Health Center (FHC) — Prepaid Health Svcs: $53 First Health — PPO Network: $100.70
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	$106	$100.70	$58.30 – $103.88
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $58.30 Besse Forest Products — Direct Employer: $100.70 Cigna — PPO: $100.70 CORVEL — Third Party: $100.70 Coventry — Workers Comp: $101.76 First Health — PPO Network: $100.70 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $101.76 Group Health Cooperative of Eau Claire — ETF - River Region: $86.92 Health Partners — PPO: $100.70 Health Smart — PPO Network: $101.76
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	$232	$220.40	$116 – $266
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $127.60 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $220.40 Cigna — PPO: $220.40 CORVEL — Third Party: $220.40 Coventry — Workers Comp: $222.72 Family Health Center (FHC) — Prepaid Health Svcs: $116 First Health — PPO Network: $220.40
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	$232	$220.40	$127.60 – $227.36
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $127.60 Besse Forest Products — Direct Employer: $220.40 Cigna — PPO: $220.40 CORVEL — Third Party: $220.40 Coventry — Workers Comp: $222.72 First Health — PPO Network: $220.40 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $222.72 Group Health Cooperative of Eau Claire — ETF - River Region: $190.24 Health Partners — PPO: $220.40 Health Smart — PPO Network: $222.72
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	$263	$249.85	$126.65 – $266
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates Amish/Mennonite — Amish Mennonite: $144.65 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $249.85 Cigna — PPO: $249.85 CORVEL — Third Party: $249.85 Coventry — Workers Comp: $252.48 Family Health Center (FHC) — Prepaid Health Svcs: $131.50 First Health — PPO Network: $249.85
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	$263	$249.85	$144.65 – $257.74
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $144.65 Besse Forest Products — Direct Employer: $249.85 Cigna — PPO: $249.85 CORVEL — Third Party: $249.85 Coventry — Workers Comp: $252.48 First Health — PPO Network: $249.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $252.48 Group Health Cooperative of Eau Claire — ETF - River Region: $215.66 Health Partners — PPO: $249.85 Health Smart — PPO Network: $252.48
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,QTT-MSW-90832-TECH	$112	$106.40	$56 – $266
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $106.40 Cigna — PPO: $106.40 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $56
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,30 MIN-PHD 90832-TECH	$112	$106.40	$56 – $266
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $106.40 Cigna — PPO: $106.40 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $56
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	$56 – $266
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $61.60 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $106.40 Cigna — PPO: $106.40 CORVEL — Third Party: $106.40 Coventry — Workers Comp: $107.52 Family Health Center (FHC) — Prepaid Health Svcs: $56
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,QTT-MSW-90834-TECH	$149	$141.55	$74.50 – $266
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $141.55 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $74.50
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL; THERAPY,LMFT-MS 90834-TECH	$149	$141.55	$74.50 – $266
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $141.55 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $74.50
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	$74.50 – $266
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $81.95 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $141.55 Cigna — PPO: $141.55 CORVEL — Third Party: $141.55 Coventry — Workers Comp: $143.04 Family Health Center (FHC) — Prepaid Health Svcs: $74.50
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY,LMFT-MS 90837-TECH	$224	$212.80	$112 – $266
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $212.80 Cigna — PPO: $212.80 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $112
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY,60 MIN-PHD 90837-TECH	$224	$212.80	$112 – $266
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $212.80 Cigna — PPO: $212.80 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $112
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	$112 – $266
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $123.20 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $212.80 Cigna — PPO: $212.80 CORVEL — Third Party: $212.80 Coventry — Workers Comp: $215.04 Family Health Center (FHC) — Prepaid Health Svcs: $112
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	$90 – $266
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $171 Cigna — PPO: $171 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $90
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	$90 – $266
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $171 Cigna — PPO: $171 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $90
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	$90 – $266
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $99 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $171 Cigna — PPO: $171 CORVEL — Third Party: $171 Coventry — Workers Comp: $172.80 Family Health Center (FHC) — Prepaid Health Svcs: $90
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	$93.50 – $266
Family psychotherapy, with the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $177.65 Cigna — PPO: $177.65 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $93.50
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	$93.50 – $266
Family psychotherapy, with the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $177.65 Cigna — PPO: $177.65 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $93.50
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	$93.50 – $266
Family psychotherapy, with the patient: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $102.85 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $157.14 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $177.65 Cigna — PPO: $177.65 CORVEL — Third Party: $177.65 Coventry — Workers Comp: $179.52 Family Health Center (FHC) — Prepaid Health Svcs: $93.50
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY-MSW/MS 90853-TECH	$53	$50.35	$26.50 – $266
Group psychotherapy: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $90.46 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $50.35 Cigna — PPO: $50.35 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 Family Health Center (FHC) — Prepaid Health Svcs: $26.50
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY-APNP 90853-TECH	$53	$50.35	$26.50 – $266
Group psychotherapy: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Anthem BCBS of WI — HMO/POS: $228 Anthem BCBS of WI — Medicare Advantage: $90.46 Anthem BCBS of WI — PPO: $259 Anthem BCBS of WI — Traditional: $266 Besse Forest Products — Direct Employer: $50.35 Cigna — PPO: $50.35 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 Family Health Center (FHC) — Prepaid Health Svcs: $26.50
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP THERAPY-MSW/MS 90853-TECH	$53	$50.35	$29.15 – $51.94
Group psychotherapy: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $29.15 Besse Forest Products — Direct Employer: $50.35 Cigna — PPO: $50.35 CORVEL — Third Party: $50.35 Coventry — Workers Comp: $50.88 First Health — PPO Network: $50.35 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $50.88 Group Health Cooperative of Eau Claire — ETF - River Region: $43.46 Health Partners — PPO: $50.35 Health Smart — PPO Network: $50.88

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXN BRST LESN OPEN >=1 LESN-TECH	$914	$868.30	$457 – $3,999.66
Removal of breast growth (open surgery): 10 of 31 insurance plan rates Amish/Mennonite — Amish Mennonite: $502.70 Anthem BCBS of WI — Medicare Advantage: $3,745.13 Besse Forest Products — Direct Employer: $868.30 CORVEL — Third Party: $868.30 Coventry — Workers Comp: $877.44 Family Health Center (FHC) — Prepaid Health Svcs: $457 First Health — PPO Network: $868.30 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $877.44 Group Health Cooperative of Eau Claire — ETF - River Region: $749.48 Group Health Cooperative of Eau Claire — Medicare Advantage: $3,854.21
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 – $895.72
Removal of breast growth (open surgery): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $502.70 Besse Forest Products — Direct Employer: $868.30 Cigna — PPO: $868.30 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: $877.44 Group Health Cooperative of Eau Claire — ETF - River Region: $749.48 Health Partners — PPO: $868.30 Health Smart — PPO Network: $877.44
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19	Not listed in the file	Not listed in the file	$3,636.05 – $7,803
Removal of breast growth (open surgery): 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $6,721 Anthem BCBS of WI — Medicare Advantage: $3,745.13 Anthem BCBS of WI — PPO: $7,467 Anthem BCBS of WI — Traditional: $7,697 Group Health Cooperative of Eau Claire — Medicare Advantage: $3,854.21 Point Comfort Underwriters — Organizational: $3,999.66 Security Health Plan (SHP) — Broad: $7,304.63 Security Health Plan (SHP) — EPO: $6,939.40 Security Health Plan (SHP) — Medicare Advantage: $3,636.05 Security Health Plan (SHP) — SimplyOne QHP: $6,592.43
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELE	Not listed in the file	Not listed in the file	$4,653 – $5,324
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Anthem BCBS of WI — HMO/POS: $4,653 Anthem BCBS of WI — PPO: $5,168 Anthem BCBS of WI — Traditional: $5,324 Security Health Plan (SHP) — Broad: 73.15% (a percentage in the contract, not a dollar amount) Security Health Plan (SHP) — EPO: 69.5% (a percentage in the contract, not a dollar amount) Security Health Plan (SHP) — SimplyOne QHP: 66.02% (a percentage in the contract, not a dollar amount) Security Health Plan (SHP) — SimplyOne Region 1: 64.09% (a percentage in the contract, not a dollar amount) Security Health Plan (SHP) — SimplyOne Region 2: 58.85% (a percentage in the contract, not a dollar amount) Security Health Plan (SHP) — SimplyOne Region 3: 53.5% (a percentage in the contract, not a dollar amount) Security Health Plan (SHP) — SimplyOne Region 4: 67.3% (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	$3,080.89 – $7,803
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $6,721 Anthem BCBS of WI — Medicare Advantage: $3,173.32 Anthem BCBS of WI — PPO: $7,467 Anthem BCBS of WI — Traditional: $7,697 Group Health Cooperative of Eau Claire — Medicare Advantage: $3,265.74 Point Comfort Underwriters — Organizational: $3,388.98 Security Health Plan (SHP) — Broad: $7,304.63 Security Health Plan (SHP) — EPO: $6,939.40 Security Health Plan (SHP) — Medicare Advantage: $3,080.89 Security Health Plan (SHP) — SimplyOne QHP: $6,592.43
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP	Not listed in the file	Not listed in the file	$890.25 – $3,195
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $2,792 Anthem BCBS of WI — Medicare Advantage: $916.96 Anthem BCBS of WI — PPO: $3,103 Anthem BCBS of WI — Traditional: $3,195 Group Health Cooperative of Eau Claire — Medicare Advantage: $943.66 Point Comfort Underwriters — Organizational: $979.27 Security Health Plan (SHP) — Broad: $2,539.26 Security Health Plan (SHP) — EPO: $2,412.30 Security Health Plan (SHP) — Medicare Advantage: $890.25 Security Health Plan (SHP) — SimplyOne QHP: $2,291.68
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	$890.25 – $3,195
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $2,792 Anthem BCBS of WI — Medicare Advantage: $916.96 Anthem BCBS of WI — PPO: $3,103 Anthem BCBS of WI — Traditional: $3,195 Group Health Cooperative of Eau Claire — Medicare Advantage: $943.66 Point Comfort Underwriters — Organizational: $979.27 Security Health Plan (SHP) — Broad: $2,539.26 Security Health Plan (SHP) — EPO: $2,412.30 Security Health Plan (SHP) — Medicare Advantage: $890.25 Security Health Plan (SHP) — SimplyOne QHP: $2,291.68
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAGNOSTIC-TECH	$1,627	$1,545.65	$813.50 – $3,195
Colonoscopy (diagnostic): 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $894.85 Anthem BCBS of WI — HMO/POS: $2,792 Anthem BCBS of WI — Medicare Advantage: $891.68 Anthem BCBS of WI — PPO: $3,103 Anthem BCBS of WI — Traditional: $3,195 Besse Forest Products — Direct Employer: $1,545.65 Cigna — PPO: $1,545.65 CORVEL — Third Party: $1,545.65 Coventry — Workers Comp: $1,561.92 Family Health Center (FHC) — Prepaid Health Svcs: $813.50
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAGNOSTIC-TECH	$1,627	$1,545.65	$894.85 – $1,594.46
Colonoscopy (diagnostic): 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $894.85 Besse Forest Products — Direct Employer: $1,545.65 Cigna — PPO: $1,545.65 CORVEL — Third Party: $1,545.65 Coventry — Workers Comp: $1,561.92 First Health — PPO Network: $1,545.65 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,561.92 Group Health Cooperative of Eau Claire — ETF - River Region: $1,334.14 Health Partners — PPO: $1,545.65 Health Smart — PPO Network: $1,561.92
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)	Not listed in the file	Not listed in the file	$865.71 – $3,195
Colonoscopy (diagnostic): 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $2,792 Anthem BCBS of WI — Medicare Advantage: $891.68 Anthem BCBS of WI — PPO: $3,103 Anthem BCBS of WI — Traditional: $3,195 Group Health Cooperative of Eau Claire — Medicare Advantage: $917.65 Point Comfort Underwriters — Organizational: $952.28 Security Health Plan (SHP) — Broad: $2,539.26 Security Health Plan (SHP) — EPO: $2,412.30 Security Health Plan (SHP) — Medicare Advantage: $865.71 Security Health Plan (SHP) — SimplyOne QHP: $2,291.68
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSC FLEX W/BIOPSY-TECH	$1,383	$1,313.85	$691.50 – $4,733
Colonoscopy with biopsy: 10 of 44 insurance plan rates Amish/Mennonite — Amish Mennonite: $760.65 Anthem BCBS of WI — HMO/POS: $4,136 Anthem BCBS of WI — Medicare Advantage: $1,153.17 Anthem BCBS of WI — PPO: $4,595 Anthem BCBS of WI — Traditional: $4,733 Besse Forest Products — Direct Employer: $1,313.85 Cigna — PPO: $1,313.85 CORVEL — Third Party: $1,313.85 Coventry — Workers Comp: $1,327.68 Family Health Center (FHC) — Prepaid Health Svcs: $691.50
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSC FLEX W/BIOPSY-TECH	$1,383	$1,313.85	$760.65 – $1,355.34
Colonoscopy with biopsy: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $760.65 Besse Forest Products — Direct Employer: $1,313.85 Cigna — PPO: $1,313.85 CORVEL — Third Party: $1,313.85 Coventry — Workers Comp: $1,327.68 First Health — PPO Network: $1,313.85 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,327.68 Group Health Cooperative of Eau Claire — ETF - River Region: $1,134.06 Health Partners — PPO: $1,313.85 Health Smart — PPO Network: $1,327.68
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	$1,119.58 – $4,733
Colonoscopy with biopsy: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $4,136 Anthem BCBS of WI — Medicare Advantage: $1,153.17 Anthem BCBS of WI — PPO: $4,595 Anthem BCBS of WI — Traditional: $4,733 Group Health Cooperative of Eau Claire — Medicare Advantage: $1,186.75 Point Comfort Underwriters — Organizational: $1,231.54 Security Health Plan (SHP) — Broad: $2,856.65 Security Health Plan (SHP) — EPO: $2,713.83 Security Health Plan (SHP) — Medicare Advantage: $1,119.58 Security Health Plan (SHP) — SimplyOne QHP: $2,578.13
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	$1,119.58 – $4,733
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $4,136 Anthem BCBS of WI — Medicare Advantage: $1,153.17 Anthem BCBS of WI — PPO: $4,595 Anthem BCBS of WI — Traditional: $4,733 Group Health Cooperative of Eau Claire — Medicare Advantage: $1,186.75 Point Comfort Underwriters — Organizational: $1,231.54 Security Health Plan (SHP) — Broad: $2,856.65 Security Health Plan (SHP) — EPO: $2,713.83 Security Health Plan (SHP) — Medicare Advantage: $1,119.58 Security Health Plan (SHP) — SimplyOne QHP: $2,578.13
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	$865.71 – $3,195
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $2,792 Anthem BCBS of WI — Medicare Advantage: $891.68 Anthem BCBS of WI — PPO: $3,103 Anthem BCBS of WI — Traditional: $3,195 Group Health Cooperative of Eau Claire — Medicare Advantage: $917.65 Point Comfort Underwriters — Organizational: $952.28 Security Health Plan (SHP) — Broad: $2,539.26 Security Health Plan (SHP) — EPO: $2,412.30 Security Health Plan (SHP) — Medicare Advantage: $865.71 Security Health Plan (SHP) — SimplyOne QHP: $2,291.68
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,539.96 – $13,015
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $11,373 Anthem BCBS of WI — Medicare Advantage: $5,706.16 Anthem BCBS of WI — PPO: $12,637 Anthem BCBS of WI — Traditional: $13,015 Group Health Cooperative of Eau Claire — Medicare Advantage: $5,872.36 Point Comfort Underwriters — Organizational: $6,093.96 Security Health Plan (SHP) — Broad: $8,243.51 Security Health Plan (SHP) — EPO: $7,831.34 Security Health Plan (SHP) — Medicare Advantage: $5,539.96 Security Health Plan (SHP) — SimplyOne QHP: $7,439.77
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	$3,350.98 – $7,803
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $6,721 Anthem BCBS of WI — Medicare Advantage: $3,451.51 Anthem BCBS of WI — PPO: $7,467 Anthem BCBS of WI — Traditional: $7,697 Group Health Cooperative of Eau Claire — Medicare Advantage: $3,552.04 Point Comfort Underwriters — Organizational: $3,686.08 Security Health Plan (SHP) — Broad: $7,304.63 Security Health Plan (SHP) — EPO: $6,939.40 Security Health Plan (SHP) — Medicare Advantage: $3,350.98 Security Health Plan (SHP) — SimplyOne QHP: $6,592.43
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY PROSTRATE NEEDLE/PUNCH-TECH	$421	$399.95	$210.50 – $2,139.65
Prostate biopsy: 10 of 31 insurance plan rates Amish/Mennonite — Amish Mennonite: $231.55 Anthem BCBS of WI — Medicare Advantage: $2,003.49 Besse Forest Products — Direct Employer: $399.95 CORVEL — Third Party: $399.95 Coventry — Workers Comp: $404.16 Family Health Center (FHC) — Prepaid Health Svcs: $210.50 First Health — PPO Network: $399.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $404.16 Group Health Cooperative of Eau Claire — ETF - River Region: $345.22 Group Health Cooperative of Eau Claire — Medicare Advantage: $2,061.85
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BIOPSY PROSTRATE NEEDLE/PUNCH-TECH	$421	$399.95	$231.55 – $412.58
Prostate biopsy: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $231.55 Besse Forest Products — Direct Employer: $399.95 Cigna — PPO: $399.95 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: $404.16 Group Health Cooperative of Eau Claire — ETF - River Region: $345.22 Health Partners — PPO: $399.95 Health Smart — PPO Network: $404.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH	Not listed in the file	Not listed in the file	$1,945.14 – $6,003
Prostate biopsy: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $4,136 Anthem BCBS of WI — Medicare Advantage: $2,003.49 Anthem BCBS of WI — PPO: $4,595 Anthem BCBS of WI — Traditional: $4,733 Group Health Cooperative of Eau Claire — Medicare Advantage: $2,061.85 Point Comfort Underwriters — Organizational: $2,139.65 Security Health Plan (SHP) — Broad: $5,982.26 Security Health Plan (SHP) — EPO: $5,683.15 Security Health Plan (SHP) — Medicare Advantage: $1,945.14 Security Health Plan (SHP) — SimplyOne QHP: $5,398.99
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C	Not listed in the file	Not listed in the file	$3,019.09 – $7,304.63
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $4,136 Anthem BCBS of WI — Medicare Advantage: $3,109.66 Anthem BCBS of WI — PPO: $4,595 Anthem BCBS of WI — Traditional: $4,733 Group Health Cooperative of Eau Claire — Medicare Advantage: $3,200.24 Point Comfort Underwriters — Organizational: $3,321 Security Health Plan (SHP) — Broad: $7,304.63 Security Health Plan (SHP) — EPO: $6,939.40 Security Health Plan (SHP) — Medicare Advantage: $3,019.09 Security Health Plan (SHP) — SimplyOne QHP: $6,592.43
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	$941	$893.95	$517.55 – $3,195
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates Amish/Mennonite — Amish Mennonite: $517.55 Anthem BCBS of WI — HMO/POS: $2,792 Anthem BCBS of WI — Medicare Advantage: $677.31 Anthem BCBS of WI — PPO: $3,103 Anthem BCBS of WI — Traditional: $3,195 Besse Forest Products — Direct Employer: $893.95 Cigna — PPO: $893.95 CORVEL — Third Party: $893.95 Coventry — Workers Comp: $903.36 First Health — PPO Network: $893.95
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	$144.50 – $723.34
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates Amish/Mennonite — Amish Mennonite: $158.95 Anthem BCBS of WI — Medicare Advantage: $677.31 Besse Forest Products — Direct Employer: $274.55 CORVEL — Third Party: $274.55 Coventry — Workers Comp: $277.44 Family Health Center (FHC) — Prepaid Health Svcs: $144.50 First Health — PPO Network: $274.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $277.44 Group Health Cooperative of Eau Claire — ETF - River Region: $236.98 Group Health Cooperative of Eau Claire — Medicare Advantage: $697.03
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	$941	$893.95	$517.55 – $922.18
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $517.55 Besse Forest Products — Direct Employer: $893.95 Cigna — PPO: $893.95 CORVEL — Third Party: $893.95 Coventry — Workers Comp: $903.36 First Health — PPO Network: $893.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $903.36 Group Health Cooperative of Eau Claire — ETF - River Region: $771.62 Health Partners — PPO: $893.95 Health Smart — PPO Network: $903.36
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	$941	$893.95	$517.55 – $3,195
Nerve root injection, lower back, with imaging guidance: 10 of 43 insurance plan rates Amish/Mennonite — Amish Mennonite: $517.55 Anthem BCBS of WI — HMO/POS: $2,792 Anthem BCBS of WI — Medicare Advantage: $870.73 Anthem BCBS of WI — PPO: $3,103 Anthem BCBS of WI — Traditional: $3,195 Besse Forest Products — Direct Employer: $893.95 Cigna — PPO: $893.95 CORVEL — Third Party: $893.95 Coventry — Workers Comp: $903.36 First Health — PPO Network: $893.95
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	$164.50 – $929.91
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates Amish/Mennonite — Amish Mennonite: $180.95 Anthem BCBS of WI — Medicare Advantage: $870.73 Besse Forest Products — Direct Employer: $312.55 CORVEL — Third Party: $312.55 Coventry — Workers Comp: $315.84 Family Health Center (FHC) — Prepaid Health Svcs: $164.50 First Health — PPO Network: $312.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $315.84 Group Health Cooperative of Eau Claire — ETF - River Region: $269.78 Group Health Cooperative of Eau Claire — Medicare Advantage: $896.09
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	$941	$893.95	$517.55 – $922.18
Nerve root injection, lower back, with imaging guidance: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $517.55 Besse Forest Products — Direct Employer: $893.95 Cigna — PPO: $893.95 CORVEL — Third Party: $893.95 Coventry — Workers Comp: $903.36 First Health — PPO Network: $893.95 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $903.36 Group Health Cooperative of Eau Claire — ETF - River Region: $771.62 Health Partners — PPO: $893.95 Health Smart — PPO Network: $903.36
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	$638 – $2,039.65
Carpal tunnel release: 10 of 31 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.80 Anthem BCBS of WI — Medicare Advantage: $1,909.86 Besse Forest Products — Direct Employer: $1,212.20 CORVEL — Third Party: $1,212.20 Coventry — Workers Comp: $1,224.96 Family Health Center (FHC) — Prepaid Health Svcs: $638 First Health — PPO Network: $1,212.20 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $1,224.96 Group Health Cooperative of Eau Claire — ETF - River Region: $1,046.32 Group Health Cooperative of Eau Claire — Medicare Advantage: $1,965.48
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 – $1,250.48
Carpal tunnel release: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $701.80 Besse Forest Products — Direct Employer: $1,212.20 Cigna — PPO: $1,212.20 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: $1,224.96 Group Health Cooperative of Eau Claire — ETF - River Region: $1,046.32 Health Partners — PPO: $1,212.20 Health Smart — PPO Network: $1,224.96
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	$1,854.23 – $6,003
Carpal tunnel release: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $4,136 Anthem BCBS of WI — Medicare Advantage: $1,909.86 Anthem BCBS of WI — PPO: $4,595 Anthem BCBS of WI — Traditional: $4,733 Group Health Cooperative of Eau Claire — Medicare Advantage: $1,965.48 Point Comfort Underwriters — Organizational: $2,039.65 Security Health Plan (SHP) — Broad: $5,982.26 Security Health Plan (SHP) — EPO: $5,683.15 Security Health Plan (SHP) — Medicare Advantage: $1,854.23 Security Health Plan (SHP) — SimplyOne QHP: $5,398.99
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	$474.50 – $930.02
Laser treatment of clouding after cataract surgery: 10 of 31 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Anthem BCBS of WI — Medicare Advantage: $536.55 Besse Forest Products — Direct Employer: $901.55 CORVEL — Third Party: $901.55 Coventry — Workers Comp: $911.04 Family Health Center (FHC) — Prepaid Health Svcs: $474.50 First Health — PPO Network: $901.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $911.04 Group Health Cooperative of Eau Claire — ETF - River Region: $778.18 Group Health Cooperative of Eau Claire — Medicare Advantage: $552.18
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	$474.50 – $930.02
Laser treatment of clouding after cataract surgery: 10 of 31 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Anthem BCBS of WI — Medicare Advantage: $536.55 Besse Forest Products — Direct Employer: $901.55 CORVEL — Third Party: $901.55 Coventry — Workers Comp: $911.04 Family Health Center (FHC) — Prepaid Health Svcs: $474.50 First Health — PPO Network: $901.55 Group Health Cooperative of Eau Claire — ETF - Greater WI/HMO: $911.04 Group Health Cooperative of Eau Claire — ETF - River Region: $778.18 Group Health Cooperative of Eau Claire — Medicare Advantage: $552.18
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 – $930.02
Laser treatment of clouding after cataract surgery: 10 of 26 insurance plan rates Amish/Mennonite — Amish Mennonite: $521.95 Besse Forest Products — Direct Employer: $901.55 Cigna — PPO: $901.55 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: $911.04 Group Health Cooperative of Eau Claire — ETF - River Region: $778.18 Health Partners — PPO: $901.55 Health Smart — PPO Network: $911.04
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGA	Not listed in the file	Not listed in the file	$2,165.64 – $6,003
Cataract removal with lens implant: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $4,136 Anthem BCBS of WI — Medicare Advantage: $2,230.61 Anthem BCBS of WI — PPO: $4,595 Anthem BCBS of WI — Traditional: $4,733 Group Health Cooperative of Eau Claire — Medicare Advantage: $2,295.58 Point Comfort Underwriters — Organizational: $2,382.20 Security Health Plan (SHP) — Broad: $5,982.26 Security Health Plan (SHP) — EPO: $5,683.15 Security Health Plan (SHP) — Medicare Advantage: $2,165.64 Security Health Plan (SHP) — SimplyOne QHP: $5,398.99

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$83,714.20 – $188,485.98
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $171,857.14 Anthem BCBS of WI — Medicare Advantage: $86,225.63 Anthem BCBS of WI — PPO: $182,936.60 Anthem BCBS of WI — Traditional: $188,485.98 Group Health Cooperative of Eau Claire — Medicare Advantage: $88,737.05 Point Comfort Underwriters — Organizational: $92,085.62 Security Health Plan (SHP) — Broad: $173,396.30 Security Health Plan (SHP) — EPO: $161,355 Security Health Plan (SHP) — Medicare Advantage: $83,714.20 Security Health Plan (SHP) — SimplyOne QHP: $155,913.33
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$16,354.92 – $39,705
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates Anthem BCBS of WI — HMO/POS: $33,575.10 Anthem BCBS of WI — Medicare Advantage: $16,845.57 Anthem BCBS of WI — PPO: $35,739.65 Anthem BCBS of WI — Traditional: $36,823.82 Group Health Cooperative of Eau Claire — Medicare Advantage: $17,336.22 Point Comfort Underwriters — Organizational: $17,990.41 Security Health Plan (SHP) — Broad: $27,836.72 Security Health Plan (SHP) — EPO: $25,903.63 Security Health Plan (SHP) — Medicare Advantage: $16,354.92 Security Health Plan (SHP) — SimplyOne QHP: $25,030.05
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$20,534.97 – $46,235.32
Neck (cervical) spinal fusion, without complications: 10 of 17 insurance plan rates Anthem BCBS of WI — HMO/POS: $42,156.29 Anthem BCBS of WI — Medicare Advantage: $21,151.02 Anthem BCBS of WI — PPO: $44,874.07 Anthem BCBS of WI — Traditional: $46,235.32 Group Health Cooperative of Eau Claire — Medicare Advantage: $21,767.07 Point Comfort Underwriters — Organizational: $22,588.47 Security Health Plan (SHP) — Broad: $42,533.84 Security Health Plan (SHP) — EPO: $39,580.13 Security Health Plan (SHP) — Medicare Advantage: $20,534.97 Security Health Plan (SHP) — SimplyOne QHP: $38,245.30
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$10,570.33 – $23,410.61
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates Anthem BCBS of WI — HMO/POS: $21,345.25 Anthem BCBS of WI — Medicare Advantage: $10,887.44 Anthem BCBS of WI — PPO: $22,721.36 Anthem BCBS of WI — Traditional: $23,410.61 Group Health Cooperative of Eau Claire — Medicare Advantage: $11,204.55 Point Comfort Underwriters — Organizational: $11,627.36 Security Health Plan (SHP) — Broad: $21,536.42 Security Health Plan (SHP) — EPO: $20,040.85 Security Health Plan (SHP) — Medicare Advantage: $10,570.33 Security Health Plan (SHP) — SimplyOne QHP: $19,364.97

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

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1700 West Stout Street, Rice Lake, WI 54868
County	Barron County
State	Wisconsin
Phone	(715) 234‑1515
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	520011
Name in Medicare records	MARSHFIELD MEDICAL CENTER - RICE LAKE
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 2026-10-30.

Rice Lake - Marshfield Medical Center — marshfieldclinic.org
Rice Lake - Marshfield Medical Center in Rice Lake — marshfieldclinic.org
Rice Lake - Marshfield Medical Center (Medical Offices) in Rice Lake — marshfieldclinic.org