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Critical Access Hospital

Spooner Health System

Also listed as: Spooner Health

Spooner, Wisconsin · Washburn County · Emergency services listed

Spooner Health System is a critical access hospital at 1280 Chandler Dr, Spooner, WI 54801. Phone: (715) 635-2111. It has an emergency department. Medicare overall rating: 5 of 5 stars (CMS, October 2026).

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

Summary

Spooner Health System is a critical access hospital in Spooner, Wisconsin. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 84 services, specialties and programs. Medicare lists 105 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

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

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
25Beds (hospital website)
84Services listed

Quick answers

Does Spooner Health System have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Spooner Health System. In a medical emergency, call 911.
Where is Spooner Health System?
1280 Chandler Dr, Spooner, WI 54801, in Washburn County, Wisconsin.
What is the phone number of Spooner Health System?
(715) 635-2111, as listed by Medicare (CMS).
What is the Medicare star rating of Spooner Health System?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas[7][8][9][11][12][13][14][15][16][17][19]

Conditions treated[9][12][14][17][18][19]

Treatments[4][7][8][13][17][18][19]

  • Infusion services
  • Respiratory therapy
  • Wound care
  • Vein treatment
  • LSVT BIG and LOUD
  • LiteGait treadmill training
  • Manual therapy
  • Dry needling
  • Vestibular (dizziness) rehabilitation
  • SOS Approach to Feeding
  • Botox injections

Procedures[8][9][11][12][13][14][15]

  • Appendix removal
  • Gallbladder removal
  • Hernia repair
  • Hemorrhoid removal
  • Diagnostic laparoscopy
  • Port-a-Cath placement
  • Lesion removal
  • Colonoscopy
  • Upper endoscopy
  • Flexible sigmoidoscopy
  • Carpal tunnel release
  • Trigger finger release
  • Ganglion cyst removal
  • Cataract removal
  • Eyelid surgery
  • Injections for macular degeneration
  • Epidural steroid injections
  • Medial branch blocks

Programs and centers[4][5][6][10][17][18]

  • Swing bed program
  • Inpatient care
  • Surgery
  • Diagnostic imaging
  • Laboratory
  • Emergency services
  • Cardiac rehabilitation
  • LSVT BIG and LOUD program
  • Hospitalist program
  • Observation stay
  • Infusion services
  • Respiratory therapy
  • Home care

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

Interpreters and languagesA Language Assistance page lists 16 languages[6]
Patient portalMyChart

Doctors and clinicians (105)

105 doctors and other clinicians list Spooner Health System 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 (105)

And 81 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Spooner

Hospitals in Washburn County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Spooner Health System 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.

Rated the hospital 9 or 10 out of 1087%National average: 72%
Would definitely recommend the hospital88%National average: 71%
Nurses “always” communicated well95%National average: 80%
Doctors “always” communicated well92%National average: 80%
“Always” got help as soon as they wanted89%National average: 64%
Staff “always” explained medicines before giving them81%National average: 62%
Were given information about recovery at home95%National average: 86%
Room and bathroom “always” clean94%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys88Response rate: 37%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: pneumonia patients15.8%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)15.9%
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia16.5%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: COPD

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)112 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Too few cases to reportSepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 45 common services exactly as Spooner Health System lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 45 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL III $193 $173.70 $144.45 – $178.95
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $158.10
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $178.95
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $176.70
  • UMR - Commercial-PPO — United Healthcare: $148.61
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $144.45
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL III $298 $268.20 $82.43 – $86.86
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $82.43
  • UCARE - Commercial-HMO — United Healthcare: $86.86
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL IV $330 $297 $269.45 – $317
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $269.45
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $317
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL IV $506 $455.40 $219.15
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • AETNA - Commercial-PPO — Aetna: $219.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,EST,LEVL III $132 $118.80 $101.47 – $120.65
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $107.95
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $120.65
  • UMR - Commercial-PPO — United Healthcare: $101.47
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT,EST,LEVL III $202 $181.80 $66.94
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $66.94
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT,EST,LEVL IV $312 $280.80 $98.48
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $98.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,EST,LEVL IV $202 $181.80 $193.96
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $193.96
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL III VISIT $766 $689.40 $311.96 – $724.76
Emergency room visit (moderate): 10 of 26 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $626.45
  • AETNA - Commercial-PPO — Aetna: $331.65
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $626.45
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $626.45
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $626.45
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $626.45
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $690.57
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $319.59
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $690.57
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $461.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY LEVEL III VISIT $560 $504 $70.84 – $511.10
Emergency room visit (moderate): rates for 7 insurance plans
  • AETNA - Commercial-POS — Aetna: $457.30
  • AETNA - Commercial-PPO — Aetna: $242.10
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $232.93
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $72.65
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $511.10
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $70.84
  • UCARE - Commercial-HMO — United Healthcare: $73.16
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: FACILITY EMERGENCY LEVEL III VISIT $766 $689.40 $311.96 – $724.76
Emergency room visit (moderate): rates for 1 insurance plan
  • UMR - Commercial-PPO — United Healthcare: $311.96
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL IV VISIT $1,279 $1,151.10 $520.30 – $1,207.90
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $1,045.50
  • AETNA - Commercial-PPO — Aetna: $553.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $1,045.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $1,045.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $1,045.50
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $1,045.50
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $1,152.51
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $532.18
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $1,152.51
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $713.52
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY LEVEL IV VISIT $868 $781.20 $100 – $709.75
Emergency room visit (moderately high): rates for 7 insurance plans
  • AETNA - Commercial-POS — Aetna: $709.75
  • AETNA - Commercial-PPO — Aetna: $375.75
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $361.52
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $123.27
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $100
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $120.50
  • UCARE - Commercial-HMO — United Healthcare: $124.35
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: FACILITY EMERGENCY LEVEL IV VISIT $1,279 $1,151.10 $520.30 – $1,207.90
Emergency room visit (moderately high): rates for 2 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $983.41
  • UMR - Commercial-PPO — United Healthcare: $520.30
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL V VISIT $1,958 $1,762.20 $433.62 – $1,847.84
Emergency room visit (high): 10 of 26 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $1,600.55
  • AETNA - Commercial-PPO — Aetna: $847.35
  • ANTHEM BCBS OF WISCONSIN - Commercial-HMO — Blue Cross Blue Shield: $1,600.55
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $1,600.55
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $1,505.86
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $1,600.55
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $1,617.55
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $1,764.37
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $811.95
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $1,764.37
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY LEVEL V VISIT $1,282 $1,153.80 $174.13 – $1,233
Emergency room visit (high): rates for 8 insurance plans
  • AETNA - Commercial-POS — Aetna: $1,048.05
  • AETNA - Commercial-PPO — Aetna: $554.85
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $178.57
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $174.13
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $1,162.28
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $174.53
  • UCARE - Commercial-HMO — United Healthcare: $180.04
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $1,233
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: FACILITY EMERGENCY LEVEL V VISIT $1,958 $1,762.20 $433.62 – $1,847.84
Emergency room visit (high): rates for 2 insurance plans
  • AETNA - Commercial-PPO — Aetna: $847.35
  • UMR - Commercial-PPO — United Healthcare: $796.62

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: LAB BASIC METABOLIC PANEL $318 $286.20 $8.74 – $306
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $260.10
  • AETNA - Commercial-PPO — Aetna: $137.70
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $260.10
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $260.10
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $260.10
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $286.72
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $131.95
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $8.74
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $290.70
  • HEALTHPARTNERS - Commercial-Indemnity — Health Partners: $134.70
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: LAB BASIC METABOLIC PANEL $318 $286.20 $8.74 – $306
Basic metabolic panel (blood test): rates for 1 insurance plan
  • AETNA - Commercial-PPO — Aetna: $137.70
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $345 $310.50 $10.91 – $332
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $282.20
  • AETNA - Commercial-PPO — Aetna: $149.40
  • ANTHEM BCBS OF WISCONSIN - Commercial-HMO — Blue Cross Blue Shield: $282.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $282.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $282.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $282.20
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $282.20
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $311.08
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $143.16
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $311.08
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $345 $310.50 $10.91 – $332
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • AETNA - Commercial-PPO — Aetna: $149.40
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $265.74
  • UMR - Commercial-PPO — United Healthcare: $140.58
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PROFILE $257 $231.30 $106.51 – $234.65
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $204.25
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $231.44
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $106.51
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $234.65
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $234.65
  • MEDICA - Commercial-HMO — MEDICA: $211.68
  • MEDICA - Medicare Part A — Medicare Advantage: $106.51
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $106.51
  • UCARE - Commercial-HMO — United Healthcare: $108.93
  • UMR - Commercial-PPO — United Healthcare: $197.35
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $293 $263.70 $119.24 – $121.60
Kidney function panel: rates for 3 insurance plans
  • MEDICA - Medicare Part A — Medicare Advantage: $121.60
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $121.60
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $119.24
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $324 $291.60 $8.44 – $296.40
Liver function panel: rates for 10 insurance plans
  • AETNA - Commercial-PPO — Aetna: $140.40
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $265.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $137.28
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $8.44
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $296.40
  • MEDICA - Commercial-HMO — MEDICA: $263.02
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $137.59
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $263.02
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $132
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $140.40
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS, AUTO, W/SCOPE $99 $89.10 $3.28 – $93.10
Urine test (automated, with microscope): 10 of 21 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $80.75
  • AETNA - Commercial-PPO — Aetna: $42.75
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $80.75
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $80.75
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $80.75
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $89.02
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $40.96
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $89.02
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $3.28
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $90.25
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS, AUTO, W/SCOPE $99 $89.10 $3.28 – $93.10
Urine test (automated, with microscope): rates for 3 insurance plans
  • AETNA - Commercial-PPO — Aetna: $42.75
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $75.68
  • UMR - Commercial-PPO — United Healthcare: $40.04
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS, AUTO W/O SCOPE $82 $73.80 $2.32 – $77.42
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $35.55
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $67.15
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $67.15
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $67.15
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $67.15
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $34.06
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $74.02
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $2.32
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $75.05
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $77.42
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $264 $237.60 $111.76 – $214.12
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • AETNA - Commercial-PPO — Aetna: $114.30
  • MEDICA - Commercial-HMO — MEDICA: $214.12
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $112.01
  • UCARE - Commercial-HMO — United Healthcare: $112.01
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $114.30
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $111.76
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA, TOTAL - REF $264 $237.60 $111.76 – $214.12
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • AETNA - Commercial-PPO — Aetna: $114.30
  • MEDICA - Commercial-HMO — MEDICA: $214.12
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $112.01
  • UCARE - Commercial-HMO — United Healthcare: $112.01
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $114.30
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $111.76
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $239 $215.10 $17.36 – $230
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • AETNA - Commercial-Indemnity — Aetna: $230
  • AETNA - Commercial-PPO — Aetna: $101.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $195.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $183.61
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $195.50
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $195.50
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $99.18
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $17.36
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $218.50
  • MEDICA - Commercial-HMO — MEDICA: $193.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE - REF $239 $215.10 $17.36 – $230
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • AETNA - Commercial-Indemnity — Aetna: $230
  • AETNA - Commercial-PPO — Aetna: $101.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $195.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $183.61
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $195.50
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $195.50
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $99.18
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $17.36
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $218.50
  • MEDICA - Commercial-HMO — MEDICA: $193.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: ASSAY THYROID STIM HORMONE $239 $215.10 $17.36 – $230
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $183.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $307 $276.30 $8.03 – $295
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $250.75
  • AETNA - Commercial-PPO — Aetna: $132.75
  • ANTHEM BCBS OF WISCONSIN - Commercial-HMO — Blue Cross Blue Shield: $250.75
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $250.75
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $250.75
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $250.75
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $250.75
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $276.42
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $127.20
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $276.42
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $307 $276.30 $8.03 – $295
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • AETNA - Commercial-PPO — Aetna: $132.75
  • UMR - Commercial-PPO — United Healthcare: $124.74
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $155 $139.50 $6.69 – $149
Complete blood count (CBC), automated: 10 of 21 insurance plan rates
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $126.65
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $126.65
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $126.65
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $139.61
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $64.25
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $6.69
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $141.55
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $146.02
  • MEDICA - Commercial-HMO — MEDICA: $125.61
  • MEDICA - Medicare Part A — Medicare Advantage: $64.25
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC AUTOMATED $155 $139.50 $6.69 – $149
Complete blood count (CBC), automated: rates for 1 insurance plan
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $119.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME (PT/INR) $136 $122.40 $4.43 – $128.38
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $111.35
  • AETNA - Commercial-PPO — Aetna: $58.95
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $111.35
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $111.35
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $111.35
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $122.75
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $56.49
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $122.75
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $4.43
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $124.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $239 $215.10 $6.21 – $216.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $195.50
  • AETNA - Commercial-PPO — Aetna: $103.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $195.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $195.50
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $215.51
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $99.18
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $6.21
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $209.95
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $216.58
  • MEDICA - Commercial-HMO — MEDICA: $197.11
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: L (PTT), PLASMA OR WB - REF $239 $215.10 $6.21 – $216.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $195.50
  • AETNA - Commercial-PPO — Aetna: $103.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $195.50
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $195.50
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $215.51
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $99.18
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $6.21
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $209.95
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $216.58
  • MEDICA - Commercial-HMO — MEDICA: $197.11

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE $2,281 $2,052.90 $825.32 – $2,193
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $2,193
  • AETNA - Commercial-PPO — Aetna: $986.85
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $1,864.05
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $932.03
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $1,864.05
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $2,054.84
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $945.62
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $825.32
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $2,083.35
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $2,149.14
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE $2,281 $2,052.90 $825.32 – $2,193
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • AETNA - Commercial-PPO — Aetna: $986.85
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W & WO CONTRAST $6,153 $5,537.70 $1,037.41 – $5,620.20
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $5,028.60
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $5,028.60
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $1,037.41
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $5,620.20
  • MEDICA - Commercial-HMO — MEDICA: $4,987.19
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $2,574.64
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $4,987.19
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $2,662.20
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $374 $336.60 $143.07 – $360
Chest X-ray, 2 views: rates for 1 insurance plan
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $306
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS $374 $336.60 $143.07 – $360
Chest X-ray, 2 views: 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $306
  • AETNA - Commercial-PPO — Aetna: $162
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $306
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $306
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $306
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $337.32
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $155.23
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $337.32
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $143.07
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $342
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS $374 $336.60 $143.07 – $360
Chest X-ray, 2 views: rates for 1 insurance plan
  • UMR - Commercial-PPO — United Healthcare: $152.46
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: XRAY LUMBOSACRAL MINIMUM 4 VWS $891 $801.90 $385.65
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $385.65
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $385.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI L SPINE WO CONTRAST $4,301 $3,870.90 $616.80 – $3,929.20
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $1,861.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $3,515.60
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $616.80
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $3,929.20
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $1,832.68
  • MEDICA - Commercial-HMO — MEDICA: $3,486.65
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $1,840.52
  • UCARE - Commercial-HMO — United Healthcare: $1,831.42
  • UMR - Commercial-PPO — United Healthcare: $3,304.67
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $3,486.65
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE $3,357 $3,021.30 $2,616.67
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • MEDICA - Commercial-HMO — MEDICA: $2,616.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI LOW EXT JNT WO/CONT TC $3,622 $3,259.80 $1,532.52 – $3,308.85
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $2,880.14
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $2,960.55
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $2,880.14
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $3,308.85
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $3,308.85
  • MEDICA - Commercial-HMO — MEDICA: $2,936.17
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $1,549.93
  • UCARE - Commercial-HMO — United Healthcare: $1,539
  • UMR - Commercial-PPO — United Healthcare: $2,782.92
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,936.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABDOMEN&PELVIS W/CONTRAST $5,312 $4,780.80 $825.32 – $5,108
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • UMR - Commercial-PPO — United Healthcare: $3,511.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN&PELVIS W/CONTRAST $5,312 $4,780.80 $825.32 – $5,108
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates
  • AETNA - Commercial-Indemnity — Aetna: $5,108
  • AETNA - Commercial-POS — Aetna: $4,341.80
  • AETNA - Commercial-PPO — Aetna: $2,298.60
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $4,341.80
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $4,341.80
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $4,341.80
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $4,341.80
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $2,202.57
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $4,786.20
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $825.32
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US ABDOMEN TC $1,900 $1,710 $795.11 – $1,711.90
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $1,552.95
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $1,711.90
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $795.11
  • UMR - Commercial-PPO — United Healthcare: $1,459.77
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $822.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US,PREG. UTERUS,FETAL/MAT.EVAL.,>1ST TRIM.(>/= 14 WKS 0 DYS),TRANSABD;SINGLE/FIRST GEST., TECH $968 $871.20 $784.83
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • MEDICA - Commercial-HMO — MEDICA: $784.83
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL TC $796 $716.40 $280.61 – $726.75
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $325.13
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $325.13
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $325.13
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $716.81
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $335.74
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $716.81
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $280.61
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $726.75
  • MEDICA - Commercial-HMO — MEDICA: $644.90
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $340.42
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: DIGITAL MAMM, DIAG, UNILAT, TC W/CAD PERF $359 $323.10 $60.26 – $327.75
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $293.25
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $293.25
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $293.25
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $60.26
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $327.75
  • MEDICA - Commercial-HMO — MEDICA: $290.84
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $153.52
  • UMR - Commercial-PPO — United Healthcare: $275.66
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $290.84
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $275.66
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: DIGITAL MAMM, DIAG, BILAT, TC W/CAD PERF $476 $428.40 $60.26 – $389.30
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $389.30
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $389.30
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $60.26
  • MEDICA - Commercial-HMO — MEDICA: $371.34
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $203.81
  • UCARE - Commercial-HMO — United Healthcare: $202.80
  • UMR - Commercial-PPO — United Healthcare: $365.94
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $386.09
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $365.94
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: DIGITAL MAMMOGRAM, SCREEN BIL, TC W/CAD PERF $370 $333 $81.79 – $356
Screening mammogram, both breasts: rates for 1 insurance plan
  • SECURITY HEALTH PLAN - Commercial-HMO — Security Health Plan: $356
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: DIGITAL MAMMOGRAM, SCREEN BIL, TC W/CAD PERF $370 $333 $81.79 – $356
Screening mammogram, both breasts: 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $302.60
  • AETNA - Commercial-PPO — Aetna: $160.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $302.60
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $302.60
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $302.60
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $302.60
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $333.57
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $153.51
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $333.57
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $338.20

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES $231 $207.90 $96.13 – $210.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $188.70
  • AETNA - Commercial-PPO — Aetna: $99.90
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $188.70
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $188.70
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $188.70
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $188.70
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $208.01
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $96.13
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $208.02
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $210.90
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX $304 $273.60 $125.91 – $277.40
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $131.40
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $248.20
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $248.20
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $248.20
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $125.91
  • GreatWestHealthcare-CIGNA - Commercial-POS — Cigna: $273.60
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $277.40
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $277.40
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $128.88
  • MEDICA - Commercial-HMO — MEDICA: $246.16
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX $479 $431.10 $199.58 – $437.95
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $391.85
  • AETNA - Commercial-PPO — Aetna: $207.45
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $391.85
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $391.85
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $391.85
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $431.96
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $199.58
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $437.95
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $437.95
  • MEDICA - Commercial-HMO — MEDICA: $388.62
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX $479 $431.10 $199.58 – $437.95
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • AETNA - Commercial-PPO — Aetna: $207.45
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX $560 $504 $223.75 – $511.10
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
  • ANTHEM BCBS OF WISCONSIN - Commercial-POS — Blue Cross Blue Shield: $457.30
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $457.30
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $445.05
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $232.79
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $511.10
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $237.26
  • MEDICA - Commercial-HMO — MEDICA: $453.53
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $239.41
  • UCARE - Commercial-HMO — United Healthcare: $223.75
  • UMR - Commercial-PPO — United Healthcare: $429.86

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,DIAGNOSIS $2,586 $2,327.40 $1,052.26 – $2,096.54
Upper GI endoscopy (diagnostic): rates for 5 insurance plans
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $1,106.71
  • UMR - Commercial-PPO — United Healthcare: $1,987.11
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,096.54
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $1,987.11
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,052.26
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,BIOPSY $3,512 $3,160.80 $1,497.16 – $3,441.46
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $2,870.45
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $3,164.25
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $2,585.57
  • MEDICA - Commercial-HMO — MEDICA: $2,846.81
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $2,876.57
  • UCARE - Commercial-HMO — United Healthcare: $1,497.16
  • UMR - Commercial-PPO — United Healthcare: $2,698.22
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,846.81
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $3,441.46
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $1,519.65
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY,FLEX,DIAGNOSTIC $2,768 $2,491.20 $1,152.54 – $2,531.38
Colonoscopy (diagnostic): rates for 9 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $2,262.70
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $2,262.70
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $1,152.54
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $2,531.38
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $2,528.90
  • MEDICA - Commercial-HMO — MEDICA: $2,281.33
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $1,184.59
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,126.93
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $2,065.92
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY,BIOPSY $3,214 $2,892.60 $1,371.96 – $2,852.10
Colonoscopy with biopsy: rates for 10 insurance plans
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $2,626.50
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $2,626.50
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $2,569.35
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $2,822.93
  • MEDICA - Commercial-HMO — MEDICA: $2,648.13
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $1,371.96
  • UMR - Commercial-PPO — United Healthcare: $2,468.91
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,604.87
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $2,398
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $2,852.10
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY,REMV LESN,SNARE $3,378 $3,040.20 $1,400.54 – $3,183.04
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $1,461.60
  • ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Blue Cross Blue Shield: $2,760.80
  • ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Blue Cross Blue Shield: $2,760.80
  • BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $2,760.80
  • Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $3,043.38
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $1,400.54
  • Group Health Cooperative of Eau Claire - Commercial-HMO — Group Health Cooperative of Eau Claire: $2,569.35
  • HEALTHPARTNERS - Commercial-HMO — Health Partners: $3,085.60
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $3,183.04
  • MEDICA - Commercial-HMO — MEDICA: $2,738.06
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY,SCREEN PREV $2,770 $2,493 $1,129.19 – $2,244.91
Screening colonoscopy (not high risk): rates for 5 insurance plans
  • COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO — Medicare Advantage: $1,148.29
  • MEDICA - Commercial-HMO — MEDICA: $2,244.91
  • MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $1,129.19
  • UCARE - Commercial-HMO — United Healthcare: $1,174.38
  • UNITEDHEALTHCARE - Commercial-PPO — United Healthcare: $1,198.35
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ LUMBAR/SACRAL WITH IMAGE GUIDANCE $1,633 $1,469.70 $1,254.43
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $1,254.43

Source: Spooner Health System’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 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 typeCritical Access Hospital
Address1280 Chandler Dr, Spooner, WI 54801
CountyWashburn County
StateWisconsin
Phone(715) 635‑2111
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
CMS Certification Number521332
Name in Medicare recordsSPOONER HEALTH SYSTEM
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSpooner Health
Official websitespoonerhealth.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Spooner Health — spoonerhealth.com
  2. Emergency Services — spoonerhealth.com
  3. Inpatient Care — spoonerhealth.com
  4. Specialty Services – Spooner Health — spoonerhealth.com
  5. General Surgery – Spooner Health — spoonerhealth.com
  6. Orthopedics – Spooner Health — spoonerhealth.com
  7. Cardiac Rehabilitation – Spooner Health — spoonerhealth.com
  8. Gastroenterology – Spooner Health — spoonerhealth.com
  9. Ophthalmology – Spooner Health — spoonerhealth.com
  10. Pain Management – Spooner Health — spoonerhealth.com
  11. Urology – Spooner Health — spoonerhealth.com
  12. Diagnostic Imaging – Spooner Health — spoonerhealth.com
  13. Surgery – Spooner Health — spoonerhealth.com
  14. Rehabilitation Services – Spooner Health — spoonerhealth.com
  15. LSVT Big and Loud – Spooner Health — spoonerhealth.com
  16. Occupational Therapy – Spooner Health — spoonerhealth.com