Tamarack Health Ashland Medical Center is a critical access hospital in Ashland, Wisconsin. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 63 services, specialties and programs. Medicare lists 199 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.
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
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
199 doctors and other clinicians list Tamarack Health Ashland Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 175 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
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.
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 Tamarack Health Ashland Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
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)
★★★★★5 of 5 stars
Overall rating of the hospital
5 of 5 stars
Would recommend the hospital
5 of 5 stars
Nurses communicated well
5 of 5 stars
Doctors communicated well
5 of 5 stars
Staff explained medicines
4 of 5 stars
Information about recovery at home
5 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
83%National average: 72%
Would definitely recommend the hospital
82%National average: 71%
Nurses “always” communicated well
87%National average: 80%
Doctors “always” communicated well
89%National average: 80%
Staff “always” explained medicines before giving them
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.
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
13.4%
Deaths within 30 days: pneumonia patients
16.8%
Deaths within 30 days: COPD patients
8.9%
Deaths within 30 days: stroke patients
Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)
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
20.8%
Readmitted within 30 days: pneumonia
16.8%
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
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)
Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)
124 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)
1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 54 common services exactly as Tamarack Health Ashland Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Off/Outpt Visit,New,Levl III
$238.82
$226.88
$74.83 – $299.34
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $135.99
ANTHEM WI - Medicare Part A — Medicare Advantage: $83.29
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $299.34
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $82.43
BCBS WI FEP - Medicare Part A — Medicare Advantage: $74.83
HUMANA INC. - Medicare-HMO — Medicare Advantage: $86.63
UCARE - Commercial-HMO — UCARE: $92.37
UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $299.34
UNITEDHEALTHCARE - Medicare Part A — Medicare Advantage: $74.83
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $74.83
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
$119.41
$113.44
$10.58 – $25
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $25
UNITEDHEALTHCARE COMMUNITY PLAN - Commercial-HMO — Medicaid Managed Care: $10.58
UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid — Medicaid Managed Care: $25
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpt Visit, New Level III Np
$479.77
$455.78
$65.68 – $92.37
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $81.94
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $71.80
BCBS WI FEP - Medicare Part A — Medicare Advantage: $65.68
UCARE - Commercial-HMO — UCARE: $92.37
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $71.80
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
$367.11
$348.75
$136.08 – $452.39
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $185.81
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $199.05
ANTHEM WI - Medicare Part A — Medicare Advantage: $140.09
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $452.39
BCBS WI FEP - Medicare Part A — Medicare Advantage: $136.08
HUMANA INC. - Medicare-HMO — Medicare Advantage: $137.90
UCARE - Commercial-HMO — UCARE: $150.88
UNITEDHEALTHCARE - Medicare Part A — Medicare Advantage: $137.91
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $140.09
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
$183.55
$174.37
$10.58 – $25
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $25
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $25
MANAGED HEALTH SERVICES INS CORP - Medicaid — Medicaid Managed Care: $25
UNITEDHEALTHCARE COMMUNITY PLAN - Commercial-HMO — Medicaid Managed Care: $10.58
UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid — Medicaid Managed Care: $25
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpt Visit, New Level IV Np
$521.92
$495.82
$92.04 – $119.08
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $92.04
BCBS WI FEP - Medicare Part A — Medicare Advantage: $116.03
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $119.08
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/Outpt Visit,New,Levl V
$229.92
$218.42
$10.58 – $25
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $25
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $24.62
MANAGED HEALTH SERVICES INS CORP - Medicaid — Medicaid Managed Care: $25
UNITEDHEALTHCARE COMMUNITY PLAN - Commercial-HMO — Medicaid Managed Care: $10.58
UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid — Medicaid Managed Care: $25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpt Visit,New,Levl V
$459.84
$436.85
$181.73 – $272.56
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $272.56
ANTHEM WI - Medicare Part A — Medicare Advantage: $190.43
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $181.73
HUMANA INC. - Medicare-HMO — Medicare Advantage: $192.07
UCARE - Commercial-HMO — UCARE: $205.75
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $187.45
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpt Visit, New Level V Np
$684.32
$650.10
$159.33 – $283.82
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $283.82
BCBS WI FEP - Medicare Part A — Medicare Advantage: $159.33
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Est Outpt Visit Low/Mod Comple - Np
$223.15
$211.99
$58.26 – $216.65
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $78.92
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $95.33
ANTHEM WI - Medicare Part A — Medicare Advantage: $59.18
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $58.26
BCBS WI FEP - Medicare Part A — Medicare Advantage: $58.26
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $70.41
HUMANA INC. - Medicare-HMO — Medicare Advantage: $59.85
MEDICA - Commercial-HMO — Medica: $216.65
UCARE - Commercial-HMO — UCARE: $75
UNITEDHEALTHCARE - Medicare Part A — Medicare Advantage: $58.26
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
$148.39
$140.97
$69.63 – $204.91
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $83.90
ANTHEM WI - Medicare Part A — Medicare Advantage: $69.63
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $69.63
BCBS WI FEP - Medicare Part A — Medicare Advantage: $69.63
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $70.41
HEALTHPARTNERS - Commercial-HMO — Health Partners: $184.97
HUMANA INC. - Medicare-HMO — Medicare Advantage: $70.42
MEDICA - Commercial-HMO — Medica: $204.91
UCARE - Commercial-HMO — UCARE: $75
UNITEDHEALTHCARE - Medicare Part A — Medicare Advantage: $69.63
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Occ Med Icc Physical/Dot
$70
$66.50
$69.63 – $204.91
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $83.90
ANTHEM WI - Medicare Part A — Medicare Advantage: $69.63
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $69.63
BCBS WI FEP - Medicare Part A — Medicare Advantage: $69.63
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $70.41
HEALTHPARTNERS - Commercial-HMO — Health Partners: $184.97
HUMANA INC. - Medicare-HMO — Medicare Advantage: $70.42
MEDICA - Commercial-HMO — Medica: $204.91
UCARE - Commercial-HMO — UCARE: $75
UNITEDHEALTHCARE - Medicare Part A — Medicare Advantage: $69.63
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
$226.45
$215.13
$102.85 – $286.71
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $126.15
ANTHEM WI - Medicare Part A — Medicare Advantage: $102.85
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $102.85
BCBS WI FEP - Medicare Part A — Medicare Advantage: $102.85
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $103.99
HUMANA INC. - Medicare-HMO — Medicare Advantage: $103.88
UCARE - Commercial-HMO — UCARE: $110.80
UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $286.71
UNITEDHEALTHCARE - Medicare Part A — Medicare Advantage: $102.85
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $102.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Est Outpt Visit Mod/High Comple - Np
$334.72
$317.98
$86.04 – $138.82
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $138.82
ANTHEM WI - Medicare Part A — Medicare Advantage: $98.48
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $86.04
BCBS WI FEP - Medicare Part A — Medicare Advantage: $86.04
HUMANA INC. - Medicare-HMO — Medicare Advantage: $88.39
UCARE - Commercial-HMO — UCARE: $110.80
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $98.26
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
$113.23
$107.57
$10.58 – $25
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $25
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $25
MANAGED HEALTH SERVICES INS CORP - Medicaid — Medicaid Managed Care: $25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time Warfarin
$86.30
$81.99
$4.43 – $45.42
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $44.96
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $43.57
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $43.57
ANTHEM WI - Medicare Part A — Medicare Advantage: $20.44
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $44.96
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $20.44
BCBS WI FEP - Medicare Part A — Medicare Advantage: $20.44
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $44.96
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $4.43
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $4.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time (Pt/Inr)
$47.74
$45.35
$4.43 – $45.42
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $44.96
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $43.57
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $43.57
ANTHEM WI - Medicare Part A — Medicare Advantage: $20.44
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $44.96
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $20.44
BCBS WI FEP - Medicare Part A — Medicare Advantage: $20.44
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $44.96
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $4.43
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $4.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: Prothrombin Time Warfarin
$86.30
$81.99
$4.43 – $45.42
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan
UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $19.93
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Thromboplas Time Partial
$151.64
$144.06
$6.21 – $144.28
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $138.65
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $138.39
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $142.81
ANTHEM WI - Medicare Part A — Medicare Advantage: $64.92
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $142.80
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $64.92
BCBS WI FEP - Medicare Part A — Medicare Advantage: $64.92
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $142.80
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $6.21
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Thromboplastin Time Partial
$151.64
$144.06
$6.21 – $144.28
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $138.65
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $138.39
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $142.81
ANTHEM WI - Medicare Part A — Medicare Advantage: $64.92
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $142.80
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $64.92
BCBS WI FEP - Medicare Part A — Medicare Advantage: $64.92
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $142.80
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $6.21
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: Thromboplas Time Partial
$151.64
$144.06
$6.21 – $144.28
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $63.30
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Head/Brain W/O Dye
$2,238.95
$2,127
$448.89 – $2,108.53
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $2,047.12
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $1,021.66
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $2,108.53
ANTHEM WI - Medicare Part A — Medicare Advantage: $967.31
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $2,108.53
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $967.31
BCBS WI FEP - Medicare Part A — Medicare Advantage: $967.31
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $2,108.53
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $448.89
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $448.89
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
$2,238.95
$2,127
$448.89 – $2,108.53
CT scan of the head or brain, without contrast: rates for 1 insurance plan
UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $934.71
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
$4,882.95
$4,638.80
$584 – $4,598.51
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $4,456.29
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $4,464.58
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $4,598.51
BCBS WI FEP - Medicare Part A — Medicare Advantage: $2,111.20
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $4,598.51
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $601.06
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $584
HEALTHPARTNERS - Commercial-HMO — Health Partners: $4,598.51
MANAGED HEALTH SERVICES INS CORP - Medicaid — Medicaid Managed Care: $601.06
MEDICA - Commercial-HMO — Medica: $4,503.69
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-Ray Exam Chest 2 Views
$423.93
$402.73
$81.77 – $411.58
Chest X-ray, 2 views: rates for 1 insurance plan
SECURITY HEALTH PLAN - Commercial-HMO — Other Commercial: $411.58
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: X-Ray Exam Chest 2 Views
$423.93
$402.73
$81.77 – $411.58
Chest X-ray, 2 views: 10 of 22 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $399.24
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $386.89
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $399.24
ANTHEM WI - Medicare Part A — Medicare Advantage: $183.15
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $399.23
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $183.15
BCBS WI FEP - Medicare Part A — Medicare Advantage: $183.15
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $399.23
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $81.77
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $403.35
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
$1,055.48
$1,002.71
$84.25 – $994
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $994
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $84.25
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
$4,586.64
$4,357.31
$352.50 – $4,319.46
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $4,319.46
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $4,319.46
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $4,319.46
BCBS WI FEP - Medicare Part A — Medicare Advantage: $1,981.60
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $4,319.46
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $356.28
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $356.28
HEALTHPARTNERS - Commercial-HMO — Health Partners: $4,119.07
MANAGED HEALTH SERVICES INS CORP - Medicaid — Medicaid Managed Care: $356.28
MEDICA - Commercial-HMO — Medica: $4,230.40
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Pelvis W/Dye
$2,387.83
$2,268.44
$464.59 – $2,115.71
CT scan of the pelvis, with contrast: rates for 4 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $2,115.71
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $464.59
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Low Ext Jnt WO/Cont Tc
$3,335.73
$3,168.94
$352.50 – $3,141.42
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $3,044.26
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
$3,335.73
$3,168.94
$352.50 – $3,141.42
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $3,141.42
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $3,141.42
ANTHEM WI - Medicare Part A — Medicare Advantage: $1,441.17
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $3,141.41
BCBS WI FEP - Medicare Part A — Medicare Advantage: $1,441.17
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $3,141.41
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $356.28
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $356.28
HEALTHPARTNERS - Commercial-HMO — Health Partners: $2,995.68
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
$5,562.27
$5,284.16
$448.89 – $5,238.26
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $5,238.26
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $5,076.24
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $5,238.26
ANTHEM WI - Medicare Part A — Medicare Advantage: $2,333.12
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $5,238.25
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $2,403.12
BCBS WI FEP - Medicare Part A — Medicare Advantage: $2,403.12
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $5,238.25
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $448.89
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $448.89
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US Abdomen Tc
$715.06
$679.31
$299.93 – $673.41
Ultrasound of the abdomen, complete: rates for 6 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $673.41
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $673.40
MEDICA - Commercial-HMO — Medica: $640.31
UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — UnitedHealthcare: $659.52
UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — UnitedHealthcare: $377.40
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $299.93
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
$641.01
$608.96
$144.84 – $603.67
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $603.67
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $144.84
MANAGED HEALTH SERVICES INS CORP - Medicaid — Medicaid Managed Care: $148.69
MEDICA - Commercial-HMO — Medica: $591.22
UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — UnitedHealthcare: $591.22
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US Transvaginal Tc
$652.49
$619.87
$584.29 – $614.49
Transvaginal ultrasound: rates for 5 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $614.49
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $614.49
HEALTHPARTNERS - Commercial-HMO — Health Partners: $585.98
MEDICA - Commercial-HMO — Medica: $584.29
UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — UnitedHealthcare: $601.82
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
$345.78
$328.49
$34.44 – $325.64
Diagnostic mammogram, one breast: rates for 9 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $316.16
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $325.64
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $325.64
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $34.44
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $35.22
MANAGED HEALTH SERVICES INS CORP - Medicaid — Medicaid Managed Care: $35.22
UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — UnitedHealthcare: $318.92
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psychotherapy 30 Phd
$263.65
$250.47
$91.16 – $248.29
Psychotherapy, 30 minutes: rates for 6 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $192.56
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $198.71
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $241.05
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $200.75
HEALTHPARTNERS - Commercial-HMO — Health Partners: $248.29
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $91.16
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psychotherapy 30 Masters
$211
$200.45
$91.16 – $248.29
Psychotherapy, 30 minutes: rates for 6 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $192.56
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $198.71
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $241.05
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $200.75
HEALTHPARTNERS - Commercial-HMO — Health Partners: $248.29
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $91.16
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psychotherapy 45 Phd
$579.18
$550.22
$79.46 – $409.20
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $396.93
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $384.65
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $396.93
ANTHEM WI - Medicare Part A — Medicare Advantage: $232.24
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $396.92
BCBS WI FEP - Medicare Part A — Medicare Advantage: $182.09
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $396.92
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $79.46
HEALTHPARTNERS - Commercial-HMO — Health Partners: $396.92
MEDICA - Commercial-HMO — Medica: $409.20
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psychotherapy 45 Masters
$421.48
$400.41
$79.46 – $409.20
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $396.93
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $384.65
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $396.93
ANTHEM WI - Medicare Part A — Medicare Advantage: $232.24
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $396.92
BCBS WI FEP - Medicare Part A — Medicare Advantage: $182.09
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $396.92
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $79.46
HEALTHPARTNERS - Commercial-HMO — Health Partners: $396.92
MEDICA - Commercial-HMO — Medica: $409.20
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Rec Serv Alcohol Ind 45 Counse
$300.97
$285.92
$283.43 – $283.44
Psychotherapy, 45 minutes: rates for 3 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $283.44
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $283.43
HEALTHPARTNERS - Commercial-HMO — Health Partners: $283.43
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psychotherapy 60 Masters
$472.07
$448.47
$203.95 – $662.33
Psychotherapy, 60 minutes: rates for 2 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $662.33
BCBS WI FEP - Medicare Part A — Medicare Advantage: $203.95
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psychotherapy 60 Phd
$703.29
$668.13
$203.95 – $662.33
Psychotherapy, 60 minutes: rates for 2 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $662.33
BCBS WI FEP - Medicare Part A — Medicare Advantage: $203.95
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Conjoint/Family Psychothrpy Phd
$526.83
$500.49
$396.93
Family psychotherapy, with the patient: rates for 1 insurance plan
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $396.93
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Conjoint/Family Psychotherapy Masters
$421.48
$400.41
$396.93
Family psychotherapy, with the patient: rates for 1 insurance plan
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $396.93
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Therapy Phd 1/2 Hr
$150.79
$143.25
$106.77
Group psychotherapy: rates for 1 insurance plan
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $106.77
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Therapy Masters 1 Hr
$113.27
$107.61
$106.77
Group psychotherapy: rates for 1 insurance plan
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $106.77
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Total Hip Replacement
$12,333.91
$11,717.21
$1,268.57 – $5,388.60
Total hip replacement: rates for 5 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $5,388.60
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $1,294.03
BCBS WI FEP - Medicare Part A — Medicare Advantage: $1,268.57
UCARE - Commercial-HMO — UCARE: $1,397.90
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $1,314.58
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Upper GI Endoscopy,Diagnosis
$2,793.23
$2,653.57
$1,852.48 – $2,630.52
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $2,630.52
ANTHEM WI - Medicare Part A — Medicare Advantage: $1,921.81
HUMANA INC. - Medicare-HMO — Medicare Advantage: $1,852.48
UCARE - Commercial-HMO — UCARE: $2,141.37
UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — UnitedHealthcare: $2,576.28
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $1,455.19
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy,Remv Lesn,Snare
$2,572.43
$2,443.81
$1,052.45 – $2,447.55
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
ANTHEM BCBS OF WISCONSIN - Commercial-Indemnity — Anthem Blue Cross Blue Shield of Wisconsin: $2,422.58
ANTHEM BCBS OF WISCONSIN - Commercial-POS — Anthem Blue Cross Blue Shield of Wisconsin: $2,347.65
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $2,422.58
BCBS FEP - Commercial-PPO — Blue Cross Blue Shield: $2,422.58
BCBS WI FEP - Medicare Part A — Medicare Advantage: $1,108.89
Cigna Health and Life Insurance Company - Commercial-POS — Cigna: $2,422.58
COMPCARE HEALTH SERVICE INS CORP - Medicaid — Medicaid Managed Care: $1,455.19
Group Health Cooperative of Eau Claire - Commercial-HMO — Other Commercial: $2,447.55
HEALTHPARTNERS - Commercial-HMO — Health Partners: $2,422.58
HUMANA INC. - Medicare-HMO — Medicare Advantage: $2,447.55
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy Flex Prox to Splenic Flexure W Endoscopic Ultrasound Exam
$714.82
$679.08
$659.28
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — UnitedHealthcare: $659.28
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy,Screen Prev
$2,194.15
$2,084.44
$871.53 – $939.44
Screening colonoscopy (not high risk): rates for 5 insurance plans
BCBS WI FEP - Medicare Part A — Medicare Advantage: $939.44
UCARE - Commercial-HMO — UCARE: $871.53
UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $916
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $939.44
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Biopsy of Prostate,Needle/Punch
$1,674.81
$1,591.07
$227.18
Prostate biopsy: rates for 1 insurance plan
UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $227.18
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Fac/Discission 2nd Cataract Laser
$348.94
$331.49
$139.92 – $332
Laser treatment of clouding after cataract surgery: rates for 5 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $152.45
BCBS WI FEP - Medicare Part A — Medicare Advantage: $139.92
HUMANA INC. - Medicare-HMO — Medicare Advantage: $332
UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $145.68
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $139.92
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Discission 2nd Cataract Laser
$1,046.82
$994.48
$240.67 – $330.84
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans
ANTHEM BCBS OF WISCONSIN - Commercial-PPO — Anthem Blue Cross Blue Shield of Wisconsin: $304.90
BCBS WI FEP - Medicare Part A — Medicare Advantage: $330.84
HUMANA INC. - Medicare-HMO — Medicare Advantage: $240.67
WPS-COMMERCIAL - Medicare Part A — Medicare Advantage: $330.84
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Fac/Discission 2nd Cataract Laser
$348.94
$331.49
$139.92 – $332
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
BCBS OF MINNESOTA - Medicare Part A — Medicare Advantage: $150.76
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.