Aspirus · Merrill, WI
37
In-network payers
120
Disclosed rate categories
25
Beds
Aspirus Merrill Hospital is a 25-bed voluntary non-profit - church hospital in Merrill, WI, affiliated with Aspirus. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 120 disclosed rate categories.
CCN (Medicare provider number)
521339
NPI
1124084678
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Church
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Aspirus Merrill Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$575 - $5,771
from 4 insurers · median $3,321
Typical for a hospital with this service line
CT imaging
CPT 74176
$369 - $2,961
from 4 insurers · median $2,114
Typical for a hospital with this service line
CT imaging
CPT 71275
$246 - $2,433
from 3 insurers · median $2,058
Typical for a hospital with this service line
MRI imaging
CPT 70553
$629 - $5,771
from 4 insurers · median $3,321
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$371 - $2,120
from 4 insurers · median $1,451
Typical for a hospital with this service line
CT imaging
CPT 71260
$271 - $2,058
from 3 insurers · median $1,971
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,159 - $3,281
from 3 insurers · median $3,225
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$34 - $671
from 4 insurers · median $402
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,759 - $2,866
from 3 insurers · median $2,816
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,038 - $2,117
from 3 insurers · median $2,081
Typical for a hospital with this service line
Mammography
CPT 77067
$179 - $313
from 4 insurers · median $305
Typical for a hospital with this service line
Ear, nose and throat
CPT 30520
$22,977 - $36,982
from 3 insurers · median $28,767
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$5,957 - $6,188
from 3 insurers · median $6,082
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$649 - $3,333
from 4 insurers · median $3,168
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 72148
$71 - $2,961
from 4 insurers · median $2,114
Typical for a hospital with this service line
MRI imaging
CPT 70551
$351 - $2,961
from 4 insurers · median $2,114
Typical for a hospital with this service line
MRI imaging
CPT 74183
$676 - $5,771
from 4 insurers · median $3,321
Typical for a hospital with this service line
Ear, nose and throat
CPT 42830
$22,977 - $36,982
from 3 insurers · median $28,767
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,364 - $2,456
from 3 insurers · median $2,414
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$6,896 - $7,164
from 3 insurers · median $7,041
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$238 - $2,961
from 4 insurers · median $2,114
Typical for a hospital with this service line
Ultrasound
CPT 76705
$69 - $664
from 4 insurers · median $550
Typical for a hospital with this service line
Gynecology
CPT 58558
$6,788 - $7,052
from 3 insurers · median $6,930
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$242 - $2,961
from 4 insurers · median $2,114
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 684% | 17 | 7 |
| Insurer B* | 24 | 678% | 22 | 1 |
| Insurer C* | 22 | 478% | 15 | 5 |
| Insurer D* | 15 | 137% | 0 | 15 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Aspirus Merrill Hospital.
601 South Center Avenue, Merrill, WI 54452
(715) 536-5511
The nearest hospitals of similar type and size. Their rates are compared with Aspirus Merrill Hospital for the same insurers and services above.
Thedacare Medical Center - Shawano
▼ Rates typically 50% lower than Aspirus Merrill Hospital (24 services)
Marshfield Medical Center - Neillsville
▲ Rates typically 177% higher than Aspirus Merrill Hospital (23 services)
Marshfield Medical Center - Park Falls
▲ Rates typically 152% higher than Aspirus Merrill Hospital (13 services)
Thedacare Medical Center - Waupaca
▼ Rates typically 50% lower than Aspirus Merrill Hospital (24 services)
Thedacare Medical Center - Wild Rose
▼ Rates typically 29% lower than Aspirus Merrill Hospital (24 services)
Thedacare Medical Center-New London
▼ Rates typically 49% lower than Aspirus Merrill Hospital (24 services)
Aspirus Medford Hospital And Clinics
Aspirus Eagle River Hospital
Aspirus Stanley Hospital
Aspirus Tomahawk Hospital
About Aspirus Merrill Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Aspirus Merrill Hospital range from $629 to $5,771 across 4 insurers. Blue Cross Blue Shield's rate is $3,259. The median at nearby comparable hospitals is $1,413. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Aspirus Merrill Hospital range from $575 to $5,771 across 4 insurers. Aetna's rate is $575. The median at nearby comparable hospitals is $1,260. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Aspirus Merrill Hospital range from $3,159 to $3,281 across 3 insurers. Cigna's rate is $3,225. The median at nearby comparable hospitals is $3,173. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Aspirus Merrill Hospital range from $179 to $313 across 4 insurers. Aetna's rate is $179. The median at nearby comparable hospitals is $433. What a patient pays depends on their plan's deductible, coinsurance and network status.
Aspirus Merrill Hospital has 25 beds. Facility type: Critical Access Hospital.
Aspirus Merrill Hospital is located at 601 South Center Avenue, Merrill, WI 54452. Its main phone number is (715) 536-5511.
Aspirus Merrill Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 521339.
The National Provider Identifier (NPI) on file for Aspirus Merrill Hospital is 1124084678.
Aspirus Merrill Hospital is affiliated with Aspirus.
Aspirus Merrill Hospital lists 37 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
120 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers