Aspirus · Wausau, WI
40
In-network payers
266
Disclosed rate categories
325
Beds
4
Care quality
Aspirus Wausau Hospital is a 325-bed proprietary hospital in Wausau, WI, affiliated with Aspirus. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 266 disclosed rate categories.
CCN (Medicare provider number)
520030
NPI
1558363986
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
325
Care Quality
4
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 Wausau 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.
Childbirth · Inpatient
MS-DRG 807
$9,197 - $12,597
from 3 insurers · median $10,451
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$15,159 - $29,753
from 3 insurers · median $17,058
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$1,225 - $5,988
from 4 insurers · median $3,546
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,396 - $35,307
from 4 insurers · median $27,782
51 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$74,057
negotiated rate
59 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 470
$41,108 - $49,957
from 2 insurers · median $45,532
26 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$7,435 - $8,191
from 3 insurers · median $7,700
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$208,939 - $235,966
from 2 insurers · median $222,453
Hospital reports cardiac thoracic surgery services to CMS
MRI imaging
CPT 70553
$1,198 - $6,591
from 4 insurers · median $4,240
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,607 - $7,683
from 4 insurers · median $6,529
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$581 - $3,671
from 4 insurers · median $2,639
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,371 - $2,467
from 4 insurers · median $2,356
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,607 - $7,683
from 3 insurers · median $7,435
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$342 - $513
from 3 insurers · median $468
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,197 - $12,597
from 3 insurers · median $10,451
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78815
$4,439 - $10,185
from 4 insurers · median $7,086
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,823 - $20,568
from 3 insurers · median $10,235
57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$636 - $2,689
from 3 insurers · median $1,834
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,115 - $3,018
from 3 insurers · median $1,834
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,194 - $6,291
from 4 insurers · median $4,392
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$9,396 - $35,307
from 4 insurers · median $27,422
51 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$3,689 - $20,568
from 3 insurers · median $10,437
57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 72148
$690 - $4,123
from 4 insurers · median $2,674
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,925 - $4,563
from 4 insurers · median $3,144
Common here, based on CMS Medicare volume
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* | 19 | 533% | 7 | 0 |
| Insurer B* | 17 | 460% | 15 | 2 |
| Insurer C* | 23 | 335% | 14 | 3 |
| Insurer D* | 20 | 294% | 10 | 7 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 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 Wausau Hospital.
333 Pine Ridge Boulevard, Wausau, WI 54401
(715) 847-2121
The nearest hospitals of similar type and size. Their rates are compared with Aspirus Wausau Hospital for the same insurers and services above.
Marshfield Medical Center - Marshfield
▲ Rates typically 12% higher than Aspirus Wausau Hospital (21 services)
Ne Wisconsin - St. Elizabeth Campus
▼ Rates typically 50% lower than Aspirus Wausau Hospital (21 services)
Thedacare Regional Medical Center - Neenah
▼ Rates typically 37% lower than Aspirus Wausau Hospital (21 services)
St. Josephs Hospital Chippewa Falls
▼ Rates typically 34% lower than Aspirus Wausau Hospital (11 services)
St. Vincent Hospital
▼ Rates typically 20% lower than Aspirus Wausau Hospital (21 services)
Bellin Hospital
▼ Rates typically 31% lower than Aspirus Wausau Hospital (21 services)
Howard Young Medical Center
Aspirus Rhinelander Hospital
Aspirus Divine Savior Hospital
Aspirus Riverview Hospital & Clinics
About Aspirus Wausau Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Aspirus Wausau Hospital range from $1,198 to $6,591 across 4 insurers. Blue Cross Blue Shield's rate is $1,198. The median at nearby comparable hospitals is $1,179. 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 Wausau Hospital range from $1,225 to $5,988 across 4 insurers. Aetna's rate is $4,600. The median at nearby comparable hospitals is $1,160. 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 Wausau Hospital range from $2,607 to $7,683 across 4 insurers. Cigna's rate is $7,683. The median at nearby comparable hospitals is $3,505. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Aspirus Wausau Hospital range from $9,197 to $12,597 across 3 insurers. UnitedHealthcare's rate is $12,597. 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 Wausau Hospital range from $342 to $513 across 3 insurers. Aetna's rate is $468. The median at nearby comparable hospitals is $412. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Aspirus Wausau Hospital range from $41,108 to $49,957 across 2 insurers. Blue Cross Blue Shield's rate is $49,957. The median at nearby comparable hospitals is $34,273. What a patient pays depends on their plan's deductible, coinsurance and network status.
Aspirus Wausau Hospital has 325 beds. Facility type: Short Term Acute Care Hospital.
Aspirus Wausau Hospital is located at 333 Pine Ridge Boulevard, Wausau, WI 54401. Its main phone number is (715) 847-2121.
Aspirus Wausau Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520030.
The National Provider Identifier (NPI) on file for Aspirus Wausau Hospital is 1558363986.
Aspirus Wausau Hospital is affiliated with Aspirus.
Aspirus Wausau Hospital lists 40 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.
266 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