Bellin Health Systems · Oconto, WI
32
In-network payers
124
Disclosed rate categories
10
Beds
Bellin Health Oconto Hospital is a 10-bed voluntary non-profit - private hospital in Oconto, WI, affiliated with Bellin Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 124 disclosed rate categories.
CCN (Medicare provider number)
521356
NPI
1356373302
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
10
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 Bellin Health Oconto 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
$978 - $1,369
from 3 insurers · median $1,021
Typical for a hospital with this service line
Gynecology
CPT 58571
$2,912 - $25,294
from 3 insurers · median $23,402
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$636 - $1,454
from 3 insurers · median $1,394
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,398 - $3,318
from 3 insurers · median $3,069
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,411 - $3,386
from 3 insurers · median $3,133
Typical for a hospital with this service line
Mammography
CPT 77067
$179 - $386
from 3 insurers · median $343
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,929 - $14,954
from 3 insurers · median $13,835
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,249 - $2,368
from 3 insurers · median $2,191
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$13,835 - $14,954
from 2 insurers · median $14,394
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$13,761 - $14,873
from 2 insurers · median $14,317
Typical for a hospital with this service line
CT imaging
CPT 71275
$825 - $1,369
from 3 insurers · median $913
Typical for a hospital with this service line
CT imaging
CPT 70450
$250 - $1,369
from 3 insurers · median $292
Typical for a hospital with this service line
CT imaging
CPT 74176
$591 - $1,369
from 3 insurers · median $651
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,945 - $14,954
from 3 insurers · median $13,835
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,274 - $8,270
from 3 insurers · median $7,652
Typical for a hospital with this service line
Gynecology
CPT 58662
$2,276 - $15,520
from 3 insurers · median $14,359
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,021 - $1,462
from 3 insurers · median $1,036
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$3,787 - $27,688
from 3 insurers · median $25,617
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$3,144 - $19,345
from 3 insurers · median $17,899
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$45 - $218
from 3 insurers · median $114
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$3,073 - $19,345
from 3 insurers · median $17,899
Typical for a hospital with this service line
MRI imaging
CPT 72148
$624 - $1,462
from 3 insurers · median $843
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$529 - $3,983
from 3 insurers · median $3,685
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$1,781 - $8,706
from 3 insurers · median $8,055
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 | 258% | 15 | 5 |
| Insurer B* | 24 | 241% | 13 | 8 |
| Insurer C* | 22 | 115% | 4 | 9 |
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 Bellin Health Oconto Hospital.
820 Arbutus Avenue, Oconto, WI 54153
(920) 835-1101
The nearest hospitals of similar type and size. Their rates are compared with Bellin Health Oconto Hospital for the same insurers and services above.
St Clare Memorial Hospital Inc
▼ Rates typically 18% lower than Bellin Health Oconto Hospital (24 services)
Door County Medical Center
▲ Rates typically 152% higher than Bellin Health Oconto Hospital (13 services)
Thedacare Medical Center - Shawano
▼ Rates typically 21% lower than Bellin Health Oconto Hospital (24 services)
Thedacare Medical Center-New London
▼ Rates typically 19% lower than Bellin Health Oconto Hospital (24 services)
Calumet Hospital
Too few shared services to compare rates
Aspirus Langlade Hospital
▲ Rates typically 186% higher than Bellin Health Oconto Hospital (11 services)
Gundersen Boscobel Area Hospital
Stoughton Hospital Association
Hudson Hospital
Mayo Clinic Health System - Red Cedar
About Bellin Health Oconto Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Bellin Health Oconto Hospital range from $1,021 to $1,462 across 3 insurers. Cigna's rate is $1,036. The median at nearby comparable hospitals is $1,513. 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 Bellin Health Oconto Hospital range from $978 to $1,369 across 3 insurers. Blue Cross Blue Shield's rate is $1,369. The median at nearby comparable hospitals is $1,248. 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 Bellin Health Oconto Hospital range from $1,398 to $3,318 across 3 insurers. UnitedHealthcare's rate is $3,069. 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 Bellin Health Oconto Hospital range from $179 to $386 across 3 insurers. Cigna's rate is $386. The median at nearby comparable hospitals is $329. What a patient pays depends on their plan's deductible, coinsurance and network status.
Bellin Health Oconto Hospital has 10 beds. Facility type: Critical Access Hospital.
Bellin Health Oconto Hospital is located at 820 Arbutus Avenue, Oconto, WI 54153. Its main phone number is (920) 835-1101.
Bellin Health Oconto Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 521356.
The National Provider Identifier (NPI) on file for Bellin Health Oconto Hospital is 1356373302.
Bellin Health Oconto Hospital is affiliated with Bellin Health Systems.
Bellin Health Oconto Hospital lists 32 in-network payers, including Ameri Health, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
124 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