Black River Falls, WI
41
In-network payers
161
Disclosed rate categories
25
Beds
3
Care quality
Black River Memorial Hospital is a 25-bed voluntary non-profit - private hospital in Black River Falls, WI. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 161 disclosed rate categories.
CCN (Medicare provider number)
521333
NPI
1811940331
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
3
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 Black River Memorial 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
$3,039 - $4,136
from 4 insurers · median $3,884
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$8,259
negotiated rate
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 obstetrics / child birth services to CMS
CT imaging
CPT 70450
$1,219 - $1,823
from 4 insurers · median $1,509
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$12,000
negotiated rate
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 obstetrics / child birth services to CMS
CT imaging
CPT 74176
$2,218 - $3,019
from 4 insurers · median $2,792
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,612 - $3,487
from 4 insurers · median $3,262
Typical for a hospital with this service line
MRI imaging
CPT 70553
$4,536 - $6,056
from 3 insurers · median $5,494
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,659 - $2,370
from 3 insurers · median $2,150
Typical for a hospital with this service line
Mammography
CPT 77067
$347 - $464
from 4 insurers · median $439
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,783 - $3,716
from 4 insurers · median $3,489
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,846 - $3,761
from 3 insurers · median $3,412
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,160 - $2,167
from 2 insurers · median $2,163
Typical for a hospital with this service line
MRI imaging
CPT 73721
$2,999 - $4,004
from 3 insurers · median $3,633
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$3,370 - $4,500
from 3 insurers · median $4,082
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$243 - $324
from 4 insurers · median $309
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$981 - $3,164
from 2 insurers · median $2,072
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,716 - $5,456
from 4 insurers · median $3,458
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$981 - $2,691
from 2 insurers · median $1,836
Typical for a hospital with this service line
Gynecology
CPT 58571
$10,292 - $11,345
from 2 insurers · median $10,819
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$805 - $1,075
from 4 insurers · median $1,009
Typical for a hospital with this service line
Ultrasound
CPT 76705
$517 - $691
from 4 insurers · median $648
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$830 - $1,097
from 4 insurers · median $1,015
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$4,667 - $6,259
from 3 insurers · median $5,678
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,174 - $5,800
from 2 insurers · median $5,487
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* | 13 | 968% | 8 | 4 |
| Insurer B* | 20 | 860% | 15 | 0 |
| Insurer C* | 17 | 777% | 11 | 3 |
| Insurer D* | 24 | 617% | 16 | 6 |
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 Black River Memorial Hospital.
711 West Adams Street, Black River Falls, WI 54615
(715) 284-5361
The nearest hospitals of similar type and size. Their rates are compared with Black River Memorial Hospital for the same insurers and services above.
Marshfield Medical Center - Neillsville
â–¼ Rates typically 23% lower than Black River Memorial Hospital (20 services)
Gundersen Tri-County Hospital
â–¼ Rates typically 21% lower than Black River Memorial Hospital (22 services)
Mayo Clinic Health System - Franciscan Healthcare
â–¼ Rates typically 15% lower than Black River Memorial Hospital (13 services)
Mayo Clinic Health System - Oakridge
â–¼ Rates typically 9% lower than Black River Memorial Hospital (16 services)
Tomah Health
â–¼ Rates typically 58% lower than Black River Memorial Hospital (20 services)
Aspirus Stanley Hospital
â–¼ Rates typically 12% lower than Black River Memorial Hospital (18 services)
St Clare Memorial Hospital Inc
Grant Regional Health Center Inc.
Western Wisconsin Health
Memorial Medical Center Inc.
About Black River Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Black River Memorial Hospital range from $4,536 to $6,056 across 3 insurers. UnitedHealthcare's rate is $4,536. The median at nearby comparable hospitals is $3,624. 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 Black River Memorial Hospital range from $3,039 to $4,136 across 4 insurers. Cigna's rate is $4,136. The median at nearby comparable hospitals is $2,936. 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 Black River Memorial Hospital range from $981 to $3,164 across 2 insurers. Aetna's rate is $981. The median at nearby comparable hospitals is $3,967. 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 Black River Memorial Hospital range from $8,259 to $8,259 across 1 insurers. Blue Cross Blue Shield's rate is $8,259. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Black River Memorial Hospital range from $347 to $464 across 4 insurers. Cigna's rate is $464. The median at nearby comparable hospitals is $371. What a patient pays depends on their plan's deductible, coinsurance and network status.
Black River Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Black River Memorial Hospital is located at 711 West Adams Street, Black River Falls, WI 54615. Its main phone number is (715) 284-5361.
Black River Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 521333.
The National Provider Identifier (NPI) on file for Black River Memorial Hospital is 1811940331.
Black River Memorial Hospital lists 41 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.
161 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