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Black River Memorial Hospital

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Hospital Overview
Facility Details

CCN

521333

NPI

1811940331

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

25

Contact Information

Address

711 West Adams Street

Black River Falls, WI 54615

Phone

(715) 284-5361

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

HCPCS

Drugs Administered Other than Oral Method

Range: J0120 - J8999

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Durable Medical Equipment

Range: E0100 - E8002

Percentage of Bill Charged

Aetna

Facility

RC

Behavioral Health Accommodations

Range: 1000 - 1009

Percentage of Bill Charged

Aetna

Facility

RC

Pharmacy - Extension of 025X

Range: 0630 - 0639

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board Deluxe Private

Range: 0140 - 0149

Percentage of Bill Charged

Aetna

Facility

RC

All-inclusive Rate

Range: 0100 - 0109

Percentage of Bill Charged

Aetna

Facility

RC

Other Room and Board

Range: 0160 - 0169

Percentage of Bill Charged

Aetna

Facility

RC

Alternative Therapy Services

Range: 2100 - 2109

Percentage of Bill Charged

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

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