CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,221 - $4,968
from 4 insurers ยท median $3,434
Typical for a hospital with this service line
Gundersen Health System ยท Friendship, WI
36
In-network payers
180
Disclosed rate categories
25
Beds
Gundersen Moundview Hospital is a 25-bed voluntary non-profit - private hospital in Friendship, WI, affiliated with Gundersen Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 180 disclosed rate categories.
CCN (Medicare provider number)
521309
NPI
1710939533
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
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 Gundersen Moundview 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
$1,221 - $4,968
from 4 insurers ยท median $3,434
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,221 - $1,590
from 4 insurers ยท median $1,369
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,221 - $3,602
from 4 insurers ยท median $2,774
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$637 - $2,132
from 4 insurers ยท median $2,033
Typical for a hospital with this service line
CT imaging
CPT 71260
$1,221 - $2,921
from 4 insurers ยท median $2,495
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,693 - $5,091
from 4 insurers ยท median $3,145
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,781 - $6,364
from 4 insurers ยท median $3,927
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,591 - $5,593
from 3 insurers ยท median $3,228
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,781 - $6,092
from 3 insurers ยท median $3,207
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,591 - $3,193
from 3 insurers ยท median $3,086
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,485 - $8,810
from 3 insurers ยท median $4,462
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45378
$2,781 - $4,872
from 4 insurers ยท median $3,835
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$217 - $446
from 4 insurers ยท median $310
Typical for a hospital with this service line
Mammography
CPT 77067
$153 - $357
from 3 insurers ยท median $272
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,356 - $14,769
from 2 insurers ยท median $10,063
Typical for a hospital with this service line
Ultrasound
CPT 76705
$509 - $1,341
from 4 insurers ยท median $890
Typical for a hospital with this service line
Gynecology
CPT 58571
$5,356 - $18,076
from 2 insurers ยท median $11,716
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,591 - $6,309
from 3 insurers ยท median $3,870
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,591 - $3,318
from 4 insurers ยท median $2,049
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,193 - $7,141
from 2 insurers ยท median $5,167
Typical for a hospital with this service line
Gynecology
CPT 58661
$5,356 - $18,136
from 2 insurers ยท median $11,746
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$690 - $905
from 3 insurers ยท median $853
Typical for a hospital with this service line
Ultrasound
CPT 76642
$509 - $1,162
from 3 insurers ยท median $675
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$525 - $855
from 4 insurers ยท median $654
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* | 20 | 768% | 19 | 1 |
| Insurer B* | 23 | 666% | 23 | 0 |
| Insurer C* | 13 | 664% | 10 | 3 |
| Insurer D* | 24 | 321% | 10 | 14 |
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 Gundersen Moundview Hospital.
402 West Lake Street, Friendship, WI 53934
(608) 339-3331
About Gundersen Moundview Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Gundersen Moundview Hospital range from $1,591 to $5,593 across 3 insurers. Cigna's rate is $3,228. The median at nearby comparable hospitals is $1,676. 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 Gundersen Moundview Hospital range from $1,221 to $4,968 across 4 insurers. Aetna's rate is $3,783. The median at nearby comparable hospitals is $1,795. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Gundersen Moundview Hospital range from $2,781 to $6,364 across 4 insurers. Blue Cross Blue Shield's rate is $6,364. The median at nearby comparable hospitals is $3,087. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Gundersen Moundview Hospital range from $153 to $357 across 3 insurers. Aetna's rate is $357. The median at nearby comparable hospitals is $364. What a patient pays depends on their plan's deductible, coinsurance and network status.
Gundersen Moundview Hospital has 25 beds. Facility type: Critical Access Hospital.
Gundersen Moundview Hospital is located at 402 West Lake Street, Friendship, WI 53934. Its main phone number is (608) 339-3331.
Gundersen Moundview Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 521309.
The National Provider Identifier (NPI) on file for Gundersen Moundview Hospital is 1710939533.
Gundersen Moundview Hospital is affiliated with Gundersen Health System.
Gundersen Moundview Hospital lists 36 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.
180 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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