Gundersen Health System · Hillsboro, WI
40
In-network payers
149
Disclosed rate categories
25
Beds
Gundersen St Josephs Hospital is a 25-bed voluntary non-profit - private hospital in Hillsboro, WI, affiliated with Gundersen Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 149 disclosed rate categories.
CCN (Medicare provider number)
521304
NPI
1972591410
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 St Josephs 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
$1,982 - $3,260
from 4 insurers · median $2,762
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,176 - $1,982
from 4 insurers · median $1,366
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,982 - $3,354
from 4 insurers · median $2,928
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,680 - $6,364
from 2 insurers · median $4,522
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,536 - $2,758
from 4 insurers · median $1,701
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,778 - $2,454
from 4 insurers · median $2,037
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,754 - $3,945
from 3 insurers · median $3,363
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$11,163 - $17,149
from 2 insurers · median $14,156
Typical for a hospital with this service line
Mammography
CPT 77067
$195 - $482
from 4 insurers · median $300
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$275 - $393
from 4 insurers · median $330
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,654 - $3,303
from 4 insurers · median $2,934
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,531 - $5,091
from 2 insurers · median $3,811
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$6,364
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,200 - $3,023
from 4 insurers · median $2,668
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$4,537
negotiated rate
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,795 - $3,999
from 3 insurers · median $3,279
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 73721
$2,313 - $2,754
from 3 insurers · median $2,713
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$1,213 - $1,528
from 4 insurers · median $1,344
Typical for a hospital with this service line
Ultrasound
CPT 76856
$467 - $1,241
from 4 insurers · median $1,071
Typical for a hospital with this service line
Ultrasound
CPT 76705
$467 - $674
from 4 insurers · median $529
Typical for a hospital with this service line
Gynecology
CPT 58571
$18,076
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,754 - $5,466
from 3 insurers · median $4,660
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,455 - $1,706
from 3 insurers · median $1,515
Typical for a hospital with this service line
Ultrasound
CPT 76770
$467 - $1,213
from 4 insurers · median $927
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* | 18 | 1071% | 8 | 5 |
| Insurer B* | 18 | 913% | 7 | 8 |
| Insurer C* | 16 | 769% | 8 | 6 |
| Insurer D* | 24 | 521% | 9 | 11 |
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 St Josephs Hospital.
400 Water Avenue, Hillsboro, WI 54634
(608) 489-8000
The nearest hospitals of similar type and size. Their rates are compared with Gundersen St Josephs Hospital for the same insurers and services above.
Reedsburg Area Medical Center
▼ Rates typically 6% lower than Gundersen St Josephs Hospital (21 services)
The Richland Hospital Inc
▲ Rates typically 10% higher than Gundersen St Josephs Hospital (20 services)
Tomah Health
▼ Rates typically 49% lower than Gundersen St Josephs Hospital (22 services)
Vernon Memorial Hospital
Rates about the same as Gundersen St Josephs Hospital (22 services)
Mayo Clinic Health System - Franciscan Healthcare
▼ Rates typically 11% lower than Gundersen St Josephs Hospital (16 services)
Upland Hills Health
▲ Rates typically 7% higher than Gundersen St Josephs Hospital (23 services)
Gundersen Tri-County Hospital
Gundersen Moundview Hospital
Gundersen Boscobel Area Hospital
Thedacare Medical Center - Waupaca
About Gundersen St Josephs Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Gundersen St Josephs Hospital range from $2,754 to $3,945 across 3 insurers. Cigna's rate is $3,945. The median at nearby comparable hospitals is $3,644. 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 St Josephs Hospital range from $1,982 to $3,260 across 4 insurers. Aetna's rate is $2,745. The median at nearby comparable hospitals is $3,638. 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 St Josephs Hospital range from $2,680 to $6,364 across 2 insurers. Blue Cross Blue Shield's rate is $6,364. The median at nearby comparable hospitals is $3,153. 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 St Josephs Hospital range from $195 to $482 across 4 insurers. Cigna's rate is $324. The median at nearby comparable hospitals is $405. What a patient pays depends on their plan's deductible, coinsurance and network status.
Gundersen St Josephs Hospital has 25 beds. Facility type: Critical Access Hospital.
Gundersen St Josephs Hospital is located at 400 Water Avenue, Hillsboro, WI 54634. Its main phone number is (608) 489-8000.
Gundersen St Josephs Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 521304.
The National Provider Identifier (NPI) on file for Gundersen St Josephs Hospital is 1972591410.
Gundersen St Josephs Hospital is affiliated with Gundersen Health System.
Gundersen St Josephs 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.
149 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