Gundersen Tri-County Hospital

Gundersen Health System

Hospital Overview

Facility Details

CCN

521316

NPI

1124063573

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

Contact Information

Address

18601 Lincoln Street

Whitehall, WI 54773

Phone

(715) 538-4361

Insurance Accepted

💡

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.

View this hospital's rates

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

Payer	Category	Code Type & Group	Contract Type
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Drugs Administered Other than Oral Method Range: J0120 - J8999	Percentage of Bill Charged
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Ambulance and Other Transport Services and Supplies Range: A0021 - A0999	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Chemotherapy Drugs Range: J9000 - J9999	Percentage of Bill Charged
Aetna	Facility	RC Pharmacy (Also see 063X, an extension of 250X) Range: 0250 - 0259	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Medical And Surgical Supplies Range: A4206 - A8004	Percentage of Bill Charged
Aetna	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Percentage of Bill Charged
Aetna	Outpatient	CPT Anesthesia Range: 00100 - 01999	Percentage of Bill Charged