Gundersen Health System · Whitehall, WI
37
In-network payers
263
Disclosed rate categories
25
Beds
Gundersen Tri-County Hospital is a 25-bed voluntary non-profit - private hospital in Whitehall, WI, affiliated with Gundersen Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 263 disclosed rate categories.
CCN (Medicare provider number)
521316
NPI
1124063573
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 Tri-County 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.
Childbirth · Inpatient
MS-DRG 807
$3,607 - $5,276
from 2 insurers · median $4,442
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
Childbirth · Inpatient
MS-DRG 788
$6,365 - $8,097
from 2 insurers · median $7,231
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 74177
$1,908 - $2,566
from 4 insurers · median $2,078
Typical for a hospital with this service line
CT imaging
CPT 70450
$961 - $1,883
from 4 insurers · median $1,224
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,238 - $2,736
from 4 insurers · median $2,536
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,443 - $4,233
from 3 insurers · median $3,717
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,380 - $1,883
from 3 insurers · median $1,572
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,886 - $6,092
from 3 insurers · median $3,287
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,472 - $1,883
from 4 insurers · median $1,727
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,467 - $6,092
from 3 insurers · median $2,809
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,874 - $4,421
from 3 insurers · median $2,134
Typical for a hospital with this service line
Mammography
CPT 77067
$261 - $482
from 4 insurers · median $310
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,177 - $3,023
from 4 insurers · median $2,614
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,177 - $2,748
from 3 insurers · median $2,479
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$193 - $281
from 4 insurers · median $238
Typical for a hospital with this service line
MRI imaging
CPT 73721
$2,176 - $2,748
from 3 insurers · median $2,478
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,377 - $2,710
from 3 insurers · median $2,708
Hospital reports nuclear medicine services to CMS
Childbirth · Inpatient
MS-DRG 807
$3,607 - $5,276
from 2 insurers · median $4,442
CMS lists this service as CPT 59610, 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
Digestive procedures
CPT 45378
$2,184 - $4,872
from 4 insurers · median $2,509
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$18,136
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$779 - $952
from 4 insurers · median $877
Typical for a hospital with this service line
Ultrasound
CPT 76705
$467 - $674
from 4 insurers · median $521
Typical for a hospital with this service line
Gynecology
CPT 58571
$18,076
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76830
$528 - $956
from 4 insurers · median $609
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* | 11 | 720% | 3 | 6 |
| Insurer B* | 19 | 607% | 2 | 2 |
| Insurer C* | 22 | 533% | 1 | 4 |
| Insurer D* | 24 | 498% | 6 | 2 |
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 Tri-County Hospital.
18601 Lincoln Street, Whitehall, WI 54773
(715) 538-4361
The nearest hospitals of similar type and size. Their rates are compared with Gundersen Tri-County Hospital for the same insurers and services above.
Mayo Clinic Health System - Oakridge
▲ Rates typically 6% higher than Gundersen Tri-County Hospital (16 services)
Black River Memorial Hospital
▲ Rates typically 34% higher than Gundersen Tri-County Hospital (16 services)
Adventhealth Durand
▲ Rates typically 20% higher than Gundersen Tri-County Hospital (9 services)
Marshfield Medical Center - Neillsville
▲ Rates typically 8% higher than Gundersen Tri-County Hospital (21 services)
Mayo Clinic Health System - Franciscan Healthcare
▲ Rates typically 9% higher than Gundersen Tri-County Hospital (11 services)
Aspirus Stanley Hospital
▲ Rates typically 6% higher than Gundersen Tri-County Hospital (18 services)
Gundersen Moundview Hospital
Gundersen Boscobel Area Hospital
Gundersen St Josephs Hospital
Prairie Ridge Health
About Gundersen Tri-County Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Gundersen Tri-County Hospital range from $3,443 to $4,233 across 3 insurers. Cigna's rate is $4,233. 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 Tri-County Hospital range from $1,908 to $2,566 across 4 insurers. Blue Cross Blue Shield's rate is $1,982. The median at nearby comparable hospitals is $3,767. 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 Gundersen Tri-County Hospital range from $2,886 to $6,092 across 3 insurers. UnitedHealthcare's rate is $2,886. The median at nearby comparable hospitals is $3,418. 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 Gundersen Tri-County Hospital range from $3,607 to $5,276 across 2 insurers. Blue Cross Blue Shield's rate is $5,276. 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 Tri-County Hospital range from $261 to $482 across 4 insurers. Aetna's rate is $482. The median at nearby comparable hospitals is $404. What a patient pays depends on their plan's deductible, coinsurance and network status.
Gundersen Tri-County Hospital has 25 beds. Facility type: Critical Access Hospital.
Gundersen Tri-County Hospital is located at 18601 Lincoln Street, Whitehall, WI 54773. Its main phone number is (715) 538-4361.
Gundersen Tri-County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 521316.
The National Provider Identifier (NPI) on file for Gundersen Tri-County Hospital is 1124063573.
Gundersen Tri-County Hospital is affiliated with Gundersen Health System.
Gundersen Tri-County Hospital lists 37 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.
263 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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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.
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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