Marshfield Clinic Health System · Marshfield, WI
35
In-network payers
234
Disclosed rate categories
520
Beds
2
Care quality
Marshfield Medical Center - Marshfield is a 520-bed voluntary non-profit - church hospital in Marshfield, WI, affiliated with Marshfield Clinic Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 234 disclosed rate categories.
CCN (Medicare provider number)
520037
NPI
1942749387
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
520
Care Quality
2
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 Marshfield Medical Center - Marshfield 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
$8,118 - $10,768
from 2 insurers · median $9,443
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,475 - $13,963
from 2 insurers · median $12,719
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 neonatal nursery services to CMS
CT imaging
CPT 74177
$1,591 - $4,071
from 2 insurers · median $2,831
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$32,074 - $48,753
from 2 insurers · median $40,414
31 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$719 - $959
from 2 insurers · median $839
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$5,606 - $11,787
from 3 insurers · median $5,953
17 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$8,967 - $22,953
from 3 insurers · median $19,484
44 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$8,118 - $10,768
from 2 insurers · median $9,443
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 neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$163,031 - $248,418
from 2 insurers · median $205,725
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 71275
$1,510 - $3,446
from 2 insurers · median $2,478
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$529 - $1,164
from 2 insurers · median $847
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,899 - $4,374
from 2 insurers · median $3,136
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$4,917 - $5,953
from 3 insurers · median $5,008
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$5,998 - $8,611
from 2 insurers · median $7,304
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,961 - $6,771
from 2 insurers · median $4,866
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$4,677 - $5,519
from 3 insurers · median $4,917
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,967 - $16,853
from 3 insurers · median $16,830
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$4,677 - $7,650
from 3 insurers · median $4,917
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$1,208 - $1,777
from 2 insurers · median $1,492
Common here, based on CMS Medicare volume
Urology
CPT 52000
$609 - $5,519
from 3 insurers · median $3,665
293 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Orthopedics and pain
CPT 20610
$1,231 - $5,355
from 3 insurers · median $3,648
Common here, based on CMS Medicare volume
Urology
CPT 50590
$8,967 - $18,360
from 2 insurers · median $13,664
94 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$5,606 - $11,506
from 3 insurers · median $7,036
147 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 49650
$8,967 - $20,135
from 3 insurers · median $14,612
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
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 | 496% | 14 | 4 |
| Insurer B* | 24 | 495% | 18 | 0 |
| Insurer C* | 16 | 249% | 5 | 7 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 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 Marshfield Medical Center - Marshfield.
611 St Joseph Avenue, Marshfield, WI 54449
(715) 387-7850
The nearest hospitals of similar type and size. Their rates are compared with Marshfield Medical Center - Marshfield for the same insurers and services above.
Aspirus Wausau Hospital
Rates about the same as Marshfield Medical Center - Marshfield (21 services)
Mayo Clinic Health System- Eau Claire Hospital
▼ Rates typically 35% lower than Marshfield Medical Center - Marshfield (19 services)
Mayo Clinic Health System - Franciscan Healthcare La Crosse
▼ Rates typically 35% lower than Marshfield Medical Center - Marshfield (19 services)
Gundersen Lutheran Medical Center
▼ Rates typically 35% lower than Marshfield Medical Center - Marshfield (21 services)
Ne Wisconsin - St. Elizabeth Campus
▼ Rates typically 50% lower than Marshfield Medical Center - Marshfield (21 services)
St. Vincent Hospital
▼ Rates typically 16% lower than Marshfield Medical Center - Marshfield (21 services)
Marshfield Medical Center - River Region At Stevens Point
Marshfield Medical Center Beaver Dam
Marshfield Medical Center - Weston
Marshfield Medical Center - Minocqua
About Marshfield Medical Center - Marshfield's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Marshfield Medical Center - Marshfield range from $1,899 to $4,374 across 2 insurers. Aetna's rate is $4,374. The median at nearby comparable hospitals is $3,186. 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 Marshfield Medical Center - Marshfield range from $1,591 to $4,071 across 2 insurers. Aetna's rate is $4,071. The median at nearby comparable hospitals is $2,320. 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 Marshfield Medical Center - Marshfield range from $4,917 to $5,953 across 3 insurers. UnitedHealthcare's rate is $4,917. The median at nearby comparable hospitals is $3,718. 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 Marshfield Medical Center - Marshfield range from $8,118 to $10,768 across 2 insurers. Blue Cross Blue Shield's rate is $8,118. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Marshfield Medical Center - Marshfield range from $719 to $959 across 2 insurers. Blue Cross Blue Shield's rate is $719. The median at nearby comparable hospitals is $416. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Marshfield Medical Center - Marshfield range from $32,074 to $48,753 across 2 insurers. Blue Cross Blue Shield's rate is $48,753. The median at nearby comparable hospitals is $36,556. What a patient pays depends on their plan's deductible, coinsurance and network status.
Marshfield Medical Center - Marshfield has 520 beds. Facility type: Short Term Acute Care Hospital.
Marshfield Medical Center - Marshfield is located at 611 St Joseph Avenue, Marshfield, WI 54449. Its main phone number is (715) 387-7850.
Marshfield Medical Center - Marshfield's CMS Certification Number (CCN), also called its Medicare provider number, is 520037.
The National Provider Identifier (NPI) on file for Marshfield Medical Center - Marshfield is 1942749387.
Marshfield Medical Center - Marshfield is affiliated with Marshfield Clinic Health System.
Marshfield Medical Center - Marshfield lists 35 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.
234 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