Mayo Clinic Health System - Franciscan Healthcare
Mayo Clinic
Hospital Overview
Facility Details
CCN
521305
NPI
1841278637
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Church
Beds
25
Contact Information
Address
310 West Main Street
Sparta, WI 54656
Phone
(608) 269-2132
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.
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 | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Outpatient | HCPCS Drugs Administered Other than Oral Method Range: J0120 - J8999 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Miscellaneous Medical Services Range: M0075 - M0301 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999 | Percentage of Bill Charged | |
Aetna | Facility | RC Room and Board Private (one bed) Range: 0110 - 0119 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Proprietary Laboratory Analyses Range: 0001U - 0401U | Percentage of Bill Charged | |
Aetna | Facility | RC EKG/ECG Electrocardiogram Range: 0730 - 0739 | Percentage of Bill Charged | |
Aetna | Facility | RC CT Scan Range: 0350 - 0359 | Percentage of Bill Charged | |
Aetna | Facility | RC Operating Room Services Range: 0360 - 0369 | Percentage of Bill Charged | |
Aetna | Facility | RC Occupational Therapy Range: 0430 - 0439 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Other Therapeutic Procedures Range: C1052 - C1062 | Percentage of Bill Charged |
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