CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$330 - $1,762
from 4 insurers · median $1,051
Typical for a hospital with this service line
Darlington, WI
25
Beds
Memorial Hospital Of Lafayette County is a 25-bed government - local hospital in Darlington, WI.
CCN (Medicare provider number)
521312
NPI
1114987054
Type
Critical Access Hospital
Ownership
Government - Local
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 Memorial Hospital Of Lafayette County 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
$330 - $1,762
from 4 insurers · median $1,051
Typical for a hospital with this service line
CT imaging
CPT 71275
$343 - $2,687
from 4 insurers · median $2,156
Typical for a hospital with this service line
CT imaging
CPT 70450
$95 - $1,287
from 4 insurers · median $619
Typical for a hospital with this service line
Mammography
CPT 77067
$139 - $441
from 3 insurers · median $354
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$179 - $1,779
from 4 insurers · median $1,242
Typical for a hospital with this service line
CT imaging
CPT 74176
$157 - $2,202
from 4 insurers · median $1,117
Typical for a hospital with this service line
MRI imaging
CPT 70551
$466 - $3,083
from 4 insurers · median $2,474
Typical for a hospital with this service line
MRI imaging
CPT 70553
$349 - $3,963
from 4 insurers · median $1,935
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$471 - $4,062
from 4 insurers · median $2,888
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$31 - $286
from 4 insurers · median $200
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$2,812 - $3,524
from 4 insurers · median $2,828
Hospital reports pet scan services to CMS
Gynecology
CPT 58571
$20,073
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$205 - $612
from 4 insurers · median $491
Typical for a hospital with this service line
MRI imaging
CPT 72148
$211 - $2,449
from 4 insurers · median $1,216
Typical for a hospital with this service line
MRI imaging
CPT 72141
$466 - $2,449
from 4 insurers · median $1,966
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$11,249
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$43 - $661
from 4 insurers · median $368
Typical for a hospital with this service line
Ultrasound
CPT 76830
$205 - $528
from 4 insurers · median $424
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$389 - $1,808
from 4 insurers · median $437
Typical for a hospital with this service line
Gynecology
CPT 58558
$969 - $6,130
from 2 insurers · median $3,549
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$11,249
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$466 - $1,069
from 4 insurers · median $858
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$740 - $3,963
from 4 insurers · median $2,571
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$11,406
negotiated rate
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* | 20 | 494% | 1 | 17 |
| Insurer B* | 19 | 397% | 1 | 16 |
| Insurer C* | 23 | 191% | 0 | 18 |
| Insurer D* | 19 | 93% | 0 | 18 |
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 Memorial Hospital Of Lafayette County.
800 Clay Street, Darlington, WI 53530
(608) 776-4466
About Memorial Hospital Of Lafayette County's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Memorial Hospital Of Lafayette County range from $466 to $3,083 across 4 insurers. Blue Cross Blue Shield's rate is $3,083. The median at nearby comparable hospitals is $3,061. 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 Memorial Hospital Of Lafayette County range from $330 to $1,762 across 4 insurers. Aetna's rate is $330. The median at nearby comparable hospitals is $4,194. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Hospital Of Lafayette County range from $139 to $441 across 3 insurers. UnitedHealthcare's rate is $354. The median at nearby comparable hospitals is $361. What a patient pays depends on their plan's deductible, coinsurance and network status.
Memorial Hospital Of Lafayette County has 25 beds. Facility type: Critical Access Hospital.
Memorial Hospital Of Lafayette County is located at 800 Clay Street, Darlington, WI 53530. Its main phone number is (608) 776-4466.
Memorial Hospital Of Lafayette County's CMS Certification Number (CCN), also called its Medicare provider number, is 521312.
The National Provider Identifier (NPI) on file for Memorial Hospital Of Lafayette County is 1114987054.
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