Prairie Du Chien, WI
31
In-network payers
146
Disclosed rate categories
25
Beds
5
Care quality
Prairie Du Chien Memorial Hospital is a 25-bed voluntary non-profit - private hospital in Prairie Du Chien, WI. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 146 disclosed rate categories.
CCN (Medicare provider number)
521330
NPI
1619024197
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
5
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 Prairie Du Chien Memorial 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
$8,000 - $10,378
from 3 insurers · median $8,905
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
$11,000 - $36,537
from 3 insurers · median $15,567
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
$756 - $4,976
from 4 insurers · median $2,155
Typical for a hospital with this service line
CT imaging
CPT 70450
$307 - $2,028
from 4 insurers · median $951
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,343 - $3,537
from 4 insurers · median $2,189
Typical for a hospital with this service line
CT imaging
CPT 74176
$722 - $3,828
from 4 insurers · median $1,733
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$8,000 - $10,378
from 3 insurers · median $8,905
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
CT imaging
CPT 71275
$654 - $3,412
from 4 insurers · median $1,495
Typical for a hospital with this service line
MRI imaging
CPT 70553
$825 - $4,924
from 4 insurers · median $2,477
Typical for a hospital with this service line
Mammography
CPT 77067
$197 - $433
from 4 insurers · median $235
Typical for a hospital with this service line
MRI imaging
CPT 70551
$534 - $4,433
from 4 insurers · median $1,919
Typical for a hospital with this service line
MRI imaging
CPT 72148
$536 - $3,827
from 4 insurers · median $1,657
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$523 - $2,845
from 3 insurers · median $1,189
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$80 - $374
from 4 insurers · median $163
Typical for a hospital with this service line
MRI imaging
CPT 73721
$491 - $1,985
from 4 insurers · median $1,533
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,027 - $7,033
from 2 insurers · median $5,030
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,151 - $4,967
from 3 insurers · median $4,865
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$415 - $1,736
from 3 insurers · median $940
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,104 - $5,877
from 3 insurers · median $2,613
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$290 - $2,656
from 3 insurers · median $651
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$2,300 - $5,311
from 4 insurers · median $5,213
Typical for a hospital with this service line
Ultrasound
CPT 76705
$210 - $757
from 4 insurers · median $333
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$577 - $2,066
from 3 insurers · median $1,069
Hospital reports nuclear medicine services to CMS
Cardiology and vascular testing
CPT 93971
$120 - $968
from 4 insurers · median $452
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* | 19 | 709% | 11 | 5 |
| Insurer B* | 19 | 514% | 0 | 14 |
| Insurer C* | 23 | 489% | 3 | 17 |
| Insurer D* | 24 | 212% | 0 | 0 |
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 Prairie Du Chien Memorial Hospital.
37868 Us Highway 18, Prairie Du Chien, WI 53821
(608) 357-2000
The nearest hospitals of similar type and size. Their rates are compared with Prairie Du Chien Memorial Hospital for the same insurers and services above.
Guttenberg Municipal Hospital
â–² Rates typically 65% higher than Prairie Du Chien Memorial Hospital (18 services)
Mercyone Elkader Medical Center
â–¼ Rates typically 26% lower than Prairie Du Chien Memorial Hospital (9 services)
Gundersen Boscobel Area Hospital
â–² Rates typically 189% higher than Prairie Du Chien Memorial Hospital (20 services)
Veterans Memorial Hospital
â–¼ Rates typically 31% lower than Prairie Du Chien Memorial Hospital (21 services)
Grant Regional Health Center Inc.
â–² Rates typically 50% higher than Prairie Du Chien Memorial Hospital (18 services)
Gundersen Palmer Lutheran Hospital
â–¼ Rates typically 30% lower than Prairie Du Chien Memorial Hospital (21 services)
Ladd Memorial Hospital
Edgerton Hospital & Health Services
Marshfield Medical Center - Neillsville
Thedacare Medical Center-New London
About Prairie Du Chien Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Prairie Du Chien Memorial Hospital range from $825 to $4,924 across 4 insurers. Blue Cross Blue Shield's rate is $2,477. The median at nearby comparable hospitals is $3,622. 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 Prairie Du Chien Memorial Hospital range from $756 to $4,976 across 4 insurers. Aetna's rate is $4,976. The median at nearby comparable hospitals is $3,587. 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 Prairie Du Chien Memorial Hospital range from $523 to $2,845 across 3 insurers. Aetna's rate is $2,845. The median at nearby comparable hospitals is $3,214. 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 Prairie Du Chien Memorial Hospital range from $8,000 to $10,378 across 3 insurers. Cigna's rate is $8,905. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Prairie Du Chien Memorial Hospital range from $197 to $433 across 4 insurers. UnitedHealthcare's rate is $197. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.
Prairie Du Chien Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Prairie Du Chien Memorial Hospital is located at 37868 Us Highway 18, Prairie Du Chien, WI 53821. Its main phone number is (608) 357-2000.
Prairie Du Chien Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 521330.
The National Provider Identifier (NPI) on file for Prairie Du Chien Memorial Hospital is 1619024197.
Prairie Du Chien Memorial Hospital lists 31 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
146 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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{
"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