SSM Health · Columbus, WI
32
In-network payers
98
Disclosed rate categories
25
Beds
4
Care quality
Prairie Ridge Health is a 25-bed voluntary non-profit - private hospital in Columbus, WI, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 98 disclosed rate categories.
CCN (Medicare provider number)
521338
NPI
1841376183
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
4
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 Ridge Health 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
$4,109 - $6,384
from 4 insurers · median $5,497
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,593 - $2,051
from 2 insurers · median $1,822
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,131 - $4,346
from 3 insurers · median $4,032
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$6,525
negotiated rate
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
$10,751
negotiated rate
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
MRI imaging
CPT 70553
$4,498 - $6,544
from 4 insurers · median $6,018
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,165 - $3,005
from 4 insurers · median $2,596
Typical for a hospital with this service line
CT imaging
CPT 71260
$2,278 - $3,162
from 4 insurers · median $2,853
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$4,812 - $6,961
from 4 insurers · median $6,438
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$331 - $586
from 4 insurers · median $442
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,997 - $4,160
from 3 insurers · median $3,859
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,905 - $4,032
from 3 insurers · median $3,741
Typical for a hospital with this service line
MRI imaging
CPT 74183
$3,958 - $5,493
from 3 insurers · median $5,096
Typical for a hospital with this service line
Mammography
CPT 77067
$202 - $305
from 4 insurers · median $270
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$1,055 - $1,536
from 4 insurers · median $1,412
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,537
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,997
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76642
$767 - $1,064
from 4 insurers · median $899
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$4,834 - $6,710
from 3 insurers · median $6,225
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,577
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,589 - $2,205
from 4 insurers · median $1,960
Typical for a hospital with this service line
Ultrasound
CPT 76705
$401 - $1,014
from 4 insurers · median $536
Typical for a hospital with this service line
Ultrasound
CPT 76770
$883 - $1,285
from 4 insurers · median $1,182
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$379 - $577
from 4 insurers · median $507
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* | 18 | 1172% | 18 | 0 |
| Insurer B* | 21 | 1110% | 17 | 2 |
| Insurer C* | 19 | 862% | 12 | 3 |
| Insurer D* | 16 | 714% | 13 | 1 |
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 Ridge Health.
1515 Park Avenue, Columbus, WI 53925
(920) 623-2200
The nearest hospitals of similar type and size. Their rates are compared with Prairie Ridge Health for the same insurers and services above.
Edgerton Hospital & Health Services
▼ Rates typically 87% lower than Prairie Ridge Health (9 services)
Thedacare-Berlin
▼ Rates typically 60% lower than Prairie Ridge Health (22 services)
Reedsburg Area Medical Center
▼ Rates typically 31% lower than Prairie Ridge Health (21 services)
Mercyhealth Hospital And Medical Center–walworth
▼ Rates typically 20% lower than Prairie Ridge Health (22 services)
Gundersen Moundview Hospital
▼ Rates typically 15% lower than Prairie Ridge Health (21 services)
Thedacare Medical Center - Wild Rose
▼ Rates typically 61% lower than Prairie Ridge Health (22 services)
Ripon Medical Center
Waupun Memorial Hospital
Stoughton Hospital Association
Thedacare Medical Center-New London
About Prairie Ridge Health's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Prairie Ridge Health range from $4,498 to $6,544 across 4 insurers. Cigna's rate is $4,498. The median at nearby comparable hospitals is $3,445. 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 Ridge Health range from $4,109 to $6,384 across 4 insurers. Blue Cross Blue Shield's rate is $5,291. The median at nearby comparable hospitals is $3,017. 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 Ridge Health range from $3,997 to $3,997 across 1 insurers. Aetna's rate is $3,997. The median at nearby comparable hospitals is $3,901. 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 Ridge Health range from $6,525 to $6,525 across 1 insurers. Blue Cross Blue Shield's rate is $6,525. 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 Ridge Health range from $202 to $305 across 4 insurers. Aetna's rate is $305. The median at nearby comparable hospitals is $360. What a patient pays depends on their plan's deductible, coinsurance and network status.
Prairie Ridge Health has 25 beds. Facility type: Critical Access Hospital.
Prairie Ridge Health is located at 1515 Park Avenue, Columbus, WI 53925. Its main phone number is (920) 623-2200.
Prairie Ridge Health's CMS Certification Number (CCN), also called its Medicare provider number, is 521338.
The National Provider Identifier (NPI) on file for Prairie Ridge Health is 1841376183.
Prairie Ridge Health is affiliated with SSM Health.
Prairie Ridge Health lists 32 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.
98 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