Reedsburg, WI
37
In-network payers
107
Disclosed rate categories
25
Beds
5
Care quality
Reedsburg Area Medical Center is a 25-bed voluntary non-profit - private hospital in Reedsburg, WI. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 107 disclosed rate categories.
CCN (Medicare provider number)
521351
NPI
1891796710
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 Reedsburg Area Medical Center 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
$5,000 - $7,197
from 2 insurers · median $6,099
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
$9,596 - $10,000
from 2 insurers · median $9,798
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
$2,639 - $3,209
from 4 insurers · median $3,005
Typical for a hospital with this service line
CT imaging
CPT 70450
$955 - $1,338
from 4 insurers · median $1,167
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,715 - $2,085
from 4 insurers · median $1,973
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,612 - $1,960
from 4 insurers · median $1,845
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,059 - $2,504
from 4 insurers · median $2,368
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,249 - $3,951
from 4 insurers · median $3,737
Typical for a hospital with this service line
Mammography
CPT 77067
$360 - $438
from 4 insurers · median $419
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,331 - $2,835
from 4 insurers · median $2,688
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,320 - $2,822
from 3 insurers · median $2,602
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$5,000 - $7,197
from 2 insurers · median $6,099
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
Nuclear imaging
CPT 78452
$2,825 - $3,435
from 4 insurers · median $3,249
Hospital reports nuclear medicine services to CMS
Cardiology and vascular testing
CPT 93971
$1,114 - $1,355
from 4 insurers · median $1,288
Typical for a hospital with this service line
Ultrasound
CPT 76705
$654 - $796
from 4 insurers · median $753
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,999 - $3,525
from 4 insurers · median $2,337
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$915 - $4,716
from 4 insurers · median $1,070
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$21,031 - $21,124
from 2 insurers · median $21,078
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93970
$1,318 - $1,603
from 4 insurers · median $1,532
Typical for a hospital with this service line
Ultrasound
CPT 76856
$654 - $796
from 4 insurers · median $745
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$722 - $4,251
from 4 insurers · median $843
Typical for a hospital with this service line
Ultrasound
CPT 76770
$725 - $882
from 4 insurers · median $834
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$87 - $105
from 4 insurers · median $99
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$498 - $606
from 3 insurers · median $559
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 | 775% | 8 | 6 |
| Insurer B* | 18 | 747% | 6 | 10 |
| Insurer C* | 24 | 714% | 4 | 17 |
| Insurer D* | 24 | 637% | 8 | 10 |
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 Reedsburg Area Medical Center.
2000 North Dewey Street, Reedsburg, WI 53959
(608) 524-6487
The nearest hospitals of similar type and size. Their rates are compared with Reedsburg Area Medical Center for the same insurers and services above.
Gundersen St Josephs Hospital
▲ Rates typically 6% higher than Reedsburg Area Medical Center (21 services)
The Richland Hospital Inc
▲ Rates typically 12% higher than Reedsburg Area Medical Center (18 services)
Gundersen Moundview Hospital
▲ Rates typically 10% higher than Reedsburg Area Medical Center (21 services)
Tomah Health
▼ Rates typically 19% lower than Reedsburg Area Medical Center (20 services)
Upland Hills Health
▲ Rates typically 18% higher than Reedsburg Area Medical Center (21 services)
Vernon Memorial Hospital
▲ Rates typically 21% higher than Reedsburg Area Medical Center (21 services)
Indianhead Medical Center
Prairie Ridge Health
Calumet Hospital
Mayo Clinic Health System - Northland In Barron
About Reedsburg Area Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Reedsburg Area Medical Center range from $3,249 to $3,951 across 4 insurers. Blue Cross Blue Shield's rate is $3,644. The median at nearby comparable hospitals is $3,771. 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 Reedsburg Area Medical Center range from $2,639 to $3,209 across 4 insurers. Aetna's rate is $3,050. The median at nearby comparable hospitals is $3,711. 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 Reedsburg Area Medical Center range from $915 to $4,716 across 4 insurers. Aetna's rate is $4,716. The median at nearby comparable hospitals is $3,554. 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 Reedsburg Area Medical Center range from $5,000 to $7,197 across 2 insurers. UnitedHealthcare's rate is $7,197. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Reedsburg Area Medical Center range from $360 to $438 across 4 insurers. Blue Cross Blue Shield's rate is $404. The median at nearby comparable hospitals is $301. 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 Reedsburg Area Medical Center range from $21,031 to $21,124 across 2 insurers. UnitedHealthcare's rate is $21,031. The median at nearby comparable hospitals is $19,778. What a patient pays depends on their plan's deductible, coinsurance and network status.
Reedsburg Area Medical Center has 25 beds. Facility type: Critical Access Hospital.
Reedsburg Area Medical Center is located at 2000 North Dewey Street, Reedsburg, WI 53959. Its main phone number is (608) 524-6487.
Reedsburg Area Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 521351.
The National Provider Identifier (NPI) on file for Reedsburg Area Medical Center is 1891796710.
Reedsburg Area Medical Center lists 37 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.
107 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