Medicine & Surgery ยท Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$10,305 - $38,087
from 3 insurers ยท median $22,818
255 Medicare discharges for this DRG in CMS hospital data
Ridgeview Medical Center ยท Waconia, MN
26
In-network payers
347
Disclosed rate categories
109
Beds
5
Care quality
Ridgeview Medical Center is a 109-bed voluntary non-profit - private hospital in Waconia, MN, affiliated with Ridgeview Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 347 disclosed rate categories.
CCN (Medicare provider number)
240056
NPI
1275608457
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
109
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 Ridgeview 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.
Medicine & Surgery ยท Inpatient
MS-DRG 470
$10,305 - $38,087
from 3 insurers ยท median $22,818
255 Medicare discharges for this DRG in CMS hospital data
Childbirth ยท Inpatient
MS-DRG 807
$7,046 - $13,586
from 2 insurers ยท median $10,316
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 neonatal nursery services to CMS
Childbirth ยท Inpatient
MS-DRG 788
$10,897 - $15,965
from 2 insurers ยท median $13,431
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 neonatal nursery services to CMS
CT imaging
CPT 74177
$587 - $881
from 3 insurers ยท median $707
Common here, based on CMS Medicare volume
Medicine & Surgery ยท Inpatient
MS-DRG 460
$43,004 - $46,371
from 2 insurers ยท median $44,687
22 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$2,816 - $8,176
from 3 insurers ยท median $4,515
15 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$13,714 - $26,849
from 3 insurers ยท median $17,121
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,929 - $15,270
from 3 insurers ยท median $9,595
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$398 - $603
from 3 insurers ยท median $441
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$115 - $264
from 3 insurers ยท median $175
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,621 - $15,270
from 2 insurers ยท median $9,445
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$35 - $220
from 3 insurers ยท median $145
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$846 - $1,380
from 3 insurers ยท median $902
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$293 - $443
from 3 insurers ยท median $402
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,851 - $9,043
from 3 insurers ยท median $5,424
36 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery
CPT 42820
$7,956 - $14,952
from 3 insurers ยท median $9,728
Typical for a hospital with this service line
Childbirth ยท Inpatient
MS-DRG 807
$7,046 - $13,586
from 2 insurers ยท median $10,316
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 neonatal nursery services to CMS
Ear, nose and throat
CPT 30520
$1,797 - $8,374
from 3 insurers ยท median $4,528
17 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Orthopedics and pain
CPT 27446
$21,159 - $32,428
from 2 insurers ยท median $26,794
734 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$100 - $434
from 3 insurers ยท median $135
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$714 - $1,134
from 3 insurers ยท median $881
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$9,595 - $15,270
from 2 insurers ยท median $12,432
Typical for a hospital with this service line
Gynecology
CPT 58661
$7,924 - $15,270
from 3 insurers ยท median $9,595
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$968 - $3,022
from 3 insurers ยท median $1,754
Common here, based on CMS Medicare volume
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* | 24 | 247% | 13 | 6 |
| Insurer B* | 20 | 161% | 8 | 12 |
| Insurer C* | 21 | 140% | 7 | 1 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 7 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 Ridgeview Medical Center.
500 South Maple Street, Waconia, MN 55387
(952) 442-2191
About Ridgeview Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ridgeview Medical Center range from $714 to $1,134 across 3 insurers. Blue Cross Blue Shield's rate is $1,134. The median at nearby comparable hospitals is $929. 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 Ridgeview Medical Center range from $587 to $881 across 3 insurers. Blue Cross Blue Shield's rate is $587. The median at nearby comparable hospitals is $670. 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 Ridgeview Medical Center range from $968 to $3,022 across 3 insurers. Blue Cross Blue Shield's rate is $968. The median at nearby comparable hospitals is $1,981. 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 Ridgeview Medical Center range from $7,046 to $13,586 across 2 insurers. Aetna's rate is $13,586. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ridgeview Medical Center range from $100 to $434 across 3 insurers. Aetna's rate is $135. The median at nearby comparable hospitals is $167. 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 Ridgeview Medical Center range from $10,305 to $38,087 across 3 insurers. Aetna's rate is $38,087. The median at nearby comparable hospitals is $26,862. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ridgeview Medical Center has 109 beds. Facility type: Short Term Acute Care Hospital.
Ridgeview Medical Center is located at 500 South Maple Street, Waconia, MN 55387. Its main phone number is (952) 442-2191.
Ridgeview Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 240056.
The National Provider Identifier (NPI) on file for Ridgeview Medical Center is 1275608457.
Ridgeview Medical Center lists 26 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
347 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.
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