Allina Health System · River Falls, WI
30
In-network payers
243
Disclosed rate categories
25
Beds
5
Care quality
River Falls Area Hospital is a 25-bed voluntary non-profit - private hospital in River Falls, WI, affiliated with Allina Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 243 disclosed rate categories.
CCN (Medicare provider number)
521349
NPI
1285691725
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 River Falls Area 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
$6,366 - $11,535
from 3 insurers · median $8,796
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 · Inpatient
MS-DRG 788
$8,796 - $15,938
from 4 insurers · median $12,331
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
$747 - $2,493
from 3 insurers · median $1,067
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$6,366 - $11,535
from 3 insurers · median $8,796
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
Mammography
CPT 77067
$295 - $412
from 3 insurers · median $346
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$3,655 - $8,924
from 3 insurers · median $4,899
Hospital reports pet scan services to CMS
CT imaging
CPT 70450
$358 - $921
from 3 insurers · median $387
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$473 - $1,727
from 3 insurers · median $930
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,464 - $4,314
from 3 insurers · median $2,065
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$87 - $274
from 3 insurers · median $254
Typical for a hospital with this service line
MRI imaging
CPT 70553
$827 - $2,451
from 3 insurers · median $1,787
Typical for a hospital with this service line
CT imaging
CPT 71275
$703 - $1,035
from 3 insurers · median $954
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,232 - $4,314
from 3 insurers · median $1,440
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$26,862 - $42,893
from 4 insurers · median $33,920
Hospital reports orthopedic surgery services to CMS
Nuclear imaging
CPT 78452
$1,126 - $4,375
from 3 insurers · median $2,976
Hospital reports nuclear medicine services to CMS
Medicine & Surgery
CPT 47562
$2,191 - $12,902
from 3 insurers · median $8,317
Typical for a hospital with this service line
CT imaging
CPT 74176
$600 - $1,121
from 3 insurers · median $671
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,408 - $4,314
from 3 insurers · median $1,461
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$8,323 - $12,902
from 2 insurers · median $10,612
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,079 - $12,902
from 3 insurers · median $8,003
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$16,447 - $27,589
from 4 insurers · median $21,587
Hospital reports inpatient surgical services to CMS
Ultrasound
CPT 76705
$218 - $663
from 3 insurers · median $449
Typical for a hospital with this service line
MRI imaging
CPT 70551
$639 - $1,227
from 3 insurers · median $1,091
Typical for a hospital with this service line
MRI imaging
CPT 72148
$621 - $1,735
from 3 insurers · median $1,065
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* | 16 | 362% | 4 | 9 |
| Insurer B* | 24 | 309% | 5 | 13 |
| Insurer C* | 11 | 281% | 6 | 0 |
| Insurer D* | 23 | 207% | 2 | 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 River Falls Area Hospital.
1629 East Division Street, River Falls, WI 54022
(715) 307-6000
The nearest hospitals of similar type and size. Their rates are compared with River Falls Area Hospital for the same insurers and services above.
Hudson Hospital
▲ Rates typically 31% higher than River Falls Area Hospital (21 services)
Western Wisconsin Health
▼ Rates typically 38% lower than River Falls Area Hospital (15 services)
Westfields Hospital & Clinic
▼ Rates typically 36% lower than River Falls Area Hospital (21 services)
Mayo Clinic Hospital - Cannon Falls
▲ Rates typically 44% higher than River Falls Area Hospital (19 services)
Ladd Memorial Hospital
▲ Rates typically 24% higher than River Falls Area Hospital (18 services)
Mayo Clnic Health System - Lake City
▲ Rates typically 54% higher than River Falls Area Hospital (19 services)
St Clare Memorial Hospital Inc
Ripon Medical Center
About River Falls Area Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at River Falls Area Hospital range from $827 to $2,451 across 3 insurers. Blue Cross Blue Shield's rate is $1,787. The median at nearby comparable hospitals is $2,627. 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 River Falls Area Hospital range from $747 to $2,493 across 3 insurers. Aetna's rate is $2,493. The median at nearby comparable hospitals is $1,880. 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 River Falls Area Hospital range from $1,464 to $4,314 across 3 insurers. UnitedHealthcare's rate is $4,314. The median at nearby comparable hospitals is $2,689. 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 River Falls Area Hospital range from $6,366 to $11,535 across 3 insurers. Cigna's rate is $8,796. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at River Falls Area Hospital range from $295 to $412 across 3 insurers. Cigna's rate is $346. The median at nearby comparable hospitals is $361. 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 River Falls Area Hospital range from $26,862 to $42,893 across 4 insurers. Aetna's rate is $26,862. The median at nearby comparable hospitals is $25,728. What a patient pays depends on their plan's deductible, coinsurance and network status.
River Falls Area Hospital has 25 beds. Facility type: Critical Access Hospital.
River Falls Area Hospital is located at 1629 East Division Street, River Falls, WI 54022. Its main phone number is (715) 307-6000.
River Falls Area Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 521349.
The National Provider Identifier (NPI) on file for River Falls Area Hospital is 1285691725.
River Falls Area Hospital is affiliated with Allina Health System.
River Falls Area Hospital lists 30 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.
243 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