Prairie Du Sac, WI
33
In-network payers
156
Disclosed rate categories
36
Beds
5
Care quality
Sauk Prairie Memorial Hospital is a 36-bed voluntary non-profit - private hospital in Prairie Du Sac, WI. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 156 disclosed rate categories.
CCN (Medicare provider number)
520095
NPI
1861466153
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
36
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 Sauk Prairie 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.
CT imaging
CPT 74177
$5,931 - $6,542
from 4 insurers · median $6,335
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$40,507
negotiated rate
189 Medicare discharges for this DRG in CMS hospital data
MRI imaging
CPT 70553
$5,518 - $5,744
from 4 insurers · median $5,563
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$3,428 - $3,569
from 4 insurers · median $3,456
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,732 - $2,966
from 4 insurers · median $2,873
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$5,336 - $5,556
from 4 insurers · median $5,380
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$4,121 - $4,256
from 4 insurers · median $4,166
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,504 - $10,107
from 4 insurers · median $4,544
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$453 - $485
from 4 insurers · median $471
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$13,382
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
Mammography
CPT 77067
$345 - $545
from 4 insurers · median $351
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,957 - $26,084
from 2 insurers · median $17,020
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,617 - $17,250
from 4 insurers · median $6,092
50 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$2,226 - $10,107
from 4 insurers · median $4,512
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$986 - $1,334
from 4 insurers · median $1,296
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,637 - $6,192
from 4 insurers · median $3,672
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$3,731 - $3,852
from 4 insurers · median $3,771
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$3,196 - $3,919
from 4 insurers · median $3,248
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$17,840
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
Medicine & Surgery
CPT 29881
$7,026 - $11,498
from 3 insurers · median $7,256
62 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Ultrasound
CPT 76856
$1,034 - $1,418
from 4 insurers · median $1,373
Common here, based on CMS Medicare volume
Ultrasound
CPT 76536
$1,101 - $1,330
from 4 insurers · median $1,294
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$166 - $171
from 3 insurers · median $166
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,925 - $7,855
from 4 insurers · median $6,992
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* | 20 | 1070% | 15 | 5 |
| Insurer B* | 20 | 1021% | 12 | 5 |
| Insurer C* | 24 | 827% | 22 | 0 |
| Insurer D* | 19 | 612% | 17 | 2 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 4 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 Sauk Prairie Memorial Hospital.
260 26th Street, Prairie Du Sac, WI 53578
(608) 643-3311
The nearest hospitals of similar type and size. Their rates are compared with Sauk Prairie Memorial Hospital for the same insurers and services above.
Mile Bluff Medical Center Inc.
â–¼ Rates typically 9% lower than Sauk Prairie Memorial Hospital (19 services)
Fort Atkinson Memorial Hospital
â–¼ Rates typically 69% lower than Sauk Prairie Memorial Hospital (22 services)
Ssm Health St. Mary S Hospital - Janesville
â–¼ Rates typically 26% lower than Sauk Prairie Memorial Hospital (22 services)
Aurora Medical Center Washington County
Rates about the same as Sauk Prairie Memorial Hospital (22 services)
Froedtert West Bend Hospital
â–¼ Rates typically 54% lower than Sauk Prairie Memorial Hospital (22 services)
Ascension Se Wisconsin Hospital - Franklin Campus
â–¼ Rates typically 71% lower than Sauk Prairie Memorial Hospital (20 services)
All Saints Hospital Spring Street
Marshfield Medical Center - Marshfield
Froedtert Hospital
Thedacare Regional Medical Center Appleton
About Sauk Prairie Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sauk Prairie Memorial Hospital range from $5,518 to $5,744 across 4 insurers. Aetna's rate is $5,518. The median at nearby comparable hospitals is $3,037. 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 Sauk Prairie Memorial Hospital range from $5,931 to $6,542 across 4 insurers. Blue Cross Blue Shield's rate is $6,335. The median at nearby comparable hospitals is $2,269. 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 Sauk Prairie Memorial Hospital range from $2,504 to $10,107 across 4 insurers. UnitedHealthcare's rate is $2,586. The median at nearby comparable hospitals is $3,723. 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 Sauk Prairie Memorial Hospital range from $13,382 to $13,382 across 1 insurers. Blue Cross Blue Shield's rate is $13,382. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sauk Prairie Memorial Hospital range from $345 to $545 across 4 insurers. Cigna's rate is $345. The median at nearby comparable hospitals is $286. 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 Sauk Prairie Memorial Hospital range from $40,507 to $40,507 across 1 insurers. Blue Cross Blue Shield's rate is $40,507. The median at nearby comparable hospitals is $32,164. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sauk Prairie Memorial Hospital has 36 beds. Facility type: Short Term Acute Care Hospital.
Sauk Prairie Memorial Hospital is located at 260 26th Street, Prairie Du Sac, WI 53578. Its main phone number is (608) 643-3311.
Sauk Prairie Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520095.
The National Provider Identifier (NPI) on file for Sauk Prairie Memorial Hospital is 1861466153.
Sauk Prairie Memorial Hospital lists 33 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.
156 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