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St Clare Memorial Hospital Inc

Hospital Sisters Health System
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Hospital Overview
Facility Details

CCN

521310

NPI

1851477913

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

25

Contact Information

Address

855 South Main Street

Oconto Falls, WI 54154

Phone

(920) 846-3444

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

HCPCS

Procedures / Professional Services

Range: G0008 - G9987

Percentage of Bill Charged

Aetna

Facility

RC

Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X)

Range: 0270 - 0279

Percentage of Bill Charged

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

Aetna

Facility

RC

Laboratory

Range: 0300 - 0309

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Percentage of Bill Charged

Aetna

Facility

RC

Anesthesia

Range: 0370 - 0379

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Temporary Codes

Range: Q0035 - Q9992

Percentage of Bill Charged

Aetna

Outpatient

CPT

Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Percentage of Bill Charged

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COMPLEMENTARY MARKET OVERVIEW

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