St. Mary S-Superior Clinic
Essentia Health







Hospital Overview
Facility Details
CCN
521329
NPI
1083657886
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Contact Information
Address
3500 Tower Avenue
Superior, WI 54880
Phone
(715) 817-7000
Insurance Accepted






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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.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Outpatient | CPT Medicine Services and Procedures Range: 90281 - 99607 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Proprietary Laboratory Analyses Range: 0001U - 0401U | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Temporary National Codes (Non-Medicare) Range: S0012 - S9999 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Temporary Codes Range: Q0035 - Q9992 | Negotiated | Very Low |
Aetna | Outpatient | HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999 | Negotiated | Average |
Aetna | Outpatient | HCPCS Coronavirus Diagnostic Panel Range: U0001 - U0005 | Negotiated | Low |
Aetna | Outpatient | HCPCS Durable medical equipment (DME) Medicare administrative contractors (MACs) Range: K0001 - K0900 | Negotiated | High |
Aetna | Outpatient | HCPCS Coronavirus Diagnostic Panel Range: U0001 - U0005 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Alcohol and Drug Abuse Treatment Range: H0001 - H2037 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Proprietary Laboratory Analyses Range: 0001U - 0401U | Negotiated | Very Low |
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