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St. Mary S-Superior Clinic

Essentia Health
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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
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

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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.

PayerCategoryCode Type & GroupContract TypeRate 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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Hospital Location
COMPLEMENTARY MARKET OVERVIEW

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