St Croix Falls, WI
29
In-network payers
339
Disclosed rate categories
25
Beds
4
Care quality
St. Croix Regional Medical Center is a 25-bed voluntary non-profit - private hospital in St Croix Falls, WI. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 339 disclosed rate categories.
CCN (Medicare provider number)
521337
NPI
1043240922
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
4
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 St. Croix Regional Medical Center 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
$7,345 - $17,957
from 2 insurers · median $12,651
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
$10,162 - $25,537
from 2 insurers · median $17,849
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
$784 - $1,453
from 3 insurers · median $881
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$7,345 - $17,957
from 2 insurers · median $12,651
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
Cardiology and vascular testing
CPT 93306
$406 - $1,659
from 4 insurers · median $1,448
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,102 - $4,274
from 3 insurers · median $3,088
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,056 - $4,274
from 3 insurers · median $2,892
Typical for a hospital with this service line
Mammography
CPT 77067
$149 - $380
from 4 insurers · median $256
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$23,219 - $53,943
from 2 insurers · median $38,581
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$871 - $2,806
from 3 insurers · median $1,530
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$866 - $2,806
from 3 insurers · median $2,674
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$4,296 - $11,422
from 2 insurers · median $7,859
Typical for a hospital with this service line
CT imaging
CPT 70450
$112 - $517
from 4 insurers · median $270
Typical for a hospital with this service line
CT imaging
CPT 71275
$254 - $1,236
from 4 insurers · median $749
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,258 - $4,274
from 3 insurers · median $4,123
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$14,935 - $33,045
from 2 insurers · median $23,990
Hospital reports inpatient surgical services to CMS
Nuclear imaging
CPT 78815
$1,427 - $3,935
from 4 insurers · median $2,333
Hospital reports pet scan services to CMS
CT imaging
CPT 74176
$299 - $1,273
from 4 insurers · median $403
Typical for a hospital with this service line
MRI imaging
CPT 70553
$311 - $1,483
from 4 insurers · median $901
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,025 - $2,513
from 3 insurers · median $1,562
Hospital reports nuclear medicine services to CMS
Gynecology
CPT 58571
$12,541
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,548 - $11,422
from 2 insurers · median $6,485
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$74 - $582
from 3 insurers · median $79
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,098 - $4,274
from 2 insurers · median $3,686
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* | 24 | 247% | 8 | 0 |
| Insurer B* | 16 | 246% | 5 | 11 |
| Insurer C* | 7 | 123% | 0 | 7 |
| Insurer D* | 22 | 94% | 2 | 17 |
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 St. Croix Regional Medical Center.
235 State Street, St Croix Falls, WI 54024
(715) 483-0556
The nearest hospitals of similar type and size. Their rates are compared with St. Croix Regional Medical Center for the same insurers and services above.
Amery Hospital & Clinic
â–² Rates typically 93% higher than St. Croix Regional Medical Center (20 services)
Ladd Memorial Hospital
Rates about the same as St. Croix Regional Medical Center (17 services)
Westfields Hospital & Clinic
â–² Rates typically 14% higher than St. Croix Regional Medical Center (19 services)
Cumberland Memorial Hospital
â–¼ Rates typically 27% lower than St. Croix Regional Medical Center (14 services)
Mayo Clinic Health System - Northland In Barron
â–² Rates typically 74% higher than St. Croix Regional Medical Center (19 services)
Western Wisconsin Health
â–¼ Rates typically 29% lower than St. Croix Regional Medical Center (15 services)
Gundersen St Josephs Hospital
Waupun Memorial Hospital
Marshfield Medical Center - Park Falls
About St. Croix Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Croix Regional Medical Center range from $311 to $1,483 across 4 insurers. Cigna's rate is $810. The median at nearby comparable hospitals is $3,672. 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 St. Croix Regional Medical Center range from $784 to $1,453 across 3 insurers. Aetna's rate is $1,453. The median at nearby comparable hospitals is $2,147. 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 St. Croix Regional Medical Center range from $1,102 to $4,274 across 3 insurers. Blue Cross Blue Shield's rate is $4,274. The median at nearby comparable hospitals is $2,276. 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 St. Croix Regional Medical Center range from $7,345 to $17,957 across 2 insurers. Cigna's rate is $17,957. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Croix Regional Medical Center range from $149 to $380 across 4 insurers. Aetna's rate is $206. The median at nearby comparable hospitals is $334. 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 St. Croix Regional Medical Center range from $23,219 to $53,943 across 2 insurers. Blue Cross Blue Shield's rate is $23,219. The median at nearby comparable hospitals is $25,728. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Croix Regional Medical Center has 25 beds. Facility type: Critical Access Hospital.
St. Croix Regional Medical Center is located at 235 State Street, St Croix Falls, WI 54024. Its main phone number is (715) 483-0556.
St. Croix Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 521337.
The National Provider Identifier (NPI) on file for St. Croix Regional Medical Center is 1043240922.
St. Croix Regional Medical Center lists 29 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.
339 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