Essentia Health · Superior, WI
44
In-network payers
230
Disclosed rate categories
25
Beds
St. Mary S-Superior Clinic is a 25-bed voluntary non-profit - private hospital in Superior, WI, affiliated with Essentia Health. Below you'll find publicly disclosed negotiated rates and facility details, including 44 in-network payers and 230 disclosed rate categories.
CCN (Medicare provider number)
521329
NPI
1083657886
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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. Mary S-Superior Clinic 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
$819 - $3,096
from 4 insurers · median $2,606
Typical for a hospital with this service line
CT imaging
CPT 70450
$226 - $1,541
from 4 insurers · median $1,297
Typical for a hospital with this service line
CT imaging
CPT 74176
$506 - $2,691
from 4 insurers · median $2,265
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$219 - $1,986
from 4 insurers · median $1,672
Typical for a hospital with this service line
CT imaging
CPT 71275
$455 - $2,367
from 4 insurers · median $1,993
Typical for a hospital with this service line
MRI imaging
CPT 70553
$671 - $3,553
from 4 insurers · median $2,991
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$250 - $2,801
from 4 insurers · median $2,358
Typical for a hospital with this service line
Mammography
CPT 77067
$233 - $414
from 4 insurers · median $354
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,573 - $3,024
from 3 insurers · median $2,606
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$40,160 - $53,288
from 2 insurers · median $46,724
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45380
$2,359 - $2,773
from 3 insurers · median $2,390
Typical for a hospital with this service line
MRI imaging
CPT 70551
$375 - $2,657
from 4 insurers · median $2,236
Typical for a hospital with this service line
MRI imaging
CPT 72148
$165 - $2,563
from 4 insurers · median $2,157
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$35 - $283
from 4 insurers · median $238
Typical for a hospital with this service line
MRI imaging
CPT 73721
$387 - $2,577
from 4 insurers · median $2,206
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$250 - $2,558
from 4 insurers · median $2,153
Typical for a hospital with this service line
Ultrasound
CPT 76705
$115 - $573
from 4 insurers · median $482
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$170 - $749
from 4 insurers · median $631
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$7 - $149
from 4 insurers · median $126
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,528 - $4,357
from 4 insurers · median $3,731
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$95 - $488
from 4 insurers · median $411
Typical for a hospital with this service line
Ultrasound
CPT 76856
$188 - $599
from 4 insurers · median $513
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$342 - $1,184
from 4 insurers · median $996
Typical for a hospital with this service line
Ultrasound
CPT 76830
$241 - $511
from 4 insurers · median $438
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 | 536% | 0 | 0 |
| Insurer B* | 24 | 467% | 0 | 0 |
| Insurer C* | 23 | 436% | 2 | 13 |
| Insurer D* | 21 | 159% | 2 | 18 |
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. Mary S-Superior Clinic.
3500 Tower Avenue, Superior, WI 54880
(715) 817-7000
The nearest hospitals of similar type and size. Their rates are compared with St. Mary S-Superior Clinic for the same insurers and services above.
Community Memorial Hospital
▼ Rates typically 9% lower than St. Mary S-Superior Clinic (23 services)
Lake View Memorial Hospital
▲ Rates typically 7% higher than St. Mary S-Superior Clinic (23 services)
Memorial Medical Center Inc.
▲ Rates typically 436% higher than St. Mary S-Superior Clinic (15 services)
Hayward Area Memorial Hospital
▲ Rates typically 31% higher than St. Mary S-Superior Clinic (21 services)
Spooner Health
▲ Rates typically 347% higher than St. Mary S-Superior Clinic (13 services)
Indianhead Medical Center
▲ Rates typically 248% higher than St. Mary S-Superior Clinic (17 services)
Mayo Clinic Health System - Oakridge
Thedacare Medical Center - Wild Rose
Aspirus Tomahawk Hospital
Hudson Hospital
About St. Mary S-Superior Clinic's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Mary S-Superior Clinic range from $671 to $3,553 across 4 insurers. Blue Cross Blue Shield's rate is $2,886. The median at nearby comparable hospitals is $2,599. 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. Mary S-Superior Clinic range from $819 to $3,096 across 4 insurers. Aetna's rate is $819. The median at nearby comparable hospitals is $2,538. 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. Mary S-Superior Clinic range from $2,573 to $3,024 across 3 insurers. Cigna's rate is $2,606. The median at nearby comparable hospitals is $3,225. 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. Mary S-Superior Clinic range from $233 to $414 across 4 insurers. Cigna's rate is $356. The median at nearby comparable hospitals is $216. 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. Mary S-Superior Clinic range from $40,160 to $53,288 across 2 insurers. UnitedHealthcare's rate is $40,160. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Mary S-Superior Clinic has 25 beds. Facility type: Critical Access Hospital.
St. Mary S-Superior Clinic is located at 3500 Tower Avenue, Superior, WI 54880. Its main phone number is (715) 817-7000.
St. Mary S-Superior Clinic's CMS Certification Number (CCN), also called its Medicare provider number, is 521329.
The National Provider Identifier (NPI) on file for St. Mary S-Superior Clinic is 1083657886.
St. Mary S-Superior Clinic is affiliated with Essentia Health.
St. Mary S-Superior Clinic lists 44 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
230 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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{
"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