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St. Mary S-Superior Clinic

Essentia Health

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.

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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 Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)

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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

Anesthesia

Range: 00100 - 01999

Negotiated

Very Low

Aetna

Outpatient

CPT

Category II Codes

Range: 0001F - 9007F

Negotiated

Very Low

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

Aetna

Outpatient

CPT

Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very Low

Aetna

Outpatient

CPT

Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT

Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

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