SSM Health · Stoughton, WI
29
In-network payers
69
Disclosed rate categories
35
Beds
5
Care quality
Stoughton Hospital Association is a 35-bed voluntary non-profit - private hospital in Stoughton, WI, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 69 disclosed rate categories.
CCN (Medicare provider number)
521343
NPI
1679558647
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
35
Care Quality
5
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 Stoughton Hospital Association 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
$4,986 - $5,423
from 4 insurers · median $5,062
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,525 - $1,972
from 3 insurers · median $1,972
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,601 - $4,209
from 4 insurers · median $3,871
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,973 - $3,102
from 4 insurers · median $2,488
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,673 - $5,557
from 4 insurers · median $5,110
Typical for a hospital with this service line
CT imaging
CPT 71260
$2,579 - $3,008
from 4 insurers · median $2,766
Typical for a hospital with this service line
MRI imaging
CPT 72148
$3,835 - $4,171
from 4 insurers · median $3,946
Typical for a hospital with this service line
MRI imaging
CPT 70551
$3,786 - $4,117
from 4 insurers · median $3,866
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$426 - $464
from 4 insurers · median $433
Typical for a hospital with this service line
Mammography
CPT 77067
$352 - $419
from 4 insurers · median $385
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$56,500 - $61,444
from 4 insurers · median $58,266
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$592 - $2,147
from 4 insurers · median $2,120
Typical for a hospital with this service line
MRI imaging
CPT 73721
$3,357 - $3,651
from 4 insurers · median $3,456
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,828 - $5,302
from 4 insurers · median $3,249
Hospital reports nuclear medicine services to CMS
Cardiology and vascular testing
CPT 93971
$1,223 - $1,330
from 4 insurers · median $1,226
Typical for a hospital with this service line
Ultrasound
CPT 76856
$595 - $1,321
from 4 insurers · median $1,214
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$10,570 - $10,841
from 3 insurers · median $10,841
Typical for a hospital with this service line
Ultrasound
CPT 76705
$610 - $1,136
from 4 insurers · median $640
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,224
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$682 - $741
from 4 insurers · median $703
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$5,449 - $6,245
from 4 insurers · median $5,743
Typical for a hospital with this service line
Gynecology
CPT 58661
$10,899 - $11,179
from 3 insurers · median $11,179
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,224
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,297 - $1,963
from 4 insurers · median $1,805
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* | 19 | 1150% | 18 | 1 |
| Insurer B* | 22 | 740% | 14 | 5 |
| Insurer C* | 22 | 740% | 18 | 2 |
| Insurer D* | 24 | 621% | 13 | 8 |
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 Stoughton Hospital Association.
900 Ridge Street, Stoughton, WI 53589
(608) 873-6611
The nearest hospitals of similar type and size. Their rates are compared with Stoughton Hospital Association for the same insurers and services above.
Edgerton Hospital & Health Services
▼ Rates typically 87% lower than Stoughton Hospital Association (11 services)
Mercyhealth Hospital And Medical Center–walworth
▲ Rates typically 9% higher than Stoughton Hospital Association (24 services)
Harvard Memorial Hospital
▼ Rates typically 46% lower than Stoughton Hospital Association (24 services)
Upland Hills Health
▼ Rates typically 8% lower than Stoughton Hospital Association (22 services)
Memorial Hospital Of Lafayette County
▼ Rates typically 54% lower than Stoughton Hospital Association (22 services)
Reedsburg Area Medical Center
▼ Rates typically 31% lower than Stoughton Hospital Association (22 services)
Waupun Memorial Hospital
Prairie Ridge Health
Ripon Medical Center
Aspirus Merrill Hospital
About Stoughton Hospital Association's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Stoughton Hospital Association range from $3,673 to $5,557 across 4 insurers. Blue Cross Blue Shield's rate is $5,557. The median at nearby comparable hospitals is $3,876. 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 Stoughton Hospital Association range from $4,986 to $5,423 across 4 insurers. Aetna's rate is $5,138. The median at nearby comparable hospitals is $3,202. 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 Stoughton Hospital Association range from $3,224 to $3,224 across 1 insurers. Aetna's rate is $3,224. The median at nearby comparable hospitals is $3,901. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Stoughton Hospital Association range from $352 to $419 across 4 insurers. Cigna's rate is $385. The median at nearby comparable hospitals is $374. 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 Stoughton Hospital Association range from $56,500 to $61,444 across 4 insurers. UnitedHealthcare's rate is $56,500. The median at nearby comparable hospitals is $21,078. What a patient pays depends on their plan's deductible, coinsurance and network status.
Stoughton Hospital Association has 35 beds. Facility type: Critical Access Hospital.
Stoughton Hospital Association is located at 900 Ridge Street, Stoughton, WI 53589. Its main phone number is (608) 873-6611.
Stoughton Hospital Association's CMS Certification Number (CCN), also called its Medicare provider number, is 521343.
The National Provider Identifier (NPI) on file for Stoughton Hospital Association is 1679558647.
Stoughton Hospital Association is affiliated with SSM Health.
Stoughton Hospital Association 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.
69 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