ThedaCare · Wild Rose, WI
39
In-network payers
169
Disclosed rate categories
25
Beds
Thedacare Medical Center - Wild Rose is a 25-bed voluntary non-profit - private hospital in Wild Rose, WI, affiliated with ThedaCare. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 169 disclosed rate categories.
CCN (Medicare provider number)
521303
NPI
1043263999
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 Thedacare Medical Center - Wild Rose 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
$844 - $3,491
from 4 insurers · median $1,870
Typical for a hospital with this service line
CT imaging
CPT 70450
$278 - $1,559
from 4 insurers · median $922
Typical for a hospital with this service line
CT imaging
CPT 74176
$530 - $3,170
from 4 insurers · median $1,581
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$584 - $1,816
from 4 insurers · median $1,433
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,257 - $3,173
from 3 insurers · median $3,065
Typical for a hospital with this service line
CT imaging
CPT 71275
$467 - $2,553
from 4 insurers · median $1,562
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,101 - $2,963
from 3 insurers · median $2,337
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,217 - $3,173
from 3 insurers · median $3,000
Typical for a hospital with this service line
Mammography
CPT 77067
$100 - $503
from 4 insurers · median $341
Typical for a hospital with this service line
Gynecology
CPT 58571
$9,015 - $15,798
from 2 insurers · median $12,407
Typical for a hospital with this service line
MRI imaging
CPT 70553
$926 - $2,956
from 4 insurers · median $1,779
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,680 - $13,550
from 3 insurers · median $9,015
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$9,015 - $15,678
from 2 insurers · median $12,347
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$92 - $240
from 4 insurers · median $211
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,438 - $5,130
from 3 insurers · median $4,822
Typical for a hospital with this service line
MRI imaging
CPT 72148
$561 - $2,368
from 4 insurers · median $1,468
Typical for a hospital with this service line
MRI imaging
CPT 70551
$557 - $2,463
from 4 insurers · median $1,160
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$18,869 - $18,887
from 2 insurers · median $18,878
Hospital reports inpatient surgical services to CMS
Gynecology
CPT 58661
$1,664 - $25,846
from 3 insurers · median $9,015
Typical for a hospital with this service line
Ultrasound
CPT 76705
$237 - $718
from 4 insurers · median $416
Typical for a hospital with this service line
MRI imaging
CPT 73721
$567 - $2,969
from 4 insurers · median $1,262
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$4,822 - $8,100
from 2 insurers · median $6,461
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,853 - $6,659
from 3 insurers · median $4,822
Typical for a hospital with this service line
Urology
CPT 50590
$1,977 - $16,465
from 3 insurers · median $9,015
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* | 12 | 782% | 11 | 1 |
| Insurer B* | 23 | 419% | 12 | 8 |
| Insurer C* | 24 | 260% | 2 | 18 |
| Insurer D* | 21 | 168% | 1 | 14 |
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 Thedacare Medical Center - Wild Rose.
601 Grove Avenue, Wild Rose, WI 54984
(920) 622-3257
The nearest hospitals of similar type and size. Their rates are compared with Thedacare Medical Center - Wild Rose for the same insurers and services above.
Gundersen Moundview Hospital
▲ Rates typically 52% higher than Thedacare Medical Center - Wild Rose (24 services)
Ripon Medical Center
▲ Rates typically 57% higher than Thedacare Medical Center - Wild Rose (22 services)
Waupun Memorial Hospital
▲ Rates typically 50% higher than Thedacare Medical Center - Wild Rose (22 services)
Calumet Hospital
▼ Rates typically 34% lower than Thedacare Medical Center - Wild Rose (19 services)
Reedsburg Area Medical Center
▲ Rates typically 54% higher than Thedacare Medical Center - Wild Rose (19 services)
Prairie Ridge Health
▲ Rates typically 134% higher than Thedacare Medical Center - Wild Rose (17 services)
Thedacare Medical Center-New London
Thedacare-Berlin
Thedacare Medical Center - Waupaca
Thedacare Medical Center - Shawano
About Thedacare Medical Center - Wild Rose's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Thedacare Medical Center - Wild Rose range from $926 to $2,956 across 4 insurers. Cigna's rate is $926. The median at nearby comparable hospitals is $3,143. 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 Thedacare Medical Center - Wild Rose range from $844 to $3,491 across 4 insurers. Aetna's rate is $3,491. The median at nearby comparable hospitals is $2,791. 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 Thedacare Medical Center - Wild Rose range from $1,257 to $3,173 across 3 insurers. UnitedHealthcare's rate is $3,173. The median at nearby comparable hospitals is $3,916. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Thedacare Medical Center - Wild Rose range from $100 to $503 across 4 insurers. Blue Cross Blue Shield's rate is $318. The median at nearby comparable hospitals is $276. What a patient pays depends on their plan's deductible, coinsurance and network status.
Thedacare Medical Center - Wild Rose has 25 beds. Facility type: Critical Access Hospital.
Thedacare Medical Center - Wild Rose is located at 601 Grove Avenue, Wild Rose, WI 54984. Its main phone number is (920) 622-3257.
Thedacare Medical Center - Wild Rose's CMS Certification Number (CCN), also called its Medicare provider number, is 521303.
The National Provider Identifier (NPI) on file for Thedacare Medical Center - Wild Rose is 1043263999.
Thedacare Medical Center - Wild Rose is affiliated with ThedaCare.
Thedacare Medical Center - Wild Rose lists 39 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.
169 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