CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 70460 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$355
about 2.0× the $179 Medicare rate · typically $116–$1,845
modeled estimate · not a bill or quote
Medicare pays $179 Fair price $355 Cash price $1,501 Hospital's list price $2,926

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,221 681%
Blue Cross Blue Shieldmajor $990 - $2,322 552%
Aetnamajor $2,780 1551%
Humanamajor $2,487 1388%
Amerigroup $138 77%
Dean Health Plan $894 499%
HealthPartners $1,346 - $2,584 751%
Quartz $1,595 890%
Security Health Plan $1,346 751%
UCare $1,346 - $2,341 751%
+ 5 smaller / regional plans $990 - $2,780
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 402 W Lake St, Friendship, WI 53934
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals