CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Black River Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$101
about 0.7× the $136 Medicare rate · typically $65–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
about $9 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $101 This hospital $92 Cash price $241 Hospital's list price $268

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $73 Priciest $92

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $101 (about 0.7× the $136 Medicare rate). Black River Memorial Hospital charges insurers about $92, or about $241 in cash — about the fair price. Located in Black River Falls, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $59 - $875 44%
Blue Cross Blue Shieldmajor $59 - $817 44%
Aetnamajor $112 - $900 83%
Cignamajor $112 - $900 83%
Humanamajor $59 - $863 44%
HealthPartners $112 - $900 83%
Medica $107 - $867 79%
Quartz $59 - $844 44%
Security Health Plan $59 - $867 44%
+ 10 smaller / regional plans $59 - $909
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 711 W Adams St, Black River Falls, WI 54615
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals