How many shoppable procedure prices are published for Aspirus Riverview Hospital & Clinics Inc?

Aspirus Riverview Hospital & Clinics Inc in Wisconsin Rapids, WI currently has 131 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Aspirus Riverview Hospital & Clinics Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Aspirus Riverview Hospital & Clinics Inc's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Aspirus Riverview Hospital & Clinics Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Aspirus Riverview Hospital & Clinics Inc an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 44 Beds · rural Updated: 2026-04-01

Aspirus Riverview Hospital & Clinics Inc

410 Dewey St, Wisconsin Rapids, WI 54494 · 131 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.52×vs. Fair Market Price

Typical commercial prices here are +52% above the fair benchmark (1.52×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness60

Price Logic62

Peer Alignment73

Clean Billing75

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.52× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +62% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Aspirus Riverview Hospital & Clinics Inc prices routine shoppable procedures at 2.2× Medicare (median 1.32× Fair BaseRate) while upper-quartile commercial rates jump +62% to 2.14× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#54 of 99 in WI · 53rd State Percentile#2,675 of 3,385 in U.S. · 78th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (74/100 safety score) with 67% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.52× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.32× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.14×) jump +62% above the median procedure ratio (Q50 1.32×)
Consolidated metro market (HHI 6,518) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.82× Divergence

1.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+62% Upper Tail

Q25 0.89× · Q50 1.32× · Q75 2.14×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 74/100Fair

Procedure Prices at Aspirus Riverview Hospital & Clinics Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 131 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$53,351	$30,775	1.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$32,081	$19,087	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$31,856	$19,432	1.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$23,167	$17,936	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,875	$8,223	1.6×
Total hip replacement CPT Code: `27130`	$8,341	$8,775	$13,413	0.7×
Total knee replacement CPT Code: `27447`	$8,548	$7,006	$13,523	0.5×
C-section delivery (full package) CPT Code: `59510`	$5,793	$5,915	$2,975	2.0×
Vaginal delivery (full package) CPT Code: `59400`	$4,891	$5,733	$2,680	2.1×
Bunion correction surgery CPT Code: `28296`	$3,747	$3,747	$3,446	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,652	$3,516	$6,109	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,564	$3,218	$3,372	1.0×
Breast lump removal CPT Code: `19120`	$2,691	$2,691	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	$5,556	$2,485	$3,629	0.7×
Trauma team activation HCPCS Code: `G0390`	$2,072	$2,072	$1,453	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,963	$1,473	$343	4.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,654	$1,473	$369	4.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,597	$1,473	$511	2.9×
CT scan, sinuses CPT Code: `70486`	$1,392	$1,473	$166	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,948	$1,473	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,208	$1,359	$448	3.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,864	$930	$981	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,409	$867	$1,021	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$2,125	$858	$1,256	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	$778	$778	$855	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,839	$709	$258	2.7×
Cataract surgery with lens implant CPT Code: `66984`	$4,623	$715	$2,540	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,512	$637	$303	2.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$544	$636	$148	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,543	$594	$242	2.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$591	$591	$272	2.2×
Blood transfusion CPT Code: `36430`	$584	$584	$498	1.2×
CT scan, pelvis CPT Code: `72192`	$1,277	$512	$163	3.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,435	$514	$167	3.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,566	$520	$169	3.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,856	$514	$168	3.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$353	$504	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$590	$471	$134	3.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,581	$487	$987	0.5×
Ultrasound, pelvis CPT Code: `76856`	$420	$438	$130	3.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,288	$414	$160	2.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,767	$421	$583	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$343	$388	$123	3.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$403	$358	$126	2.8×
Rabies immune globulin HCPCS Code: `90375`	$877	$344	$322	1.1×
Neurobehavioral status check CPT Code: `96116`	$357	$357	$231	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$278	$286	$185	1.5×
Behavioral health day treatment HCPCS Code: `H0010`	$309	$309	$343	0.9×
X-ray, hip CPT Code: `73502`	$243	$217	$93	2.3×
Care planning with family CPT Code: `90887`	$239	$239	$107	2.2×
New patient office visit (30-44 min) CPT Code: `99203`	$231	$234	$110	2.1×
X-ray, lower back CPT Code: `72110`	$285	$234	$112	2.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$241	$241	$123	2.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$259	$229	$181	1.3×
Family therapy session CPT Code: `90847`	$248	$248	$173	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$166	$177	$87	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$195	$173	$93	1.9×
X-ray, hand CPT Code: `73130`	$193	$169	$93	1.8×
X-ray, ankle CPT Code: `73610`	$163	$157	$93	1.7×
X-ray, foot CPT Code: `73630`	$158	$154	$92	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$265	$175	$151	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$173	$179	$166	1.1×
X-ray, chest (two views) CPT Code: `71046`	$215	$139	$93	1.5×
X-ray, shoulder CPT Code: `73030`	$235	$132	$92	1.4×
X-ray, chest (single view) CPT Code: `71045`	$162	$103	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$203	$117	$110	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$144	$91	$35	2.6×
Psychological testing evaluation CPT Code: `96136`	$115	$113	$128	0.9×
Mental health services (assessment) HCPCS Code: `H0031`	$116	$116	$140	0.8×
Behavioral health assessment HCPCS Code: `H0001`	$111	$111	$157	0.7×
Psychological testing by technician CPT Code: `96138`	$87	$87	$395	unverified
Typhoid vaccine HCPCS Code: `90675`	$588	$394	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$164	$181	$203	0.9×
Blood test, liver function panel CPT Code: `80076`	$102	$102	$9	11.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$114	$114	$11	10.4×
Hepatitis C antibody test CPT Code: `86803`	$116	$116	$15	7.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$115	$115	$20	5.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$126	$126	$27	4.7×
Drug screening test HCPCS Code: `G0480`	$228	$120	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$182	$135	$140	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$92	$92	$9	10.2×
Culture, blood CPT Code: `87040`	$87	$87	$11	7.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$107	$107	$14	7.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$90	$90	$14	6.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$274	$97	$111	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$112	$112	$18	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$44	$44	$4	11.0×
Blood test, calcium CPT Code: `82310`	$53	$53	$5	10.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$49	$49	$5	9.8×
Blood test, lipase CPT Code: `83690`	$68	$68	$7	9.7×
Colorectal cancer screening HCPCS Code: `G0010`	$48	$68	$49	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$254	$77	$86	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$66	$66	$86	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$77	$75	$201	0.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$80	$80	$8	unverified
Blood test, hemoglobin CPT Code: `85018`	$36	$36	$3	12.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$46	$46	$5	9.2×
Blood test, potassium CPT Code: `84132`	$44	$44	$5	8.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$69	$69	$10	6.9×
Blood test, sodium CPT Code: `84295`	$42	$42	$5	8.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$118	$39	$19	2.1×
Blood test, vitamin D CPT Code: `82306`	$176	$62	$31	2.0×
Blood antibody screen CPT Code: `86850`	$94	$51	$46	1.1×
Culture, bacterial CPT Code: `87070`	$77	$22	$9	2.4×
Blood test, vitamin B12 CPT Code: `82607`	$111	$24	$16	1.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$154	$32	$25	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$94	$38	$39	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$82	$52	$56	0.9×
Orthotic fitting and training CPT Code: `97760`	$109	$46	$51	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$139	$34	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$92	$40	$45	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$75	$13	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$98	$29	$33	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$78	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$98	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$97	$32	$38	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$27	$40	$48	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$97	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$97	$28	$34	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$131	$46	$64	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$40	$40	$3	unverified
Group therapy session CPT Code: `90853`	$58	$58	$100	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$47	$9	$4	2.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$65	$9	$6	1.5×
Blood test, magnesium CPT Code: `83735`	$53	$9	$7	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$55	$29	$25	1.2×
Blood test, amylase CPT Code: `82150`	$62	$7	$7	1.0×
Speech therapy (group session) CPT Code: `92508`	$68	$24	$27	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$100	$28	$37	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$27	$27	$49	0.6×

Showing top 25 high-impact procedures of 131 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 29.9%

Audit a Bill or Quote at Aspirus Riverview Hospital & Clinics Inc (Zero PHI Required)

CMS CCN: 520033

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $53,351

1. Amount on Your Bill or Quote ($) Pre-filled with Aspirus Riverview Hospital & Clinics Inc’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $38,233 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $38,233

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.9% of gross = $38,233).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Aspirus Riverview Hospital & Clinics Inc's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$97,267 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($128,042) is $97,267 above the denoised Fair BaseRate ($30,775) and 5.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 390868982

Filing Period: 193706

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (29.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait166 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (335 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Aspirus Riverview Hospital & Clinics Inc.

Price Index: 1.00× regional baseline

Quality: 68/100 CMS composite

Median Household Income$66,417U.S. Census ACS

Local Uninsured Share4.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 72/100 · Corroborated CMS CCN 520033 EIN 390868982

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (390868982_1295754844_aspirus-wisconsin-rapids-hospital_standardcharges.json) Verify on CMS Medicare.gov (CCN 520033) ↗ Verify IRS Form 990 (EIN 390868982) ↗ CMS HCRIS Cost Reports ↗

Published MRF File390868982_1295754844_aspirus-wisconsin-rapids-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 188.61 MB

Validated Rate Rows2,477 (CMS v3.0.0)

File Integrity DigestVerified · CCN 520033

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy

Aspirus Riverview Hospital & Clinics Inc

Wide Procedure Spread · Upper-Quartile Skew Pricer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Aspirus Riverview Hospital & Clinics Inc

Audit a Bill or Quote at Aspirus Riverview Hospital & Clinics Inc (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $38,233

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings