Aspirus Stanley Hospital
1120 Pine St, Stanley, WI 54768 · 130 Priced Procedures · 77% Patient Recommendation
Typical commercial prices here are +107% above the fair benchmark (2.07×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Aspirus Stanley Hospital prices routine shoppable procedures near 2.2× Medicare (p50 1.60×) while skewing captive emergency, lab, and upper-quartile codes to 3.1× Medicare (p75 3.33×, +108% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 14% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 77% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (24.5% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.07× 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.
- Captive ER (0.6×) & laboratory (0.6×) services average 1.41× higher multiples than routine shoppable care (2.2×)
- Upper-quartile procedures (Q75 3.33×) jump +108% above the median procedure ratio (Q50 1.60×)
- Unnegotiated chargemaster list prices average 7.9× Medicare (15¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Aspirus Stanley Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 130 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $56,361 | 1.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $33,654 | 1.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $17,805 | 0.9× |
| Total hip replacement CPT Code: 27130 | $12,720 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $12,277 | 3.6× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,937 | 1.3× |
| Total knee replacement CPT Code: 27447 | $6,839 | 0.5× |
| Breast lump removal CPT Code: 19120 | $6,261 | 1.6× |
| Trauma team activation HCPCS Code: G0390 | $6,233 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $5,306 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $4,989 | 0.8× |
| C-section delivery (full package) CPT Code: 59510 | $4,914 | 1.7× |
| Injection procedure for pain management HCPCS Code: G0260 | $4,155 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $3,582 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,337 | 1.0× |
| Neurobehavioral status check CPT Code: 96116 | $1,473 | 6.4× |
| Psychological testing by technician CPT Code: 96138 | $1,473 | 3.7× |
| Blood transfusion CPT Code: 36430 | $1,473 | 3.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,305 | 2.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $857 | 2.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $851 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $757 | 2.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $709 | 2.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $682 | 0.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $701 | 0.6× |
Audit a Bill or Quote at Aspirus Stanley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $33,100
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (24.5% of gross = $33,100).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Aspirus Stanley Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($135,266) is $104,491 above the denoised Fair BaseRate ($30,775) and 5.8× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (24.5% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (39 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Aspirus Stanley Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.