How many shoppable procedure prices are published for Aspirus Stevens Point Hospital & Clinics, Inc.?

Aspirus Stevens Point Hospital & Clinics, Inc. in Stevens Point, WI currently has 130 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Aspirus Stevens Point Hospital & Clinics, Inc.'s commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Aspirus Stevens Point Hospital & Clinics, Inc.'s median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

What is Aspirus Stevens Point Hospital & Clinics, Inc.'s CMS Care Compare overall star rating?

CMS Care Compare assigns Aspirus Stevens Point Hospital & Clinics, Inc. an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 82 Beds · rural Updated: 2026-04-01

Aspirus Stevens Point Hospital & Clinics, Inc.

900 Illinois Ave, Stevens Point, WI 54481 · 130 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.92×vs. Fair Market Price

Typical commercial prices here are +92% above the fair benchmark (1.92×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 35% of the Time

File Completeness60

Price Logic66

Peer Alignment70

Clean Billing64

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.92× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +102% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Aspirus Stevens Point Hospital & Clinics, Inc. prices routine shoppable procedures at 3.2× Medicare (median 1.50× Fair BaseRate) while upper-quartile commercial rates jump +102% to 3.03× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#66 of 99 in WI · 65th State Percentile#3,043 of 3,385 in U.S. · 89th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 35% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 66% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (27.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.92× 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 1.50× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.03×) jump +102% above the median procedure ratio (Q50 1.50×)
Consolidated metro market (HHI 8,960) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.2× Medicare

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

Back-Door Captive & ER0.72× Divergence

2.3× Medicare

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

Quantile Tail Spread+102% Upper Tail

Q25 0.93× · Q50 1.50× · Q75 3.03×

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

3.2× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

0.8× MedicareGood

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

35% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Aspirus Stevens Point 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 130 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$218	$26,723	$19,432	1.4×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$25,061	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,120	$19,087	0.8×
Breast lump removal CPT Code: `19120`	$2,153	$12,277	$3,875	unverified
Bunion correction surgery CPT Code: `28296`	$3,747	$12,277	$3,446	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,073	$8,223	1.3×
Total knee replacement CPT Code: `27447`	$6,839	$6,839	$13,523	0.5×
Trauma team activation HCPCS Code: `G0390`	$2,072	$6,233	$1,453	unverified
Vaginal delivery (full package) CPT Code: `59400`	$4,891	$4,948	$2,680	1.8×
Injection procedure for pain management HCPCS Code: `G0260`	$345	$4,155	$855	4.9×
C-section delivery (full package) CPT Code: `59510`	$5,793	$4,040	$2,975	1.4×
Inguinal hernia repair CPT Code: `49505`	$4,059	$3,582	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,852	$3,242	$3,372	1.0×
Total hip replacement CPT Code: `27130`	$6,673	$2,801	$13,413	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$67	$1,473	$201	7.3×
Neurobehavioral status check CPT Code: `96116`	$357	$1,473	$231	6.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$591	$1,473	$272	5.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,654	$1,473	$369	4.0×
Psychological testing by technician CPT Code: `96138`	$87	$1,473	$395	3.7×
Blood transfusion CPT Code: `36430`	$584	$1,473	$498	3.0×
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, brain (no contrast) CPT Code: `70551`	$2,963	$1,473	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,948	$1,473	$338	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,053	$1,416	$6,109	0.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,208	$1,359	$448	3.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,409	$867	$1,021	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,839	$709	$258	2.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$544	$671	$148	4.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,512	$637	$303	2.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,543	$594	$242	2.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,806	$615	$981	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$2,157	$616	$1,256	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$4,623	$616	$2,540	0.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$353	$504	$132	3.8×
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, abdomen (complete) CPT Code: `76700`	$473	$471	$134	3.5×
Screening mammogram (both breasts) CPT Code: `77067`	$234	$471	$123	unverified
Ultrasound, pelvis CPT Code: `76856`	$322	$440	$130	3.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,305	$441	$583	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,288	$414	$160	2.6×
Upper endoscopy with biopsy CPT Code: `43239`	$1,582	$438	$987	0.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$398	$358	$126	2.8×
Rabies immune globulin HCPCS Code: `90375`	$877	$344	$322	1.1×
Behavioral health day treatment HCPCS Code: `H0010`	$309	$309	$343	0.9×
X-ray, hip CPT Code: `73502`	$138	$221	$93	2.4×
Care planning with family CPT Code: `90887`	$239	$239	$107	2.2×
X-ray, lower back CPT Code: `72110`	$179	$237	$112	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$117	$173	$93	1.9×
X-ray, hand CPT Code: `73130`	$146	$173	$93	1.9×
X-ray, ankle CPT Code: `73610`	$94	$169	$93	1.8×
X-ray, foot CPT Code: `73630`	$91	$157	$92	1.7×
X-ray, shoulder CPT Code: `73030`	$150	$155	$92	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$224	$165	$123	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$365	$175	$151	1.2×
Family therapy session CPT Code: `90847`	$306	$172	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$366	$177	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$278	$179	$185	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$104	$116	$35	3.3×
X-ray, chest (two views) CPT Code: `71046`	$157	$139	$93	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$205	$135	$110	1.2×
X-ray, chest (single view) CPT Code: `71045`	$122	$103	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$127	$117	$110	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$244	$141	$166	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$158	$98	$87	1.1×
Mental health services (assessment) HCPCS Code: `H0031`	$116	$107	$140	0.8×
Behavioral health assessment HCPCS Code: `H0001`	$111	$111	$157	0.7×
Psychological testing evaluation CPT Code: `96136`	$115	$80	$128	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$27	$1,473	$49	30.1×
Colorectal cancer screening HCPCS Code: `G0010`	$48	$1,473	$49	30.1×
Typhoid vaccine HCPCS Code: `90675`	$588	$394	$347	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$27	$341	$48	7.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$164	$252	$203	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$182	$220	$140	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$274	$134	$111	1.2×
Drug screening test HCPCS Code: `G0480`	$235	$120	$116	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$112	$68	$18	3.8×
Speech therapy (language evaluation) CPT Code: `92507`	$254	$77	$86	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$107	$44	$14	3.1×
Hepatitis C antibody test CPT Code: `86803`	$116	$43	$15	2.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$115	$47	$20	2.4×
Blood test, vitamin D CPT Code: `82306`	$178	$62	$31	2.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$126	$47	$27	1.7×
Blood antibody screen CPT Code: `86850`	$94	$51	$46	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$141	$52	$56	0.9×
Orthotic fitting and training CPT Code: `97760`	$109	$46	$51	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$131	$57	$64	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$66	$66	$86	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$40	$11	$3	3.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$114	$34	$11	3.1×
Blood test, liver function panel CPT Code: `80076`	$102	$27	$9	3.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$80	$21	$8	2.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$90	$29	$14	2.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$118	$39	$19	2.1×
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×
Culture, blood CPT Code: `87040`	$87	$46	$11	unverified
Group therapy session CPT Code: `90853`	$58	$43	$100	unverified
Blood test, hemoglobin CPT Code: `85018`	$36	$7	$3	2.3×
Blood test, vitamin B12 CPT Code: `82607`	$111	$24	$16	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$47	$6	$4	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$65	$9	$6	1.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$55	$29	$25	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$75	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$68	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$98	$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×
Blood test, calcium CPT Code: `82310`	$53	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$49	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$44	$6	$5	1.2×
Blood test, amylase CPT Code: `82150`	$62	$7	$7	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$97	$32	$38	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$92	$31	$9	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$69	$32	$10	unverified
Blood test, sodium CPT Code: `84295`	$42	$6	$5	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$97	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$97	$28	$34	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$96	$27	$33	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$94	$30	$39	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$154	$17	$25	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$44	$6	$4	unverified
Blood test, lipase CPT Code: `83690`	$68	$10	$7	unverified
Blood test, magnesium CPT Code: `83735`	$53	$18	$7	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$46	$18	$5	unverified
Culture, bacterial CPT Code: `87070`	$77	$22	$9	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$100	$11	$37	unverified

Showing top 25 high-impact procedures of 130 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 27.5%

Audit a Bill or Quote at Aspirus Stevens Point Hospital & Clinics, Inc. (Zero PHI Required)

CMS CCN: 520002

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $218

Insurer Median $26,723

1. Amount on Your Bill or Quote ($) Pre-filled with Aspirus Stevens Point 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: $93 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $93

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (27.5% of gross = $93).

Step 2 · Cash vs. Insurance Arbitrage Save $118 Paying Cash

Self-Pay Cash Rate ($218) Beats Your Bill

Aspirus Stevens Point Hospital & Clinics, Inc.'s published 45 CFR § 180 self-pay cash rate is $218 (vs. $26,723 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $19,432 Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,432).

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: 390808443

Filing Period: 202304

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 (27.5% 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.

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 Composite72/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait145 min

Left ER Before Seen1%

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 Infectionsame

Source: CMS Hospital Care Compare (364 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 Stevens Point Hospital & Clinics, Inc..

Price Index: 1.00× regional baseline

Quality: 68/100 CMS composite

Median Household Income$73,284U.S. Census ACS

Local Uninsured Share5.0%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 71/100 · Corroborated CMS CCN 520002 EIN 390808443

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

MRF Portal Indexed (390808443_1538112230_aspirus-stevens-point-hospital_standardcharges.json) Verify on CMS Medicare.gov (CCN 520002) ↗ Verify IRS Form 990 (EIN 390808443) ↗ CMS HCRIS Cost Reports ↗

Published MRF File390808443_1538112230_aspirus-stevens-point-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 188.22 MB

Validated Rate Rows2,040 (CMS v3.0.0)

File Integrity DigestVerified · CCN 520002

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 Stevens Point 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 Stevens Point Hospital & Clinics, Inc.

Audit a Bill or Quote at Aspirus Stevens Point Hospital & Clinics, Inc. (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $93

Self-Pay Cash Rate ($218) Beats Your Bill

Negotiate Toward $19,432 Fair BaseRate ($14,044 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