How many shoppable procedure prices are published for Black River Memorial Hospital?

Black River Memorial Hospital in Black River Falls, WI currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Black River Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Black River Memorial Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-01-08

Black River Memorial Hospital

711 W Adams St, Black River Falls, WI 54615 · 116 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.85×vs. Fair Market Price

Typical commercial prices here are 15% below the fair benchmark (0.85×) after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness90

Price Logic61

Peer Alignment74

Clean Billing74

Real Cash Discount44

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.85× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Black River Memorial Hospital maintains disciplined commercial pricing across both elective shoppable care (1.1× Medicare) and captive emergency/ancillary departments (1.5× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.85× Fair BaseRate) without hidden ancillary cross-subsidization.

#7 of 99 in WI · 6th State Percentile#445 of 3,385 in U.S. · 13th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 15% below peer Fair BaseRate (0.85×)
Self-pay cash beats commercial insurance on 53% of shoppable procedures (44/100 Cash Honesty)
5-Star CMS clinical rating with 84% patient recommendation (82/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (60.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.85× 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 (0.7×) & laboratory (3.6×) services average 1.36× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.35×) jump +93% above the median procedure ratio (Q50 0.70×)
Unnegotiated chargemaster list prices average 8.7× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.36× Divergence

1.5× Medicare

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

Quantile Tail Spread+93% Upper Tail

Q25 0.34× · Q50 0.70× · Q75 1.35×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

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

0.5× MedicareGood

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

53% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 82/100Good

Procedure Prices at Black River Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,932	$5,932	$6,109	1.0×
Total hip replacement CPT Code: `27130`	$5,270	$5,270	$13,413	0.4×
Total knee replacement CPT Code: `27447`	$5,264	$5,264	$13,523	0.4×
Inguinal hernia repair CPT Code: `49505`	$4,524	$4,524	$3,629	1.2×
Breast lump removal CPT Code: `19120`	$4,110	$4,110	$3,875	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,726	$3,726	$448	8.3×
Rabies immune globulin HCPCS Code: `90375`	$2,588	$2,588	$322	8.0×
Trauma team activation HCPCS Code: `G0390`	$4,555	$2,581	$1,453	1.8×
C-section delivery (full package) CPT Code: `59510`	$10,183	$1,149	$2,975	0.4×
Vaginal delivery (full package) CPT Code: `59400`	$8,130	$1,034	$2,680	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$723	$723	$132	5.5×
Injection procedure for pain management HCPCS Code: `G0260`	$1,229	$696	$855	0.8×
Bunion correction surgery CPT Code: `28296`	$3,421	$607	$3,446	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,112	$544	$3,372	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,101	$498	$2,540	0.2×
X-ray, shoulder CPT Code: `73030`	$422	$422	$92	4.6×
X-ray, foot CPT Code: `73630`	$416	$416	$92	4.5×
Upper endoscopy with biopsy CPT Code: `43239`	$2,216	$438	$987	0.4×
X-ray, ankle CPT Code: `73610`	$411	$411	$93	4.4×
Colonoscopy with biopsy CPT Code: `45380`	$2,752	$414	$1,256	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$365	$365	$93	3.9×
X-ray, pelvis CPT Code: `72170`	$308	$308	$110	2.8×
Blood transfusion CPT Code: `36430`	$587	$333	$498	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,364	$325	$981	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$405	$230	$86	2.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,717	$219	$583	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,562	$208	$1,021	0.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$395	$224	$35	unverified
X-ray, hip CPT Code: `73502`	$425	$110	$93	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$183	$134	$181	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$193	$93	$35	2.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$187	$101	$64	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$874	$95	$148	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$202	$114	$185	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$3,489	$105	$343	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,619	$118	$511	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$245	$119	$25	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$215	$122	$40	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$151	$86	$38	2.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$177	$87	$87	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$241	$92	$123	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$430	$81	$123	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$132	$90	$166	0.5×
Family therapy session CPT Code: `90847`	$104	$90	$173	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$164	$92	$201	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,318	$85	$272	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$3,715	$85	$369	0.2×
Typhoid vaccine HCPCS Code: `90675`	$1,042	$609	$347	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$471	$267	$203	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$239	$239	$11	unverified
Blood test, vitamin D CPT Code: `82306`	$260	$260	$31	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$316	$179	$140	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$176	$176	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$194	$194	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$193	$193	$9	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$198	$198	$19	unverified
Blood test, vitamin B12 CPT Code: `82607`	$171	$171	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$161	$161	$14	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$177	$177	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$183	$183	$15	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$198	$198	$20	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$250	$142	$111	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$121	$121	$10	unverified
Blood test, lipase CPT Code: `83690`	$117	$117	$7	unverified
Culture, blood CPT Code: `87040`	$142	$142	$11	unverified
Drug screening test HCPCS Code: `G0480`	$202	$114	$116	1.0×
X-ray, chest (two views) CPT Code: `71046`	$301	$79	$93	0.8×
X-ray, hand CPT Code: `73130`	$399	$79	$93	0.8×
X-ray, chest (single view) CPT Code: `71045`	$150	$67	$92	0.7×
Blood test, amylase CPT Code: `82150`	$88	$88	$7	unverified
Blood test, magnesium CPT Code: `83735`	$90	$90	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$107	$107	$8	unverified
Culture, bacterial CPT Code: `87070`	$130	$130	$9	unverified
Physical therapy (gait training) CPT Code: `97116`	$130	$72	$33	2.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$144	$82	$49	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$141	$80	$48	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	$142	$80	$49	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$86	$49	$14	3.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$126	$72	$56	1.3×
X-ray, lower back CPT Code: `72110`	$727	$53	$112	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,035	$77	$168	0.5×
Blood test, calcium CPT Code: `82310`	$46	$46	$5	9.2×
Psychological testing evaluation CPT Code: `96136`	$91	$49	$128	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$924	$63	$167	0.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,045	$62	$169	0.4×
CT scan, sinuses CPT Code: `70486`	$1,708	$57	$166	0.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,719	$77	$303	0.3×
Blood test, potassium CPT Code: `84132`	$73	$73	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$95	$95	$6	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$120	$68	$34	2.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$125	$71	$38	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$127	$62	$38	1.6×
Prosthetic fitting and training CPT Code: `97761`	$113	$64	$45	1.4×
Orthotic fitting and training CPT Code: `97760`	$122	$69	$51	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$126	$71	$86	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$158	$71	$110	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$849	$46	$134	0.3×
CT scan, pelvis CPT Code: `72192`	$1,905	$49	$163	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$3,448	$74	$338	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$71	$71	$3	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$83	$83	$5	unverified
Ultrasound, pelvis CPT Code: `76856`	$764	$35	$130	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,691	$43	$160	0.3×
Blood test, sodium CPT Code: `84295`	$59	$59	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$67	$67	$4	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$641	$33	$126	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,593	$57	$258	0.2×
CT scan, head (with contrast) CPT Code: `70460`	$2,020	$51	$242	0.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$52	$52	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$45	$45	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$63	$63	$5	unverified
Blood antibody screen CPT Code: `86850`	$185	$86	$46	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$68	$39	$37	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$66	$37	$39	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$72	$25	$33	0.8×
Group therapy session CPT Code: `90853`	$20	$20	$100	0.2×

Showing top 25 high-impact procedures of 116 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 60.2%

Audit a Bill or Quote at Black River Memorial Hospital (Zero PHI Required)

CMS CCN: 521333

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $5,932

Insurer Median $5,932

1. Amount on Your Bill or Quote ($) Pre-filled with Black River Memorial Hospital’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: $3,965 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3,965

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (60.2% of gross = $3,965).

Step 2 · Cash vs. Insurance Arbitrage Save $659 Paying Cash

Self-Pay Cash Rate ($5,932) Beats Your Bill

Black River Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $5,932 (vs. $5,932 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$482 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($6,591) is $482 above the denoised Fair BaseRate ($6,109) and 1.1× the $6,176 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: 391027536

Filing Period: 196408

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 (60.2% 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 Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend84%

Rated 9 or 10 (HCAHPS)87%

Median ER Wait102 min

Left ER Before Seen0%

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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Black River Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-12-17·administrative_or_closure
Closure Notice
Recorded
2025-09-15·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (105 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Black River Memorial Hospital.

Price Index: 1.29× regional baseline

Quality: 84/100 CMS composite

Median Household Income$65,508U.S. Census ACS

Local Uninsured Share7.8%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 69/100 · Caution CMS CCN 521333 EIN 391027536

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 521333) ↗ Verify IRS Form 990 (EIN 391027536) ↗ CMS HCRIS Cost Reports ↗

Published MRF File391027536_Black-River-Health-Inc_standardcharges.csv

Publication / Vintage2026-01-08 · 122.86 MB

Validated Rate Rows8,297 (CMS v3.0.0)

File Integrity Digest884972ed5bb6748f615f…

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