How many shoppable procedure prices are published for Burnett Medical Center?

Burnett Medical Center in Grantsburg, WI currently has 112 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Burnett Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Burnett Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-10-01

Burnett Medical Center

257 W St George Ave, Grantsburg, WI 54840 · 112 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.06×vs. Fair Market Price

Typical commercial prices here are +6% above the fair benchmark (1.06×) even after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 58% of the Time

File Completeness100

Price Logic78

Peer Alignment61

Clean Billing89

Real Cash Discount100

High-Markup Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Burnett Medical Center maintains elevated commercial insurance contracts (1.06× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 58% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#26 of 99 in WI · 25th State Percentile#1,563 of 3,385 in U.S. · 46th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.82× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 58% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 68% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (77.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 0.98× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.29×) jump +32% above the median procedure ratio (Q50 0.98×)
Unnegotiated chargemaster list prices average 9.8× Medicare (28¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.85× Divergence

1.1× Medicare

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

Quantile Tail Spread+32% Upper Tail

Q25 0.82× · Q50 0.98× · Q75 1.29×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.5× MedicareGood

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

58% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Burnett Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$26,935	$26,935	$19,087	1.4×
Bunion correction surgery CPT Code: `28296`	$5,568	$5,568	$3,446	unverified
C-section delivery (full package) CPT Code: `59510`	$5,090	$3,967	$2,975	1.3×
Total hip replacement CPT Code: `27130`	$6,843	$3,833	$13,413	0.3×
Vaginal delivery (full package) CPT Code: `59400`	$3,374	$3,587	$2,680	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$11,506	$3,368	$8,223	0.4×
Total knee replacement CPT Code: `27447`	$3,310	$3,310	$13,523	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,930	$2,764	$6,109	0.5×
Trauma team activation HCPCS Code: `G0390`	$2,383	$2,383	$1,453	1.6×
Breast lump removal CPT Code: `19120`	$1,869	$2,029	$3,875	0.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,146	$1,960	$3,372	0.6×
Inguinal hernia repair CPT Code: `49505`	$2,600	$1,857	$3,629	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$3,464	$1,261	$2,540	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,374	$1,005	$981	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$4,121	$956	$1,256	0.8×
Rabies immune globulin HCPCS Code: `90375`	$878	$878	$322	2.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,747	$808	$987	0.8×
Blood transfusion CPT Code: `36430`	$562	$684	$498	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,906	$706	$583	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,412	$601	$511	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,505	$540	$1,021	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,635	$488	$160	3.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,134	$488	$242	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,073	$488	$258	1.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,913	$488	$303	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,383	$488	$448	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$3,412	$361	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$3,412	$361	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$3,412	$361	$369	1.0×
Ultrasound, pelvis CPT Code: `76856`	$982	$249	$130	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,086	$249	$134	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,664	$249	$272	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$232	$232	$86	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$857	$165	$126	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,019	$165	$132	1.3×
Injection procedure for pain management HCPCS Code: `G0260`	$182	$182	$855	0.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$370	$153	$123	1.2×
CT scan, pelvis CPT Code: `72192`	$1,602	$159	$163	1.0×
CT scan, sinuses CPT Code: `70486`	$2,274	$159	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$2,114	$159	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,125	$159	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,146	$159	$169	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$227	$104	$87	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$330	$128	$110	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$98	$96	$201	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$115	$115	$86	unverified
X-ray, chest (single view) CPT Code: `71045`	$192	$84	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$515	$84	$92	0.9×
X-ray, foot CPT Code: `73630`	$584	$84	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$261	$84	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$600	$84	$93	0.9×
X-ray, hand CPT Code: `73130`	$600	$84	$93	0.9×
X-ray, hip CPT Code: `73502`	$686	$84	$93	0.9×
X-ray, ankle CPT Code: `73610`	$626	$84	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$490	$84	$110	0.8×
X-ray, lower back CPT Code: `72110`	$828	$84	$112	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$178	$197	$203	1.0×
Typhoid vaccine HCPCS Code: `90675`	$374	$197	$347	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$108	$108	$140	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$275	$45	$14	3.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$70	$69	$35	2.0×
Drug screening test HCPCS Code: `G0480`	$167	$82	$116	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$60	$44	$25	1.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$120	$40	$25	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$206	$52	$34	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$199	$52	$35	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$213	$52	$38	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$178	$52	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	$81	$45	$33	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$224	$52	$40	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$42	$44	$37	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$224	$45	$38	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$43	$44	$39	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$306	$69	$123	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$340	$69	$148	0.5×
Blood test, vitamin D CPT Code: `82306`	$72	$33	$31	1.1×
Orthotic fitting and training CPT Code: `97760`	$152	$52	$51	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$69	$44	$56	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$60	$40	$64	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$116	$44	$111	0.4×
Blood test, hemoglobin CPT Code: `85018`	$38	$7	$3	2.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$69	$6	$4	1.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$64	$4	$3	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$134	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$174	$11	$9	1.2×
Blood test, calcium CPT Code: `82310`	$75	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$81	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$72	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$67	$6	$5	1.2×
Culture, bacterial CPT Code: `87070`	$103	$10	$9	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$171	$11	$11	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$39	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$177	$14	$14	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$53	$5	$5	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$91	$25	$27	0.9×
Culture, blood CPT Code: `87040`	$128	$10	$11	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$138	$16	$18	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$128	$7	$8	0.9×
Hepatitis C antibody test CPT Code: `86803`	$62	$13	$15	0.9×
Blood test, amylase CPT Code: `82150`	$104	$6	$7	0.9×
Blood test, lipase CPT Code: `83690`	$107	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$106	$6	$7	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$75	$5	$6	0.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$203	$11	$14	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$297	$14	$19	0.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$297	$13	$20	0.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$82	$6	$10	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$24	$24	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$14	$14	$49	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$8	$8	$49	0.2×
Blood antibody screen CPT Code: `86850`	$83	$5	$46	0.1×

Showing top 25 high-impact procedures of 112 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 77.4%

Audit a Bill or Quote at Burnett Medical Center (Zero PHI Required)

CMS CCN: 521331

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $26,935

Insurer Median $26,935

1. Amount on Your Bill or Quote ($) Pre-filled with Burnett Medical Center’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: $26,060 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $26,060

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (77.4% of gross = $26,060).

Step 2 · Cash vs. Insurance Arbitrage Save $6,734 Paying Cash

Self-Pay Cash Rate ($26,935) Beats Your Bill

Burnett Medical Center's published 45 CFR § 180 self-pay cash rate is $26,935 (vs. $26,935 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$14,582 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($33,669) is $14,582 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 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: 390938661

Filing Period: 195805

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 (77.4% 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

Safety Composite66/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)80%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (63 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Burnett Medical Center.

Price Index: 1.62× regional baseline

Quality: 54/100 CMS composite

Median Household Income$61,664U.S. Census ACS

Local Uninsured Share6.3%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 86/100 · Verified CMS CCN 521331 EIN 390938661

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 521331) ↗ Verify IRS Form 990 (EIN 390938661) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-10-01 · 37.16 MB

Validated Rate Rows3,218 (CMS v3.0.0)

File Integrity Digest29961e13fb18d0436b4c…

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.

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