How many shoppable procedure prices are published for Crossing Rivers Health Medical Center?

Crossing Rivers Health Medical Center in Prairie Du Chien, WI currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Crossing Rivers Health Medical Center's commercial prices compare to the fair BaseRate?

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

What is Crossing Rivers Health Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Crossing Rivers Health Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 24 Beds · rural Updated: 2026-07-23

Crossing Rivers Health Medical Center

37868 Us Hwy 18, Prairie Du Chien, WI 53821 · 116 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.13×vs. Fair Market Price

Typical commercial prices here are +13% above the fair benchmark (1.13×) even after accounting for local nurse/doctor wages and patient complexity.

63/100 · Caution

63/100Self-Pay Cash Beats Insurance 21% of the Time

File Completeness90

Price Logic64

Peer Alignment56

Clean Billing88

Real Cash Discount6

High Quality · Fair Price

5-Star CMS clinical quality rating paired with 1.13× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Crossing Rivers Health Medical Center prices routine shoppable procedures near 1.0× Medicare (p50 1.10×) while skewing captive emergency, lab, and upper-quartile codes to 1.5× Medicare (p75 1.58×, +44% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#32 of 99 in WI · 31st State Percentile#1,806 of 3,385 in U.S. · 53rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.44× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 21% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (80/100 safety score) with 79% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (59.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.13× 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 (0.4×) & laboratory (1.5×) services average 1.50× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.58×) jump +44% above the median procedure ratio (Q50 1.10×)
Unnegotiated chargemaster list prices average 8.3× Medicare (25¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.50× Divergence

1.5× Medicare

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

Quantile Tail Spread+44% Upper Tail

Q25 0.44× · Q50 1.10× · Q75 1.58×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

0.5× MedicareGood

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

21% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 80/100Good

Procedure Prices at Crossing Rivers Health Medical Center

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
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$56,021	$24,111	$19,432	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$18,072	$18,072	$19,087	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$18,412	$9,745	$8,223	1.2×
Total hip replacement CPT Code: `27130`	$6,167	$6,167	$13,413	0.5×
Total knee replacement CPT Code: `27447`	$6,159	$6,159	$13,523	0.5×
Breast lump removal CPT Code: `19120`	$3,944	$3,944	$3,875	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,422	$3,422	$583	5.9×
Trauma team activation HCPCS Code: `G0390`	$3,300	$3,300	$1,453	2.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,121	$3,121	$6,109	0.5×
Rabies immune globulin HCPCS Code: `90375`	$2,719	$2,719	$322	unverified
Bunion correction surgery CPT Code: `28296`	$2,575	$2,575	$3,446	0.7×
C-section delivery (full package) CPT Code: `59510`	$12,517	$2,145	$2,975	0.7×
Vaginal delivery (full package) CPT Code: `59400`	$11,371	$1,945	$2,680	0.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,121	$1,611	$1,021	1.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,028	$1,028	$272	3.8×
Blood transfusion CPT Code: `36430`	$1,231	$978	$498	2.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,812	$978	$855	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,659	$473	$3,372	0.1×
Cataract surgery with lens implant CPT Code: `66984`	$2,694	$442	$2,540	0.2×
Inguinal hernia repair CPT Code: `49505`	$2,486	$453	$3,629	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$366	$366	$201	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$383	$383	$86	unverified
X-ray, hand CPT Code: `73130`	$312	$312	$93	3.4×
X-ray, ankle CPT Code: `73610`	$253	$253	$93	2.7×
X-ray, foot CPT Code: `73630`	$220	$220	$92	2.4×
X-ray, pelvis CPT Code: `72170`	$235	$235	$110	2.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$362	$238	$181	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$403	$240	$185	1.3×
X-ray, chest (single view) CPT Code: `71045`	$201	$201	$92	2.2×
Family therapy session CPT Code: `90847`	$242	$190	$173	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,374	$190	$511	0.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$245	$160	$166	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$173	$173	$86	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,435	$132	$303	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,955	$151	$448	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$890	$153	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$969	$166	$1,256	0.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$297	$86	$123	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,720	$105	$258	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,249	$124	$338	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,560	$122	$343	0.4×
CT scan, pelvis CPT Code: `72192`	$1,347	$90	$163	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,455	$94	$242	0.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,079	$113	$369	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$671	$116	$987	0.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$482	$84	$148	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,406	$89	$167	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,401	$84	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,444	$84	$169	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$363	$281	$203	1.4×
Typhoid vaccine HCPCS Code: `90675`	$1,157	$281	$347	0.8×
Blood test, hemoglobin CPT Code: `85018`	$67	$67	$3	22.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$160	$64	$14	4.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$116	$57	$25	2.3×
Physical therapy (manual therapy) CPT Code: `97140`	$176	$74	$34	2.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$188	$74	$35	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$167	$74	$38	1.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$186	$74	$38	1.9×
Physical therapy (gait training) CPT Code: `97116`	$173	$64	$33	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$163	$74	$40	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$101	$64	$37	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$156	$64	$38	1.7×
Prosthetic fitting and training CPT Code: `97761`	$189	$74	$45	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$84	$64	$39	1.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$76	$76	$49	1.6×
Blood test, vitamin D CPT Code: `82306`	$353	$48	$31	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$73	$73	$48	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	$73	$73	$49	1.5×
Orthotic fitting and training CPT Code: `97760`	$189	$74	$51	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$168	$64	$56	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$355	$57	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$216	$60	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$285	$74	$110	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$283	$64	$111	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$375	$63	$123	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$769	$68	$134	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$120	$64	$140	0.5×
Group therapy session CPT Code: `90853`	$66	$45	$100	0.5×
Ultrasound, pelvis CPT Code: `76856`	$570	$58	$130	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,290	$71	$160	0.4×
CT scan, sinuses CPT Code: `70486`	$1,266	$72	$166	0.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$505	$50	$126	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$80	$64	$25	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$94	$9	$4	2.3×
Blood test, potassium CPT Code: `84132`	$91	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$80	$9	$5	1.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$92	$8	$5	1.6×
Culture, bacterial CPT Code: `87070`	$102	$14	$9	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$190	$23	$16	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$520	$48	$132	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$87	$9	$4	2.3×
Blood test, calcium CPT Code: `82310`	$89	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$97	$9	$5	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	$223	$15	$9	1.7×
Blood test, liver function panel CPT Code: `80076`	$260	$15	$9	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$101	$5	$3	1.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$172	$21	$14	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$309	$15	$11	1.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$120	$8	$6	1.3×
Blood test, amylase CPT Code: `82150`	$84	$9	$7	1.3×
Blood test, lipase CPT Code: `83690`	$115	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$108	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$246	$23	$18	1.3×
Culture, blood CPT Code: `87040`	$193	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$231	$19	$15	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$167	$10	$8	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$247	$21	$19	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$154	$15	$14	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$251	$19	$20	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$133	$9	$10	0.9×
X-ray, lower back CPT Code: `72110`	$434	$23	$112	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$284	$19	$93	0.2×
X-ray, hip CPT Code: `73502`	$277	$19	$93	0.2×
X-ray, chest (two views) CPT Code: `71046`	$235	$18	$93	0.2×
X-ray, shoulder CPT Code: `73030`	$273	$16	$92	0.2×
Blood antibody screen CPT Code: `86850`	$205	$7	$46	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 59.5%

Audit a Bill or Quote at Crossing Rivers Health Medical Center (Zero PHI Required)

CMS CCN: 521330

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $56,021

Insurer Median $24,111

1. Amount on Your Bill or Quote ($) Pre-filled with Crossing Rivers Health 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: $33,310 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $33,310

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (59.5% of gross = $33,310).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $56,021

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Crossing Rivers Health Medical Center's published 45 CFR § 180 self-pay cash rate is $56,021 (vs. $24,111 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$36,589 Above Fair BaseRate

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

Your bill ($56,021) is $36,589 above the denoised Fair BaseRate ($19,432) and 4.0× the $14,044 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)

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 (59.5% 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 Overall5/5 Stars (5/5)

Safety Composite80/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait163 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Crossing Rivers Health Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-03-20·administrative_or_closure
Met Requirements
Recorded
2023-01-09·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (108 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

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

Price Index: 1.39× regional baseline

Quality: 83/100 CMS composite

Median Household Income$63,496U.S. Census ACS

Local Uninsured Share6.8%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 63/100 · Caution CMS CCN 521330

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 521330) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-23 · 46.04 MB

Validated Rate Rows3,660 (CMS v3.0.0)

File Integrity Digestd2fdae1217d4803b8dd7…

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