Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Gundersen St Josephs Hospital and Clinics

400 WATER AVE, Hillsboro, WI 54634

CMS Overall Rating No CMS Rating

How this hospital's prices compare 137 procedures scored

1.3×

the fair BaseRate, typically

above the fair price

Across 137 shoppable procedures, Gundersen St Josephs Hospital and Clinics typically charges above the fair BaseRate — you may be able to pay less elsewhere. 71 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Behavioral health day program fair $203 → $1,271 6.3×
Group therapy session fair $155 → $668 4.3×
Psychological testing by technician fair $462 → $1,629 3.5×

How we calculate the BaseRate →

Gundersen St Josephs Hospital and Clinics publishes prices for 110 shoppable procedures in Hillsboro, WI. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 105

Patient Experience

Recommendation Rate: 80% High Patient Rating: 80% ER Wait Time (Med): 116 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 110 codes Typical vs Fair BaseRate: 1.3× Price File In Index: Yes MRF Version: 3.0.0

Prices at Gundersen St Josephs Hospital and Clinics

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Behavioral health day program HCPCS Code: `H2012`	—	$1,271	$203	6.3×
Group therapy session CPT Code: `90853`	—	$668	$155	4.3×
Psychological testing by technician CPT Code: `96138`	—	$1,629	$462	3.5×
Bunion correction surgery CPT Code: `28296`	—	$15,357	$4,539	3.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,245	$1,678	$536	3.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,245	$1,678	$546	3.1×
Behavioral health living support HCPCS Code: `H2019`	—	$344	$113	3.0×
CT scan, sinuses CPT Code: `70486`	$1,212	$1,678	$559	3.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,382	$1,678	$565	3.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,923	$2,617	$892	2.9×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$1,412	$486	2.9×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,412	$497	2.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,829	$2,617	$924	2.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,206	$2,617	$958	2.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,221	$1,883	$727	2.6×
X-ray, foot CPT Code: `73630`	$257	$443	$174	2.5×
Mental health services (assessment) HCPCS Code: `H0031`	—	$636	$258	2.5×
X-ray, shoulder CPT Code: `73030`	$244	$420	$171	2.4×
Behavioral health day treatment HCPCS Code: `H0010`	—	$1,412	$583	2.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$244	$420	$180	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,240	$1,883	$830	2.3×
Behavioral health assessment HCPCS Code: `H0001`	—	$636	$281	2.3×
X-ray, chest (two views) CPT Code: `71046`	$228	$393	$178	2.2×
X-ray, hip CPT Code: `73502`	$244	$420	$195	2.2×
X-ray, chest (single view) CPT Code: `71045`	$208	$337	$162	2.1×
Inguinal hernia repair CPT Code: `49505`	—	$9,710	$4,706	2.1×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$344	$170	2.0×
Care planning with family CPT Code: `90887`	—	$411	$205	2.0×
Mental health services (therapy) HCPCS Code: `H0032`	—	$253	$129	2.0×
Total hip replacement CPT Code: `27130`	—	$25,010	$12,837	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,795	$2,617	$1,346	1.9×
Total knee replacement CPT Code: `27447`	—	$25,010	$12,974	1.9×
Behavioral health residential care HCPCS Code: `H0011`	—	$1,412	$737	1.9×
X-ray, hand CPT Code: `73130`	$196	$337	$179	1.9×
X-ray, ankle CPT Code: `73610`	$196	$337	$181	1.9×
Residential mental health treatment HCPCS Code: `H2036`	—	$1,396	$763	1.8×
X-ray, pelvis CPT Code: `72170`	$192	$330	$181	1.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,309	$1,883	$1,041	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$387	$234	1.7×
Review of medical records for care CPT Code: `90889`	—	$253	$165	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$110	$141	$95	1.5×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,648	$1,789	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,665	$1,849	1.4×
Flu vaccine injection HCPCS Code: `G0008`	—	$106	$75	1.4×
Blood transfusion CPT Code: `36430`	$838	$1,152	$820	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,644	$6,922	1.4×
Family therapy session CPT Code: `90847`	—	$411	$298	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$387	$283	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,758	$4,254	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	—	$106	$80	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$106	$81	1.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,648	$2,070	1.3×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$48,851	$38,321	1.3×
Ultrasound, pelvis CPT Code: `76856`	$819	$438	$357	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,873	$2,034	$1,662	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$404	$380	$311	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$124	$102	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,183	$1,039	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,277	$1,245	$1,102	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$119	$146	$131	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$859	$438	$395	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,583	$4,221	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$68	$117	$110	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$7,031	$6,770	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$110	$136	$131	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$230	$188	$182	1.0×
Trauma team activation HCPCS Code: `G0390`	$1,138	$1,959	$1,908	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$182	$154	$151	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$143	$130	$129	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$121	$69	$69	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$87	$150	$150	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$94	$67	$67	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$110	$134	$135	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$620	$380	$391	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$6,358	$6,581	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,209	$438	$476	0.9×
Physical therapy (gait training) CPT Code: `97116`	$110	$117	$129	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,189	$20,288	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,771	$19,619	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,479	$20,505	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$89	$117	$138	0.8×
Breast lump removal CPT Code: `19120`	—	$3,518	$4,187	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$285	$195	$234	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$50	$64	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$81	$69	$99	0.7×
Typhoid vaccine HCPCS Code: `90675`	$464	$326	$471	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,233	$11,119	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$48	$67	$132	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$44	$22	$51	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$10	$28	0.4×
Hepatitis C antibody test CPT Code: `86803`	$95	$25	$76	0.3×
Culture, bacterial CPT Code: `87070`	$37	$22	$68	0.3×
Culture, blood CPT Code: `87040`	$69	$22	$81	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	$6	$23	0.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$52	$13	$53	0.2×
Blood antibody screen CPT Code: `86850`	$65	$10	$47	0.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$26	$10	$51	0.2×
X-ray, lower back CPT Code: `72110`	$625	—	$235	—
Hospital observation (per hour) HCPCS Code: `G0378`	$63	—	$98	unverified
Prosthetic fitting and training CPT Code: `97761`	$188	—	$139	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$72	—	$261	—
CT scan, pelvis CPT Code: `72192`	$1,372	—	$540	—
Blood test, hemoglobin CPT Code: `85018`	$16	—	$19	—
Rabies immune globulin HCPCS Code: `90375`	$5,181	—	$586	—
Orthotic fitting and training CPT Code: `97760`	$110	—	$143	—
CT scan, head (with contrast) CPT Code: `70460`	$1,529	—	$631	—
Speech therapy (language evaluation) CPT Code: `92507`	$233	—	$186	—
CT scan, head (no contrast) CPT Code: `70450`	$977	—	$551	—
Pneumococcal vaccine HCPCS Code: `90732`	$20	—	$162	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$33	—	$76	—