Hudson Hospital
405 Stageline Road, Hudson, WI 54016 · 95 Priced Procedures · 80% Patient Recommendation
Typical commercial prices here are +78% above the fair benchmark (1.78×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.78× fair market pricing.
Cash-Arbitrage Bifurcated Pricer
Hudson Hospital maintains elevated commercial insurance contracts (1.78× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 78% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.36× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 78% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 80% patient recommendation (75/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.78× 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 1.77× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.16×) jump +22% above the median procedure ratio (Q50 1.77×)
- Unnegotiated chargemaster list prices average 9.3× Medicare (17¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Hudson Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,651 | 1.1× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $8,076 | 0.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,535 | 2.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,417 | 2.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,417 | 2.4× |
| Trauma team activation HCPCS Code: G0390 | $1,404 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,140 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $931 | 1.6× |
| Blood transfusion CPT Code: 36430 | $807 | 1.6× |
| Rabies immune globulin HCPCS Code: 90375 | $779 | 2.4× |
| MRI, lower back (no contrast) CPT Code: 72148 | $645 | 1.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $645 | 1.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $645 | 1.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $645 | 1.3× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $608 | 1.4× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $578 | 1.9× |
| Screening mammogram (both breasts) CPT Code: 77067 | $501 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $470 | 2.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $447 | 1.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $446 | 1.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $388 | 1.5× |
| CT scan, pelvis CPT Code: 72192 | $353 | 2.2× |
| CT scan, sinuses CPT Code: 70486 | $353 | 2.1× |
| CT scan, chest (no contrast) CPT Code: 71250 | $353 | 2.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $353 | 2.1× |
Audit a Bill or Quote at Hudson Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,038
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.2% of gross = $5,038).
Self-Pay Cash Rate ($6,646) Beats Your Bill
Hudson Hospital's published 45 CFR § 180 self-pay cash rate is $6,646 (vs. $8,651 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)
Your bill ($14,732) is $6,509 above the denoised Fair BaseRate ($8,223) and 2.6× the $5,676 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (34.2% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (277 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Hudson Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.