Hospital Profile
Critical Access Hospitals Proprietary
Indianhead Medical Ctr
113 4TH AVE, Shell Lake, WI 54871
CMS Overall Rating No CMS Rating
Factual Overview
Indianhead Medical Ctr is a Critical Access Hospitals (Proprietary) operating in Shell Lake, WI. Mapped commercial insurance prices across 54 procedures average N/A the Medicare baseline. CMS has not published a quality star rating for this facility.
Facility Overview
Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 168
Patient Experience
Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 106 min Readmission Rate: same
Pricing & Transparency
Procedures Mapped: 54 codes Avg Markup vs Medicare: N/A Price File In Index: Yes MRF Version: 3.0.0
| Procedure & Code | Cash Price | Actions |
|---|---|---|
| Upper endoscopy with biopsy CPT Code: 43239 | $1,879 | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,440 | — |
| Colonoscopy with biopsy CPT Code: 45380 | $2,398 | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $3,056 | — |
| Inguinal hernia repair CPT Code: 49505 | $2,345 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $2,040 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $2,880 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,440 | — |
| CT scan, sinuses CPT Code: 70486 | $2,000 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $2,560 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,040 | — |
| X-ray, chest (single view) CPT Code: 71045 | $269 | — |
| X-ray, chest (two views) CPT Code: 71046 | $271 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,840 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $440 | — |
| X-ray, lower back CPT Code: 72110 | $470 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $778 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $692 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,316 | — |
| X-ray, pelvis CPT Code: 72170 | $309 | — |
| CT scan, pelvis CPT Code: 72192 | $810 | — |
| X-ray, shoulder CPT Code: 73030 | $332 | — |
| X-ray, hand CPT Code: 73130 | $360 | — |
| X-ray, hip CPT Code: 73502 | $592 | — |
| X-ray, ankle CPT Code: 73610 | $372 | — |
| X-ray, foot CPT Code: 73630 | $360 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $3,720 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,196 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,360 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $784 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $792 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $535 | — |
| Ultrasound, pelvis CPT Code: 76856 | $920 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $368 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $136 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $158 | — |
| Blood test, liver function panel CPT Code: 80076 | $55 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $41 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $20 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $72 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $87 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $93 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $172 | — |
| Blood test, hemoglobin CPT Code: 85018 | $18 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $140 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $60 | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $166 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $116 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,036 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $624 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,080 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $344 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $272 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $350 | — |