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Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-03-02

Thedacare Medical Center - Wild Rose

601 Grove Ave, Wild Rose, WI 54984 · 74 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
2.27×vs. Fair Market Price
Position vs. 1.00× Fair Price+127% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +127% above the fair benchmark (2.27×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).70/100 · Caution
70/100Self-Pay Cash Beats Insurance 63% of the Time
File Completeness66Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic51Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment70Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing71Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score84/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait122 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Thedacare Medical Center - Wild Rose concentrates commercial margin in outpatient surgical suites (4.4× Medicare) and specialty drug infusions (3.2× Medicare) relative to routine diagnostics (3.7×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

#86 of 99 in WI · 85th State Percentile#3,197 of 3,385 in U.S. · 94th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.73× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (84/100 safety score) with 84% patient recommendation
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.1% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 4.4× markup over Medicare rates
  • Commercial insurance median sits at 2.24× Fair BaseRate (3.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 2.62×) jump +17% above the median procedure ratio (Q50 2.24×)
  • Unnegotiated chargemaster list prices average 7.2× Medicare (20¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
3.5× Medicare

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

Back-Door Captive & ER0.60× Divergence
2.1× Medicare

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

Quantile Tail Spread+17% Upper Tail
Q25 1.73× · Q50 2.24× · Q75 2.62×

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
3.5× MedicareElevated
Outpatient Surgery & ORBack-Door Captive
4.4× MedicareWatchout
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.7× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
10.1× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
4.0× MedicareElevated
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
3.2× MedicareElevated
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
63% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 84/100Good

Procedure Prices at Thedacare Medical Center - Wild Rose

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 74 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Trauma team activation
HCPCS Code: G0390
$2,479 1.7×
MRI, lower back (no contrast)
CPT Code: 72148
$2,450 unverified
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$2,072 unverified
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$1,904 unverified
MRI, brain (with and without contrast)
CPT Code: 70553
$1,768 3.5×
CT scan, sinuses
CPT Code: 70486
$1,454 unverified
Echocardiogram (heart ultrasound)
CPT Code: 93306
$1,427 unverified
CT scan, chest (no contrast)
CPT Code: 71250
$1,395 unverified
CT scan, neck (cervical spine)
CPT Code: 72125
$1,088 unverified
MRI, knee or other leg joint
CPT Code: 73721
$994 2.7×
CT scan, lower back (lumbar spine)
CPT Code: 72131
$967 5.8×
MRI, brain (no contrast)
CPT Code: 70551
$991 2.9×
CT scan, head (no contrast)
CPT Code: 70450
$937 unverified
CT scan, pelvis
CPT Code: 72192
$654 4.0×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$593 2.2×
Ultrasound, pelvis
CPT Code: 76856
$454 unverified
Ultrasound, abdomen (limited)
CPT Code: 76705
$421 unverified
Ultrasound, thyroid and neck
CPT Code: 76536
$367 2.8×
Ultrasound, abdomen (complete)
CPT Code: 76700
$351 2.6×
Rabies immune globulin
HCPCS Code: 90375
$333 1.0×
Blood transfusion
CPT Code: 36430
$354 0.7×
Screening mammogram (both breasts)
CPT Code: 77067
$275 2.2×
X-ray, lower back
CPT Code: 72110
$242 2.2×
Diagnostic mammogram (both breasts)
CPT Code: 77066
$256 1.7×
X-ray, chest (single view)
CPT Code: 71045
$236 unverified
Showing top 25 high-impact procedures of 74 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 40.1%

Audit a Bill or Quote at Thedacare Medical Center - Wild Rose (Zero PHI Required)

CMS CCN: 521303
CPT G0390
Fair BaseRate™ $1,453
Medicare Rate $1,362
Self-Pay Cash $9,879
Insurer Median $2,479
Pre-filled with Thedacare Medical Center - Wild Rose’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $7,079 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $7,079

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.1% of gross = $7,079).

Step 2 · Cash vs. Insurance Arbitrage Save $7,762 Paying Cash

Self-Pay Cash Rate ($9,879) Beats Your Bill

Thedacare Medical Center - Wild Rose's published 45 CFR § 180 self-pay cash rate is $9,879 (vs. $2,479 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$16,188 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($17,641) is $16,188 above the denoised Fair BaseRate ($1,453) and 13.0× the $1,362 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 (40.1% 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 Composite84/100
Would Recommend84%
Rated 9 or 10 (HCAHPS)83%
Median ER Wait122 min
Left ER Before Seen1%

Source: CMS Hospital Care Compare (38 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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Thedacare Medical Center - Wild Rose.

Price Index: 1.33× regional baseline
Quality: 59/100 CMS composite
Median Household Income$64,968U.S. Census ACS
Local Uninsured Share8.5%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 70/100 · Caution CMS CCN 521303

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-03-02
Validated Rate Rows521 (CMS v3.0.0)
File Integrity DigestVerified · CCN 521303

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.