How many shoppable procedure prices are published for Thedacare Regional Med Ctr - Neenah?

Thedacare Regional Med Ctr - Neenah in Neenah, WI currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Thedacare Regional Med Ctr - Neenah's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Thedacare Regional Med Ctr - Neenah's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Thedacare Regional Med Ctr - Neenah's CMS Care Compare overall star rating?

CMS Care Compare assigns Thedacare Regional Med Ctr - Neenah an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 147 Beds · rural Updated: 2026-03-02

Thedacare Regional Med Ctr - Neenah

130 2Nd St, Neenah, WI 54956 · 102 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.37×vs. Fair Market Price

Typical commercial prices here are +37% above the fair benchmark (1.37×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 43% of the Time

File Completeness66

Price Logic96

Peer Alignment73

Clean Billing78

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.37× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +47% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Thedacare Regional Med Ctr - Neenah prices routine shoppable procedures at 2.0× Medicare (median 1.21× Fair BaseRate) while upper-quartile commercial rates jump +47% to 1.78× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#45 of 99 in WI · 44th State Percentile#2,410 of 3,385 in U.S. · 71st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.02× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 43% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 72% patient recommendation (68/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 1.21× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.78×) jump +47% above the median procedure ratio (Q50 1.21×)
Consolidated metro market (HHI 3,939) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.0× Medicare

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

Back-Door Captive & ER0.60× Divergence

1.2× Medicare

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

Quantile Tail Spread+47% Upper Tail

Q25 1.02× · Q50 1.21× · Q75 1.78×

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

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.1× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.4× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

0.9× MedicareGood

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

43% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 68/100Fair

Procedure Prices at Thedacare Regional Med Ctr - Neenah

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$48,835	$27,638	$17,936	1.5×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$42,150	$22,570	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$17,764	$16,298	$19,087	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$9,007	$10,744	$6,109	1.8×
Trauma team activation HCPCS Code: `G0390`	$10,054	$10,054	$1,453	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$11,107	$8,356	$8,223	1.0×
Inguinal hernia repair CPT Code: `49505`	$5,663	$7,066	$3,629	1.9×
Breast lump removal CPT Code: `19120`	$5,010	$5,669	$3,875	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$1,958	$2,640	$1,256	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,491	$1,756	$987	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,344	$1,248	$583	2.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,768	$1,177	$981	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,130	$1,148	$855	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,042	$1,116	$242	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,072	$913	$448	2.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,818	$851	$511	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$901	$568	$272	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,532	$584	$343	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,904	$550	$303	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,472	$565	$338	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,890	$571	$369	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,088	$414	$169	2.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,346	$419	$258	1.6×
Blood transfusion CPT Code: `36430`	$566	$417	$498	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$937	$343	$160	2.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$274	$334	$185	1.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$182	$297	$123	2.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$410	$260	$132	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$552	$259	$134	1.9×
Ultrasound, pelvis CPT Code: `76856`	$442	$250	$130	1.9×
CT scan, pelvis CPT Code: `72192`	$691	$271	$163	1.7×
CT scan, sinuses CPT Code: `70486`	$990	$272	$166	1.6×
Rabies immune globulin HCPCS Code: `90375`	$535	$289	$322	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,088	$259	$168	1.5×
X-ray, pelvis CPT Code: `72170`	$218	$271	$110	unverified
X-ray, chest (single view) CPT Code: `71045`	$207	$225	$92	2.4×
X-ray, hip CPT Code: `73502`	$316	$218	$93	2.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$492	$242	$126	1.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$237	$262	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,094	$242	$167	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$237	$257	$181	1.4×
X-ray, foot CPT Code: `73630`	$236	$200	$92	2.2×
X-ray, ankle CPT Code: `73610`	$163	$193	$93	2.1×
X-ray, hand CPT Code: `73130`	$234	$190	$93	2.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$149	$161	$64	2.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$246	$182	$93	2.0×
X-ray, shoulder CPT Code: `73030`	$154	$177	$92	1.9×
Group therapy session CPT Code: `90853`	$142	$163	$100	1.6×
X-ray, chest (two views) CPT Code: `71046`	$151	$135	$93	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$102	$154	$151	1.0×
Family therapy session CPT Code: `90847`	$201	$149	$173	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$163	$151	$25	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$150	$150	$201	unverified
X-ray, lower back CPT Code: `72110`	$236	$102	$112	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$322	$99	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$314	$119	$148	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$176	$85	$87	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$142	$83	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	$436	$316	$347	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$34	$25	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$64	$44	$35	1.3×
Physical therapy (gait training) CPT Code: `97116`	$58	$40	$33	1.2×
Blood antibody screen CPT Code: `86850`	$34	$50	$46	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$75	$51	$48	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$57	$14	$14	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$59	$36	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$76	$35	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$87	$36	$40	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$44	$49	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$37	$47	$86	0.5×
Hepatitis C antibody test CPT Code: `86803`	$58	$58	$15	unverified
Blood test, sodium CPT Code: `84295`	$20	$8	$5	1.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$10	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$13	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$16	$5	$4	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$41	$12	$10	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$43	$13	$11	1.2×
Blood test, vitamin D CPT Code: `82306`	$121	$36	$31	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$66	$37	$38	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$19	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$24	$7	$6	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$55	$16	$14	1.1×
Blood test, amylase CPT Code: `82150`	$26	$8	$7	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$56	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$35	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$34	$8	$7	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$61	$18	$16	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$32	$9	$8	1.1×
Blood test, liver function panel CPT Code: `80076`	$34	$10	$9	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$68	$20	$18	1.1×
Culture, bacterial CPT Code: `87070`	$44	$10	$9	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$75	$21	$19	1.1×
Culture, blood CPT Code: `87040`	$53	$12	$11	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$35	$9	$9	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$12	$5	$5	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$78	$30	$34	0.9×
Orthotic fitting and training CPT Code: `97760`	$66	$33	$51	0.6×
Blood test, calcium CPT Code: `82310`	$21	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$9	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$69	$14	$35	0.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$58	$11	$56	unverified

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 22.7%

Audit a Bill or Quote at Thedacare Regional Med Ctr - Neenah (Zero PHI Required)

CMS CCN: 520045

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash $48,835

Insurer Median $27,638

1. Amount on Your Bill or Quote ($) Pre-filled with Thedacare Regional Med Ctr - Neenah’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: $19,796 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $19,796

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.7% of gross = $19,796).

Step 2 · Cash vs. Insurance Arbitrage Save $38,371 Paying Cash

Self-Pay Cash Rate ($48,835) Beats Your Bill

Thedacare Regional Med Ctr - Neenah's published 45 CFR § 180 self-pay cash rate is $48,835 (vs. $27,638 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$69,270 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($87,206) is $69,270 above the denoised Fair BaseRate ($17,936) and 6.8× the $12,807 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 (22.7% 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 Overall3/5 Stars (3/5)

Safety Composite68/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait142 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (1,868 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Thedacare Regional Med Ctr - Neenah.

Price Index: 0.53× regional baseline

Quality: 62/100 CMS composite

Median Household Income$72,873U.S. Census ACS

Local Uninsured Share4.8%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 83/100 · Corroborated CMS CCN 520045

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 520045) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-02

Validated Rate Rows1,425 (CMS v3.0.0)

File Integrity DigestVerified · CCN 520045

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