▸ Hospital · WI · CCN 521335
Hudson Hospital & Clinic
405 STAGELINE RD, HUDSON, WI, 54016
25 bedsCritical Access Hospitals2
Compliance grade
A
97/100
Procedures tracked
133
of 209 target codes
Payers
8
with negotiated rates
Rates published
11,812
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 8 | $386 | $174.12 | $74.06 | $132.17 | $386 |
| Psychotherapy 30 minutes | CPT | 90832 | 8 | $194 | $87.51 | $41.17 | $98.76 | $296.61 |
| Psychotherapy 45 minutes | CPT | 90834 | 8 | $289 | $130.37 | $74.37 | $115.37 | $289 |
| Psychotherapy 60 minutes | CPT | 90837 | 8 | $386 | $174.12 | $110.07 | $162.83 | $393.28 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 8 | $464 | $209.31 | $74.06 | $170.75 | $464 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 8 | $293 | $132.17 | $12.22 | $99.8 | $583 |
| ED visit level 2 | CPT | 99282 | 8 | $587 | $264.8 | $45.21 | $197.23 | $907 |
| ED visit level 3 | CPT | 99283 | 8 | $881 | $397.42 | $76.51 | $300.07 | $1,784 |
| ED visit level 4 | CPT | 99284 | 8 | $1,365 | $615.75 | $119.26 | $458.64 | $4,234 |
| ED visit level 5 | CPT | 99285 | 8 | $4,095 | $1,847.25 | $183.98 | $811.54 | $5,191 |
| Critical care, first hour | CPT | 99291 | 8 | $3,106 | $1,401.12 | $174.43 | $945.02 | $6,243 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 8 | $1,319 | $595 | $196.31 | $460.94 | $1,915 |
| CT head with contrast | CPT | 70460 | 8 | $1,782 | $803.86 | $327.88 | $609.8 | $1,915 |
| CT head with and without contrast | CPT | 70470 | 8 | $1,782 | $803.86 | $318.5 | $606.95 | $1,915 |
| CT neck with contrast | CPT | 70491 | 8 | $1,869 | $843.11 | $327.88 | $639.58 | $1,915 |
| MRI brain without contrast | CPT | 70551 | 8 | $2,814 | $1,269.4 | $578.05 | $962.95 | $3,091 |
| MRI brain with contrast | CPT | 70552 | 8 | $3,110 | $1,402.92 | $607.75 | $1,064.24 | $3,110 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $3,541 | $1,597.35 | $607.75 | $1,211.73 | $3,541 |
| Chest X-ray single view | CPT | 71045 | 8 | $187 | $84.36 | $39.68 | $106.11 | $344 |
| Chest X-ray 2 views | CPT | 71046 | 8 | $243 | $109.62 | $79.7 | $140.4 | $344 |
| Chest X-ray 3 views | CPT | 71047 | 8 | $199 | $89.77 | $42.23 | $74.63 | $344 |
| CT chest without contrast | CPT | 71250 | 8 | $1,837 | $828.67 | $196.31 | $628.62 | $1,915 |
| CT chest with contrast | CPT | 71260 | 8 | $1,829 | $825.06 | $327.88 | $625.89 | $1,915 |
| CT chest with and without contrast | CPT | 71270 | 8 | $2,263 | $1,020.84 | $327.88 | $774.4 | $2,263 |
| MRI chest without contrast | CPT | 71550 | 8 | $4,618 | $2,083.18 | $578.05 | $1,580.28 | $4,618 |
| MRI chest with and without contrast | CPT | 71552 | 8 | $4,769 | $2,151.3 | $607.75 | $1,631.96 | $4,769 |
| Lumbosacral spine X-ray | CPT | 72100 | 8 | $292 | $131.72 | $61.96 | $151.89 | $344 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $1,837 | $828.67 | $196.31 | $628.62 | $1,915 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $1,837 | $828.67 | $196.31 | $628.62 | $1,915 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $1,837 | $828.67 | $196.31 | $628.62 | $1,915 |
| MRI cervical spine without contrast | CPT | 72141 | 8 | $2,693 | $1,214.81 | $578.05 | $921.55 | $3,091 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $2,700 | $1,217.97 | $578.05 | $923.94 | $3,091 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $2,676 | $1,207.14 | $578.05 | $915.73 | $3,091 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 8 | $3,124 | $1,409.24 | $607.75 | $1,069.04 | $3,124 |
| MRI cervical spine with and without contrast | CPT | 72156 | 8 | $3,574 | $1,612.23 | $607.75 | $1,223.03 | $3,574 |
| MRI lumbar spine with contrast | CPT | 72158 | 8 | $3,550 | $1,601.4 | $607.75 | $1,214.81 | $3,550 |
| CT pelvis without contrast | CPT | 72192 | 8 | $1,782 | $803.86 | $196.31 | $609.8 | $1,915 |
| CT pelvis with contrast | CPT | 72193 | 8 | $1,817 | $819.65 | $327.88 | $621.78 | $1,915 |
| Shoulder X-ray | CPT | 73030 | 8 | $251 | $113.23 | $53.26 | $127.46 | $344 |
| Humerus X-ray | CPT | 73060 | 8 | $299 | $134.88 | $50.72 | $102.38 | $344 |
| Hand X-ray 3 views | CPT | 73130 | 8 | $266 | $119.99 | $56.45 | $130.22 | $344 |
| MRI upper extremity joint without contrast | CPT | 73221 | 8 | $3,033 | $1,368.19 | $578.05 | $1,037.9 | $3,091 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 8 | $3,712 | $1,674.48 | $607.75 | $1,270.25 | $3,712 |
| Knee X-ray 1-2 views | CPT | 73560 | 8 | $252 | $113.68 | $53.47 | $127.64 | $344 |
| Ankle X-ray 3 views | CPT | 73610 | 8 | $274 | $123.6 | $58.14 | $131.69 | $344 |
| MRI lower extremity joint without contrast | CPT | 73721 | 8 | $3,033 | $1,368.19 | $578.05 | $1,037.9 | $3,091 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 8 | $3,696 | $1,667.27 | $607.75 | $1,264.77 | $3,696 |
| CT abdomen without contrast | CPT | 74150 | 8 | $1,423 | $641.92 | $196.31 | $486.96 | $1,915 |
| CT abdomen with contrast | CPT | 74160 | 8 | $1,850 | $834.53 | $327.88 | $633.07 | $1,915 |
| CT abdomen with and without contrast | CPT | 74170 | 8 | $2,179 | $982.95 | $327.88 | $745.66 | $2,179 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $1,834 | $827.32 | $327.88 | $636.28 | $1,915 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $2,155 | $972.12 | $327.88 | $737.44 | $2,155 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $2,954 | $1,332.55 | $327.88 | $1,010.86 | $2,954 |
| MRI abdomen without contrast | CPT | 74181 | 8 | $3,503 | $1,580.2 | $578.05 | $1,198.73 | $3,503 |
| MRI abdomen with and without contrast | CPT | 74183 | 8 | $4,007 | $1,807.56 | $607.75 | $1,371.2 | $4,007 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $690 | $311.26 | $146.42 | $236.12 | $964 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $534 | $240.89 | $59.84 | $179.43 | $964 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $652 | $294.12 | $138.35 | $223.11 | $964 |
| Obstetric ultrasound first trimester | CPT | 76801 | 8 | $624 | $281.49 | $132.41 | $213.54 | $964 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 8 | $726 | $327.5 | $154.06 | $248.44 | $964 |
| Transvaginal ultrasound | CPT | 76830 | 8 | $371 | $167.36 | $78.73 | $166.42 | $964 |
| Pelvic ultrasound complete | CPT | 76856 | 8 | $614 | $276.98 | $130.29 | $210.11 | $964 |
| Scrotal ultrasound | CPT | 76870 | 8 | $611 | $275.62 | $129.65 | $209.09 | $964 |
| Screening mammography bilateral | CPT | 77067 | 8 | $565 | $254.87 | $165 | $320.58 | $680 |
| EKG complete | CPT | 93000 | 8 | $70 | $31.58 | $14.85 | $25.25 | $341 |
| EKG tracing only | CPT | 93005 | 8 | $300 | $135.33 | $79.75 | $109.65 | $341 |
| EKG interpretation only | CPT | 93010 | 8 | $39 | $17.59 | $8.28 | $14.04 | $39 |
| Transthoracic echocardiogram complete | CPT | 93306 | 8 | $2,099 | $946.86 | $688.47 | $930.97 | $2,099 |
| Stress echocardiogram | CPT | 93350 | 8 | $2,136 | $963.55 | $453.26 | $899.12 | $2,136 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $16,380 | $7,389.02 | $1,971.62 | $9,192.12 | $28,951 |
| COPD w MCC | MS-DRG | 190 | 6 | $9,861 | $4,448.3 | $1,971.62 | $6,906.88 | $20,521 |
| COPD w CC | MS-DRG | 191 | 6 | $12,303 | $5,549.88 | $1,971.62 | $5,577.43 | $15,617 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $11,534 | $5,202.99 | $1,971.62 | $5,391.09 | $14,930 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $4,939 | $2,227.98 | $1,971.62 | $4,500.1 | $11,644 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $9,030 | $4,073.43 | $1,971.62 | $9,400.05 | $29,718 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $5,901 | $2,661.94 | $1,971.62 | $5,959.64 | $17,027 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $17,890 | $8,070.18 | $1,971.62 | $4,975.23 | $13,396 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $19,549 | $8,818.55 | $1,971.62 | $7,791.34 | $23,784 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $15,977 | $7,207.22 | $1,971.62 | $5,607.56 | $15,729 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $8,021 | $3,618.27 | $1,971.62 | $4,186.19 | $10,486 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $28,291 | $12,762 | $1,971.62 | $7,390.55 | $22,305 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $27,069 | $12,211 | $1,971.62 | $5,038.51 | $13,630 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $13,193 | $5,951.36 | $1,971.62 | $4,186.69 | $10,488 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $18,563 | $8,373.77 | $1,971.62 | $6,269.02 | $18,265 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $6,165 | $2,781.03 | $1,971.62 | $4,509.64 | $11,679 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | $14,732 | $6,645.61 | $1,971.62 | $5,259 | $14,456 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | $15,841 | $7,145.88 | $1,971.62 | $7,171.06 | $21,496 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | $10,858 | $4,898.04 | $1,971.62 | $5,409.17 | $14,997 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | $17,903 | $8,076.04 | $1,971.62 | $11,100 | $35,987 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | $19,135 | $8,631.8 | $1,971.62 | $6,482.98 | $18,958 |
| Initial hospital care, low complexity | CPT | 99221 | 8 | $377 | $170.06 | $80 | $138.74 | $377 |
| Initial hospital care, moderate complexity | CPT | 99222 | 8 | $506 | $228.26 | $95.1 | $205.38 | $506 |
| Initial hospital care, high complexity | CPT | 99223 | 8 | $746 | $336.52 | $126.89 | $287.14 | $746 |
| Hospital discharge, <30 min | CPT | 99238 | 8 | $269 | $121.35 | $26.06 | $117.39 | $303.69 |
| Hospital discharge, >30 min | CPT | 99239 | 8 | $397 | $179.09 | $84.42 | $172.86 | $430.34 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 8 | $208 | $93.83 | $8.67 | $45.68 | $208 |
| General health panel | CPT | 80050 | 8 | $311 | $140.29 | $65.99 | $106.49 | $311 |
| Electrolyte panel | CPT | 80051 | 8 | $80 | $36.09 | $7.01 | $27.36 | $80 |
| Comprehensive metabolic panel | CPT | 80053 | 8 | $259 | $116.83 | $21.12 | $88.22 | $259 |
| Lipid panel | CPT | 80061 | 8 | $328 | $147.96 | $26.78 | $111.72 | $328 |
| Renal function panel | CPT | 80069 | 8 | $193 | $87.06 | $7.38 | $23.87 | $193 |
| Hepatic function panel | CPT | 80076 | 8 | $201 | $90.67 | $16.34 | $68.46 | $201 |
| Urinalysis automated | CPT | 81003 | 8 | $53 | $23.91 | $4.5 | $18.06 | $53 |
| Glucose quantitative | CPT | 82947 | 8 | $48 | $21.65 | $7.86 | $15.97 | $48 |
| Hemoglobin A1c | CPT | 83036 | 8 | $160 | $72.18 | $19.42 | $53.76 | $160 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 8 | $165 | $74.43 | $49.5 | $59.76 | $165 |
| Complete blood count with automated differential | CPT | 85025 | 8 | $194 | $87.51 | $8.24 | $65.46 | $194 |
| Complete blood count without differential | CPT | 85027 | 8 | $160 | $72.18 | $3.18 | $18.83 | $160 |
| Urine culture bacterial | CPT | 87086 | 8 | $160 | $72.18 | $8.27 | $33.13 | $160 |
| Urine culture identification | CPT | 87088 | 8 | $160 | $72.18 | $8.29 | $30.32 | $160 |
| Tissue exam by pathologist level IV | CPT | 88305 | 8 | $290 | $130.82 | $79.75 | $98.79 | $290 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 8 | $424 | $191.27 | $89.97 | $240.58 | $424 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 8 | $186 | $83.9 | $39.47 | $68.45 | $276.55 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 8 | $314 | $141.65 | $66.63 | $115.55 | $423.87 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 8 | $511 | $230.51 | $108.43 | $188.05 | $633.23 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 8 | $695 | $313.51 | $147.48 | $255.76 | $834.83 |
| Office visit, established patient, 5 min | CPT | 99211 | 8 | $51 | $23.01 | $10.61 | $17.93 | $227 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 8 | $134 | $60.45 | $20.58 | $41.33 | $227 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 8 | $254 | $114.58 | $42.23 | $86.02 | $347.63 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 8 | $374 | $168.71 | $44.35 | $112.07 | $489.78 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 8 | $550 | $248.1 | $67.69 | $172.61 | $688.8 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 8 | $3,090 | $1,393.9 | $1,013.52 | $1,433.95 | $3,912 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 8 | $3,491 | $1,574.79 | $1,135.2 | $1,507.74 | $3,912 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 8 | $1,474 | $664.92 | $312.78 | $934.52 | $2,695 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 8 | $2,429 | $1,095.72 | $515.43 | $1,182.74 | $2,695 |
| Colonoscopy diagnostic | CPT | 45378 | 8 | $2,686 | $1,211.65 | $881.01 | $1,421.38 | $3,912 |
| Colonoscopy with biopsy | CPT | 45380 | 8 | $2,913 | $1,314.05 | $955.46 | $1,547.25 | $4,603 |
| Colonoscopy with polyp removal | CPT | 45385 | 8 | $3,693 | $1,665.91 | $1,191.3 | $1,631.11 | $4,603 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $94,989 | $42,850 | $1,971.62 | $2,686.91 | $85,155 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $97,590 | $44,023 | $1,971.62 | $2,686.91 | $44,411 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $43,574 | $19,656 | $1,971.62 | $10,379 | $31,339 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | $25,906 | $11,686 | $1,971.62 | $8,638.88 | $25,303 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | $53,703 | $24,225 | $1,971.62 | $12,531 | $38,803 |
Payer mix (top 8)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 133 | $352.55 |
| Medicaid | 133 | $251.88 |
| Medicare | 133 | $237.2 |
| UnitedHealthcare | 133 | $622.6 |
| healthpartners [900713] | 133 | $338.13 |
| medica [900156] | 131 | $729 |
| First Health | 107 | $480.6 |
| ma wisconsin replacement [950271] | 107 | $534 |