Does Westfields Hospital And Clinic publish its standard charges and chargemaster?

Yes. Westfields Hospital And Clinic publishes a machine-readable file with 13,754 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Westfields Hospital And Clinic charge for procedures?

Westfields Hospital And Clinic (New Richmond, WI) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · WI · CCN 521345

Westfields Hospital And Clinic

New Richmond, WI, 54017

25 bedsCritical Access Hospitals2

Compliance grade

97/100

Rates published

13,754

last crawl 2026-05-24

Procedures tracked

160

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All WI hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.healthpartners.com/content/dam/brand-identity/pdfs/care/390908320_WestfieldsHospital_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	5	$17,327	$9,114	$3,666.64	$3,791.85	0.30×	$17,784
Psychiatric diagnostic evaluation	CPT	90791	8	$425	$223.55	$73.48	$167.54	0.95×	$425
Psychiatric eval with medical services	CPT	90792	8	$207	$108.88	$82.22	$171.75	0.99×	$410.54
Psychotherapy 30 minutes	CPT	90832	8	$194	$102.04	$37.05	$82.83	0.56×	$410.54
Psychotherapy 45 minutes	CPT	90834	8	$289	$152.01	$49.4	$117.25	0.73×	$410.54
Psychotherapy 60 minutes	CPT	90837	8	$386	$203.04	$72.4	$163.73	0.86×	$410.54
Crisis psychotherapy 60 minutes	CPT	90839	8	$412	$216.71	$106.05	$163.04	1.0×	$412
emergency
ED visit level 1	CPT	99281	8	$304	$159.9	$12.22	$129.79	0.93×	$304
ED visit level 2	CPT	99282	8	$486	$255.64	$45.21	$200.72	0.85×	$486
ED visit level 3	CPT	99283	8	$763	$401.34	$76.51	$315.12	0.78×	$763
ED visit level 4	CPT	99284	8	$1,235	$649.61	$130.06	$518.7	0.78×	$1,235
ED visit level 5	CPT	99285	8	$2,249	$1,182.97	$188.31	$810.26	0.78×	$2,249
Critical care, first hour	CPT	99291	8	$2,539	$1,335.51	$232.11	$1,024.74	0.96×	$2,539
imaging
CT head without contrast	CPT	70450	8	$1,575	$828.45	$271.72	$661.5	3.2×	$1,575
CT head with contrast	CPT	70460	8	$1,657	$871.58	$327.88	$695.94	3.0×	$1,657
CT head with and without contrast	CPT	70470	8	$2,202	$1,158.25	$327.88	$924.84	3.5×	$2,202
CT neck with contrast	CPT	70491	8	$2,201	$1,157.73	$327.88	$924.42	3.4×	$2,201
MRI brain without contrast	CPT	70551	8	$3,451	$1,815.23	$578.05	$1,449.42	3.6×	$3,451
MRI brain with contrast	CPT	70552	8	$3,415	$1,796.29	$607.75	$1,434.3	3.0×	$3,415
MRI brain with and without contrast	CPT	70553	8	$3,720	$1,956.72	$607.75	$1,562.4	2.7×	$3,720
Chest X-ray single view	CPT	71045	8	$306	$160.96	$121.54	$174.74	1.8×	$306
Chest X-ray 2 views	CPT	71046	8	$349	$183.57	$118.25	$183.94	1.9×	$349
Chest X-ray 3 views	CPT	71047	8	$199	$104.67	$79.04	$123.68	1.3×	$224.97
CT chest without contrast	CPT	71250	8	$2,120	$1,115.12	$271.72	$890.4	4.1×	$2,120
CT chest with contrast	CPT	71260	8	$1,497	$787.42	$327.88	$628.74	2.2×	$1,497
CT chest with and without contrast	CPT	71270	8	$2,841	$1,494.37	$327.88	$1,193.22	4.1×	$2,841
MRI chest without contrast	CPT	71550	8	$2,982	$1,568.53	$578.05	$1,252.44	2.9×	$2,982
MRI chest with and without contrast	CPT	71552	8	$3,718	$1,955.67	$607.75	$1,561.56	2.6×	$3,718
Lumbosacral spine X-ray	CPT	72100	8	$459	$241.43	$182.31	$230.18	2.2×	$459
CT cervical spine without contrast	CPT	72125	8	$2,885	$1,517.51	$271.72	$1,211.7	6.0×	$2,885
CT thoracic spine without contrast	CPT	72128	8	$2,120	$1,115.12	$263.91	$890.4	4.5×	$2,120
CT lumbar spine without contrast	CPT	72131	8	$2,120	$1,115.12	$271.72	$890.4	4.4×	$2,120
MRI cervical spine without contrast	CPT	72141	8	$2,891	$1,520.67	$578.05	$1,214.22	3.1×	$2,891
MRI thoracic spine without contrast	CPT	72146	8	$2,628	$1,382.33	$578.05	$1,103.76	3.0×	$2,628
MRI lumbar spine without contrast	CPT	72148	8	$3,203	$1,684.78	$578.05	$1,345.26	3.6×	$3,203
MRI lumbar spine with and without contrast	CPT	72149	8	$3,373	$1,774.2	$607.75	$1,416.66	3.1×	$3,373
MRI cervical spine with and without contrast	CPT	72156	8	$3,906	$2,054.56	$607.75	$1,640.52	3.0×	$3,906
MRI lumbar spine with contrast	CPT	72158	8	$3,382	$1,778.93	$607.75	$1,420.44	2.6×	$3,382
CT pelvis without contrast	CPT	72192	8	$1,624	$854.22	$271.72	$682.08	3.4×	$1,624
CT pelvis with contrast	CPT	72193	8	$2,202	$1,158.25	$327.88	$924.84	3.3×	$2,202
Shoulder X-ray	CPT	73030	8	$543	$285.62	$215.68	$230.75	2.5×	$543
Humerus X-ray	CPT	73060	8	$307	$161.48	$121.94	$174.95	2.0×	$307
Hand X-ray 3 views	CPT	73130	8	$238	$125.19	$94.53	$147.92	1.6×	$238
MRI upper extremity joint without contrast	CPT	73221	8	$2,986	$1,570.64	$578.05	$1,254.12	3.0×	$2,986
MRI upper extremity joint with and without contrast	CPT	73223	8	$3,629	$1,908.85	$607.75	$1,524.18	2.5×	$3,629
Knee X-ray 1-2 views	CPT	73560	8	$243	$127.82	$96.52	$151.03	1.6×	$243
Ankle X-ray 3 views	CPT	73610	8	$492	$258.79	$195.42	$214.54	2.3×	$492
MRI lower extremity joint without contrast	CPT	73721	8	$3,858	$2,029.31	$578.05	$1,620.36	3.5×	$3,858
MRI lower extremity joint with and without contrast	CPT	73723	8	$3,884	$2,042.98	$607.75	$1,631.28	2.6×	$3,884
CT abdomen without contrast	CPT	74150	8	$1,861	$978.89	$263.91	$781.62	4.2×	$1,861
CT abdomen with contrast	CPT	74160	8	$2,839	$1,493.31	$327.88	$1,192.38	4.2×	$2,839
CT abdomen with and without contrast	CPT	74170	8	$2,756	$1,449.66	$327.88	$1,157.52	3.5×	$2,756
CT abdomen and pelvis without contrast	CPT	74176	8	$3,394	$1,785.24	$327.88	$1,425.48	3.9×	$3,394
CT abdomen and pelvis with contrast	CPT	74177	8	$3,897	$2,049.82	$327.88	$1,636.74	3.0×	$3,897
CT abdomen and pelvis with and without contrast	CPT	74178	8	$3,233	$1,700.56	$327.88	$1,357.86	2.4×	$3,233
MRI abdomen without contrast	CPT	74181	8	$3,878	$2,039.83	$578.05	$1,628.76	4.2×	$3,878
MRI abdomen with and without contrast	CPT	74183	8	$3,627	$1,907.8	$607.75	$1,523.34	2.7×	$3,627
Abdominal ultrasound complete	CPT	76700	8	$694	$365.04	$263.91	$294.92	2.0×	$694
Abdominal ultrasound limited	CPT	76705	8	$627	$329.8	$52.39	$233.23	1.6×	$627
Retroperitoneal ultrasound complete	CPT	76770	8	$676	$355.58	$263.91	$287.27	2.0×	$676
Obstetric ultrasound first trimester	CPT	76801	8	$753	$396.08	$81.4	$267.82	1.9×	$753
Obstetric ultrasound after first trimester	CPT	76805	8	$740	$389.24	$101.46	$310.8	2.0×	$740
Obstetric ultrasound with fetal anatomy	CPT	76811	8	$424	$223.02	$102.74	$172.25	0.73×	$644.59
Transvaginal ultrasound	CPT	76830	8	$539	$283.51	$64.31	$217.54	1.5×	$539
Pelvic ultrasound complete	CPT	76856	8	$297	$156.22	$84.26	$118.67	0.83×	$297
Scrotal ultrasound	CPT	76870	8	$539	$283.51	$214.09	$247.3	1.9×	$539
Diagnostic mammography unilateral	CPT	77065	8	$396	$208.3	$157.29	$246.12	1.6×	$396
Screening mammography bilateral	CPT	77067	8	$646	$339.8	$165	$328.95	2.1×	$646
EKG tracing only	CPT	93005	8	$230	$120.98	$79.75	$122.92	1.0×	$230
EKG interpretation only	CPT	93010	8	$93	$48.92	$5.75	$9.63	0.53×	$93
Transthoracic echocardiogram complete	CPT	93306	8	$1,334	$701.68	$529.86	$968.48	1.6×	$1,400.99
Transthoracic echocardiogram	CPT	93307	8	$1,117	$587.54	$443.67	$538.98	2.2×	$1,117
Stress echocardiogram	CPT	93350	8	$1,158	$609.11	$459.96	$719.7	1.4×	$1,400.99
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	5	$18,661	$9,815.69	$3,666.64	$3,791.85	0.25×	$19,896
COPD w MCC	MS-DRG	190	5	$10,962	$5,766.01	$3,666.64	$3,791.85	0.34×	$14,103
COPD w CC	MS-DRG	191	5	$8,300	$4,365.8	$3,666.64	$3,791.85	0.43×	$10,733
COPD w/o CC/MCC	MS-DRG	192	5	$3,895	$2,048.77	$3,666.64	$3,791.85	0.54×	$8,173.94
Simple pneumonia & pleurisy w CC	MS-DRG	194	5	$8,994	$4,730.84	$3,666.64	$3,791.85	0.45×	$10,261
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	5	$2,936	$1,544.34	$3,666.64	$3,791.85	0.57×	$8,002.06
AMI discharged alive w MCC	MS-DRG	280	5	$21,408	$11,261	$3,666.64	$3,791.85	0.24×	$20,423
AMI discharged alive w CC	MS-DRG	281	5	$2,351	$1,236.63	$3,666.64	$3,791.85	0.39×	$11,702
Heart failure & shock w MCC	MS-DRG	291	5	$17,056	$8,971.46	$3,666.64	$3,791.85	0.30×	$16,345
Heart failure & shock w CC	MS-DRG	292	5	$10,644	$5,598.74	$3,666.64	$3,791.85	0.42×	$10,809
Cardiac arrhythmia w MCC	MS-DRG	308	5	$3,941	$2,072.97	$3,666.64	$3,791.85	0.31×	$15,329
Cardiac arrhythmia w CC	MS-DRG	309	5	$4,334	$2,279.68	$3,666.64	$3,791.85	0.49×	$9,366.93
GI hemorrhage w CC	MS-DRG	378	5	$5,348	$2,813.05	$3,666.64	$3,791.85	0.38×	$12,486
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	5	$11,485	$6,041.11	$3,666.64	$3,791.85	0.47×	$9,925.87
Kidney/UTI w MCC	MS-DRG	689	5	$13,162	$6,923.21	$3,666.64	$3,791.85	0.33×	$14,773
Kidney/UTI w/o MCC	MS-DRG	690	5	$10,685	$5,620.31	$3,666.64	$3,791.85	0.46×	$10,307
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	5	$14,949	$7,863.17	$3,666.64	$3,791.85	0.20×	$24,732
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	5	$16,578	$8,720.03	$3,666.64	$3,791.85	0.37×	$13,029
Initial hospital care, low complexity	CPT	99221	8	$369	$194.09	$30.29	$85.76	0.92×	$369
Initial hospital care, moderate complexity	CPT	99222	8	$497	$261.42	$143.08	$290.15	1.7×	$497
Initial hospital care, high complexity	CPT	99223	8	$735	$386.61	$190.98	$401.78	1.8×	$735
Hospital discharge, <30 min	CPT	99238	8	$266	$139.92	$89.83	$165.04	1.9×	$266
Hospital discharge, >30 min	CPT	99239	8	$391	$205.67	$127.19	$242.6	2.0×	$391
lab
Basic metabolic panel (BMP)	CPT	80048	8	$208	$109.41	$25.56	$87.36	2.7×	$208
General health panel	CPT	80050	7	$436	$229.34	$50.13	$185.74	1.7×	$436
Electrolyte panel	CPT	80051	8	$161	$84.69	$7.01	$66.11	2.8×	$161
Comprehensive metabolic panel	CPT	80053	8	$344	$180.94	$31.46	$144.48	3.3×	$344
Lipid panel	CPT	80061	8	$179	$94.15	$31.38	$70.03	1.8×	$179
Renal function panel	CPT	80069	8	$147	$77.32	$8.68	$60.36	2.2×	$147
Hepatic function panel	CPT	80076	8	$195	$102.57	$24.58	$82.87	3.1×	$195
Urinalysis non-automated	CPT	81002	7	$37	$19.46	$3.48	$15.77	2.3×	$37
Urinalysis automated	CPT	81003	8	$37	$19.46	$6.88	$15.73	1.1×	$37
Glucose quantitative	CPT	82947	8	$48	$25.25	$11.8	$20.16	1.1×	$48
Hemoglobin A1c	CPT	83036	8	$83	$43.66	$29.49	$35.36	1.3×	$83
Thyroid stimulating hormone (TSH)	CPT	84443	8	$165	$86.79	$49.5	$68.64	1.5×	$165
Complete blood count with automated differential	CPT	85025	8	$94	$49.44	$23.59	$40.05	1.5×	$94
Complete blood count without differential	CPT	85027	8	$123	$64.7	$5.5	$50.51	2.3×	$123
Urine culture bacterial	CPT	87086	8	$75	$39.45	$6.86	$31.5	1.4×	$75
Urine culture identification	CPT	87088	8	$87	$45.76	$24.58	$36.97	1.7×	$87
Tissue exam by pathologist level IV	CPT	88305	8	$205	$107.83	$79.75	$110.17	1.1×	$205
maternity
Fetal non-stress test	CPT	59025	8	$791	$416.07	$314.19	$418.9	2.2×	$791
Routine obstetric care including vaginal delivery	CPT	59400	8	$8,225	$4,326.35	$2,532.57	$5,020.48	2.2×	$8,225
Vaginal delivery only	CPT	59409	8	$3,585	$1,885.71	$817.17	$2,224.32	1.0×	$8,124.16
Vaginal delivery with postpartum	CPT	59410	8	$3,999	$2,103.47	$1,110.35	$2,283.33	2.2×	$3,999
Routine obstetric care with C-section	CPT	59510	8	$9,071	$4,771.35	$1,387.89	$2,994.72	1.2×	$9,071
C-section delivery only	CPT	59514	8	$4,429	$2,329.65	$540	$986.76	1.0×	$4,429
C-section with postpartum	CPT	59515	8	$5,745	$3,021.87	$696.73	$1,468.41	1.2×	$5,745
office
Office visit, new patient, 15-29 min	CPT	99202	8	$416	$218.82	$51.89	$176.78	2.0×	$416
Office visit, new patient, 30-44 minutes	CPT	99203	8	$465	$244.59	$89.8	$197.6	1.6×	$465
Office visit, new patient, 45-59 min	CPT	99204	8	$907	$477.08	$97.65	$337.7	1.9×	$907
Office visit, new patient, 60-74 min	CPT	99205	8	$977	$513.9	$132.49	$388.06	1.8×	$977
Office visit, established patient, 5 min	CPT	99211	8	$386	$203.04	$9.71	$71.41	1.1×	$386
Office visit, established patient, 10-19 min	CPT	99212	8	$372	$195.67	$38.98	$150.14	1.9×	$372
Office visit, established patient, 20-29 minutes	CPT	99213	8	$415	$218.29	$72.99	$177.62	1.6×	$415
Office visit, established patient, 30-39 minutes	CPT	99214	8	$427	$224.6	$107.36	$182.76	1.2×	$427
Office visit, established patient, 40-54 min	CPT	99215	8	$654	$344	$105.78	$278.61	1.5×	$654
preventive
Upper GI endoscopy diagnostic	CPT	43235	8	$1,267	$666.44	$133.19	$1,024.46	1.1×	$2,395.6
Upper GI endoscopy with biopsy	CPT	43239	8	$2,660	$1,399.16	$149.94	$1,090.6	1.1×	$2,660
Sigmoidoscopy diagnostic	CPT	45330	8	$1,558	$819.51	$62.44	$628.81	0.75×	$2,329.55
Sigmoidoscopy with biopsy	CPT	45331	8	$2,057	$1,081.98	$51.83	$817.04	0.91×	$2,329.55
Colonoscopy diagnostic	CPT	45378	8	$3,106	$1,633.76	$199.17	$1,354.53	1.5×	$3,106
Colonoscopy with biopsy	CPT	45380	8	$3,885	$2,043.51	$216.54	$1,628.52	1.3×	$3,885
Colonoscopy with polyp removal	CPT	45385	8	$3,419	$1,798.39	$273.67	$1,463.33	1.2×	$3,419
surgery
Total shoulder arthroplasty	CPT	23472	8	$6,618	$3,481.07	$1,568.36	$4,106.14	0.99×	$46,989
Hip hemiarthroplasty	CPT	27125	8	$5,163	$2,715.74	$809.54	$2,768.87	2.2×	$32,877
Total hip replacement	CPT	27130	8	$6,170	$3,245.42	$1,392.47	$3,828.18	0.88×	$32,877
Total knee replacement	CPT	27447	8	$6,167	$3,243.84	$1,390.8	$3,826.32	0.92×	$32,877
Knee revision arthroplasty single component	CPT	27486	8	$6,398	$3,365.35	$1,525.88	$3,969.64	2.4×	$32,877
Knee revision arthroplasty all components	CPT	27487	8	$8,006	$4,211.16	$1,892.9	$4,967.33	2.5×	$46,989
Shoulder arthroscopy with decompression	CPT	29826	7	$800	$420.8	$182.11	$268.37	0.82×	$800
Shoulder arthroscopy with rotator cuff repair	CPT	29827	8	$4,791	$2,520.07	$766.97	$2,582.22	0.78×	$18,253
Knee arthroscopy with meniscectomy	CPT	29881	8	$2,457	$1,292.38	$605.19	$1,524.45	0.74×	$8,290.46
ACL reconstruction	CPT	29888	8	$4,473	$2,352.8	$1,067.72	$2,775.28	0.83×	$18,253
Major small/large bowel procedures w MCC	MS-DRG	329	5	$26,857	$14,127	$3,666.64	$3,791.85	0.09×	$58,523
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	5	$61,136	$32,158	$3,666.64	$3,791.85	0.23×	$21,427
Open appendectomy	CPT	44950	8	$2,700	$1,420.2	$677.82	$1,675.22	1.5×	$15,943
Laparoscopic appendectomy	CPT	44970	8	$2,536	$1,333.94	$641.94	$1,573.46	1.0×	$14,908
Major joint replacement w MCC	MS-DRG	469	5	$45,386	$23,873	$3,666.64	$3,791.85	0.13×	$38,619
Major joint replacement w/o MCC	MS-DRG	470	5	$44,146	$23,221	$3,666.64	$3,791.85	0.20×	$24,559
Laparoscopic cholecystectomy	CPT	47562	8	$3,009	$1,582.73	$701.57	$1,866.94	1.1×	$14,908
Lap cholecystectomy with cholangiography	CPT	47563	8	$2,903	$1,526.98	$761.54	$1,801.17	0.96×	$14,908
Hip & femur procedures except major joint w CC	MS-DRG	481	5	$42,735	$22,479	$3,666.64	$3,791.85	0.19×	$26,667
Lap inguinal hernia repair	CPT	49650	8	$1,960	$1,030.96	$466.64	$1,216.08	1.1×	$14,908
Total abdominal hysterectomy	CPT	58150	7	$4,591	$2,414.87	$722.65	$1,169.5	1.2×	$4,591
Lap-assisted vaginal hysterectomy >250g	CPT	58552	8	$4,427	$2,328.6	$1,062.12	$2,746.74	1.2×	$26,602
Lap salpingo-oophorectomy	CPT	58661	8	$2,927	$1,539.6	$704.34	$1,816.06	0.89×	$14,908
Cataract surgery with lens implant	CPT	66984	7	$2,867	$1,508.04	$398.63	$644.76	0.29×	$2,867

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 8)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	160	$273.21
Medicaid	160	$410.54
Medicare	160	$293.18
UnitedHealthcare	160	$433.5
healthpartners [900713]	155	$594.8
medica [900156]	136	$511.42
First Health	136	$514.55
ma wisconsin replacement [950271]	136	$627.5

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