Black River Memorial Hospital
Black River Falls, WI · Critical Access Hospital
Posts prices for 48 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $2,187.90 | $2,431 | 2.5× |
| Diagnostic colonoscopy (45378) | $3,364.20 | $3,738 | 3.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $2,725.20 | $3,028 | 3.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) | $1,866.60 | $2,074 | 3.5× |
| CT head/brain without contrast (70450) | $1,691.10 | $1,879 | 16.7× |
| MRI brain without contrast (70551) range across 3 matching MRF lines |
$3,489.30–$3,593.70 | $3,877–$3,993 | varies |
| MRI brain with contrast (70552) | $4,130.10 | $4,589 | 12.2× |
| MRI brain without and with contrast (70553) | $5,618.70 | $6,243 | 16.6× |
| X-ray lower spine, 4+ views (72110) | $727.20 | $808 | 7.2× |
| MRI lumbar spine without contrast (72148) | $3,447.90 | $3,831 | 14.9× |
| CT pelvis with contrast (72193) | $2,714.40 | $3,016 | 15.9× |
| MRI lower-extremity joint without contrast (73721) | $3,715.20 | $4,128 | 16.0× |
| CT abdomen and pelvis with contrast (74177) range across 4 matching MRF lines |
$3,726–$3,837.60 | $4,140–$4,264 | varies |
| Ultrasound, abdomen complete (76700) | $848.70 | $943 | 8.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $815.40 | $906 | 8.0× |
| Ultrasound, transvaginal (76830) | $774 | $860 | 7.6× |
| Mammography, one breast (diagnostic) (77065) | $615.60 | $684 | 7.1× |
| Mammography, both breasts (diagnostic) (77066) | $873.90 | $971 | 7.9× |
| Mammography, screening (bilateral) (77067) | $430.20 | $478 | 4.7× |
| Basic metabolic panel (80048) | $176.40 | $196 | 20.9× |
| Comprehensive metabolic panel (80053) | $239.40 | $266 | 22.7× |
| Obstetric panel (80055) | $601.20 | $668 | 12.6× |
| Lipid panel (80061) | $193.50 | $215 | 14.5× |
| Renal function panel (80069) | $161.10 | $179 | 18.6× |
| Hepatic function panel (80076) | $192.60 | $214 | 23.6× |
| Urinalysis, non-automated, without microscopy (81002) range across 14 matching MRF lines |
$37.80–$54.90 | $42–$61 | varies |
| PSA, total (84153) | $198 | $220 | 10.8× |
| Thyroid stimulating hormone (TSH) (84443) | $177.30 | $197 | 10.6× |
| CBC with automated differential (85025) range across 4 matching MRF lines |
$104.40–$110.70 | $116–$123 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$91.80–$94.50 | $102–$105 | varies |
| Prothrombin time (PT) (85610) | $63 | $70 | 14.7× |
| Partial thromboplastin time (PTT) (85730) | $95.40 | $106 | 15.9× |
| Psychotherapy, 30 minutes (90832) range across 2 matching MRF lines |
$65.70–$98.10 | $73–$109 | varies |
| Psychotherapy, 45 minutes (90834) range across 3 matching MRF lines |
$84.60–$136.80 | $94–$152 | varies |
| Psychotherapy, 60 minutes (90837) range across 3 matching MRF lines |
$130.50–$182.70 | $145–$203 | varies |
| Family psychotherapy, without patient (50 min) (90846) range across 3 matching MRF lines |
$90–$180.90 | $100–$201 | varies |
| Family psychotherapy, with patient (50 min) (90847) | $103.50 | $115 | 0.6× |
| Group psychotherapy (90853) | $19.80 | $22 | 0.2× |
| Electrocardiogram (ECG), complete (93000) | $244.80 | $272 | 4.3× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$5,721.30–$5,893.20 | $6,357–$6,548 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 3 matching MRF lines |
$164.70–$221.40 | $183–$246 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 5 matching MRF lines |
$19.80–$405 | $22–$450 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 6 matching MRF lines |
$153–$551.70 | $170–$613 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 5 matching MRF lines |
$19.80–$782.10 | $22–$869 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 2 matching MRF lines |
$19.80–$152.10 | $22–$169 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 2 matching MRF lines |
$19.80–$192.60 | $22–$214 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $162 | $180 | — |
| Preventive visit, new patient (age 40–64) (99386) | $182.70 | $203 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 238 codes with posted prices and Medicare benchmarks
- Lab & pathology: 521 codes with posted prices and Medicare benchmarks
- Visits & medical services: 208 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 554 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 35 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 128.8 MB) ↓ — captured 2026-09-08
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.