Essentia Health St. Mary's Hospital - Superior
Superior, WI · Critical Access Hospital
Posts prices for 40 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) | $2,192.61 | $2,967 | 2.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $2,287.20 | $3,095 | 2.6× |
| Diagnostic colonoscopy (45378) | $2,089.15 | $2,827 | 2.3× |
| Colonoscopy with biopsy (45380) | $2,264.30 | $3,064 | 1.9× |
| Colonoscopy with lesion removal (45385) | $2,469 | $3,341 | 2.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $1,734.43 | $2,347 | 2.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,701.92 | $2,303 | 2.0× |
| CT head/brain without contrast (70450) | $1,258.52 | $1,703 | 12.3× |
| MRI brain without contrast (70551) | $2,169.70 | $2,936 | 9.3× |
| MRI brain with contrast (70552) | $2,290.90 | $3,100 | 6.7× |
| MRI brain without and with contrast (70553) | $2,901.31 | $3,926 | 8.5× |
| X-ray lower spine, 4+ views (72110) | $343.64 | $465 | 3.4× |
| MRI lumbar spine without contrast (72148) | $2,092.85 | $2,832 | 9.0× |
| CT pelvis with contrast (72193) | $1,469.87 | $1,989 | 8.6× |
| MRI lower-extremity joint without contrast (73721) | $2,103.93 | $2,847 | 9.0× |
| CT abdomen and pelvis with contrast (74177) | $2,528.12 | $3,421 | 7.4× |
| Ultrasound, abdomen complete (76700) | $611.15 | $827 | 6.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $502.52 | $680 | 4.9× |
| Ultrasound, transvaginal (76830) | $417.54 | $565 | 4.1× |
| Mammography, one breast (diagnostic) (77065) | $327.38 | $443 | 3.8× |
| Mammography, both breasts (diagnostic) (77066) | $399.80 | $541 | 3.6× |
| Mammography, screening (bilateral) (77067) | $337.72 | $457 | 3.7× |
| Basic metabolic panel (80048) | $173.66 | $235 | 20.5× |
| Comprehensive metabolic panel (80053) | $218 | $295 | 20.6× |
| Lipid panel (80061) range across 2 matching MRF lines |
$29.93–$108.63 | $40.50–$147 | varies |
| Renal function panel (80069) | $220.22 | $298 | 25.4× |
| Hepatic function panel (80076) | $128.59 | $174 | 15.7× |
| Urinalysis, non-automated, without microscopy (81002) | $22.17 | $30 | 6.4× |
| PSA, total (84153) range across 3 matching MRF lines |
$110.11–$119.72 | $149–$162 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$28.82–$107.16 | $39–$145 | varies |
| CBC with automated differential (85025) | $121.94 | $165 | 15.7× |
| CBC, automated (85027) | $116.02 | $157 | 17.9× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$46.56–$48.04 | $63–$65 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$70.94–$76.12 | $96–$103 | varies |
| Sleep study (attended polysomnography) (95810) | $3,557.55 | $4,814 | 4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $101.24 | $137 | 3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $116.76 | $158 | 0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $183.27 | $248 | 1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $242.39 | $328 | 1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) | $189.18 | $256 | 1.5× |
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: 205 codes with posted prices and Medicare benchmarks
- Lab & pathology: 689 codes with posted prices and Medicare benchmarks
- Visits & medical services: 159 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 514 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 23 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 439.5 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.