Old National Bank is a nonprofit critical access hospital in Grantsburg, Wisconsin. Its CMS Certification Number (CCN) is 521331 and its NPI is 1225191687.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Grantsburg, WI
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Wisconsin hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $202$196–$208 · 2 rates | 11th percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $362$351–$373 · 6 rates | 14th percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $381$369–$392 · 6 rates | 7th percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $383$205–$431 · 6 rates | 12th percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at Old National Bank
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
0 better1 no different0 worsethan national
0 better1 no different0 worsethan national
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Quick answers about Old National Bank.
Old National Bank's CMS Certification Number (CCN) is 521331. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Old National Bank bills under National Provider Identifier (NPI) 1225191687.
Old National Bank bills insurers under tax ID (EIN) 39-0938661, held by BURNETT MEDICAL CENTER INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Old National Bank is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Burnett Medical Center Inc.
Old National Bank is at 257 W Saint George Ave, Grantsburg, WI 54840.
Yes. Old National Bank reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.