Ascension Health · Waukesha, WI
27
In-network payers
349
Disclosed rate categories
16
Beds
Ascension Wisconsin Hospital - Waukesha is a 16-bed proprietary hospital in Waukesha, WI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 349 disclosed rate categories.
CCN (Medicare provider number)
520214
NPI
1225635592
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
16
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Ascension Wisconsin Hospital - Waukesha most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$733 - $3,399
from 4 insurers · median $2,236
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,165 - $2,754
from 4 insurers · median $2,578
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$733 - $1,043
from 4 insurers · median $976
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$733 - $2,167
from 4 insurers · median $1,992
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$733 - $1,833
from 4 insurers · median $1,716
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$563 - $716
from 4 insurers · median $662
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$20,987
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$132 - $218
from 4 insurers · median $162
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$380 - $1,035
from 4 insurers · median $937
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$16 - $138
from 4 insurers · median $129
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$11,910
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76642
$483 - $638
from 4 insurers · median $575
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,795
negotiated rate
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$107 - $705
from 4 insurers · median $637
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$106 - $593
from 4 insurers · median $539
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$17,313
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$12,151
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$180 - $286
from 4 insurers · median $242
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,925
negotiated rate
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 85025
$15 - $86
from 4 insurers · median $80
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$11,139
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$1,115 - $1,418
from 4 insurers · median $1,327
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$1,517 - $1,930
from 4 insurers · median $1,807
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73030
$170 - $312
from 4 insurers · median $228
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 670% | 14 | 3 |
| Insurer B* | 17 | 655% | 15 | 1 |
| Insurer C* | 17 | 639% | 14 | 2 |
| Insurer D* | 24 | 260% | 22 | 1 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ascension Wisconsin Hospital - Waukesha.
N88w14275 Main St, Waukesha, WI 53188
None
The nearest hospitals of similar type and size. Their rates are compared with Ascension Wisconsin Hospital - Waukesha for the same insurers and services above.
Froedtert Community Hospital - New Berlin
▼ Rates typically 38% lower than Ascension Wisconsin Hospital - Waukesha (17 services)
Marshfield Medical Center - River Region At Stevens Point
▲ Rates typically 7% higher than Ascension Wisconsin Hospital - Waukesha (24 services)
Pinnacle Hospital
▼ Rates typically 60% lower than Ascension Wisconsin Hospital - Waukesha (23 services)
Franciscan Beacon Hospital
▼ Rates typically 17% lower than Ascension Wisconsin Hospital - Waukesha (18 services)
Unity Physicians Hospital
▼ Rates typically 75% lower than Ascension Wisconsin Hospital - Waukesha (17 services)
Corewell Health Pennock
▼ Rates typically 38% lower than Ascension Wisconsin Hospital - Waukesha (21 services)
Prohealth Waukesha Memorial Hospital
Ne Wisconsin - St. Elizabeth Campus
St Marys Milwauke
Orthopaedic Hospital Of Wisconsin
About Ascension Wisconsin Hospital - Waukesha's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ascension Wisconsin Hospital - Waukesha range from $733 to $3,399 across 4 insurers. Aetna's rate is $3,399. The median at nearby comparable hospitals is $1,165. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ascension Wisconsin Hospital - Waukesha range from $2,795 to $2,795 across 1 insurers. Blue Cross Blue Shield's rate is $2,795. The median at nearby comparable hospitals is $1,577. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ascension Wisconsin Hospital - Waukesha has 16 beds. Facility type: Short Term Acute Care Hospital.
Ascension Wisconsin Hospital - Waukesha is located at N88w14275 Main St, Waukesha, WI 53188. Its main phone number is None.
Ascension Wisconsin Hospital - Waukesha's CMS Certification Number (CCN), also called its Medicare provider number, is 520214.
The National Provider Identifier (NPI) on file for Ascension Wisconsin Hospital - Waukesha is 1225635592.
Ascension Wisconsin Hospital - Waukesha is affiliated with Ascension Health.
Ascension Wisconsin Hospital - Waukesha lists 27 in-network payers, including Aetna, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
349 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers