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Childrens HospitalVoluntary Non-Profit - Other

Children S Wisconsin-Milwaukee

Childrens Hospital and Health System ยท Milwaukee, WI

9000 West Wisconsin Avenue, Milwaukee, WI 53226(414) 266-2000

Not rated by CMS

CMS star rating

309

Beds

9,927

Inpatient discharges a year

$1B

Net patient revenue a year

37

In-network payers

About this hospital

Children S Wisconsin-Milwaukee is a 309-bed voluntary non-profit - other hospital in Milwaukee, WI, affiliated with Childrens Hospital and Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 312 disclosed rate categories.

  • 340B participant
CCN
523300
NPI
1750482022
Health system
Childrens Hospital and Health System
County
Milwaukee County
Metro area
Milwaukee-Waukesha, WI MSA
Medicare contractor
Jurisdiction 6, National Government Services (06001)
In Medicare since
1984
Last CMS survey
2003

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very Low

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Children S Wisconsin-Milwaukee in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
39-0812532(multi-state) Childrens Hospital Of Wisconsin66Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 61 more1750482022 Children's Hospital Of Wisconsin Inc.1881780302 Children's Hospital Of Wisconsin Inc.1245308626 Childrens Hospital Of Wisconsin Inc.and 23 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

9000 West Wisconsin Avenue, Milwaukee, WI 53226

(414) 266-2000

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Frequently asked questions

About Children S Wisconsin-Milwaukee's rates and hospital price transparency.

How many patients does Children S Wisconsin-Milwaukee admit?

Children S Wisconsin-Milwaukee reported 9,927 inpatient discharges and 73,239 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Children S Wisconsin-Milwaukee have?

Children S Wisconsin-Milwaukee reported 3,339 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Children S Wisconsin-Milwaukee make?

Children S Wisconsin-Milwaukee reported $1B in net patient revenue on $1.9B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 6.6%, and net income of $153.9M.

Who is the CEO of Children S Wisconsin-Milwaukee?

Children S Wisconsin-Milwaukee's Medicare enrollment lists Gil Peri as President & CEO since 2025.

What is Children S Wisconsin-Milwaukee's tax ID (EIN)?

Insurers' price transparency files list Children S Wisconsin-Milwaukee under employer identification number 39-0812532 ((multi-state) Childrens Hospital Of Wisconsin). 66 health plans and networks list 39-0812532 for it.

Does Children S Wisconsin-Milwaukee participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Children S Wisconsin-Milwaukee (340B ID PED523300-00) as a participating children's hospital since 2010, with 98 active contract pharmacies.

How many doctors are affiliated with Children S Wisconsin-Milwaukee?

65 clinicians who bill Medicare list Children S Wisconsin-Milwaukee as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are pediatric cardiology physician (16), pediatric nurse practitioner (6), allergy & immunology physician (5).

Is Children S Wisconsin-Milwaukee accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Children S Wisconsin-Milwaukee, effective 2019.

What services does Children S Wisconsin-Milwaukee offer?

CMS lists 42 services at Children S Wisconsin-Milwaukee, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).

How many beds does Children S Wisconsin-Milwaukee have?

Children S Wisconsin-Milwaukee has 309 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 296 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Childrens Hospital.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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