Se Wisconsin Hospital - Elmbrook Campus
Ascension Health
Hospital Overview
Facility Details
CCN
520170
NPI
1598714420
Type
Short Term Acute Care Hospital
Ownership
Beds
175
Contact Information
Address
19333 West North Avenue
Brookfield, WI 53045
Phone
2627852000
Insurance Accepted
Avera Health Plans
Group Health Cooperative of South Central Wisconsin
Harvard Pilgrim Health Care
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Important Notice
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.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
United | Outpatient | CPT Category III Codes Range: 0042T - 0810T | Negotiated | Very High |
United | Outpatient | CPT Medicine Services and Procedures Range: 90281 - 99607 | Negotiated | Very High |
United | Outpatient | CPT Surgery Range: 10004 - 69990 | Negotiated | Very High |
United | Outpatient | HCPCS Outpatient PPS Range: C1713 - C9899 | Negotiated | Very High |
United | Outpatient | HCPCS Procedures / Professional Services Range: G0008 - G9987 | Negotiated | Very High |
United | Outpatient | HCPCS Temporary National Codes (Non-Medicare) Range: S0012 - S9999 | Negotiated | Very High |
United | Inpatient | MS-DRG Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders Range: 894 - 897 | Negotiated | Very High |
United | Inpatient | MS-DRG Burns Range: 927 - 935 | Percentage of Bill Charged | |
United | Inpatient | MS-DRG Burns Range: 927 - 935 | Negotiated | Very High |
United | Inpatient | MS-DRG Diseases & Disorders of the Circulatory System Range: 212 - 320 | Negotiated | Very High |
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