Fort Atkinson, WI
41
In-network payers
247
Disclosed rate categories
49
Beds
5
Care quality
Fort Atkinson Memorial Hospital is a 49-bed voluntary non-profit - private hospital in Fort Atkinson, WI. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 247 disclosed rate categories.
CCN (Medicare provider number)
520071
NPI
1811916281
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
49
Care Quality
5
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 Fort Atkinson Memorial Hospital 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
$350 - $3,816
from 4 insurers · median $1,945
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,710 - $6,281
from 2 insurers · median $5,996
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,100 - $9,301
from 2 insurers · median $8,700
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Mammography
CPT 77067
$164 - $606
from 4 insurers · median $340
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$77 - $1,863
from 4 insurers · median $585
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$117 - $467
from 3 insurers · median $364
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,997 - $4,784
from 4 insurers · median $4,422
106 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$295 - $2,862
from 4 insurers · median $1,255
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,104 - $17,679
from 4 insurers · median $11,742
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,342 - $15,382
from 4 insurers · median $8,928
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$265 - $5,824
from 4 insurers · median $1,341
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$711 - $5,250
from 4 insurers · median $2,146
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$142 - $3,077
from 4 insurers · median $860
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,228 - $26,473
from 4 insurers · median $17,982
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,157 - $8,375
from 4 insurers · median $4,992
73 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
MRI imaging
CPT 72197
$356 - $6,154
from 4 insurers · median $3,390
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$2,997 - $11,796
from 4 insurers · median $6,708
106 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$6,623 - $14,361
from 4 insurers · median $7,851
81 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$421 - $6,250
from 4 insurers · median $1,628
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$5,342 - $14,100
from 4 insurers · median $8,834
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$402 - $3,373
from 4 insurers · median $1,620
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$214 - $4,294
from 4 insurers · median $600
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$581 - $3,199
from 4 insurers · median $1,484
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$6,623 - $17,446
from 4 insurers · median $14,270
Typical for a hospital with this service line
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* | 22 | 446% | 7 | 11 |
| Insurer B* | 24 | 260% | 10 | 12 |
| Insurer C* | 22 | 200% | 4 | 16 |
| Insurer D* | 23 | 89% | 0 | 21 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 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 Fort Atkinson Memorial Hospital.
611 East Sherman Avenue, Fort Atkinson, WI 53538
(920) 568-5000
The nearest hospitals of similar type and size. Their rates are compared with Fort Atkinson Memorial Hospital for the same insurers and services above.
Ssm Health St. Mary S Hospital - Janesville
â–² Rates typically 117% higher than Fort Atkinson Memorial Hospital (22 services)
Watertown Regional Medical Center
â–² Rates typically 56% higher than Fort Atkinson Memorial Hospital (22 services)
Beloit Memorial Hospital
â–² Rates typically 80% higher than Fort Atkinson Memorial Hospital (22 services)
Aurora Medical Center Washington County
â–² Rates typically 100% higher than Fort Atkinson Memorial Hospital (21 services)
Ascension Se Wisconsin Hospital - Franklin Campus
â–² Rates typically 85% higher than Fort Atkinson Memorial Hospital (22 services)
Froedtert West Bend Hospital
â–² Rates typically 53% higher than Fort Atkinson Memorial Hospital (22 services)
Aurora Medical Center Kenosha
Aurora Medical Center Summit
Aspirus Wausau Hospital
Bellin Hospital
About Fort Atkinson Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fort Atkinson Memorial Hospital range from $265 to $5,824 across 4 insurers. Aetna's rate is $1,079. The median at nearby comparable hospitals is $3,264. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fort Atkinson Memorial Hospital range from $350 to $3,816 across 4 insurers. Aetna's rate is $2,552. The median at nearby comparable hospitals is $3,189. 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 Fort Atkinson Memorial Hospital range from $711 to $5,250 across 4 insurers. Blue Cross Blue Shield's rate is $3,199. The median at nearby comparable hospitals is $4,442. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Fort Atkinson Memorial Hospital range from $5,710 to $6,281 across 2 insurers. Blue Cross Blue Shield's rate is $5,710. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fort Atkinson Memorial Hospital range from $164 to $606 across 4 insurers. Cigna's rate is $411. The median at nearby comparable hospitals is $303. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fort Atkinson Memorial Hospital has 49 beds. Facility type: Short Term Acute Care Hospital.
Fort Atkinson Memorial Hospital is located at 611 East Sherman Avenue, Fort Atkinson, WI 53538. Its main phone number is (920) 568-5000.
Fort Atkinson Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520071.
The National Provider Identifier (NPI) on file for Fort Atkinson Memorial Hospital is 1811916281.
Fort Atkinson Memorial Hospital lists 41 in-network payers, including Aetna, Aspirus Health Plan, 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.
247 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