Froedtert and The Medical College of Wisconsin · Menomonee Falls, WI
40
In-network payers
265
Disclosed rate categories
237
Beds
4
Care quality
Froedtert Menomonee Falls Hospital is a 237-bed voluntary non-profit - private hospital in Menomonee Falls, WI, affiliated with Froedtert and The Medical College of Wisconsin. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 265 disclosed rate categories.
CCN (Medicare provider number)
520103
NPI
1609822881
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
237
Care Quality
4
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 Froedtert Menomonee Falls 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.
Childbirth · Inpatient
MS-DRG 807
$10,862 - $17,890
from 3 insurers · median $15,853
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$15,297 - $21,110
from 3 insurers · median $18,846
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 neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$70,861 - $76,260
from 2 insurers · median $73,560
17 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$200,123 - $270,270
from 3 insurers · median $235,735
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$29,806 - $53,042
from 3 insurers · median $38,801
23 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$390 - $3,480
from 4 insurers · median $1,302
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,862 - $17,890
from 3 insurers · median $15,853
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58571
$2,894 - $20,280
from 4 insurers · median $15,072
28 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$1,714 - $17,121
from 4 insurers · median $11,145
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,283 - $5,802
from 4 insurers · median $4,402
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,975 - $17,174
from 4 insurers · median $14,953
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,720 - $4,969
from 4 insurers · median $4,248
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$1,589 - $10,605
from 4 insurers · median $7,481
34 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 70450
$117 - $1,266
from 4 insurers · median $553
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,268 - $5,802
from 4 insurers · median $4,022
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$636 - $1,845
from 4 insurers · median $1,161
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$123 - $363
from 4 insurers · median $236
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$377 - $4,130
from 4 insurers · median $1,603
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$217 - $4,166
from 4 insurers · median $2,304
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$180 - $2,975
from 4 insurers · median $1,030
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$347 - $2,590
from 4 insurers · median $1,048
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$6,805 - $17,174
from 4 insurers · median $14,953
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$12,785 - $18,462
from 3 insurers · median $14,425
89 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 57288
$8,982 - $14,213
from 3 insurers · median $11,996
16 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
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* | 24 | 342% | 12 | 7 |
| Insurer B* | 18 | 328% | 2 | 13 |
| Insurer C* | 22 | 267% | 4 | 11 |
| Insurer D* | 23 | 248% | 11 | 6 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 11 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 Froedtert Menomonee Falls Hospital.
W180 N8085 Town Hall Road, Menomonee Falls, WI 53051
(262) 251-1000
The nearest hospitals of similar type and size. Their rates are compared with Froedtert Menomonee Falls Hospital for the same insurers and services above.
Prohealth Waukesha Memorial Hospital
Rates about the same as Froedtert Menomonee Falls Hospital (21 services)
St Marys Ozaukee
▼ Rates typically 71% lower than Froedtert Menomonee Falls Hospital (19 services)
West Allis Memorial Hospital
▲ Rates typically 9% higher than Froedtert Menomonee Falls Hospital (20 services)
Aurora Sinai Medical Center
▲ Rates typically 11% higher than Froedtert Menomonee Falls Hospital (19 services)
St Marys Milwauke
▼ Rates typically 24% lower than Froedtert Menomonee Falls Hospital (21 services)
Aurora Medical Center Grafton
▲ Rates typically 9% higher than Froedtert Menomonee Falls Hospital (20 services)
Froedtert Pleasant Prairie Hospital
Froedtert Community Hospital - New Berlin
Holy Family Memorial Medical Center
Froedtert Hospital
About Froedtert Menomonee Falls Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Froedtert Menomonee Falls Hospital range from $377 to $4,130 across 4 insurers. Blue Cross Blue Shield's rate is $377. The median at nearby comparable hospitals is $5,369. 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 Froedtert Menomonee Falls Hospital range from $390 to $3,480 across 4 insurers. Aetna's rate is $3,480. The median at nearby comparable hospitals is $5,308. 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 Froedtert Menomonee Falls Hospital range from $1,283 to $5,802 across 4 insurers. Blue Cross Blue Shield's rate is $5,802. The median at nearby comparable hospitals is $4,091. 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 Froedtert Menomonee Falls Hospital range from $10,862 to $17,890 across 3 insurers. UnitedHealthcare's rate is $10,862. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Froedtert Menomonee Falls Hospital range from $123 to $363 across 4 insurers. UnitedHealthcare's rate is $123. The median at nearby comparable hospitals is $316. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Froedtert Menomonee Falls Hospital range from $29,806 to $53,042 across 3 insurers. Cigna's rate is $29,806. The median at nearby comparable hospitals is $34,197. What a patient pays depends on their plan's deductible, coinsurance and network status.
Froedtert Menomonee Falls Hospital has 237 beds. Facility type: Short Term Acute Care Hospital.
Froedtert Menomonee Falls Hospital is located at W180 N8085 Town Hall Road, Menomonee Falls, WI 53051. Its main phone number is (262) 251-1000.
Froedtert Menomonee Falls Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520103.
The National Provider Identifier (NPI) on file for Froedtert Menomonee Falls Hospital is 1609822881.
Froedtert Menomonee Falls Hospital is affiliated with Froedtert and The Medical College of Wisconsin.
Froedtert Menomonee Falls Hospital lists 40 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
265 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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