Froedtert and The Medical College of Wisconsin · Pleasant Prairie, WI
38
In-network payers
193
Disclosed rate categories
128
Beds
1
Care quality
Froedtert Pleasant Prairie Hospital is a 128-bed government - local hospital in Pleasant Prairie, WI, affiliated with Froedtert and The Medical College of Wisconsin. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 193 disclosed rate categories.
CCN (Medicare provider number)
520021
NPI
1003831132
Type
Short Term Acute Care Hospital
Ownership
Government - Local
Beds
128
Care Quality
1
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 Pleasant Prairie 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.
Medicine & Surgery
CPT 47562
$15,112 - $26,931
from 2 insurers · median $21,021
61 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58558
$7,426 - $8,912
from 2 insurers · median $8,169
11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 49650
$23,939 - $26,931
from 2 insurers · median $25,435
61 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$6,862 - $7,426
from 2 insurers · median $7,144
374 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$313 - $1,513
from 4 insurers · median $1,375
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$915 - $3,557
from 4 insurers · median $3,384
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,417 - $3,051
from 4 insurers · median $2,837
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$21,825 - $34,612
from 2 insurers · median $28,218
18 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$6,759 - $7,426
from 2 insurers · median $7,092
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$486 - $3,164
from 4 insurers · median $3,010
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$577 - $3,288
from 4 insurers · median $2,989
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$5,148 - $8,777
from 4 insurers · median $6,900
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,080 - $3,818
from 4 insurers · median $3,632
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$15,426 - $26,931
from 2 insurers · median $21,179
61 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$336 - $426
from 4 insurers · median $351
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$93 - $444
from 4 insurers · median $403
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$617 - $3,098
from 4 insurers · median $2,947
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$695 - $3,096
from 4 insurers · median $3,015
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$9,777 - $26,931
from 2 insurers · median $18,354
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$9,403 - $17,815
from 2 insurers · median $13,609
38 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
MRI imaging
CPT 74183
$1,217 - $4,024
from 4 insurers · median $3,699
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$10,682 - $26,931
from 2 insurers · median $18,807
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$6,012 - $33,021
from 2 insurers · median $19,516
55 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
X-ray and bone density
CPT 77080
$127 - $857
from 4 insurers · median $798
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* | 13 | 1129% | 7 | 4 |
| Insurer B* | 13 | 1100% | 13 | 0 |
| Insurer C* | 24 | 453% | 23 | 1 |
| Insurer D* | 24 | 387% | 13 | 11 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 2 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 Pleasant Prairie Hospital.
9555 76th Street, Pleasant Prairie, WI 53158
262.577.8000
The nearest hospitals of similar type and size. Their rates are compared with Froedtert Pleasant Prairie Hospital for the same insurers and services above.
Aurora Medical Center Kenosha
▼ Rates typically 8% lower than Froedtert Pleasant Prairie Hospital (23 services)
Midwestern Regional Medical Center
▼ Rates typically 57% lower than Froedtert Pleasant Prairie Hospital (24 services)
Vista Medical Center - East
▼ Rates typically 71% lower than Froedtert Pleasant Prairie Hospital (24 services)
Aurora Medical Center Burlington
▼ Rates typically 8% lower than Froedtert Pleasant Prairie Hospital (23 services)
Northwestern Lake Forest Hospital
▼ Rates typically 38% lower than Froedtert Pleasant Prairie Hospital (24 services)
Northwestern Medicine Mchenry Hospital
▼ Rates typically 15% lower than Froedtert Pleasant Prairie Hospital (24 services)
Froedtert West Bend Hospital
Holy Family Memorial Medical Center
Froedtert Menomonee Falls Hospital
Froedtert Hospital
About Froedtert Pleasant Prairie Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Froedtert Pleasant Prairie Hospital range from $1,080 to $3,818 across 4 insurers. UnitedHealthcare's rate is $3,719. The median at nearby comparable hospitals is $3,642. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Froedtert Pleasant Prairie Hospital range from $313 to $1,513 across 4 insurers. Cigna's rate is $1,513. The median at nearby comparable hospitals is $715. 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 Pleasant Prairie Hospital range from $6,759 to $7,426 across 2 insurers. Blue Cross Blue Shield's rate is $7,426. The median at nearby comparable hospitals is $3,032. 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 Pleasant Prairie Hospital range from $336 to $426 across 4 insurers. UnitedHealthcare's rate is $346. The median at nearby comparable hospitals is $298. What a patient pays depends on their plan's deductible, coinsurance and network status.
Froedtert Pleasant Prairie Hospital has 128 beds. Facility type: Short Term Acute Care Hospital.
Froedtert Pleasant Prairie Hospital is located at 9555 76th Street, Pleasant Prairie, WI 53158. Its main phone number is 262.577.8000.
Froedtert Pleasant Prairie Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520021.
The National Provider Identifier (NPI) on file for Froedtert Pleasant Prairie Hospital is 1003831132.
Froedtert Pleasant Prairie Hospital is affiliated with Froedtert and The Medical College of Wisconsin.
Froedtert Pleasant Prairie Hospital lists 38 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.
193 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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{
"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