Froedtert and The Medical College of Wisconsin · West Bend, WI
37
In-network payers
237
Disclosed rate categories
70
Beds
4
Care quality
Froedtert West Bend Hospital is a 70-bed voluntary non-profit - private hospital in West Bend, WI, affiliated with Froedtert and The Medical College of Wisconsin. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 237 disclosed rate categories.
CCN (Medicare provider number)
520063
NPI
1851336044
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
70
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 West Bend 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
Medicine & Surgery · Inpatient
MS-DRG 470
$29,806 - $53,040
from 3 insurers · median $38,801
35 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$15,297 - $21,110
from 3 insurers · median $18,810
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
Gynecology
CPT 58558
$2,608 - $6,754
from 4 insurers · median $6,029
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$390 - $3,480
from 4 insurers · median $1,302
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$200,123 - $235,735
from 3 insurers · median $209,723
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58571
$2,894 - $20,178
from 4 insurers · median $15,072
20 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
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
Medicine & Surgery
CPT 49505
$1,589 - $10,605
from 4 insurers · median $7,458
23 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 45385
$1,283 - $5,772
from 4 insurers · median $4,402
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$1,714 - $17,036
from 4 insurers · median $11,145
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,720 - $4,969
from 4 insurers · median $4,532
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,561 - $6,754
from 4 insurers · median $4,700
117 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 49650
$6,975 - $17,174
from 4 insurers · median $14,911
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$11,276 - $15,304
from 4 insurers · median $13,320
42 Medicare claims in Level 4 Urology and Related Services (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 - $5,772
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 - $4,497
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 $14,911
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* | 24 | 355% | 8 | 12 |
| Insurer B* | 19 | 325% | 2 | 15 |
| Insurer C* | 24 | 256% | 4 | 16 |
| Insurer D* | 24 | 245% | 11 | 9 |
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 West Bend Hospital.
3200 Pleasant Valley Road, West Bend, WI 53095
(262) 334-5533
The nearest hospitals of similar type and size. Their rates are compared with Froedtert West Bend Hospital for the same insurers and services above.
Aurora Medical Center Washington County
▲ Rates typically 16% higher than Froedtert West Bend Hospital (20 services)
Aurora Medical Center Grafton
▲ Rates typically 22% higher than Froedtert West Bend Hospital (20 services)
Aurora Medical Center Summit
▲ Rates typically 19% higher than Froedtert West Bend Hospital (20 services)
Watertown Regional Medical Center
▲ Rates typically 47% higher than Froedtert West Bend Hospital (21 services)
Aurora Sheboygan Memorial Medical Center
▼ Rates typically 6% lower than Froedtert West Bend Hospital (21 services)
Marshfield Medical Center Beaver Dam
Rates about the same as Froedtert West Bend Hospital (21 services)
Holy Family Memorial Medical Center
Froedtert Menomonee Falls Hospital
Froedtert Pleasant Prairie Hospital
Froedtert Community Hospital - New Berlin
About Froedtert West Bend Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Froedtert West Bend 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 $4,952. 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 West Bend Hospital range from $390 to $3,480 across 4 insurers. Aetna's rate is $3,480. The median at nearby comparable hospitals is $5,325. 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 West Bend Hospital range from $1,283 to $5,772 across 4 insurers. Cigna's rate is $1,283. The median at nearby comparable hospitals is $4,025. 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 West Bend 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 West Bend Hospital range from $123 to $363 across 4 insurers. Aetna's rate is $315. The median at nearby comparable hospitals is $334. 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 West Bend Hospital range from $29,806 to $53,040 across 3 insurers. Blue Cross Blue Shield's rate is $53,040. The median at nearby comparable hospitals is $32,164. What a patient pays depends on their plan's deductible, coinsurance and network status.
Froedtert West Bend Hospital has 70 beds. Facility type: Short Term Acute Care Hospital.
Froedtert West Bend Hospital is located at 3200 Pleasant Valley Road, West Bend, WI 53095. Its main phone number is (262) 334-5533.
Froedtert West Bend Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520063.
The National Provider Identifier (NPI) on file for Froedtert West Bend Hospital is 1851336044.
Froedtert West Bend Hospital is affiliated with Froedtert and The Medical College of Wisconsin.
Froedtert West Bend Hospital lists 37 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.
237 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