Mercy Health (WI) · Janesville, WI
31
In-network payers
252
Disclosed rate categories
240
Beds
3
Care quality
Mercyhealth Hospital And Trauma Center–Janesville is a 240-bed voluntary non-profit - private hospital in Janesville, WI, affiliated with Mercy Health (WI). Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 252 disclosed rate categories.
CCN (Medicare provider number)
520066
NPI
1093768962
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
240
Care Quality
3
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 Mercyhealth Hospital And Trauma Center–Janesville 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 788
$21,976 - $40,729
from 3 insurers · median $35,007
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
Childbirth · Inpatient
MS-DRG 807
$16,171 - $21,439
from 4 insurers · median $17,278
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
CT imaging
CPT 74177
$1,124 - $6,378
from 4 insurers · median $5,744
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,472 - $13,502
from 4 insurers · median $8,773
13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
MRI imaging
CPT 70553
$1,079 - $6,378
from 4 insurers · median $5,530
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,770 - $10,356
from 4 insurers · median $6,545
494 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$331 - $1,792
from 4 insurers · median $1,252
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$16,171 - $21,439
from 4 insurers · median $17,278
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 obstetrics / child birth services to CMS
CT imaging
CPT 71275
$984 - $2,874
from 3 insurers · median $2,843
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$5,695 - $6,228
from 4 insurers · median $5,936
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$564 - $2,874
from 4 insurers · median $2,519
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$438 - $954
from 4 insurers · median $471
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,249 - $24,610
from 4 insurers · median $21,961
32 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,089 - $2,171
from 4 insurers · median $1,846
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,773 - $5,215
from 4 insurers · median $4,816
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$109 - $501
from 4 insurers · median $466
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$3,206 - $7,665
from 4 insurers · median $4,776
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$4,935 - $6,228
from 4 insurers · median $5,707
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,773 - $7,076
from 4 insurers · median $6,184
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$14,309 - $24,610
from 4 insurers · median $21,961
32 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 74183
$1,211 - $6,378
from 3 insurers · median $5,335
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,580 - $15,647
from 4 insurers · median $11,520
83 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58661
$4,222 - $24,610
from 4 insurers · median $21,961
Typical for a hospital with this service line
Gynecology
CPT 58571
$24,902 - $33,561
from 4 insurers · median $28,333
11 Medicare claims in Level 2 Laparoscopy and Related Services (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 | 509% | 13 | 1 |
| Insurer B* | 24 | 468% | 20 | 1 |
| Insurer C* | 21 | 366% | 10 | 8 |
| Insurer D* | 24 | 314% | 6 | 13 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 4 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 Mercyhealth Hospital And Trauma Center–Janesville.
1000 Mineral Point Avenue, Janesville, WI 53548
(608) 756-6080
The nearest hospitals of similar type and size. Their rates are compared with Mercyhealth Hospital And Trauma Center–Janesville for the same insurers and services above.
Uw Health Swedishamerican Hospital
▼ Rates typically 33% lower than Mercyhealth Hospital And Trauma Center–Janesville (14 services)
Osf Saint Anthony Medical Center - Rockford
▼ Rates typically 32% lower than Mercyhealth Hospital And Trauma Center–Janesville (21 services)
Ssm Health St. Mary S Hospital - Madison
▲ Rates typically 20% higher than Mercyhealth Hospital And Trauma Center–Janesville (21 services)
Meriter Hospital
▼ Rates typically 42% lower than Mercyhealth Hospital And Trauma Center–Janesville (21 services)
Aurora Medical Center Burlington
▼ Rates typically 9% lower than Mercyhealth Hospital And Trauma Center–Janesville (20 services)
Prohealth Oconomowoc Memorial Hospital
▼ Rates typically 14% lower than Mercyhealth Hospital And Trauma Center–Janesville (21 services)
Ssm Health St. Mary S Hospital - Janesville
Froedtert Pleasant Prairie Hospital
Thedacare Regional Medical Center Appleton
Froedtert West Bend Hospital
About Mercyhealth Hospital And Trauma Center–Janesville's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercyhealth Hospital And Trauma Center–Janesville range from $1,079 to $6,378 across 4 insurers. Blue Cross Blue Shield's rate is $1,079. The median at nearby comparable hospitals is $2,052. 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 Mercyhealth Hospital And Trauma Center–Janesville range from $1,124 to $6,378 across 4 insurers. Blue Cross Blue Shield's rate is $1,124. The median at nearby comparable hospitals is $2,293. 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 Mercyhealth Hospital And Trauma Center–Janesville range from $5,695 to $6,228 across 4 insurers. Aetna's rate is $6,153. The median at nearby comparable hospitals is $4,112. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Mercyhealth Hospital And Trauma Center–Janesville range from $21,976 to $40,729 across 3 insurers. Cigna's rate is $40,729. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercyhealth Hospital And Trauma Center–Janesville range from $438 to $954 across 4 insurers. Aetna's rate is $954. The median at nearby comparable hospitals is $263. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercyhealth Hospital And Trauma Center–Janesville has 240 beds. Facility type: Short Term Acute Care Hospital.
Mercyhealth Hospital And Trauma Center–Janesville is located at 1000 Mineral Point Avenue, Janesville, WI 53548. Its main phone number is (608) 756-6080.
Mercyhealth Hospital And Trauma Center–Janesville's CMS Certification Number (CCN), also called its Medicare provider number, is 520066.
The National Provider Identifier (NPI) on file for Mercyhealth Hospital And Trauma Center–Janesville is 1093768962.
Mercyhealth Hospital And Trauma Center–Janesville is affiliated with Mercy Health (WI).
Mercyhealth Hospital And Trauma Center–Janesville lists 31 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.
252 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