Unitypoint Health · Madison, WI
39
In-network payers
235
Disclosed rate categories
389
Beds
5
Care quality
Meriter Hospital is a 389-bed voluntary non-profit - private hospital in Madison, WI, affiliated with Unitypoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 235 disclosed rate categories.
CCN (Medicare provider number)
520089
NPI
1114920048
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
389
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 Meriter 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
$8,649 - $13,686
from 3 insurers · median $9,995
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
$13,983 - $19,464
from 3 insurers · median $16,168
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
$3,466 - $20,643
from 3 insurers · median $6,026
95 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$208 - $5,434
from 4 insurers · median $2,186
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,371 - $18,308
from 4 insurers · median $9,838
161 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$7,984 - $26,697
from 3 insurers · median $17,898
46 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$7,371 - $21,130
from 4 insurers · median $10,113
161 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$65 - $1,870
from 4 insurers · median $860
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$108 - $2,797
from 4 insurers · median $2,186
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,649 - $13,686
from 3 insurers · median $9,995
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
Cardiology and vascular testing
CPT 93306
$1,103 - $3,356
from 4 insurers · median $1,821
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$189 - $2,860
from 3 insurers · median $2,077
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,304 - $5,169
from 4 insurers · median $3,265
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,328 - $5,169
from 4 insurers · median $3,376
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$1,318 - $7,268
from 4 insurers · median $5,377
76 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 45380
$1,014 - $5,169
from 4 insurers · median $3,959
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$198 - $569
from 3 insurers · median $273
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,890 - $5,419
from 3 insurers · median $2,602
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$204 - $3,407
from 4 insurers · median $1,412
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,825 - $6,026
from 2 insurers · median $4,925
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$55,591 - $79,738
from 3 insurers · median $73,670
Hospital reports neurosurgical services to CMS
Orthopedics and pain
CPT 20610
$861 - $2,756
from 4 insurers · median $2,112
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$1,426 - $9,451
from 4 insurers · median $5,694
57 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Ultrasound
CPT 76705
$56 - $1,613
from 4 insurers · median $630
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* | 18 | 523% | 14 | 3 |
| Insurer B* | 24 | 365% | 7 | 14 |
| Insurer C* | 21 | 198% | 2 | 10 |
| Insurer D* | 22 | 175% | 1 | 17 |
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 Meriter Hospital.
202 South Park Street, Madison, WI 53715
(608) 417-6000
The nearest hospitals of similar type and size. Their rates are compared with Meriter Hospital for the same insurers and services above.
Ssm Health St. Mary S Hospital - Madison
▲ Rates typically 35% higher than Meriter Hospital (21 services)
Uw Health University Hospital
▲ Rates typically 14% higher than Meriter Hospital (19 services)
Mercyhealth Hospital And Trauma Center–janesville
▲ Rates typically 55% higher than Meriter Hospital (21 services)
Rockford Memorial Hospital
▼ Rates typically 26% lower than Meriter Hospital (18 services)
Uw Health Swedishamerican Hospital
Rates about the same as Meriter Hospital (14 services)
Prohealth Waukesha Memorial Hospital
▼ Rates typically 8% lower than Meriter Hospital (21 services)
Aspirus Stevens Point Hospital
Aurora Medical Center Manitowoc County
About Meriter Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Meriter Hospital range from $204 to $3,407 across 4 insurers. Blue Cross Blue Shield's rate is $204. The median at nearby comparable hospitals is $2,518. 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 Meriter Hospital range from $208 to $5,434 across 4 insurers. Blue Cross Blue Shield's rate is $208. The median at nearby comparable hospitals is $2,698. 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 Meriter Hospital range from $1,304 to $5,169 across 4 insurers. Aetna's rate is $3,065. The median at nearby comparable hospitals is $5,408. 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 Meriter Hospital range from $8,649 to $13,686 across 3 insurers. Cigna's rate is $13,686. What a patient pays depends on their plan's deductible, coinsurance and network status.
Meriter Hospital has 389 beds. Facility type: Short Term Acute Care Hospital.
Meriter Hospital is located at 202 South Park Street, Madison, WI 53715. Its main phone number is (608) 417-6000.
Meriter Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520089.
The National Provider Identifier (NPI) on file for Meriter Hospital is 1114920048.
Meriter Hospital is affiliated with Unitypoint Health.
Meriter Hospital lists 39 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.
235 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