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Prohealth Waukesha Memorial Hospital

Prohealth Care
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Hospital Overview
Facility Details

CCN

520008

NPI

1629056890

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

400

Contact Information

Address

725 American Avenue

Waukesha, WI 53188

Phone

(262) 928-1000

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Facility

RC

Respiratory Services

Range: 0410 - 0419

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Orthotic Procedures and services

Range: L0112 - L4631

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Temporary National Codes (Non-Medicare)

Range: S0012 - S9999

Negotiated

Very Low

Aetna

Facility

RC

Behavioral Health Treatments/Services (also see 091X, and extension of 090X)

Range: 0900 - 0909

Negotiated

Very Low

Aetna

Facility

RC

Anesthesia

Range: 0370 - 0379

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board (3 and 4 beds)

Range: 0130 - 0139

Percentage of Bill Charged

Aetna

Facility

RC

All-inclusive Rate

Range: 0100 - 0109

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Temporary Codes

Range: Q0035 - Q9992

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Percentage of Bill Charged

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