Short Term Acute Care Hospital

Se Wisconsin Hospital - Elmbrook Campus

Ascension Health · Brookfield, WI

19333 West North Avenue, Brookfield, WI 530452627852000

175

Beds

In-network payers

About this hospital

Se Wisconsin Hospital - Elmbrook Campus is a 175-bed hospital in Brookfield, WI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers and 48 disclosed rate categories.

CCN: 520170
NPI: 1598714420
Website: ascension.org
Health system: Ascension Health

Negotiated Rates

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

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
United	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Negotiated	Very High
United	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very High
United	Outpatient	CPT Surgery Range: 10004 - 69990	Negotiated	Very High
United	Outpatient	HCPCS Outpatient PPS Range: C1713 - C9899	Negotiated	Very High
United	Outpatient	HCPCS Procedures / Professional Services Range: G0008 - G9987	Negotiated	Very High
United	Outpatient	HCPCS Temporary National Codes (Non-Medicare) Range: S0012 - S9999	Negotiated	Very High
United	Inpatient	MS-DRG Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders Range: 894 - 897	Negotiated	Very High
United	Inpatient	MS-DRG Burns Range: 927 - 935	Percentage of Bill Charged	-
United	Inpatient	MS-DRG Burns Range: 927 - 935	Negotiated	Very High
United	Inpatient	MS-DRG Diseases & Disorders of the Circulatory System Range: 212 - 320	Negotiated	Very High

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

Showing 1 - 10 of 48

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Avera Health PlansGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)Kaiser PermanenteMass General Brigham (formerly AllWays Health Partners)Medica

More about this hospital

Doctors and services
23 services
See doctors and services

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Se Wisconsin Hospital - Elmbrook Campus in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
39-0816857(multi-state) Ascension Se Wisconsin Hospital INC	12United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Avera Health Plans, BCBS, EmblemHealth, First Health and 7 more	1427007384 Ascension Se Wisconsin Hospital Inc1861417362 Ascension Se Wisconsin Hospital Inc1457479552 Wheaton Franciscan Healthcare - Franklin Inc.and 6 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

19333 West North Avenue, Brookfield, WI 53045

2627852000

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Leadership

The officers and board members on Se Wisconsin Hospital - Elmbrook Campus's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and key employees of Ascension Se Wisconsin Hospital Inc (IRS Form 990, tax year 2023)

Ascension Se Wisconsin Hospital Inc files the Form 990 for the tax ID insurers list for Se Wisconsin Hospital - Elmbrook Campus, so these people may lead the wider organization rather than Se Wisconsin Hospital - Elmbrook Campus alone.

Name	Title
Matthew Tyler Hanselman	CFO, Ministry Market/interim CEO, Ministry Market (end 8/2023)
Peter Stamas MD	Ex-officio/president, St. Joseph Campus
Daniel W Jackson	Ex-officio/ceo, Ministry Market Executive (start 8/2023)
David A Mannes	VP, Finance - St. Joseph Campus (start 2/2024)
Mary Jo Kohout RN	VP, Nursing
Elzbieta Trabinski	Finance Director - Elmbrook Campus (start 1/2024)
Kurt Ronald Schley	Ex-officio/president, Elmbrook Campus (start 1/2024)
Lynne Briggs	Secretary/treasurer
Robert Vanhimbergen	Chair

Board members: Kristin A Mcmanmon, John Joyce, Bhagath Siripurapu MD, Kaye-Eileen Willard MD, Mark T Catherall MD, Jonathon Matuszewski, Sheila S Bhat MD, Gerald J Nora MD, Andre Storey, Joseph P Regan MD, Jerry Suriano MD, Jonathan H Berkoff MD, Matthew Mokrohisky MD.

Source: IRS Form 990 Part VII filed by Ascension Se Wisconsin Hospital Inc (EIN 39-0816857), via the IRS e-file data. A health system's return can cover several hospitals.

Frequently asked questions

About Se Wisconsin Hospital - Elmbrook Campus's rates and hospital price transparency.

What is Se Wisconsin Hospital - Elmbrook Campus's tax ID (EIN)?

Insurers' price transparency files list Se Wisconsin Hospital - Elmbrook Campus under employer identification number 39-0816857 ((multi-state) Ascension Se Wisconsin Hospital INC). 12 health plans and networks list 39-0816857 for it.

What services does Se Wisconsin Hospital - Elmbrook Campus offer?

CMS lists 23 services at Se Wisconsin Hospital - Elmbrook Campus, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department.

How many beds does Se Wisconsin Hospital - Elmbrook Campus have?

Se Wisconsin Hospital - Elmbrook Campus has 175 beds. Facility type: Short Term Acute Care Hospital.

Where is Se Wisconsin Hospital - Elmbrook Campus and what is its phone number?

Se Wisconsin Hospital - Elmbrook Campus is located at 19333 West North Avenue, Brookfield, WI 53045. Its main phone number is 2627852000.

What is Se Wisconsin Hospital - Elmbrook Campus's CCN (Medicare provider number)?

Se Wisconsin Hospital - Elmbrook Campus's CMS Certification Number (CCN), also called its Medicare provider number, is 520170.

What is Se Wisconsin Hospital - Elmbrook Campus's NPI number?

The National Provider Identifier (NPI) on file for Se Wisconsin Hospital - Elmbrook Campus is 1598714420.

What health system is Se Wisconsin Hospital - Elmbrook Campus part of?

Se Wisconsin Hospital - Elmbrook Campus is affiliated with Ascension Health.

Which insurance plans are in network at Se Wisconsin Hospital - Elmbrook Campus?

Se Wisconsin Hospital - Elmbrook Campus lists 8 in-network payers, including Avera Health Plans, Group Health Cooperative of South Central Wisconsin, Harvard Pilgrim Health Care (Point32Health), Kaiser Permanente, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Se Wisconsin Hospital - Elmbrook Campus?

48 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.

What is a hospital price transparency MRF?

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.

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]

{
  "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
      }
    ]
  }]
}

CMS template layout, in JSON or CSV
Gross, discounted cash, payer-specific and de-identified min / max charges
cms-hpt.txt file and homepage footer link
Refreshed when your contracts change

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Chargemaster analysis

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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

CodingPricingPayer contractsCompliance

CPT, HCPCS, revenue code and modifier errors flagged line by line
Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
Your negotiated rates benchmarked against peer hospitals for the same payers

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