Ascension Health · Milwaukee, WI
43
In-network payers
306
Disclosed rate categories
260
Beds
4
Care quality
St. Francis Hospital is a 260-bed voluntary non-profit - private hospital in Milwaukee, WI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 43 in-network payers and 306 disclosed rate categories.
CCN (Medicare provider number)
520078
NPI
1225087190
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
260
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 St. Francis 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
$7,491 - $10,236
from 2 insurers · median $8,863
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
$14,179 - $15,677
from 2 insurers · median $14,928
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
Medicine & Surgery · Inpatient
MS-DRG 216
$181,725 - $188,348
from 2 insurers · median $185,037
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$7,491 - $10,236
from 2 insurers · median $8,863
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 · Inpatient
MS-DRG 460
$63,118 - $66,458
from 2 insurers · median $64,788
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$44,461 - $47,002
from 2 insurers · median $45,732
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$34,197 - $37,137
from 2 insurers · median $35,667
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$21,825 - $23,887
from 2 insurers · median $22,856
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$560 - $1,876
from 4 insurers · median $1,057
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$371 - $3,394
from 4 insurers · median $2,908
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$14,468 - $20,575
from 2 insurers · median $17,522
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$721 - $6,505
from 4 insurers · median $3,700
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$181 - $1,239
from 4 insurers · median $547
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$399 - $3,827
from 3 insurers · median $2,925
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$159 - $381
from 4 insurers · median $238
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$12,549 - $14,468
from 2 insurers · median $13,509
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,831 - $3,827
from 2 insurers · median $3,329
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,358 - $3,827
from 2 insurers · median $2,593
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$341 - $1,784
from 4 insurers · median $871
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$12,066 - $14,468
from 2 insurers · median $13,267
Typical for a hospital with this service line
MRI imaging
CPT 70553
$629 - $2,100
from 4 insurers · median $1,134
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$51 - $252
from 4 insurers · median $177
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$12,308 - $14,468
from 2 insurers · median $13,388
Typical for a hospital with this service line
CT imaging
CPT 71275
$360 - $1,303
from 4 insurers · median $648
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* | 9 | 589% | 2 | 5 |
| Insurer B* | 24 | 272% | 9 | 11 |
| Insurer C* | 24 | 233% | 10 | 7 |
| Insurer D* | 10 | 149% | 0 | 9 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 12 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 St. Francis Hospital.
3237 South 16th Street, Milwaukee, WI 53215
(414) 647-5000
The nearest hospitals of similar type and size. Their rates are compared with St. Francis Hospital for the same insurers and services above.
Aurora Sinai Medical Center
▲ Rates typically 13% higher than St. Francis Hospital (19 services)
West Allis Memorial Hospital
▲ Rates typically 16% higher than St. Francis Hospital (20 services)
Prohealth Waukesha Memorial Hospital
▼ Rates typically 6% lower than St. Francis Hospital (21 services)
Froedtert Menomonee Falls Hospital
▲ Rates typically 26% higher than St. Francis Hospital (21 services)
Aurora Medical Center Grafton
▲ Rates typically 9% higher than St. Francis Hospital (20 services)
Prohealth Oconomowoc Memorial Hospital
Rates about the same as St. Francis Hospital (21 services)
St Marys Milwauke
Ascension Se Wisconsin Hospital - St. Joseph Campus
Froedtert Hospital
About St. Francis Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Francis Hospital range from $629 to $2,100 across 4 insurers. Aetna's rate is $629. The median at nearby comparable hospitals is $4,324. 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 St. Francis Hospital range from $560 to $1,876 across 4 insurers. Aetna's rate is $560. The median at nearby comparable hospitals is $4,252. 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 St. Francis Hospital range from $399 to $3,827 across 3 insurers. UnitedHealthcare's rate is $3,827. The median at nearby comparable hospitals is $3,073. 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 St. Francis Hospital range from $7,491 to $10,236 across 2 insurers. Blue Cross Blue Shield's rate is $7,491. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Francis Hospital range from $159 to $381 across 4 insurers. Cigna's rate is $381. The median at nearby comparable hospitals is $325. 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 St. Francis Hospital range from $34,197 to $37,137 across 2 insurers. Blue Cross Blue Shield's rate is $34,197. The median at nearby comparable hospitals is $30,064. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Francis Hospital has 260 beds. Facility type: Short Term Acute Care Hospital.
St. Francis Hospital is located at 3237 South 16th Street, Milwaukee, WI 53215. Its main phone number is (414) 647-5000.
St. Francis Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520078.
The National Provider Identifier (NPI) on file for St. Francis Hospital is 1225087190.
St. Francis Hospital is affiliated with Ascension Health.
St. Francis Hospital lists 43 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.
306 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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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.
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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