Ascension Health · Milwaukee, WI
36
In-network payers
282
Disclosed rate categories
432
Beds
3
Care quality
St Marys Milwauke is a 432-bed voluntary non-profit - church hospital in Milwaukee, WI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 282 disclosed rate categories.
CCN (Medicare provider number)
520051
NPI
1871656082
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
432
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 St Marys Milwauke 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
$7,792 - $9,582
from 2 insurers · median $8,687
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
$14,390 - $14,457
from 2 insurers · median $14,424
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
CT imaging
CPT 74177
$613 - $3,085
from 4 insurers · median $2,364
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,867 - $11,765
from 3 insurers · median $5,661
27 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$174,509 - $176,814
from 2 insurers · median $175,661
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$7,792 - $9,582
from 2 insurers · median $8,687
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
$477 - $3,987
from 4 insurers · median $2,646
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,831 - $8,275
from 3 insurers · median $5,661
367 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$189 - $1,302
from 4 insurers · median $1,003
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,017 - $11,910
from 3 insurers · median $9,853
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$7,133 - $13,778
from 3 insurers · median $8,980
59 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 70553
$650 - $4,649
from 4 insurers · median $3,389
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,034 - $7,189
from 4 insurers · median $5,907
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,853 - $43,088
from 3 insurers · median $20,308
22 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$9,853 - $17,237
from 3 insurers · median $12,066
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$293 - $1,998
from 4 insurers · median $1,574
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$402 - $2,586
from 3 insurers · median $1,628
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$217 - $287
from 3 insurers · median $275
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,331 - $6,804
from 4 insurers · median $4,985
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$9,853 - $16,611
from 3 insurers · median $12,066
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,605 - $8,049
from 3 insurers · median $2,867
Common here, based on CMS Medicare volume
Urology
CPT 50590
$9,853 - $13,796
from 3 insurers · median $10,528
90 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$59,962 - $62,208
from 2 insurers · median $61,085
Hospital reports neurosurgical services to CMS
MRI imaging
CPT 72148
$372 - $2,356
from 4 insurers · median $2,164
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* | 10 | 764% | 7 | 2 |
| Insurer B* | 18 | 393% | 11 | 6 |
| Insurer C* | 23 | 293% | 11 | 6 |
| Insurer D* | 24 | 172% | 3 | 18 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 11 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 St Marys Milwauke.
2301 North Lake Drive, Milwaukee, WI 53211
(414) 585-1374
The nearest hospitals of similar type and size. Their rates are compared with St Marys Milwauke for the same insurers and services above.
Aurora Sinai Medical Center
▲ Rates typically 26% higher than St Marys Milwauke (18 services)
Froedtert Hospital
▲ Rates typically 10% higher than St Marys Milwauke (21 services)
West Allis Memorial Hospital
▲ Rates typically 31% higher than St Marys Milwauke (20 services)
Froedtert Menomonee Falls Hospital
▲ Rates typically 10% higher than St Marys Milwauke (21 services)
Prohealth Waukesha Memorial Hospital
Rates about the same as St Marys Milwauke (21 services)
Vista Medical Center - East
▼ Rates typically 57% lower than St Marys Milwauke (21 services)
St. Francis Hospital
Ascension Se Wisconsin Hospital - St. Joseph Campus
Aurora St. Luke’S Medical Center
About St Marys Milwauke's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Marys Milwauke range from $650 to $4,649 across 4 insurers. UnitedHealthcare's rate is $650. The median at nearby comparable hospitals is $1,792. 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 Marys Milwauke range from $613 to $3,085 across 4 insurers. UnitedHealthcare's rate is $613. The median at nearby comparable hospitals is $1,170. 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 Marys Milwauke range from $2,605 to $8,049 across 3 insurers. Aetna's rate is $8,049. The median at nearby comparable hospitals is $3,098. 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 Marys Milwauke range from $7,792 to $9,582 across 2 insurers. Blue Cross Blue Shield's rate is $7,792. 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 Marys Milwauke range from $217 to $287 across 3 insurers. Cigna's rate is $275. The median at nearby comparable hospitals is $315. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Marys Milwauke has 432 beds. Facility type: Short Term Acute Care Hospital.
St Marys Milwauke is located at 2301 North Lake Drive, Milwaukee, WI 53211. Its main phone number is (414) 585-1374.
St Marys Milwauke's CMS Certification Number (CCN), also called its Medicare provider number, is 520051.
The National Provider Identifier (NPI) on file for St Marys Milwauke is 1871656082.
St Marys Milwauke is affiliated with Ascension Health.
St Marys Milwauke lists 36 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.
282 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