St Marys Ozaukee

Ascension Health

Hospital Overview

Facility Details

CCN

520027

NPI

1316000706

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Church

Beds

182

Contact Information

Address

13111 North Port Washington Road

Mequon, WI 53097

Phone

(414) 585-1374

Insurance Accepted

Ameri Health

Aspirus Health Plan

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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.

View this hospital's rates

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

Payer	Category	Code Type & Group	Contract Type	Rate Compared to State Average
Aetna	Outpatient	HCPCS Outpatient PPS Range: C1713 - C9899	Percentage of Bill Charged
Aetna	Facility	RC CT Scan Range: 0350 - 0359	Percentage of Bill Charged
Aetna	Facility	RC Other Imaging Services Range: 0400 - 0409	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Pathology and Laboratory Services Range: P2028 - P9615	Percentage of Bill Charged
Aetna	Facility	RC Anesthesia Range: 0370 - 0379	Percentage of Bill Charged
Aetna	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Negotiated	Very Low
Aetna	Facility	RC Pharmacy (Also see 063X, an extension of 250X) Range: 0250 - 0259	Percentage of Bill Charged
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999	Percentage of Bill Charged
Aetna	Facility	RC Emergency Room Range: 0450 - 0459	Percentage of Bill Charged