Watertown, WI
39
In-network payers
209
Disclosed rate categories
95
Beds
3
Care quality
Watertown Regional Medical Center is a 95-bed voluntary non-profit - private hospital in Watertown, WI. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 209 disclosed rate categories.
CCN (Medicare provider number)
520116
NPI
1992776041
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
95
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 Watertown Regional Medical Center 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
$2,251 - $8,415
from 3 insurers · median $5,024
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
CT imaging
CPT 74177
$418 - $5,365
from 4 insurers · median $2,945
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$12,390 - $25,783
from 4 insurers · median $17,092
35 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$4,555 - $13,225
from 4 insurers · median $6,526
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
CPT 66984
$5,940 - $10,677
from 3 insurers · median $7,355
244 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$12,978 - $42,447
from 4 insurers · median $19,578
18 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$16,867 - $45,359
from 2 insurers · median $31,113
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 216
$102,475 - $126,629
from 2 insurers · median $114,552
Hospital reports cardiac thoracic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$538 - $3,245
from 4 insurers · median $2,840
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,540 - $7,328
from 4 insurers · median $6,744
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,415 - $9,864
from 4 insurers · median $6,701
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$782 - $8,510
from 4 insurers · median $6,272
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$139 - $894
from 3 insurers · median $890
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$499 - $5,365
from 4 insurers · median $3,287
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$18,180 - $42,447
from 4 insurers · median $20,013
18 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$3,128 - $7,328
from 4 insurers · median $6,744
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$213 - $3,464
from 4 insurers · median $2,134
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$280 - $3,464
from 4 insurers · median $3,286
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$37 - $492
from 4 insurers · median $370
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$191 - $362
from 2 insurers · median $277
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$9,320 - $42,447
from 4 insurers · median $19,578
Typical for a hospital with this service line
CT imaging
CPT 71275
$396 - $3,106
from 3 insurers · median $1,136
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$27,927 - $45,359
from 2 insurers · median $36,643
Typical for a hospital with this service line
Gynecology
CPT 58662
$6,857 - $42,447
from 4 insurers · median $19,578
Typical for a hospital with this service line
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* | 18 | 687% | 11 | 2 |
| Insurer B* | 23 | 556% | 19 | 2 |
| Insurer C* | 21 | 290% | 6 | 10 |
| Insurer D* | 22 | 258% | 9 | 11 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Watertown Regional Medical Center.
125 Hospital Drive, Watertown, WI 53098
(920) 261-4210
The nearest hospitals of similar type and size. Their rates are compared with Watertown Regional Medical Center for the same insurers and services above.
Prohealth Oconomowoc Memorial Hospital
Rates about the same as Watertown Regional Medical Center (22 services)
Aurora Medical Center Summit
â–Ľ Rates typically 17% lower than Watertown Regional Medical Center (21 services)
Marshfield Medical Center Beaver Dam
Rates about the same as Watertown Regional Medical Center (22 services)
Aurora Medical Center Washington County
Rates about the same as Watertown Regional Medical Center (21 services)
Fort Atkinson Memorial Hospital
â–Ľ Rates typically 51% lower than Watertown Regional Medical Center (22 services)
Froedtert West Bend Hospital
â–Ľ Rates typically 33% lower than Watertown Regional Medical Center (22 services)
Meriter Hospital
Mercyhealth Hospital And Trauma Center–Janesville
Ssm Health St. Mary S Hospital - Janesville
Froedtert Hospital
About Watertown Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Watertown Regional Medical Center range from $499 to $5,365 across 4 insurers. Cigna's rate is $4,415. The median at nearby comparable hospitals is $3,741. 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 Watertown Regional Medical Center range from $418 to $5,365 across 4 insurers. Blue Cross Blue Shield's rate is $418. The median at nearby comparable hospitals is $3,128. 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 Watertown Regional Medical Center range from $3,540 to $7,328 across 4 insurers. Aetna's rate is $3,540. The median at nearby comparable hospitals is $4,169. 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 Watertown Regional Medical Center range from $2,251 to $8,415 across 3 insurers. Blue Cross Blue Shield's rate is $8,415. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Watertown Regional Medical Center range from $191 to $362 across 2 insurers. Blue Cross Blue Shield's rate is $191. The median at nearby comparable hospitals is $334. 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 Watertown Regional Medical Center range from $12,390 to $25,783 across 4 insurers. UnitedHealthcare's rate is $20,158. The median at nearby comparable hospitals is $30,344. What a patient pays depends on their plan's deductible, coinsurance and network status.
Watertown Regional Medical Center has 95 beds. Facility type: Short Term Acute Care Hospital.
Watertown Regional Medical Center is located at 125 Hospital Drive, Watertown, WI 53098. Its main phone number is (920) 261-4210.
Watertown Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 520116.
The National Provider Identifier (NPI) on file for Watertown Regional Medical Center is 1992776041.
Watertown Regional Medical Center lists 39 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.
209 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