Advocate Aurora Health · West Allis, WI
41
In-network payers
557
Disclosed rate categories
350
Beds
4
Care quality
West Allis Memorial Hospital is a 350-bed voluntary non-profit - private hospital in West Allis, WI, affiliated with Advocate Aurora Health. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 557 disclosed rate categories.
CCN (Medicare provider number)
520139
NPI
1407801640
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
350
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 West Allis Memorial 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
$6,461 - $12,500
from 4 insurers · median $10,087
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
$12,858 - $31,011
from 4 insurers · median $15,184
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
Gynecology
CPT 58558
$5,826 - $9,797
from 4 insurers · median $8,773
30 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$5,288 - $5,441
from 4 insurers · median $5,325
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$3,706 - $4,888
from 4 insurers · median $4,853
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,461 - $12,500
from 4 insurers · median $10,087
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
CPT 47562
$11,353 - $23,500
from 4 insurers · median $13,934
52 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$5,408 - $5,551
from 4 insurers · median $5,511
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$3,267 - $3,515
from 4 insurers · median $3,290
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$27,585 - $41,481
from 4 insurers · median $32,450
14 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$12,034 - $15,250
from 4 insurers · median $13,427
52 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$2,644 - $2,693
from 4 insurers · median $2,663
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$11,569 - $23,500
from 4 insurers · median $15,691
19 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$55,008 - $87,093
from 3 insurers · median $79,391
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 55700
$2,735 - $14,482
from 4 insurers · median $4,923
242 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
Urology
CPT 50590
$12,144 - $23,500
from 4 insurers · median $17,592
65 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$13,536 - $23,500
from 4 insurers · median $15,088
52 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$3,530 - $5,526
from 4 insurers · median $4,583
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,026 - $6,800
from 4 insurers · median $4,171
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$3,302 - $3,587
from 4 insurers · median $3,562
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$404 - $411
from 4 insurers · median $407
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$307 - $360
from 4 insurers · median $325
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$4,648
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,026 - $6,800
from 4 insurers · median $4,171
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* | 22 | 556% | 6 | 2 |
| Insurer B* | 24 | 515% | 15 | 2 |
| Insurer C* | 23 | 354% | 16 | 4 |
| Insurer D* | 23 | 337% | 7 | 4 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 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 West Allis Memorial Hospital.
8901 West Lincoln Avenue, West Allis, WI 53227
(414) 328-6000
The nearest hospitals of similar type and size. Their rates are compared with West Allis Memorial Hospital for the same insurers and services above.
St. Francis Hospital
▼ Rates typically 23% lower than West Allis Memorial Hospital (21 services)
Ascension Se Wisconsin Hospital - St. Joseph Campus
▼ Rates typically 16% lower than West Allis Memorial Hospital (21 services)
St Marys Milwauke
▼ Rates typically 29% lower than West Allis Memorial Hospital (21 services)
Prohealth Waukesha Memorial Hospital
▼ Rates typically 24% lower than West Allis Memorial Hospital (20 services)
Froedtert Menomonee Falls Hospital
▼ Rates typically 25% lower than West Allis Memorial Hospital (21 services)
St Marys Ozaukee
▼ Rates typically 81% lower than West Allis Memorial Hospital (19 services)
Aurora Medical Center Manitowoc County
Aurora Medical Center Washington County
Aurora Medical Center Kenosha
Aurora Medical Center Burlington
About West Allis Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at West Allis Memorial Hospital range from $5,408 to $5,551 across 4 insurers. Blue Cross Blue Shield's rate is $5,551. The median at nearby comparable hospitals is $2,100. 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 West Allis Memorial Hospital range from $5,288 to $5,441 across 4 insurers. Aetna's rate is $5,441. The median at nearby comparable hospitals is $1,876. 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 West Allis Memorial Hospital range from $2,026 to $6,800 across 4 insurers. Cigna's rate is $6,800. The median at nearby comparable hospitals is $3,310. 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 West Allis Memorial Hospital range from $6,461 to $12,500 across 4 insurers. UnitedHealthcare's rate is $11,052. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at West Allis Memorial Hospital range from $307 to $360 across 4 insurers. Cigna's rate is $340. The median at nearby comparable hospitals is $290. 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 West Allis Memorial Hospital range from $27,585 to $41,481 across 4 insurers. Blue Cross Blue Shield's rate is $36,375. The median at nearby comparable hospitals is $35,667. What a patient pays depends on their plan's deductible, coinsurance and network status.
West Allis Memorial Hospital has 350 beds. Facility type: Short Term Acute Care Hospital.
West Allis Memorial Hospital is located at 8901 West Lincoln Avenue, West Allis, WI 53227. Its main phone number is (414) 328-6000.
West Allis Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520139.
The National Provider Identifier (NPI) on file for West Allis Memorial Hospital is 1407801640.
West Allis Memorial Hospital is affiliated with Advocate Aurora Health.
West Allis Memorial Hospital lists 41 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.
557 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