Edgerton Hospital and Health Services, Inc is a nonprofit critical access hospital in Edgerton, Wisconsin. Its CMS Certification Number (CCN) is 521319 and its NPI is 1154350049.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Edgerton, WI
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Wisconsin hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $228$203–$278 · 3 rates | 18th percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $364$355–$571 · 9 rates | 16th percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $878$382–$1,302 · 9 rates | 52nd percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $350$188–$586 · 9 rates | 5th percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at Edgerton Hospital and Health Services, Inc
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
0 better1 no different0 worsethan national
0 better1 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Edgerton Hospital and Health Services Inc
CCN 52Z319
Beloit Memorial Hospital
Beloit, WI
Fort Healthcare Inc
Fort Atkinson, WI
Layfayette Hospital and Clinics
Darlington, WI
Mercy Hospital Janesville
Janesville, WI
Miramont Behavioral Health
Middleton, WI
Richland Hospital Inc
Richland Center, WI
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Edgerton Hospital and Health Services, Inc.
Edgerton Hospital and Health Services, Inc's CMS Certification Number (CCN) is 521319. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Edgerton Hospital and Health Services, Inc bills under National Provider Identifier (NPI) 1154350049.
Edgerton Hospital and Health Services, Inc bills insurers under tax ID (EIN) 39-0819992, held by EDGERTON HOSPITAL AND HEALTH SERVICES. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Edgerton Hospital and Health Services, Inc is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Edgerton Hospital and Health Services, Inc.
Edgerton Hospital and Health Services, Inc is at 11101 N Sherman Rd, Edgerton, WI 53534.
Yes. Edgerton Hospital and Health Services, Inc reports emergency services to CMS.
Yes. Edgerton Hospital and Health Services, Inc has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.