Critical Access Hospital

Hshs St. Clare Memorial Hospital

Hshs St. Clare Memorial Hospital is a nonprofit critical access hospital in Oconto Falls, Wisconsin. Its CMS Certification Number (CCN) is 521310 and its NPI is 1851477913.

CCN
521310

CMS Certification Number

NPI
1851477913

National Provider Identifier

Tax ID (EIN)
39-0848401

Billing entity in payer files

Ownership
Nonprofit

Oconto Falls, WI

Negotiated rates

What insurers pay physicians at Hshs St. Clare Memorial Hospital

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.

ServiceCodePhysician ratevs. Wisconsin hospitals
Emergency room visit, high severity99285
$270$199–$417 · 5 rates

32nd percentile · state median $365, mean $349

CT scan, abdomen and pelvis, with contrast74177
$443$346–$769 · 15 rates

39th percentile · state median $652, mean $885

MRI, brain, with and without contrast70553
$573$386–$898 · 15 rates

30th percentile · state median $844, mean $1,239

Colonoscopy, diagnostic45378
$552$218–$1,521 · 15 rates

37th percentile · state median $782, mean $967

See UnitedHealthcare rates for every billing code at Hshs St. Clare Memorial Hospital

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The full rate file for Hshs St. Clare Memorial Hospital, with a free MedReveal account

  • 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.

Hospital profile

From the hospital's Medicare enrollment record.

Hospital type
Critical Access Hospital
Ownership
Nonprofit
Legal business name
St Clare Memorial Hospital, Inc
Tax ID (EIN) holder
ST CLARE MEMORIAL HOSPITAL INC
Organization type
Corporation
Medicare enrollment ID
O20050510001159
Practice location
Other Hospital Practice Location
County
Oconto
Phone
(920) 846-3444

Address

855 S Main St
Oconto Falls, WI 54154-1241
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Quality and services

From CMS Care Compare. Each measure is compared with the national rate.

Emergency services

CMS overall rating

Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.

ReadmissionsUnplanned returns to hospital

0 better1 no different0 worsethan national

Medicare-certified units

Units Medicare certifies separately, each with its own CCN.

  • Swing-bed unit

    Hshs St Clare Memorial Hospital

    CCN 52Z310

Hospitals near Oconto Falls

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See what insurers pay Hshs St. Clare Memorial Hospital

Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.

Common questions

Quick answers about Hshs St. Clare Memorial Hospital.

What is the CCN for Hshs St. Clare Memorial Hospital?

Hshs St. Clare Memorial Hospital's CMS Certification Number (CCN) is 521310. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.

What is the NPI number for Hshs St. Clare Memorial Hospital?

Hshs St. Clare Memorial Hospital bills under National Provider Identifier (NPI) 1851477913.

What is the tax ID (EIN) for Hshs St. Clare Memorial Hospital?

Hshs St. Clare Memorial Hospital bills insurers under tax ID (EIN) 39-0848401, held by ST CLARE MEMORIAL HOSPITAL INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.

What type of hospital is Hshs St. Clare Memorial Hospital?

Hshs St. Clare Memorial Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is St Clare Memorial Hospital, Inc.

Where is Hshs St. Clare Memorial Hospital located?

Hshs St. Clare Memorial Hospital is at 855 S Main St, Oconto Falls, WI 54154.

Does Hshs St. Clare Memorial Hospital have an emergency room?

Yes. Hshs St. Clare Memorial Hospital reports emergency services to CMS.

Does Hshs St. Clare Memorial Hospital have Medicare-certified units?

Yes. Hshs St. Clare Memorial Hospital has 1 Medicare-certified unit: swing-bed unit.

Data sources

Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.