Prohealth Waukesha Memorial Hospital, Inc. is a nonprofit short-term acute care hospital in Waukesha, Wisconsin. Its CMS Certification Number (CCN) is 520008 and its NPI is 1629056890.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Waukesha, 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.
UnitedHealthcare has not published rates for these services at Prohealth Waukesha Memorial Hospital, Inc..
The full rate file for Prohealth Waukesha Memorial Hospital, Inc., 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.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
4 out of 5 stars
0 better8 no different0 worsethan national
2 better5 no different0 worsethan national
1 better8 no different1 worsethan national
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Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Prohealth Waukesha Memorial Hospital, Inc..
Prohealth Waukesha Memorial Hospital, Inc.'s CMS Certification Number (CCN) is 520008. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Prohealth Waukesha Memorial Hospital, Inc. bills under National Provider Identifier (NPI) 1629056890.
Prohealth Waukesha Memorial Hospital, Inc. bills insurers under tax ID (EIN) 39-0910727, held by PROHEALTH WAUKESHA MEMORIAL HOSPITAL INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Prohealth Waukesha Memorial Hospital, Inc. is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Prohealth Waukesha Memorial Hospital, Inc..
Prohealth Waukesha Memorial Hospital, Inc. is at 725 American Avenue, Waukesha, WI 53188.
Prohealth Waukesha Memorial Hospital, Inc. has a CMS overall star rating of 4 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Prohealth Waukesha Memorial Hospital, Inc. reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.