SSM Health Monroe Hospital is a nonprofit short-term acute care hospital in Monroe, Wisconsin. Its CMS Certification Number (CCN) is 520028 and its NPI is 1740291491.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Monroe, 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 | $517$469–$551 · 3 rates | 92nd percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $633$538–$828 · 9 rates | 50th percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $706$600–$2,205 · 9 rates | 44th percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $1,469$828–$1,728 · 7 rates | 81st percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at SSM Health Monroe Hospital
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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
5 out of 5 stars
0 better6 no different0 worsethan national
0 better3 no different0 worsethan national
1 better8 no different0 worsethan national
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Quick answers about SSM Health Monroe Hospital.
SSM Health Monroe Hospital's CMS Certification Number (CCN) is 520028. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
SSM Health Monroe Hospital bills under National Provider Identifier (NPI) 1740291491.
SSM Health Monroe Hospital bills insurers under tax ID (EIN) 39-0808509, held by THE MONROE CLINIC INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
SSM Health Monroe Hospital is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is The Monroe Clinic, Inc..
SSM Health Monroe Hospital is at 515 22nd Ave, Monroe, WI 53566.
SSM Health Monroe Hospital has a CMS overall star rating of 5 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. SSM Health Monroe Hospital reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.