SSM Health Waupun Memorial Hospital is a nonprofit critical access hospital in Waupun, Wisconsin. Its CMS Certification Number (CCN) is 521327 and its NPI is 1548248644.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Waupun, 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 | $305$237–$372 · 2 rates | 41st percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $609$395–$823 · 6 rates | 49th percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $680$441–$918 · 6 rates | 41st percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $705$255–$1,698 · 6 rates | 46th percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at SSM Health Waupun Memorial 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 better3 no different0 worsethan national
0 better1 no different0 worsethan national
1 better4 no different0 worsethan national
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Quick answers about SSM Health Waupun Memorial Hospital.
SSM Health Waupun Memorial Hospital's CMS Certification Number (CCN) is 521327. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
SSM Health Waupun Memorial Hospital bills under National Provider Identifier (NPI) 1548248644.
SSM Health Waupun Memorial Hospital bills insurers under tax ID (EIN) 39-0806265, held by WAUPUN MEMORIAL HOSPITAL. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
SSM Health Waupun Memorial Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Waupun Memorial Hospital.
SSM Health Waupun Memorial Hospital is at 620w Brown St, Waupun, WI 53963.
SSM Health Waupun Memorial 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 Waupun Memorial Hospital reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.