St. Nicholas Hospital is a nonprofit short-term acute care hospital in Sheboygan, Wisconsin. Its CMS Certification Number (CCN) is 520044 and its NPI is 1730184342.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Sheboygan, 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 | $368$199–$417 · 4 rates | 53rd percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $443$346–$769 · 12 rates | 39th percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $494$386–$898 · 12 rates | 21st percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $1,078$218–$1,521 · 12 rates | 65th percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at St. Nicholas 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
3 out of 5 stars
0 better4 no different0 worsethan national
0 better2 no different0 worsethan national
0 better5 no different0 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 St. Nicholas Hospital.
St. Nicholas Hospital's CMS Certification Number (CCN) is 520044. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
St. Nicholas Hospital bills under National Provider Identifier (NPI) 1730184342.
St. Nicholas Hospital bills insurers under tax ID (EIN) 39-0808480, held by ST NICHOLAS HOSPITAL OF THE HOSPITA SISTERS OF THE THIRD ORDER OF ST F. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
St. Nicholas Hospital is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is St Nicholas Hospital-Sisters of the Third Order of St Francis.
St. Nicholas Hospital is at 3100 Superior Ave, Sheboygan, WI 53081.
St. Nicholas Hospital has a CMS overall star rating of 3 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. St. Nicholas Hospital reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.