Stoughton Hospital is a nonprofit critical access hospital in Stoughton, Wisconsin. Its CMS Certification Number (CCN) is 521343 and its NPI is 1679558647.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Stoughton, 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 | $2081 rate | 16th percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $3733 rates, all the same | 21st percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $3923 rates, all the same | 12th percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $509$272–$509 · 3 rates | 29th percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at Stoughton 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 better3 no different0 worsethan national
0 better3 no different1 worsethan national
Units Medicare certifies separately, each with its own CCN.
Psychiatric unit
Stoughton Hospital
CCN 52M343
Swing-bed unit
Stoughton Hospital Association
CCN 52Z343
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Beloit, WI
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Edgerton, WI
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Darlington, WI
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Janesville, WI
Miramont Behavioral Health
Middleton, WI
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Stoughton Hospital.
Stoughton Hospital's CMS Certification Number (CCN) is 521343. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Stoughton Hospital bills under National Provider Identifier (NPI) 1679558647.
Stoughton Hospital bills insurers under tax ID (EIN) 39-0832914, held by STOUGHTON HOSPITAL ASSOCIATION. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Stoughton Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Stoughton Hospital Association.
Stoughton Hospital is at 900 Ridge St, Stoughton, WI 53589.
Stoughton 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. Stoughton Hospital reports emergency services to CMS.
Yes. Stoughton Hospital has 2 Medicare-certified units: psychiatric unit, swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.