Thedacare Medical Center - Shawano, Inc. is a nonprofit critical access hospital in Shawano, Wisconsin. Its CMS Certification Number (CCN) is 521346 and its NPI is 1548260839.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Shawano, 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 | $4661 rate | 88th percentile · state median $365, mean $349 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $1,5743 rates, all the same | 87th percentile · state median $652, mean $885 |
| MRI, brain, with and without contrast | 70553 | $1,7233 rates, all the same | 84th percentile · state median $844, mean $1,239 |
| Colonoscopy, diagnostic | 45378 | $1,754$988–$1,754 · 3 rates | 87th percentile · state median $782, mean $967 |
See UnitedHealthcare rates for every billing code at Thedacare Medical Center - Shawano, Inc.
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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
4 out of 5 stars
0 better3 no different0 worsethan national
0 better1 no different0 worsethan national
1 better4 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Thedacare Medical Center - Shawano, Inc.
CCN 52Z346
Aurora Medical Center Bay Area
Marinette, WI
Emplify Health Oconto Clinic
Oconto, WI
Hshs St. Clare Memorial Hospital
Oconto Falls, WI
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Thedacare Medical Center - Shawano, Inc..
Thedacare Medical Center - Shawano, Inc.'s CMS Certification Number (CCN) is 521346. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Thedacare Medical Center - Shawano, Inc. bills under National Provider Identifier (NPI) 1548260839.
Thedacare Medical Center - Shawano, Inc. bills insurers under tax ID (EIN) 39-0807068, held by THEDACARE MEDICAL CENTER-SHAWANO INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Thedacare Medical Center - Shawano, Inc. is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Thedacare Medical Center - Shawano, Inc..
Thedacare Medical Center - Shawano, Inc. is at 100 County Road B, Shawano, WI 54166.
Thedacare Medical Center - Shawano, 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. Thedacare Medical Center - Shawano, Inc. reports emergency services to CMS.
Yes. Thedacare Medical Center - Shawano, Inc. has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.