Thedacare Medical Center - Waupaca, Inc is a nonprofit critical access hospital in Waupaca, Wisconsin. Its CMS Certification Number (CCN) is 521334 and its NPI is 1710333893.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Waupaca, 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 - Waupaca, 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
3 out of 5 stars
0 better3 no different0 worsethan national
0 better1 no different0 worsethan national
2 better4 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Thedacare Medical Center - Waupaca, Inc
CCN 52Z334
Ascension NE Wisconsin-St Elizabeth Campus
Appleton, WI
Aurora Medical Center Oshkosh
Oshkosh, WI
Children's Hospital of Wisconsin-Fox Valley
Neenah, WI
Fond Du Lac County
Fond Du Lac, WI
SSM Health Ripon Community Hospital
Ripon, WI
SSM Health St Agnes Hospital Fond Du Lac
Fond Du Lac, 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 - Waupaca, Inc.
Thedacare Medical Center - Waupaca, Inc's CMS Certification Number (CCN) is 521334. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Thedacare Medical Center - Waupaca, Inc bills under National Provider Identifier (NPI) 1710333893.
Thedacare Medical Center - Waupaca, Inc bills insurers under tax ID (EIN) 39-0871113, held by THEDACARE MEDICAL CENTER-WAUPACA INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Thedacare Medical Center - Waupaca, Inc is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Thedacare Medical Center - Waupaca, Inc.
Thedacare Medical Center - Waupaca, Inc is at 800 Riverside Dr, Waupaca, WI 54981.
Thedacare Medical Center - Waupaca, Inc 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. Thedacare Medical Center - Waupaca, Inc reports emergency services to CMS.
Yes. Thedacare Medical Center - Waupaca, 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.