ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS

CCN 520214

45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
3,453
Insurances with rates
17
CPT / HCPCS codes
1,111
Source MRF

Most expensive procedures (gross)

57415
$4,469
Removal of impacted vaginal FB under ANESTH (other than local)
Gross
$10,640
25270
$4,170
Rpr Tendon/muscle, Exts FA/Wrist; primary single ea Tendon/muscle
Gross
$9,929
20525
$4,062
Removal of FB in muscle or tendon sheath; deep/complicated
Gross
$9,670
51102
$3,584
Aspiration of Bladder; w/insertion Suprapubic Catheter
Gross
$8,532
99291
$3,557
Critical Care first 30-74 min
Gross
$8,469
67715
$3,340
Canthotomy
Gross
$7,953
19000
$3,185
Puncture Aspiration of Cyst of Breast
Gross
$7,583
10180
$3,036
I&D Post-op Wnd Inf
Gross
$7,228
54001
$2,912
Slitting of prepuce, dorsal or lateral (sep proc); except newborn
Gross
$6,932
92960
$2,802
Cardioversion Electric Ext
Gross
$6,672
425000030
$2,647
Diltiazem 25mg/5mL inj
Gross
$6,302
53000
$2,228
Urethrotomy or urethrostomy, Ext (sep proc); pendulous urethra
Gross
$5,305
74174
$2,158
CTA Abd/Pelvis w & w/o contrast
Gross
$5,137
57180
$2,101
Non-OB Vaginal Hem. Control
Gross
$5,002
57200
$2,101
Suture Vaginal Injury
Gross
$5,002
87633
$1,904
Resp virus multi rev trans; multi amp probe, 12-25 targets
Gross
$4,534
32556
$1,858
Insert Chest Tube Pneumothorax
Gross
$4,425
93308
$1,736
Echocardiogram, transthoracic, 2D Limited
Gross
$4,133
99285
$1,700
ER Visit - Level 5
Gross
$4,048
93306
$1,700
Echocardiogram transthoracic, 2D w/color w/doppler Complete
Gross
$4,047
74178
$1,682
CT ABD AND PELVIS W AND W/O CO
Gross
$4,005
49082
$1,619
Paracentesis Intial
Gross
$3,854
10120
$1,561
Foreign Body Removal Tissue Simp
Gross
$3,718
26418
$1,524
Finger Extensor Tendon Repair
Gross
$3,629
10160
$1,521
I&D Puncture Aspiration
Gross
$3,622
10140
$1,519
I&D Hemat, Seroma, Fluid Collec
Gross
$3,618
36569
$1,477
Insertion of PICC line > 5 yrs
Gross
$3,516
32554
$1,459
Thoracentesis(needle)asprtn w/o img
Gross
$3,473
74177
$1,434
CT ABDOMEN AND PELVIS W/ CONTR
Gross
$3,415
72133
$1,386
CT SPINE-LUMBAR W AND W/O CONT
Gross
$3,300
99284
$1,376
ER Visit - Level 4
Gross
$3,276
11750
$1,355
Removal Nail Bed
Gross
$3,226
65435
$1,304
Corneal Burring
Gross
$3,105
64999
$1,301
Unlisted Procedure, Nervous System
Gross
$3,098
75635
$1,286
CTA Runoff
Gross
$3,062
71275
$1,278
CTA Chest w & w/o contrast
Gross
$3,043
40650
$1,274
Cmplx Repr Lip Vermillion Only
Gross
$3,034
41252
$1,274
Cmplx Repr Tongue/FL Mouth over 2.6cm
Gross
$3,034
40831
$1,274
Cmplx Vestibule of Mouth >2.5cm
Gross
$3,034
40654
$1,274
Comp Repr Lip > 1/2 Vert HT
Gross
$3,034
40652
$1,274
Comp Repr Lip Up To 1/2 Vert HT
Gross
$3,034
13151
$1,274
Complex Rep E/N/E/L 1.1-2.5CM
Gross
$3,034
13131
$1,274
Complex Rep Face 1.1-2.5CM
Gross
$3,034
13132
$1,274
Complex Rep Face 2.6-7.5CM
Gross
$3,034
13120
$1,274
Complex Rep S/A/L 1.1-2.5CM
Gross
$3,034
13121
$1,274
Complex Rep S/A/L 2.6-7.5CM
Gross
$3,034
13100
$1,274
Complex Rep Trunk 1.1-2.5CM
Gross
$3,034
13101
$1,274
Complex Rep Trunk 2.6-7.5CM
Gross
$3,034
13152
$1,274
Complex RepE/N/E/L 2.6-7.5CM
Gross
$3,034
13153
$1,274
Cplx Rep E/N/E/L >7.5CM EA Addl 5CM
Gross
$3,034
Showing top 50 of 3,453 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.