ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS

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

CPT / HCPCS codes

1,111

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
57415	Removal of impacted vaginal FB under ANESTH (other than local)	$10,640	$4,469	—	—	27
25270	Rpr Tendon/muscle, Exts FA/Wrist; primary single ea Tendon/muscle	$9,929	$4,170	—	—	29
20525	Removal of FB in muscle or tendon sheath; deep/complicated	$9,670	$4,062	—	—	29
51102	Aspiration of Bladder; w/insertion Suprapubic Catheter	$8,532	$3,584	—	—	29
99291	Critical Care first 30-74 min	$8,469	$3,557	—	—	33
67715	Canthotomy	$7,953	$3,340	—	—	27
19000	Puncture Aspiration of Cyst of Breast	$7,583	$3,185	—	—	29
10180	I&D Post-op Wnd Inf	$7,228	$3,036	—	—	29
54001	Slitting of prepuce, dorsal or lateral (sep proc); except newborn	$6,932	$2,912	—	—	29
92960	Cardioversion Electric Ext	$6,672	$2,802	—	—	29
425000030	Diltiazem 25mg/5mL inj	$6,302	$2,647	—	—	0
53000	Urethrotomy or urethrostomy, Ext (sep proc); pendulous urethra	$5,305	$2,228	—	—	29
74174	CTA Abd/Pelvis w & w/o contrast	$5,137	$2,158	—	—	33
57180	Non-OB Vaginal Hem. Control	$5,002	$2,101	—	—	29
57200	Suture Vaginal Injury	$5,002	$2,101	—	—	29
87633	Resp virus multi rev trans; multi amp probe, 12-25 targets	$4,534	$1,904	—	—	27
32556	Insert Chest Tube Pneumothorax	$4,425	$1,858	—	—	29
93308	Echocardiogram, transthoracic, 2D Limited	$4,133	$1,736	—	—	27
99285	ER Visit - Level 5	$4,048	$1,700	—	—	33
93306	Echocardiogram transthoracic, 2D w/color w/doppler Complete	$4,047	$1,700	—	—	29
74178	CT ABD AND PELVIS W AND W/O CO	$4,005	$1,682	—	—	33
49082	Paracentesis Intial	$3,854	$1,619	—	—	29
10120	Foreign Body Removal Tissue Simp	$3,718	$1,561	—	—	29
26418	Finger Extensor Tendon Repair	$3,629	$1,524	—	—	29
10160	I&D Puncture Aspiration	$3,622	$1,521	—	—	29
10140	I&D Hemat, Seroma, Fluid Collec	$3,618	$1,519	—	—	29
36569	Insertion of PICC line > 5 yrs	$3,516	$1,477	—	—	29
32554	Thoracentesis(needle)asprtn w/o img	$3,473	$1,459	—	—	29
74177	CT ABDOMEN AND PELVIS W/ CONTR	$3,415	$1,434	—	—	33
72133	CT SPINE-LUMBAR W AND W/O CONT	$3,300	$1,386	—	—	33
99284	ER Visit - Level 4	$3,276	$1,376	—	—	33
11750	Removal Nail Bed	$3,226	$1,355	—	—	29
65435	Corneal Burring	$3,105	$1,304	—	—	27
64999	Unlisted Procedure, Nervous System	$3,098	$1,301	—	—	29
75635	CTA Runoff	$3,062	$1,286	—	—	33
71275	CTA Chest w & w/o contrast	$3,043	$1,278	—	—	33
40650	Cmplx Repr Lip Vermillion Only	$3,034	$1,274	—	—	29
41252	Cmplx Repr Tongue/FL Mouth over 2.6cm	$3,034	$1,274	—	—	29
40831	Cmplx Vestibule of Mouth >2.5cm	$3,034	$1,274	—	—	27
40654	Comp Repr Lip > 1/2 Vert HT	$3,034	$1,274	—	—	29
40652	Comp Repr Lip Up To 1/2 Vert HT	$3,034	$1,274	—	—	29
13151	Complex Rep E/N/E/L 1.1-2.5CM	$3,034	$1,274	—	—	29
13131	Complex Rep Face 1.1-2.5CM	$3,034	$1,274	—	—	29
13132	Complex Rep Face 2.6-7.5CM	$3,034	$1,274	—	—	29
13120	Complex Rep S/A/L 1.1-2.5CM	$3,034	$1,274	—	—	29
13121	Complex Rep S/A/L 2.6-7.5CM	$3,034	$1,274	—	—	29
13100	Complex Rep Trunk 1.1-2.5CM	$3,034	$1,274	—	—	29
13101	Complex Rep Trunk 2.6-7.5CM	$3,034	$1,274	—	—	29
13152	Complex RepE/N/E/L 2.6-7.5CM	$3,034	$1,274	—	—	29
13153	Cplx Rep E/N/E/L >7.5CM EA Addl 5CM	$3,034	$1,274	—	—	20

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.