Fort Memorial Hospital
Short Term Acute Care Hospital
611 East Sherman Avenue, Fort Atkinson, WI 53538
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Provider Information
| Name | Fort Memorial Hospital |
|---|---|
| Address | 611 East Sherman Avenue, Fort Atkinson, WI 53538 |
| Phone | (920) 568-5000 |
| Medicare Provider ID | 520071 |
| National Provider ID (NPI) | 1811916281 |
| Website | https://www.forthealthcare.com/ |
| Provider Type | Short Term Acute Care Hospital |
| Beds | 49 |
Services
-
Ankle Repair - Arthroscopic
SSP MS009
up to
$3,004
-
Breast MRI
SSP RA011
up to
$360
-
Breast Ultrasound
SSP RA012
up to
$188
-
Bronchoscopy
SSP PU000
up to
$1,728
-
Carpal Tunnel Repair
SSP NU002
up to
$1,607
-
Cataract Removal with Intraocular Lens Insertion
SSP OP000
up to
$2,852
-
Clavicle/Scapula Repair - Non-Surgical
SSP MS028
up to
$1,491
-
Colonoscopy
SSP GA002
up to
$1,718
-
Colonoscopy via Stoma
SSP GA000
up to
$1,052
-
CT
SSP RA001
up to
$950
-
CT of Abdomen and Pelvis
SSP RA004
up to
$1,440
-
Esophagogastroduodenoscopy, Simple
SSP GA007
up to
$1,188
-
Fine Needle Aspiration Biopsy with Ultrasound Guidance
SSP DE003
up to
$608
-
Forearm/Wrist Repair - Non-Surgical
SSP MS010
up to
$264
-
Hernia Repair - Non-Laparoscopic
SSP GA011
up to
$4,790
-
Hip Repair - Arthroscopic
SSP MS008
up to
$5,644
-
Hysteroscopy with Surgical Procedure
SSP RE003
up to
$4,743
-
Knee Repair - Arthroscopic
SSP MS006
up to
$3,788
-
Laparoscopic Surgery of Ovaries and/or Fallopian Tubes
SSP RE004
up to
$3,566
-
Mammogram
SSP RA010
up to
$40
-
MRI with Contrast
SSP RA007
up to
$1,628
-
MRI without Contrast
SSP RA005
up to
$1,428
-
Percutaneous Breast Biopsy
SSP DE000
up to
$655
-
Shoulder Repair, Complex - Arthroscopic
SSP MS005
up to
$6,642
-
Tonsil and Adenoid Removal (Child Under 12)
SSP EN000
up to
$2,182
-
Tonsil and/or Adenoid Removal
SSP EN004
up to
$2,291
-
Ultrasound
SSP RA008
up to
$348
-
X-Ray
SSP RA000
up to
$184