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West Allis Memorial Hospital

  • Turquoise Verification Unverified rates for this provider.
  • Health System AffilationAdvocate Aurora Health
  • Location 8901 West Lincoln Avenue, West Allis, WI, 53227
  • Contact Info (414) 328-6000 https://www.aurorahealthcare.org/locations/hospital/aurora-west-allis-medical-center

MRF Transparency Scorecard

Last downloaded MRF on May 29, 2024, 12:35 p.m.

Turquoise Machine Readable File (MRF) Transparency Score

This hospital has posted a complete machine readable file.

We evaluated this hospital alongside other hospitals of similar size and type.

  • Care Location TypeShort Term Acute Care Hospital
  • Beds350

This hospital’s machine-readable file is complete relative to the machine readable file requirements of the Hospital Price Transparency rule. Delimiters for attributes are defined by a combination of cohort data analysis and industry input. Learn more about our methodology here.

At a Glance

We use over 60 unique attributes in conjunction to assess overall file completeness. Here is a view of top level summary metrics of the machine readable file. These metrics only play a part in our overall transparency score.

CHARGE & SERVICE INFORMATION

  • Number of Usable Charge Records

  • Number of Distinct HCPCS

  • Number of Distinct CPTs

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Payers

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Percent of Records with Big 5 National Payer Rates

*Minimum and Maximum rates, although required by CMS, are not currently evaluated in our MRF transparency scorecard. These rates can be derived from other data elements included in the file.

Transparency Breakdown

Turquoise has selected these categories with input from patients, subject matter and industry experts after reviewing over 4,000 machine readable files in 2021. Our intent is to thoughtfully assess the overall usefulness of MRF data elements for building the foundation of patient cost estimates. These categories and criteria are not approved or sponsored by CMS.

This hospital has posted a complete machine readable file for their Inpatient MS-DRGs.

Inpatient MS-DRGs

Hospitals may represent inpatient rates in a variety of ways. This analysis looks at MS-DRG rates. We do not currently evaluate other types of DRGs, such as AP-DRGs or APR-DRGs.

CHARGE & SERVICE INFORMATION

  • Number of Distinct MS-DRGs

  • Percent of Records with Cash Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

This hospital has posted a complete machine readable file for their Inpatient Per Diem Rates.

Inpatient Per Diem Rates

Hospitals may represent inpatient rates in a variety of ways. This analysis looks at rates with inpatient revenue codes between 110 - 219.

CHARGE & SERVICE INFORMATION

  • Number of Distinct Per Diem Revenue Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

This hospital has posted a complete machine readable file for their Outpatient Surgery CPT codes.

Surgery (10004 - 69990)

Hospitals may represent outpatient rates in a variety of ways. This analysis looks at rates with CPT codes inside the surgery code range between 10004 - 69990.

CHARGE & SERVICE INFORMATION

  • Number of Distinct CPT Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

This hospital has posted a complete machine readable file for their Outpatient Ancillary CPT codes.

Ancillary Services (00100 - 10003, 69991 - 99499)

Hospitals may represent outpatient rates in a variety of ways. This analysis looks at rates with CPT codes inside the ancillary services code range between 00100 - 10003 and 69991 - 99499.

CHARGE & SERVICE INFORMATION

  • Number of Distinct CPT Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

The following Outpatient Rates & CPT categories are for display purposes only and not evaluated into the transparency score.

Anesthesia Procedures (00100 – 01999)

Hospitals may represent outpatient rates in a variety of ways. This analysis looks at rates with CPT codes inside the anesthesia procedures code range between 00100 - 01999.

CHARGE & SERVICE INFORMATION

  • Number of Distinct CPT Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

Radiology Procedures (70010 - 79999)

Hospitals may represent outpatient rates in a variety of ways. This analysis looks at rates with CPT codes inside the radiology procedures code range between 70010 - 79999.

CHARGE & SERVICE INFORMATION

  • Number of Distinct CPT Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

Pathology and Laboratory Procedures (80047 – 89398)

Hospitals may represent outpatient rates in a variety of ways. This analysis looks at rates with CPT codes inside the pathology and laboratory procedures code range between 80047 - 89398.

CHARGE & SERVICE INFORMATION

  • Number of Distinct CPT Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

Medical Services and Procedures (90281 – 99607)

Hospitals may represent outpatient rates in a variety of ways. This analysis looks at rates with CPT codes inside the medical services and procedures code range between 10004 - 69990.

CHARGE & SERVICE INFORMATION

  • Number of Distinct CPT Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

Evaluation & Management Services (99091 – 99499)

Hospitals may represent outpatient rates in a variety of ways. This analysis looks at rates with CPT codes inside the evaluation and management services code range between 99091 - 99499.

CHARGE & SERVICE INFORMATION

  • Number of Distinct CPT Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

This hospital has posted a complete machine readable file for their Drug Rates.

Drugs

Hospitals may represent drug rates in a variety of ways. This analysis looks at rates with J Codes or a Revenue Code of 636.

CHARGE & SERVICE INFORMATION

  • Number of Distinct Drug Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

The following Professional Rates categories are for display purposes only and not evaluated into the transparency score.

Professional Fees

Hospitals may represent professional fees in a variety of ways. This analysis looks rates with Revenue Codes between 960 - 989 or billing entities specifying professional fees.

CHARGE & SERVICE INFORMATION

  • Number of Distinct CPT Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

The following Devices categories are for display purposes only and not evaluated into the transparency score.

Devices

Hospitals may represent device rates in a variety of ways. This analysis looks at rates with C Codes or a Revenue Code between 275 - 278.

CHARGE & SERVICE INFORMATION

  • Count Distinct Device Codes

  • Percent of Records with Cash Rates

  • Percent of Records with List Rates

PAYER MIX

  • Number of Distinct Plans

  • Percent of Records with Negotiated Rates

  • Number of Distinct Big 5 National Plans

  • Percent of Records with Big 5 National Payer Rates

This is a printable version of the compliance scorecard. Right click on this page to print from your browser.