How many shoppable procedure prices are published for Watertown Memorial Hospital?

Watertown Memorial Hospital in Watertown, WI currently has 86 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Watertown Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Watertown Memorial Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Watertown Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Watertown Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 76 Beds · rural Updated: 2026-04-01

Watertown Memorial Hospital

125 Hospital Drive, Watertown, WI 53098 · 86 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.07×vs. Fair Market Price

Typical commercial prices here are +7% above the fair benchmark (1.07×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic73

Peer Alignment65

Clean Billing70

Real Cash Discount83

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.07× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Watertown Memorial Hospital prices shoppable and inpatient services (1.3× to 1.9× Medicare, divergence 1.46×) in alignment with regional hospital peers (1.07× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#28 of 99 in WI · 27th State Percentile#1,603 of 3,385 in U.S. · 47th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.81× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (83/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 64% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Captive ER (1.9×) & laboratory (1.7×) services average 1.46× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.38×) jump +47% above the median procedure ratio (Q50 0.94×)
Consolidated metro market (HHI 3,865) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.46× Divergence

1.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+47% Upper Tail

Q25 0.81× · Q50 0.94× · Q75 1.38×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 83/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Watertown Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 86 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$29,608	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,804	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,679	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,159	$17,936	0.9×
Total hip replacement CPT Code: `27130`	—	$10,851	$13,413	0.8×
Total knee replacement CPT Code: `27447`	—	$10,851	$13,523	0.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$9,004	$2,680	3.4×
C-section delivery (full package) CPT Code: `59510`	—	$9,004	$2,975	3.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,541	$6,109	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,145	$8,223	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,643	$2,540	2.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,323	$3,372	1.6×
Inguinal hernia repair CPT Code: `49505`	—	$4,724	$3,629	1.3×
Breast lump removal CPT Code: `19120`	—	$4,416	$3,875	1.1×
Bunion correction surgery CPT Code: `28296`	—	$4,098	$3,446	1.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,396	$1,256	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,264	$981	2.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,253	$987	2.3×
Rabies immune globulin HCPCS Code: `90375`	$1,979	$1,979	$322	6.1×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,951	$855	2.3×
Blood transfusion CPT Code: `36430`	—	$1,820	$498	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$849	$1,021	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$540	$583	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$345	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$345	$511	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$217	$201	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$214	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$236	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$236	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	—	$236	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	—	$236	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	—	$236	$369	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$171	$148	1.2×
CT scan, head (with contrast) CPT Code: `70460`	—	$173	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$173	$258	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	—	$121	$86	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	—	$142	$123	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$132	$128	1.0×
Group therapy session CPT Code: `90853`	—	$100	$100	1.0×
X-ray, pelvis CPT Code: `72170`	—	$103	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	—	$86	$92	0.9×
X-ray, shoulder CPT Code: `73030`	—	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	—	$86	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	—	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$86	$93	0.9×
X-ray, hand CPT Code: `73130`	—	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	—	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	—	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	—	$103	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$103	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	—	$103	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$103	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$103	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	—	$103	$160	0.6×
CT scan, pelvis CPT Code: `72192`	—	$103	$163	0.6×
CT scan, sinuses CPT Code: `70486`	—	$103	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	—	$103	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$103	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$103	$169	0.6×
Typhoid vaccine HCPCS Code: `90675`	$621	$621	$347	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$445	$445	$140	3.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$180	$180	$111	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$103	$103	$37	2.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$92	$92	$56	1.6×
Orthotic fitting and training CPT Code: `97760`	—	$73	$51	1.4×
Prosthetic fitting and training CPT Code: `97761`	—	$64	$45	1.4×
Speech therapy (group session) CPT Code: `92508`	—	$38	$27	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$53	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	—	$46	$33	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$55	$40	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$52	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	—	$51	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$46	$35	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	—	$44	$34	1.3×
Blood antibody screen CPT Code: `86850`	—	$52	$46	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$58	$64	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$9	$3	3.0×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$17	$6	2.8×
Blood test, basic metabolic panel CPT Code: `80048`	—	$23	$9	2.6×
Blood test, hemoglobin CPT Code: `85018`	—	$7	$3	2.3×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$20	$14	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$20	$35	0.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$14	$14	$151	0.1×

Showing top 25 high-impact procedures of 86 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Watertown Memorial Hospital (Zero PHI Required)

CMS CCN: 520116

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $29,608

1. Amount on Your Bill or Quote ($) Pre-filled with Watertown Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Watertown Memorial Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$40,284 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($71,059) is $40,284 above the denoised Fair BaseRate ($30,775) and 3.0× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Watertown Memorial Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite71/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait110 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (366 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Watertown Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 68/100 CMS composite

Median Household Income$73,992U.S. Census ACS

Local Uninsured Share4.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 71/100 · Corroborated CMS CCN 520116

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 520116) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows146 (CMS v3.0.0)

File Integrity DigestVerified · CCN 520116

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy