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ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE — Quality & Patient Safety

MILWAUKEE, WI · Acute Care Hospitals · Emergency services available

Source: CMS Hospital Compare, HCAHPS Survey

By BillRazor Research · Last updated June 1, 2026 · View pricing data

CMS Overall Hospital Quality

2

Out of 5 stars · CMS Hospital Compare rating

N/A

Patients recommend

221

Survey responses

Patient Satisfaction

2.0/5

Overall HCAHPS score

Avg Readmission Ratio

0.98

At or below average

Quality Measures

50

CMS-tracked metrics

Quality Score

40

Composite index

Patient Satisfaction — HCAHPS Survey Scores

Score out of 5.0 based on patient survey responses. Source: CMS HCAHPS.

Excess Readmission Ratios by Condition

Ratio vs national average (1.0 = average). Below 1.0 is better, above 1.0 indicates higher-than-expected readmissions.

Below average (better) Above average

Healthcare-Associated Infections (HAI)

Performance vs national benchmarks on hospital-acquired infection measures.

6

Better than average

Lower infection rates

24

Same as average

Near national rate

0

Worse than average

Higher infection rates

MeasureScorevs National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.05Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.94Better than the National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days5694.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.05Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.28Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.05No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.06No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5118.00No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.26No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2.00No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.32No Different than National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.14No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2.77No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures86.00No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2.39No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2.00No Different than National Benchmark
SSI - Colon Surgery0.84No Different than National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures59.00Not Available
SSI - Abdominal Hysterectomy: Predicted Cases0.51Not Available
SSI - Abdominal Hysterectomy: Observed Cases0.00Not Available
MRSA Bacteremia: Lower Confidence Limit0.02No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit1.78No Different than National Benchmark
MRSA Bacteremia: Patient Days37817.00No Different than National Benchmark
MRSA Bacteremia: Predicted Cases2.77No Different than National Benchmark
MRSA Bacteremia: Observed Cases1.00No Different than National Benchmark
MRSA Bacteremia0.36No Different than National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.26No Different than National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit1.06No Different than National Benchmark
Clostridium Difficile (C.Diff): Patient Days34101.00No Different than National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases14.30No Different than National Benchmark
Clostridium Difficile (C.Diff): Observed Cases8.00No Different than National Benchmark
Clostridium Difficile (C.Diff)0.56No Different than National Benchmark

What quality scores mean for patients at ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE

ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE holds a CMS overall rating of 2 out of 5 stars, based on publicly reported quality measures. This places it at #63 out of 66 hospitals in WI. Quality ratings aggregate dozens of individual measures — from nurse communication and cleanliness to surgical complication rates and timely care — into a single composite. While no single number captures the full patient experience, the star rating provides a useful starting point for understanding whether a hospital consistently meets or falls short of national performance standards.

Readmission data offers a particularly important signal. ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE's average excess readmission ratio is 0.98x the national average, indicating readmission rates at or below the national norm. This hospital reports readmission data across 5 conditions, and performance varies by diagnosis. High readmission rates can indicate issues with discharge planning, follow-up care coordination, or the initial quality of treatment — all factors that may also correlate with the complexity and accuracy of the resulting hospital bill.

Research consistently shows a correlation between hospital operational quality and billing accuracy. Hospitals that perform well on patient safety, infection control, and care coordination tend to have more robust administrative processes, including medical coding and billing. Conversely, facilities with lower quality scores — particularly those with higher-than-average infection rates (0 measures worse than average at ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE) or elevated readmission ratios — often exhibit higher rates of billing discrepancies. If you have received a bill from a hospital with mixed quality indicators, a line-by-line review against regional benchmarks can identify charges that may not align with the care actually delivered.

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Data from CMS Hospital Compare, HCAHPS Patient Survey, Hospital-Acquired Infection (HAI) reports, and Hospital Readmissions Reduction Program (HRRP). All data is publicly available.

Star ratings and quality measures are published by the Centers for Medicare & Medicaid Services (CMS). This page is for informational purposes only and does not constitute medical advice.

Frequently Asked Questions About ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Quality

What is ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE's CMS star rating?

ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE has an overall CMS star rating of 2 out of 5, based on the Hospital Compare quality rating system. This rating incorporates patient experience, safety, readmission rates, mortality outcomes, and timely & effective care. Star ratings are updated annually by the Centers for Medicare & Medicaid Services.

How do patients rate ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE?

Patient satisfaction data for ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE is based on the HCAHPS patient survey, which measures experience across dimensions including nurse and doctor communication, staff responsiveness, and cleanliness. Detailed scores are available on this page.

Does ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE have higher-than-average readmission rates?

ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE's average excess readmission ratio is 0.98. A ratio above 1.0 means readmission rates are higher than the national average for the measured conditions. This hospital's readmission rate is at or below the national average. Source: CMS Hospital Readmissions Reduction Program.

How does ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE compare to other WI hospitals?

ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE's quality metrics, including star rating, patient satisfaction, readmission rates, and infection data, can be compared against other WI hospitals on this page. The state peers section shows the top-rated hospitals in WI for context.

Data sourced from CMS Hospital Compare and HCAHPS Patient Survey. All information is for educational purposes only.