▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in WI
Hospitals
48
Min
$1,889.68
Median
$10,979
Max
$24,883
Range multiplier
13.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 35 | 90 | $1,889.68 | $16,530 | $24,883 | 13.2× |
| Anthem BCBS | 27 | 62 | $4,738.29 | $15,105 | $39,582 | 8.4× |
| wisconsin physician service | 12 | 36 | $16,457 | $17,323 | $17,323 | 1.1× |
| common ground | 12 | 36 | $15,085 | $15,085 | $15,085 | 1.0× |
| healthpartners | 12 | 24 | $13,484 | $14,463 | $15,442 | 1.1× |
| Humana | 13 | 22 | $5,640.83 | $15,174 | $18,957 | 3.4× |
| Molina | 18 | 19 | $5,640.83 | $15,833 | $15,833 | 2.8× |
| centivo | 16 | 17 | $15,023 | $17,025 | $18,368 | 1.2× |
| health payment systems | 16 | 16 | $10,407 | $15,170 | $15,215 | 1.5× |
| Medicare | 13 | 16 | $2,575.37 | $5,223.15 | $6,048.09 | 2.3× |
| Cigna | 13 | 13 | $16,482 | $18,040 | $18,040 | 1.1× |
| quartz one | 12 | 12 | $13,694 | $15,088 | $15,088 | 1.1× |
| trilogy | 12 | 12 | $16,787 | $16,787 | $16,787 | 1.0× |
| aurora caregiver | 12 | 12 | $14,617 | $14,617 | $14,617 | 1.0× |
| hs technology | 12 | 12 | $16,844 | $16,844 | $16,844 | 1.0× |
| everpointe elite | 12 | 12 | $14,212 | $14,212 | $14,212 | 1.0× |
| quartz group | 12 | 12 | $16,023 | $17,655 | $17,655 | 1.1× |
| security health plan of wisconsin, inc. | 6 | 11 | $3,456.23 | $6,775.85 | $24,368 | 7.1× |
| Aetna | 11 | 11 | $12,331 | $12,331 | $12,331 | 1.0× |
| VA Health | 10 | 10 | $5,175.97 | $5,742.44 | $6,048.09 | 1.2× |
| Blue Cross Blue Shield | 5 | 7 | $2,611.57 | $5,795.77 | $20,368 | 7.8× |
| network health plan | 5 | 7 | $5,640.83 | $13,208 | $15,111 | 2.7× |
| smart health | 6 | 6 | $7,246.36 | $8,345.19 | $8,345.19 | 1.2× |
| Medicaid | 3 | 5 | $1,971.62 | $8,764.4 | $10,261 | 5.2× |
| smarthealth | 5 | 5 | $7,370.89 | $11,771 | $11,771 | 1.6× |
| group health cooperative of eau claire | 4 | 4 | $6,543 | $7,808.37 | $9,374.01 | 1.4× |
| healthpartners [900713] | 3 | 3 | $8,609.43 | $9,623.25 | $10,261 | 1.2× |
| alliance | 3 | 3 | $14,865 | $14,865 | $14,865 | 1.0× |
| arise | 3 | 3 | $17,737 | $17,737 | $17,737 | 1.0× |
| aspirus health plan, inc. | 3 | 3 | $6,044.04 | $11,110 | $38,369 | 6.3× |
| cchp marketplace | 3 | 3 | $14,524 | $14,524 | $14,524 | 1.0× |
| managed health services insurance corp. | 3 | 3 | $4,482.14 | $7,799.76 | $7,799.76 | 1.7× |
| quartz | 2 | 3 | $8,295.87 | $9,291.42 | $10,624 | 1.3× |
| quartz health solutions | 1 | 3 | $5,795.77 | $8,269.7 | $12,762 | 2.2× |
| sehn c89 | 3 | 3 | $13,878 | $13,878 | $13,878 | 1.0× |
| wps | 3 | 3 | $19,707 | $19,707 | $19,707 | 1.0× |
| icare | 2 | 2 | $5,640.83 | $7,258.71 | $8,876.58 | 1.6× |
| allwell | 2 | 2 | $5,753.65 | $5,774.71 | $5,795.77 | 1.0× |
| quartz health solutions, inc. | 2 | 2 | $10,413 | $10,413 | $10,413 | 1.0× |
| health partners | 1 | 2 | $5,640.83 | $11,030 | $16,419 | 2.9× |
| the alliance | 2 | 2 | $13,160 | $13,224 | $13,289 | 1.0× |
| security health plan | 2 | 2 | $5,640.83 | $5,718.3 | $5,795.77 | 1.0× |
| WellCare | 2 | 2 | $5,528.17 | $5,528.17 | $5,528.17 | 1.0× |
| unitedhealth group of wi | 1 | 2 | $8,295.87 | $11,002 | $13,708 | 1.7× |
| wps health plan | 1 | 1 | $11,356 | $11,356 | $11,356 | 1.0× |
| dean health plan | 1 | 1 | $14,026 | $14,026 | $14,026 | 1.0× |
| community care incorporated | 1 | 1 | $5,640.83 | $5,640.83 | $5,640.83 | 1.0× |
| the alliance (f/k/a employer health care alliance cooperative) | 1 | 1 | $11,245 | $11,245 | $11,245 | 1.0× |
| chorus community health plan | 1 | 1 | $11,084 | $11,084 | $11,084 | 1.0× |
| aspirus | 1 | 1 | $6,751.28 | $6,751.28 | $6,751.28 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ASPIRUS MEDFORD HOSPITAL AND CLINICS | MEDFORD | WI | 5 | — | — | $6,775.85 | $9,374.01 | $39,582 |
| MERITER HOSPITAL INC. | MADISON | WI | 12 | — | — | $6,751.28 | $8,848.21 | $20,368 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 12 | — | — | $8,295.87 | $8,544.75 | $21,755 |
| MERCY MEDICAL CENTER | OSHKOSH | WI | 6 | — | — | $5,264.92 | $7,370.89 | $15,048 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 6 | — | — | $5,264.92 | $7,370.89 | $15,048 |
| ASCENSION SAINT MARYS HOSPITAL | RHINELANDER | WI | 1 | — | — | $5,619.32 | $7,170.88 | $7,177.65 |
| DIVINE SAVIOR HOSPITAL | PORTAGE | WI | 4 | — | — | $5,348.56 | $6,927.56 | $10,413 |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS | WISCONSIN RAPIDS | WI | 4 | — | — | $5,348.56 | $6,927.56 | $10,413 |
| ASCENSION ST. MICHAELS HOSPITAL | STEVENS POINT | WI | 6 | — | — | $4,645.38 | $6,647.99 | $12,596 |
| HOWARD YOUNG MEDICAL CENTER | WOODRUFF | WI | 3 | — | — | $3,456.23 | $6,282.46 | $7,315.52 |
| ASPIRUS WAUSAU HOSPITAL | WAUSAU | WI | 8 | — | — | $4,482.14 | $6,248.44 | $24,368 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 3 | — | — | $5,960.85 | $5,960.85 | $8,345.19 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 3 | — | — | $5,960.85 | $5,960.85 | $8,345.19 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 3 | — | — | $5,960.85 | $5,960.85 | $8,345.19 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 3 | — | — | $5,960.85 | $5,960.85 | $8,345.19 |
| MILE BLUFF MEDICAL CENTER INC. | MAUSTON | WI | 11 | — | — | $5,795.77 | $5,795.77 | $13,160 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 3 | — | — | $5,524.03 | $5,524.03 | $7,733.64 |
| HUDSON HOSPITAL | HUDSON | WI | 6 | $11,534 | $5,202.99 | $1,971.62 | $5,391.09 | $14,930 |
| MOSH | FRANKLIN | WI | 3 | — | — | $5,175.97 | $5,175.97 | $7,246.36 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 5 | $11,407 | $5,947.61 | $3,737.78 | $3,883.64 | $9,623.25 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 5 | $8,994 | $4,730.84 | $3,666.64 | $3,791.85 | $10,261 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 1 | — | — | $24,883 | $24,883 | $24,883 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 1 | — | — | $24,455 | $24,455 | $24,455 |
| SSH - FOX VALLEY | OSHKOSH | WI | 1 | — | — | $24,455 | $24,455 | $24,455 |
| ASPIRUS EAGLE RIVER HOSPITAL | EAGLE RIVER | WI | 1 | — | — | $1,889.68 | $1,889.68 | $1,889.68 |
| ASCENSION OUR LADY OF VICTORY HOSPIT | STANLEY | WI | 1 | — | — | $18,061 | $18,061 | $18,061 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 15 | — | — | $13,484 | $16,494 | $19,890 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 16 | — | — | $12,331 | $15,442 | $18,571 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 16 | — | — | $12,331 | $15,442 | $18,040 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 16 | — | — | $12,331 | $15,442 | $18,571 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 12 | — | — | $10,022 | $15,215 | $21,788 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 16 | — | — | $12,331 | $15,170 | $18,368 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 16 | — | — | $9,702.24 | $15,144 | $18,040 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 15 | — | — | $5,181.38 | $15,027 | $21,788 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 15 | — | — | $6,048.09 | $15,027 | $21,788 |
| ASPIRUS MERRILL HOSPITAL | MERRILL | WI | 4 | — | — | $9,278.44 | $13,706 | $23,651 |
| ASPIRUS LANGLADE HOSPITAL | ANTIGO | WI | 4 | — | — | $7,178.77 | $13,406 | $22,434 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 16 | — | — | $5,640.83 | $11,220 | $23,745 |
| ASCENSION SACRED HEART HOSPITAL | TOMAHAWK | WI | 2 | — | — | $7,401.07 | $10,979 | $14,557 |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $28,365 | — | — | — | — |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 0 | — | — | — | — | — |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $28,365 | — | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.