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Total hip replacement

CPT 27130 · negotiated-rate distribution across hospitals in WI

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Hospitals
32
Min
$1,606.07
Median
$18,759
Max
$27,040
Range multiplier
16.8×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2975$1,151.57$17,955$27,04023.5×
Anthem BCBS2055$1,151.57$15,494$26,22222.8×
common ground1236$17,346$17,346$21,4801.2×
wisconsin physician service1236$21,606$22,743$22,7431.1×
trilogy2424$25,737$27,114$31,5891.2×
Molina1415$12,238$17,293$17,2931.4×
Humana613$1,209.15$5,280.96$12,42810.3×
everpointe elite1212$17,086$17,086$17,0861.0×
Aetna1212$9,580.00$9,580.00$9,580.001.0×
aurora caregiver1212$21,480$21,480$21,4801.0×
quartz one1212$17,830$17,830$21,1701.2×
quartz group1212$20,860$20,860$24,7701.2×
centivo1212$21,582$21,582$21,5821.0×
health payment systems1212$19,700$19,700$19,7001.0×
hs technology1212$20,541$20,541$20,5411.0×
Cigna1011$2,243.08$40,016$40,01617.8×
network health plan57$11,646$12,940$19,8791.7×
network health77$22,591$22,591$22,5911.0×
wps77$4,917.26$4,917.26$4,917.261.0×
aspirus16$1,151.57$2,783.88$12,42810.8×
Blue Cross Blue Shield36$912.45$2,020.33$26,22228.7×
prevea 36014$1,151.57$8,511.90$12,42810.8×
Medicare24$1,210.84$1,328.24$1,453.601.2×
Medicaid23$1,498.85$1,948.14$32,87721.9×
security health plan23$2,403.30$3,605.10$12,2385.1×
alliance33$4,772.25$4,772.25$4,772.251.0×
centivo nw322$4,830.15$4,830.15$4,830.151.0×
mercy care12$2,803.85$3,504.90$4,205.951.5×
meridiancare12$1,209.15$6,818.74$12,42810.3×
centivo nw122$4,830.15$4,830.15$4,830.151.0×
aca22$18,000$18,000$18,0001.0×
medica [900156]22$2,185.42$3,606.99$5,028.552.3×
cchp22$3,094.63$3,094.63$3,094.631.0×
illinicare12$1,151.57$6,789.95$12,42810.8×
unitedhealth group of wi12$10,387$11,326$12,2651.2×
healthpartners [900713]22$2,388.54$6,576.55$10,7654.5×
First Health22$5,059.40$5,091.55$5,123.701.0×
icare22$12,238$12,680$13,1231.1×
health partners11$12,238$12,238$12,2381.0×
community care incorporated11$12,238$12,238$12,2381.0×
ma wisconsin replacement [950271]11$6,170.00$6,170.00$6,170.001.0×
managed health services11$12,265$12,265$12,2651.0×
medical associates health plan11$3,823.21$3,823.21$3,823.211.0×
quartz11$12,265$12,265$12,2651.0×
security health plan (shp)11$12,265$12,265$12,2651.0×
allwell11$12,482$12,482$12,4821.0×
veteran's administration (va ccn)11$12,265$12,265$12,2651.0×
group health cooperative of eau claire11$13,001$13,001$13,0011.0×
health partners open network11$2,586.94$2,586.94$2,586.941.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Columbia St Marys OzaukeeMequonWI5$4,772.25$5,280.96$28,491
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$4,772.25$5,280.96$28,491
Ascension Columbia St Marys MilwaukeMilwaukeeWI5$4,772.25$5,280.96$28,491
Ascension Ne Wisconsin-St. ElizabethAppletonWI7$1,315.64$3,962.39$40,016
Mercy Medical CenterOshkoshWI7$17,245$9,829.65$1,315.64$3,962.39$40,016
Meriter Hospital Inc.MadisonWI13$12,017$9,613.60$1,151.57$3,846.24$26,222
Westfields HospitalNew RichmondWI8$6,170.00$3,245.42$1,392.47$3,828.18$32,877
MoshFranklinWI5$4,917.26$27,040$40,016
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI5$4,917.26$27,040$40,016
Ascension Se Wisconsin Hospital IncMilwaukeeWI5$4,917.26$27,040$40,016
Wheaton Franciscan - FranklinFranklinWI5$4,917.26$27,040$40,016
All Saints - St. Luke S HospitalRacineWI5$4,917.26$27,040$40,016
Wheaton Franciscan Healthcare - AllRacineWI5$4,917.26$27,040$40,016
Wfhc - Elmbrook MemorialBrookfieldWI5$4,917.26$27,040$40,016
Aurora Lakeland Medical CenterElkhornWI14$9,580.00$20,267$25,737
Aurora Health Care Metro Inc.MilwaukeeWI14$9,580.00$19,631$25,737
West Allis Memorial HospitalWest AllisWI14$9,580.00$19,631$25,737
Aurora Medical Center KenoshaKenoshaWI14$9,580.00$19,631$25,737
Aurora Medical Center GraftonGraftonWI14$9,580.00$19,631$25,737
Aurora Medical Center - HartfordHartfordWI14$9,580.00$18,759$25,737
Sheboygan Memorial HospitalSheboyganWI14$9,580.00$18,759$25,737
Aurora Medical Center Of OshkoshOshkoshWI14$9,580.00$18,759$25,737
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI14$9,580.00$18,759$25,737
Memorial Hospital Of BurlingtonBurlingtonWI14$9,580.00$18,759$25,737
Aurora Medical Center - SummitSummitWI14$9,580.00$18,759$25,737
Aurora Medical Center - Bay AreaMarinetteWI14$6,793.00$17,955$25,737
Amery Regional Medical CenterAmeryWI7$5,693.00$2,968.33$912.45$1,606.07$5,123.70
Childrens WisconsinMilwaukeeWI2$13,774$13,958$25,306
Childrens Hospital Of Wi-Fox ValleyNeenahWI2$13,774$13,958$25,306
Ssh - Fox ValleyOshkoshWI2$13,774$13,958$25,306
Beaver Dam Community HospitalsBeaver DamWI11$10,387$12,265$23,877
Holy Family Memorial IncManitowocWI10$11,646$12,238$19,754

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.