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Total knee replacement

CPT 27447 · negotiated-rate distribution across hospitals in WI

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Hospitals
32
Min
$1,604.50
Median
$18,875
Max
$27,040
Range multiplier
16.9×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2975$1,150.22$17,955$27,04023.5×
Anthem BCBS2055$1,150.22$18,187$28,40524.7×
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$1,207.73$5,275.80$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$4,739.84$40,016$40,0168.4×
network health plan57$11,646$12,940$19,8791.7×
network health77$22,591$22,591$22,5911.0×
wps77$4,916.21$4,916.21$4,916.211.0×
aspirus16$1,150.22$5,882.48$12,42810.8×
Blue Cross Blue Shield36$911.20$2,018.84$28,40531.2×
prevea 36014$1,150.22$13,409$21,58318.8×
Medicare24$1,209.39$1,326.64$1,451.851.2×
Medicaid23$1,497.04$1,946.52$32,87722.0×
security health plan23$5,078.40$7,617.60$12,2382.4×
alliance33$4,771.23$4,771.23$4,771.231.0×
centivo nw322$4,825.43$4,825.43$4,825.431.0×
mercy care12$5,924.80$7,406.00$8,887.201.5×
meridiancare12$1,207.73$6,818.03$12,42810.3×
centivo nw122$4,825.43$4,825.43$4,825.431.0×
aca22$18,000$18,000$18,0001.0×
medica [900156]22$2,182.80$3,604.46$5,026.112.3×
cchp22$3,304.10$3,304.10$3,304.101.0×
illinicare12$1,150.22$6,789.27$12,42810.8×
unitedhealth group of wi12$10,387$11,326$12,2651.2×
healthpartners [900713]22$2,384.58$6,574.57$10,7654.5×
First Health22$5,056.94$5,088.97$5,121.001.0×
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$6,167.00$6,167.00$6,167.001.0×
managed health services11$12,265$12,265$12,2651.0×
medical associates health plan11$3,818.73$3,818.73$3,818.731.0×
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$2,631.60$2,631.60$2,631.601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Meriter Hospital Inc.MadisonWI13$25,392$20,314$1,150.22$6,517.28$28,405
Ascension Columbia St Marys OzaukeeMequonWI5$4,771.23$5,275.80$28,491
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$4,771.23$5,275.80$28,491
Ascension Columbia St Marys MilwaukeMilwaukeeWI5$4,771.23$5,275.80$28,491
Mercy Medical CenterOshkoshWI7$12,091$6,891.87$1,313.97$4,064.77$40,016
Ascension Ne Wisconsin-St. ElizabethAppletonWI7$1,313.97$4,064.77$40,016
Westfields HospitalNew RichmondWI8$6,167.00$3,243.84$1,390.80$3,826.32$32,877
MoshFranklinWI5$4,916.21$27,040$40,016
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI5$4,916.21$27,040$40,016
Ascension Se Wisconsin Hospital IncMilwaukeeWI5$4,916.21$27,040$40,016
Wheaton Franciscan - FranklinFranklinWI5$4,916.21$27,040$40,016
All Saints - St. Luke S HospitalRacineWI5$4,916.21$27,040$40,016
Wheaton Franciscan Healthcare - AllRacineWI5$4,916.21$27,040$40,016
Wfhc - Elmbrook MemorialBrookfieldWI5$4,916.21$27,040$40,016
Aurora Lakeland Medical CenterElkhornWI14$9,580.00$20,701$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$18,875$25,737
Sheboygan Memorial HospitalSheboyganWI14$9,580.00$18,875$25,737
Aurora Medical Center Of OshkoshOshkoshWI14$9,580.00$18,875$25,737
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI14$9,580.00$18,875$25,737
Memorial Hospital Of BurlingtonBurlingtonWI14$9,580.00$18,875$25,737
Aurora Medical Center - SummitSummitWI14$9,580.00$18,875$25,737
Aurora Medical Center - Bay AreaMarinetteWI14$8,129.00$17,955$26,520
Amery Regional Medical CenterAmeryWI7$5,690.00$2,966.77$911.20$1,604.50$5,121.00
Childrens WisconsinMilwaukeeWI2$14,056$15,055$25,306
Childrens Hospital Of Wi-Fox ValleyNeenahWI2$14,056$15,055$25,306
Ssh - Fox ValleyOshkoshWI2$14,056$15,055$25,306
Beaver Dam Community HospitalsBeaver DamWI11$10,387$12,265$26,530
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.