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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in WI

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Hospitals
49
Min
$3,791.85
Median
$12,411
Max
$39,594
Range multiplier
10.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare3696$2,661.80$24,097$39,59414.9×
Anthem BCBS3192$1,041.77$17,788$34,61633.2×
wisconsin physician service1236$26,187$27,565$27,5651.1×
common ground1236$24,003$24,003$24,0031.0×
Humana1827$4,206.55$10,612$18,9574.5×
healthpartners1224$21,456$23,014$24,5721.1×
Molina1819$8,985.86$25,193$25,1932.8×
Medicare1417$2,575.37$8,387.03$9,634.623.7×
security health plan of wisconsin, inc.1217$6,306.18$10,975$54,2248.6×
centivo1617$17,688$27,090$29,2281.7×
health payment systems1616$15,215$24,139$24,1391.6×
Cigna1414$26,226$28,706$29,7921.1×
Aetna1313$9,419.62$19,622$19,6222.1×
quartz group1212$25,496$28,092$28,0921.1×
aurora caregiver1212$23,258$23,258$23,2581.0×
everpointe elite1212$22,615$22,615$22,6151.0×
trilogy1212$26,712$26,712$26,7121.0×
hs technology1212$26,802$26,802$26,8021.0×
quartz one1212$21,790$24,008$24,0081.1×
VA Health1111$8,245.33$8,799.79$9,634.621.2×
network health plan57$8,985.86$13,208$24,0712.7×
Blue Cross Blue Shield57$2,611.57$9,232.67$32,41012.4×
smart health77$11,543$13,294$13,2941.2×
aspirus health plan, inc.56$8,965.31$10,922$18,0942.0×
Medicaid35$1,971.62$13,962$16,3458.3×
managed health services insurance corp.55$5,884.05$9,723.61$11,5902.0×
smarthealth55$11,742$11,771$11,7711.0×
quartz health solutions, inc.24$11,350$11,736$12,1221.1×
Multiplan44$9,173.14$13,500$26,3362.9×
quartz health solutions13$9,232.67$13,160$20,3082.2×
alliance33$14,865$14,865$14,8651.0×
cchp marketplace33$14,524$14,524$14,5241.0×
healthpartners [900713]33$13,715$15,330$16,3451.2×
quartz23$12,350$14,785$16,9061.4×
wps33$19,707$19,707$19,7071.0×
sehn c8933$13,878$13,878$13,8781.0×
arise33$17,737$17,737$17,7371.0×
dean health plan33$11,770$11,770$22,3431.9×
security health plan22$8,985.86$9,109.27$9,232.671.0×
allwell22$9,165.58$9,199.13$9,232.671.0×
health partners12$8,985.86$17,571$26,1562.9×
icare22$8,985.86$11,100$13,2151.5×
the alliance22$20,549$20,847$21,1461.0×
unitedhealth group of wi12$12,350$17,081$21,8121.8×
WellCare22$8,806.38$8,806.38$8,806.381.0×
medical college of wisconsin11$25,866$25,866$25,8661.0×
medical associates health plan11$13,374$13,374$13,3741.0×
medica [900156]11$12,896$12,896$12,8961.0×
managed health services11$12,350$12,350$12,3501.0×
security health plan (shp)11$12,350$12,350$12,3501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI3$9,495.64$9,495.64$13,294
Ascension Se Wisconsin Hospital IncMilwaukeeWI3$9,495.64$9,495.64$13,294
Wfhc - Elmbrook MemorialBrookfieldWI3$9,495.64$9,495.64$13,294
Wheaton Franciscan - FranklinFranklinWI3$9,495.64$9,495.64$13,294
Aspirus Wausau HospitalWausauWI8$7,864.84$9,438.66$54,224
Ascension Sacred Heart HospitalTomahawkWI4$3,396.13$9,306.68$11,170
Mile Bluff Medical Center Inc.MaustonWI11$9,232.67$9,232.67$20,549
All Saints - St. Luke S HospitalRacineWI3$8,799.79$8,799.79$12,320
Wheaton Franciscan Healthcare - AllRacineWI3$8,799.79$8,799.79$12,320
Aspirus Medford Hospital And ClinicsMedfordWI4$4,206.55$8,389.54$13,146
MoshFranklinWI3$8,245.33$8,245.33$11,543
Hudson HospitalHudsonWI6$19,549$8,818.55$1,971.62$7,791.34$23,784
Aspirus Eagle River HospitalEagle RiverWI5$5,669.04$6,737.76$17,209
Childrens WisconsinMilwaukeeWI1$39,594$39,594$39,594
Childrens Hospital Of Wi-Fox ValleyNeenahWI1$38,957$38,957$38,957
Ssh - Fox ValleyOshkoshWI1$38,957$38,957$38,957
Amery Regional Medical CenterAmeryWI5$17,479$9,113.55$3,737.78$3,883.64$15,330
Westfields HospitalNew RichmondWI5$17,056$8,971.46$3,666.64$3,791.85$16,345
West Allis Memorial HospitalWest AllisWI15$21,456$26,245$31,649
Aurora Health Care Metro Inc.MilwaukeeWI16$19,622$26,187$31,649
Sheboygan Memorial HospitalSheboyganWI16$19,622$26,187$31,649
Aurora Medical Center - HartfordHartfordWI16$19,622$26,187$31,649
Aurora Medical Center Of OshkoshOshkoshWI16$19,622$26,187$31,649
Aurora Medical Center - SummitSummitWI16$19,622$26,187$31,649
Aurora Medical Center GraftonGraftonWI16$19,622$26,187$31,649
Memorial Hospital Of BurlingtonBurlingtonWI16$19,622$24,572$29,550
Aurora Lakeland Medical CenterElkhornWI16$19,622$24,572$29,550
Aurora Medical Center KenoshaKenoshaWI16$19,622$24,572$28,706
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI16$19,622$24,139$29,228
Aurora Medical Center - Bay AreaMarinetteWI16$15,438$24,097$28,706
Holy Family Memorial IncManitowocWI16$8,985.86$17,873$37,826
Ascension Sacred Heart RehabilitatioMilwaukeeWI12$10,022$15,215$21,788
Ascension Columbia St Marys MilwaukeMilwaukeeWI15$9,634.62$15,202$21,788
Ascension Columbia St Marys OzaukeeMequonWI15$8,253.95$15,202$21,788
Meriter Hospital Inc.MadisonWI12$10,425$14,079$32,410
Aspirus Merrill HospitalMerrillWI4$1,993.22$13,986$29,840
Beaver Dam Community HospitalsBeaver DamWI12$12,350$12,721$34,616
Aspirus Langlade HospitalAntigoWI7$8,278.41$12,411$21,109
Mercy Medical CenterOshkoshWI6$8,387.03$11,742$23,498
Ascension Ne Wisconsin-St. ElizabethAppletonWI6$8,387.03$11,742$23,498
Ascension Our Lady Of Victory HospitStanleyWI5$8,960.72$11,266$19,006
Ascension Saint Marys HospitalRhinelanderWI5$2,291.05$11,043$43,585
Howard Young Medical CenterWoodruffWI5$6,974.28$11,006$22,269
Aspirus Riverview Hospital & ClinicsWisconsin RapidsWI8$1,041.77$10,035$21,201
Divine Savior HospitalPortageWI8$1,041.77$10,035$21,201
Ascension St. Michaels HospitalStevens PointWI5$8,472.70$10,028$29,792
River Falls Area HospitalRiver FallsWI0
Uw Health Rehabilitation HospitalMadisonWI0$48,445
University Of Wi Hospitals & ClinicsMadisonWI0$48,445

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.