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Heart failure & shock w/o CC/MCC

MS-DRG 293 · negotiated-rate distribution across hospitals in WI

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Hospitals
39
Min
$2,118.37
Median
$10,133
Max
$17,175
Range multiplier
8.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2469$2,118.37$11,146$17,1758.1×
Anthem BCBS2252$2,166.80$10,108$21,78810.1×
common ground1236$10,094$10,094$10,0941.0×
wisconsin physician service1236$11,012$11,592$11,5921.1×
healthpartners1224$9,022.82$9,677.97$10,3331.1×
Molina1819$3,961.68$10,594$10,5942.7×
centivo1617$10,551$11,392$17,6881.7×
health payment systems1616$7,309.14$10,151$15,2152.1×
Humana615$3,961.68$18,141$18,9574.8×
Medicare1315$2,575.37$3,879.64$4,247.701.6×
Cigna1313$11,029$12,071$12,0711.1×
hs technology1212$11,271$11,271$11,2711.0×
everpointe elite1212$9,510.07$9,510.07$9,510.071.0×
quartz group1212$10,722$11,814$11,8141.1×
aurora caregiver1212$9,780.58$9,780.58$9,780.581.0×
quartz one1212$9,163.29$10,096$10,0961.1×
trilogy1212$11,233$11,233$11,2331.0×
Aetna1111$8,251.35$8,251.35$8,251.351.0×
VA Health1111$3,635.19$3,879.64$4,247.701.2×
network health plan57$3,961.68$10,613$13,2083.3×
smart health77$5,089.27$5,860.99$5,860.991.2×
Blue Cross Blue Shield46$2,611.57$6,114.04$13,6295.2×
smarthealth55$5,176.72$11,771$11,7712.3×
wps33$19,707$19,707$19,7071.0×
quartz23$6,026.91$6,217.32$7,109.321.2×
quartz health solutions13$4,070.48$5,536.67$8,544.152.1×
sehn c8933$13,878$13,878$13,8781.0×
cchp marketplace33$14,524$14,524$14,5241.0×
alliance33$14,865$14,865$14,8651.0×
Medicaid23$1,971.62$6,155.41$6,623.433.4×
arise33$17,737$17,737$17,7371.0×
the alliance22$8,892.23$8,939.60$8,986.971.0×
allwell22$4,040.91$4,055.70$4,070.481.0×
WellCare22$3,882.54$3,882.54$3,882.541.0×
health partners12$3,961.68$7,746.68$11,5322.9×
security health plan22$3,961.68$4,016.08$4,070.481.0×
icare22$3,961.68$5,205.24$6,448.791.6×
unitedhealth group of wi12$6,026.91$7,599.77$9,172.621.5×
healthpartners [900713]22$6,046.58$6,402.60$6,758.611.1×
wps health plan11$7,975.82$7,975.82$7,975.821.0×
american correctional healthcare11$6,431.36$6,431.36$6,431.361.0×
aspirus11$4,695.48$4,695.48$4,695.481.0×
chorus community health plan11$7,784.20$7,784.20$7,784.201.0×
community care incorporated11$3,961.68$3,961.68$3,961.681.0×
dean health plan11$9,850.52$9,850.52$9,850.521.0×
group health cooperative of eau claire11$6,388.52$6,388.52$6,388.521.0×
group health cooperative of south central wisconsin11$6,706.18$6,706.18$6,706.181.0×
health partners open network11$12,268$12,268$12,2681.0×
illinicare11$4,695.48$4,695.48$4,695.481.0×
independent care health plan11$4,070.48$4,070.48$4,070.481.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Holy Family Memorial IncManitowocWI16$3,961.68$7,880.01$16,677
Beaver Dam Community HospitalsBeaver DamWI12$6,026.91$6,207.72$14,557
Meriter Hospital Inc.MadisonWI12$4,695.48$5,920.75$13,629
Mercy Medical CenterOshkoshWI6$3,697.66$5,176.72$10,277
Ascension Ne Wisconsin-St. ElizabethAppletonWI6$3,697.66$5,176.72$10,277
Wfhc - Elmbrook MemorialBrookfieldWI3$4,186.42$4,186.42$5,860.99
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI3$4,186.42$4,186.42$5,860.99
Wheaton Franciscan - FranklinFranklinWI3$4,186.42$4,186.42$5,860.99
Ascension Se Wisconsin Hospital IncMilwaukeeWI3$4,186.42$4,186.42$5,860.99
Hudson HospitalHudsonWI6$8,021.00$3,618.27$1,971.62$4,186.19$10,486
Mile Bluff Medical Center Inc.MaustonWI11$4,070.48$4,070.48$8,986.97
Aspirus Medford Hospital And ClinicsMedfordWI1$3,947.17$3,947.17$3,947.17
Amery Regional Medical CenterAmeryWI5$5,954.00$3,104.42$3,737.78$3,883.64$6,758.61
All Saints - St. Luke S HospitalRacineWI3$3,879.64$3,879.64$5,431.50
Wheaton Franciscan Healthcare - AllRacineWI3$3,879.64$3,879.64$5,431.50
MoshFranklinWI3$3,635.19$3,635.19$5,089.27
Ascension Saint Marys HospitalRhinelanderWI1$2,166.80$2,166.80$2,166.80
Aspirus Eagle River HospitalEagle RiverWI1$2,118.37$2,118.37$2,118.37
Childrens Hospital Of Wi-Fox ValleyNeenahWI1$17,175$17,175$17,175
Ssh - Fox ValleyOshkoshWI1$17,175$17,175$17,175
Childrens WisconsinMilwaukeeWI1$16,650$16,650$16,650
Ascension Sacred Heart RehabilitatioMilwaukeeWI12$10,022$15,215$21,788
Ascension Columbia St Marys MilwaukeMilwaukeeWI15$4,247.70$15,027$21,788
Ascension Columbia St Marys OzaukeeMequonWI15$3,638.99$15,027$21,788
West Allis Memorial HospitalWest AllisWI15$9,022.82$11,037$13,309
Aurora Health Care Metro Inc.MilwaukeeWI16$8,251.35$11,012$13,309
Aurora Medical Center Of OshkoshOshkoshWI16$8,251.35$11,012$13,309
Aurora Medical Center - SummitSummitWI16$8,251.35$11,012$13,309
Aurora Medical Center GraftonGraftonWI16$8,251.35$11,012$13,309
Aurora Medical Center - HartfordHartfordWI16$8,251.35$11,012$13,309
Sheboygan Memorial HospitalSheboyganWI16$8,251.35$11,012$13,309
Aurora Medical Center KenoshaKenoshaWI16$8,251.35$10,333$12,071
Aurora Lakeland Medical CenterElkhornWI16$8,251.35$10,333$12,426
Memorial Hospital Of BurlingtonBurlingtonWI16$8,251.35$10,333$12,426
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI16$8,251.35$10,151$12,291
Aurora Medical Center - Bay AreaMarinetteWI16$6,492.22$10,133$12,071
River Falls Area HospitalRiver FallsWI0
University Of Wi Hospitals & ClinicsMadisonWI0$33,570
Uw Health Rehabilitation HospitalMadisonWI0$33,570

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.