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ACL reconstruction

CPT 29888 · negotiated-rate distribution across hospitals in WI

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Hospitals
32
Min
$1,007.95
Median
$6,862.35
Max
$13,958
Range multiplier
13.8×

By payer (47 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2267$880.90$13,851$18,06020.5×
Anthem BCBS2055$880.90$11,302$26,22229.8×
common ground1236$11,037$11,037$11,7501.1×
wisconsin physician service1236$14,623$15,393$15,3931.1×
Molina1415$6,794.40$12,508$12,5081.8×
Cigna1314$3,504.48$9,600.00$9,600.002.7×
Humana613$924.95$3,832.27$6,900.277.5×
everpointe elite1212$11,136$11,136$11,1361.0×
health payment systems1212$14,150$14,150$14,1501.0×
hs technology1212$12,943$12,943$12,9431.0×
Aetna1212$6,461.00$6,461.00$6,461.001.0×
aurora caregiver1212$11,750$11,750$11,7501.0×
trilogy1212$16,378$16,378$16,3781.0×
quartz one1212$11,150$11,150$12,2501.1×
centivo1212$13,933$13,933$13,9331.0×
quartz group1212$13,050$13,050$14,3301.1×
wps77$3,575.24$3,575.24$3,575.241.0×
network health plan57$1,542.14$6,794.40$10,7857.0×
Blue Cross Blue Shield36$699.61$1,494.20$26,22237.5×
aspirus16$880.90$4,349.43$6,900.277.8×
Medicare24$928.46$1,018.47$1,114.601.2×
prevea 36014$880.90$8,769.44$15,95918.1×
security health plan23$3,754.80$5,632.50$6,794.401.8×
Medicaid23$1,149.29$1,495.32$18,25315.9×
alliance33$3,469.81$3,469.81$3,469.811.0×
icare22$6,794.40$7,040.23$7,286.061.1×
mercy care12$4,380.60$5,475.93$6,571.251.5×
meridiancare12$924.95$3,912.61$6,900.277.5×
centivo nw322$3,505.13$3,505.13$3,505.131.0×
medica [900156]22$1,675.75$2,660.63$3,645.502.2×
centivo nw122$3,505.13$3,505.13$3,505.131.0×
cchp22$2,130.90$2,130.90$2,130.901.0×
First Health22$3,667.86$3,739.68$3,811.501.0×
unitedhealth group of wi12$6,809.40$7,714.20$8,619.001.3×
healthpartners [900713]22$1,834.14$9,781.34$17,7299.7×
illinicare12$880.90$3,890.59$6,900.277.8×
health partners11$6,794.40$6,794.40$6,794.401.0×
group health cooperative of eau claire11$7,217.96$7,217.96$7,217.961.0×
community care incorporated11$6,794.40$6,794.40$6,794.401.0×
ma wisconsin replacement [950271]11$4,473.00$4,473.00$4,473.001.0×
managed health services11$6,809.40$6,809.40$6,809.401.0×
medical associates health plan11$2,924.59$2,924.59$2,924.591.0×
quartz11$6,809.40$6,809.40$6,809.401.0×
security health plan (shp)11$6,809.40$6,809.40$6,809.401.0×
veteran's administration (va ccn)11$6,809.40$6,809.40$6,809.401.0×
allwell11$6,930.29$6,930.29$6,930.291.0×
health partners open network11$1,851.68$1,851.68$1,851.681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Holy Family Memorial IncManitowocWI10$6,794.40$6,862.35$16,779
Beaver Dam Community HospitalsBeaver DamWI11$6,809.40$6,809.40$23,877
Meriter Hospital Inc.MadisonWI13$18,775$15,020$880.90$4,818.80$26,222
Ascension Columbia St Marys OzaukeeMequonWI4$1,542.14$3,832.27$3,832.27
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$1,542.14$3,832.27$3,832.27
Ascension Columbia St Marys MilwaukeMilwaukeeWI4$1,542.14$3,832.27$3,832.27
Wheaton Franciscan - FranklinFranklinWI1$3,575.24$3,575.24$3,575.24
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI1$3,575.24$3,575.24$3,575.24
Wheaton Franciscan Healthcare - AllRacineWI1$3,575.24$3,575.24$3,575.24
Wfhc - Elmbrook MemorialBrookfieldWI1$3,575.24$3,575.24$3,575.24
MoshFranklinWI1$3,575.24$3,575.24$3,575.24
Ascension Se Wisconsin Hospital IncMilwaukeeWI1$3,575.24$3,575.24$3,575.24
All Saints - St. Luke S HospitalRacineWI1$3,575.24$3,575.24$3,575.24
Westfields HospitalNew RichmondWI8$4,473.00$2,352.80$1,067.72$2,775.28$18,253
Childrens WisconsinMilwaukeeWI2$13,774$13,958$18,060
Childrens Hospital Of Wi-Fox ValleyNeenahWI2$13,774$13,958$18,060
Ssh - Fox ValleyOshkoshWI2$13,774$13,958$18,060
Aurora Health Care Metro Inc.MilwaukeeWI15$6,461.00$13,752$16,378
West Allis Memorial HospitalWest AllisWI15$6,461.00$13,752$16,378
Aurora Medical Center GraftonGraftonWI15$6,461.00$13,752$16,378
Aurora Medical Center KenoshaKenoshaWI15$6,461.00$13,050$16,378
Memorial Hospital Of BurlingtonBurlingtonWI15$6,461.00$13,050$16,378
Aurora Medical Center - HartfordHartfordWI15$6,461.00$13,050$16,378
Sheboygan Memorial HospitalSheboyganWI15$6,461.00$13,050$16,378
Aurora Medical Center Of OshkoshOshkoshWI15$6,461.00$13,050$16,378
Aurora Medical Center - SummitSummitWI15$6,461.00$13,050$16,378
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI15$6,461.00$13,050$16,378
Aurora Lakeland Medical CenterElkhornWI15$6,461.00$13,050$16,378
Aurora Medical Center - Bay AreaMarinetteWI15$5,651.00$12,997$21,930
Amery Regional Medical CenterAmeryWI7$4,235.00$2,208.13$699.61$1,232.27$3,811.50
Ascension Ne Wisconsin-St. ElizabethAppletonWI4$1,007.95$1,007.95$3,505.13
Mercy Medical CenterOshkoshWI4$1,007.95$1,007.95$3,505.13

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.