▸ Compare · PriceTransparency
Major joint replacement w MCC
MS-DRG 469 · negotiated-rate distribution across hospitals in WI
Hospitals
42
Min
$2,465.02
Median
$27,742
Max
$99,189
Range multiplier
40.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 25 | 71 | $3,118.55 | $45,275 | $99,189 | 31.8× |
| Anthem BCBS | 22 | 52 | $4,491.11 | $55,012 | $86,719 | 19.3× |
| wisconsin physician service | 12 | 36 | $61,821 | $65,073 | $65,073 | 1.1× |
| common ground | 12 | 36 | $50,407 | $50,407 | $50,407 | 1.0× |
| healthpartners | 12 | 24 | $53,751 | $57,653 | $61,556 | 1.1× |
| Molina | 18 | 19 | $21,231 | $63,112 | $63,112 | 3.0× |
| centivo | 16 | 17 | $17,688 | $46,435 | $68,429 | 3.9× |
| Humana | 7 | 16 | $14,513 | $18,141 | $28,775 | 2.0× |
| health payment systems | 16 | 16 | $15,215 | $60,471 | $60,471 | 4.0× |
| Cigna | 13 | 13 | $65,701 | $71,911 | $71,911 | 1.1× |
| Medicare | 12 | 13 | $3,666.64 | $20,791 | $22,763 | 6.2× |
| aurora caregiver | 12 | 12 | $58,265 | $58,265 | $58,265 | 1.0× |
| quartz one | 12 | 12 | $54,587 | $60,144 | $60,144 | 1.1× |
| trilogy | 12 | 12 | $57,359 | $57,359 | $57,359 | 1.0× |
| quartz group | 12 | 12 | $63,870 | $70,375 | $70,375 | 1.1× |
| everpointe elite | 12 | 12 | $47,412 | $47,412 | $47,412 | 1.0× |
| hs technology | 12 | 12 | $58,859 | $58,859 | $58,859 | 1.0× |
| Aetna | 11 | 11 | $49,155 | $49,155 | $49,155 | 1.0× |
| VA Health | 11 | 11 | $19,481 | $20,791 | $22,763 | 1.2× |
| smart health | 7 | 7 | $27,273 | $31,409 | $31,409 | 1.2× |
| network health plan | 5 | 7 | $13,208 | $21,231 | $56,873 | 4.3× |
| smarthealth | 5 | 5 | $11,771 | $11,771 | $27,742 | 2.4× |
| security health plan of wisconsin, inc. | 3 | 4 | $4,403.05 | $16,469 | $25,496 | 5.8× |
| Blue Cross Blue Shield | 3 | 4 | $3,720.3 | $35,190 | $81,191 | 21.8× |
| group health cooperative of eau claire | 4 | 4 | $2,465.02 | $4,362.2 | $30,502 | 12.4× |
| cchp marketplace | 3 | 3 | $14,524 | $14,524 | $14,524 | 1.0× |
| sehn c89 | 3 | 3 | $13,878 | $13,878 | $13,878 | 1.0× |
| quartz | 2 | 3 | $28,775 | $37,038 | $42,351 | 1.5× |
| arise | 3 | 3 | $17,737 | $17,737 | $17,737 | 1.0× |
| quartz health solutions | 1 | 3 | $21,814 | $32,963 | $50,868 | 2.3× |
| alliance | 3 | 3 | $14,865 | $14,865 | $14,865 | 1.0× |
| wps | 3 | 3 | $19,707 | $19,707 | $19,707 | 1.0× |
| Medicaid | 1 | 2 | $3,745.78 | $21,182 | $38,619 | 10.3× |
| icare | 2 | 2 | $21,231 | $26,010 | $30,789 | 1.5× |
| allwell | 2 | 2 | $21,655 | $21,735 | $21,814 | 1.0× |
| security health plan | 2 | 2 | $21,231 | $21,522 | $21,814 | 1.0× |
| health partners | 1 | 2 | $21,231 | $41,515 | $61,798 | 2.9× |
| the alliance | 2 | 2 | $52,973 | $53,133 | $53,294 | 1.0× |
| WellCare | 2 | 2 | $20,807 | $20,807 | $20,807 | 1.0× |
| unitedhealth group of wi | 1 | 2 | $28,775 | $41,709 | $54,643 | 1.9× |
| security health plan (shp) | 1 | 1 | $28,775 | $28,775 | $28,775 | 1.0× |
| aspirus health plan, inc. | 1 | 1 | $19,298 | $19,298 | $19,298 | 1.0× |
| aspirus | 1 | 1 | $25,306 | $25,306 | $25,306 | 1.0× |
| american correctional healthcare | 1 | 1 | $34,466 | $34,466 | $34,466 | 1.0× |
| va community care network | 1 | 1 | $21,814 | $21,814 | $21,814 | 1.0× |
| veteran's administration (va ccn) | 1 | 1 | $28,775 | $28,775 | $28,775 | 1.0× |
| healthpartners [900713] | 1 | 1 | $38,619 | $38,619 | $38,619 | 1.0× |
| wps health plan | 1 | 1 | $42,742 | $42,742 | $42,742 | 1.0× |
| health partners open network | 1 | 1 | $73,082 | $73,082 | $73,082 | 1.0× |
| illinicare | 1 | 1 | $25,306 | $25,306 | $25,306 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 1 | — | — | $99,189 | $99,189 | $99,189 |
| SSH - FOX VALLEY | OSHKOSH | WI | 1 | — | — | $92,042 | $92,042 | $92,042 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 1 | — | — | $92,042 | $92,042 | $92,042 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 15 | — | — | $44,951 | $58,562 | $79,286 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 16 | — | — | $44,951 | $58,265 | $79,286 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 16 | — | — | $44,951 | $58,265 | $79,286 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 16 | — | — | $44,951 | $58,265 | $79,286 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 16 | — | — | $44,951 | $58,265 | $79,286 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 16 | — | — | $44,951 | $58,265 | $79,286 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 16 | — | — | $44,951 | $58,265 | $79,286 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 16 | — | — | $44,951 | $54,587 | $71,911 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 16 | — | — | $44,951 | $54,587 | $71,911 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 16 | — | — | $44,951 | $54,587 | $71,911 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 16 | — | — | $44,951 | $54,587 | $71,911 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 16 | — | — | $38,675 | $53,751 | $71,911 |
| ASPIRUS LANGLADE HOSPITAL | ANTIGO | WI | 1 | — | — | $44,261 | $44,261 | $44,261 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 16 | — | — | $21,231 | $42,229 | $89,370 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 5 | $45,386 | $23,873 | $3,666.64 | $3,791.85 | $38,619 |
| ASCENSION ST. MICHAELS HOSPITAL | STEVENS POINT | WI | 2 | — | — | $3,118.55 | $3,670.42 | $4,222.29 |
| MERITER HOSPITAL INC. | MADISON | WI | 12 | — | — | $25,306 | $35,271 | $81,191 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 12 | — | — | $28,775 | $29,638 | $86,719 |
| MERCY MEDICAL CENTER | OSHKOSH | WI | 6 | — | — | $19,816 | $27,742 | $60,942 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 6 | — | — | $19,816 | $27,742 | $60,942 |
| ASPIRUS MERRILL HOSPITAL | MERRILL | WI | 1 | — | — | $25,496 | $25,496 | $25,496 |
| HOWARD YOUNG MEDICAL CENTER | WOODRUFF | WI | 1 | — | — | $2,465.02 | $2,465.02 | $2,465.02 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 3 | — | — | $22,435 | $22,435 | $31,409 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 3 | — | — | $22,435 | $22,435 | $31,409 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 3 | — | — | $22,435 | $22,435 | $31,409 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 3 | — | — | $22,435 | $22,435 | $31,409 |
| MILE BLUFF MEDICAL CENTER INC. | MAUSTON | WI | 11 | — | — | $21,814 | $21,814 | $53,294 |
| ALL SAINTS - ST. LUKE S HOSPITAL | RACINE | WI | 3 | — | — | $20,791 | $20,791 | $29,107 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 3 | — | — | $20,791 | $20,791 | $29,107 |
| MOSH | FRANKLIN | WI | 3 | — | — | $19,481 | $19,481 | $27,273 |
| ASCENSION SAINT MARYS HOSPITAL | RHINELANDER | WI | 2 | — | — | $6,983.34 | $17,640 | $28,296 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 15 | — | — | $10,022 | $16,883 | $42,903 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 15 | — | — | $10,022 | $16,883 | $50,080 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 12 | — | — | $10,022 | $15,215 | $21,788 |
| ASPIRUS WAUSAU HOSPITAL | WAUSAU | WI | 6 | — | — | $4,403.05 | $13,898 | $23,897 |
| ASPIRUS MEDFORD HOSPITAL AND CLINICS | MEDFORD | WI | 1 | — | — | $10,951 | $10,951 | $10,951 |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 0 | — | — | — | — | — |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $100,374 | — | — | — | — |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $100,374 | — | — | — | — |
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.