▸ 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 | $3,720.30 | $35,190 | $81,191 | 21.8× |
| group health cooperative of eau claire | 4 | 4 | $2,465.02 | $4,362.20 | $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.