▸ Compare · PriceTransparency
Major joint replacement w/o MCC
MS-DRG 470 · negotiated-rate distribution across hospitals in WI
Hospitals
42
Min
$3,791.85
Median
$20,345
Max
$58,532
Range multiplier
15.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 26 | 72 | $3,791.85 | $26,116 | $58,532 | 15.4× |
| Anthem BCBS | 22 | 53 | $10,022 | $32,014 | $50,022 | 5.0× |
| common ground | 12 | 36 | $29,076 | $29,076 | $29,076 | 1.0× |
| wisconsin physician service | 12 | 36 | $35,660 | $37,537 | $37,537 | 1.1× |
| healthpartners | 12 | 24 | $31,005 | $33,256 | $35,508 | 1.1× |
| Molina | 18 | 19 | $13,501 | $36,405 | $36,405 | 2.7× |
| centivo | 16 | 17 | $17,688 | $26,785 | $43,516 | 2.5× |
| Humana | 7 | 16 | $13,476 | $18,141 | $18,957 | 1.4× |
| health payment systems | 16 | 16 | $15,215 | $34,882 | $34,882 | 2.3× |
| Medicare | 13 | 15 | $3,666.64 | $12,601 | $14,476 | 3.9× |
| Cigna | 13 | 13 | $37,899 | $41,481 | $41,481 | 1.1× |
| hs technology | 12 | 12 | $33,952 | $33,952 | $33,952 | 1.0× |
| aurora caregiver | 12 | 12 | $33,609 | $33,609 | $33,609 | 1.0× |
| trilogy | 12 | 12 | $33,087 | $33,087 | $33,087 | 1.0× |
| everpointe elite | 12 | 12 | $27,349 | $27,349 | $27,349 | 1.0× |
| quartz one | 12 | 12 | $31,488 | $34,693 | $34,693 | 1.1× |
| quartz group | 12 | 12 | $36,843 | $40,595 | $40,595 | 1.1× |
| Aetna | 11 | 11 | $28,354 | $28,354 | $28,354 | 1.0× |
| VA Health | 11 | 11 | $12,389 | $13,222 | $14,476 | 1.2× |
| smarthealth employees 20191001 tlk adj - model | 7 | 7 | $21,712 | $21,712 | $21,712 | 1.0× |
| smart health | 7 | 7 | $17,344 | $19,974 | $19,974 | 1.2× |
| network health plan | 5 | 7 | $13,208 | $13,501 | $36,167 | 2.7× |
| aspirus health plan, inc. | 4 | 6 | $16,252 | $23,637 | $67,557 | 4.2× |
| smarthealth | 5 | 5 | $11,771 | $11,771 | $17,642 | 1.5× |
| Blue Cross Blue Shield | 4 | 5 | $3,720.30 | $13,872 | $46,834 | 12.6× |
| sehn c89 | 3 | 3 | $13,878 | $13,878 | $13,878 | 1.0× |
| alliance | 3 | 3 | $14,865 | $14,865 | $14,865 | 1.0× |
| arise | 3 | 3 | $17,737 | $17,737 | $17,737 | 1.0× |
| cchp marketplace | 3 | 3 | $14,524 | $14,524 | $14,524 | 1.0× |
| Medicaid | 2 | 3 | $3,745.78 | $22,572 | $24,559 | 6.6× |
| quartz | 2 | 3 | $17,207 | $21,365 | $24,430 | 1.4× |
| quartz health solutions | 1 | 3 | $13,872 | $19,015 | $29,344 | 2.1× |
| wps | 3 | 3 | $19,707 | $19,707 | $19,707 | 1.0× |
| unitedhealth group of wi | 1 | 2 | $17,207 | $24,363 | $31,520 | 1.8× |
| healthpartners [900713] | 2 | 2 | $24,559 | $25,011 | $25,463 | 1.0× |
| icare | 2 | 2 | $13,501 | $15,956 | $18,411 | 1.4× |
| quartz health solutions, inc. | 2 | 2 | $24,985 | $24,985 | $24,985 | 1.0× |
| health partners | 1 | 2 | $13,501 | $26,400 | $39,299 | 2.9× |
| security health plan | 2 | 2 | $13,501 | $13,687 | $13,872 | 1.0× |
| the alliance | 2 | 2 | $30,117 | $34,194 | $38,270 | 1.3× |
| WellCare | 2 | 2 | $13,232 | $13,232 | $13,232 | 1.0× |
| allwell | 2 | 2 | $13,771 | $13,822 | $13,872 | 1.0× |
| group health cooperative of south central wisconsin | 1 | 1 | $23,032 | $23,032 | $23,032 | 1.0× |
| group health cooperative of eau claire | 1 | 1 | $18,239 | $18,239 | $18,239 | 1.0× |
| dean health plan | 1 | 1 | $33,570 | $33,570 | $33,570 | 1.0× |
| community care incorporated | 1 | 1 | $13,501 | $13,501 | $13,501 | 1.0× |
| chorus community health plan | 1 | 1 | $26,528 | $26,528 | $26,528 | 1.0× |
| aspirus | 1 | 1 | $14,825 | $14,825 | $14,825 | 1.0× |
| va community care network | 1 | 1 | $13,872 | $13,872 | $13,872 | 1.0× |
| american correctional healthcare | 1 | 1 | $21,918 | $21,918 | $21,918 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Aspirus Langlade Hospital | Antigo | WI | 1 | — | — | $6,378.82 | $6,378.82 | $6,378.82 |
| Ssh - Fox Valley | Oshkosh | WI | 1 | — | — | $58,532 | $58,532 | $58,532 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 1 | — | — | $58,532 | $58,532 | $58,532 |
| Childrens Wisconsin | Milwaukee | WI | 1 | — | — | $57,216 | $57,216 | $57,216 |
| Amery Regional Medical Center | Amery | WI | 5 | $6,058.00 | $3,158.64 | $3,737.78 | $3,883.64 | $25,463 |
| Westfields Hospital | New Richmond | WI | 5 | $44,146 | $23,221 | $3,666.64 | $3,791.85 | $24,559 |
| West Allis Memorial Hospital | West Allis | WI | 15 | — | — | $25,929 | $33,781 | $45,735 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 16 | — | — | $25,929 | $33,609 | $45,735 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 16 | — | — | $25,929 | $33,609 | $45,735 |
| Aurora Medical Center - Hartford | Hartford | WI | 16 | — | — | $25,929 | $33,609 | $45,735 |
| Aurora Medical Center Grafton | Grafton | WI | 16 | — | — | $25,929 | $33,609 | $45,735 |
| Aurora Medical Center - Summit | Summit | WI | 16 | — | — | $25,929 | $33,609 | $45,735 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 16 | — | — | $25,929 | $33,609 | $45,735 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 16 | — | — | $25,929 | $31,488 | $41,481 |
| Aurora Medical Center Kenosha | Kenosha | WI | 16 | — | — | $25,929 | $31,488 | $41,481 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 16 | — | — | $25,929 | $31,488 | $41,481 |
| Memorial Hospital Of Burlington | Burlington | WI | 16 | — | — | $25,929 | $31,488 | $41,481 |
| Aurora Medical Center - Bay Area | Marinette | WI | 16 | — | — | $22,309 | $31,005 | $41,481 |
| Ascension Saint Marys Hospital | Rhinelander | WI | 2 | — | — | $17,743 | $27,324 | $36,904 |
| Holy Family Memorial Inc | Manitowoc | WI | 16 | — | — | $13,501 | $26,855 | $56,833 |
| Divine Savior Hospital | Portage | WI | 2 | — | — | $16,252 | $23,637 | $24,985 |
| Aspirus Riverview Hospital & Clinics | Wisconsin Rapids | WI | 2 | — | — | $16,252 | $23,637 | $24,985 |
| Meriter Hospital Inc. | Madison | WI | 12 | — | — | $14,825 | $20,345 | $46,834 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 12 | — | — | $17,207 | $17,723 | $50,022 |
| Mercy Medical Center | Oshkosh | WI | 6 | — | — | $12,601 | $17,642 | $34,439 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 6 | — | — | $12,601 | $17,642 | $34,439 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 4 | — | — | $14,267 | $17,121 | $21,712 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 4 | — | — | $14,267 | $17,121 | $21,712 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 4 | — | — | $14,267 | $17,121 | $21,712 |
| Wheaton Franciscan - Franklin | Franklin | WI | 4 | — | — | $14,267 | $17,121 | $21,712 |
| All Saints - St. Luke S Hospital | Racine | WI | 4 | — | — | $13,222 | $15,866 | $21,712 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 4 | — | — | $13,222 | $15,866 | $21,712 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 15 | — | — | $10,022 | $15,202 | $31,847 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 15 | — | — | $10,022 | $15,202 | $27,283 |
| Mosh | Franklin | WI | 4 | — | — | $12,389 | $14,866 | $21,712 |
| Ascension St. Michaels Hospital | Stevens Point | WI | 1 | — | — | $14,424 | $14,424 | $14,424 |
| Mile Bluff Medical Center Inc. | Mauston | WI | 11 | — | — | $13,872 | $13,872 | $30,117 |
| Aspirus Wausau Hospital | Wausau | WI | 5 | — | — | $11,990 | $13,615 | $67,557 |
| River Falls Area Hospital | River Falls | WI | 0 | — | — | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $69,177 | — | — | — | — |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $69,177 | — | — | — | — |
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.