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Hip & femur procedures except major joint w MCC

MS-DRG 480 · negotiated-rate distribution across hospitals in WI

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Hospitals
41
Min
$3,883.64
Median
$26,636
Max
$89,245
Range multiplier
23.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2571$3,865.41$59,288$89,24523.1×
Anthem BCBS2358$10,022$49,497$78,0257.8×
wisconsin physician service1236$59,026$62,132$62,1321.1×
common ground1236$54,103$54,103$54,1031.0×
healthpartners1224$48,362$51,873$55,3851.1×
Molina1819$20,384$56,785$56,7852.8×
Humana918$14,513$18,549$26,0341.8×
centivo1617$17,688$61,061$65,8783.7×
health payment systems1616$15,215$54,409$54,4093.6×
Medicare1213$3,737.78$19,962$21,8565.8×
Cigna1313$59,114$64,702$64,7021.1×
hs technology1212$60,411$60,411$60,4111.0×
aurora caregiver1212$52,423$52,423$52,4231.0×
trilogy1212$60,208$60,208$60,2081.0×
everpointe elite1212$50,973$50,973$50,9731.0×
Aetna1212$14,712$44,227$44,2273.0×
quartz one1212$49,115$54,114$54,1141.1×
quartz group1212$57,467$63,320$63,3201.1×
VA Health1111$18,705$19,962$21,8561.2×
smart health77$26,186$30,157$30,1571.2×
network health plan57$13,208$20,384$54,6064.1×
smarthealth55$11,771$11,771$26,6362.3×
Blue Cross Blue Shield34$3,792.47$32,322$73,05219.3×
security health plan of wisconsin, inc.33$20,062$20,905$25,2251.3×
alliance33$14,865$14,865$14,8651.0×
arise33$17,737$17,737$17,7371.0×
cchp marketplace33$14,524$14,524$14,5241.0×
quartz23$26,034$33,324$38,1061.5×
quartz health solutions13$20,944$29,660$45,7712.2×
sehn c8933$13,878$13,878$13,8781.0×
wps33$19,707$19,707$19,7071.0×
health partners12$20,384$39,860$59,3352.9×
allwell22$20,792$20,868$20,9441.0×
icare22$20,384$24,121$27,8571.4×
security health plan22$20,384$20,664$20,9441.0×
the alliance22$47,198$47,430$47,6621.0×
WellCare22$19,977$19,977$19,9771.0×
unitedhealth group of wi12$26,034$37,600$49,1651.9×
managed health services insurance corp.22$24,691$24,691$24,6911.0×
group health cooperative of south central wisconsin11$35,925$35,925$35,9251.0×
security health plan (shp)11$26,034$26,034$26,0341.0×
Medicaid11$34,080$34,080$34,0801.0×
wps health plan11$41,039$41,039$41,0391.0×
dean health plan11$50,685$50,685$50,6851.0×
community care incorporated11$20,384$20,384$20,3841.0×
chorus community health plan11$40,053$40,053$40,0531.0×
aspirus11$22,823$22,823$22,8231.0×
va community care network11$20,944$20,944$20,9441.0×
american correctional healthcare11$33,092$33,092$33,0921.0×
veteran's administration (va ccn)11$26,034$26,034$26,0341.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens WisconsinMilwaukeeWI1$89,245$89,245$89,245
Ssh - Fox ValleyOshkoshWI1$88,374$88,374$88,374
Childrens Hospital Of Wi-Fox ValleyNeenahWI1$88,374$88,374$88,374
West Allis Memorial HospitalWest AllisWI15$48,362$59,157$71,337
Aurora Medical Center Of OshkoshOshkoshWI16$44,227$59,026$71,337
Aurora Health Care Metro Inc.MilwaukeeWI16$44,227$59,026$71,337
Sheboygan Memorial HospitalSheboyganWI16$44,227$59,026$71,337
Aurora Medical Center - HartfordHartfordWI16$44,227$59,026$71,337
Aurora Medical Center GraftonGraftonWI16$44,227$59,026$71,337
Aurora Medical Center - SummitSummitWI16$44,227$59,026$71,337
Aurora Medical Center KenoshaKenoshaWI16$44,227$55,385$64,702
Memorial Hospital Of BurlingtonBurlingtonWI16$44,227$55,385$66,605
Aurora Lakeland Medical CenterElkhornWI16$44,227$55,385$66,605
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI16$44,227$54,409$65,878
Aurora Medical Center - Bay AreaMarinetteWI16$34,798$54,314$64,702
Holy Family Memorial IncManitowocWI16$20,384$40,546$85,808
Amery Regional Medical CenterAmeryWI5$118,032$61,542$3,737.78$3,883.64$34,776
Meriter Hospital Inc.MadisonWI12$22,823$31,735$73,052
Beaver Dam Community HospitalsBeaver DamWI12$26,034$26,815$78,025
Mercy Medical CenterOshkoshWI6$19,026$26,636$53,971
Ascension Ne Wisconsin-St. ElizabethAppletonWI6$19,026$26,636$53,971
Aspirus Riverview Hospital & ClinicsWisconsin RapidsWI1$24,691$24,691$24,691
Divine Savior HospitalPortageWI1$24,691$24,691$24,691
Ascension Saint Marys HospitalRhinelanderWI4$18,361$24,001$50,124
Wfhc - Elmbrook MemorialBrookfieldWI3$21,541$21,541$30,157
Ascension Se Wisconsin Hospital IncMilwaukeeWI3$21,541$21,541$30,157
Wheaton Franciscan - FranklinFranklinWI3$21,541$21,541$30,157
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI3$21,541$21,541$30,157
Ascension St. Michaels HospitalStevens PointWI4$20,905$21,377$21,847
Aspirus Wausau HospitalWausauWI4$15,117$21,284$59,599
Mile Bluff Medical Center Inc.MaustonWI11$20,944$20,944$47,198
Wheaton Franciscan Healthcare - AllRacineWI3$19,962$19,962$27,947
All Saints - St. Luke S HospitalRacineWI3$19,962$19,962$27,947
MoshFranklinWI3$18,705$18,705$26,186
Ascension Columbia St Marys MilwaukeMilwaukeeWI15$10,022$16,883$48,084
Ascension Columbia St Marys OzaukeeMequonWI15$10,022$16,883$41,193
Ascension Sacred Heart RehabilitatioMilwaukeeWI12$10,022$15,215$21,788
Aspirus Langlade HospitalAntigoWI1$14,712$14,712$14,712
Uw Health Rehabilitation HospitalMadisonWI0$155,428
University Of Wi Hospitals & ClinicsMadisonWI0$155,428
River Falls Area HospitalRiver FallsWI0

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.