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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in WI

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Hospitals
43
Min
$3,791.85
Median
$19,157
Max
$63,558
Range multiplier
16.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare3080$2,661.80$41,828$66,20224.9×
Anthem BCBS2565$10,022$33,798$55,0475.5×
wisconsin physician service1236$41,643$43,834$43,8341.1×
common ground1236$38,170$38,170$38,1701.0×
healthpartners1224$34,120$36,597$39,0751.1×
Humana1120$13,001$17,621$18,9571.5×
Molina1819$14,660$40,062$40,0622.7×
centivo1617$17,688$43,079$47,2522.7×
Medicare1417$2,575.37$13,683$15,7196.1×
health payment systems1616$15,215$38,386$38,3862.5×
Aetna1414$14,846$31,202$31,2022.1×
Cigna1313$41,705$45,648$45,6481.1×
quartz group1212$40,544$44,673$44,6731.1×
quartz one1212$34,651$38,178$38,1781.1×
everpointe elite1212$35,962$35,962$35,9621.0×
trilogy1212$42,477$42,477$42,4771.0×
hs technology1212$42,621$42,621$42,6211.0×
aurora caregiver1212$36,985$36,985$36,9851.0×
VA Health1111$13,452$14,357$15,7191.2×
network health plan57$13,208$14,660$39,2723.0×
Blue Cross Blue Shield57$2,611.57$15,063$51,53819.7×
smart health77$18,833$21,689$21,6891.2×
security health plan of wisconsin, inc.45$14,663$17,578$46,7203.2×
Medicaid35$1,971.62$22,778$26,66713.5×
smarthealth55$11,771$11,771$19,1571.6×
aspirus health plan, inc.34$15,457$32,374$47,6493.1×
healthpartners [900713]33$22,376$25,010$26,6671.2×
wps33$19,707$19,707$19,7071.0×
quartz23$18,791$23,511$26,8841.4×
quartz health solutions13$15,063$20,925$32,2922.1×
cchp marketplace33$14,524$14,524$14,5241.0×
sehn c8933$13,878$13,878$13,8781.0×
arise33$17,737$17,737$17,7371.0×
alliance33$14,865$14,865$14,8651.0×
health partners23$14,660$42,673$56,7343.9×
security health plan22$14,660$14,862$15,0631.0×
the alliance22$33,209$33,418$33,6261.0×
WellCare22$14,367$14,367$14,3671.0×
unitedhealth group of wi12$18,791$26,739$34,6861.8×
icare22$14,660$17,383$20,1061.4×
allwell22$14,954$15,008$15,0631.0×
va community care network11$15,063$15,063$15,0631.0×
chorus community health plan11$28,806$28,806$28,8061.0×
veteran's administration (va ccn)11$18,791$18,791$18,7911.0×
security health plan (shp)11$18,791$18,791$18,7911.0×
group health cooperative of south central wisconsin11$25,345$25,345$25,3451.0×
aspirus11$16,260$16,260$16,2601.0×
wps health plan11$29,515$29,515$29,5151.0×
health partners open network11$46,391$46,391$46,3911.0×
illinicare11$16,260$16,260$16,2601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ssh - Fox ValleyOshkoshWI1$63,558$63,558$63,558
Childrens Hospital Of Wi-Fox ValleyNeenahWI1$63,558$63,558$63,558
Childrens WisconsinMilwaukeeWI1$62,963$62,963$62,963
West Allis Memorial HospitalWest AllisWI15$34,120$41,736$50,329
Aurora Health Care Metro Inc.MilwaukeeWI16$31,202$41,643$50,329
Aurora Medical Center GraftonGraftonWI16$31,202$41,643$50,329
Sheboygan Memorial HospitalSheboyganWI16$31,202$41,643$50,329
Aurora Medical Center - HartfordHartfordWI16$31,202$41,643$50,329
Aurora Medical Center - SummitSummitWI16$31,202$41,643$50,329
Aurora Medical Center Of OshkoshOshkoshWI16$31,202$41,643$50,329
Aurora Lakeland Medical CenterElkhornWI16$31,202$39,075$46,990
Aurora Medical Center KenoshaKenoshaWI16$31,202$39,075$45,648
Memorial Hospital Of BurlingtonBurlingtonWI16$31,202$39,075$46,990
Amery Regional Medical CenterAmeryWI5$57,788$30,131$3,737.78$3,883.64$25,010
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI16$31,202$38,386$46,478
Aurora Medical Center - Bay AreaMarinetteWI16$24,550$38,319$45,648
Westfields HospitalNew RichmondWI5$42,735$22,479$3,666.64$3,791.85$26,667
Holy Family Memorial IncManitowocWI16$14,660$29,160$61,712
Meriter Hospital Inc.MadisonWI12$16,260$22,389$51,538
Beaver Dam Community HospitalsBeaver DamWI12$18,791$19,355$55,047
Mercy Medical CenterOshkoshWI6$13,683$19,157$37,975
Ascension Ne Wisconsin-St. ElizabethAppletonWI6$13,683$19,157$37,975
Ascension Saint Marys HospitalRhinelanderWI6$13,700$17,870$39,216
Divine Savior HospitalPortageWI3$13,001$16,910$18,184
Aspirus Riverview Hospital & ClinicsWisconsin RapidsWI3$13,001$16,910$18,184
Ascension Columbia St Marys MilwaukeMilwaukeeWI15$10,022$15,719$34,581
Ascension St. Michaels HospitalStevens PointWI6$15,223$15,616$66,202
Aspirus Langlade HospitalAntigoWI2$13,581$15,579$17,578
Wheaton Franciscan - FranklinFranklinWI3$15,492$15,492$21,689
Wfhc - Elmbrook MemorialBrookfieldWI3$15,492$15,492$21,689
Ascension Se Wisconsin Hospital IncMilwaukeeWI3$15,492$15,492$21,689
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI3$15,492$15,492$21,689
Aspirus Wausau HospitalWausauWI7$13,332$15,260$56,734
Ascension Sacred Heart RehabilitatioMilwaukeeWI12$10,022$15,215$21,788
Ascension Columbia St Marys OzaukeeMequonWI15$10,022$15,202$29,626
Mile Bluff Medical Center Inc.MaustonWI11$15,063$15,063$33,209
Wheaton Franciscan Healthcare - AllRacineWI3$14,357$14,357$20,099
All Saints - St. Luke S HospitalRacineWI3$14,357$14,357$20,099
MoshFranklinWI3$13,452$13,452$18,833
Hudson HospitalHudsonWI6$53,703$24,225$1,971.62$12,531$38,803
River Falls Area HospitalRiver FallsWI0
Uw Health Rehabilitation HospitalMadisonWI0$112,693
University Of Wi Hospitals & ClinicsMadisonWI0$112,693

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.