▸ Compare · PriceTransparency
Vitrectomy mechanical
CPT 67042 · negotiated-rate distribution across hospitals in WI
Hospitals
30
Min
$1,202.61
Median
$10,948
Max
$11,716
Range multiplier
9.7×
By payer (40 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 20 | 63 | $1,042.68 | $11,799 | $15,743 | 15.1× |
| Anthem BCBS | 20 | 52 | $1,042.68 | $9,649 | $18,870 | 18.1× |
| common ground | 12 | 36 | $9,176 | $9,176 | $9,720 | 1.1× |
| wisconsin physician service | 12 | 36 | $12,200 | $12,842 | $12,842 | 1.1× |
| Molina | 14 | 15 | $3,826.14 | $10,057 | $10,057 | 2.6× |
| Humana | 6 | 13 | $1,094.81 | $4,577.94 | $4,577.94 | 4.2× |
| Aetna | 12 | 12 | $8,466 | $8,466 | $8,466 | 1.0× |
| aurora caregiver | 12 | 12 | $9,720 | $9,720 | $9,720 | 1.0× |
| centivo | 12 | 12 | $12,020 | $12,020 | $12,020 | 1.0× |
| Cigna | 12 | 12 | $19,000 | $19,000 | $23,500 | 1.2× |
| everpointe elite | 12 | 12 | $9,501 | $9,501 | $9,501 | 1.0× |
| health payment systems | 12 | 12 | $11,200 | $11,200 | $11,200 | 1.0× |
| hs technology | 12 | 12 | $11,030 | $11,030 | $11,030 | 1.0× |
| quartz group | 12 | 12 | $11,210 | $11,210 | $12,520 | 1.1× |
| quartz one | 12 | 12 | $9,580 | $9,580 | $10,700 | 1.1× |
| trilogy | 12 | 12 | $14,038 | $14,038 | $14,038 | 1.0× |
| network health plan | 5 | 7 | $1,835.35 | $3,826.14 | $9,324.04 | 5.1× |
| wps | 7 | 7 | $4,216.28 | $4,216.28 | $4,216.28 | 1.0× |
| alliance | 3 | 3 | $4,091.94 | $4,091.94 | $4,091.94 | 1.0× |
| centivo nw1 | 2 | 2 | $4,187.14 | $4,187.14 | $4,187.14 | 1.0× |
| centivo nw3 | 2 | 2 | $4,187.14 | $4,187.14 | $4,187.14 | 1.0× |
| Blue Cross Blue Shield | 1 | 2 | $3,482.55 | $8,842.78 | $14,203 | 4.1× |
| cchp | 2 | 2 | $3,364.08 | $3,364.08 | $3,364.08 | 1.0× |
| meridiancare | 1 | 2 | $1,094.81 | $2,490.29 | $3,885.76 | 3.5× |
| aspirus | 1 | 2 | $1,042.68 | $2,464.22 | $3,885.76 | 3.7× |
| icare | 2 | 2 | $3,826.14 | $3,964.58 | $4,103.01 | 1.1× |
| prevea 360 | 1 | 2 | $1,042.68 | $2,464.22 | $3,885.76 | 3.7× |
| illinicare | 1 | 2 | $1,042.68 | $2,464.22 | $3,885.76 | 3.7× |
| unitedhealth group of wi | 1 | 2 | $3,834.59 | $5,655.8 | $7,477 | 1.9× |
| group health cooperative of eau claire | 1 | 1 | $4,064.67 | $4,064.67 | $4,064.67 | 1.0× |
| health partners open network | 1 | 1 | $2,250.25 | $2,250.25 | $2,250.25 | 1.0× |
| allwell | 1 | 1 | $3,902.66 | $3,902.66 | $3,902.66 | 1.0× |
| managed health services | 1 | 1 | $3,834.59 | $3,834.59 | $3,834.59 | 1.0× |
| medical associates health plan | 1 | 1 | $3,461.7 | $3,461.7 | $3,461.7 | 1.0× |
| quartz | 1 | 1 | $3,834.59 | $3,834.59 | $3,834.59 | 1.0× |
| veteran's administration (va ccn) | 1 | 1 | $3,834.59 | $3,834.59 | $3,834.59 | 1.0× |
| security health plan | 1 | 1 | $3,826.14 | $3,826.14 | $3,826.14 | 1.0× |
| security health plan (shp) | 1 | 1 | $3,834.59 | $3,834.59 | $3,834.59 | 1.0× |
| community care incorporated | 1 | 1 | $3,826.14 | $3,826.14 | $3,826.14 | 1.0× |
| health partners | 1 | 1 | $3,826.14 | $3,826.14 | $3,826.14 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 4 | — | — | $1,835.35 | $4,577.94 | $4,577.94 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 4 | — | — | $1,835.35 | $4,577.94 | $4,577.94 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | — | — | $1,835.35 | $4,577.94 | $4,577.94 |
| MOSH | FRANKLIN | WI | 1 | — | — | $4,216.28 | $4,216.28 | $4,216.28 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 1 | — | — | $4,216.28 | $4,216.28 | $4,216.28 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 1 | — | — | $4,216.28 | $4,216.28 | $4,216.28 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 1 | — | — | $4,216.28 | $4,216.28 | $4,216.28 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 1 | — | — | $4,216.28 | $4,216.28 | $4,216.28 |
| ALL SAINTS - ST. LUKE S HOSPITAL | RACINE | WI | 1 | — | — | $4,216.28 | $4,216.28 | $4,216.28 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 1 | — | — | $4,216.28 | $4,216.28 | $4,216.28 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 10 | — | — | $3,826.14 | $3,864.4 | $15,743 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 11 | — | — | $3,834.59 | $3,834.59 | $14,857 |
| MERITER HOSPITAL INC. | MADISON | WI | 10 | — | — | $1,042.68 | $3,482.55 | $14,203 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 4 | — | — | $1,202.61 | $1,202.61 | $4,187.14 |
| MERCY MEDICAL CENTER | OSHKOSH | WI | 4 | — | — | $1,202.61 | $1,202.61 | $4,187.14 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 15 | — | — | $8,466 | $11,716 | $23,500 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 15 | — | — | $8,466 | $11,716 | $19,000 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 15 | — | — | $8,466 | $11,716 | $19,000 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 15 | — | — | $8,466 | $11,210 | $19,000 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 15 | — | — | $8,466 | $11,210 | $19,000 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 15 | — | — | $8,466 | $11,210 | $19,000 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 15 | — | — | $8,466 | $11,210 | $19,000 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 15 | — | — | $8,466 | $11,210 | $19,000 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 15 | — | — | $8,466 | $11,210 | $19,000 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 15 | — | — | $8,466 | $11,210 | $19,000 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 15 | — | — | $8,466 | $11,210 | $19,000 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 15 | — | — | $4,916 | $11,205 | $19,000 |
| SSH - FOX VALLEY | OSHKOSH | WI | 2 | — | — | $10,196 | $10,948 | $13,913 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 2 | — | — | $10,196 | $10,948 | $13,913 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 2 | — | — | $10,196 | $10,948 | $13,913 |
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.