▸ 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 | $9,649.00 | $18,870 | 18.1× |
| common ground | 12 | 36 | $9,176.00 | $9,176.00 | $9,720.00 | 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 | $8,466.00 | $8,466.00 | $8,466.00 | 1.0× |
| aurora caregiver | 12 | 12 | $9,720.00 | $9,720.00 | $9,720.00 | 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 | $9,501.00 | $9,501.00 | $9,501.00 | 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 | $9,580.00 | $9,580.00 | $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 | $5,655.80 | $7,477.00 | 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 | $3,461.70 | $3,461.70 | $3,461.70 | 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 | $3,864.40 | $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 | — | — | $8,466.00 | $11,716 | $23,500 |
| Aurora Medical Center Grafton | Grafton | WI | 15 | — | — | $8,466.00 | $11,716 | $19,000 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 15 | — | — | $8,466.00 | $11,716 | $19,000 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 15 | — | — | $8,466.00 | $11,210 | $19,000 |
| Memorial Hospital Of Burlington | Burlington | WI | 15 | — | — | $8,466.00 | $11,210 | $19,000 |
| Aurora Medical Center - Hartford | Hartford | WI | 15 | — | — | $8,466.00 | $11,210 | $19,000 |
| Aurora Medical Center - Summit | Summit | WI | 15 | — | — | $8,466.00 | $11,210 | $19,000 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 15 | — | — | $8,466.00 | $11,210 | $19,000 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 15 | — | — | $8,466.00 | $11,210 | $19,000 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 15 | — | — | $8,466.00 | $11,210 | $19,000 |
| Aurora Medical Center Kenosha | Kenosha | WI | 15 | — | — | $8,466.00 | $11,210 | $19,000 |
| Aurora Medical Center - Bay Area | Marinette | WI | 15 | — | — | $4,916.00 | $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.