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CPT 70491 · negotiated-rate distribution across hospitals in WI

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Hospitals
36
Min
$179.70
Median
$1,014.00
Max
$2,434.40
Range multiplier
13.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS20116$60.76$714.00$5,836.0096.1×
UnitedHealthcare30114$60.76$543.00$2,643.8843.5×
Cigna2554$119.56$1,779.03$2,656.4422.2×
healthpartners1248$796.00$1,686.50$2,355.003.0×
Aetna1543$836.00$2,593.64$30,02235.9×
wisconsin physician service1236$1,128.00$1,187.00$1,187.001.1×
common ground1236$812.00$812.00$812.001.0×
Humana636$63.80$346.53$2,548.9640.0×
Medicare1428$171.14$173.08$942.035.5×
trilogy2125$724.00$1,170.00$2,577.603.6×
Molina1824$169.31$796.00$2,434.4014.4×
health eos1224$2,512.00$2,512.00$2,512.001.0×
health eos plus1224$1,884.00$1,884.00$1,884.001.0×
VA Health1122$171.14$172.86$180.901.1×
wps721$237.57$547.24$784.813.3×
health payment systems1718$875.00$875.00$1,993.342.3×
centivo1617$820.00$820.00$1,610.312.0×
aspirus217$60.76$370.65$2,237.1136.8×
network health plan817$108.68$314.82$2,391.4422.0×
Blue Cross Blue Shield416$106.75$446.60$2,152.4720.2×
smart health714$242.00$242.00$253.261.0×
hs technology1212$1,014.00$1,014.00$1,014.001.0×
Multiplan512$1,591.82$1,770.25$2,720.801.7×
quartz group1212$1,000.00$1,000.00$1,000.001.0×
quartz one1212$900.00$900.00$900.001.0×
aurora caregiver1212$475.00$475.00$475.001.0×
everpointe elite1212$983.00$983.00$983.001.0×
First Health812$1,661.79$1,887.04$2,749.441.7×
security health plan511$128.10$1,155.84$1,713.5413.4×
health partners510$169.31$1,539.34$2,720.8016.1×
wps health plan410$1,329.43$1,546.71$1,858.051.4×
alliance39$230.68$531.38$762.063.3×
froedtert health39$1,224.48$1,445.15$1,754.831.4×
prevea 36019$60.76$362.95$3,169.2452.2×
quartz health insurance39$1,486.86$1,486.86$1,754.831.2×
group health cooperative of eau claire47$1,399.40$2,348.48$2,720.801.9×
dean health plan47$1,030.00$1,399.40$1,651.601.6×
trilogy health solutions36$1,311.94$1,486.86$1,754.831.3×
cchp26$157.73$478.25$635.984.0×
centivo nw126$169.41$317.12$486.532.9×
centivo nw326$169.41$317.12$486.532.9×
common ground healthcare cooperative36$1,311.94$1,486.86$1,754.831.3×
mercy care15$149.45$520.10$1,237.878.3×
Medicaid25$327.88$639.20$874.242.7×
healthsmart34$1,574.33$1,642.07$1,709.801.1×
medical associates health plan14$201.12$474.23$1,342.276.7×
medical college of wisconsin44$679.80$1,224.48$1,445.152.1×
health partners open network14$133.67$440.53$1,360.9110.2×
meridiancare14$63.80$145.24$182.332.9×
WellCare24$179.70$179.70$179.701.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Westfields HospitalNew RichmondWI8$2,201.00$1,157.73$327.88$924.42$2,201.00
Amery Regional Medical CenterAmeryWI6$2,370.00$1,235.72$327.88$879.27$2,297.95
Hudson HospitalHudsonWI8$1,869.00$843.11$327.88$639.58$1,915.00
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$2,775.00$1,470.75$108.68$346.53$762.06
Ascension Columbia St Marys OzaukeeMequonWI8$2,321.00$1,230.13$108.68$346.53$762.06
Ascension Columbia St Marys MilwaukeMilwaukeeWI8$2,321.00$1,230.13$108.68$346.53$762.06
Meriter Hospital Inc.MadisonWI14$3,728.52$2,982.82$60.76$268.68$3,542.09
Wheaton Franciscan Healthcare - AllRacineWI7$1,604.00$850.12$180.90$253.26$1,251.12
All Saints - St. Luke S HospitalRacineWI7$1,604.00$850.12$180.90$253.26$1,251.12
Beaver Dam Community HospitalsBeaver DamWI17$2,864.00$2,720.80$582.35$2,434.40$5,836.00
Wheaton Franciscan - FranklinFranklinWI7$1,604.00$850.12$172.86$242.00$1,251.12
MoshFranklinWI7$1,604.00$850.12$172.86$242.00$1,251.12
Ascension Se Wisconsin Hospital IncMilwaukeeWI7$1,604.00$850.12$172.86$242.00$1,251.12
Wfhc - Elmbrook MemorialBrookfieldWI7$1,604.00$850.12$172.86$242.00$1,251.12
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI7$1,604.00$850.12$172.86$242.00$1,251.12
Mercy Medical CenterOshkoshWI9$668.00$380.76$69.80$179.70$635.98
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$668.00$380.76$69.80$179.70$635.98
Childrens WisconsinMilwaukeeWI29$2,064.50$1,135.48$1,445.15$1,746.57$1,961.28
Childrens Hospital Of Wi-Fox ValleyNeenahWI30$1,749.25$962.09$1,224.48$1,483.37$1,661.79
Ssh - Fox ValleyOshkoshWI30$1,749.25$962.09$1,224.48$1,483.37$1,661.79
Holy Family Memorial IncManitowocWI25$2,060.00$1,133.00$169.31$1,306.00$1,812.80
West Allis Memorial HospitalWest AllisWI18$3,140.00$1,570.00$475.00$1,071.00$30,022
Aurora Health Care Metro Inc.MilwaukeeWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Aurora Medical Center - Bay AreaMarinetteWI18$3,140.00$1,570.00$475.00$1,014.00$2,656.44
Aurora Medical Center - SummitSummitWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Aurora Medical Center GraftonGraftonWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Aurora Medical Center KenoshaKenoshaWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Memorial Hospital Of BurlingtonBurlingtonWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Aurora Lakeland Medical CenterElkhornWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Aurora Medical Center Of OshkoshOshkoshWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Aurora Medical Center - HartfordHartfordWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Sheboygan Memorial HospitalSheboyganWI18$3,140.00$1,570.00$475.00$1,014.00$2,669.00
Uw Health Rehabilitation HospitalMadisonWI0$3,064.00$1,838.40
River Falls Area HospitalRiver FallsWI0$1,629.40$912.46
University Of Wi Hospitals & ClinicsMadisonWI0$3,064.00$1,838.40

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.