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CPT 81003 · negotiated-rate distribution across hospitals in WI

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Hospitals
36
Min
$3.11
Median
$6.69
Max
$55.00
Range multiplier
17.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS30149$2.25$5.29$65.3129.0×
UnitedHealthcare30129$1.80$3.11$52.3229.1×
Cigna2065$6.69$33.84$61.889.2×
healthpartners1260$5.96$30.00$37.506.3×
Aetna1554$5.02$33.04$61.1912.2×
health eos1236$32.00$40.00$40.001.3×
health eos plus1236$24.00$30.00$30.001.3×
common ground1236$4.73$4.73$4.921.0×
wisconsin physician service1236$7.29$7.67$7.671.1×
Molina2131$2.25$6.21$39.9517.8×
Medicare1430$2.25$2.25$18.158.1×
trilogy1427$2.32$16.50$42.3018.2×
Humana623$2.25$4.62$41.8318.6×
VA Health1122$2.25$2.25$2.251.0×
First Health821$17.10$39.10$65.313.8×
centivo1621$4.92$4.92$53.6310.9×
Multiplan520$16.38$43.24$65.314.0×
health payment systems1720$5.63$5.63$58.1610.3×
network health plan1018$2.25$12.82$48.9521.8×
aspirus215$2.25$20.00$44.0019.6×
alliance1215$3.21$5.20$10.323.2×
health partners514$2.25$27.30$60.5026.9×
smart health714$3.15$3.15$3.151.0×
wps714$10.56$10.60$10.631.0×
group health cooperative of eau claire413$2.32$38.54$55.0023.7×
security health plan513$2.25$20.00$57.0625.4×
everpointe elite1212$6.64$6.64$6.641.0×
aurora caregiver1212$2.25$2.25$2.251.0×
quartz group1212$6.53$6.53$6.531.0×
quartz one1212$5.63$5.63$5.631.0×
Blue Cross Blue Shield412$2.25$12.74$22.9810.2×
wps health plan412$13.68$17.35$61.884.5×
hs technology1212$6.33$6.33$6.331.0×
centivo nw3911$2.61$2.61$15.916.1×
centivo nw1911$2.88$2.88$15.915.5×
security health plan (shp)110$2.25$24.43$27.1512.1×
quartz health insurance39$15.30$15.30$58.443.8×
dean health plan49$12.50$14.40$55.004.4×
froedtert health39$12.60$15.30$58.444.6×
cchp99$4.62$4.62$7.511.6×
sehn99$2.36$2.36$4.311.8×
healthsmart38$16.20$22.41$45.652.8×
centivo nw277$2.75$2.75$2.751.0×
network health77$3.72$3.72$3.721.0×
sheboygan employers health network16$15.00$17.40$33.002.2×
trilogy health solutions36$13.50$15.30$58.444.3×
my choice wisconsin36$2.25$2.39$2.521.1×
healtheos16$20.00$23.20$44.002.2×
icare56$2.25$2.68$2.811.2×
common ground healthcare cooperative36$13.50$15.30$58.444.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Sheboygan Memorial HospitalSheboyganWI18$50.00$25.00$1.80$6.69$42.50
Aurora Lakeland Medical CenterElkhornWI18$50.00$25.00$1.80$6.69$42.50
Aurora Health Care Metro Inc.MilwaukeeWI18$50.00$25.00$1.80$6.69$42.50
Aurora Medical Center GraftonGraftonWI18$50.00$25.00$1.80$6.69$42.50
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$50.00$25.00$1.80$6.69$42.50
Aurora Medical Center - Bay AreaMarinetteWI18$50.00$25.00$1.80$6.64$42.30
Childrens WisconsinMilwaukeeWI34$68.75$37.81$2.25$55.00$65.31
Ascension Columbia St Marys MilwaukeMilwaukeeWI10$32.00$16.96$2.25$4.62$10.32
Ascension Sacred Heart RehabilitatioMilwaukeeWI7$2.36$4.62$10.32
Ascension Columbia St Marys OzaukeeMequonWI10$32.00$16.96$2.25$4.62$10.32
Beaver Dam Community HospitalsBeaver DamWI21$47.00$44.65$2.25$34.78$45.12
Wfhc - Elmbrook MemorialBrookfieldWI13$17.00$9.01$2.25$3.15$10.63
Wheaton Franciscan - FranklinFranklinWI13$17.00$9.01$2.25$3.15$10.63
All Saints - St. Luke S HospitalRacineWI13$17.00$9.01$2.25$3.15$10.63
Wheaton Franciscan Healthcare - AllRacineWI13$17.00$9.01$2.25$3.15$10.63
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI13$17.00$9.01$2.25$3.15$10.63
Ascension Se Wisconsin Hospital IncMilwaukeeWI13$17.00$9.01$2.25$3.15$10.63
MoshFranklinWI13$17.00$9.01$2.25$3.13$10.63
Mercy Medical CenterOshkoshWI13$24.00$13.68$2.25$3.11$15.91
Ascension Ne Wisconsin-St. ElizabethAppletonWI13$24.00$13.68$2.25$3.11$15.91
West Allis Memorial HospitalWest AllisWI18$50.00$25.00$1.80$24.00$42.50
Aurora Medical Center - HartfordHartfordWI18$50.00$25.00$1.80$24.00$42.50
Memorial Hospital Of BurlingtonBurlingtonWI18$50.00$25.00$1.80$24.00$42.50
Aurora Medical Center KenoshaKenoshaWI18$50.00$25.00$1.80$24.00$42.50
Aurora Medical Center Of OshkoshOshkoshWI18$50.00$25.00$1.80$24.00$42.50
Aurora Medical Center - SummitSummitWI18$50.00$25.00$1.80$24.00$42.50
Holy Family Memorial IncManitowocWI25$55.00$30.25$2.25$20.00$48.40
Hudson HospitalHudsonWI8$53.00$23.91$4.50$18.06$53.00
Westfields HospitalNew RichmondWI8$37.00$19.46$6.88$15.73$37.00
Ssh - Fox ValleyOshkoshWI35$18.00$9.90$2.25$14.40$17.10
Childrens Hospital Of Wi-Fox ValleyNeenahWI35$18.00$9.90$2.25$14.40$17.10
Amery Regional Medical CenterAmeryWI6$38.00$19.81$9.51$13.86$36.84
Meriter Hospital Inc.MadisonWI14$48.00$38.40$2.25$13.21$45.60
River Falls Area HospitalRiver FallsWI0$69.30$38.81
University Of Wi Hospitals & ClinicsMadisonWI0$43.65$26.19
Uw Health Rehabilitation HospitalMadisonWI0$43.65$26.19

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.