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CPT 90837 · negotiated-rate distribution across hospitals in WI

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Hospitals
23
Min
$117.38
Median
$163.02
Max
$507.97
Range multiplier
4.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS740$108.23$252.91$586.155.4×
Medicare1430$126.61$156.01$165.211.3×
UnitedHealthcare1024$101.98$270.27$507.975.0×
VA Health1122$154.46$156.01$163.271.1×
Humana617$138.81$507.97$507.973.7×
aspirus115$68.77$132.20$329.924.8×
smart health714$218.41$218.41$228.581.0×
Molina714$152.81$324.37$344.102.3×
Blue Cross Blue Shield412$72.40$159.89$393.965.4×
Cigna411$83.72$164.96$384.934.6×
First Health59$131.81$215.04$347.402.6×
network health plan68$98.79$187.04$215.662.2×
security health plan38$89.70$150.33$185.102.1×
prevea 36018$132.20$344.60$524.454.0×
wps77$426.53$426.53$426.531.0×
Medicaid37$132.01$168.89$410.543.1×
Multiplan26$126.26$208.32$212.801.7×
group health cooperative of eau claire26$111.00$183.68$212.801.9×
mercy care16$104.65$177.52$215.952.1×
health partners35$108.23$152.81$212.802.0×
trilogy25$201.60$201.60$318.501.6×
security health plan (shp)15$116.44$129.38$153.151.3×
Aetna25$122.10$242.97$375.833.1×
smarthealth24$216.24$216.24$216.241.0×
WellCare24$162.18$162.18$162.181.0×
healthpartners14$273.00$341.25$341.251.3×
health payment systems34$117.38$155.90$295.752.5×
medica [900156]34$138.55$264.97$314.592.3×
quartz health insurance13$117.94$117.94$117.941.0×
alliance33$413.99$413.99$413.991.0×
common ground13$273.00$273.00$273.001.0×
froedtert health13$97.13$111.00$117.941.2×
healthpartners [900713]33$193.63$193.63$398.742.1×
ma wisconsin replacement [950271]23$170.00$386.00$386.002.3×
quartz23$127.68$153.15$171.561.3×
wisconsin physician service13$282.10$295.75$295.751.0×
wps health plan13$105.45$117.94$124.881.2×
wps health insurance12$150.75$150.75$150.751.0×
health eos plus12$273.00$273.00$273.001.0×
health eos12$364.00$364.00$364.001.0×
medical associates health plan12$197.95$382.55$567.142.9×
meridiancare12$138.81$147.00$155.191.1×
dean health plan12$111.00$111.00$111.001.0×
common ground healthcare cooperative12$104.06$111.00$117.941.1×
centivo nw322$464.04$464.04$464.041.0×
centivo nw122$464.04$464.04$464.041.0×
centivo22$108.23$224.74$341.253.2×
cchp22$244.17$244.17$244.171.0×
trilogy health solutions12$104.06$111.00$117.941.1×
unitedhealth group of wi12$153.15$160.47$167.781.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$215.66$507.97$507.97
Ascension Columbia St Marys OzaukeeMequonWI7$440.00$233.20$156.41$344.10$507.97
Ascension Columbia St Marys MilwaukeMilwaukeeWI7$459.00$243.27$156.41$344.10$507.97
Sheboygan Memorial HospitalSheboyganWI18$455.00$227.50$227.50$295.75$386.75
Meriter Hospital Inc.MadisonWI14$617.00$493.60$68.77$182.55$586.15
Beaver Dam Community HospitalsBeaver DamWI20$224.00$212.80$113.75$176.96$477.00
Westfields HospitalNew RichmondWI8$386.00$203.04$72.40$163.73$410.54
All Saints - St. Luke S HospitalRacineWI4$440.00$233.20$163.27$163.27$426.53
Wheaton Franciscan Healthcare - AllRacineWI4$440.00$233.20$163.27$163.27$426.53
Amery Regional Medical CenterAmeryWI7$361.00$188.23$110.07$163.02$324.90
Hudson HospitalHudsonWI8$386.00$174.12$110.07$162.83$393.28
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$890.00$507.30$146.18$162.18$464.04
Mercy Medical CenterOshkoshWI9$890.00$507.30$146.18$162.18$464.04
Ascension Se Wisconsin Hospital IncMilwaukeeWI4$156.01$156.01$426.53
Wfhc - Elmbrook MemorialBrookfieldWI4$156.01$156.01$426.53
Wheaton Franciscan - FranklinFranklinWI4$156.01$156.01$426.53
MoshFranklinWI4$156.01$156.01$426.53
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI4$156.01$156.01$426.53
Holy Family Memorial IncManitowocWI10$152.81$152.81$165.04
Childrens WisconsinMilwaukeeWI29$138.75$76.31$97.13$117.38$131.81
River Falls Area HospitalRiver FallsWI0$205.30$114.97
University Of Wi Hospitals & ClinicsMadisonWI0$474.00$284.40
Uw Health Rehabilitation HospitalMadisonWI0$474.00$284.40

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.