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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$132.2$329.924.8×
smart health714$218.41$218.41$228.581.0×
Molina714$152.81$324.37$344.12.3×
Blue Cross Blue Shield412$72.4$159.89$393.965.4×
Cigna411$83.72$164.96$384.934.6×
First Health59$131.81$215.04$347.42.6×
network health plan68$98.79$187.04$215.662.2×
security health plan38$89.7$150.33$185.12.1×
prevea 36018$132.2$344.6$524.454.0×
wps77$426.53$426.53$426.531.0×
Medicaid37$132.01$168.89$410.543.1×
Multiplan26$126.26$208.32$212.81.7×
group health cooperative of eau claire26$111$183.68$212.81.9×
mercy care16$104.65$177.52$215.952.1×
health partners35$108.23$152.81$212.82.0×
trilogy25$201.6$201.6$318.51.6×
security health plan (shp)15$116.44$129.38$153.151.3×
Aetna25$122.1$242.97$375.833.1×
smarthealth24$216.24$216.24$216.241.0×
WellCare24$162.18$162.18$162.181.0×
healthpartners14$273$341.25$341.251.3×
health payment systems34$117.38$155.9$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$273$2731.0×
froedtert health13$97.13$111$117.941.2×
healthpartners [900713]33$193.63$193.63$398.742.1×
ma wisconsin replacement [950271]23$170$386$3862.3×
quartz23$127.68$153.15$171.561.3×
wisconsin physician service13$282.1$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$273$2731.0×
health eos12$364$364$3641.0×
medical associates health plan12$197.95$382.55$567.142.9×
meridiancare12$138.81$147$155.191.1×
dean health plan12$111$111$1111.0×
common ground healthcare cooperative12$104.06$111$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$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$233.2$156.41$344.1$507.97
ASCENSION COLUMBIA ST MARYS MILWAUKEMILWAUKEEWI7$459$243.27$156.41$344.1$507.97
SHEBOYGAN MEMORIAL HOSPITALSHEBOYGANWI18$455$227.5$227.5$295.75$386.75
MERITER HOSPITAL INC.MADISONWI14$617$493.6$68.77$182.55$586.15
BEAVER DAM COMMUNITY HOSPITALSBEAVER DAMWI20$224$212.8$113.75$176.96$477
WESTFIELDS HOSPITALNEW RICHMONDWI8$386$203.04$72.4$163.73$410.54
ALL SAINTS - ST. LUKE S HOSPITALRACINEWI4$440$233.2$163.27$163.27$426.53
WHEATON FRANCISCAN HEALTHCARE - ALLRACINEWI4$440$233.2$163.27$163.27$426.53
AMERY REGIONAL MEDICAL CENTERAMERYWI7$361$188.23$110.07$163.02$324.9
HUDSON HOSPITALHUDSONWI8$386$174.12$110.07$162.83$393.28
ASCENSION NE WISCONSIN-ST. ELIZABETHAPPLETONWI9$890$507.3$146.18$162.18$464.04
MERCY MEDICAL CENTEROSHKOSHWI9$890$507.3$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$205.3$114.97
UNIVERSITY OF WI HOSPITALS & CLINICSMADISONWI0$474$284.4
UW HEALTH REHABILITATION HOSPITALMADISONWI0$474$284.4

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.