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CPT 90839 · negotiated-rate distribution across hospitals in WI

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Hospitals
20
Min
$117.38
Median
$163.27
Max
$530.40
Range multiplier
4.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS740$108.23$280.60$794.347.3×
Medicare1432$114.47$156.01$163.271.4×
UnitedHealthcare1025$101.98$316.48$530.405.2×
VA Health1122$154.46$156.01$163.271.1×
Humana617$133.88$530.40$530.404.0×
aspirus115$38.64$155.19$473.1812.2×
smart health714$218.41$218.41$228.581.0×
Molina714$152.81$324.37$366.002.4×
Blue Cross Blue Shield414$74.06$151.10$455.286.1×
First Health512$131.81$303.42$417.603.2×
Cigna411$47.04$172.42$516.0611.0×
Medicaid39$119.36$163.04$410.543.4×
security health plan38$50.40$140.01$250.855.0×
network health plan68$98.79$194.56$207.302.1×
prevea 36018$127.50$289.00$710.735.6×
wps77$445.88$445.88$445.881.0×
Multiplan26$126.26$216.69$221.351.8×
mercy care16$58.80$205.12$292.655.0×
group health cooperative of eau claire26$111.00$191.06$221.352.0×
security health plan (shp)15$121.11$134.58$153.151.3×
trilogy25$209.70$209.70$427.002.0×
health partners35$108.23$152.81$221.352.0×
medica [900156]35$272.06$275.36$335.781.2×
Aetna25$122.10$325.74$503.864.1×
ma wisconsin replacement [950271]24$349.00$384.50$464.001.3×
healthpartners14$366.00$457.50$457.501.3×
WellCare24$162.18$162.18$162.181.0×
health payment systems34$117.38$162.17$396.503.4×
smarthealth24$216.24$216.24$216.241.0×
wisconsin physician service13$378.20$396.50$396.501.0×
wps health plan13$105.45$117.94$124.881.2×
quartz23$132.81$153.15$246.051.9×
froedtert health13$97.13$111.00$117.941.2×
common ground13$366.00$366.00$366.001.0×
alliance33$432.76$432.76$432.761.0×
healthpartners [900713]33$185.95$296.61$398.742.1×
quartz health insurance13$117.94$117.94$117.941.0×
health partners open network12$181.12$234.49$287.851.6×
amish/mennonite12$128.15$128.15$128.151.0×
centivo22$108.23$282.87$457.504.2×
centivo nw122$484.52$484.52$484.521.0×
centivo nw322$484.52$484.52$484.521.0×
common ground healthcare cooperative12$104.06$111.00$117.941.1×
dean health plan12$111.00$111.00$111.001.0×
health eos12$488.00$488.00$488.001.0×
health eos plus12$366.00$366.00$366.001.0×
icare22$152.81$158.34$163.871.1×
illinicare12$127.50$141.35$155.191.2×
medical associates health plan12$283.91$415.45$546.981.9×
meridiancare12$133.88$144.54$155.191.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$207.30$530.40$530.40
Sheboygan Memorial HospitalSheboyganWI18$610.00$305.00$305.00$396.50$518.50
Ascension Columbia St Marys MilwaukeMilwaukeeWI7$422.00$223.66$156.41$344.10$530.40
Ascension Columbia St Marys OzaukeeMequonWI7$422.00$223.66$156.41$344.10$530.40
Meriter Hospital Inc.MadisonWI14$836.15$668.92$38.64$236.59$794.34
Beaver Dam Community HospitalsBeaver DamWI20$233.00$221.35$118.32$184.07$477.00
Amery Regional Medical CenterAmeryWI7$412.00$214.82$106.05$180.73$370.80
Hudson HospitalHudsonWI8$464.00$209.31$74.06$170.75$464.00
All Saints - St. Luke S HospitalRacineWI4$638.00$338.14$163.27$163.27$445.88
Wheaton Franciscan Healthcare - AllRacineWI4$638.00$338.14$163.27$163.27$445.88
Westfields HospitalNew RichmondWI8$412.00$216.71$106.05$163.04$412.00
Ascension Ne Wisconsin-St. ElizabethAppletonWI8$1,296.00$738.72$141.00$158.32$484.52
Mercy Medical CenterOshkoshWI8$1,296.00$738.72$141.00$158.32$484.52
Ascension Se Wisconsin Hospital IncMilwaukeeWI4$156.01$156.01$445.88
Wfhc - Elmbrook MemorialBrookfieldWI4$156.01$156.01$445.88
Wheaton Franciscan - FranklinFranklinWI4$156.01$156.01$445.88
MoshFranklinWI4$156.01$156.01$445.88
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI4$156.01$156.01$445.88
Holy Family Memorial IncManitowocWI10$152.81$152.81$165.04
Childrens WisconsinMilwaukeeWI29$138.75$76.31$97.13$117.38$131.81

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.