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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
$530.4
Range multiplier
4.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS740$108.23$280.6$794.347.3×
Medicare1432$114.47$156.01$163.271.4×
UnitedHealthcare1025$101.98$316.48$530.45.2×
VA Health1122$154.46$156.01$163.271.1×
Humana617$133.88$530.4$530.44.0×
aspirus115$38.64$155.19$473.1812.2×
smart health714$218.41$218.41$228.581.0×
Molina714$152.81$324.37$3662.4×
Blue Cross Blue Shield414$74.06$151.1$455.286.1×
First Health512$131.81$303.42$417.63.2×
Cigna411$47.04$172.42$516.0611.0×
Medicaid39$119.36$163.04$410.543.4×
security health plan38$50.4$140.01$250.855.0×
network health plan68$98.79$194.56$207.32.1×
prevea 36018$127.5$289$710.735.6×
wps77$445.88$445.88$445.881.0×
Multiplan26$126.26$216.69$221.351.8×
mercy care16$58.8$205.12$292.655.0×
group health cooperative of eau claire26$111$191.06$221.352.0×
security health plan (shp)15$121.11$134.58$153.151.3×
trilogy25$209.7$209.7$4272.0×
health partners35$108.23$152.81$221.352.0×
medica [900156]35$272.06$275.36$335.781.2×
Aetna25$122.1$325.74$503.864.1×
ma wisconsin replacement [950271]24$349$384.5$4641.3×
healthpartners14$366$457.5$457.51.3×
WellCare24$162.18$162.18$162.181.0×
health payment systems34$117.38$162.17$396.53.4×
smarthealth24$216.24$216.24$216.241.0×
wisconsin physician service13$378.2$396.5$396.51.0×
wps health plan13$105.45$117.94$124.881.2×
quartz23$132.81$153.15$246.051.9×
froedtert health13$97.13$111$117.941.2×
common ground13$366$366$3661.0×
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$457.54.2×
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$117.941.1×
dean health plan12$111$111$1111.0×
health eos12$488$488$4881.0×
health eos plus12$366$366$3661.0×
icare22$152.81$158.34$163.871.1×
illinicare12$127.5$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$207.3$530.4$530.4
SHEBOYGAN MEMORIAL HOSPITALSHEBOYGANWI18$610$305$305$396.5$518.5
ASCENSION COLUMBIA ST MARYS MILWAUKEMILWAUKEEWI7$422$223.66$156.41$344.1$530.4
ASCENSION COLUMBIA ST MARYS OZAUKEEMEQUONWI7$422$223.66$156.41$344.1$530.4
MERITER HOSPITAL INC.MADISONWI14$836.15$668.92$38.64$236.59$794.34
BEAVER DAM COMMUNITY HOSPITALSBEAVER DAMWI20$233$221.35$118.32$184.07$477
AMERY REGIONAL MEDICAL CENTERAMERYWI7$412$214.82$106.05$180.73$370.8
HUDSON HOSPITALHUDSONWI8$464$209.31$74.06$170.75$464
ALL SAINTS - ST. LUKE S HOSPITALRACINEWI4$638$338.14$163.27$163.27$445.88
WHEATON FRANCISCAN HEALTHCARE - ALLRACINEWI4$638$338.14$163.27$163.27$445.88
WESTFIELDS HOSPITALNEW RICHMONDWI8$412$216.71$106.05$163.04$412
ASCENSION NE WISCONSIN-ST. ELIZABETHAPPLETONWI8$1,296$738.72$141$158.32$484.52
MERCY MEDICAL CENTEROSHKOSHWI8$1,296$738.72$141$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.