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PCI single major coronary artery

CPT 92920 · negotiated-rate distribution across hospitals in WI

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Hospitals
31
Min
$790.90
Median
$13,802
Max
$26,696
Range multiplier
33.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS2798$448.25$14,586$57,395128.0×
UnitedHealthcare2978$448.25$13,851$27,66761.7×
common ground1236$11,037$11,037$11,7501.1×
wisconsin physician service1236$14,623$15,393$15,3931.1×
centivo1415$1,650.29$13,933$13,9338.4×
Humana515$470.66$23,582$28,45060.4×
Molina1314$5,422.72$12,508$12,5082.3×
health payment systems1414$1,789.92$14,150$14,1507.9×
trilogy1314$7,376.16$16,378$16,3782.2×
Aetna1314$1,861.86$11,139$11,1396.0×
hs technology1212$12,943$12,943$12,9431.0×
quartz group1212$13,050$13,050$14,3301.1×
everpointe elite1212$11,136$11,136$11,1361.0×
quartz one1212$11,150$11,150$12,2501.1×
aurora caregiver1212$11,750$11,750$11,7501.0×
aspirus211$448.25$5,507.21$11,62025.9×
wps77$1,790.20$1,790.20$1,790.201.0×
network health plan57$791.49$1,506.41$10,78513.6×
security health plan37$1,401.00$6,003.72$8,940.806.4×
prevea 36015$448.25$5,507.21$16,46236.7×
Cigna35$1,307.60$5,810.05$8,046.726.2×
Multiplan24$1,925.33$5,475.38$8,940.804.6×
Blue Cross Blue Shield14$1,389.58$15,438$37,15426.7×
health partners24$1,650.29$3,642.29$7,264.404.4×
wps health plan24$1,607.97$1,851.29$8,270.245.1×
quartz health insurance13$1,798.39$1,798.39$1,798.391.0×
mercy care13$1,634.50$6,429.79$6,429.793.9×
dean health plan23$1,692.60$1,692.60$5,588.003.3×
alliance33$1,737.55$1,737.55$1,737.551.0×
froedtert health13$1,481.03$1,692.60$1,798.391.2×
First Health23$2,009.96$9,834.88$9,834.884.9×
medical college of wisconsin22$1,481.03$2,584.56$3,688.082.5×
cchp22$1,066.81$1,066.81$1,066.811.0×
centivo nw122$1,679.96$1,679.96$1,679.961.0×
centivo nw322$1,679.96$1,679.96$1,679.961.0×
common ground healthcare cooperative12$1,586.81$1,692.60$1,798.391.1×
health partners open network12$1,096.02$4,082.46$7,068.896.4×
healtheos12$8,940.80$8,940.80$8,940.801.0×
healthsmart12$8,940.80$9,108.44$9,276.081.0×
illinicare12$448.25$2,977.73$5,507.2112.3×
medical associates health plan12$1,922.99$4,447.53$6,972.063.6×
meridiancare12$470.66$2,988.94$5,507.2111.7×
preferred one12$8,940.80$8,940.80$8,940.801.0×
sheboygan employers health network12$6,705.60$6,705.60$6,705.601.0×
trilogy health solutions12$1,586.81$1,692.60$1,798.391.1×
bellin thedacare11$1,904.18$1,904.18$1,904.181.0×
mayo clinic health solutions11$1,840.70$1,840.70$1,840.701.0×
prevea health network11$1,904.18$1,904.18$1,904.181.0×
quartz11$6,042.45$6,042.45$6,042.451.0×
icare11$5,422.72$5,422.72$5,422.721.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Holy Family Memorial IncManitowocWI25$11,176$6,146.80$3,688.08$8,046.72$16,779
Mercy Medical CenterOshkoshWI5$21,084$12,018$514.98$790.90$21,365
Ascension Ne Wisconsin-St. ElizabethAppletonWI5$21,084$12,018$514.98$790.90$21,365
Meriter Hospital Inc.MadisonWI14$19,367$15,493$448.25$5,507.21$37,154
Ascension Se Wisconsin Hospital IncMilwaukeeWI3$16,837$8,923.61$1,790.20$26,696$57,395
All Saints - St. Luke S HospitalRacineWI3$16,837$8,923.61$1,790.20$26,696$57,395
Wheaton Franciscan Healthcare - AllRacineWI3$16,837$8,923.61$1,790.20$26,696$57,395
Wfhc - Elmbrook MemorialBrookfieldWI3$16,837$8,923.61$1,790.20$26,696$57,395
Wheaton Franciscan - FranklinFranklinWI3$16,837$8,923.61$1,790.20$26,696$57,395
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI3$16,837$8,923.61$1,790.20$26,696$57,395
MoshFranklinWI3$16,837$8,923.61$1,790.20$25,724$57,395
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$791.49$21,870$48,843
Ascension Columbia St Marys OzaukeeMequonWI5$28,870$15,301$791.49$21,594$48,843
Ascension Columbia St Marys MilwaukeMilwaukeeWI5$28,870$15,301$791.49$21,594$48,843
Childrens Hospital Of Wi-Fox ValleyNeenahWI1$18,060$18,060$18,060
Ssh - Fox ValleyOshkoshWI1$18,060$18,060$18,060
Childrens WisconsinMilwaukeeWI29$2,115.75$1,163.66$1,481.03$1,794.16$18,060
Aurora Medical Center GraftonGraftonWI14$11,037$13,802$16,378
West Allis Memorial HospitalWest AllisWI14$11,037$13,802$16,378
Aurora Health Care Metro Inc.MilwaukeeWI14$11,037$13,802$16,378
Aurora Medical Center - SummitSummitWI14$11,037$13,401$16,378
Aurora Medical Center KenoshaKenoshaWI14$11,037$13,401$16,378
Aurora Medical Center Of OshkoshOshkoshWI14$11,037$13,401$16,378
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI14$11,037$13,401$16,378
Aurora Lakeland Medical CenterElkhornWI14$11,136$13,401$16,378
Memorial Hospital Of BurlingtonBurlingtonWI14$11,037$13,401$16,378
Sheboygan Memorial HospitalSheboyganWI14$11,037$13,401$16,378
Aurora Medical Center - HartfordHartfordWI14$11,037$13,401$16,378
Aurora Medical Center - Bay AreaMarinetteWI14$5,651.00$13,050$21,930
Uw Health Rehabilitation HospitalMadisonWI0$14,621$8,772.60
University Of Wi Hospitals & ClinicsMadisonWI0$14,621$8,772.60

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.