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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in WI

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Hospitals
31
Min
$878.69
Median
$15,454
Max
$26,737
Range multiplier
30.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS2798$498.38$15,310$57,395115.2×
UnitedHealthcare2976$498.38$13,851$29,39859.0×
common ground1236$14,619$14,619$19,1401.3×
wisconsin physician service1236$18,424$19,394$19,3941.1×
centivo1415$3,645.72$18,030$18,0304.9×
Aetna1314$4,113.12$14,482$14,4823.5×
health payment systems1414$3,954.20$17,900$17,9004.5×
trilogy1314$7,749.06$19,887$19,8872.6×
Molina1314$10,786$15,818$15,8181.5×
hs technology1212$17,445$17,445$17,4451.0×
Humana512$523.30$19,702$28,45054.4×
quartz group1212$18,250$18,250$20,8601.1×
everpointe elite1212$14,688$14,688$14,6881.0×
quartz one1212$15,600$15,600$17,8301.1×
aurora caregiver1212$19,140$19,140$19,1401.0×
aspirus211$498.38$8,792.03$14,65329.4×
wps77$1,987.10$1,987.10$1,987.101.0×
network health plan57$881.30$3,327.89$10,78612.2×
security health plan37$1,554.30$7,570.91$10,7866.9×
prevea 36015$498.38$10,954$20,75941.7×
Cigna35$1,450.68$7,326.69$8,453.525.8×
Multiplan24$4,253.34$6,916.55$9,392.802.2×
Blue Cross Blue Shield14$1,544.98$21,252$37,15424.0×
health partners24$3,645.72$5,872.39$10,7863.0×
wps health plan24$3,552.24$4,089.75$8,688.342.4×
quartz health insurance13$3,972.90$3,972.90$3,972.901.0×
mercy care13$1,813.35$8,108.20$8,108.204.5×
dean health plan23$3,739.20$3,739.20$5,870.501.6×
alliance33$1,928.65$1,928.65$1,928.651.0×
froedtert health13$3,271.80$3,739.20$3,972.901.2×
First Health23$4,440.30$10,332$10,3322.3×
medical college of wisconsin22$3,271.80$3,573.17$3,874.531.2×
cchp22$1,184.36$1,184.36$1,184.361.0×
centivo nw122$1,868.02$1,868.02$1,868.021.0×
centivo nw322$1,868.02$1,868.02$1,868.021.0×
common ground healthcare cooperative12$3,505.50$3,739.20$3,972.901.1×
health partners open network12$1,216.27$5,065.21$8,914.147.3×
healtheos12$9,392.80$9,392.80$9,392.801.0×
healthsmart12$9,392.80$9,568.92$9,745.031.0×
illinicare12$498.38$5,726.23$10,95422.0×
medical associates health plan12$2,138.05$5,465.04$8,792.034.1×
meridiancare12$523.30$5,738.69$10,95420.9×
preferred one12$9,392.80$9,392.80$9,392.801.0×
sheboygan employers health network12$7,044.60$7,044.60$7,044.601.0×
trilogy health solutions12$3,505.50$3,739.20$3,972.901.1×
bellin thedacare11$4,206.60$4,206.60$4,206.601.0×
mayo clinic health solutions11$4,066.38$4,066.38$4,066.381.0×
prevea health network11$4,206.60$4,206.60$4,206.601.0×
quartz11$7,619.76$7,619.76$7,619.761.0×
icare11$10,786$10,786$10,7861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Holy Family Memorial IncManitowocWI25$11,741$6,457.55$3,874.53$9,392.80$16,779
Mercy Medical CenterOshkoshWI5$40,726$23,214$573.01$878.69$22,700
Ascension Ne Wisconsin-St. ElizabethAppletonWI5$40,726$23,214$573.01$878.69$22,700
Meriter Hospital Inc.MadisonWI14$24,422$19,538$498.38$8,108.20$37,154
Childrens WisconsinMilwaukeeWI29$4,674.00$2,570.70$3,271.80$3,963.55$18,060
Ascension Se Wisconsin Hospital IncMilwaukeeWI3$17,147$9,087.91$1,987.10$26,737$57,395
All Saints - St. Luke S HospitalRacineWI3$17,147$9,087.91$1,987.10$26,737$57,395
Wheaton Franciscan Healthcare - AllRacineWI3$17,147$9,087.91$1,987.10$26,737$57,395
Wfhc - Elmbrook MemorialBrookfieldWI3$17,147$9,087.91$1,987.10$26,737$57,395
Wheaton Franciscan - FranklinFranklinWI3$17,147$9,087.91$1,987.10$26,737$57,395
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI3$17,147$9,087.91$1,987.10$26,737$57,395
MoshFranklinWI3$17,147$9,087.91$1,987.10$25,724$57,395
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$881.30$22,406$48,843
Ascension Columbia St Marys OzaukeeMequonWI5$31,027$16,444$881.30$22,406$48,843
Ascension Columbia St Marys MilwaukeMilwaukeeWI5$31,027$16,444$881.30$22,406$48,843
Ssh - Fox ValleyOshkoshWI1$18,060$18,060$18,060
Childrens Hospital Of Wi-Fox ValleyNeenahWI1$18,060$18,060$18,060
Aurora Lakeland Medical CenterElkhornWI14$11,302$17,673$19,887
Aurora Medical Center - Bay AreaMarinetteWI14$5,651.00$15,600$21,930
Aurora Medical Center KenoshaKenoshaWI14$11,302$15,454$19,887
Aurora Medical Center GraftonGraftonWI14$11,302$15,454$20,860
West Allis Memorial HospitalWest AllisWI14$11,302$15,454$20,860
Aurora Health Care Metro Inc.MilwaukeeWI14$11,302$15,454$20,860
Aurora Medical Center - SummitSummitWI14$11,302$15,345$19,887
Aurora Medical Center Of OshkoshOshkoshWI14$11,302$15,345$19,887
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI14$11,302$15,345$19,887
Aurora Medical Center - HartfordHartfordWI14$11,302$15,345$19,887
Sheboygan Memorial HospitalSheboyganWI14$11,302$15,345$19,887
Memorial Hospital Of BurlingtonBurlingtonWI14$11,302$15,345$19,887
University Of Wi Hospitals & ClinicsMadisonWI0$24,018$14,411
Uw Health Rehabilitation HospitalMadisonWI0$24,018$14,411

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.