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CPT 93005 · negotiated-rate distribution across hospitals in WI

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Hospitals
36
Min
$29.56
Median
$142.82
Max
$282.00
Range multiplier
9.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS20106$5.68$230.86$365.5064.3×
UnitedHealthcare2396$5.68$205.00$362.0663.7×
healthpartners1248$180.00$227.00$322.501.8×
Aetna1547$128.16$231.28$10,01778.2×
Cigna1847$55.16$266.49$363.786.6×
wisconsin physician service1236$294.00$310.00$310.001.1×
common ground1236$144.00$281.00$281.002.0×
Medicare1428$17.58$57.68$102.725.8×
Molina1825$56.50$164.05$254.004.5×
health eos1224$192.00$248.00$344.001.8×
health eos plus1224$144.00$186.00$258.001.8×
VA Health1122$57.10$57.68$60.361.1×
health payment systems1720$112.80$195.00$279.502.5×
centivo1619$80.00$210.00$322.504.0×
trilogy1418$132.00$196.00$301.002.3×
Humana617$5.96$29.56$171.7728.8×
Multiplan516$160.00$183.83$279.781.7×
wps health plan416$147.44$203.49$265.051.8×
froedtert health315$135.80$187.43$250.331.8×
quartz health insurance315$164.90$227.59$250.331.5×
network health plan814$10.03$144.57$209.6820.9×
smart health714$80.75$80.75$84.501.0×
First Health814$44.10$184.79$279.786.3×
health partners514$56.50$183.35$259.164.6×
everpointe elite1212$120.00$155.00$215.001.8×
quartz one1212$132.00$170.50$236.501.8×
aurora caregiver1212$240.00$240.00$240.001.0×
quartz group1212$144.00$186.00$258.001.8×
hs technology1212$282.00$282.00$282.001.0×
security health plan511$56.50$160.00$244.444.3×
aspirus211$5.68$70.26$183.2832.3×
dean health plan411$100.00$214.20$235.602.4×
common ground healthcare cooperative310$145.50$200.81$250.331.7×
Blue Cross Blue Shield410$17.61$87.72$230.0413.1×
group health cooperative of eau claire410$60.02$170.81$235.603.9×
trilogy health solutions310$145.50$200.81$250.331.7×
wps77$27.44$27.44$27.441.0×
medical college of wisconsin46$66.00$161.62$206.153.1×
healthsmart36$166.00$174.60$240.981.5×
advocate aurora healthcare35$149.38$206.17$226.771.5×
aspirus health plan35$145.50$200.81$220.881.5×
bellin thedacare35$174.60$240.98$265.051.5×
employer health care alliance cooperative35$152.29$210.18$231.181.5×
group health cooperative of south central wisconsin35$174.60$240.98$265.051.5×
Medicaid25$91.36$109.65$151.761.7×
oan llc35$155.20$214.20$235.601.5×
praire states35$164.90$227.59$250.331.5×
prevea 36015$5.68$167.45$259.6545.7×
prevea health network35$174.60$240.98$265.051.5×
security health plan (shp)15$56.62$100.32$111.482.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Meriter Hospital Inc.MadisonWI14$305.47$244.38$5.68$70.26$290.20
Wheaton Franciscan Healthcare - AllRacineWI4$491.00$260.23$27.44$60.36$84.50
All Saints - St. Luke S HospitalRacineWI4$491.00$260.23$27.44$60.36$84.50
Wheaton Franciscan - FranklinFranklinWI4$491.00$260.23$27.44$57.68$80.75
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI4$491.00$260.23$27.44$57.68$80.75
Ascension Se Wisconsin Hospital IncMilwaukeeWI4$491.00$260.23$27.44$57.68$80.75
Wfhc - Elmbrook MemorialBrookfieldWI4$491.00$260.23$27.44$57.68$80.75
MoshFranklinWI4$491.00$260.23$27.44$57.68$80.75
Mercy Medical CenterOshkoshWI9$253.00$144.21$6.55$57.10$119.91
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$253.00$144.21$6.55$57.10$119.91
Amery Regional Medical CenterAmeryWI6$49.00$25.55$17.58$43.76$169.39
Ascension Columbia St Marys MilwaukeMilwaukeeWI7$660.00$349.80$10.03$43.69$127.20
Ascension Columbia St Marys OzaukeeMequonWI7$660.00$349.80$10.03$43.69$127.20
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$86.00$45.58$10.03$29.56$29.56
Aurora Medical Center GraftonGraftonWI18$420.00$210.00$180.00$282.00$357.00
Aurora Medical Center KenoshaKenoshaWI18$430.00$215.00$180.00$282.00$365.50
Aurora Health Care Metro Inc.MilwaukeeWI18$420.00$210.00$180.00$282.00$357.00
Aurora Medical Center - HartfordHartfordWI18$335.00$167.50$167.50$251.25$310.00
Childrens WisconsinMilwaukeeWI29$294.50$161.98$206.15$249.15$279.78
Memorial Hospital Of BurlingtonBurlingtonWI18$315.00$157.50$157.50$240.00$310.00
Aurora Lakeland Medical CenterElkhornWI18$315.00$157.50$157.50$240.00$310.00
Sheboygan Memorial HospitalSheboyganWI18$305.00$152.50$152.50$240.00$310.00
Aurora Medical Center - SummitSummitWI18$295.00$147.50$147.50$236.00$310.00
West Allis Memorial HospitalWest AllisWI18$280.00$140.00$140.00$229.14$10,017
Aurora Medical Center Of OshkoshOshkoshWI18$280.00$140.00$140.00$227.00$310.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$280.00$140.00$140.00$227.00$310.00
Aurora Medical Center - Bay AreaMarinetteWI18$240.00$120.00$120.00$202.08$310.00
Childrens Hospital Of Wi-Fox ValleyNeenahWI30$267.75$147.26$135.80$185.87$254.36
Ssh - Fox ValleyOshkoshWI30$267.75$147.26$135.80$185.87$254.36
Holy Family Memorial IncManitowocWI25$200.00$110.00$56.50$144.00$251.00
Beaver Dam Community HospitalsBeaver DamWI20$193.00$183.35$56.62$142.82$185.28
Westfields HospitalNew RichmondWI8$230.00$120.98$79.75$122.92$230.00
Hudson HospitalHudsonWI8$300.00$135.33$79.75$109.65$341.00
River Falls Area HospitalRiver FallsWI0$307.70$172.31
Uw Health Rehabilitation HospitalMadisonWI0$323.00$193.80
University Of Wi Hospitals & ClinicsMadisonWI0$323.00$193.80

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.