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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in WI

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Hospitals
17
Min
$119.27
Median
$328.63
Max
$365.38
Range multiplier
3.1×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS415$119.27$137.23$1,331.6511.2×
UnitedHealthcare813$89.05$289.06$440.594.9×
Humana511$119.27$328.63$328.632.8×
Blue Cross Blue Shield48$95.1$145.17$3884.1×
wps77$365.38$365.38$365.381.0×
Medicare36$124.41$143.08$149.361.2×
Medicaid36$154.01$193.73$368.632.4×
aspirus15$116.61$177.45$490.614.2×
network health plan44$119.27$210.14$210.141.8×
alliance33$354.71$354.71$354.711.0×
First Health33$399.6$407.54$455.41.1×
healthpartners [900713]33$247.5$368.63$484.612.0×
ma wisconsin replacement [950271]33$89.05$497$5065.7×
medica [900156]33$224.55$224.55$405.061.8×
prevea 36013$119.27$430.95$1,191.4810.0×
security health plan23$119.27$152.1$420.523.5×
Molina12$119.27$124.04$128.811.1×
cchp22$251.34$251.34$251.341.0×
centivo nw322$300.69$300.69$300.691.0×
centivo nw122$300.69$300.69$300.691.0×
mercy care12$177.45$334.03$490.612.8×
Cigna12$141.96$267.23$392.492.8×
community care incorporated11$119.27$119.27$119.271.0×
illinicare11$119.27$119.27$119.271.0×
icare11$119.27$119.27$119.271.0×
allwell11$121.65$121.65$121.651.0×
medical associates health plan11$256.43$256.43$256.431.0×
meridiancare11$125.23$125.23$125.231.0×
health partners11$119.27$119.27$119.271.0×
health partners open network11$227.51$227.51$227.511.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WHEATON FRANCISCAN - FRANKLINFRANKLINWI1$365.38$365.38$365.38
ASCENSION SE WISCONSIN HOSPITAL INCMILWAUKEEWI1$365.38$365.38$365.38
WFHC - ELMBROOK MEMORIALBROOKFIELDWI1$365.38$365.38$365.38
ASCENSION WISCONSIN EMERUS MENOMONEEMENOMONEE FALLSWI1$365.38$365.38$365.38
MOSHFRANKLINWI1$365.38$365.38$365.38
ALL SAINTS - ST. LUKE S HOSPITALRACINEWI1$365.38$365.38$365.38
WHEATON FRANCISCAN HEALTHCARE - ALLRACINEWI1$365.38$365.38$365.38
ASCENSION SACRED HEART REHABILITATIOMILWAUKEEWI4$210.14$328.63$354.71
ASCENSION COLUMBIA ST MARYS OZAUKEEMEQUONWI4$210.14$328.63$354.71
ASCENSION COLUMBIA ST MARYS MILWAUKEMILWAUKEEWI4$210.14$328.63$354.71
WESTFIELDS HOSPITALNEW RICHMONDWI8$497$261.42$143.08$290.15$497
MERITER HOSPITAL INC.MADISONWI13$1,401.74$1,121.4$116.61$241.97$1,331.65
HUDSON HOSPITALHUDSONWI8$506$228.26$95.1$205.38$506
MERCY MEDICAL CENTEROSHKOSHWI4$137.23$137.23$300.69
ASCENSION NE WISCONSIN-ST. ELIZABETHAPPLETONWI4$487$277.59$137.23$137.23$300.69
AMERY REGIONAL MEDICAL CENTERAMERYWI8$444$231.5$89.05$129.27$399.6
HOLY FAMILY MEMORIAL INCMANITOWOCWI10$119.27$119.27$128.81

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.