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ED visit level 3

CPT 99283 · negotiated-rate distribution across hospitals in WI

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Hospitals
36
Min
$138.55
Median
$930.60
Max
$1,128.00
Range multiplier
8.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS27174$23.29$935.00$4,183.00179.6×
UnitedHealthcare32149$64.30$1,582.96$2,180.0033.9×
Cigna1886$16.50$930.60$2,200.00133.3×
healthpartners1286$315.00$930.00$1,410.004.5×
Aetna1581$292.38$836.00$46,696159.7×
health eos1262$336.00$880.00$1,504.004.5×
health eos plus1262$252.00$660.00$1,128.004.5×
wisconsin physician service1236$1,048.00$1,103.00$1,103.001.1×
common ground1236$1,029.00$1,029.00$1,029.001.0×
Medicare1434$76.51$268.87$326.564.3×
health payment systems2425$281.08$1,300.00$1,810.006.4×
Molina1825$263.35$821.95$1,167.004.4×
VA Health1122$266.19$268.87$281.381.1×
aspirus220$12.65$90.09$978.1177.3×
Blue Cross Blue Shield418$31.75$177.71$2,158.0068.0×
trilogy1418$726.00$1,579.00$1,579.002.2×
Humana617$67.52$154.84$860.6312.7×
centivo1617$259.16$1,093.00$1,093.004.2×
First Health815$232.20$792.30$968.004.2×
smart health714$376.42$376.42$393.931.0×
network health plan1014$114.58$428.87$1,237.0010.8×
security health plan513$17.05$275.77$880.0051.6×
aurora caregiver1212$1,000.00$1,000.00$1,000.001.0×
quartz one1212$1,110.00$1,110.00$1,110.001.0×
quartz group1212$1,300.00$1,300.00$1,300.001.0×
everpointe elite1212$1,082.00$1,082.00$1,082.001.0×
Multiplan512$302.35$836.15$918.653.0×
hs technology1212$1,238.00$1,238.00$1,238.001.0×
health partners510$259.16$471.45$918.653.5×
wps health plan410$252.51$299.03$814.003.2×
quartz health insurance39$282.41$282.41$708.902.5×
cchp99$112.12$1,555.00$1,555.0013.9×
froedtert health39$232.58$282.41$708.903.0×
sehn99$1,104.62$1,104.62$1,537.001.4×
prevea 36019$46.75$209.10$1,385.6529.6×
group health cooperative of eau claire48$265.80$730.07$918.653.5×
Medicaid28$82.36$302.18$707.498.6×
mercy care17$18.26$86.10$541.2229.6×
wps77$165.41$165.41$165.411.0×
network health77$1,075.00$1,075.00$1,075.001.0×
dean health plan47$265.80$265.80$667.202.5×
common ground healthcare cooperative36$249.19$282.41$708.902.8×
medica [900156]36$120.08$386.09$1,526.0012.7×
trilogy health solutions36$249.19$282.41$708.902.8×
security health plan (shp)15$263.93$502.65$558.542.1×
alliance55$160.58$160.58$1,139.007.1×
WellCare24$279.50$279.50$279.501.0×
medical college of wisconsin44$232.58$297.79$583.802.5×
smarthealth24$372.67$372.67$372.671.0×
quartz24$17.16$386.28$1,540.3789.8×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Aurora Medical Center GraftonGraftonWI18$1,100.00$550.00$393.00$930.60$2,200.00
Aurora Health Care Metro Inc.MilwaukeeWI18$1,100.00$550.00$393.00$930.60$2,200.00
MoshFranklinWI10$165.41$906.00$2,011.00
Beaver Dam Community HospitalsBeaver DamWI20$967.00$918.65$263.93$792.94$1,540.37
Holy Family Memorial IncManitowocWI25$1,100.00$605.00$263.35$792.00$4,183.00
Aurora Medical Center - Bay AreaMarinetteWI18$870.00$435.00$381.00$735.01$2,200.00
Childrens WisconsinMilwaukeeWI29$834.00$458.70$583.80$708.90$1,905.00
Westfields HospitalNew RichmondWI8$763.00$401.34$76.51$315.12$763.00
Hudson HospitalHudsonWI8$881.00$397.42$76.51$300.07$1,784.00
Ssh - Fox ValleyOshkoshWI30$332.25$182.74$232.58$282.41$1,905.00
Childrens Hospital Of Wi-Fox ValleyNeenahWI30$332.25$182.74$232.58$282.41$1,905.00
Ascension Ne Wisconsin-St. ElizabethAppletonWI14$1,386.00$790.02$73.88$272.85$1,537.00
Mercy Medical CenterOshkoshWI14$1,386.00$790.02$73.88$272.85$1,537.00
Ascension Columbia St Marys OzaukeeMequonWI7$1,952.00$1,034.56$114.58$215.07$593.01
Ascension Columbia St Marys MilwaukeMilwaukeeWI7$1,952.00$1,034.56$114.58$215.07$593.01
Amery Regional Medical CenterAmeryWI6$548.00$285.73$76.51$203.31$789.65
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$114.58$154.84$160.58
Meriter Hospital Inc.MadisonWI14$1,630.18$1,304.15$12.65$138.55$2,158.00
Aurora Medical Center - HartfordHartfordWI18$1,880.00$940.00$501.00$1,128.00$2,200.00
Memorial Hospital Of BurlingtonBurlingtonWI18$1,880.00$940.00$483.00$1,128.00$2,200.00
Wheaton Franciscan - FranklinFranklinWI10$1,952.00$1,034.56$165.41$1,075.00$2,011.00
Ascension Se Wisconsin Hospital IncMilwaukeeWI10$1,952.00$1,034.56$165.41$1,075.00$2,011.00
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI10$1,952.00$1,034.56$165.41$1,075.00$2,011.00
All Saints - St. Luke S HospitalRacineWI10$1,952.00$1,034.56$165.41$1,075.00$2,011.00
Wfhc - Elmbrook MemorialBrookfieldWI10$1,952.00$1,034.56$165.41$1,075.00$2,011.00
Wheaton Franciscan Healthcare - AllRacineWI10$1,952.00$1,034.56$165.41$1,075.00$2,011.00
West Allis Memorial HospitalWest AllisWI18$1,880.00$940.00$732.00$1,054.00$46,696
Sheboygan Memorial HospitalSheboyganWI18$1,880.00$940.00$420.00$1,037.00$2,200.00
Aurora Medical Center - SummitSummitWI18$1,880.00$940.00$552.00$1,029.00$2,200.00
Aurora Medical Center KenoshaKenoshaWI18$1,880.00$940.00$483.00$1,029.00$2,200.00
Aurora Medical Center Of OshkoshOshkoshWI18$1,880.00$940.00$264.00$1,029.00$2,200.00
Aurora Lakeland Medical CenterElkhornWI18$1,880.00$940.00$483.00$1,029.00$2,200.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$1,880.00$940.00$252.00$1,029.00$2,200.00
Uw Health Rehabilitation HospitalMadisonWI0$1,698.00$1,018.80
University Of Wi Hospitals & ClinicsMadisonWI0$1,698.00$1,018.80
River Falls Area HospitalRiver FallsWI0$801.80$449.01

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.