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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in WI

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Hospitals
36
Min
$199.47
Median
$1,326.00
Max
$2,180.00
Range multiplier
10.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS27156$23.29$1,497.04$5,506.00236.4×
UnitedHealthcare32131$109.38$1,717.68$4,005.0036.6×
Cigna1870$16.50$1,130.12$2,200.00133.3×
healthpartners1268$408.75$1,248.75$2,642.006.5×
Aetna1563$450.17$1,239.00$71,812159.5×
health eos1244$436.00$976.00$1,632.003.7×
health eos plus1244$327.00$732.00$1,224.003.7×
wisconsin physician service1236$2,883.00$3,035.00$3,035.001.1×
common ground1236$2,543.00$2,543.00$2,543.001.0×
Medicare1434$130.06$413.48$528.584.1×
health payment systems2426$478.20$3,400.00$3,979.008.3×
Molina1825$405.00$1,284.35$2,344.005.8×
VA Health1122$409.37$413.48$432.721.1×
aspirus222$12.65$160.66$1,556.99123.1×
trilogy1420$721.38$3,627.00$3,627.005.0×
centivo1619$440.90$2,513.00$2,513.005.7×
Blue Cross Blue Shield418$31.75$313.69$4,234.00133.4×
Humana617$114.85$282.67$1,344.7911.7×
First Health817$438.30$1,017.90$1,584.003.6×
security health plan515$17.05$469.16$1,440.0084.5×
smart health714$578.87$578.87$605.811.0×
Multiplan514$514.38$1,296.89$1,440.002.8×
network health plan1014$193.92$699.39$2,685.0013.8×
everpointe elite1212$2,409.00$2,409.00$2,409.001.0×
quartz one1212$2,340.00$2,920.00$2,920.001.2×
quartz group1212$2,740.00$3,420.00$3,420.001.2×
hs technology1212$2,701.00$2,701.00$2,701.001.0×
aurora caregiver1212$2,400.00$2,400.00$2,400.001.0×
health partners511$405.00$710.45$1,435.453.5×
wps health plan411$429.59$508.73$1,332.003.1×
froedtert health39$395.68$480.46$1,185.333.0×
prevea 36019$46.75$283.05$2,205.7347.2×
quartz health insurance39$480.46$480.46$1,185.332.5×
cchp99$2,793.00$2,877.00$2,877.001.0×
sehn99$2,890.00$3,030.44$3,030.441.0×
group health cooperative of eau claire48$430.24$1,177.31$1,435.453.3×
dean health plan48$452.20$499.35$1,115.602.5×
Medicaid28$140.00$478.69$1,088.037.8×
wps77$313.78$313.78$313.781.0×
network health77$2,147.00$2,147.00$2,147.001.0×
mercy care17$18.26$116.55$861.5347.2×
common ground healthcare cooperative36$423.94$480.46$1,185.332.8×
healthsmart36$508.73$907.19$1,494.002.9×
medica [900156]36$204.13$755.51$2,861.0014.0×
trilogy health solutions36$423.94$480.46$1,185.332.8×
security health plan (shp)15$405.89$785.42$872.752.2×
alliance55$304.62$304.62$2,567.008.4×
medical college of wisconsin45$360.69$395.68$976.152.7×
sheboygan employers health network14$655.80$867.90$1,080.001.6×
quartz24$17.16$607.76$2,297.62133.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Holy Family Memorial IncManitowocWI25$1,800.00$990.00$360.69$874.40$5,506.00
Westfields HospitalNew RichmondWI8$1,235.00$649.61$130.06$518.70$1,235.00
Childrens Hospital Of Wi-Fox ValleyNeenahWI30$565.25$310.89$395.68$480.46$4,005.00
Ssh - Fox ValleyOshkoshWI30$565.25$310.89$395.68$480.46$4,005.00
Hudson HospitalHudsonWI8$1,365.00$615.75$119.26$458.64$4,234.00
Ascension Ne Wisconsin-St. ElizabethAppletonWI14$2,197.00$1,252.29$125.71$429.84$2,890.00
Mercy Medical CenterOshkoshWI14$2,197.00$1,252.29$125.71$429.84$2,890.00
Amery Regional Medical CenterAmeryWI6$1,131.00$589.70$130.06$419.60$1,214.38
Ascension Columbia St Marys MilwaukeMilwaukeeWI7$3,300.00$1,749.00$193.92$359.58$911.97
Ascension Columbia St Marys OzaukeeMequonWI7$3,300.00$1,749.00$193.92$359.58$911.97
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$193.92$282.67$304.62
Memorial Hospital Of BurlingtonBurlingtonWI18$1,190.00$595.00$714.00$2,180.00$3,627.00
Aurora Medical Center - HartfordHartfordWI18$1,760.00$880.00$1,056.00$2,180.00$3,627.00
Ascension Se Wisconsin Hospital IncMilwaukeeWI10$3,334.00$1,767.02$313.78$2,147.00$4,880.00
Wfhc - Elmbrook MemorialBrookfieldWI10$3,334.00$1,767.02$313.78$2,147.00$4,880.00
Wheaton Franciscan - FranklinFranklinWI10$3,334.00$1,767.02$313.78$2,147.00$4,880.00
Wheaton Franciscan Healthcare - AllRacineWI10$3,334.00$1,767.02$313.78$2,147.00$4,880.00
All Saints - St. Luke S HospitalRacineWI10$3,334.00$1,767.02$313.78$2,147.00$4,880.00
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI10$3,334.00$1,767.02$313.78$2,147.00$4,880.00
Meriter Hospital Inc.MadisonWI14$2,594.98$2,075.99$12.65$199.47$3,880.00
MoshFranklinWI10$313.78$1,968.50$4,880.00
West Allis Memorial HospitalWest AllisWI18$2,040.00$1,020.00$810.00$1,734.00$71,812
Aurora Medical Center - Bay AreaMarinetteWI18$1,500.00$750.00$456.00$1,609.50$3,627.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$1,860.00$930.00$327.00$1,581.00$3,627.00
Sheboygan Memorial HospitalSheboyganWI18$1,810.00$905.00$498.00$1,538.50$3,627.00
Aurora Medical Center Of OshkoshOshkoshWI18$1,720.00$860.00$339.00$1,462.00$3,627.00
Aurora Health Care Metro Inc.MilwaukeeWI18$1,610.00$805.00$471.00$1,368.50$3,627.00
Aurora Medical Center GraftonGraftonWI18$1,610.00$805.00$471.00$1,368.50$3,627.00
Aurora Medical Center - SummitSummitWI18$1,560.00$780.00$630.00$1,326.00$3,627.00
Beaver Dam Community HospitalsBeaver DamWI20$1,511.00$1,435.45$405.89$1,193.69$2,297.62
Childrens WisconsinMilwaukeeWI29$1,394.50$766.98$976.15$1,185.33$4,005.00
Aurora Lakeland Medical CenterElkhornWI18$1,220.00$610.00$714.00$1,037.00$3,627.00
Aurora Medical Center KenoshaKenoshaWI18$1,220.00$610.00$714.00$1,037.00$3,627.00
Uw Health Rehabilitation HospitalMadisonWI0$2,373.00$1,423.80
River Falls Area HospitalRiver FallsWI0$1,315.80$736.85
University Of Wi Hospitals & ClinicsMadisonWI0$2,373.00$1,423.80

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.