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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in WI

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Hospitals
36
Min
$665.57
Median
$2,264.00
Max
$3,800.00
Range multiplier
5.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS30117$194.23$2,614.00$7,179.0037.0×
UnitedHealthcare32115$194.23$2,000.00$6,427.0033.1×
Cigna1847$116.20$2,200.00$4,018.5034.6×
Aetna1543$1,528.10$2,643.20$142,10393.0×
Medicare1438$232.11$818.19$1,114.894.8×
health eos plus1224$1,110.00$1,698.00$2,850.002.6×
healthpartners1224$1,387.50$2,122.50$3,562.502.6×
health eos1224$1,480.00$2,264.00$3,800.002.6×
VA Health1122$810.05$818.19$856.261.1×
Blue Cross Blue Shield422$174.43$729.40$6,243.0035.8×
Humana617$203.94$665.57$3,760.2518.4×
First Health817$739.80$2,664.75$4,056.005.5×
aspirus215$95.45$813.89$3,258.6434.1×
smart health714$1,145.47$1,145.47$1,198.761.0×
network health plan1014$342.91$1,661.01$4,111.0012.0×
health payment systems1213$1,574.19$6,176.00$6,176.003.9×
Molina613$801.41$1,701.11$3,591.254.5×
Multiplan512$1,693.28$2,802.38$4,013.752.4×
security health plan511$124.50$1,544.42$2,940.0023.6×
Medicaid210$249.84$1,012.09$2,153.008.6×
wps health plan410$1,414.17$1,674.68$2,719.501.9×
health partners510$801.41$1,912.68$4,013.755.0×
froedtert health39$1,302.53$1,581.64$2,384.251.8×
quartz health insurance39$1,581.64$1,581.64$2,384.251.5×
cchp99$508.58$4,522.00$4,522.008.9×
group health cooperative of eau claire48$851.37$2,854.25$4,013.754.7×
medica [900156]38$364.28$2,015.61$2,974.008.2×
wps77$730.62$730.62$730.621.0×
prevea 36017$194.23$813.89$4,616.4123.8×
network health77$4,295.00$4,295.00$4,295.001.0×
dean health plan47$1,488.60$1,488.60$2,244.001.5×
trilogy26$2,425.50$3,802.50$3,802.501.6×
common ground healthcare cooperative36$1,395.56$1,581.64$2,384.251.7×
trilogy health solutions36$1,395.56$1,581.64$2,384.251.7×
alliance55$3,972.00$3,972.00$3,992.001.0×
centivo45$1,451.39$1,543.50$2,187.901.5×
security health plan (shp)15$803.18$2,196.16$2,440.363.0×
mercy care15$145.25$362.25$1,803.1212.4×
ma wisconsin replacement [950271]25$822.00$2,539.00$3,106.003.8×
WellCare24$850.55$850.55$850.551.0×
medical college of wisconsin44$1,212.75$1,302.53$1,963.501.6×
healthsmart34$1,674.68$2,362.47$3,050.251.8×
smarthealth24$1,134.07$1,134.07$1,134.071.0×
aspirus health plan33$1,395.56$1,395.56$2,103.751.5×
advocate aurora healthcare33$1,432.78$1,432.78$2,159.851.5×
bellin thedacare33$1,674.68$1,674.68$2,524.501.5×
employer health care alliance cooperative33$1,460.69$1,460.69$2,201.931.5×
group health cooperative of south central wisconsin33$1,674.68$1,674.68$2,524.501.5×
healthpartners [900713]33$1,555.50$2,091.10$2,403.031.5×
oan llc33$1,488.60$1,488.60$2,244.001.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hudson HospitalHudsonWI8$3,106.00$1,401.12$174.43$945.02$6,243.00
Ascension Columbia St Marys OzaukeeMequonWI8$8,469.00$4,488.57$342.91$820.26$6,109.00
Ascension Columbia St Marys MilwaukeMilwaukeeWI8$8,469.00$4,488.57$342.91$820.26$6,109.00
Meriter Hospital Inc.MadisonWI14$5,431.07$4,344.86$95.45$813.89$5,159.52
Mercy Medical CenterOshkoshWI13$2,432.00$1,386.24$222.55$810.05$4,444.00
Ascension Ne Wisconsin-St. ElizabethAppletonWI13$2,432.00$1,386.24$222.55$810.05$4,444.00
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$342.91$665.57$6,109.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI7$4,750.00$2,375.00$1,985.00$3,800.00$4,037.50
MoshFranklinWI9$730.62$3,464.00$7,179.00
West Allis Memorial HospitalWest AllisWI7$4,170.00$2,085.00$1,985.00$3,336.00$142,103
Beaver Dam Community HospitalsBeaver DamWI20$4,225.00$4,013.75$530.00$3,126.50$4,056.00
Aurora Medical Center - HartfordHartfordWI7$3,810.00$1,905.00$1,985.00$3,048.00$3,899.00
Aurora Medical Center - SummitSummitWI7$3,410.00$1,705.00$1,985.00$2,728.00$3,899.00
Holy Family Memorial IncManitowocWI25$3,675.00$2,021.25$801.41$2,646.00$6,427.00
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI9$2,614.00$1,385.42$730.62$2,623.50$7,179.00
All Saints - St. Luke S HospitalRacineWI9$2,614.00$1,385.42$730.62$2,623.50$7,179.00
Wheaton Franciscan Healthcare - AllRacineWI9$2,614.00$1,385.42$730.62$2,623.50$7,179.00
Ascension Se Wisconsin Hospital IncMilwaukeeWI9$2,614.00$1,385.42$730.62$2,623.50$7,179.00
Wfhc - Elmbrook MemorialBrookfieldWI9$2,614.00$1,385.42$730.62$2,623.50$7,179.00
Wheaton Franciscan - FranklinFranklinWI9$2,614.00$1,385.42$730.62$2,623.50$7,179.00
Sheboygan Memorial HospitalSheboyganWI7$3,200.00$1,600.00$1,920.00$2,560.00$3,899.00
Childrens WisconsinMilwaukeeWI29$2,805.00$1,542.75$1,963.50$2,384.25$5,870.00
Memorial Hospital Of BurlingtonBurlingtonWI7$2,830.00$1,415.00$1,698.00$2,264.00$3,899.00
Aurora Lakeland Medical CenterElkhornWI7$2,830.00$1,415.00$1,698.00$2,264.00$3,899.00
Aurora Medical Center KenoshaKenoshaWI7$2,830.00$1,415.00$1,698.00$2,264.00$3,899.00
Aurora Medical Center - Bay AreaMarinetteWI7$2,810.00$1,405.00$1,686.00$2,200.00$3,899.00
Aurora Health Care Metro Inc.MilwaukeeWI7$1,890.00$945.00$1,134.00$1,595.16$3,899.00
Aurora Medical Center GraftonGraftonWI7$1,890.00$945.00$1,134.00$1,595.16$3,899.00
Childrens Hospital Of Wi-Fox ValleyNeenahWI30$1,860.75$1,023.41$1,302.53$1,581.64$5,870.00
Ssh - Fox ValleyOshkoshWI30$1,860.75$1,023.41$1,302.53$1,581.64$5,870.00
Aurora Medical Center Of OshkoshOshkoshWI7$1,850.00$925.00$1,110.00$1,561.40$3,899.00
Amery Regional Medical CenterAmeryWI6$2,977.00$1,552.21$232.11$1,042.20$2,886.50
Westfields HospitalNew RichmondWI8$2,539.00$1,335.51$232.11$1,024.74$2,539.00
River Falls Area HospitalRiver FallsWI0$2,853.60$1,598.02
Uw Health Rehabilitation HospitalMadisonWI0$4,556.00$2,733.60
University Of Wi Hospitals & ClinicsMadisonWI0$4,556.00$2,733.60

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.