Stevens Point, WI, 54481
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $2,889.76 | $7,009.49 | 0.55× | $18,195 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | — | — | $7,337.52 | $13,385 | 0.66× | $42,558 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | — | — | $7,982.06 | $8,383.73 | 0.78× | $32,238 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 5 | — | — | $5,226.66 | $5,902.84 | 0.77× | $12,922 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | — | — | $10,817 | $12,839 | 0.83× | $32,062 |
| COPD w MCC | MS-DRG | 190 | 3 | — | — | $2,270.88 | $7,798.04 | 0.69× | $13,212 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | — | $5,646.42 | $5,646.42 | 0.81× | $5,646.42 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $4,645.38 | $6,647.99 | 0.78× | $12,596 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | — | — | $3,303.68 | $4,410.45 | 0.66× | $5,517.22 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | — | — | $6,534.94 | $10,343 | 0.66× | $29,985 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $6,572.59 | $10,235 | 1.1× | $40,539 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | — | — | $3,705.52 | $4,676.5 | 0.60× | $6,277.45 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | — | — | $8,472.7 | $10,028 | 0.78× | $29,792 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | — | — | $6,719.94 | $7,242.25 | 0.81× | $7,245.15 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | — | — | $9,367.69 | $10,235 | 0.85× | $20,499 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | — | — | $5,102.49 | $6,420.29 | 0.83× | $16,135 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | — | — | $5,026.05 | $6,301.95 | 1.0× | $17,627 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | — | — | $7,979.48 | $12,482 | 1.2× | $22,299 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $3,835.3 | $5,524.67 | 0.69× | $18,533 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $2,658.68 | $9,057.81 | 0.78× | $53,919 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | — | — | $5,145.32 | $6,701.69 | 0.81× | $8,661.31 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $9,696.62 | $14,865 | 0.80× | $74,662 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $6,157.9 | $8,383.86 | 0.81× | $19,465 |
| maternity | |||||||||
| Vaginal delivery w complicating dx | MS-DRG | 774 | 3 | — | — | $4,718.26 | $5,133.1 | 55.8× | $5,235.76 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 5 | — | — | $3,654.86 | $6,578.75 | 7.0× | $6,710.33 |
| surgery | |||||||||
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $3,678.37 | $3,678.37 | 0.20× | $3,678.37 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 4 | — | — | $26,531 | $32,408 | 0.75× | $33,033 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | — | — | $16,013 | $44,674 | 1.9× | $61,997 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | — | — | $12,708 | $12,962 | 0.79× | $31,601 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 4 | — | — | $12,509 | $17,316 | 1.1× | $28,747 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 2 | — | — | $18,824 | $31,290 | 2.3× | $43,756 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | — | — | $1,757.13 | $3,777.35 | 0.12× | $3,966.22 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 4 | — | — | $24,891 | $26,572 | 0.79× | $87,260 |
| Major joint replacement w MCC | MS-DRG | 469 | 2 | — | — | $3,118.55 | $3,670.42 | 0.12× | $4,222.29 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | — | — | $14,424 | $14,424 | 0.76× | $14,424 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 4 | — | — | $20,905 | $21,377 | 0.76× | $21,847 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $15,223 | $15,616 | 0.77× | $66,202 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 3 | — | — | $10,758 | $11,824 | 0.74× | $12,361 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | — | $29,390 | $29,390 | 2.4× | $29,390 |
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 34 | $9,475.12 |
| security health plan of wisconsin, inc. | 32 | $8,181.92 |
| Anthem BCBS | 28 | $12,539 |
| Humana | 21 | $8,724.31 |
| aspirus health plan, inc. | 14 | $25,734 |
| managed health services insurance corp. | 10 | $6,575.82 |
| group health cooperative of eau claire | 7 | $6,543 |
| the alliance (f/k/a employer health care alliance cooperative) | 4 | $35,329 |
| Aetna | 3 | $15,701 |
| First Health | 3 | $12,575 |
| Cigna | 3 | $14,688 |
| forest county potowatomi | 2 | $12,441 |
| Multiplan | 2 | $3,840.47 |
