Wausau, WI, 54401
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
Explore this hospital across cost reports, quality ratings, and non-profit filings.
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 | 4 | — | — | $10,109 | $26,150 | 2.0× | $31,409 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 7 | — | — | $8,195.76 | $14,152 | 0.70× | $44,828 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | — | — | $6,346.86 | $18,238 | 1.7× | $78,002 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | — | — | $2,558.76 | $5,209.98 | 0.68× | $23,733 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 7 | — | — | $8,160.39 | $12,177 | 0.79× | $30,900 |
| COPD w MCC | MS-DRG | 190 | 5 | — | — | $6,097.43 | $8,142.57 | 0.73× | $12,757 |
| COPD w CC | MS-DRG | 191 | 5 | — | — | $5,055.07 | $6,378.55 | 0.72× | $17,934 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | — | — | $3,741.27 | $6,956.11 | 0.99× | $15,133 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $4,482.14 | $6,248.44 | 0.74× | $24,368 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | — | — | $1,886.26 | $4,770.4 | 0.71× | $11,593 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $3,638.38 | $11,272 | 0.72× | $77,173 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $3,953.28 | $6,963.2 | 0.72× | $26,947 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 7 | — | — | $4,876.7 | $5,563.87 | 0.71× | $31,622 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $7,864.84 | $9,438.66 | 0.74× | $54,224 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | — | — | $6,238.17 | $6,679.5 | 0.75× | $24,287 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $4,475.39 | $9,221.72 | 0.76× | $83,862 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | — | — | $2,482.24 | $5,641.08 | 0.73× | $44,418 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | — | — | $2,794.08 | $4,303.68 | 0.69× | $11,682 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $5,998.54 | $7,382.66 | 0.74× | $32,943 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | — | — | $2,103.52 | $4,037.03 | 0.59× | $41,287 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $4,272.6 | $7,174.29 | 0.89× | $22,388 |
| Kidney/UTI w MCC | MS-DRG | 689 | 4 | — | — | $4,433.14 | $8,540.37 | 0.74× | $19,615 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $3,667.52 | $6,201.26 | 0.75× | $17,045 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $10,862 | $14,301 | 0.77× | $39,762 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $3,197.79 | $7,823.53 | 0.75× | $20,148 |
| maternity | |||||||||
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 4 | — | — | $3,811.33 | $5,264.2 | 5.6× | $6,740.6 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $4,093.04 | $5,976.26 | 0.22× | $7,859.48 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $3,299.7 | $3,835.84 | 0.21× | $4,371.98 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 7 | — | — | $24,562 | $35,067 | 0.81× | $68,121 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | — | — | $15,716 | $17,323 | 0.75× | $49,025 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $6,722.57 | $26,707 | 1.6× | $62,392 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 7 | — | — | $9,587 | $21,788 | 1.3× | $34,308 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $5,529.26 | $19,442 | 1.4× | $28,727 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 4 | — | — | $3,587.08 | $3,939.06 | 0.12× | $4,017.84 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $44,584 | $97,931 | 2.0× | $116,293 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 10 | — | — | $25,516 | $51,981 | 1.5× | $81,021 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $4,403.05 | $13,898 | 0.47× | $23,897 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | — | — | $11,990 | $13,615 | 0.72× | $67,557 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 4 | — | — | $15,117 | $21,284 | 0.76× | $59,599 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 7 | — | — | $13,332 | $15,260 | 0.75× | $56,734 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 4 | — | — | $10,809 | $11,527 | 0.72× | $33,553 |
| OR procedure for obesity w CC | MS-DRG | 620 | 2 | — | — | $11,466 | $22,601 | 1.4× | $33,735 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $6,369.34 | $13,758 | 0.91× | $30,748 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $8,044.7 | $21,591 | 1.8× | $51,886 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 3 | — | — | $12,738 | $13,978 | 0.73× | $35,379 |
| Payer | Codes covered | Median rate |
|---|---|---|
| security health plan of wisconsin, inc. | 43 | $11,290 |
| UnitedHealthcare | 43 | $12,250 |
| Anthem BCBS | 39 | $14,050 |
| Humana | 36 | $8,834.12 |
| aspirus health plan, inc. | 32 | $14,180 |
| managed health services insurance corp. | 14 | $8,773.57 |
| the alliance (f/k/a employer health care alliance cooperative) | 14 | $26,215 |
| group health cooperative of eau claire | 12 | $7,268.11 |
| Aetna | 11 | $9,419.62 |
| Cigna | 10 | $31,447 |
| Multiplan | 8 | $20,148 |
| health partners | 4 | $31,340 |
| forest county potowatomi | 2 | $10,248 |
| First Health | 2 | $14,754 |
| bone & joint clinic, sc | 2 | $19,472 |
| wps health plan | 2 | $47,841 |
