▸ Hospital · WI · CCN 520041
Aspirus Divine Savior Hospital
2817 NEW PINERY ROAD, PORTAGE, WI, 53901-
42 bedsAcute Care Hospitals1
Compliance grade
C
77/100
Procedures tracked
32
of 209 target codes
Payers
13
with negotiated rates
Rates published
187
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 2 | — | — | $14,558 | $17,548 | $32,300 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | — | — | $7,090.52 | $7,913.16 | $9,445.71 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 3 | — | — | $5,609.63 | $6,468.07 | $6,848.09 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | — | — | $11,390 | $13,420 | $29,409 |
| COPD w MCC | MS-DRG | 190 | 2 | — | — | $2,595.68 | $8,370.26 | $10,391 |
| COPD w CC | MS-DRG | 191 | 1 | — | — | $8,209.64 | $8,209.64 | $8,209.64 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | — | — | $5,094.1 | $5,432.42 | $6,355.52 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | — | — | $5,348.56 | $6,927.56 | $10,413 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | — | — | $1,025.77 | $6,305.51 | $14,445 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | — | $7,319.65 | $7,319.65 | $7,319.65 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | — | — | $2,230.26 | $7,106.26 | $8,378.91 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $1,041.77 | $10,035 | $21,201 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | — | — | $5,898.1 | $5,898.1 | $5,898.1 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | — | — | $1,744.88 | $6,058.72 | $7,611.54 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | — | — | $4,772.39 | $5,582.41 | $10,575 |
| GI hemorrhage w CC | MS-DRG | 378 | 3 | — | — | $7,930.65 | $9,063.79 | $18,648 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | — | $5,494.55 | $5,494.55 | $5,494.55 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | — | — | $4,735.62 | $9,376.52 | $17,903 |
| Kidney/UTI w MCC | MS-DRG | 689 | 3 | — | — | $1,369.24 | $2,294.27 | $8,437.64 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 3 | — | — | $1,646.36 | $5,870.01 | $12,235 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 7 | — | — | $8,890.12 | $17,327 | $39,096 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $4,739.92 | $11,453 | $50,423 |
| maternity | ||||||||
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 3 | — | — | $2,332.41 | $3,662.66 | $5,568.1 |
| surgery | ||||||||
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | — | — | $16,650 | $17,996 | $44,674 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | — | $38,852 | $38,852 | $38,852 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | — | $12,722 | $12,722 | $12,722 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | — | $20,851 | $20,851 | $20,851 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 2 | — | — | $16,252 | $23,637 | $24,985 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | — | — | $24,691 | $24,691 | $24,691 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 3 | — | — | $13,001 | $16,910 | $18,184 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 3 | — | — | $11,024 | $13,689 | $13,881 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | — | $22,397 | $22,397 | $22,397 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 23 | $8,070.15 |
| Humana | 16 | $8,644.76 |
| Anthem BCBS | 14 | $10,982 |
| quartz health solutions, inc. | 8 | $13,006 |
| dean health plan | 8 | $12,235 |
| managed health services insurance corp. | 5 | $9,723.61 |
| Multiplan | 5 | $14,997 |
| security health plan of wisconsin, inc. | 4 | $12,380 |
| Aetna | 3 | $8,947.45 |
| group health cooperative of eau claire | 2 | $6,973.51 |
| aspirus health plan, inc. | 1 | $19,945 |
| group health cooperative of south central wisconsin | 1 | $4,735.62 |
| the alliance (f/k/a employer health care alliance cooperative) | 1 | $8,588.43 |