Negotiated rates published by hospitals for aca across 1 states. Data sourced from federally-mandated machine-readable files.
By number of hospitals reporting rates for this payer.
| Procedure | Type | Code | Hospitals | Avg rate |
|---|---|---|---|---|
| Total hip replacement | CPT | 27130 | 4 | $18,000 |
| Total knee replacement | CPT | 27447 | 4 | $18,000 |
| ED visit level 1 | CPT | 99281 | 4 | $180 |
| ED visit level 2 | CPT | 99282 | 4 | $320 |
| ED visit level 3 | CPT | 99283 | 4 | $760 |
| ED visit level 4 | CPT | 99284 | 4 | $1,442 |
| ED visit level 5 | CPT | 99285 | 4 | $1,957 |
| Critical care, first hour | CPT | 99291 | 4 | $1,957 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | $18,000 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | $18,000 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | $18,000 |
| Psychoses | MS-DRG | 885 | 4 | $9,162 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 4 | $5,500 |
Lowest average negotiated rate across all procedures at this payer.
| Hospital | City | ST | Avg neg. rate |
|---|---|---|---|
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | — | — | $8,559.85 |
| Mercy Medical Center | Oshkosh | WI | $8,559.85 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | — | — | $8,559.85 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | $8,559.85 |
