Negotiated rates published by hospitals for healthsmart payers organization across 1 states. Data sourced from federally-mandated machine-readable files.
States with hospitals publishing rates for healthsmart payers organization.
| State | Hospitals | Avg rate |
|---|---|---|
| WI | 3 | $401.07 |
By number of hospitals reporting rates for this payer.
| Procedure | Type | Code | Hospitals | Avg rate |
|---|---|---|---|---|
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 5 | $348.3 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 5 | $468 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 5 | $441 |
| Office visit, new patient, 15-29 min | CPT | 99202 | 5 | $360 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 5 | $660.6 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 5 | $873 |
| Office visit, established patient, 5 min | CPT | 99211 | 5 | $194.4 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 5 | $276.3 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 5 | $675.9 |
| ED visit level 1 | CPT | 99281 | 5 | $76.5 |
| Urinalysis non-automated | CPT | 81002 | 5 | $37.8 |
Lowest average negotiated rate across all procedures at this payer.
| Hospital | City | ST | Avg neg. rate |
|---|---|---|---|
| Children's Hospital of Wisconsin - Milwaukee | — | — | $401.07 |
| Ssh - Fox Valley | Oshkosh | WI | $401.07 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | $401.07 |
| Childrens Wisconsin | Milwaukee | WI | $401.07 |
| Childrens Hospital Of Wisconsin | — | — | $401.07 |
