▸ Payer

wisconsin physician service

Negotiated rates published by hospitals for wisconsin physician service across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

188

States

Rate rows

14,229

Median neg. rate

$2,226

Top procedures for wisconsin physician service

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	26	$10,950
Shoulder arthroscopy with decompression	CPT	29826	26	$2,189
Total hip replacement	CPT	27130	26	$22,539
Total knee replacement	CPT	27447	26	$22,539
Total shoulder arthroplasty	CPT	23472	26	$22,539
Hip hemiarthroplasty	CPT	27125	26	$22,539
Knee revision arthroplasty single component	CPT	27486	26	$22,539
Knee revision arthroplasty all components	CPT	27487	26	$22,539
Shoulder arthroscopy with rotator cuff repair	CPT	29827	26	$15,191
ACL reconstruction	CPT	29888	26	$15,191
Heart failure & shock w MCC	MS-DRG	291	26	$27,106
Heart failure & shock w CC	MS-DRG	292	26	$17,891
Heart failure & shock w/o CC/MCC	MS-DRG	293	26	$11,399
Cardiac arrhythmia w MCC	MS-DRG	308	26	$25,051
Cardiac arrhythmia w CC	MS-DRG	309	26	$15,358
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	26	$11,623
AMI discharged alive w MCC	MS-DRG	280	26	$34,098
AMI discharged alive w CC	MS-DRG	281	26	$19,149
AMI discharged alive w/o CC/MCC	MS-DRG	282	26	$15,063
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	26	$41,324
Intracranial hemorrhage/CVA w CC	MS-DRG	065	26	$21,125
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	26	$14,299
Simple pneumonia & pleurisy w CC	MS-DRG	194	26	$17,035
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	26	$12,936
Respiratory infections & inflammations w MCC	MS-DRG	177	26	$33,581
COPD w MCC	MS-DRG	190	26	$23,329
COPD w CC	MS-DRG	191	26	$17,847
COPD w/o CC/MCC	MS-DRG	192	26	$13,445
Major small/large bowel procedures w MCC	MS-DRG	329	26	$95,392
Major small/large bowel procedures w CC	MS-DRG	330	26	$49,104

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Aurora Medical Center - Bay Area	Marinette	WI	$10,903
Aurora Medical Center Sheboygan County	—	—	$10,929
Sheboygan Memorial Hospital	Sheboygan	WI	$10,929
Aurora Medical Center Grafton	—	—	$10,970
Aurora Medical Center Summit	—	—	$11,008
Aurora Medical Center - Summit	Summit	WI	$11,008
Aurora Baycare Medical Center	—	—	$11,010
Aurora Medical Center Grafton	Grafton	WI	$11,010
Aurora Health Care Metro Inc.	Milwaukee	WI	$11,010
Aurora Medical Center Burlington	—	—	$11,074
Memorial Hospital Of Burlington	Burlington	WI	$11,074
Aurora Medical Center Kenosha	—	—	$11,074
Aurora Medical Center Kenosha	Kenosha	WI	$11,074
West Allis Memorial Hospital	West Allis	WI	$11,083
Aurora West Allis Medical Center	—	—	$11,083
Aurora Medical Center Of Oshkosh	Oshkosh	WI	$11,123
Aurora Medical Center Oshkosh	—	—	$11,123
Aurora Medical Center Mount Pleasant	—	—	$11,132
Aurora Lakeland Medical Center	Elkhorn	WI	$11,133
Aurora Lakeland Medical Center	—	—	$11,133

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States with hospitals publishing rates for wisconsin physician service.

State	Hospitals	Avg rate
WI	12	$11,071
IA	1	$11,298

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