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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$90.07 – $3,757.00

Negotiated median

$1,083.00

CPT 72149 MRI lumbar spine with and without contrast · Showing 200 of 1,227 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Ascension Columbia St Marys Ozaukee	WI	Chargemaster	N/A	outpatient	gross	$5,000.00
Ascension Columbia St Marys Ozaukee	WI	Chargemaster	N/A	both	gross	$5,000.00
Aurora Med Ctr Of Manitowoc County	WI	Chargemaster	N/A	inpatient	gross	$4,420.00
Aurora Med Ctr Of Manitowoc County	WI	Chargemaster	N/A	outpatient	gross	$4,420.00
Sheboygan Memorial Hospital	WI	Chargemaster	N/A	inpatient	gross	$4,420.00
Sheboygan Memorial Hospital	WI	Chargemaster	N/A	outpatient	gross	$4,420.00
Aurora Medical Center - Hartford	WI	Chargemaster	N/A	inpatient	gross	$4,420.00
Aurora Medical Center - Hartford	WI	Chargemaster	N/A	outpatient	gross	$4,420.00
Ascension Ne Wisconsin-St. Elizabeth	WI	Chargemaster	N/A	outpatient	gross	$2,647.00
Ascension Columbia St Marys Ozaukee	WI	Cash pay	N/A	outpatient	cash	$2,650.00
Ascension Columbia St Marys Ozaukee	WI	Cash pay	N/A	both	cash	$2,650.00
Aurora Med Ctr Of Manitowoc County	WI	Cash pay	N/A	inpatient	cash	$2,210.00
Aurora Med Ctr Of Manitowoc County	WI	Cash pay	N/A	outpatient	cash	$2,210.00
Sheboygan Memorial Hospital	WI	Cash pay	N/A	inpatient	cash	$2,210.00
Sheboygan Memorial Hospital	WI	Cash pay	N/A	outpatient	cash	$2,210.00
Aurora Medical Center - Hartford	WI	Cash pay	N/A	inpatient	cash	$2,210.00
Aurora Medical Center - Hartford	WI	Cash pay	N/A	outpatient	cash	$2,210.00
Ascension Ne Wisconsin-St. Elizabeth	WI	Cash pay	N/A	outpatient	cash	$1,508.79
Aurora Med Ctr Of Manitowoc County	WI	[De-identified Min]	—	inpatient	min	$2,652.00
Sheboygan Memorial Hospital	WI	[De-identified Min]	—	inpatient	min	$2,652.00
Aurora Medical Center - Hartford	WI	[De-identified Min]	—	inpatient	min	$2,652.00
Aurora Med Ctr Of Manitowoc County	WI	[De-identified Min]	—	outpatient	min	$650.00
Sheboygan Memorial Hospital	WI	[De-identified Min]	—	outpatient	min	$650.00
Aurora Medical Center - Hartford	WI	[De-identified Min]	—	outpatient	min	$650.00
Ascension Columbia St Marys Ozaukee	WI	[De-identified Min]	—	outpatient	min	$347.66
Ascension Columbia St Marys Ozaukee	WI	[De-identified Min]	—	inpatient	min	$347.66
Ascension Ne Wisconsin-St. Elizabeth	WI	[De-identified Min]	—	outpatient	min	$343.33
Ascension Ne Wisconsin-St. Elizabeth	WI	[De-identified Min]	—	inpatient	min	$343.33
Ascension Columbia St Marys Ozaukee	WI	[De-identified Min]	—	outpatient	min	$139.93
Ascension Columbia St Marys Ozaukee	WI	[De-identified Min]	—	both	min	$139.93
Ascension Ne Wisconsin-St. Elizabeth	WI	[De-identified Min]	—	outpatient	min	$90.07
Aurora Med Ctr Of Manitowoc County	WI	Anthem BCBS	PPO	inpatient	negotiated	$3,757.00
Aurora Med Ctr Of Manitowoc County	WI	Anthem BCBS	PPO	outpatient	negotiated	$3,757.00
Sheboygan Memorial Hospital	WI	Anthem BCBS	PPO	inpatient	negotiated	$3,757.00
Sheboygan Memorial Hospital	WI	Anthem BCBS	PPO	outpatient	negotiated	$3,757.00
Aurora Medical Center - Hartford	WI	Anthem BCBS	PPO	inpatient	negotiated	$3,757.00
Aurora Medical Center - Hartford	WI	Anthem BCBS	PPO	outpatient	negotiated	$3,757.00
Aurora Med Ctr Of Manitowoc County	WI	Cigna	PPO	inpatient	negotiated	$3,739.32
Aurora Med Ctr Of Manitowoc County	WI	Cigna	PPO	outpatient	negotiated	$3,739.32
Sheboygan Memorial Hospital	WI	Cigna	PPO	inpatient	negotiated	$3,739.32
Sheboygan Memorial Hospital	WI	Cigna	PPO	outpatient	negotiated	$3,739.32
Aurora Medical Center - Hartford	WI	Cigna	PPO	inpatient	negotiated	$3,739.32
Aurora Med Ctr Of Manitowoc County	WI	UnitedHealthcare	PPO	inpatient	negotiated	$3,721.64
Aurora Med Ctr Of Manitowoc County	WI	UnitedHealthcare	PPO	outpatient	negotiated	$3,721.64
Sheboygan Memorial Hospital	WI	UnitedHealthcare	PPO	inpatient	negotiated	$3,721.64
Sheboygan Memorial Hospital	WI	UnitedHealthcare	PPO	outpatient	negotiated	$3,721.64
Aurora Medical Center - Hartford	WI	UnitedHealthcare	PPO	inpatient	negotiated	$3,721.64
Aurora Medical Center - Hartford	WI	UnitedHealthcare	PPO	outpatient	negotiated	$3,721.64
Aurora Med Ctr Of Manitowoc County	WI	Aetna	PPO	inpatient	negotiated	$3,650.92
Aurora Med Ctr Of Manitowoc County	WI	Aetna	PPO	outpatient	negotiated	$3,650.92
Sheboygan Memorial Hospital	WI	Aetna	PPO	inpatient	negotiated	$3,650.92
Sheboygan Memorial Hospital	WI	Aetna	PPO	outpatient	negotiated	$3,650.92
Aurora Medical Center - Hartford	WI	Aetna	PPO	inpatient	negotiated	$3,650.92
Aurora Medical Center - Hartford	WI	Aetna	PPO	outpatient	negotiated	$3,650.92
Aurora Med Ctr Of Manitowoc County	WI	health eos	PPO	inpatient	negotiated	$3,536.00
Aurora Med Ctr Of Manitowoc County	WI	health eos	PPO	outpatient	negotiated	$3,536.00
Sheboygan Memorial Hospital	WI	health eos	PPO	inpatient	negotiated	$3,536.00
Sheboygan Memorial Hospital	WI	health eos	PPO	outpatient	negotiated	$3,536.00
Aurora Medical Center - Hartford	WI	health eos	PPO	inpatient	negotiated	$3,536.00
Aurora Medical Center - Hartford	WI	health eos	PPO	outpatient	negotiated	$3,536.00
Aurora Med Ctr Of Manitowoc County	WI	healthpartners	Broad	inpatient	negotiated	$3,315.00
Aurora Med Ctr Of Manitowoc County	WI	healthpartners	Broad	outpatient	negotiated	$3,315.00
Sheboygan Memorial Hospital	WI	healthpartners	Broad	inpatient	negotiated	$3,315.00
Sheboygan Memorial Hospital	WI	healthpartners	Broad	outpatient	negotiated	$3,315.00
Aurora Medical Center - Hartford	WI	healthpartners	Broad	inpatient	negotiated	$3,315.00
Aurora Medical Center - Hartford	WI	healthpartners	Broad	outpatient	negotiated	$3,315.00
Aurora Med Ctr Of Manitowoc County	WI	health eos plus	Commercial	inpatient	negotiated	$2,652.00
Aurora Med Ctr Of Manitowoc County	WI	health eos plus	Commercial	outpatient	negotiated	$2,652.00
Sheboygan Memorial Hospital	WI	health eos plus	Commercial	inpatient	negotiated	$2,652.00
Sheboygan Memorial Hospital	WI	health eos plus	Commercial	outpatient	negotiated	$2,652.00
Aurora Medical Center - Hartford	WI	health eos plus	Commercial	inpatient	negotiated	$2,652.00
Aurora Medical Center - Hartford	WI	health eos plus	Commercial	outpatient	negotiated	$2,652.00
Aurora Med Ctr Of Manitowoc County	WI	Cigna	PPO-GPPO	outpatient	negotiated	$2,550.00
Sheboygan Memorial Hospital	WI	Cigna	PPO-GPPO	outpatient	negotiated	$2,550.00
Aurora Medical Center - Hartford	WI	Cigna	PPO-GPPO	outpatient	negotiated	$2,550.00
Aurora Med Ctr Of Manitowoc County	WI	wisconsin physician service	Arise	outpatient	negotiated	$1,722.00
Aurora Med Ctr Of Manitowoc County	WI	wisconsin physician service	Statewide	outpatient	negotiated	$1,722.00
Sheboygan Memorial Hospital	WI	wisconsin physician service	Arise	outpatient	negotiated	$1,722.00
Sheboygan Memorial Hospital	WI	wisconsin physician service	Statewide	outpatient	negotiated	$1,722.00
Aurora Medical Center - Hartford	WI	wisconsin physician service	Arise	outpatient	negotiated	$1,722.00
Aurora Medical Center - Hartford	WI	wisconsin physician service	Statewide	outpatient	negotiated	$1,722.00
Aurora Med Ctr Of Manitowoc County	WI	wisconsin physician service	Aurora Featured	outpatient	negotiated	$1,636.00
Sheboygan Memorial Hospital	WI	wisconsin physician service	Aurora Featured	outpatient	negotiated	$1,636.00
Aurora Medical Center - Hartford	WI	wisconsin physician service	Aurora Featured	outpatient	negotiated	$1,636.00
Aurora Med Ctr Of Manitowoc County	WI	trilogy	Commercial	outpatient	negotiated	$1,520.00
Sheboygan Memorial Hospital	WI	trilogy	Commercial	outpatient	negotiated	$1,520.00
Aurora Medical Center - Hartford	WI	trilogy	Commercial	outpatient	negotiated	$1,520.00
Aurora Med Ctr Of Manitowoc County	WI	everpointe elite	Commercial	outpatient	negotiated	$1,352.00
Sheboygan Memorial Hospital	WI	everpointe elite	Commercial	outpatient	negotiated	$1,352.00
Aurora Med Ctr Of Manitowoc County	WI	hs technology	Commercial	outpatient	negotiated	$1,350.00
Aurora Med Ctr Of Manitowoc County	WI	quartz group	Commercial	outpatient	negotiated	$1,350.00
Sheboygan Memorial Hospital	WI	hs technology	Commercial	outpatient	negotiated	$1,350.00
Sheboygan Memorial Hospital	WI	quartz group	Commercial	outpatient	negotiated	$1,350.00
Aurora Medical Center - Hartford	WI	hs technology	Commercial	outpatient	negotiated	$1,350.00
Aurora Medical Center - Hartford	WI	quartz group	Commercial	outpatient	negotiated	$1,350.00
Aurora Med Ctr Of Manitowoc County	WI	Molina	Commercial	outpatient	negotiated	$1,273.00
Sheboygan Memorial Hospital	WI	Molina	Commercial	outpatient	negotiated	$1,273.00
Aurora Medical Center - Hartford	WI	Molina	Commercial	outpatient	negotiated	$1,273.00
Aurora Med Ctr Of Manitowoc County	WI	quartz one	Commercial	outpatient	negotiated	$1,200.00
Sheboygan Memorial Hospital	WI	quartz one	Commercial	outpatient	negotiated	$1,200.00
Aurora Med Ctr Of Manitowoc County	WI	healthpartners	Robin	outpatient	negotiated	$1,185.00
Sheboygan Memorial Hospital	WI	healthpartners	Robin	outpatient	negotiated	$1,185.00
Aurora Medical Center - Hartford	WI	healthpartners	Robin	outpatient	negotiated	$1,185.00
Aurora Med Ctr Of Manitowoc County	WI	health payment systems	Commercial	outpatient	negotiated	$1,170.00
Sheboygan Memorial Hospital	WI	health payment systems	Commercial	outpatient	negotiated	$1,170.00
Ascension Ne Wisconsin-St. Elizabeth	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$1,124.85
Aurora Med Ctr Of Manitowoc County	WI	Aetna	HMO	outpatient	negotiated	$1,114.00
Sheboygan Memorial Hospital	WI	Aetna	HMO	outpatient	negotiated	$1,114.00
Aurora Med Ctr Of Manitowoc County	WI	common ground	Employee Trust Fund	outpatient	negotiated	$1,083.00
Aurora Med Ctr Of Manitowoc County	WI	common ground	Envision	outpatient	negotiated	$1,083.00
Aurora Med Ctr Of Manitowoc County	WI	common ground	Exchange	outpatient	negotiated	$1,083.00
Sheboygan Memorial Hospital	WI	common ground	Employee Trust Fund	outpatient	negotiated	$1,083.00
Sheboygan Memorial Hospital	WI	common ground	Envision	outpatient	negotiated	$1,083.00
Sheboygan Memorial Hospital	WI	common ground	Exchange	outpatient	negotiated	$1,083.00
Aurora Medical Center - Hartford	WI	common ground	Employee Trust Fund	outpatient	negotiated	$1,083.00
Aurora Medical Center - Hartford	WI	common ground	Exchange	outpatient	negotiated	$1,083.00
Aurora Med Ctr Of Manitowoc County	WI	centivo	Commercial	outpatient	negotiated	$1,038.00
Sheboygan Memorial Hospital	WI	centivo	Commercial	outpatient	negotiated	$1,038.00
Aurora Medical Center - Hartford	WI	centivo	Commercial	outpatient	negotiated	$1,038.00
Ascension Columbia St Marys Ozaukee	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$1,035.15
Aurora Med Ctr Of Manitowoc County	WI	Anthem BCBS	Blue Preferred	outpatient	negotiated	$969.00
Sheboygan Memorial Hospital	WI	Anthem BCBS	Blue Preferred	outpatient	negotiated	$969.00
Aurora Med Ctr Of Manitowoc County	WI	healthpartners	Employee Trust Fund	outpatient	negotiated	$954.00
Sheboygan Memorial Hospital	WI	healthpartners	Employee Trust Fund	outpatient	negotiated	$954.00
Ascension Ne Wisconsin-St. Elizabeth	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$921.14
Aurora Med Ctr Of Manitowoc County	WI	UnitedHealthcare	HMO	outpatient	negotiated	$853.00
Sheboygan Memorial Hospital	WI	UnitedHealthcare	HMO	outpatient	negotiated	$853.00
Aurora Medical Center - Hartford	WI	UnitedHealthcare	HMO	outpatient	negotiated	$853.00
Ascension Columbia St Marys Ozaukee	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$828.27
Ascension Columbia St Marys Ozaukee	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$828.27
Ascension Columbia St Marys Ozaukee	WI	cchp marketplace	1124_CCHP MARKETPLACE 20221001	outpatient	negotiated	$828.27
Ascension Columbia St Marys Ozaukee	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$813.32
Ascension Columbia St Marys Ozaukee	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$813.32
Aurora Med Ctr Of Manitowoc County	WI	UnitedHealthcare	Charter	outpatient	negotiated	$773.00
Aurora Med Ctr Of Manitowoc County	WI	UnitedHealthcare	Nexus	outpatient	negotiated	$773.00
Sheboygan Memorial Hospital	WI	UnitedHealthcare	Charter	outpatient	negotiated	$773.00
Sheboygan Memorial Hospital	WI	UnitedHealthcare	Nexus	outpatient	negotiated	$773.00
Aurora Medical Center - Hartford	WI	UnitedHealthcare	Charter	outpatient	negotiated	$773.00
Aurora Med Ctr Of Manitowoc County	WI	UnitedHealthcare	Exchange	outpatient	negotiated	$767.00
Sheboygan Memorial Hospital	WI	UnitedHealthcare	Exchange	outpatient	negotiated	$767.00
Aurora Medical Center - Hartford	WI	UnitedHealthcare	Exchange	outpatient	negotiated	$767.00
Ascension Columbia St Marys Ozaukee	WI	Molina	1060_MOLINA MARKETPLACE OUTPATIENT 20220101	outpatient	negotiated	$764.85
Ascension Columbia St Marys Ozaukee	WI	Molina	1111_MOLINA MARKETPLACE INPATIENT 20221001	inpatient	negotiated	$764.85
Aurora Med Ctr Of Manitowoc County	WI	Anthem BCBS	Blue Priority	outpatient	negotiated	$755.00
Sheboygan Memorial Hospital	WI	Anthem BCBS	Blue Priority	outpatient	negotiated	$755.00
Aurora Medical Center - Hartford	WI	Anthem BCBS	Blue Priority	outpatient	negotiated	$755.00
Ascension Ne Wisconsin-St. Elizabeth	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$744.30
Ascension Ne Wisconsin-St. Elizabeth	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$744.30
Ascension Columbia St Marys Ozaukee	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$738.37
Ascension Ne Wisconsin-St. Elizabeth	WI	Molina	911_MOLINA MARKETPLACE OUTPATIENT MEWI SEWI 20230101	outpatient	negotiated	$720.99
Ascension Ne Wisconsin-St. Elizabeth	WI	Molina	954_MOLINA MARKETPLACE INPATIENT MEWI SEWI 20230512	inpatient	negotiated	$720.99
Aurora Med Ctr Of Manitowoc County	WI	aurora caregiver	Commercial	outpatient	negotiated	$650.00
Sheboygan Memorial Hospital	WI	aurora caregiver	Commercial	outpatient	negotiated	$650.00
Ascension Columbia St Marys Ozaukee	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$575.14
Ascension Columbia St Marys Ozaukee	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$575.14
Ascension Columbia St Marys Ozaukee	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$575.14
Ascension Columbia St Marys Ozaukee	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$575.14
Ascension Ne Wisconsin-St. Elizabeth	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$526.33
Ascension Ne Wisconsin-St. Elizabeth	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$526.33
Ascension Ne Wisconsin-St. Elizabeth	WI	smarthealth	963_SMARTHEALTH INPATIENT 20231001	inpatient	negotiated	$480.66
Ascension Ne Wisconsin-St. Elizabeth	WI	smarthealth	964_SMARTHEALTH OUTPATIENT 20230101	outpatient	negotiated	$480.66
Ascension Columbia St Marys Ozaukee	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$463.73
Ascension Ne Wisconsin-St. Elizabeth	WI	WellCare	970_MEDICARE ADVANTAGE WELLCARE INPATIENT 20230512	inpatient	negotiated	$360.50
Ascension Ne Wisconsin-St. Elizabeth	WI	WellCare	973_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20230101	outpatient	negotiated	$360.50
Ascension Columbia St Marys Ozaukee	WI	Medicare	1109_MEDICARE REPLACEMENT OUTPATIENT 20220701	outpatient	negotiated	$347.66
Ascension Columbia St Marys Ozaukee	WI	Medicare	1116_MEDICARE REPLACEMENT INPATIENT 20221001	inpatient	negotiated	$347.66
Ascension Columbia St Marys Ozaukee	WI	VA Health	1064_VETERANS ADMINISTRATION OUTPATIENT 20220101	outpatient	negotiated	$347.66
Ascension Columbia St Marys Ozaukee	WI	VA Health	1114_VETERANS ADMINISTRATION INPATIENT 20221001	inpatient	negotiated	$347.66
Ascension Ne Wisconsin-St. Elizabeth	WI	Medicare	914_MEDICARE REPLACEMENT OUTPATIENT MEWI SEWI 20230101	outpatient	negotiated	$343.33
Ascension Ne Wisconsin-St. Elizabeth	WI	Medicare	959_MEDICARE REPLACEMENT INPATIENT MEWI SEWI 20230512	inpatient	negotiated	$343.33
Ascension Ne Wisconsin-St. Elizabeth	WI	VA Health	916_VETERANS ADMINISTRATION OUTPATIENT MEWI SEWI 20230101	outpatient	negotiated	$343.33
Ascension Ne Wisconsin-St. Elizabeth	WI	VA Health	956_VETERANS ADMINISTRATION INPATIENT MEWI SEWI 20230512	inpatient	negotiated	$343.33
Ascension Columbia St Marys Ozaukee	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$323.80
Ascension Columbia St Marys Ozaukee	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$296.78
Ascension Columbia St Marys Ozaukee	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$238.18
Ascension Columbia St Marys Ozaukee	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$238.18
Ascension Columbia St Marys Ozaukee	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$238.18
Ascension Columbia St Marys Ozaukee	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$238.18
Ascension Ne Wisconsin-St. Elizabeth	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$217.97
Ascension Ne Wisconsin-St. Elizabeth	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$217.97
Ascension Ne Wisconsin-St. Elizabeth	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$203.73
Ascension Columbia St Marys Ozaukee	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$139.93
Ascension Ne Wisconsin-St. Elizabeth	WI	Anthem BCBS	999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401	outpatient	negotiated	$90.07
Ascension Ne Wisconsin-St. Elizabeth	WI	Anthem BCBS	1000_ANTHEM HMO POS MEWI SEWI 20230401	outpatient	negotiated	$90.07
Ascension Ne Wisconsin-St. Elizabeth	WI	Anthem BCBS	946_ANTHEM PATHWAYS MEWI SEWI 20230101	outpatient	negotiated	$90.07
Ascension Ne Wisconsin-St. Elizabeth	WI	Anthem BCBS	1001_ANTHEM PPO MEWI SEWI 20230401	outpatient	negotiated	$90.07
Aurora Med Ctr Of Manitowoc County	WI	[De-identified Max]	—	inpatient	max	$3,757.00
Aurora Med Ctr Of Manitowoc County	WI	[De-identified Max]	—	outpatient	max	$3,757.00
Sheboygan Memorial Hospital	WI	[De-identified Max]	—	inpatient	max	$3,757.00
Sheboygan Memorial Hospital	WI	[De-identified Max]	—	outpatient	max	$3,757.00
Aurora Medical Center - Hartford	WI	[De-identified Max]	—	inpatient	max	$3,757.00
Aurora Medical Center - Hartford	WI	[De-identified Max]	—	outpatient	max	$3,757.00
Ascension Ne Wisconsin-St. Elizabeth	WI	[De-identified Max]	—	outpatient	max	$1,124.85
Ascension Columbia St Marys Ozaukee	WI	[De-identified Max]	—	outpatient	max	$1,035.15
Ascension Columbia St Marys Ozaukee	WI	[De-identified Max]	—	both	max	$1,035.15
Ascension Ne Wisconsin-St. Elizabeth	WI	[De-identified Max]	—	outpatient	max	$921.14
Ascension Columbia St Marys Ozaukee	WI	[De-identified Max]	—	outpatient	max	$764.85
Ascension Columbia St Marys Ozaukee	WI	[De-identified Max]	—	inpatient	max	$764.85
Ascension Ne Wisconsin-St. Elizabeth	WI	[De-identified Max]	—	outpatient	max	$720.99
Ascension Ne Wisconsin-St. Elizabeth	WI	[De-identified Max]	—	inpatient	max	$720.99

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).