▸ Wisconsin · MS-DRG 469
Major joint replacement w MCC in Wisconsin
What Wisconsin hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
42
Rate rows
593
Neg. median
$49,325
Min
$2,465.02
Max
$99,189
Cash median
$23,873
Across 42 Wisconsin hospitals, the negotiated rate for Major joint replacement w MCC ranges from $2,465.02 to $99,189, with a median of $49,325. The interquartile range is $25,306 to $60,213. Cash-pay patients typically pay $23,873; gross charges median $100,374.
By payer in Wisconsin
Top 30 payers for Major joint replacement w MCC in Wisconsin.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 25 | 71 | $45,275 |
| Anthem BCBS | 22 | 52 | $55,012 |
| Molina | 18 | 19 | $63,112 |
| health payment systems | 16 | 16 | $60,471 |
| centivo | 16 | 17 | $46,435 |
| Cigna | 13 | 13 | $71,911 |
| hs technology | 12 | 12 | $58,859 |
| healthpartners | 12 | 24 | $57,653 |
| quartz group | 12 | 12 | $70,375 |
| trilogy | 12 | 12 | $57,359 |
| common ground | 12 | 36 | $50,407 |
| quartz one | 12 | 12 | $60,144 |
| Medicare | 12 | 13 | $20,791 |
| wisconsin physician service | 12 | 36 | $65,073 |
| aurora caregiver | 12 | 12 | $58,265 |
| everpointe elite | 12 | 12 | $47,412 |
| Aetna | 11 | 11 | $49,155 |
| VA Health | 11 | 11 | $20,791 |
| smart health | 7 | 7 | $31,409 |
| Humana | 7 | 16 | $18,141 |
| smarthealth | 5 | 5 | $11,771 |
| network health plan | 5 | 7 | $21,231 |
| group health cooperative of eau claire | 4 | 4 | $4,362.2 |
| sehn c89 | 3 | 3 | $13,878 |
| alliance | 3 | 3 | $14,865 |
| arise | 3 | 3 | $17,737 |
| security health plan of wisconsin, inc. | 3 | 4 | $16,469 |
| cchp marketplace | 3 | 3 | $14,524 |
| Blue Cross Blue Shield | 3 | 4 | $35,190 |
| wps | 3 | 3 | $19,707 |
Hospital comparison — Major joint replacement w MCC in Wisconsin
Sorted by lowest negotiated median rate. Up to 100 hospitals.