▸ Wisconsin · MS-DRG 470
Major joint replacement w/o MCC in Wisconsin
What Wisconsin hospitals charge for major joint replacement w/o mcc (MS-DRG 470). Rates sourced from federally-mandated machine-readable files.
Hospitals
42
Rate rows
637
Neg. median
$28,452
Min
$3,666.64
Max
$67,557
Cash median
$13,190
Across 42 Wisconsin hospitals, the negotiated rate for Major joint replacement w/o MCC ranges from $3,666.64 to $67,557, with a median of $28,452. The interquartile range is $18,141 to $34,841. Cash-pay patients typically pay $13,190; gross charges median $56,661.
By payer in Wisconsin
Top 30 payers for Major joint replacement w/o MCC in Wisconsin.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 26 | 72 | $26,116 |
| Anthem BCBS | 22 | 53 | $32,014 |
| Molina | 18 | 19 | $36,405 |
| centivo | 16 | 17 | $26,785 |
| health payment systems | 16 | 16 | $34,882 |
| Medicare | 13 | 15 | $12,601 |
| Cigna | 13 | 13 | $41,481 |
| quartz one | 12 | 12 | $34,693 |
| wisconsin physician service | 12 | 36 | $37,537 |
| everpointe elite | 12 | 12 | $27,349 |
| trilogy | 12 | 12 | $33,087 |
| hs technology | 12 | 12 | $33,952 |
| healthpartners | 12 | 24 | $33,256 |
| quartz group | 12 | 12 | $40,595 |
| common ground | 12 | 36 | $29,076 |
| aurora caregiver | 12 | 12 | $33,609 |
| VA Health | 11 | 11 | $13,222 |
| Aetna | 11 | 11 | $28,354 |
| Humana | 7 | 16 | $18,141 |
| smarthealth employees 20191001 tlk adj - model | 7 | 7 | $21,712 |
| smart health | 7 | 7 | $19,974 |
| network health plan | 5 | 7 | $13,501 |
| smarthealth | 5 | 5 | $11,771 |
| Blue Cross Blue Shield | 4 | 5 | $13,872 |
| aspirus health plan, inc. | 4 | 6 | $23,637 |
| alliance | 3 | 3 | $14,865 |
| arise | 3 | 3 | $17,737 |
| sehn c89 | 3 | 3 | $13,878 |
| cchp marketplace | 3 | 3 | $14,524 |
| wps | 3 | 3 | $19,707 |
Hospital comparison — Major joint replacement w/o MCC in Wisconsin
Sorted by lowest negotiated median rate. Up to 100 hospitals.