131788 — Valve 34mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). VALVE 34MM EVOLUT FX BIOPROSTH ESIS AORTIC TAVR 1/EA (CDM 131788) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/131788?code_type=CDM
MLA (9th ed.)
“VALVE 34MM EVOLUT FX BIOPROSTH ESIS AORTIC TAVR 1/EA (CDM 131788) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/131788?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“VALVE 34MM EVOLUT FX BIOPROSTH ESIS AORTIC TAVR 1/EA (CDM 131788) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/131788?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$84,807 (25th–75th percentile) across 3 hospitals · 70 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 131788 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna LifeSource | Transplant Services | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna North Carolina Preferred | Managed Care | $0.71 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Humana ChoiceCare | Managed Care | $1.19 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | DirectNet | Managed Care | $1.28 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna LifeSource | Transplant Services | $1.30 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Healthgram | Managed Care | $1.52 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cone Health | Managed Care | $1.52 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Carolina Care | Managed Care | $1.74 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Private Healthcare Systems | Managed Care | $1.78 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Health (Aetna) | Managed Care | $1.84 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Multiplan | Managed Care | $1.95 | $2.17 | $1.09 | 2025-10-21 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | MCR | $558.05 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR+PLUS | $1,094.21 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR | $1,094.21 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIP | $1,094.21 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIPPerinatal | $1,094.21 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MCDCHIPBH | $1,178.38 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MGMCD | $1,178.38 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | CSN | $1,245.72 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | OpenAccessPlus | $1,346.72 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | MyBlueHealth | $1,371.97 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | EPO | $1,472.97 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | HMO | $1,472.97 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | OptionsPPO | $1,481.39 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | BAV | $1,515.06 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | PPO | $1,599.23 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | ValueHMO | $1,666.57 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | CHIP | $1,717.07 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | HMO | $1,893.83 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | EPOSOA | $1,935.91 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | PPO | $1,969.58 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | STARKIDS | $1,994.83 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | STAR | $1,994.83 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Molina Healthcare | HIX | $2,272.59 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | Traditional | $2,945.95 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Christus (USFHP) | TRICARE | $3,366.80 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | ACCEL | $3,619.31 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | GlobalAppendix | $3,787.65 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Coventry National First Health | COMM | $4,486.26 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Physicians Cooperative of Texas | WC | $4,629.35 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Rockport Workers Comp | COMM | $4,629.35 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | SouthWest Medical | WORKERSCOMP | $5,050.20 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Beech Street | WCOMP | $5,050.20 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | National Healthcare Solutions | COMM | $5,050.20 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Independent Medical System | COMM | $5,050.20 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | PPO | $6,901.94 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Physicians, INC | COMM | $7,154.45 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $7,154.45 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Affiliated PPO | COMM | $7,575.30 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Multiplan | COMPLEMENTARYPPO | $7,575.30 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Beech Street | COMMPPO | $7,743.64 | $8,417.00 | $8,417.00 | 2026-03-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CHORUS COMMUNITY HEALTH | CHORUS COMMUNITY HEALTH[585] | $41,958.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO BROAD | CENTIVO BROAD[586] | $44,400.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO VALUE | CENTIVO VALUE[588] | $44,400.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO MEDIAN | CENTIVO MEDIAN[587] | $44,400.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | QUARTZ | QUARTZ[44] | $56,055.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STANDARD and WPS SELECT PLUS | WPS STANDARD and WPS SELECT PLUS[137] | $66,411.30 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ALLIANCE | ALLIANCE[23] | $67,121.70 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | TRILOGY | TRILOGY[47] | $76,590.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS | HPS SOLUTIONS[36] | $82,140.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA ALT NETWORK | CIGNA ALT NETWORK[788] | $83,150.10 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STATEWIDE | WPS STATEWIDE[31] | $85,359.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS PLUS ADV | HPS SOLUTIONS PLUS ADV[882] | $86,580.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA W PLAN | AETNA W PLAN[39] | $88,800.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HEALTHEOS | HEALTHEOS[18] | $88,800.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COVENTRY | COVENTRY[13] | $89,244.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS | HPS[37] | $91,020.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | FIRST HEALTH | FIRST HEALTH[16] | $93,684.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | IHG | IHG[22] | $94,350.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA | AETNA[27] | $94,350.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA | CIGNA[41] | $102,519.60 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | PHCS (PRIVATE HEALTH CARE SYSTEMS) | PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] | $102,675.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL[140] | $109,890.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID UHC | MEDICAID UHC[85] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC ACA | UHC ACA[893] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC | UHC[57] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH | DEAN HEALTH[116] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | VA CCN | VA CCN[275] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE HUMANA | MEDICARE HUMANA[100] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COMMUNITY CARE | COMMUNITY CARE[115] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID TRILOGY | MEDICAID TRILOGY[128] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE UHC | MEDICARE UHC[99] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM BLUE PRIORITY | ANTHEM BLUE PRIORITY[139] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM ACCESS PPO | ANTHEM ACCESS PPO[55] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID CHORUS COMMUNITY HEALTH PLANS | MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH ACA | DEAN HEALTH ACA[811] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ICARE | MEDICAID ICARE[75] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PREFERRED HMO | ANTHEM PREFERRED HMO[56] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID MANAGED HEALTH SERVICESS (MHS) | MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PATHWAY ACA | ANTHEM PATHWAY ACA[779] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ANTHEM | MEDICAID ANTHEM[83] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID DEAN HEALTH | MEDICAID DEAN HEALTH[118] | $111,000.00 | $111,000.00 | $61,050.00 | 2025-01-01 | MRF ↗ |