36037231 — Hc Stent/ather Tib/per Init
Cite this view
HANK Price Transparency. (n.d.). HC STENT/ATHER TIB/PER INIT (CDM 36037231) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36037231?code_type=CDM
“HC STENT/ATHER TIB/PER INIT (CDM 36037231) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36037231?code_type=CDM. Accessed .
“HC STENT/ATHER TIB/PER INIT (CDM 36037231) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36037231?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,472–$36,809 (25th–75th percentile) across 9 hospitals · 41 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 36037231 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,570.91 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,570.91 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,570.91 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,570.91 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,570.91 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL | $11,570.91 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,834.50 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SEHN | 1171_SEHN 20241001 | $14,834.50 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | SEHN | 1171_SEHN 20241001 | $14,834.50 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,834.50 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,834.50 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $14,834.50 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $15,724.57 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $15,873.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $16,021.26 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $16,021.26 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $16,021.26 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $16,021.26 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $16,021.26 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 | $16,021.26 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $17,504.71 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $17,504.71 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $17,504.71 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $17,504.71 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $17,504.71 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $17,504.71 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $17,504.71 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Both | TRILOGY | 1271_TRILOGY 20250701 | $20,471.61 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $20,471.61 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | TRILOGY | 1271_TRILOGY 20250701 | $20,471.61 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $20,471.61 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $20,471.61 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | TRILOGY | 1271_TRILOGY 20250701 | $20,471.61 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $20,768.30 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $20,805.33 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $20,805.33 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS SOLUTIONS | 1159_HEALTH PAYMENT SYSTEMS SOLUTIONS ASWI 20241001 | $21,658.37 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $21,872.27 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $21,872.27 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $22,251.75 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $22,251.75 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $22,251.75 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $22,251.75 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $22,251.75 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1163_WEA TRUST PPO ASWI 20241001 | $22,251.75 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $22,251.75 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $22,251.75 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,845.13 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,845.13 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,845.13 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,845.13 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,845.13 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $22,845.13 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $23,141.82 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | CIGNA | 1273_CIGNA 20250701 | $23,141.82 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $23,141.82 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | CIGNA | 1273_CIGNA 20250701 | $23,141.82 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $23,141.82 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | CIGNA | 1273_CIGNA 20250701 | $23,141.82 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $24,328.58 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $24,328.58 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $24,328.58 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1292_FIRST HEALTH 20240101 SFWI | $24,328.58 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $24,328.58 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | FIRST HEALTH NETWORK | 1291_FIRST HEALTH 20240101 EMWI | $24,328.58 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $24,328.58 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $24,328.58 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 433_WEA PROVIDER AND POS ASWI 20180201 | $25,218.65 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1278_AETNA ASWI 20250701 | $25,515.34 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1281_FIRST HEALTH 20240101 ASWI | $25,515.34 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $25,812.03 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $25,812.03 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $25,812.03 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $25,812.03 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $25,812.03 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $25,812.03 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $26,405.41 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $27,740.44 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $27,740.44 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $27,888.86 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $27,888.86 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $27,888.86 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $27,888.86 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $27,888.86 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $27,888.86 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SEHN C89 | 1128_SEHN 20221001 | $28,273.91 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $28,273.91 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $28,807.38 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $28,807.38 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $29,669.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $29,669.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $29,669.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $29,669.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $29,669.00 | $29,669.00 | $15,724.57 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $30,941.26 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $30,941.26 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA PPP | 204_WEA PPP 20160101 | $31,474.73 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA PPP | 204_WEA PPP 20160101 | $31,474.73 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $35,742.49 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $35,742.49 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $36,809.43 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $36,809.43 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $37,342.90 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $37,342.90 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | AETNA | 567_AETNA 20190701 | $37,342.90 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | AETNA | 567_AETNA 20190701 | $37,342.90 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $38,943.31 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $38,943.31 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $40,109.00 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $40,109.00 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $40,543.72 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $40,543.72 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $43,211.07 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $43,211.07 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $43,744.54 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $43,744.54 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NEHA PPO | 989_NEHA PPO BROAD MCWI 20210101 | $44,811.48 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA POS | 539_WEA POS 20090101 | $45,878.42 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA POS | 539_WEA POS 20090101 | $45,878.42 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA | 419_WEA 20090116 | $47,478.83 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA | 419_WEA 20090116 | $47,478.83 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $53,347.00 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $53,347.00 | $53,347.00 | $28,273.91 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $60,452.33 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $65,014.77 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $67,295.99 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $76,420.87 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | SEHN | 895_SEHN MEWI SEWI 20221001 | $76,420.87 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $77,561.48 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $79,842.70 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $79,842.70 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $79,842.70 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $79,842.70 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $82,123.92 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $91,248.80 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $91,248.80 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $92,389.41 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $94,670.63 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $100,373.68 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $100,373.68 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $101,514.29 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $101,514.29 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $102,654.90 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $102,654.90 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CIGNA | 1004_CIGNA 20230701 | $104,936.12 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $108,357.95 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $114,061.00 | $114,061.00 | $65,014.77 | 2026-01-01 | MRF ↗ |