48100571 — Hc Insrt/Rplace Icds With Substrnl Electrode
Cite this view
HANK Price Transparency. (n.d.). HC Insrt/Rplace Icds W/ Substrnl Electrode (CDM 48100571) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/48100571?code_type=CDM
“HC Insrt/Rplace Icds W/ Substrnl Electrode (CDM 48100571) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/48100571?code_type=CDM. Accessed .
“HC Insrt/Rplace Icds W/ Substrnl Electrode (CDM 48100571) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/48100571?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $88–$79,573 (25th–75th percentile) across 4 hospitals · 55 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 48100571 — 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 |
|---|---|---|---|---|---|---|---|
| OZARKS HEALTHCARE Both | UHC | MA AARP HMO POS Plan 1 | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Coventry Health Care | Medicare Advantage | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Medicare Advantage | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP Choice PPO | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Humana | Medicare Advantage | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP Patriot HMO POS | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP HMO POS Plan 2 | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare UBH | Medicare Advantage | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare | Optum VA CCN | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare | Medicare Advantage | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Aetna | Medicare Advantage | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cigna Health Care | Medicare Advantage | $25.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Wellcare | Wellcare Arkansas | $25.84 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Novasys | Allwell | $26.09 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Home State | Medicare Advantage | $27.86 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Wellcare | Wellcare Missouri | $27.86 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Ambetter Health | Exchange | $30.40 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Pathways | $41.49 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Access/Preferred | $43.60 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Access | $48.52 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Coventry Health Care | Medicare Advantage | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP HMO POS Plan 2 | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare UBH | Medicare Advantage | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP Patriot HMO POS | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Medicare Advantage | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP Choice PPO | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP HMO POS Plan 1 | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Humana | Medicare Advantage | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cigna Health Care | Medicare Advantage | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Aetna | Medicare Advantage | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare | Medicare Advantage | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare | Optum VA CCN | $62.28 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Wellcare | Wellcare Arkansas | $63.53 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Novasys | Allwell | $64.15 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Home State | Medicare Advantage | $68.51 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Wellcare | Wellcare Missouri | $68.51 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Ambetter Health | Exchange | $74.74 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Pathways | $80.04 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Access/Preferred | $84.11 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Home State Health Plan | Medicaid | $84.33 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare UBH | Medicare Advantage | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cigna Health Care | Medicare Advantage | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Coventry Health Care | Medicare Advantage | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Aetna | Medicare Advantage | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Medicare Advantage | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP HMO POS Plan 1 | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP Patriot HMO POS | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP HMO POS Plan 2 | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | UHC | MA AARP Choice PPO | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare | Optum VA CCN | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare | Medicare Advantage | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Humana | Medicare Advantage | $87.61 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Wellcare | Wellcare Arkansas | $89.36 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Novasys | Allwell | $90.24 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Access | $93.58 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare UBH | Medicaid | $96.37 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Wellcare | Wellcare Missouri | $96.37 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Home State | Medicare Advantage | $96.37 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | United Healthcare | Medicaid | $96.37 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Ambetter Health | Exchange | $105.13 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Healthy Blue | Medicaid | $110.02 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | CorVel Corporation | Commercial | $113.60 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Medica | Commercial | $113.60 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cigna Health Care | Commercial | $117.43 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | HMO | $117.86 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Humana | Commercial | $120.70 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Aetna | Commercial | $120.70 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Pathways | $121.50 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | PPO | $124.96 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Coventry Health Care | Commercial | $127.37 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Access/Preferred | $127.68 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | American Health Alliance | Commercial | $127.80 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Cox Health Network | Commercial | $127.80 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Multiplan/PHCS | Commercial | $127.80 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Mercy Premier Health Plans | Commercial | $127.80 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | HealthLink | Amprod | $132.06 | — | — | 2025-01-29 | MRF ↗ |
| OZARKS HEALTHCARE Both | Anthem BCBS | Blue Access | $142.00 | — | — | 2025-01-29 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CHORUS COMMUNITY HEALTH | CHORUS COMMUNITY HEALTH[585] | $30,078.59 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $40,109.00 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $40,109.00 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | QUARTZ | QUARTZ[44] | $40,184.37 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $47,065.98 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $47,065.98 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STANDARD and WPS SELECT PLUS | WPS STANDARD and WPS SELECT PLUS[137] | $47,608.53 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ALLIANCE | ALLIANCE[23] | $48,117.79 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $49,479.62 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $49,479.62 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO VALUE | CENTIVO VALUE[588] | $50,130.99 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC | UHC[57] | $50,369.71 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC ACA | UHC ACA[893] | $51,085.87 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO MEDIAN | CENTIVO MEDIAN[587] | $54,109.64 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | TRILOGY | TRILOGY[47] | $54,905.37 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS | HPS SOLUTIONS[36] | $58,884.02 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA ALT NETWORK | CIGNA ALT NETWORK[788] | $59,608.13 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STATEWIDE | WPS STATEWIDE[31] | $61,191.64 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS PLUS ADV | HPS SOLUTIONS PLUS ADV[882] | $61,748.65 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO BROAD | CENTIVO BROAD[586] | $62,066.94 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $62,754.64 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $62,754.64 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HEALTHEOS | HEALTHEOS[18] | $63,658.40 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA W PLAN | AETNA W PLAN[39] | $63,658.40 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SEHN C89 | 1128_SEHN 20221001 | $63,961.46 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $63,961.46 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COVENTRY | COVENTRY[13] | $63,976.69 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $65,168.28 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $65,168.28 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS | HPS[37] | $65,249.86 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | FIRST HEALTH | FIRST HEALTH[16] | $67,159.61 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA | AETNA[27] | $67,637.05 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | IHG | IHG[22] | $67,637.05 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $69,995.56 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $69,995.56 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA PPP | 204_WEA PPP 20160101 | $71,202.38 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ALLIANCE | 1066_ALLIANCE 20220101 | $71,202.38 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA PPP | 204_WEA PPP 20160101 | $71,202.38 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ALLIANCE | 1066_ALLIANCE 20220101 | $71,202.38 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA | CIGNA[41] | $73,493.62 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | PHCS (PRIVATE HEALTH CARE SYSTEMS) | PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] | $73,605.03 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL[140] | $78,777.27 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM BLUE PRIORITY | ANTHEM BLUE PRIORITY[139] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID UHC | MEDICAID UHC[85] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ANTHEM | MEDICAID ANTHEM[83] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PATHWAY ACA | ANTHEM PATHWAY ACA[779] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID MANAGED HEALTH SERVICESS (MHS) | MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PREFERRED HMO | ANTHEM PREFERRED HMO[56] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ICARE | MEDICAID ICARE[75] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH ACA | DEAN HEALTH ACA[811] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID CHORUS COMMUNITY HEALTH PLANS | MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM ACCESS PPO | ANTHEM ACCESS PPO[55] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE UHC | MEDICARE UHC[99] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID TRILOGY | MEDICAID TRILOGY[128] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COMMUNITY CARE | COMMUNITY CARE[115] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE HUMANA | MEDICARE HUMANA[100] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | VA CCN | VA CCN[275] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH | DEAN HEALTH[116] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] | $79,573.00 | $79,573.00 | $43,765.15 | 2025-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $80,856.94 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $80,856.94 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $83,270.58 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $83,270.58 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | AETNA | 567_AETNA 20190701 | $84,477.40 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $84,477.40 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $84,477.40 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | AETNA | 567_AETNA 20190701 | $84,477.40 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $88,097.86 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $88,097.86 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $91,718.32 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $91,718.32 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $97,752.42 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $97,752.42 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $98,959.24 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $98,959.24 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NEHA PPO | 989_NEHA PPO BROAD MCWI 20210101 | $101,372.88 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA POS | 539_WEA POS 20090101 | $103,786.52 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA POS | 539_WEA POS 20090101 | $103,786.52 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA | 419_WEA 20090116 | $107,406.98 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA | 419_WEA 20090116 | $107,406.98 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $120,682.00 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $120,682.00 | $120,682.00 | $63,961.46 | 2026-01-01 | MRF ↗ |