48100802 — Hc Tcat Rmv&Rpl Perm 2 Chmbr Ldls Pm R Atrl Compont
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Tcat Rmv&Rpl Perm 2 Chmbr Ldls Pm R Atrl Compont (CDM 48100802) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/48100802?code_type=CDM
MLA (9th ed.)
“HC Tcat Rmv&Rpl Perm 2 Chmbr Ldls Pm R Atrl Compont (CDM 48100802) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/48100802?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC Tcat Rmv&Rpl Perm 2 Chmbr Ldls Pm R Atrl Compont (CDM 48100802) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/48100802?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27,574–$45,099 (25th–75th percentile) across 4 hospitals · 47 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 48100802 — 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 |
|---|---|---|---|---|---|---|---|
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2813_TRICARE INPATIENT 20241001 | $187.68 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2571_TRICARE OUTPATIENT 20231001 | $187.68 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2917_SMARTHEALTH OP 20250101 | $297.16 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2815_SMARTHEALTH INPATIENT 20241001 | $297.16 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA ONE HEALTH | 2826_CIGNA ONE HEALTH 20241001 | $312.80 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA IFP | 3019_JCIL CIGNA IFP 20250101 | $391.00 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCS | 2832_JCIL BLUE CROSS BLUE SHIELD BCS 20241001 | $406.64 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCE | 2879_JCIL BLUE CROSS BLUE SHIELD BCE 20241001 | $406.64 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS HMO | 2833_JCIL BLUE CROSS BLUE SHIELD HMO 20241001 | $500.48 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA C5 | 3023_CIGNA C5 20250101 | $531.76 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS PPO | 2834_JCIL BLUE CROSS BLUE SHIELD PPO 20241001 | $563.04 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | AETNA | 2925_JCIL AETNA 20250201 | $922.76 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC PPO | 3096_PFIL, PRIL, PSIL UNITED HEALTHCARE OPTIONS PPO 20250701 | $938.40 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC CHOICE | 3095_PFIL, PRIL, PSIL UNITED HEALTHCARE 20250701 | $938.40 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC PPO | 3094_JCIL UNITED HEALTHCARE OPTIONS PPO 20250701 | $938.40 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC CHOICE | 3093_JCIL UNITED HEALTHCARE 20250701 | $938.40 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA ONE HEALTH | 2758_PHIL CIGNA ONE HEALTH 20240101 | $1,079.16 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HEALTHLINK HMO | 2827_HEALTHLINK HMO 20241001 | $1,094.80 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA HMO | 2837_JCIL HUMANA HMO 20241001 | $1,110.44 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA PPO | 2838_JCIL HUMANA PPO 20241001 | $1,173.00 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Inpatient | HEALTHLINK PPO | 963_JCIL HEALTHLINK PPO 20160101 | $1,251.20 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA | 3006_JCIL CIGNA 20250101 | $1,282.48 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Inpatient | CIGNA/HEALTH PARTNERS | 2526_CIGNA/HEALTH PARTNERS NON-CONTRACTED 20210101 | $1,564.00 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,564.00 | $1,564.00 | $516.12 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CHORUS COMMUNITY HEALTH | CHORUS COMMUNITY HEALTH[585] | $17,047.42 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | QUARTZ | QUARTZ[44] | $22,775.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STANDARD and WPS SELECT PLUS | WPS STANDARD and WPS SELECT PLUS[137] | $26,982.73 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ALLIANCE | ALLIANCE[23] | $27,271.37 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $27,876.03 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $27,876.03 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO VALUE | CENTIVO VALUE[588] | $28,412.37 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC | UHC[57] | $28,547.67 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | UHC ACA | UHC ACA[893] | $28,953.56 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $29,305.57 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $29,305.57 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO MEDIAN | CENTIVO MEDIAN[587] | $30,667.32 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | TRILOGY | TRILOGY[47] | $31,118.31 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS | HPS SOLUTIONS[36] | $33,373.26 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA ALT NETWORK | CIGNA ALT NETWORK[788] | $33,783.66 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | WPS STATEWIDE | WPS STATEWIDE[31] | $34,681.13 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS SOLUTIONS PLUS ADV | HPS SOLUTIONS PLUS ADV[882] | $34,996.82 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CENTIVO BROAD | CENTIVO BROAD[586] | $35,177.22 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HEALTHEOS | HEALTHEOS[18] | $36,079.20 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA W PLAN | AETNA W PLAN[39] | $36,079.20 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COVENTRY | COVENTRY[13] | $36,259.60 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | HPS | HPS[37] | $36,981.18 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $37,168.04 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $37,168.04 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $37,882.81 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SEHN C89 | 1128_SEHN 20221001 | $37,882.81 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | FIRST HEALTH | FIRST HEALTH[16] | $38,063.56 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | IHG | IHG[22] | $38,334.15 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | AETNA | AETNA[27] | $38,334.15 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $38,597.58 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $38,597.58 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $40,109.00 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $40,109.00 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $41,456.66 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $41,456.66 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | CIGNA | CIGNA[41] | $41,653.44 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | PHCS (PRIVATE HEALTH CARE SYSTEMS) | PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] | $41,716.58 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA PPP | 204_WEA PPP 20160101 | $42,171.43 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $42,171.43 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ALLIANCE | 1066_ALLIANCE 20220101 | $42,171.43 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA PPP | 204_WEA PPP 20160101 | $42,171.43 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ALLIANCE | 1066_ALLIANCE 20220101 | $42,171.43 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $42,171.43 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM TRADITIONAL | ANTHEM TRADITIONAL[140] | $44,648.01 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID TRILOGY | MEDICAID TRILOGY[128] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ICARE | MEDICAID ICARE[75] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PREFERRED HMO | ANTHEM PREFERRED HMO[56] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID MANAGED HEALTH SERVICESS (MHS) | MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM PATHWAY ACA | ANTHEM PATHWAY ACA[779] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID ANTHEM | MEDICAID ANTHEM[83] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID UHC | MEDICAID UHC[85] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM BLUE PRIORITY | ANTHEM BLUE PRIORITY[139] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE | MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICAID CHORUS COMMUNITY HEALTH PLANS | MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | ANTHEM ACCESS PPO | ANTHEM ACCESS PPO[55] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE UHC | MEDICARE UHC[99] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH ACA | DEAN HEALTH ACA[811] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE | MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | DEAN HEALTH | DEAN HEALTH[116] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | VA CCN | VA CCN[275] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | COMMUNITY CARE | COMMUNITY CARE[115] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| WAUKESHA MEMORIAL HOSPITAL Outpatient | MEDICARE HUMANA | MEDICARE HUMANA[100] | $45,099.00 | $45,099.00 | $24,804.45 | 2025-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $47,889.59 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $47,889.59 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $49,319.13 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $49,319.13 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | AETNA | 567_AETNA 20190701 | $50,033.90 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $50,033.90 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | AETNA | 567_AETNA 20190701 | $50,033.90 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $50,033.90 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $52,178.21 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $52,178.21 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $54,322.52 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $54,322.52 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $57,896.37 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $57,896.37 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $58,611.14 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $58,611.14 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NEHA PPO | 989_NEHA PPO BROAD MCWI 20210101 | $60,040.68 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA POS | 539_WEA POS 20090101 | $61,470.22 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA POS | 539_WEA POS 20090101 | $61,470.22 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA | 419_WEA 20090116 | $63,614.53 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA | 419_WEA 20090116 | $63,614.53 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $71,477.00 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $71,477.00 | $71,477.00 | $37,882.81 | 2026-01-01 | MRF ↗ |