Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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75000013 — Hc Flexible Sigmoidoscopy

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $858

Usually $662–$1,297 (25th–75th percentile) across 19 hospitals · 98 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 75000013 — 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
MCCURTAIN MEMORIAL HOSPITAL Both Blue Cross BlueLincs HMO $128.39 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Blue Cross NativeBlue $128.39 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both HealthChoice Commercial $128.39 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Blue Cross Blue Advantage PPO $128.39 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both UHC Medicare $141.91 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both ChoiceCare Medicare $141.91 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Blue Cross Preferred PPO $141.91 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Arcadian Health Plan Medicare $141.91 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Cigna Healthspring Medicare $141.91 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Blue Cross Choice PPO $141.91 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Humana Medicare $141.91 $675.75 $337.88 2026-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient AETNA MCR AETNA MCR $147.07 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient AETNA MCR AETNA MCR $147.07 $1,050.50 $525.25 2026-04-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient TRICARE 2813_TRICARE INPATIENT 20241001 $155.64 $1,297.00 $428.01 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient TRICARE 2571_TRICARE OUTPATIENT 20231001 $155.64 $1,297.00 $428.01 2026-01-01 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both CIGNA HEALTHCARE CIGNA HMO $219.00 $5,652.00 $847.80 2025-01-17 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both CIGNA HEALTHCARE CIGNA PPO $219.00 $5,652.00 $847.80 2025-01-17 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $219.00 $5,652.00 $847.80 2025-01-17 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both CIGNA HEALTHCARE CIGNA LOCAL PLUS $219.00 $5,652.00 $847.80 2025-01-17 MRF ↗
WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $219.00 $5,652.00 $847.80 2025-01-17 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Blue Cross Traditional $243.27 $675.75 $337.88 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient SMARTHEALTH 2917_SMARTHEALTH OP 20250101 $246.43 $1,297.00 $428.01 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient SMARTHEALTH 2815_SMARTHEALTH INPATIENT 20241001 $246.43 $1,297.00 $428.01 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA ONE HEALTH 2826_CIGNA ONE HEALTH 20241001 $259.40 $1,297.00 $428.01 2026-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient BCBS BLUE CHOICE BCBS BLUE CHOICE $286.79 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient BCBS BLUE CHOICE BCBS BLUE CHOICE $286.79 $1,050.50 $525.25 2026-04-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CHORUS COMMUNITY HEALTH CHORUS COMMUNITY HEALTH[585] $302.40 $800.00 $440.00 2025-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient ZING HLTH MCR ADV - ALL PLANS ZING HLTH MCR ADV - ALL PLANS $315.15 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient AETNA NEW BUS AETNA NEW BUS $315.15 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient AETNA NEW BUS AETNA NEW BUS $315.15 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient ZING HLTH MCR ADV - ALL PLANS ZING HLTH MCR ADV - ALL PLANS $315.15 $1,050.50 $525.25 2026-04-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA IFP 3019_JCIL CIGNA IFP 20250101 $324.25 $1,297.00 $428.01 2026-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient BCBS FOCUSCARE BCBS FOCUSCARE $326.71 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient BCBS FOCUSCARE BCBS FOCUSCARE $326.71 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient CIGNA NEW BUS CIGNA NEW BUS $333.01 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient CIGNA NEW BUS CIGNA NEW BUS $333.01 $1,050.50 $525.25 2026-04-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient BCBS BCE 2879_JCIL BLUE CROSS BLUE SHIELD BCE 20241001 $337.22 $1,297.00 $428.01 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient BCBS BCS 2832_JCIL BLUE CROSS BLUE SHIELD BCS 20241001 $337.22 $1,297.00 $428.01 2026-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient BCBS HMO BCBS HMO $343.51 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient BCBS HMO BCBS HMO $343.51 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient BCBS PPO - ALL OTHER PLANS BCBS PPO - ALL OTHER PLANS $358.22 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient BCBS PPO - ALL OTHER PLANS BCBS PPO - ALL OTHER PLANS $358.22 $1,050.50 $525.25 2026-04-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PATHWAYS 946_ANTHEM PATHWAYS MEWI SEWI 20230101 $402.78 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PATHWAYS 946_ANTHEM PATHWAYS MEWI SEWI 20230101 $402.78 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient QUARTZ QUARTZ[44] $404.00 $800.00 $440.00 2025-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient BCBS HMO 2833_JCIL BLUE CROSS BLUE SHIELD HMO 20241001 $415.04 $1,297.00 $428.01 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SMARTHEALTH 977_SMARTHEALTH OUTPATIENT CAWI 20230101 $421.96 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SMARTHEALTH 977_SMARTHEALTH OUTPATIENT CAWI 20230101 $421.96 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MEDICARE REPLACEMENT 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 $421.96 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WELLCARE 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 $421.96 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MEDICARE REPLACEMENT 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 $421.96 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WELLCARE 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 $421.96 $959.00 $546.63 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient CIGNA C5 3023_CIGNA C5 20250101 $440.98 $1,297.00 $428.01 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both MEDICARE RAILROAD 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both MEDICARE RAILROAD 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient VETERANS ADMINISTRATION 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRICARE 619_TRICARE OUTPATIENT CAWI 20200201 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MEDICARE RAILROAD 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MEDICARE RAILROAD 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both TRICARE 623_TRICARE INPATIENT CAWI 20200201 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRICARE 619_TRICARE OUTPATIENT CAWI 20200201 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both VETERANS ADMINISTRATION 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both VETERANS ADMINISTRATION 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient VETERANS ADMINISTRATION 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both TRICARE 623_TRICARE INPATIENT CAWI 20200201 $441.14 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MOLINA MARKETPLACE 521_MOLINA MARKETPLACE CAWI 20190615 $460.32 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient MOLINA MARKETPLACE 521_MOLINA MARKETPLACE CAWI 20190615 $460.32 $959.00 $546.63 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient BCBS PPO 2834_JCIL BLUE CROSS BLUE SHIELD PPO 20241001 $466.92 $1,297.00 $428.01 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient WPS STANDARD and WPS SELECT PLUS WPS STANDARD and WPS SELECT PLUS[137] $478.64 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ALLIANCE ALLIANCE[23] $483.76 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL $499.59 $1,281.00 $678.93 2026-01-01 MRF ↗
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL $499.59 $1,281.00 $678.93 2026-01-01 MRF ↗
Ascension SE Wisconsin Hospital - Franklin Campus Outpatient SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL $499.59 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL 474_SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL $499.59 $1,281.00 $678.93 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CENTIVO VALUE CENTIVO VALUE[588] $504.00 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient UHC UHC[57] $506.40 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both ACA 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 $508.27 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Both ACA 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 $508.27 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient UHC ACA UHC ACA[893] $513.60 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $517.86 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $517.86 $959.00 $546.63 2026-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient HUMANA COMM - ALL OTHER PLANS HUMANA COMM - ALL OTHER PLANS $525.25 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient HUMANA COMM - ALL OTHER PLANS HUMANA COMM - ALL OTHER PLANS $525.25 $1,050.50 $525.25 2026-04-01 MRF ↗
COSHOCTON REGIONAL MEDICAL CENTER Outpatient Keenan Keenan $530.84 $1,769.46 — 2024-12-19 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both UHC Commercial (PPO/HMO) $539.92 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Humana Commercial (PPO/EPO/POS) $540.60 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both ChoiceCare Commercial (PPO/EPO/POS) $540.60 $675.75 $337.88 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CENTIVO MEDIAN CENTIVO MEDIAN[587] $544.00 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NETWORK HEALTH PLAN 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 $546.63 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NETWORK HEALTH PLAN 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 $546.63 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient TRILOGY TRILOGY[47] $552.00 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ALLIANCE 885_ALLIANCE MEWI SEWI 20221001 $565.81 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ALLIANCE 885_ALLIANCE MEWI SEWI 20221001 $565.81 $959.00 $546.63 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both AETNA Commercial (PPO/HMO) $574.39 $675.75 $337.88 2026-01-01 MRF ↗
MCCURTAIN MEMORIAL HOSPITAL Both Provider Network of America Commercial (PPO/HMO) $574.39 $675.75 $337.88 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $575.40 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $575.40 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HPS SOLUTIONS HPS SOLUTIONS[36] $592.00 $800.00 $440.00 2025-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient CIGNA - ALL OTHER PLANS CIGNA - ALL OTHER PLANS $598.79 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient CIGNA - ALL OTHER PLANS CIGNA - ALL OTHER PLANS $598.79 $1,050.50 $525.25 2026-04-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CIGNA ALT NETWORK CIGNA ALT NETWORK[788] $599.28 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $613.76 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $613.76 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient WPS STATEWIDE WPS STATEWIDE[31] $615.20 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HPS SOLUTIONS PLUS ADV HPS SOLUTIONS PLUS ADV[882] $620.80 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CENTIVO BROAD CENTIVO BROAD[586] $624.00 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HEALTHEOS HEALTHEOS[18] $640.00 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient AETNA W PLAN AETNA W PLAN[39] $640.00 $800.00 $440.00 2025-01-01 MRF ↗
Ascension SE Wisconsin Hospital - Franklin Campus Outpatient SEHN 1171_SEHN 20241001 $640.50 $1,281.00 $678.93 2026-01-01 MRF ↗
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient SEHN 1171_SEHN 20241001 $640.50 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient SEHN 1171_SEHN 20241001 $640.50 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient SEHN 1171_SEHN 20241001 $640.50 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SEHN 895_SEHN MEWI SEWI 20221001 $642.53 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CCHP 931_CCHP MEWI SEWI 20230101 $642.53 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SEHN 895_SEHN MEWI SEWI 20221001 $642.53 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CCHP 931_CCHP MEWI SEWI 20230101 $642.53 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient COVENTRY COVENTRY[13] $643.20 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient PREVEA COMMERCIAL AND EXCHANGE 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 $652.12 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient PREVEA COMMERCIAL AND EXCHANGE 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 $652.12 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HPS HPS[37] $656.00 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NETWORK HEALTH PLAN 937_NETWORK HEALTH PLAN CAWI 20230101 $661.71 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $661.71 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ACA 908_NETWORK HEALTH PLAN ACA CAWI 20220101 $661.71 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NETWORK HEALTH PLAN 937_NETWORK HEALTH PLAN CAWI 20230101 $661.71 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ACA 908_NETWORK HEALTH PLAN ACA CAWI 20220101 $661.71 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $661.71 $959.00 $546.63 2026-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient UHC ALL PAYER - ALL PLANS UHC ALL PAYER - ALL PLANS $662.87 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient UHC ALL PAYER - ALL PLANS UHC ALL PAYER - ALL PLANS $662.87 $1,050.50 $525.25 2026-04-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA HMO POS 936_HUMANA HMO POS MEWI SEWI 20230301 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA PPO 961_HUMANA PPO MEWI SEWI 20230301 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient DEAN HEALTH PLAN 942_DEAN HEALTH PLAN 20210901 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SEHN 268_SEHN CAWI 20160101 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA 837_NEHA ASCENSION ONLY CAWI 20220101 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA HMO POS 936_HUMANA HMO POS MEWI SEWI 20230301 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA LIMITED 838_NEHA LIMITED CAWI 20220101 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA PPO 961_HUMANA PPO MEWI SEWI 20230301 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA WVN 962_HUMANA WVN MEWI SEWI 20230301 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA 837_NEHA ASCENSION ONLY CAWI 20220101 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HUMANA WVN 962_HUMANA WVN MEWI SEWI 20230301 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient NEHA LIMITED 838_NEHA LIMITED CAWI 20220101 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient SEHN 268_SEHN CAWI 20160101 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient DEAN HEALTH PLAN 942_DEAN HEALTH PLAN 20210901 $671.30 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient FIRST HEALTH FIRST HEALTH[16] $675.20 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient WEA TRUST SELECT POS 431_WEA TRUST SELECT POS MIL 20180201 $678.93 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient WEA TRUST PPO 1164_WEA TRUST PPO MIL 20241001 $678.93 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient WEA TRUST SELECT POS 431_WEA TRUST SELECT POS MIL 20180201 $678.93 $1,281.00 $678.93 2026-01-01 MRF ↗
Ascension SE Wisconsin Hospital - Franklin Campus Outpatient WEA TRUST PPO 1164_WEA TRUST PPO MIL 20241001 $678.93 $1,281.00 $678.93 2026-01-01 MRF ↗
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient WEA TRUST PPO 1164_WEA TRUST PPO MIL 20241001 $678.93 $1,281.00 $678.93 2026-01-01 MRF ↗
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient WEA TRUST SELECT POS 431_WEA TRUST SELECT POS MIL 20180201 $678.93 $1,281.00 $678.93 2026-01-01 MRF ↗
Ascension SE Wisconsin Hospital - Franklin Campus Outpatient WEA TRUST SELECT POS 431_WEA TRUST SELECT POS MIL 20180201 $678.93 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient WEA TRUST PPO 1164_WEA TRUST PPO MIL 20241001 $678.93 $1,281.00 $678.93 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient AETNA AETNA[27] $680.00 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient IHG IHG[22] $680.00 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HEALTH PAYMENT SYSTEMS 997_HEALTH PAYMENT SYSTEMS 20230701 $690.48 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PATHWAYS 960_ANTHEM PATHWAYS CAWI 20230101 $690.48 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient HEALTH PAYMENT SYSTEMS 997_HEALTH PAYMENT SYSTEMS 20230701 $690.48 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PATHWAYS 960_ANTHEM PATHWAYS CAWI 20230101 $690.48 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient HEALTH PAYMENT SYSTEMS SOLUTIONS 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 $691.74 $1,281.00 $678.93 2026-01-01 MRF ↗
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient HEALTH PAYMENT SYSTEMS SOLUTIONS 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 $691.74 $1,281.00 $678.93 2026-01-01 MRF ↗
Ascension SE Wisconsin Hospital - Franklin Campus Outpatient HEALTH PAYMENT SYSTEMS SOLUTIONS 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 $691.74 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient HEALTH PAYMENT SYSTEMS SOLUTIONS 1160_HEALTH PAYMENT SYSTEMS SOLUTIONS MIL 20241001 $691.74 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient NETWORK HEALTH 1289_NETWORK HEALTH PLAN 20250701 $704.55 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient NETWORK HEALTH 1289_NETWORK HEALTH PLAN 20250701 $704.55 $1,281.00 $678.93 2026-01-01 MRF ↗
Ascension SE Wisconsin Hospital - Franklin Campus Outpatient NETWORK HEALTH 1289_NETWORK HEALTH PLAN 20250701 $704.55 $1,281.00 $678.93 2026-01-01 MRF ↗
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient NETWORK HEALTH 1289_NETWORK HEALTH PLAN 20250701 $704.55 $1,281.00 $678.93 2026-01-01 MRF ↗
COSHOCTON REGIONAL MEDICAL CENTER Outpatient Amish Church Fund Group Amish Church Fund Group $707.78 $1,769.46 — 2024-12-19 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $728.84 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $728.84 $959.00 $546.63 2026-01-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient AETNA COMM - ALL OTHER PLANS AETNA COMM - ALL OTHER PLANS $735.35 $1,050.50 $525.25 2026-04-01 MRF ↗
COMMUNITY FIRST MEDICAL CENTER Outpatient AETNA COMM - ALL OTHER PLANS AETNA COMM - ALL OTHER PLANS $735.35 $1,050.50 $525.25 2026-04-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient CIGNA CIGNA[41] $738.88 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient PHCS (PRIVATE HEALTH CARE SYSTEMS) PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] $740.00 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM BLUE CONNECTION 902_ANTHEM BLUE CONNECTION CAWI 20230101 $748.02 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ANTHEM BLUE CONNECTION 902_ANTHEM BLUE CONNECTION CAWI 20230101 $748.02 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient MOLINA MARKETPLACE 1162_MOLINA MARKETPLACE MIL 20241001 $755.79 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient MOLINA MARKETPLACE 1161_MOLINA MARKETPLACE ASWI 20241001 $755.79 $1,281.00 $678.93 2026-01-01 MRF ↗
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient MOLINA MARKETPLACE 1162_MOLINA MARKETPLACE MIL 20241001 $755.79 $1,281.00 $678.93 2026-01-01 MRF ↗
Ascension SE Wisconsin Hospital - Franklin Campus Outpatient MOLINA MARKETPLACE 1162_MOLINA MARKETPLACE MIL 20241001 $755.79 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient MOLINA MARKETPLACE 1162_MOLINA MARKETPLACE MIL 20241001 $755.79 $1,281.00 $678.93 2026-01-01 MRF ↗
ASCENSION ALL SAINTS HOSPITAL Outpatient MOLINA MARKETPLACE 1161_MOLINA MARKETPLACE ASWI 20241001 $755.79 $1,281.00 $678.93 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient AETNA 2925_JCIL AETNA 20250201 $765.23 $1,297.00 $428.01 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRILOGY 1007_TRILOGY MEWI SEWI 20230701 $767.20 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WPS 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 $767.20 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient TRILOGY 1007_TRILOGY MEWI SEWI 20230701 $767.20 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient WPS 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 $767.20 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ARISE 1008_ARISE PREMIER MEWI SEWI 20230701 $776.79 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient ARISE 1008_ARISE PREMIER MEWI SEWI 20230701 $776.79 $959.00 $546.63 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient UHC PPO 3094_JCIL UNITED HEALTHCARE OPTIONS PPO 20250701 $778.20 $1,297.00 $428.01 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient UHC CHOICE 3093_JCIL UNITED HEALTHCARE 20250701 $778.20 $1,297.00 $428.01 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient UHC CHOICE 3095_PFIL, PRIL, PSIL UNITED HEALTHCARE 20250701 $778.20 $1,297.00 $428.01 2026-01-01 MRF ↗
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient UHC PPO 3096_PFIL, PRIL, PSIL UNITED HEALTHCARE OPTIONS PPO 20250701 $778.20 $1,297.00 $428.01 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ANTHEM TRADITIONAL ANTHEM TRADITIONAL[140] $792.00 $800.00 $440.00 2025-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient AETNA 473_AETNA CAWI 20170701 $795.97 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient AETNA 472_AETNA MEWI SEWI 20180701 $795.97 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient AETNA 472_AETNA MEWI SEWI 20180701 $795.97 $959.00 $546.63 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient AETNA 473_AETNA CAWI 20170701 $795.97 $959.00 $546.63 2026-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient DEAN HEALTH DEAN HEALTH[116] $800.00 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID MANAGED HEALTH SERVICESS (MHS) MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] $800.00 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID TRILOGY MEDICAID TRILOGY[128] $800.00 $800.00 $440.00 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ANTHEM PATHWAY ACA ANTHEM PATHWAY ACA[779] $800.00 $800.00 $440.00 2025-01-01 MRF ↗

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