SX103809 — System Cobalt Xt Quad Crt-d With Stability Lv Lead
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SYSTEM COBALT XT QUAD CRT-D W/ STABILITY LV LEAD (CDM SX103809) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SX103809?code_type=CDM
MLA (9th ed.)
“SYSTEM COBALT XT QUAD CRT-D W/ STABILITY LV LEAD (CDM SX103809) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SX103809?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SYSTEM COBALT XT QUAD CRT-D W/ STABILITY LV LEAD (CDM SX103809) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SX103809?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $26,062–$39,745 (25th–75th percentile) across 10 hospitals · 48 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SX103809 — 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 NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $14,715.76 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $14,715.76 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $14,715.76 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $16,350.84 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $16,350.84 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $16,350.84 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $16,425.16 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $16,425.16 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $16,846.32 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $16,846.32 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $16,846.32 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $16,846.32 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $17,985.92 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $17,985.92 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $17,985.92 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $17,985.92 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $17,985.92 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $17,985.92 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $18,109.79 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $18,109.79 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $18,394.69 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $18,394.69 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $18,394.69 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $18,803.47 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $19,621.01 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $19,621.01 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $20,029.78 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $20,029.78 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $20,029.78 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $20,029.78 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $20,029.78 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $20,029.78 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $20,636.74 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $20,636.74 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SEHN C89 | 1128_SEHN 20221001 | $21,057.90 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $21,057.90 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $21,900.22 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $21,900.22 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $22,073.63 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $22,073.63 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $22,073.63 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $22,653.35 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $22,653.35 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $23,163.69 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $23,163.69 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $23,299.95 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $23,299.95 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $23,299.95 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $23,456.02 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $23,456.02 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $23,456.02 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $23,456.02 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $23,456.02 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE POS | 985_UNITED HEALTH CARE POS MEWI SEWI 20230401 | $23,708.72 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | UNITED HEALTH CARE POS | 985_UNITED HEALTH CARE POS MEWI SEWI 20230401 | $23,708.72 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE POS | 985_UNITED HEALTH CARE POS MEWI SEWI 20230401 | $23,708.72 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $23,911.86 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $23,911.86 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ALLIANCE | 1066_ALLIANCE 20220101 | $24,006.01 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ALLIANCE | 1066_ALLIANCE 20220101 | $24,006.01 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | SEHN | 895_SEHN MEWI SEWI 20221001 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 895_SEHN MEWI SEWI 20221001 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 895_SEHN MEWI SEWI 20221001 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $24,526.26 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Both | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $24,541.12 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Both | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $24,541.12 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $24,759.14 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $24,759.14 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $24,759.14 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $24,759.14 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $24,759.14 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA PPP | 204_WEA PPP 20160101 | $24,848.32 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA PPP | 204_WEA PPP 20160101 | $24,848.32 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $25,170.38 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $25,170.38 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Both | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $25,410.69 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $25,410.69 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $25,410.69 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | UNITED HEALTH CARE | 1283_UNITED HEALTH CARE MWWI 20250701 | $25,410.69 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Both | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $25,410.69 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $25,410.69 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $25,690.64 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $25,690.64 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $26,062.25 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $26,062.25 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $26,062.25 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $26,062.25 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $26,062.25 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $27,687.42 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $27,687.42 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $27,796.43 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $27,796.43 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $27,796.43 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $28,205.20 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $28,205.20 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $28,205.20 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $28,205.20 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $28,217.59 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $28,217.59 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $28,613.97 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $28,668.47 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $28,668.47 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $28,668.47 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $28,668.47 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $28,668.47 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $28,945.94 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $28,945.94 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $29,059.90 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $29,059.90 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $29,431.51 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $29,431.51 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $29,431.51 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $29,431.51 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $29,431.51 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $29,481.06 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | AETNA | 567_AETNA 20190701 | $29,481.06 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $29,481.06 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | AETNA | 567_AETNA 20190701 | $29,481.06 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $29,971.59 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $29,971.59 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $29,971.59 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $29,971.59 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $29,971.59 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $30,744.53 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $30,744.53 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $31,462.98 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $31,462.98 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $31,475.37 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $31,475.37 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $31,475.37 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $31,884.14 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $31,884.14 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $32,008.01 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $32,008.01 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | SEHN | 1171_SEHN 20241001 | $32,577.81 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $32,577.81 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SEHN | 1171_SEHN 20241001 | $32,577.81 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $32,577.81 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $32,577.81 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $32,701.68 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $32,701.68 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $32,701.68 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $32,701.68 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $32,701.68 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $32,701.68 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $33,110.45 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $33,110.45 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $33,110.45 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $33,271.48 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $33,271.48 | $42,115.80 | $22,321.37 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $33,350.76 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $33,350.76 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $33,350.76 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $33,350.76 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $33,927.99 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $33,927.99 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $33,927.99 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $33,927.99 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $33,927.99 | $40,877.10 | $23,299.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $33,980.02 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $33,980.02 | $62,925.96 | $33,350.76 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $34,532.48 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $34,532.48 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $34,532.48 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $34,532.48 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $34,532.48 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $34,532.48 | $65,155.62 | $34,532.48 | 2026-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.