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 →

Payer comparison · CDM 1002540 · WAUKESHA, WI

1002540 — Implant Cmf Peek Size 3 1024cm Patient Specific 1/ea

What each payer pays WAUKESHA MEMORIAL HOSPITAL (CCN 520008) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$63,656 All-payer median here
$37,850 Cash / self-pay here
30 payer/plan-name variants
← This hospital National rates for 1002540 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
MEDICAID MANAGED HEALTH SERVICESS (MHS) $68,818 8.1% 1
VA COMMUNITY CARE NETWORK $68,818 8.1% 1
Anthem (Elevance Health) $68,818 8.1% 7
MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE $68,818 8.1% 1
COMMUNITY CARE INC. - FAMILY CARE (WISCONSIN) $68,818 8.1% 1
DEAN HEALTH $68,818 8.1% 1
Dean Health Plan (a Medica company) $68,818 8.1% 1
MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE $68,818 8.1% 1
Humana $68,818 8.1% 1
ICARE (INDEPENDENT CARE HEALTH PLAN) $68,818 8.1% 1
MEDICAID DEAN HEALTH $68,818 8.1% 1
MEDICAID TRILOGY $68,818 8.1% 1
PHCS (Private Healthcare Systems) $63,656 0.0% 1
IHG $58,495 -8.1% 1
First Health Network $58,082 -8.8% 1
Cigna Healthcare $57,556 -9.6% 2
UnitedHealthcare $56,499 -11.2% 4
HPS $56,431 -11.4% 1
Aetna $55,330 -13.1% 3
HEALTHEOS $55,054 -13.5% 1
CENTIVO BROAD $53,678 -15.7% 1
HPS SOLUTIONS PLUS ADV $53,403 -16.1% 1
QUARTZ HEALTH PLAN $51,785 -18.6% 2
HPS SOLUTIONS $50,925 -20.0% 1
TRILOGY $47,484 -25.4% 1
CHORUS COMMUNITY HEALTH PLANS (BADGERCARE PLUS) $47,415 -25.5% 2
WPS HEALTH INSURANCE $47,047 -26.1% 2
CENTIVO MEDIAN $46,796 -26.5% 1
CENTIVO VALUE $43,355 -31.9% 1
ALLIANCE $41,614 -34.6% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.