Payer comparison · CDM 130687 · WAUKESHA, WI

130687 — System 26mm Tavr Commander Del Ivry Sapien 3 Ultra 9750tfx26a

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.

$119,048 All-payer median here

$66,138 Cash / self-pay here

29 payer/plan-name variants

← This hospital National rates for 130687 →

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 TRILOGY	$120,250	1.0%	1
VA COMMUNITY CARE NETWORK	$120,250	1.0%	1
Anthem (Elevance Health)	$120,250	1.0%	7
UnitedHealthcare	$120,250	1.0%	4
MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE	$120,250	1.0%	1
COMMUNITY CARE INC. - FAMILY CARE (WISCONSIN)	$120,250	1.0%	1
DEAN HEALTH	$120,250	1.0%	1
Dean Health Plan (a Medica company)	$120,250	1.0%	1
ICARE (INDEPENDENT CARE HEALTH PLAN)	$120,250	1.0%	1
MEDICAID DEAN HEALTH	$120,250	1.0%	1
MEDICAID MANAGED HEALTH SERVICESS (MHS)	$120,250	1.0%	1
MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE	$120,250	1.0%	1
PHCS (Private Healthcare Systems)	$111,231	-6.6%	1
IHG	$102,212	-14.1%	1
First Health Network	$101,491	-14.7%	1
Cigna Healthcare	$100,571	-15.5%	2
HPS	$98,605	-17.2%	1
Aetna	$96,681	-18.8%	3
HEALTHEOS	$96,200	-19.2%	1
HPS SOLUTIONS PLUS ADV	$93,795	-21.2%	1
QUARTZ HEALTH PLAN	$90,488	-24.0%	2
HPS SOLUTIONS	$88,985	-25.3%	1
TRILOGY	$82,972	-30.3%	1
WPS HEALTH INSURANCE	$82,209	-30.9%	2
ALLIANCE	$72,715	-38.9%	1
CENTIVO VALUE	$48,100	-59.6%	1
CENTIVO MEDIAN	$48,100	-59.6%	1
CENTIVO BROAD	$48,100	-59.6%	1
CHORUS COMMUNITY HEALTH PLANS (BADGERCARE PLUS)	$45,454	-61.8%	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.