Payer comparison · CDM 131787 · WAUKESHA, WI

131787 — Valve 29mm Evolut Fx Bioprosth Esis Aortic Tavr 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.

$111,000 All-payer median here

$61,050 Cash / self-pay here

30 payer/plan-name variants

← This hospital National rates for 131787 →

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 DEAN HEALTH	$111,000	0.0%	1
VA COMMUNITY CARE NETWORK	$111,000	0.0%	1
Anthem (Elevance Health)	$111,000	0.0%	7
UnitedHealthcare	$111,000	0.0%	4
COMMUNITY CARE INC. - FAMILY CARE (WISCONSIN)	$111,000	0.0%	1
DEAN HEALTH	$111,000	0.0%	1
Dean Health Plan (a Medica company)	$111,000	0.0%	1
MEDICAID TRILOGY	$111,000	0.0%	1
Humana	$111,000	0.0%	1
ICARE (INDEPENDENT CARE HEALTH PLAN)	$111,000	0.0%	1
MEDICAID MANAGED HEALTH SERVICESS (MHS)	$111,000	0.0%	1
MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE	$111,000	0.0%	1
MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE	$111,000	0.0%	1
PHCS (Private Healthcare Systems)	$102,675	-7.5%	1
IHG	$94,350	-15.0%	1
First Health Network	$93,684	-15.6%	1
Cigna Healthcare	$92,835	-16.4%	2
HPS	$91,020	-18.0%	1
Aetna	$89,244	-19.6%	3
HEALTHEOS	$88,800	-20.0%	1
HPS SOLUTIONS PLUS ADV	$86,580	-22.0%	1
QUARTZ HEALTH PLAN	$83,528	-24.8%	2
HPS SOLUTIONS	$82,140	-26.0%	1
TRILOGY	$76,590	-31.0%	1
CHORUS COMMUNITY HEALTH PLANS (BADGERCARE PLUS)	$76,479	-31.1%	2
WPS HEALTH INSURANCE	$75,885	-31.6%	2
ALLIANCE	$67,122	-39.5%	1
CENTIVO MEDIAN	$44,400	-60.0%	1
CENTIVO VALUE	$44,400	-60.0%	1
CENTIVO BROAD	$44,400	-60.0%	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.