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 · CPT 63685 · KENOSHA, WI

63685 — Ins/rplc Spi Npg/rcvr Pocket

What each payer pays FROEDTERT SOUTH INC. (CCN 520021) 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.

$104,678 All-payer median here
$104,678 Cash / self-pay here
64 payer/plan-name variants
← This hospital National rates for 63685 →
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
   
WC GALLAGHER BASSETT [51163] $139,571 33.3% 1
WEA [40254] $113,750 8.7% 2
COMMON GROUND HEALTHCARE COOPERATIVE $111,657 6.7% 1
WPS HEALTH INSURANCE $110,261 5.3% 4
PEKIN LIFE INSURANCE [40216] $110,261 5.3% 2
UNICARE $108,865 4.0% 1
ALLIED BENEFIT SYSTEMS $108,865 4.0% 3
AMERICAN TRUST ADMINISTRATORS $108,865 4.0% 1
ARM [40121] $108,865 4.0% 1
AUXIANT $108,865 4.0% 3
BENEFIT PLAN ADMIN [40126] $108,865 4.0% 1
BENICORP INSURANCE $108,865 4.0% 1
CONCERT HEALTH PLAN [40144] $108,865 4.0% 1
CUSTOM BENEFIT ADMIN [40148] $108,865 4.0% 1
CWI Benefits $108,865 4.0% 1
FCPC [40157] $108,865 4.0% 1
FEDERATED MUTUAL [40159] $108,865 4.0% 1
INSURANCE ADMINISTRATORS OF AMERICA $108,865 4.0% 1
LUCENT HEALTH $108,865 4.0% 3
Meritain Health $108,865 4.0% 3
OUTSOURCEONE BENEFITS (CIELOSTAR) $108,865 4.0% 1
PERSONIFY HEALTH / BENEFIT ADMINISTRATIVE SYSTEMS (BAS HEALTH) $108,865 4.0% 1
PRAIRIE STATES [40219] $108,865 4.0% 3
PREFERREDONE INSURANCE $108,865 4.0% 1
PRINCIPAL FINANCIAL [40221] $108,865 4.0% 1
QUARTZ HEALTH PLAN $108,865 4.0% 1
SISCO BENEFITS $108,865 4.0% 3
3P ADMIN $108,865 4.0% 1
WORLD INSURANCE CO [40261] $108,865 4.0% 1
Cigna Healthcare $107,470 2.7% 2
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $107,470 2.7% 1
UMR SERIGRAPH [40452] $104,678 0.0% 1
UMR (UnitedHealthcare TPA) $104,678 0.0% 7
HealthSCOPE Benefits EHC Repricing $104,678 0.0% 1
TRUSTMARK $104,678 0.0% 1
ALL SAVERS INSURANCE COMPANY $104,678 0.0% 1
United Behavioral Health (Optum) $104,678 0.0% 1
UnitedHealthcare $104,678 0.0% 4
Aetna $104,678 0.0% 1
SHARED SERVICES [40180] $104,678 0.0% 1
Surest (UHC) $104,678 0.0% 1
Humana $104,678 0.0% 3
90 Degree Benefits $103,631 -1.0% 2
PROFESSIONAL BENEFIT ADMINISTRATORS INC (OAK BROOK, IL) $103,631 -1.0% 2
GENERIC MANAGED CARE [40274] $98,398 -6.0% 3
ALTERNATIVE RISK MANAGEMENT LTD $98,398 -6.0% 1
AUTOMATED BENEFIT SERVICES $98,398 -6.0% 1
GROUP BENEFIT SERVICES, INC. (MISSOURI) $98,398 -6.0% 1
NETWORK HEALTH PLAN FTH EMP [40459] $98,398 -6.0% 1
NETWORK HEALTH PLAN [40401] $96,583 -7.7% 1
ALLIANCE [70479] $90,721 -13.3% 1
ALLIANCE [40471] $90,721 -13.3% 1
GENERIC COMMERCIAL [70274] $90,721 -13.3% 1
ALLEGIANCE BENEFIT PLAN MANAGEMENT $90,721 -13.3% 1
Network Health, Inc. $90,163 -13.9% 2
CHORUS COMMUNITY HEALTH PLANS (BADGERCARE PLUS) $53,037 -49.3% 1
WESTERN PENNSYLVANIA ELECTRICAL EMPLOYEES INSURANCE TRUST FUND $35,143 -66.4% 1
Chicago District Council of Carpenters Welfare Fund $35,143 -66.4% 1
Midwest Operating Engineers Welfare Fund $35,143 -66.4% 1
MILWAUKEE CARPENTERS [40425] $35,143 -66.4% 1
NATIONAL ELECTRICAL CONTRACTORS [40426] $35,143 -66.4% 1
WI CARPENTERS [40427] $35,143 -66.4% 1
Anthem (Elevance Health) $29,634 -71.7% 4
OPERATING ENGINEERS [40419] $24,126 -77.0% 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.