Payer comparison · CDM SX112742 · MILWAUKEE, WI

SX112742 — Vlv Heart Aortic Transcatheter W/commander Sys Sap

What each payer pays ASCENSION ST FRANCIS HOSPITAL (CCN 520078) 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.

$52,140 All-payer median here

$45,302 Cash / self-pay here

23 payer/plan-name variants

← This hospital National rates for SX112742 →

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

CDM DEFAULT - NON-NEGOTIATED RATE	$85,475	63.9%	1
HEALTH EOS/MULTIPLAN WC	$80,346	54.1%	1
NEHA PPO BROAD	$76,073	45.9%	1
NEHA PPO ON/NEAR SITE	$76,073	45.9%	1
MultiPlan	$74,363	42.6%	1
WEA PROVIDER AND POS	$70,090	34.4%	1
First Health Network	$67,098	28.7%	2
Aetna	$65,816	26.2%	1
NEHA ASCENSION ONLY	$59,832	14.8%	1
NEHA LIMITED	$59,832	14.8%	1
TRILOGY	$58,978	13.1%	1
CCHP	$52,140	0.0%	1
Molina Healthcare	$50,430	-3.3%	1
Anthem (Elevance Health)	$48,721	-6.6%	4
ALLIANCE	$48,721	-6.6%	1
WEA TRUST SELECT POS	$45,302	-13.1%	1
WEA TRUST PPO	$45,302	-13.1%	1
SEHN	$42,738	-18.0%	1
Network Health, Inc.	$39,318	-24.6%	1
CENTIVO NW1	$34,190	-34.4%	1
UnitedHealthcare	$33,335	-36.1%	1
CENTIVO NW2	$32,480	-37.7%	1
CENTIVO NW3	$30,771	-41.0%	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.