Payer comparison · CDM SX113129 · MILWAUKEE, WI

SX113129 — Valve Heart Aortic Transcatheter Certitude System

What each payer pays ASCENSION SE WISCONSIN HOSPITAL (CCN 520136) 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.

$51,712 All-payer median here

$45,302 Cash / self-pay here

26 payer/plan-name variants

← This hospital National rates for SX113129 →

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	65.3%	1
HEALTH EOS/MULTIPLAN WC	$80,346	55.4%	1
NEHA PPO ON/NEAR SITE	$76,073	47.1%	1
NEHA PPO BROAD	$76,073	47.1%	1
MultiPlan	$74,363	43.8%	1
WEA PROVIDER AND POS	$70,090	35.5%	1
Aetna	$65,816	27.3%	1
Anthem (Elevance Health)	$65,816	27.3%	1
First Health Network	$64,106	24.0%	1
NEHA LIMITED	$59,832	15.7%	1
NEHA ASCENSION ONLY	$59,832	15.7%	1
TRILOGY	$58,978	14.0%	1
CCHP	$52,140	0.8%	1
ANTHEM HMO POS	$51,285	-0.8%	1
Molina Healthcare	$50,430	-2.5%	1
ALLIANCE	$48,721	-5.8%	1
ANTHEM BLUE CONNECTION	$46,156	-10.7%	1
WEA TRUST SELECT POS	$45,302	-12.4%	1
WEA TRUST PPO	$45,302	-12.4%	1
SEHN	$42,738	-17.4%	1
Network Health, Inc.	$39,318	-24.0%	1
ANTHEM PATHWAYS	$37,609	-27.3%	1
CENTIVO NW1	$34,190	-33.9%	1
UnitedHealthcare	$33,335	-35.5%	1
CENTIVO NW2	$32,480	-37.2%	1
CENTIVO NW3	$30,771	-40.5%	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.