Payer comparison · CDM 36009773 · FRANKLIN, WI

36009773 — Hc Revasc Lithotr-stent Tib/peron Art

What each payer pays MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL (CCN 520205) 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.

$55,915 All-payer median here

$42,335 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for 36009773 →

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	$79,878	42.9%	1
HEALTH EOS/MULTIPLAN WC	$75,085	34.3%	1
NEHA PPO ON/NEAR SITE	$71,091	27.1%	1
NEHA PPO BROAD	$71,091	27.1%	1
MultiPlan	$69,494	24.3%	1
WEA PROVIDER AND POS	$65,500	17.1%	1
Cigna Healthcare	$62,305	11.4%	1
Aetna	$61,506	10.0%	1
First Health Network	$59,908	7.1%	1
NEHA LIMITED	$55,915	0.0%	1
NEHA ASCENSION ONLY	$55,915	0.0%	1
TRILOGY	$55,116	-1.4%	1
Molina Healthcare	$47,128	-15.7%	1
HEALTH PAYMENT SYSTEMS SOLUTIONS	$43,134	-22.9%	1
WEA TRUST PPO	$42,335	-24.3%	1
WEA TRUST SELECT POS	$42,335	-24.3%	1
SEHN	$39,939	-28.6%	1
SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL	$31,152	-44.3%	1
Network Health, Inc.	$15,873	-71.6%	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.