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 43281 · SHAWANO, WI

43281 — Lap Paraesophag Hern Repair

What each payer pays THEDACARE MEDICAL CENTER - SHAWANO (CCN 521346) 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.

$7,492 All-payer median here
$15,620 Cash / self-pay here
8 payer/plan-name variants
← This hospital National rates for 43281 →
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
   
COMMON GROUND HEALTHCARE COOPERATIVE $18,688 149.4% 1
Anthem BCBS of Wisconsin $12,842 71.4% 1
UnitedHealthcare $9,950 32.8% 2
AMERICAN CONTINENTAL INSU. - Medicare Part A $7,492 0.0% 1
Network Health, Inc. $7,386 -1.4% 1
COMPCARE HEALTH SERVICE INS CORP - Medicare-HMO $7,386 -1.4% 1
WPS Government Health Administrators $5,879 -21.5% 1
UMR (UnitedHealthcare TPA) $2,548 -66.0% 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.