Payer comparison · HCPCS 24363 · OCONTO, WI

24363 — Replace Elbow Joint

What each payer pays BELLIN HEALTH OCONTO HOSPITAL (CCN 521356) 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.

$53,208 All-payer median here

$46,166 Cash / self-pay here

22 payer/plan-name variants

← This hospital National rates for 24363 →

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

Trilogy	$63,922	20.1%	2
Three Rivers Provider Network	$63,922	20.1%	2
HPS/PayMedix	$63,212	18.8%	2
First Health Network	$60,371	13.5%	2
Galaxy Health Network	$60,371	13.5%	2
ALLIED NATIONAL	$60,371	13.5%	2
WPS Government Health Administrators	$59,640	12.1%	2
HPS/Paymedix	$58,240	9.5%	2
IHS(ClaimsBridge)	$56,820	6.8%	2
HEALTHSMART BENEFIT SOLUTIONS	$56,820	6.8%	2
Medical College of WI	$56,820	6.8%	2
ARISE HEALTH PLAN	$55,598	4.5%	2
CHORUS COMMUNITY HEALTH PLANS (BADGERCARE PLUS)	$53,269	0.1%	2
COMMON GROUND HEALTHCARE COOPERATIVE	$52,420	-1.5%	4
Anthem (Elevance Health)	$51,067	-4.0%	8
Cigna Healthcare	$50,641	-4.8%	4
UnitedHealthcare	$49,291	-7.4%	10
Network Health, Inc.	$42,260	-20.6%	4
Aetna	$35,512	-33.3%	2
MY CHOICE IPA	$24,148	-54.6%	2
Humana	$24,148	-54.6%	2
COMMUNITY CARE INC. - FAMILY CARE (WISCONSIN)	$24,148	-54.6%	2

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.