Price Transparency 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 96121 · WAUSAU, WI

96121 — Nubhvl Xm Phy/qhp Ea Addl Hr

What each payer pays NORTH CENTRAL HEALTH CARE (CCN 524017) 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.

$340 All-payer median here
$571 Cash / self-pay here
6 payer/plan-name variants
← This hospital National rates for 96121 →
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
   
Group Health Cooperative $357 4.9% 1
Security Health Plan of Wisconsin $354 4.0% 2
Magellan Health $340 0.0% 1
Medica $340 0.0% 1
Security Administrative Services $340 0.0% 1
Forward Health - Medicaid $218 -35.9% 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.