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 99231 · WAUSAU, WI

99231 — Pr Hospital IP/Obs Care Subsequent Straightforward Or Low Level Per Day

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.

$69 All-payer median here
$116 Cash / self-pay here
24 payer/plan-name variants
← This hospital National rates for 99231 →
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
   
Security Health Plan of Wisconsin $76 9.5% 3
Cenpatico $74 7.2% 1
Group Health Cooperative $73 4.9% 1
Cigna Healthcare $69 0.0% 2
Dean Care $69 0.0% 1
90 Degree Benefits $69 0.0% 1
Aspirus Health Plan - First Health Network $69 0.0% 1
Blue Cross Blue Advantage $69 0.0% 1
Prosperity Life Group $69 0.0% 1
Security Administrative Services $69 0.0% 1
The Alliance $69 0.0% 1
UMR (UnitedHealthcare TPA) $69 0.0% 1
United Behavioral Health (Optum) $69 0.0% 1
HealthPartners $69 0.0% 1
Humana $69 0.0% 1
Magellan Health $69 0.0% 1
Medica $69 0.0% 1
Molina Healthcare $69 0.0% 1
MultiPlan $69 0.0% 1
UnitedHealthcare $69 -0.7% 4
Quartz - Medicare $68 -1.4% 1
MA HMO-Blue Cross/Blue Shield/Ameri Group $68 -1.4% 1
Anthem (Elevance Health) $68 -1.5% 1
Forward Health - Medicaid $44 -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.