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 99233 · WAUSAU, WI

99233 — Pr Hospital IP/Obs Care Subsequent High 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.

$182 All-payer median here
$306 Cash / self-pay here
22 payer/plan-name variants
← This hospital National rates for 99233 →
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 $200 9.5% 3
Cenpatico $196 7.2% 1
Group Health Cooperative $191 4.9% 1
Cigna Healthcare $182 0.0% 2
Dean Care $182 0.0% 1
United Behavioral Health (Optum) $182 0.0% 1
Humana $182 0.0% 1
Aspirus Health Plan - First Health Network $182 0.0% 1
Magellan Health $182 0.0% 1
Medica $182 0.0% 1
Molina Healthcare $182 0.0% 1
MultiPlan $182 0.0% 1
Prosperity Life Group $182 0.0% 1
Blue Cross Blue Advantage $182 0.0% 1
Security Administrative Services $182 0.0% 1
The Alliance $182 0.0% 1
UMR (UnitedHealthcare TPA) $182 0.0% 1
UnitedHealthcare $180 -1.4% 5
MA HMO-Blue Cross/Blue Shield/Ameri Group $180 -1.4% 1
Quartz - Medicare $180 -1.4% 1
Anthem (Elevance Health) $180 -1.5% 2
Forward Health - Medicaid $117 -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.