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 99239 · WAUSAU, WI

99239 — Pr Discharge Day Management Hospital IP/Obs > 30 Min On Encounter Date

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.

$223 All-payer median here
$374 Cash / self-pay here
11 payer/plan-name variants
← This hospital National rates for 99239 →
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 $244 9.5% 3
Cenpatico $239 7.2% 1
Group Health Cooperative $234 4.9% 1
Molina Healthcare $223 0.0% 1
Blue Cross Blue Advantage $223 0.0% 1
Security Administrative Services $223 0.0% 1
Medica $223 0.0% 1
MA HMO-Blue Cross/Blue Shield/Ameri Group $220 -1.4% 1
Anthem (Elevance Health) $220 -1.5% 1
UnitedHealthcare $219 -1.6% 3
Forward Health - Medicaid $143 -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.