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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in WI

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Hospitals
32
Min
$49.93
Median
$133.83
Max
$320
Range multiplier
6.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare23103$43.21$90$383.118.9×
Anthem BCBS2080$43.21$87$79618.4×
healthpartners1256$74$176.25$341.254.6×
Aetna1553$78$210.63$375.834.8×
Cigna1753$25.48$211.5$384.9315.1×
wisconsin physician service1236$90$95$951.1×
common ground1236$65$65$651.0×
health eos plus1232$72$169.5$2733.8×
health eos1232$96$226$3643.8×
Molina1721$51.73$74$255.854.9×
trilogy1320$69.3$116$270.93.9×
Humana619$45.37$180.24$267.895.9×
health payment systems1619$53.59$115$338.46.3×
First Health718$44.1$212.79$3808.6×
centivo1515$76$76$2923.8×
Multiplan414$71.61$186.47$3645.1×
Blue Cross Blue Shield414$17.84$76.25$177.179.9×
aurora caregiver1212$80$80$801.0×
hs technology1212$90$90$901.0×
everpointe elite1212$75$75$751.0×
network health plan812$64.3$164.41$339.65.3×
quartz group1212$80$80$801.0×
quartz one1212$70$70$701.0×
Medicare312$18.35$54.17$178.059.7×
health partners511$66.74$312$3525.3×
froedtert health39$320$340$3601.1×
security health plan (shp)18$40.02$100.47$173.864.3×
group health cooperative of eau claire18$63.14$159.99$285.954.5×
aspirus17$20.93$43.21$80.153.8×
security health plan57$27.3$68.7$33212.2×
Medicaid37$55.85$95.33$210.363.8×
quartz health solutions36$340$340$3401.0×
wisconsin well woman66$68.79$68.79$68.791.0×
dean health plan36$320$320$3201.0×
wps66$198.87$198.87$198.871.0×
ma wisconsin replacement [950271]35$49.35$240$4168.4×
medica [900156]35$128.06$195.6$339.042.6×
amish/mennonite14$42.35$103.95$165.553.9×
icare44$53.19$53.19$66.741.3×
wps health insurance14$51.82$127.2$202.573.9×
prevea 36014$43.21$97.33$194.654.5×
oan llc33$320$320$3201.0×
alliance33$193.06$193.06$193.061.0×
aspirus health plan33$288$288$2881.0×
chorus community health plan33$51.25$51.25$51.251.0×
common ground healthcare cooperative33$288$288$2881.0×
employer health care alliance cooperative33$146.19$146.19$146.191.0×
group health cooperative of south central wisconsin33$360$360$3601.0×
health payers organization33$380$380$3801.0×
healthpartners [900713]33$141.24$210.36$276.552.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
AURORA MEDICAL CENTER - BAY AREAMARINETTEWI18$325$162.5$65$95$274.95
WEST ALLIS MEMORIAL HOSPITALWEST ALLISWI18$265$132.5$65$93$225.25
AURORA MED CTR OF MANITOWOC COUNTYTWO RIVERSWI18$260$130$65$93$221
AURORA MEDICAL CENTER - HARTFORDHARTFORDWI18$365$182.5$65$93$310.25
AURORA MEDICAL CENTER - SUMMITSUMMITWI18$230$115$65$93$195.5
MEMORIAL HOSPITAL OF BURLINGTONBURLINGTONWI18$300$150$65$93$255
AURORA MEDICAL CENTER OF OSHKOSHOSHKOSHWI18$340$170$65$93$289
AURORA MEDICAL CENTER KENOSHAKENOSHAWI18$250$125$65$93$212.5
AURORA LAKELAND MEDICAL CENTERELKHORNWI18$300$150$65$93$255
HUDSON HOSPITALHUDSONWI8$186$83.9$39.47$68.45$276.55
HOLY FAMILY MEMORIAL INCMANITOWOCWI10$66.74$66.74$72.08
MERITER HOSPITAL INC.MADISONWI13$229$183.2$20.93$52.67$217.55
AMERY REGIONAL MEDICAL CENTERAMERYWI8$167$87.07$17.84$51.61$375.88
ASCENSION NE WISCONSIN-ST. ELIZABETHAPPLETONWI4$244$139.08$49.93$49.93$164.91
ASCENSION NE WISC. - MERCY HOSPITALOSHKOSHWI4$244$139.08$49.93$49.93$164.91
SSH - FOX VALLEYOSHKOSHWI32$400$220$48.35$320$380
CHILDRENS WISCONSINMILWAUKEEWI32$400$220$48.35$320$380
CHILDRENS HOSPITAL OF WI-FOX VALLEYNEENAHWI32$400$220$48.35$320$380
ASCENSION SACRED HEART REHABILITATIOMILWAUKEEWI4$77.47$180.24$193.06
ASCENSION COLUMBIA ST MARYS OZAUKEEMEQUONWI4$77.47$180.24$193.06
ASCENSION COLUMBIA ST MARYS MILWAUKEMILWAUKEEWI4$77.47$180.24$193.06
WESTFIELDS HOSPITALNEW RICHMONDWI8$416$218.82$51.89$176.78$416
BEAVER DAM COMMUNITY HOSPITALSBEAVER DAMWI17$301$285.95$39.1$156.46$796
SHEBOYGAN MEMORIAL HOSPITALSHEBOYGANWI18$355$177.5$65$153$301.75
AURORA MEDICAL CENTER GRAFTONGRAFTONWI18$455$227.5$65$144$386.75
AURORA HEALTH CARE METRO INC.MILWAUKEEWI18$455$227.5$65$144$386.75
ASCENSION WISCONSIN EMERUS MENOMONEEMENOMONEE FALLSWI2$68.79$133.83$198.87
MOSHFRANKLINWI2$68.79$133.83$198.87
WHEATON FRANCISCAN - FRANKLINFRANKLINWI2$68.79$133.83$198.87
WHEATON FRANCISCAN HEALTHCARE - ALLRACINEWI2$68.79$133.83$198.87
WFHC - ELMBROOK MEMORIALBROOKFIELDWI2$68.79$133.83$198.87
ASCENSION SE WISCONSIN HOSPITAL INCMILWAUKEEWI2$68.79$133.83$198.87

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.