▸ Compare · PriceTransparency

Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in WI

← Back to search results↓ Download CSV
Hospitals
33
Min
$49.93
Median
$133.83
Max
$320.00
Range multiplier
6.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare23103$43.21$90.00$383.118.9×
Anthem BCBS2080$43.21$87.00$796.0018.4×
healthpartners1256$74.00$176.25$341.254.6×
Aetna1553$78.00$210.63$375.834.8×
Cigna1753$25.48$211.50$384.9315.1×
wisconsin physician service1236$90.00$95.00$95.001.1×
common ground1236$65.00$65.00$65.001.0×
health eos plus1232$72.00$169.50$273.003.8×
health eos1232$96.00$226.00$364.003.8×
Molina1721$51.73$74.00$255.854.9×
trilogy1320$69.30$116.00$270.903.9×
Humana619$45.37$180.24$267.895.9×
health payment systems1619$53.59$115.00$338.406.3×
First Health718$44.10$212.79$380.008.6×
centivo1515$76.00$76.00$292.003.8×
Multiplan414$71.61$186.47$364.005.1×
Blue Cross Blue Shield414$17.84$76.25$177.179.9×
aurora caregiver1212$80.00$80.00$80.001.0×
hs technology1212$90.00$90.00$90.001.0×
everpointe elite1212$75.00$75.00$75.001.0×
network health plan812$64.30$164.41$339.605.3×
quartz group1212$80.00$80.00$80.001.0×
quartz one1212$70.00$70.00$70.001.0×
Medicare312$18.35$54.17$178.059.7×
health partners511$66.74$312.00$352.005.3×
froedtert health39$320.00$340.00$360.001.1×
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×
Medicaid37$55.85$95.33$210.363.8×
wisconsin well woman77$68.79$68.79$68.791.0×
wps77$198.87$198.87$198.871.0×
security health plan57$27.30$68.70$332.0012.2×
dean health plan36$320.00$320.00$320.001.0×
quartz health solutions36$340.00$340.00$340.001.0×
ma wisconsin replacement [950271]35$49.35$240.00$416.008.4×
medica [900156]35$128.06$195.60$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$127.20$202.573.9×
prevea 36014$43.21$97.33$194.654.5×
oan llc33$320.00$320.00$320.001.0×
alliance33$193.06$193.06$193.061.0×
aspirus health plan33$288.00$288.00$288.001.0×
chorus community health plan33$51.25$51.25$51.251.0×
common ground healthcare cooperative33$288.00$288.00$288.001.0×
employer health care alliance cooperative33$146.19$146.19$146.191.0×
group health cooperative of south central wisconsin33$360.00$360.00$360.001.0×
health payers organization33$380.00$380.00$380.001.0×
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$325.00$162.50$65.00$95.00$274.95
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$260.00$130.00$65.00$93.00$221.00
Memorial Hospital Of BurlingtonBurlingtonWI18$300.00$150.00$65.00$93.00$255.00
Aurora Medical Center - HartfordHartfordWI18$365.00$182.50$65.00$93.00$310.25
West Allis Memorial HospitalWest AllisWI18$265.00$132.50$65.00$93.00$225.25
Aurora Medical Center - SummitSummitWI18$230.00$115.00$65.00$93.00$195.50
Aurora Medical Center Of OshkoshOshkoshWI18$340.00$170.00$65.00$93.00$289.00
Aurora Medical Center KenoshaKenoshaWI18$250.00$125.00$65.00$93.00$212.50
Aurora Lakeland Medical CenterElkhornWI18$300.00$150.00$65.00$93.00$255.00
Hudson HospitalHudsonWI8$186.00$83.90$39.47$68.45$276.55
Holy Family Memorial IncManitowocWI10$66.74$66.74$72.08
Meriter Hospital Inc.MadisonWI13$229.00$183.20$20.93$52.67$217.55
Amery Regional Medical CenterAmeryWI8$167.00$87.07$17.84$51.61$375.88
Mercy Medical CenterOshkoshWI4$244.00$139.08$49.93$49.93$164.91
Ascension Ne Wisconsin-St. ElizabethAppletonWI4$244.00$139.08$49.93$49.93$164.91
Childrens Hospital Of Wi-Fox ValleyNeenahWI32$400.00$220.00$48.35$320.00$380.00
Ssh - Fox ValleyOshkoshWI32$400.00$220.00$48.35$320.00$380.00
Childrens WisconsinMilwaukeeWI32$400.00$220.00$48.35$320.00$380.00
Ascension Columbia St Marys OzaukeeMequonWI4$77.47$180.24$193.06
Ascension Columbia St Marys MilwaukeMilwaukeeWI4$77.47$180.24$193.06
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$77.47$180.24$193.06
Westfields HospitalNew RichmondWI8$416.00$218.82$51.89$176.78$416.00
Beaver Dam Community HospitalsBeaver DamWI17$301.00$285.95$39.10$156.46$796.00
Sheboygan Memorial HospitalSheboyganWI18$355.00$177.50$65.00$153.00$301.75
Aurora Health Care Metro Inc.MilwaukeeWI18$455.00$227.50$65.00$144.00$386.75
Aurora Medical Center GraftonGraftonWI18$455.00$227.50$65.00$144.00$386.75
Ascension Se Wisconsin Hospital IncMilwaukeeWI2$68.79$133.83$198.87
Wheaton Franciscan Healthcare - AllRacineWI2$68.79$133.83$198.87
All Saints - St. Luke S HospitalRacineWI2$68.79$133.83$198.87
Wheaton Franciscan - FranklinFranklinWI2$68.79$133.83$198.87
MoshFranklinWI2$68.79$133.83$198.87
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI2$68.79$133.83$198.87
Wfhc - Elmbrook MemorialBrookfieldWI2$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.