▸ Compare · PriceTransparency
Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in WI
Hospitals
32
Min
$78.57
Median
$196.08
Max
$392
Range multiplier
5.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 101 | $74.38 | $90 | $513.62 | 6.9× |
| Anthem BCBS | 20 | 79 | $66 | $139.18 | $796 | 12.1× |
| healthpartners | 12 | 54 | $74 | $247.5 | $457.5 | 6.2× |
| Aetna | 15 | 51 | $78 | $297.36 | $503.86 | 6.5× |
| Cigna | 17 | 51 | $35.84 | $287.64 | $516.06 | 14.4× |
| wisconsin physician service | 12 | 36 | $90 | $95 | $95 | 1.1× |
| common ground | 12 | 36 | $65 | $65 | $65 | 1.0× |
| health eos plus | 12 | 30 | $189 | $216 | $366 | 1.9× |
| health eos | 12 | 30 | $252 | $288 | $488 | 1.9× |
| Molina | 17 | 21 | $74 | $74 | $352.75 | 4.8× |
| trilogy | 13 | 20 | $95.4 | $116 | $373.5 | 3.9× |
| Humana | 6 | 19 | $78.57 | $255.52 | $369.35 | 4.7× |
| health payment systems | 16 | 19 | $73.78 | $115 | $414.54 | 5.6× |
| First Health | 7 | 18 | $63 | $305.3 | $465.5 | 7.4× |
| centivo | 15 | 15 | $76 | $76 | $357.7 | 4.7× |
| Multiplan | 4 | 14 | $98.58 | $257.48 | $445.9 | 4.5× |
| Blue Cross Blue Shield | 4 | 14 | $25.48 | $109.62 | $240.78 | 9.4× |
| aurora caregiver | 12 | 12 | $80 | $80 | $80 | 1.0× |
| hs technology | 12 | 12 | $90 | $90 | $90 | 1.0× |
| everpointe elite | 12 | 12 | $75 | $75 | $75 | 1.0× |
| network health plan | 8 | 12 | $88.51 | $233.32 | $416.01 | 4.7× |
| quartz group | 12 | 12 | $80 | $80 | $80 | 1.0× |
| quartz one | 12 | 12 | $70 | $70 | $70 | 1.0× |
| Medicare | 3 | 12 | $26.22 | $93.74 | $199.02 | 7.6× |
| health partners | 5 | 11 | $100.7 | $382.2 | $431.2 | 4.3× |
| froedtert health | 3 | 9 | $392 | $416.5 | $441 | 1.1× |
| security health plan (shp) | 1 | 8 | $55.1 | $138.48 | $239.7 | 4.4× |
| group health cooperative of eau claire | 1 | 8 | $86.92 | $220.5 | $394.25 | 4.5× |
| aspirus | 1 | 7 | $29.44 | $67.55 | $112.35 | 3.8× |
| security health plan | 5 | 7 | $38.4 | $103.31 | $406.7 | 10.6× |
| Medicaid | 3 | 7 | $96.66 | $122.34 | $322.42 | 3.3× |
| quartz health solutions | 3 | 6 | $416.5 | $416.5 | $416.5 | 1.0× |
| wisconsin well woman | 6 | 6 | $105.67 | $105.67 | $105.67 | 1.0× |
| dean health plan | 3 | 6 | $392 | $392 | $392 | 1.0× |
| wps | 6 | 6 | $286.49 | $286.49 | $286.49 | 1.0× |
| ma wisconsin replacement [950271] | 3 | 5 | $74.38 | $314 | $465 | 6.3× |
| medica [900156] | 3 | 5 | $197.38 | $251.02 | $378.98 | 1.9× |
| amish/mennonite | 1 | 4 | $58.3 | $143.28 | $228.25 | 3.9× |
| icare | 4 | 4 | $81.82 | $81.82 | $103.31 | 1.3× |
| wps health insurance | 1 | 4 | $71.34 | $175.32 | $279.3 | 3.9× |
| prevea 360 | 1 | 4 | $74.83 | $136.43 | $272.85 | 3.6× |
| oan llc | 3 | 3 | $392 | $392 | $392 | 1.0× |
| alliance | 3 | 3 | $278.13 | $278.13 | $278.13 | 1.0× |
| aspirus health plan | 3 | 3 | $352.8 | $352.8 | $352.8 | 1.0× |
| chorus community health plan | 3 | 3 | $78.84 | $78.84 | $78.84 | 1.0× |
| common ground healthcare cooperative | 3 | 3 | $352.8 | $352.8 | $352.8 | 1.0× |
| employer health care alliance cooperative | 3 | 3 | $223.99 | $223.99 | $223.99 | 1.0× |
| group health cooperative of south central wisconsin | 3 | 3 | $441 | $441 | $441 | 1.0× |
| health payers organization | 3 | 3 | $465.5 | $465.5 | $465.5 | 1.0× |
| healthpartners [900713] | 3 | 3 | $216.48 | $322.42 | $423.87 | 2.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 18 | $390 | $195 | $65 | $93 | $331.5 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 18 | $360 | $180 | $65 | $93 | $306 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 18 | $340 | $170 | $65 | $93 | $289 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 18 | $420 | $210 | $65 | $93 | $357 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 18 | $495 | $247.5 | $65 | $93 | $420.75 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 18 | $360 | $180 | $65 | $93 | $306 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 18 | $315 | $157.5 | $65 | $93 | $267.75 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 18 | $360 | $180 | $65 | $93 | $306 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 18 | $450 | $225 | $65 | $90 | $380.7 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 4 | $351 | $200.07 | $85.89 | $85.89 | $233.8 |
| MERCY MEDICAL CENTER | OSHKOSH | WI | 4 | $351 | $200.07 | $85.89 | $85.89 | $233.8 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 8 | $240 | $125.14 | $25.48 | $84.6 | $375.88 |
| MERITER HOSPITAL INC. | MADISON | WI | 13 | $321 | $256.8 | $29.44 | $78.57 | $304.95 |
| SSH - FOX VALLEY | OSHKOSH | WI | 32 | $490 | $269.5 | $74.38 | $392 | $465.5 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 32 | $490 | $269.5 | $74.38 | $392 | $465.5 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 32 | $490 | $269.5 | $74.38 | $392 | $465.5 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 4 | — | — | $132.46 | $255.52 | $278.13 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 4 | — | — | $132.46 | $255.52 | $278.13 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | — | — | $132.46 | $255.52 | $278.13 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 17 | $415 | $394.25 | $53.83 | $215.72 | $796 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 18 | $545 | $272.5 | $65 | $204 | $463.25 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 18 | $610 | $305 | $65 | $198 | $518.5 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 18 | $610 | $305 | $65 | $198 | $518.5 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $465 | $244.59 | $89.8 | $197.6 | $465 |
| MOSH | FRANKLIN | WI | 2 | — | — | $105.67 | $196.08 | $286.49 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 2 | — | — | $105.67 | $196.08 | $286.49 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 2 | — | — | $105.67 | $196.08 | $286.49 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 2 | — | — | $105.67 | $196.08 | $286.49 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 2 | — | — | $105.67 | $196.08 | $286.49 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 2 | — | — | $105.67 | $196.08 | $286.49 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $314 | $141.65 | $66.63 | $115.55 | $423.87 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 10 | — | — | $103.31 | $103.31 | $111.57 |
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.