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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in WI

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Hospitals
33
Min
$78.57
Median
$196.08
Max
$392.00
Range multiplier
5.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare23101$74.38$90.00$513.626.9×
Anthem BCBS2079$66.00$139.18$796.0012.1×
healthpartners1254$74.00$247.50$457.506.2×
Aetna1551$78.00$297.36$503.866.5×
Cigna1751$35.84$287.64$516.0614.4×
wisconsin physician service1236$90.00$95.00$95.001.1×
common ground1236$65.00$65.00$65.001.0×
health eos plus1230$189.00$216.00$366.001.9×
health eos1230$252.00$288.00$488.001.9×
Molina1721$74.00$74.00$352.754.8×
trilogy1320$95.40$116.00$373.503.9×
Humana619$78.57$255.52$369.354.7×
health payment systems1619$73.78$115.00$414.545.6×
First Health718$63.00$305.30$465.507.4×
centivo1515$76.00$76.00$357.704.7×
Multiplan414$98.58$257.48$445.904.5×
Blue Cross Blue Shield414$25.48$109.62$240.789.4×
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$88.51$233.32$416.014.7×
quartz group1212$80.00$80.00$80.001.0×
quartz one1212$70.00$70.00$70.001.0×
Medicare312$26.22$93.74$199.027.6×
health partners511$100.70$382.20$431.204.3×
froedtert health39$392.00$416.50$441.001.1×
security health plan (shp)18$55.10$138.48$239.704.4×
group health cooperative of eau claire18$86.92$220.50$394.254.5×
aspirus17$29.44$67.55$112.353.8×
Medicaid37$96.66$122.34$322.423.3×
wisconsin well woman77$105.67$105.67$105.671.0×
wps77$286.49$286.49$286.491.0×
security health plan57$38.40$103.31$406.7010.6×
dean health plan36$392.00$392.00$392.001.0×
quartz health solutions36$416.50$416.50$416.501.0×
ma wisconsin replacement [950271]35$74.38$314.00$465.006.3×
medica [900156]35$197.38$251.02$378.981.9×
amish/mennonite14$58.30$143.28$228.253.9×
icare44$81.82$81.82$103.311.3×
wps health insurance14$71.34$175.32$279.303.9×
prevea 36014$74.83$136.43$272.853.6×
oan llc33$392.00$392.00$392.001.0×
alliance33$278.13$278.13$278.131.0×
aspirus health plan33$352.80$352.80$352.801.0×
chorus community health plan33$78.84$78.84$78.841.0×
common ground healthcare cooperative33$352.80$352.80$352.801.0×
employer health care alliance cooperative33$223.99$223.99$223.991.0×
group health cooperative of south central wisconsin33$441.00$441.00$441.001.0×
health payers organization33$465.50$465.50$465.501.0×
healthpartners [900713]33$216.48$322.42$423.872.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Aurora Lakeland Medical CenterElkhornWI18$360.00$180.00$65.00$93.00$306.00
Aurora Medical Center - SummitSummitWI18$360.00$180.00$65.00$93.00$306.00
Memorial Hospital Of BurlingtonBurlingtonWI18$360.00$180.00$65.00$93.00$306.00
Aurora Medical Center Of OshkoshOshkoshWI18$420.00$210.00$65.00$93.00$357.00
Aurora Medical Center KenoshaKenoshaWI18$315.00$157.50$65.00$93.00$267.75
West Allis Memorial HospitalWest AllisWI18$390.00$195.00$65.00$93.00$331.50
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$340.00$170.00$65.00$93.00$289.00
Aurora Medical Center - HartfordHartfordWI18$495.00$247.50$65.00$93.00$420.75
Aurora Medical Center - Bay AreaMarinetteWI18$450.00$225.00$65.00$90.00$380.70
Ascension Ne Wisconsin-St. ElizabethAppletonWI4$351.00$200.07$85.89$85.89$233.80
Mercy Medical CenterOshkoshWI4$351.00$200.07$85.89$85.89$233.80
Amery Regional Medical CenterAmeryWI8$240.00$125.14$25.48$84.60$375.88
Meriter Hospital Inc.MadisonWI13$321.00$256.80$29.44$78.57$304.95
Childrens Hospital Of Wi-Fox ValleyNeenahWI32$490.00$269.50$74.38$392.00$465.50
Ssh - Fox ValleyOshkoshWI32$490.00$269.50$74.38$392.00$465.50
Childrens WisconsinMilwaukeeWI32$490.00$269.50$74.38$392.00$465.50
Ascension Columbia St Marys MilwaukeMilwaukeeWI4$132.46$255.52$278.13
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$132.46$255.52$278.13
Ascension Columbia St Marys OzaukeeMequonWI4$132.46$255.52$278.13
Beaver Dam Community HospitalsBeaver DamWI17$415.00$394.25$53.83$215.72$796.00
Sheboygan Memorial HospitalSheboyganWI18$545.00$272.50$65.00$204.00$463.25
Aurora Health Care Metro Inc.MilwaukeeWI18$610.00$305.00$65.00$198.00$518.50
Aurora Medical Center GraftonGraftonWI18$610.00$305.00$65.00$198.00$518.50
Westfields HospitalNew RichmondWI8$465.00$244.59$89.80$197.60$465.00
Ascension Se Wisconsin Hospital IncMilwaukeeWI2$105.67$196.08$286.49
All Saints - St. Luke S HospitalRacineWI2$105.67$196.08$286.49
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI2$105.67$196.08$286.49
Wfhc - Elmbrook MemorialBrookfieldWI2$105.67$196.08$286.49
Wheaton Franciscan - FranklinFranklinWI2$105.67$196.08$286.49
Wheaton Franciscan Healthcare - AllRacineWI2$105.67$196.08$286.49
MoshFranklinWI2$105.67$196.08$286.49
Hudson HospitalHudsonWI8$314.00$141.65$66.63$115.55$423.87
Holy Family Memorial IncManitowocWI10$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.