▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in WI
Hospitals
33
Min
$90
Median
$234
Max
$587.2
Range multiplier
6.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 98 | $82 | $110.94 | $842 | 10.3× |
| Anthem BCBS | 20 | 79 | $66 | $227.42 | $850 | 12.9× |
| healthpartners | 12 | 54 | $74 | $292.5 | $750 | 10.1× |
| Cigna | 17 | 51 | $53.76 | $346.86 | $846 | 15.7× |
| Aetna | 15 | 51 | $78 | $367.57 | $826 | 10.6× |
| common ground | 12 | 36 | $65 | $65 | $65 | 1.0× |
| wisconsin physician service | 12 | 36 | $90 | $95 | $95 | 1.1× |
| health eos plus | 12 | 30 | $222 | $303 | $600 | 2.7× |
| health eos | 12 | 30 | $296 | $404 | $800 | 2.7× |
| Molina | 17 | 21 | $74 | $74 | $518.5 | 7.0× |
| trilogy | 13 | 20 | $116 | $116 | $549 | 4.7× |
| health payment systems | 16 | 19 | $108.58 | $115 | $620.96 | 5.7× |
| Humana | 6 | 19 | $123.24 | $390.43 | $542.9 | 4.4× |
| First Health | 7 | 18 | $67.5 | $478.41 | $743.74 | 11.0× |
| centivo | 15 | 15 | $76 | $76 | $535.82 | 7.1× |
| Multiplan | 4 | 14 | $145.08 | $378.15 | $667.94 | 4.6× |
| network health plan | 8 | 12 | $130.26 | $357.64 | $623.17 | 4.8× |
| quartz group | 12 | 12 | $80 | $80 | $80 | 1.0× |
| hs technology | 12 | 12 | $90 | $90 | $90 | 1.0× |
| aurora caregiver | 12 | 12 | $80 | $80 | $80 | 1.0× |
| everpointe elite | 12 | 12 | $75 | $75 | $75 | 1.0× |
| quartz one | 12 | 12 | $70 | $70 | $70 | 1.0× |
| health partners | 5 | 11 | $148.2 | $572.52 | $645.92 | 4.4× |
| Medicare | 3 | 10 | $28.09 | $150.05 | $388.2 | 13.8× |
| froedtert health | 3 | 9 | $587.2 | $623.9 | $660.6 | 1.1× |
| security health plan (shp) | 1 | 8 | $81.09 | $203.6 | $352.34 | 4.3× |
| Blue Cross Blue Shield | 4 | 8 | $97.65 | $139.26 | $391.83 | 4.0× |
| group health cooperative of eau claire | 1 | 8 | $127.92 | $324.2 | $579.5 | 4.5× |
| wisconsin well woman | 7 | 7 | $158.64 | $158.64 | $158.64 | 1.0× |
| wps | 7 | 7 | $437.33 | $437.33 | $437.33 | 1.0× |
| security health plan | 5 | 7 | $57.6 | $155.08 | $609.22 | 10.6× |
| Medicaid | 3 | 7 | $158.04 | $188.05 | $360.26 | 2.3× |
| aspirus | 1 | 7 | $44.16 | $99.75 | $166.95 | 3.8× |
| dean health plan | 3 | 6 | $587.2 | $587.2 | $587.2 | 1.0× |
| quartz health solutions | 3 | 6 | $623.9 | $623.9 | $623.9 | 1.0× |
| amish/mennonite | 1 | 4 | $85.8 | $210.65 | $335.5 | 3.9× |
| ma wisconsin replacement [950271] | 2 | 4 | $416 | $558.5 | $907 | 2.2× |
| prevea 360 | 1 | 4 | $122.27 | $202.73 | $405.45 | 3.3× |
| icare | 4 | 4 | $122.03 | $122.03 | $155.08 | 1.3× |
| wps health insurance | 1 | 4 | $104.99 | $257.76 | $410.53 | 3.9× |
| oan llc | 3 | 3 | $587.2 | $587.2 | $587.2 | 1.0× |
| alliance | 3 | 3 | $424.56 | $424.56 | $424.56 | 1.0× |
| aspirus health plan | 3 | 3 | $528.48 | $528.48 | $528.48 | 1.0× |
| chorus community health plan | 3 | 3 | $117.6 | $117.6 | $117.6 | 1.0× |
| common ground healthcare cooperative | 3 | 3 | $528.48 | $528.48 | $528.48 | 1.0× |
| employer health care alliance cooperative | 3 | 3 | $335.14 | $335.14 | $335.14 | 1.0× |
| group health cooperative of south central wisconsin | 3 | 3 | $660.6 | $660.6 | $660.6 | 1.0× |
| health payers organization | 3 | 3 | $697.3 | $697.3 | $697.3 | 1.0× |
| healthpartners [900713] | 3 | 3 | $323.4 | $447.32 | $633.23 | 2.0× |
| healthsmart payers organization | 3 | 3 | $660.6 | $660.6 | $660.6 | 1.0× |
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 | $505 | $252.5 | $65 | $93 | $429.25 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 18 | $410 | $205 | $65 | $93 | $348.5 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 18 | $540 | $270 | $65 | $93 | $459 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 18 | $445 | $222.5 | $65 | $93 | $378.25 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 18 | $660 | $330 | $65 | $93 | $561 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 18 | $410 | $205 | $65 | $93 | $348.5 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 18 | $370 | $185 | $65 | $93 | $314.5 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 18 | $540 | $270 | $65 | $93 | $459 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 18 | $650 | $325 | $65 | $90 | $549.9 |
| SSH - FOX VALLEY | OSHKOSH | WI | 32 | $734 | $403.7 | $110.94 | $587.2 | $697.3 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 32 | $734 | $403.7 | $110.94 | $587.2 | $697.3 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 32 | $734 | $403.7 | $110.94 | $587.2 | $697.3 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 4 | — | — | $214.69 | $390.43 | $424.56 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 4 | — | — | $214.69 | $390.43 | $424.56 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | — | — | $214.69 | $390.43 | $424.56 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $907 | $477.08 | $97.65 | $337.7 | $907 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 17 | $610 | $579.5 | $79.22 | $313.42 | $796 |
| MOSH | FRANKLIN | WI | 2 | — | — | $158.64 | $297.99 | $437.33 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 2 | — | — | $158.64 | $297.99 | $437.33 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 2 | — | — | $158.64 | $297.99 | $437.33 |
| ALL SAINTS - ST. LUKE S HOSPITAL | RACINE | WI | 2 | — | — | $158.64 | $297.99 | $437.33 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 2 | — | — | $158.64 | $297.99 | $437.33 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 2 | — | — | $158.64 | $297.99 | $437.33 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 2 | — | — | $158.64 | $297.99 | $437.33 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 18 | $790 | $395 | $65 | $282 | $671.5 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 18 | $1,000 | $500 | $65 | $234 | $850 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 18 | $1,000 | $500 | $65 | $234 | $850 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 7 | $365 | $190.31 | $28.09 | $215.88 | $375.88 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $511 | $230.51 | $108.43 | $188.05 | $633.23 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 10 | — | — | $155.08 | $155.08 | $167.49 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 4 | $537 | $306.09 | $140.21 | $140.21 | $357.24 |
| MERCY MEDICAL CENTER | OSHKOSH | WI | 4 | $537 | $306.09 | $140.21 | $140.21 | $357.24 |
| MERITER HOSPITAL INC. | MADISON | WI | 13 | $477 | $381.6 | $44.16 | $128.38 | $453.15 |
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.