▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in WI
Hospitals
33
Min
$90.00
Median
$234.00
Max
$587.20
Range multiplier
6.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 98 | $82.00 | $110.94 | $842.00 | 10.3× |
| Anthem BCBS | 20 | 79 | $66.00 | $227.42 | $850.00 | 12.9× |
| healthpartners | 12 | 54 | $74.00 | $292.50 | $750.00 | 10.1× |
| Cigna | 17 | 51 | $53.76 | $346.86 | $846.00 | 15.7× |
| Aetna | 15 | 51 | $78.00 | $367.57 | $826.00 | 10.6× |
| common ground | 12 | 36 | $65.00 | $65.00 | $65.00 | 1.0× |
| wisconsin physician service | 12 | 36 | $90.00 | $95.00 | $95.00 | 1.1× |
| health eos plus | 12 | 30 | $222.00 | $303.00 | $600.00 | 2.7× |
| health eos | 12 | 30 | $296.00 | $404.00 | $800.00 | 2.7× |
| Molina | 17 | 21 | $74.00 | $74.00 | $518.50 | 7.0× |
| trilogy | 13 | 20 | $116.00 | $116.00 | $549.00 | 4.7× |
| health payment systems | 16 | 19 | $108.58 | $115.00 | $620.96 | 5.7× |
| Humana | 6 | 19 | $123.24 | $390.43 | $542.90 | 4.4× |
| First Health | 7 | 18 | $67.50 | $478.41 | $743.74 | 11.0× |
| centivo | 15 | 15 | $76.00 | $76.00 | $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 | $80.00 | $80.00 | $80.00 | 1.0× |
| hs technology | 12 | 12 | $90.00 | $90.00 | $90.00 | 1.0× |
| aurora caregiver | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| everpointe elite | 12 | 12 | $75.00 | $75.00 | $75.00 | 1.0× |
| quartz one | 12 | 12 | $70.00 | $70.00 | $70.00 | 1.0× |
| health partners | 5 | 11 | $148.20 | $572.52 | $645.92 | 4.4× |
| Medicare | 3 | 10 | $28.09 | $150.05 | $388.20 | 13.8× |
| froedtert health | 3 | 9 | $587.20 | $623.90 | $660.60 | 1.1× |
| security health plan (shp) | 1 | 8 | $81.09 | $203.60 | $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 | $324.20 | $579.50 | 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 | $57.60 | $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 | $587.20 | $587.20 | $587.20 | 1.0× |
| quartz health solutions | 3 | 6 | $623.90 | $623.90 | $623.90 | 1.0× |
| amish/mennonite | 1 | 4 | $85.80 | $210.65 | $335.50 | 3.9× |
| ma wisconsin replacement [950271] | 2 | 4 | $416.00 | $558.50 | $907.00 | 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 | $587.20 | $587.20 | $587.20 | 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 | $117.60 | $117.60 | $117.60 | 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 | $660.60 | $660.60 | $660.60 | 1.0× |
| health payers organization | 3 | 3 | $697.30 | $697.30 | $697.30 | 1.0× |
| healthpartners [900713] | 3 | 3 | $323.40 | $447.32 | $633.23 | 2.0× |
| healthsmart payers organization | 3 | 3 | $660.60 | $660.60 | $660.60 | 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 | $505.00 | $252.50 | $65.00 | $93.00 | $429.25 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $410.00 | $205.00 | $65.00 | $93.00 | $348.50 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $540.00 | $270.00 | $65.00 | $93.00 | $459.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $445.00 | $222.50 | $65.00 | $93.00 | $378.25 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $660.00 | $330.00 | $65.00 | $93.00 | $561.00 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $410.00 | $205.00 | $65.00 | $93.00 | $348.50 |
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $370.00 | $185.00 | $65.00 | $93.00 | $314.50 |
| Memorial Hospital Of Burlington | Burlington | WI | 18 | $540.00 | $270.00 | $65.00 | $93.00 | $459.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $650.00 | $325.00 | $65.00 | $90.00 | $549.90 |
| Ssh - Fox Valley | Oshkosh | WI | 32 | $734.00 | $403.70 | $110.94 | $587.20 | $697.30 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 32 | $734.00 | $403.70 | $110.94 | $587.20 | $697.30 |
| Childrens Wisconsin | Milwaukee | WI | 32 | $734.00 | $403.70 | $110.94 | $587.20 | $697.30 |
| 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 | $907.00 | $477.08 | $97.65 | $337.70 | $907.00 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 17 | $610.00 | $579.50 | $79.22 | $313.42 | $796.00 |
| 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 | $790.00 | $395.00 | $65.00 | $282.00 | $671.50 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $1,000.00 | $500.00 | $65.00 | $234.00 | $850.00 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $1,000.00 | $500.00 | $65.00 | $234.00 | $850.00 |
| Amery Regional Medical Center | Amery | WI | 7 | $365.00 | $190.31 | $28.09 | $215.88 | $375.88 |
| Hudson Hospital | Hudson | WI | 8 | $511.00 | $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 | $537.00 | $306.09 | $140.21 | $140.21 | $357.24 |
| Mercy Medical Center | Oshkosh | WI | 4 | $537.00 | $306.09 | $140.21 | $140.21 | $357.24 |
| Meriter Hospital Inc. | Madison | WI | 13 | $477.00 | $381.60 | $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.