▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in WI
Hospitals
33
Min
$90.00
Median
$333.00
Max
$776.00
Range multiplier
8.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 102 | $78.54 | $146.41 | $1,321.94 | 16.8× |
| Anthem BCBS | 20 | 79 | $66.00 | $308.89 | $1,334.50 | 20.2× |
| healthpartners | 12 | 54 | $74.00 | $341.25 | $1,177.50 | 15.9× |
| Cigna | 18 | 53 | $70.00 | $444.15 | $1,328.22 | 19.0× |
| Aetna | 15 | 51 | $78.00 | $450.17 | $1,296.82 | 16.6× |
| 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 | 12 | 30 | $336.00 | $496.00 | $1,256.00 | 3.7× |
| health eos plus | 12 | 30 | $252.00 | $372.00 | $942.00 | 3.7× |
| trilogy | 14 | 22 | $116.00 | $116.00 | $720.00 | 6.2× |
| Molina | 17 | 21 | $74.00 | $74.00 | $680.00 | 9.2× |
| First Health | 8 | 20 | $72.90 | $561.49 | $921.50 | 12.6× |
| health payment systems | 17 | 20 | $115.00 | $115.00 | $820.62 | 7.1× |
| Humana | 6 | 19 | $161.16 | $493.65 | $712.00 | 4.4× |
| Multiplan | 5 | 16 | $189.72 | $453.60 | $882.70 | 4.7× |
| centivo | 15 | 15 | $76.00 | $76.00 | $708.10 | 9.3× |
| everpointe elite | 12 | 12 | $75.00 | $75.00 | $75.00 | 1.0× |
| aurora caregiver | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| Medicare | 3 | 12 | $29.06 | $199.48 | $418.16 | 14.4× |
| quartz one | 12 | 12 | $70.00 | $70.00 | $70.00 | 1.0× |
| hs technology | 12 | 12 | $90.00 | $90.00 | $90.00 | 1.0× |
| Blue Cross Blue Shield | 4 | 12 | $24.19 | $142.12 | $532.93 | 22.0× |
| quartz group | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| health partners | 5 | 12 | $193.80 | $756.60 | $853.60 | 4.4× |
| network health plan | 8 | 12 | $170.34 | $476.53 | $823.53 | 4.8× |
| froedtert health | 3 | 9 | $776.00 | $824.50 | $873.00 | 1.1× |
| aspirus | 2 | 9 | $57.50 | $143.06 | $453.60 | 7.9× |
| security health plan | 5 | 9 | $75.00 | $453.60 | $805.10 | 10.7× |
| group health cooperative of eau claire | 1 | 8 | $167.28 | $424.90 | $760.00 | 4.5× |
| security health plan (shp) | 1 | 8 | $106.04 | $266.84 | $462.08 | 4.4× |
| dean health plan | 4 | 7 | $283.50 | $776.00 | $776.00 | 2.7× |
| wps | 7 | 7 | $548.55 | $548.55 | $548.55 | 1.0× |
| wisconsin well woman | 7 | 7 | $209.02 | $209.02 | $209.02 | 1.0× |
| Medicaid | 2 | 6 | $213.69 | $235.24 | $388.06 | 1.8× |
| quartz health solutions | 3 | 6 | $824.50 | $824.50 | $824.50 | 1.0× |
| ma wisconsin replacement [950271] | 3 | 5 | $146.41 | $695.00 | $977.00 | 6.7× |
| medica [900156] | 3 | 5 | $72.33 | $389.13 | $517.67 | 7.2× |
| prevea 360 | 1 | 4 | $166.07 | $264.35 | $528.70 | 3.2× |
| alliance | 3 | 4 | $209.02 | $532.53 | $532.53 | 2.5× |
| amish/mennonite | 1 | 4 | $112.20 | $276.10 | $440.00 | 3.9× |
| chorus community health plan | 4 | 4 | $155.19 | $155.19 | $364.58 | 2.3× |
| icare | 4 | 4 | $161.05 | $161.05 | $204.46 | 1.3× |
| wps health insurance | 1 | 4 | $137.29 | $337.85 | $538.40 | 3.9× |
| wps health plan | 4 | 4 | $419.58 | $679.00 | $679.00 | 1.6× |
| managed health services | 3 | 3 | $158.12 | $158.12 | $158.12 | 1.0× |
| healthsmart payers organization | 3 | 3 | $873.00 | $873.00 | $873.00 | 1.0× |
| medical college of wisconsin | 3 | 3 | $679.00 | $679.00 | $679.00 | 1.0× |
| healthpartners [900713] | 3 | 3 | $589.73 | $834.83 | $877.78 | 1.5× |
| mercy care | 1 | 3 | $87.50 | $130.20 | $217.70 | 2.5× |
| health payers organization | 3 | 3 | $921.50 | $921.50 | $921.50 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $545.00 | $272.50 | $65.00 | $93.00 | $463.25 |
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $420.00 | $210.00 | $65.00 | $93.00 | $357.00 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $485.00 | $242.50 | $65.00 | $93.00 | $412.25 |
| Memorial Hospital Of Burlington | Burlington | WI | 18 | $620.00 | $310.00 | $65.00 | $93.00 | $527.00 |
| West Allis Memorial Hospital | West Allis | WI | 18 | $525.00 | $262.50 | $65.00 | $93.00 | $446.25 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $620.00 | $310.00 | $65.00 | $93.00 | $527.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $845.00 | $422.50 | $65.00 | $93.00 | $718.25 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $800.00 | $400.00 | $65.00 | $93.00 | $680.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $730.00 | $365.00 | $65.00 | $90.00 | $617.58 |
| Ssh - Fox Valley | Oshkosh | WI | 32 | $970.00 | $533.50 | $146.41 | $776.00 | $921.50 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 32 | $970.00 | $533.50 | $146.41 | $776.00 | $921.50 |
| Childrens Wisconsin | Milwaukee | WI | 32 | $970.00 | $533.50 | $146.41 | $776.00 | $921.50 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | $286.00 | $151.58 | $209.02 | $493.65 | $532.53 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 4 | — | — | $291.52 | $493.65 | $532.53 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 4 | — | — | $291.52 | $493.65 | $532.53 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 17 | $800.00 | $760.00 | $103.59 | $411.04 | $796.00 |
| Westfields Hospital | New Richmond | WI | 8 | $977.00 | $513.90 | $132.49 | $388.06 | $977.00 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 2 | — | — | $209.02 | $378.79 | $548.55 |
| All Saints - St. Luke S Hospital | Racine | WI | 2 | — | — | $209.02 | $378.79 | $548.55 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 2 | — | — | $209.02 | $378.79 | $548.55 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 2 | — | — | $209.02 | $378.79 | $548.55 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 2 | — | — | $209.02 | $378.79 | $548.55 |
| Wheaton Franciscan - Franklin | Franklin | WI | 2 | — | — | $209.02 | $378.79 | $548.55 |
| Mosh | Franklin | WI | 2 | — | — | $209.02 | $378.79 | $548.55 |
| Holy Family Memorial Inc | Manitowoc | WI | 23 | $567.00 | $311.85 | $204.46 | $374.22 | $498.96 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $990.00 | $495.00 | $65.00 | $333.00 | $841.50 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $1,570.00 | $785.00 | $65.00 | $273.00 | $1,334.50 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $1,570.00 | $785.00 | $65.00 | $273.00 | $1,334.50 |
| Hudson Hospital | Hudson | WI | 8 | $695.00 | $313.51 | $147.48 | $255.76 | $834.83 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 4 | $668.00 | $380.76 | $190.58 | $190.58 | $451.68 |
| Mercy Medical Center | Oshkosh | WI | 4 | $668.00 | $380.76 | $190.58 | $190.58 | $451.68 |
| Meriter Hospital Inc. | Madison | WI | 13 | $622.00 | $497.60 | $57.50 | $174.37 | $590.90 |
| Amery Regional Medical Center | Amery | WI | 7 | $458.00 | $238.80 | $24.19 | $146.41 | $877.78 |
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.