▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in WI
Hospitals
36
Min
$9.33
Median
$72.01
Max
$172.80
Range multiplier
18.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 148 | $8.10 | $84.20 | $375.88 | 46.4× |
| Anthem BCBS | 20 | 123 | $8.10 | $85.00 | $796.00 | 98.3× |
| Aetna | 15 | 85 | $26.54 | $82.60 | $218.89 | 8.2× |
| Cigna | 18 | 83 | $17.00 | $100.00 | $224.19 | 13.2× |
| healthpartners | 12 | 82 | $74.00 | $93.00 | $198.75 | 2.7× |
| health eos plus | 12 | 54 | $60.00 | $108.00 | $159.00 | 2.6× |
| health eos | 12 | 54 | $80.00 | $144.00 | $212.00 | 2.6× |
| wisconsin physician service | 12 | 42 | $90.00 | $95.00 | $221.00 | 2.5× |
| common ground | 12 | 42 | $65.00 | $65.00 | $163.00 | 2.5× |
| First Health | 8 | 32 | $21.25 | $85.00 | $316.52 | 14.9× |
| health payment systems | 17 | 28 | $17.40 | $115.00 | $187.81 | 10.8× |
| Multiplan | 5 | 28 | $23.25 | $93.00 | $210.90 | 9.1× |
| trilogy | 14 | 28 | $22.50 | $106.15 | $175.00 | 7.8× |
| Molina | 17 | 25 | $16.70 | $74.00 | $160.00 | 9.6× |
| Humana | 6 | 23 | $8.51 | $55.25 | $95.23 | 11.2× |
| health partners | 5 | 22 | $21.72 | $95.00 | $195.36 | 9.0× |
| centivo | 15 | 21 | $47.19 | $76.00 | $173.16 | 3.7× |
| froedtert health | 3 | 21 | $42.35 | $172.80 | $194.40 | 4.6× |
| Medicare | 3 | 19 | $9.71 | $30.75 | $379.42 | 39.1× |
| Blue Cross Blue Shield | 4 | 19 | $9.26 | $31.20 | $368.78 | 39.8× |
| network health plan | 8 | 18 | $14.38 | $72.01 | $183.38 | 12.8× |
| group health cooperative of eau claire | 2 | 16 | $20.50 | $82.00 | $177.60 | 8.7× |
| wps health plan | 4 | 16 | $45.98 | $76.05 | $199.80 | 4.3× |
| dean health plan | 4 | 15 | $48.40 | $172.80 | $177.60 | 3.7× |
| quartz group | 12 | 14 | $80.00 | $80.00 | $125.00 | 1.6× |
| hs technology | 12 | 14 | $90.00 | $90.00 | $170.00 | 1.9× |
| quartz one | 12 | 14 | $70.00 | $70.00 | $125.00 | 1.8× |
| everpointe elite | 12 | 14 | $75.00 | $75.00 | $154.00 | 2.1× |
| aurora caregiver | 12 | 14 | $80.00 | $80.00 | $125.00 | 1.6× |
| security health plan | 5 | 12 | $21.72 | $91.68 | $184.26 | 8.5× |
| Medicaid | 2 | 12 | $10.45 | $27.53 | $153.32 | 14.7× |
| quartz health insurance | 1 | 12 | $51.43 | $71.83 | $188.70 | 3.7× |
| security health plan (shp) | 1 | 12 | $12.99 | $53.80 | $61.80 | 4.8× |
| trilogy health solutions | 3 | 11 | $45.38 | $72.25 | $188.70 | 4.2× |
| common ground healthcare cooperative | 3 | 11 | $45.38 | $72.25 | $188.70 | 4.2× |
| medica [900156] | 3 | 11 | $27.68 | $60.31 | $314.59 | 11.4× |
| sheboygan employer's health network | 3 | 7 | $51.43 | $183.60 | $188.70 | 3.7× |
| group health cooperative of south central wisconsin | 3 | 7 | $54.45 | $194.40 | $199.80 | 3.7× |
| employer health care alliance cooperative | 3 | 7 | $46.84 | $47.49 | $174.27 | 3.7× |
| wisconsin well woman | 7 | 7 | $22.35 | $22.35 | $22.35 | 1.0× |
| advocate aurora healthcare | 3 | 7 | $46.59 | $162.00 | $170.94 | 3.7× |
| aspirus health plan | 3 | 7 | $45.38 | $155.52 | $166.50 | 3.7× |
| ma wisconsin replacement [950271] | 2 | 7 | $50.00 | $75.00 | $386.00 | 7.7× |
| aspirus | 2 | 7 | $8.10 | $45.43 | $112.80 | 13.9× |
| oan llc | 3 | 7 | $48.40 | $172.80 | $177.60 | 3.7× |
| wps | 7 | 7 | $52.91 | $52.91 | $52.91 | 1.0× |
| medical college of wisconsin | 3 | 7 | $42.35 | $151.20 | $155.40 | 3.7× |
| quartz health solutions | 3 | 6 | $183.60 | $183.60 | $183.60 | 1.0× |
| amish/mennonite | 1 | 6 | $13.75 | $55.00 | $58.85 | 4.3× |
| wps health insurance | 1 | 6 | $16.82 | $67.30 | $72.01 | 4.3× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Holy Family Memorial Inc | Manitowoc | WI | 23 | $141.00 | $77.55 | $21.72 | $93.06 | $124.08 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $245.00 | $122.50 | $60.00 | $93.00 | $208.25 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 4 | $228.00 | $129.96 | $9.33 | $9.33 | $50.56 |
| Mercy Medical Center | Oshkosh | WI | 4 | $228.00 | $129.96 | $9.33 | $9.33 | $50.56 |
| West Allis Memorial Hospital | West Allis | WI | 18 | $200.00 | $100.00 | $60.00 | $84.60 | $170.00 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $210.00 | $105.00 | $60.00 | $84.60 | $178.50 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $265.00 | $132.50 | $60.00 | $84.60 | $225.25 |
| Memorial Hospital Of Burlington | Burlington | WI | 18 | $180.00 | $90.00 | $60.00 | $84.60 | $153.00 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $180.00 | $90.00 | $60.00 | $84.60 | $153.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $265.00 | $132.50 | $60.00 | $84.60 | $224.19 |
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $220.00 | $110.00 | $60.00 | $84.60 | $187.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $245.00 | $122.50 | $60.00 | $84.60 | $208.25 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $165.00 | $82.50 | $60.00 | $84.60 | $140.25 |
| Childrens Wisconsin | Milwaukee | WI | 37 | $222.00 | $122.10 | $15.61 | $72.25 | $210.90 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 17 | $107.00 | $101.65 | $12.70 | $72.01 | $796.00 |
| Westfields Hospital | New Richmond | WI | 8 | $386.00 | $203.04 | $9.71 | $71.41 | $386.00 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 4 | $346.00 | $183.38 | $14.38 | $55.25 | $55.25 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 4 | $346.00 | $183.38 | $14.38 | $55.25 | $55.25 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | $129.00 | $68.37 | $14.38 | $55.25 | $55.25 |
| Amery Regional Medical Center | Amery | WI | 6 | $139.00 | $72.47 | $9.26 | $42.66 | $379.42 |
| All Saints - St. Luke S Hospital | Racine | WI | 2 | $432.00 | $228.96 | $22.35 | $37.63 | $52.91 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 2 | $432.00 | $228.96 | $22.35 | $37.63 | $52.91 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 2 | $432.00 | $228.96 | $22.35 | $37.63 | $52.91 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 2 | $214.00 | $113.42 | $22.35 | $37.63 | $52.91 |
| Wheaton Franciscan - Franklin | Franklin | WI | 2 | $214.00 | $113.42 | $22.35 | $37.63 | $52.91 |
| Mosh | Franklin | WI | 2 | $214.00 | $113.42 | $22.35 | $37.63 | $52.91 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 2 | $432.00 | $228.96 | $22.35 | $37.63 | $52.91 |
| Meriter Hospital Inc. | Madison | WI | 13 | $197.50 | $158.00 | $8.10 | $24.99 | $187.63 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 32 | $216.00 | $118.80 | $15.61 | $172.80 | $205.20 |
| Ssh - Fox Valley | Oshkosh | WI | 32 | $216.00 | $118.80 | $15.61 | $172.80 | $205.20 |
| Hudson Hospital | Hudson | WI | 8 | $51.00 | $23.01 | $10.61 | $17.93 | $227.00 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $250.00 | $125.00 | $60.00 | $143.00 | $255.00 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $250.00 | $125.00 | $60.00 | $143.00 | $255.00 |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $64.65 | $38.79 | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $64.65 | $38.79 | — | — | — |
| River Falls Area Hospital | River Falls | WI | 0 | $139.00 | $77.84 | — | — | — |
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.