▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in WI
Hospitals
35
Min
$9.33
Median
$72.25
Max
$172.8
Range multiplier
18.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 148 | $8.1 | $84.2 | $375.88 | 46.4× |
| Anthem BCBS | 20 | 123 | $8.1 | $85 | $796 | 98.3× |
| Aetna | 15 | 85 | $26.54 | $82.6 | $218.89 | 8.2× |
| Cigna | 18 | 83 | $17 | $100 | $224.19 | 13.2× |
| healthpartners | 12 | 82 | $74 | $93 | $198.75 | 2.7× |
| health eos plus | 12 | 54 | $60 | $108 | $159 | 2.6× |
| health eos | 12 | 54 | $80 | $144 | $212 | 2.6× |
| wisconsin physician service | 12 | 42 | $90 | $95 | $221 | 2.5× |
| common ground | 12 | 42 | $65 | $65 | $163 | 2.5× |
| First Health | 8 | 32 | $21.25 | $85 | $316.52 | 14.9× |
| health payment systems | 17 | 28 | $17.4 | $115 | $187.81 | 10.8× |
| Multiplan | 5 | 28 | $23.25 | $93 | $210.9 | 9.1× |
| trilogy | 14 | 28 | $22.5 | $106.15 | $175 | 7.8× |
| Molina | 17 | 25 | $16.7 | $74 | $160 | 9.6× |
| Humana | 6 | 23 | $8.51 | $55.25 | $95.23 | 11.2× |
| health partners | 5 | 22 | $21.72 | $95 | $195.36 | 9.0× |
| centivo | 15 | 21 | $47.19 | $76 | $173.16 | 3.7× |
| froedtert health | 3 | 21 | $42.35 | $172.8 | $194.4 | 4.6× |
| Medicare | 3 | 19 | $9.71 | $30.75 | $379.42 | 39.1× |
| Blue Cross Blue Shield | 4 | 19 | $9.26 | $31.2 | $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 | $20.5 | $82 | $177.6 | 8.7× |
| wps health plan | 4 | 16 | $45.98 | $76.05 | $199.8 | 4.3× |
| dean health plan | 4 | 15 | $48.4 | $172.8 | $177.6 | 3.7× |
| quartz group | 12 | 14 | $80 | $80 | $125 | 1.6× |
| hs technology | 12 | 14 | $90 | $90 | $170 | 1.9× |
| quartz one | 12 | 14 | $70 | $70 | $125 | 1.8× |
| everpointe elite | 12 | 14 | $75 | $75 | $154 | 2.1× |
| aurora caregiver | 12 | 14 | $80 | $80 | $125 | 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 | $188.7 | 3.7× |
| security health plan (shp) | 1 | 12 | $12.99 | $53.8 | $61.8 | 4.8× |
| trilogy health solutions | 3 | 11 | $45.38 | $72.25 | $188.7 | 4.2× |
| common ground healthcare cooperative | 3 | 11 | $45.38 | $72.25 | $188.7 | 4.2× |
| medica [900156] | 3 | 11 | $27.68 | $60.31 | $314.59 | 11.4× |
| sheboygan employer's health network | 3 | 7 | $51.43 | $183.6 | $188.7 | 3.7× |
| group health cooperative of south central wisconsin | 3 | 7 | $54.45 | $194.4 | $199.8 | 3.7× |
| employer health care alliance cooperative | 3 | 7 | $46.84 | $47.49 | $174.27 | 3.7× |
| advocate aurora healthcare | 3 | 7 | $46.59 | $162 | $170.94 | 3.7× |
| aspirus health plan | 3 | 7 | $45.38 | $155.52 | $166.5 | 3.7× |
| ma wisconsin replacement [950271] | 2 | 7 | $50 | $75 | $386 | 7.7× |
| aspirus | 2 | 7 | $8.1 | $45.43 | $112.8 | 13.9× |
| oan llc | 3 | 7 | $48.4 | $172.8 | $177.6 | 3.7× |
| medical college of wisconsin | 3 | 7 | $42.35 | $151.2 | $155.4 | 3.7× |
| amish/mennonite | 1 | 6 | $13.75 | $55 | $58.85 | 4.3× |
| wisconsin well woman | 6 | 6 | $22.35 | $22.35 | $22.35 | 1.0× |
| wps health insurance | 1 | 6 | $16.82 | $67.3 | $72.01 | 4.3× |
| quartz health solutions | 3 | 6 | $183.6 | $183.6 | $183.6 | 1.0× |
| wps | 6 | 6 | $52.91 | $52.91 | $52.91 | 1.0× |
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 | $77.55 | $21.72 | $93.06 | $124.08 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 18 | $245 | $122.5 | $60 | $93 | $208.25 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 4 | $228 | $129.96 | $9.33 | $9.33 | $50.56 |
| ASCENSION NE WISC. - MERCY HOSPITAL | OSHKOSH | WI | 4 | $228 | $129.96 | $9.33 | $9.33 | $50.56 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 18 | $200 | $100 | $60 | $84.6 | $170 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 18 | $210 | $105 | $60 | $84.6 | $178.5 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 18 | $265 | $132.5 | $60 | $84.6 | $225.25 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 18 | $180 | $90 | $60 | $84.6 | $153 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 18 | $180 | $90 | $60 | $84.6 | $153 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 18 | $265 | $132.5 | $60 | $84.6 | $224.19 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 18 | $220 | $110 | $60 | $84.6 | $187 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 18 | $245 | $122.5 | $60 | $84.6 | $208.25 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 18 | $165 | $82.5 | $60 | $84.6 | $140.25 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 37 | $222 | $122.1 | $15.61 | $72.25 | $210.9 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 17 | $107 | $101.65 | $12.7 | $72.01 | $796 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $386 | $203.04 | $9.71 | $71.41 | $386 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 4 | $346 | $183.38 | $14.38 | $55.25 | $55.25 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | $129 | $68.37 | $14.38 | $55.25 | $55.25 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 4 | $346 | $183.38 | $14.38 | $55.25 | $55.25 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 6 | $139 | $72.47 | $9.26 | $42.66 | $379.42 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 2 | $432 | $228.96 | $22.35 | $37.63 | $52.91 |
| MOSH | FRANKLIN | WI | 2 | $214 | $113.42 | $22.35 | $37.63 | $52.91 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 2 | $214 | $113.42 | $22.35 | $37.63 | $52.91 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 2 | $214 | $113.42 | $22.35 | $37.63 | $52.91 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 2 | $432 | $228.96 | $22.35 | $37.63 | $52.91 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 2 | $432 | $228.96 | $22.35 | $37.63 | $52.91 |
| MERITER HOSPITAL INC. | MADISON | WI | 13 | $197.5 | $158 | $8.1 | $24.99 | $187.63 |
| SSH - FOX VALLEY | OSHKOSH | WI | 32 | $216 | $118.8 | $15.61 | $172.8 | $205.2 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 32 | $216 | $118.8 | $15.61 | $172.8 | $205.2 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $51 | $23.01 | $10.61 | $17.93 | $227 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 18 | $250 | $125 | $60 | $143 | $255 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 18 | $250 | $125 | $60 | $143 | $255 |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $64.65 | $38.79 | — | — | — |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $64.65 | $38.79 | — | — | — |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 0 | $139 | $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.