▸ Compare · PriceTransparency
Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in WI
Hospitals
36
Min
$37.18
Median
$93.00
Max
$245.60
Range multiplier
6.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 109 | $14.47 | $90.00 | $329.78 | 22.8× |
| Anthem BCBS | 20 | 91 | $32.46 | $95.00 | $796.00 | 24.5× |
| Cigna | 18 | 57 | $18.76 | $186.12 | $308.93 | 16.5× |
| Aetna | 15 | 55 | $64.25 | $198.24 | $305.49 | 4.8× |
| healthpartners | 12 | 54 | $74.00 | $161.25 | $273.75 | 3.7× |
| 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 | $168.00 | $208.00 | $292.00 | 1.7× |
| health eos plus | 12 | 30 | $126.00 | $156.00 | $219.00 | 1.7× |
| First Health | 8 | 23 | $35.10 | $133.76 | $326.09 | 9.3× |
| health payment systems | 17 | 22 | $32.02 | $115.00 | $290.39 | 9.1× |
| trilogy | 14 | 22 | $41.40 | $116.00 | $162.00 | 3.9× |
| Molina | 17 | 21 | $39.10 | $74.00 | $153.00 | 3.9× |
| Multiplan | 5 | 20 | $42.78 | $121.60 | $326.09 | 7.6× |
| Humana | 6 | 19 | $34.08 | $107.67 | $160.20 | 4.7× |
| centivo | 15 | 17 | $76.00 | $76.00 | $267.74 | 3.5× |
| Blue Cross Blue Shield | 4 | 16 | $14.20 | $39.55 | $158.43 | 11.2× |
| health partners | 5 | 16 | $43.70 | $205.23 | $302.06 | 6.9× |
| froedtert health | 3 | 15 | $70.00 | $260.95 | $291.76 | 4.2× |
| network health plan | 8 | 14 | $38.41 | $110.75 | $260.64 | 6.8× |
| Medicare | 3 | 14 | $14.61 | $39.84 | $159.22 | 10.9× |
| security health plan | 5 | 13 | $20.10 | $121.60 | $284.90 | 14.2× |
| aspirus | 2 | 13 | $15.41 | $50.20 | $176.18 | 11.4× |
| hs technology | 12 | 12 | $90.00 | $90.00 | $90.00 | 1.0× |
| quartz one | 12 | 12 | $70.00 | $70.00 | $70.00 | 1.0× |
| quartz group | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| everpointe elite | 12 | 12 | $75.00 | $75.00 | $75.00 | 1.0× |
| aurora caregiver | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| dean health plan | 4 | 11 | $76.00 | $245.60 | $274.60 | 3.6× |
| group health cooperative of eau claire | 2 | 10 | $37.72 | $113.80 | $274.60 | 7.3× |
| wps health plan | 4 | 10 | $76.00 | $214.90 | $308.93 | 4.1× |
| Medicaid | 3 | 9 | $33.17 | $49.31 | $165.14 | 5.0× |
| security health plan (shp) | 1 | 8 | $23.91 | $60.07 | $103.97 | 4.3× |
| trilogy health solutions | 3 | 7 | $75.00 | $245.60 | $291.76 | 3.9× |
| wisconsin well woman | 7 | 7 | $53.91 | $53.91 | $53.91 | 1.0× |
| common ground healthcare cooperative | 3 | 7 | $75.00 | $221.04 | $291.76 | 3.9× |
| wps | 7 | 7 | $115.90 | $115.90 | $115.90 | 1.0× |
| prevea 360 | 1 | 6 | $32.46 | $148.33 | $427.87 | 13.2× |
| ma wisconsin replacement [950271] | 3 | 6 | $37.79 | $148.50 | $372.00 | 9.8× |
| medica [900156] | 3 | 6 | $76.53 | $116.96 | $303.18 | 4.0× |
| quartz health insurance | 1 | 6 | $85.00 | $188.38 | $291.76 | 3.4× |
| quartz health solutions | 3 | 6 | $260.95 | $260.95 | $260.95 | 1.0× |
| advocate aurora healthcare | 3 | 5 | $77.00 | $230.25 | $264.30 | 3.4× |
| sheboygan employer's health network | 3 | 5 | $85.00 | $260.95 | $291.76 | 3.4× |
| alliance | 3 | 5 | $53.91 | $112.52 | $112.52 | 2.1× |
| medical college of wisconsin | 3 | 5 | $70.00 | $214.90 | $240.28 | 3.4× |
| mercy care | 1 | 5 | $23.45 | $72.80 | $176.18 | 7.5× |
| group health cooperative of south central wisconsin | 3 | 5 | $90.00 | $276.30 | $308.93 | 3.4× |
| employer health care alliance cooperative | 3 | 5 | $78.50 | $113.30 | $269.45 | 3.4× |
| oan llc | 3 | 5 | $80.00 | $245.60 | $274.60 | 3.4× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Beaver Dam Community Hospitals | Beaver Dam | WI | 17 | $180.00 | $171.00 | $23.36 | $93.56 | $796.00 |
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $265.00 | $132.50 | $65.00 | $93.00 | $225.25 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $215.00 | $107.50 | $65.00 | $93.00 | $182.75 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $240.00 | $120.00 | $65.00 | $93.00 | $204.00 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $340.00 | $170.00 | $65.00 | $93.00 | $289.00 |
| West Allis Memorial Hospital | West Allis | WI | 18 | $300.00 | $150.00 | $65.00 | $93.00 | $255.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $365.00 | $182.50 | $65.00 | $93.00 | $310.25 |
| Memorial Hospital Of Burlington | Burlington | WI | 18 | $240.00 | $120.00 | $65.00 | $93.00 | $204.00 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $260.00 | $130.00 | $65.00 | $93.00 | $221.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $325.00 | $162.50 | $65.00 | $90.00 | $274.95 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 2 | $363.00 | $192.39 | $53.91 | $84.91 | $115.90 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 2 | $432.00 | $228.96 | $53.91 | $84.91 | $115.90 |
| All Saints - St. Luke S Hospital | Racine | WI | 2 | $1,224.00 | $648.72 | $53.91 | $84.91 | $115.90 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 2 | $1,224.00 | $648.72 | $53.91 | $84.91 | $115.90 |
| Mosh | Franklin | WI | 2 | $363.00 | $192.39 | $53.91 | $84.91 | $115.90 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 2 | $432.00 | $228.96 | $53.91 | $84.91 | $115.90 |
| Wheaton Franciscan - Franklin | Franklin | WI | 2 | $363.00 | $192.39 | $53.91 | $84.91 | $115.90 |
| Meriter Hospital Inc. | Madison | WI | 13 | $503.38 | $402.71 | $15.41 | $61.12 | $478.21 |
| Hudson Hospital | Hudson | WI | 8 | $134.00 | $60.45 | $20.58 | $41.33 | $227.00 |
| Amery Regional Medical Center | Amery | WI | 8 | $95.00 | $49.53 | $14.20 | $37.79 | $110.88 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 4 | $986.00 | $562.02 | $37.18 | $37.18 | $98.51 |
| Mercy Medical Center | Oshkosh | WI | 4 | $340.00 | $193.80 | $37.18 | $37.18 | $98.51 |
| Ssh - Fox Valley | Oshkosh | WI | 32 | $307.00 | $168.85 | $37.79 | $245.60 | $291.65 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 32 | $307.00 | $168.85 | $37.79 | $245.60 | $291.65 |
| Childrens Wisconsin | Milwaukee | WI | 37 | $343.25 | $188.79 | $37.79 | $240.28 | $326.09 |
| Westfields Hospital | New Richmond | WI | 8 | $372.00 | $195.67 | $38.98 | $150.14 | $372.00 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $355.00 | $177.50 | $65.00 | $132.00 | $301.75 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $355.00 | $177.50 | $65.00 | $132.00 | $301.75 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $240.00 | $120.00 | $65.00 | $126.00 | $204.00 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 4 | $576.00 | $305.28 | $53.91 | $107.67 | $112.52 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 4 | $576.00 | $305.28 | $57.29 | $107.67 | $112.52 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | $110.00 | $58.30 | $53.91 | $107.67 | $112.52 |
| Holy Family Memorial Inc | Manitowoc | WI | 23 | $152.00 | $83.60 | $52.59 | $100.32 | $133.76 |
| River Falls Area Hospital | River Falls | WI | 0 | $160.80 | $90.05 | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $154.00 | $92.40 | — | — | — |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $154.00 | $92.40 | — | — | — |
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.