▸ Compare · PriceTransparency
Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in WI
Hospitals
35
Min
$37.18
Median
$93
Max
$245.6
Range multiplier
6.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 109 | $14.47 | $90 | $329.78 | 22.8× |
| Anthem BCBS | 20 | 91 | $32.46 | $95 | $796 | 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 | $161.25 | $273.75 | 3.7× |
| wisconsin physician service | 12 | 36 | $90 | $95 | $95 | 1.1× |
| common ground | 12 | 36 | $65 | $65 | $65 | 1.0× |
| health eos | 12 | 30 | $168 | $208 | $292 | 1.7× |
| health eos plus | 12 | 30 | $126 | $156 | $219 | 1.7× |
| First Health | 8 | 23 | $35.1 | $133.76 | $326.09 | 9.3× |
| health payment systems | 17 | 22 | $32.02 | $115 | $290.39 | 9.1× |
| trilogy | 14 | 22 | $41.4 | $116 | $162 | 3.9× |
| Molina | 17 | 21 | $39.1 | $74 | $153 | 3.9× |
| Multiplan | 5 | 20 | $42.78 | $121.6 | $326.09 | 7.6× |
| Humana | 6 | 19 | $34.08 | $107.67 | $160.2 | 4.7× |
| centivo | 15 | 17 | $76 | $76 | $267.74 | 3.5× |
| Blue Cross Blue Shield | 4 | 16 | $14.2 | $39.55 | $158.43 | 11.2× |
| health partners | 5 | 16 | $43.7 | $205.23 | $302.06 | 6.9× |
| froedtert health | 3 | 15 | $70 | $260.95 | $291.76 | 4.2× |
| Medicare | 3 | 14 | $14.61 | $39.84 | $159.22 | 10.9× |
| network health plan | 8 | 14 | $38.41 | $110.75 | $260.64 | 6.8× |
| security health plan | 5 | 13 | $20.1 | $121.6 | $284.9 | 14.2× |
| aspirus | 2 | 13 | $15.41 | $50.2 | $176.18 | 11.4× |
| hs technology | 12 | 12 | $90 | $90 | $90 | 1.0× |
| aurora caregiver | 12 | 12 | $80 | $80 | $80 | 1.0× |
| quartz one | 12 | 12 | $70 | $70 | $70 | 1.0× |
| quartz group | 12 | 12 | $80 | $80 | $80 | 1.0× |
| everpointe elite | 12 | 12 | $75 | $75 | $75 | 1.0× |
| dean health plan | 4 | 11 | $76 | $245.6 | $274.6 | 3.6× |
| group health cooperative of eau claire | 2 | 10 | $37.72 | $113.8 | $274.6 | 7.3× |
| wps health plan | 4 | 10 | $76 | $214.9 | $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× |
| common ground healthcare cooperative | 3 | 7 | $75 | $221.04 | $291.76 | 3.9× |
| trilogy health solutions | 3 | 7 | $75 | $245.6 | $291.76 | 3.9× |
| prevea 360 | 1 | 6 | $32.46 | $148.33 | $427.87 | 13.2× |
| ma wisconsin replacement [950271] | 3 | 6 | $37.79 | $148.5 | $372 | 9.8× |
| medica [900156] | 3 | 6 | $76.53 | $116.96 | $303.18 | 4.0× |
| quartz health insurance | 1 | 6 | $85 | $188.38 | $291.76 | 3.4× |
| quartz health solutions | 3 | 6 | $260.95 | $260.95 | $260.95 | 1.0× |
| wisconsin well woman | 6 | 6 | $53.91 | $53.91 | $53.91 | 1.0× |
| wps | 6 | 6 | $115.9 | $115.9 | $115.9 | 1.0× |
| advocate aurora healthcare | 3 | 5 | $77 | $230.25 | $264.3 | 3.4× |
| alliance | 3 | 5 | $53.91 | $112.52 | $112.52 | 2.1× |
| medical college of wisconsin | 3 | 5 | $70 | $214.9 | $240.28 | 3.4× |
| group health cooperative of south central wisconsin | 3 | 5 | $90 | $276.3 | $308.93 | 3.4× |
| sheboygan employer's health network | 3 | 5 | $85 | $260.95 | $291.76 | 3.4× |
| mercy care | 1 | 5 | $23.45 | $72.8 | $176.18 | 7.5× |
| employer health care alliance cooperative | 3 | 5 | $78.5 | $113.3 | $269.45 | 3.4× |
| oan llc | 3 | 5 | $80 | $245.6 | $274.6 | 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 | $171 | $23.36 | $93.56 | $796 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 18 | $215 | $107.5 | $65 | $93 | $182.75 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 18 | $240 | $120 | $65 | $93 | $204 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 18 | $265 | $132.5 | $65 | $93 | $225.25 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 18 | $340 | $170 | $65 | $93 | $289 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 18 | $300 | $150 | $65 | $93 | $255 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 18 | $365 | $182.5 | $65 | $93 | $310.25 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 18 | $240 | $120 | $65 | $93 | $204 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 18 | $260 | $130 | $65 | $93 | $221 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 18 | $325 | $162.5 | $65 | $90 | $274.95 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 2 | $363 | $192.39 | $53.91 | $84.91 | $115.9 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 2 | $432 | $228.96 | $53.91 | $84.91 | $115.9 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 2 | $1,224 | $648.72 | $53.91 | $84.91 | $115.9 |
| MOSH | FRANKLIN | WI | 2 | $363 | $192.39 | $53.91 | $84.91 | $115.9 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 2 | $432 | $228.96 | $53.91 | $84.91 | $115.9 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 2 | $363 | $192.39 | $53.91 | $84.91 | $115.9 |
| MERITER HOSPITAL INC. | MADISON | WI | 13 | $503.38 | $402.71 | $15.41 | $61.12 | $478.21 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $134 | $60.45 | $20.58 | $41.33 | $227 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 8 | $95 | $49.53 | $14.2 | $37.79 | $110.88 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 4 | $986 | $562.02 | $37.18 | $37.18 | $98.51 |
| ASCENSION NE WISC. - MERCY HOSPITAL | OSHKOSH | WI | 4 | $340 | $193.8 | $37.18 | $37.18 | $98.51 |
| SSH - FOX VALLEY | OSHKOSH | WI | 32 | $307 | $168.85 | $37.79 | $245.6 | $291.65 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 32 | $307 | $168.85 | $37.79 | $245.6 | $291.65 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 37 | $343.25 | $188.79 | $37.79 | $240.28 | $326.09 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $372 | $195.67 | $38.98 | $150.14 | $372 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 18 | $355 | $177.5 | $65 | $132 | $301.75 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 18 | $355 | $177.5 | $65 | $132 | $301.75 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 18 | $240 | $120 | $65 | $126 | $204 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 4 | $576 | $305.28 | $53.91 | $107.67 | $112.52 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 4 | $576 | $305.28 | $57.29 | $107.67 | $112.52 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | $110 | $58.3 | $53.91 | $107.67 | $112.52 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 23 | $152 | $83.6 | $52.59 | $100.32 | $133.76 |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 0 | $160.8 | $90.05 | — | — | — |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $154 | $92.4 | — | — | — |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $154 | $92.4 | — | — | — |
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.