▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in WI
Hospitals
37
Min
$69.68
Median
$134.11
Max
$309.60
Range multiplier
4.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 110 | $60.42 | $90.00 | $404.16 | 6.7× |
| Anthem BCBS | 20 | 95 | $60.77 | $103.50 | $796.00 | 13.1× |
| Cigna | 18 | 58 | $25.76 | $236.88 | $406.08 | 15.8× |
| Aetna | 15 | 57 | $73.92 | $268.45 | $396.48 | 5.4× |
| healthpartners | 12 | 54 | $74.00 | $210.00 | $360.00 | 4.9× |
| wisconsin physician service | 12 | 36 | $90.00 | $95.00 | $95.00 | 1.1× |
| common ground | 12 | 36 | $65.00 | $65.00 | $65.00 | 1.0× |
| health eos | 12 | 30 | $200.00 | $272.00 | $384.00 | 1.9× |
| health eos plus | 12 | 30 | $150.00 | $204.00 | $288.00 | 1.9× |
| First Health | 8 | 26 | $39.60 | $217.89 | $417.05 | 10.5× |
| health payment systems | 17 | 23 | $45.94 | $115.00 | $371.39 | 8.1× |
| Multiplan | 5 | 22 | $61.38 | $126.63 | $417.05 | 6.8× |
| trilogy | 14 | 22 | $59.40 | $116.00 | $232.20 | 3.9× |
| Molina | 17 | 21 | $56.10 | $74.00 | $219.30 | 3.9× |
| Humana | 6 | 19 | $52.14 | $178.43 | $229.62 | 4.4× |
| health partners | 5 | 18 | $62.70 | $245.10 | $386.32 | 6.2× |
| froedtert health | 3 | 18 | $58.80 | $309.60 | $373.15 | 6.3× |
| centivo | 15 | 18 | $65.52 | $76.00 | $342.42 | 5.2× |
| Blue Cross Blue Shield | 4 | 17 | $16.02 | $74.06 | $194.77 | 12.2× |
| network health plan | 8 | 15 | $55.11 | $106.79 | $328.56 | 6.0× |
| security health plan | 5 | 14 | $27.60 | $123.45 | $364.37 | 13.2× |
| aspirus | 2 | 13 | $21.16 | $78.89 | $224.51 | 10.6× |
| dean health plan | 4 | 13 | $67.20 | $309.60 | $351.20 | 5.2× |
| wps health plan | 4 | 13 | $63.84 | $133.20 | $395.10 | 6.2× |
| hs technology | 12 | 12 | $90.00 | $90.00 | $90.00 | 1.0× |
| aurora caregiver | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| quartz one | 12 | 12 | $70.00 | $70.00 | $70.00 | 1.0× |
| everpointe elite | 12 | 12 | $75.00 | $75.00 | $75.00 | 1.0× |
| quartz group | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| Medicare | 3 | 12 | $63.47 | $76.19 | $379.42 | 6.0× |
| group health cooperative of eau claire | 2 | 11 | $54.12 | $92.00 | $351.20 | 6.5× |
| Medicaid | 3 | 11 | $68.06 | $108.46 | $264.43 | 3.9× |
| trilogy health solutions | 3 | 9 | $63.00 | $309.60 | $373.15 | 5.9× |
| common ground healthcare cooperative | 3 | 9 | $63.00 | $278.64 | $373.15 | 5.9× |
| quartz health insurance | 1 | 9 | $71.40 | $97.75 | $373.15 | 5.2× |
| security health plan (shp) | 1 | 8 | $34.31 | $86.12 | $149.02 | 4.3× |
| wisconsin well woman | 7 | 7 | $86.74 | $86.74 | $86.74 | 1.0× |
| ma wisconsin replacement [950271] | 3 | 7 | $60.42 | $264.00 | $415.00 | 6.9× |
| medica [900156] | 3 | 7 | $114.55 | $215.16 | $338.23 | 3.0× |
| wps | 7 | 7 | $193.80 | $193.80 | $193.80 | 1.0× |
| prevea 360 | 1 | 6 | $60.77 | $164.05 | $545.24 | 9.0× |
| aspirus health plan | 3 | 6 | $63.00 | $278.64 | $329.25 | 5.2× |
| employer health care alliance cooperative | 3 | 6 | $65.94 | $182.88 | $344.62 | 5.2× |
| group health cooperative of south central wisconsin | 3 | 6 | $75.60 | $348.30 | $395.10 | 5.2× |
| medical college of wisconsin | 3 | 6 | $58.80 | $270.90 | $307.30 | 5.2× |
| oan llc | 3 | 6 | $67.20 | $309.60 | $351.20 | 5.2× |
| advocate aurora healthcare | 3 | 6 | $64.68 | $290.25 | $338.03 | 5.2× |
| quartz health solutions | 3 | 6 | $328.95 | $328.95 | $328.95 | 1.0× |
| sheboygan employer's health network | 3 | 6 | $71.40 | $328.95 | $373.15 | 5.2× |
| mercy care | 1 | 5 | $32.20 | $83.65 | $224.51 | 7.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $340.00 | $170.00 | $65.00 | $93.00 | $289.00 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $280.00 | $140.00 | $65.00 | $93.00 | $238.00 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $340.00 | $170.00 | $65.00 | $93.00 | $289.00 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $250.00 | $125.00 | $65.00 | $93.00 | $212.50 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $415.00 | $207.50 | $65.00 | $93.00 | $352.75 |
| West Allis Memorial Hospital | West Allis | WI | 18 | $390.00 | $195.00 | $65.00 | $93.00 | $331.50 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $460.00 | $230.00 | $65.00 | $93.00 | $391.00 |
| Memorial Hospital Of Burlington | Burlington | WI | 18 | $280.00 | $140.00 | $65.00 | $93.00 | $238.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $450.00 | $225.00 | $65.00 | $90.00 | $380.70 |
| Hudson Hospital | Hudson | WI | 8 | $254.00 | $114.58 | $42.23 | $86.02 | $347.63 |
| Meriter Hospital Inc. | Madison | WI | 13 | $641.46 | $513.17 | $21.16 | $83.65 | $609.39 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 4 | $369.00 | $210.33 | $69.68 | $69.68 | $163.26 |
| Mercy Medical Center | Oshkosh | WI | 4 | $369.00 | $210.33 | $69.68 | $69.68 | $163.26 |
| Ssh - Fox Valley | Oshkosh | WI | 32 | $387.00 | $212.85 | $60.42 | $309.60 | $367.65 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 32 | $387.00 | $212.85 | $60.42 | $309.60 | $367.65 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $480.00 | $240.00 | $65.00 | $195.00 | $408.00 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $480.00 | $240.00 | $65.00 | $195.00 | $408.00 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $345.00 | $172.50 | $65.00 | $192.00 | $293.25 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | $110.00 | $58.30 | $86.74 | $178.43 | $188.14 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 4 | $806.00 | $427.18 | $86.74 | $178.43 | $188.14 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 4 | $806.00 | $427.18 | $106.79 | $178.43 | $188.14 |
| Westfields Hospital | New Richmond | WI | 8 | $415.00 | $218.29 | $72.99 | $177.62 | $415.00 |
| Mosh | Franklin | WI | 2 | $434.00 | $230.02 | $86.74 | $140.27 | $193.80 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 2 | $450.00 | $238.50 | $86.74 | $140.27 | $193.80 |
| All Saints - St. Luke S Hospital | Racine | WI | 2 | $450.00 | $238.50 | $86.74 | $140.27 | $193.80 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 2 | $434.00 | $230.02 | $86.74 | $140.27 | $193.80 |
| Wheaton Franciscan - Franklin | Franklin | WI | 2 | $434.00 | $230.02 | $86.74 | $140.27 | $193.80 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 2 | $450.00 | $238.50 | $86.74 | $140.27 | $193.80 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 2 | $450.00 | $238.50 | $86.74 | $140.27 | $193.80 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 17 | $258.00 | $245.10 | $33.51 | $134.11 | $796.00 |
| Holy Family Memorial Inc | Manitowoc | WI | 23 | $180.00 | $99.00 | $84.91 | $118.80 | $158.40 |
| Amery Regional Medical Center | Amery | WI | 8 | $273.00 | $142.34 | $16.02 | $106.20 | $379.42 |
| Childrens Wisconsin | Milwaukee | WI | 37 | $439.00 | $241.45 | $58.80 | $102.55 | $417.05 |
| Willow Creek Behavioral Health | Green Bay | WI | 0 | $150.00 | — | — | — | — |
| River Falls Area Hospital | River Falls | WI | 0 | $199.40 | $111.66 | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $210.00 | $126.00 | — | — | — |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $210.00 | $126.00 | — | — | — |
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.