▸ Compare · PriceTransparency
Office visit, established patient, 30-39 minutes
CPT 99214 · negotiated-rate distribution across hospitals in WI
Hospitals
36
Min
$90
Median
$204.22
Max
$416
Range multiplier
4.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 111 | $70.89 | $111.03 | $644.13 | 9.1× |
| Anthem BCBS | 20 | 93 | $66 | $219.38 | $823.81 | 12.5× |
| Cigna | 18 | 59 | $36.96 | $313.02 | $647.19 | 17.5× |
| Aetna | 15 | 57 | $78 | $326.27 | $631.89 | 8.1× |
| healthpartners | 12 | 56 | $74 | $256.88 | $573.75 | 7.8× |
| wisconsin physician service | 12 | 36 | $90 | $95 | $95 | 1.1× |
| common ground | 12 | 36 | $65 | $65 | $65 | 1.0× |
| health eos | 12 | 32 | $272 | $366 | $612 | 2.3× |
| health eos plus | 12 | 32 | $204 | $274.5 | $459 | 2.3× |
| First Health | 8 | 25 | $51.3 | $318.16 | $532 | 10.4× |
| trilogy | 14 | 22 | $90 | $116 | $352.8 | 3.9× |
| health payment systems | 17 | 22 | $69.6 | $115 | $473.76 | 6.8× |
| Molina | 17 | 21 | $74 | $74 | $333.2 | 4.5× |
| Multiplan | 5 | 20 | $93 | $226.69 | $532 | 5.7× |
| Blue Cross Blue Shield | 4 | 19 | $20.75 | $108.93 | $286.78 | 13.8× |
| Humana | 6 | 19 | $79 | $259.52 | $348.88 | 4.4× |
| centivo | 15 | 17 | $76 | $76 | $436.8 | 5.7× |
| health partners | 5 | 16 | $95 | $389 | $492.8 | 5.2× |
| Medicare | 3 | 16 | $21.35 | $107.36 | $182.76 | 8.6× |
| froedtert health | 3 | 15 | $170.63 | $442 | $476 | 2.8× |
| Medicaid | 3 | 14 | $71.48 | $122.09 | $372.56 | 5.2× |
| network health plan | 8 | 14 | $83.5 | $250.44 | $441.48 | 5.3× |
| security health plan | 5 | 13 | $39.6 | $187.2 | $464.8 | 11.7× |
| aspirus | 2 | 13 | $30.36 | $94.6 | $303.51 | 10.0× |
| 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 | $117 | $416 | $448 | 3.8× |
| group health cooperative of eau claire | 2 | 10 | $82 | $258.22 | $448 | 5.5× |
| wps health plan | 4 | 10 | $173.16 | $364 | $504 | 2.9× |
| medica [900156] | 3 | 8 | $164.9 | $272.11 | $348.01 | 2.1× |
| ma wisconsin replacement [950271] | 3 | 8 | $85.58 | $381 | $427 | 5.0× |
| security health plan (shp) | 1 | 8 | $51.98 | $130.76 | $226.42 | 4.4× |
| common ground healthcare cooperative | 3 | 7 | $182.81 | $374.4 | $476 | 2.6× |
| wps | 7 | 7 | $285.95 | $285.95 | $285.95 | 1.0× |
| trilogy health solutions | 3 | 7 | $182.81 | $416 | $476 | 2.6× |
| wisconsin well woman | 7 | 7 | $122.48 | $122.48 | $122.48 | 1.0× |
| prevea 360 | 1 | 6 | $89.4 | $225.25 | $737.09 | 8.2× |
| quartz health insurance | 1 | 6 | $207.19 | $341.6 | $476 | 2.3× |
| quartz health solutions | 3 | 6 | $442 | $442 | $442 | 1.0× |
| advocate aurora healthcare | 3 | 5 | $187.69 | $390 | $431.2 | 2.3× |
| sheboygan employer's health network | 3 | 5 | $207.19 | $442 | $476 | 2.3× |
| alliance | 3 | 5 | $122.48 | $277.6 | $277.6 | 2.3× |
| medical college of wisconsin | 3 | 5 | $170.63 | $364 | $392 | 2.3× |
| mercy care | 1 | 5 | $46.2 | $115.85 | $303.51 | 6.6× |
| group health cooperative of south central wisconsin | 3 | 5 | $219.38 | $468 | $504 | 2.3× |
| employer health care alliance cooperative | 3 | 5 | $191.34 | $259.18 | $439.6 | 2.3× |
| oan llc | 3 | 5 | $195 | $416 | $448 | 2.3× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 18 | $340 | $170 | $65 | $93 | $289 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 18 | $560 | $280 | $65 | $93 | $476 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 18 | $410 | $205 | $65 | $93 | $348.5 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 18 | $370 | $185 | $65 | $93 | $314.5 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 18 | $535 | $267.5 | $65 | $93 | $454.75 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 18 | $505 | $252.5 | $65 | $93 | $429.25 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 18 | $340 | $170 | $65 | $93 | $289 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 18 | $650 | $325 | $65 | $90 | $549.9 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 32 | $520 | $286 | $85.58 | $416 | $494 |
| SSH - FOX VALLEY | OSHKOSH | WI | 32 | $520 | $286 | $85.58 | $416 | $494 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 37 | $560 | $308 | $85.58 | $392 | $532 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | $142 | $75.26 | $122.48 | $259.52 | $277.6 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 4 | $900 | $477 | $158.01 | $259.52 | $277.6 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 4 | $900 | $477 | $122.48 | $259.52 | $277.6 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 18 | $765 | $382.5 | $65 | $237 | $650.25 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 18 | $765 | $382.5 | $65 | $237 | $650.25 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 18 | $510 | $255 | $65 | $234 | $433.5 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 18 | $690 | $345 | $65 | $207 | $586.5 |
| ALL SAINTS - ST. LUKE S HOSPITAL | RACINE | WI | 2 | $606 | $321.18 | $122.48 | $204.22 | $285.95 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 2 | $606 | $321.18 | $122.48 | $204.22 | $285.95 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 2 | $606 | $321.18 | $122.48 | $204.22 | $285.95 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 2 | $582 | $308.46 | $122.48 | $204.22 | $285.95 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 2 | $582 | $308.46 | $122.48 | $204.22 | $285.95 |
| MOSH | FRANKLIN | WI | 2 | $582 | $308.46 | $122.48 | $204.22 | $285.95 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 2 | $606 | $321.18 | $122.48 | $204.22 | $285.95 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 17 | $392 | $372.4 | $50.78 | $203.76 | $796 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $427 | $224.6 | $107.36 | $182.76 | $427 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 23 | $234 | $128.7 | $117 | $154.44 | $205.92 |
| MERITER HOSPITAL INC. | MADISON | WI | 13 | $867.17 | $693.74 | $30.36 | $115.85 | $823.81 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $374 | $168.71 | $44.35 | $112.07 | $489.78 |
| MERCY MEDICAL CENTER | OSHKOSH | WI | 4 | $393 | $224.01 | $102.92 | $102.92 | $237.46 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 4 | $393 | $224.01 | $102.92 | $102.92 | $237.46 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 8 | $241 | $125.66 | $20.75 | $101.15 | $375.88 |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $271 | $162.6 | — | — | — |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $271 | $162.6 | — | — | — |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 0 | $238.3 | $133.45 | — | — | — |
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.