▸ Compare · PriceTransparency
Office visit, established patient, 30-39 minutes
CPT 99214 · negotiated-rate distribution across hospitals in WI
Hospitals
36
Min
$90.00
Median
$204.22
Max
$416.00
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 | $66.00 | $219.38 | $823.81 | 12.5× |
| Cigna | 18 | 59 | $36.96 | $313.02 | $647.19 | 17.5× |
| Aetna | 15 | 57 | $78.00 | $326.27 | $631.89 | 8.1× |
| healthpartners | 12 | 56 | $74.00 | $256.88 | $573.75 | 7.8× |
| 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 | 32 | $272.00 | $366.00 | $612.00 | 2.3× |
| health eos plus | 12 | 32 | $204.00 | $274.50 | $459.00 | 2.3× |
| First Health | 8 | 25 | $51.30 | $318.16 | $532.00 | 10.4× |
| trilogy | 14 | 22 | $90.00 | $116.00 | $352.80 | 3.9× |
| health payment systems | 17 | 22 | $69.60 | $115.00 | $473.76 | 6.8× |
| Molina | 17 | 21 | $74.00 | $74.00 | $333.20 | 4.5× |
| Multiplan | 5 | 20 | $93.00 | $226.69 | $532.00 | 5.7× |
| Blue Cross Blue Shield | 4 | 19 | $20.75 | $108.93 | $286.78 | 13.8× |
| Humana | 6 | 19 | $79.00 | $259.52 | $348.88 | 4.4× |
| centivo | 15 | 17 | $76.00 | $76.00 | $436.80 | 5.7× |
| health partners | 5 | 16 | $95.00 | $389.00 | $492.80 | 5.2× |
| Medicare | 3 | 16 | $21.35 | $107.36 | $182.76 | 8.6× |
| froedtert health | 3 | 15 | $170.63 | $442.00 | $476.00 | 2.8× |
| Medicaid | 3 | 14 | $71.48 | $122.09 | $372.56 | 5.2× |
| network health plan | 8 | 14 | $83.50 | $250.44 | $441.48 | 5.3× |
| security health plan | 5 | 13 | $39.60 | $187.20 | $464.80 | 11.7× |
| aspirus | 2 | 13 | $30.36 | $94.60 | $303.51 | 10.0× |
| 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× |
| quartz group | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| everpointe elite | 12 | 12 | $75.00 | $75.00 | $75.00 | 1.0× |
| dean health plan | 4 | 11 | $117.00 | $416.00 | $448.00 | 3.8× |
| group health cooperative of eau claire | 2 | 10 | $82.00 | $258.22 | $448.00 | 5.5× |
| wps health plan | 4 | 10 | $173.16 | $364.00 | $504.00 | 2.9× |
| medica [900156] | 3 | 8 | $164.90 | $272.11 | $348.01 | 2.1× |
| ma wisconsin replacement [950271] | 3 | 8 | $85.58 | $381.00 | $427.00 | 5.0× |
| security health plan (shp) | 1 | 8 | $51.98 | $130.76 | $226.42 | 4.4× |
| common ground healthcare cooperative | 3 | 7 | $182.81 | $374.40 | $476.00 | 2.6× |
| wps | 7 | 7 | $285.95 | $285.95 | $285.95 | 1.0× |
| trilogy health solutions | 3 | 7 | $182.81 | $416.00 | $476.00 | 2.6× |
| wisconsin well woman | 7 | 7 | $122.48 | $122.48 | $122.48 | 1.0× |
| prevea 360 | 1 | 6 | $89.40 | $225.25 | $737.09 | 8.2× |
| quartz health insurance | 1 | 6 | $207.19 | $341.60 | $476.00 | 2.3× |
| quartz health solutions | 3 | 6 | $442.00 | $442.00 | $442.00 | 1.0× |
| advocate aurora healthcare | 3 | 5 | $187.69 | $390.00 | $431.20 | 2.3× |
| sheboygan employer's health network | 3 | 5 | $207.19 | $442.00 | $476.00 | 2.3× |
| alliance | 3 | 5 | $122.48 | $277.60 | $277.60 | 2.3× |
| medical college of wisconsin | 3 | 5 | $170.63 | $364.00 | $392.00 | 2.3× |
| mercy care | 1 | 5 | $46.20 | $115.85 | $303.51 | 6.6× |
| group health cooperative of south central wisconsin | 3 | 5 | $219.38 | $468.00 | $504.00 | 2.3× |
| employer health care alliance cooperative | 3 | 5 | $191.34 | $259.18 | $439.60 | 2.3× |
| oan llc | 3 | 5 | $195.00 | $416.00 | $448.00 | 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 | $340.00 | $170.00 | $65.00 | $93.00 | $289.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $560.00 | $280.00 | $65.00 | $93.00 | $476.00 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $410.00 | $205.00 | $65.00 | $93.00 | $348.50 |
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $370.00 | $185.00 | $65.00 | $93.00 | $314.50 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $535.00 | $267.50 | $65.00 | $93.00 | $454.75 |
| West Allis Memorial Hospital | West Allis | WI | 18 | $505.00 | $252.50 | $65.00 | $93.00 | $429.25 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $340.00 | $170.00 | $65.00 | $93.00 | $289.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $650.00 | $325.00 | $65.00 | $90.00 | $549.90 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 32 | $520.00 | $286.00 | $85.58 | $416.00 | $494.00 |
| Ssh - Fox Valley | Oshkosh | WI | 32 | $520.00 | $286.00 | $85.58 | $416.00 | $494.00 |
| Childrens Wisconsin | Milwaukee | WI | 37 | $560.00 | $308.00 | $85.58 | $392.00 | $532.00 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | $142.00 | $75.26 | $122.48 | $259.52 | $277.60 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 4 | $900.00 | $477.00 | $158.01 | $259.52 | $277.60 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 4 | $900.00 | $477.00 | $122.48 | $259.52 | $277.60 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $765.00 | $382.50 | $65.00 | $237.00 | $650.25 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $765.00 | $382.50 | $65.00 | $237.00 | $650.25 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $510.00 | $255.00 | $65.00 | $234.00 | $433.50 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $690.00 | $345.00 | $65.00 | $207.00 | $586.50 |
| All Saints - St. Luke S Hospital | Racine | WI | 2 | $606.00 | $321.18 | $122.48 | $204.22 | $285.95 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 2 | $606.00 | $321.18 | $122.48 | $204.22 | $285.95 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 2 | $606.00 | $321.18 | $122.48 | $204.22 | $285.95 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 2 | $582.00 | $308.46 | $122.48 | $204.22 | $285.95 |
| Wheaton Franciscan - Franklin | Franklin | WI | 2 | $582.00 | $308.46 | $122.48 | $204.22 | $285.95 |
| Mosh | Franklin | WI | 2 | $582.00 | $308.46 | $122.48 | $204.22 | $285.95 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 2 | $606.00 | $321.18 | $122.48 | $204.22 | $285.95 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 17 | $392.00 | $372.40 | $50.78 | $203.76 | $796.00 |
| Westfields Hospital | New Richmond | WI | 8 | $427.00 | $224.60 | $107.36 | $182.76 | $427.00 |
| Holy Family Memorial Inc | Manitowoc | WI | 23 | $234.00 | $128.70 | $117.00 | $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 | $374.00 | $168.71 | $44.35 | $112.07 | $489.78 |
| Mercy Medical Center | Oshkosh | WI | 4 | $393.00 | $224.01 | $102.92 | $102.92 | $237.46 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 4 | $393.00 | $224.01 | $102.92 | $102.92 | $237.46 |
| Amery Regional Medical Center | Amery | WI | 8 | $241.00 | $125.66 | $20.75 | $101.15 | $375.88 |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $271.00 | $162.60 | — | — | — |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $271.00 | $162.60 | — | — | — |
| River Falls Area Hospital | River Falls | WI | 0 | $238.30 | $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.