▸ Compare · PriceTransparency
Office visit, established patient, 40-54 min
CPT 99215 · negotiated-rate distribution across hospitals in WI
Hospitals
36
Min
$90.00
Median
$267.00
Max
$600.80
Range multiplier
6.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 105 | $82.00 | $119.97 | $1,220.90 | 14.9× |
| Anthem BCBS | 20 | 91 | $66.00 | $292.28 | $1,232.50 | 18.7× |
| Cigna | 18 | 57 | $51.52 | $368.01 | $1,226.70 | 23.8× |
| Aetna | 15 | 55 | $78.00 | $367.57 | $1,197.70 | 15.4× |
| healthpartners | 12 | 54 | $74.00 | $292.50 | $1,087.50 | 14.7× |
| 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 plus | 12 | 30 | $234.00 | $285.00 | $870.00 | 3.7× |
| health eos | 12 | 30 | $312.00 | $380.00 | $1,160.00 | 3.7× |
| First Health | 8 | 23 | $66.60 | $437.88 | $713.45 | 10.7× |
| health payment systems | 17 | 22 | $106.49 | $115.00 | $635.35 | 6.0× |
| trilogy | 14 | 22 | $116.00 | $116.00 | $539.10 | 4.6× |
| Molina | 17 | 21 | $74.00 | $74.00 | $509.15 | 6.9× |
| Multiplan | 5 | 20 | $142.29 | $302.02 | $683.41 | 4.8× |
| Humana | 6 | 19 | $120.87 | $348.89 | $533.11 | 4.4× |
| centivo | 15 | 17 | $76.00 | $76.00 | $548.23 | 7.2× |
| health partners | 5 | 16 | $145.35 | $569.05 | $660.88 | 4.5× |
| froedtert health | 3 | 15 | $227.33 | $600.80 | $675.90 | 3.0× |
| network health plan | 8 | 14 | $127.75 | $349.57 | $637.60 | 5.0× |
| security health plan | 5 | 13 | $55.20 | $259.20 | $623.33 | 11.3× |
| aspirus | 2 | 13 | $42.32 | $132.85 | $363.80 | 8.6× |
| hs technology | 12 | 12 | $90.00 | $90.00 | $90.00 | 1.0× |
| Medicare | 3 | 12 | $27.71 | $148.81 | $279.91 | 10.1× |
| aurora caregiver | 12 | 12 | $80.00 | $80.00 | $80.00 | 1.0× |
| Blue Cross Blue Shield | 4 | 12 | $26.94 | $111.44 | $421.74 | 15.7× |
| 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× |
| dean health plan | 4 | 11 | $162.00 | $600.80 | $600.80 | 3.7× |
| Medicaid | 3 | 11 | $109.10 | $202.40 | $299.75 | 2.7× |
| wps health plan | 4 | 10 | $239.76 | $512.04 | $590.18 | 2.5× |
| group health cooperative of eau claire | 2 | 10 | $125.46 | $375.49 | $569.05 | 4.5× |
| security health plan (shp) | 1 | 8 | $79.53 | $199.87 | $345.98 | 4.4× |
| wps | 7 | 7 | $385.16 | $385.16 | $385.16 | 1.0× |
| common ground healthcare cooperative | 3 | 7 | $243.56 | $540.72 | $557.39 | 2.3× |
| trilogy health solutions | 3 | 7 | $243.56 | $557.39 | $600.80 | 2.5× |
| quartz health solutions | 3 | 6 | $638.35 | $638.35 | $638.35 | 1.0× |
| quartz health insurance | 1 | 6 | $276.04 | $416.72 | $557.39 | 2.0× |
| prevea 360 | 1 | 6 | $132.44 | $313.65 | $883.51 | 6.7× |
| ma wisconsin replacement [950271] | 3 | 6 | $119.97 | $536.50 | $654.00 | 5.5× |
| sheboygan employer's health network | 3 | 5 | $276.04 | $638.35 | $638.35 | 2.3× |
| aspirus health plan | 3 | 5 | $243.56 | $540.72 | $540.72 | 2.2× |
| employer health care alliance cooperative | 3 | 5 | $254.93 | $364.09 | $514.76 | 2.0× |
| group health cooperative of south central wisconsin | 3 | 5 | $292.28 | $675.90 | $675.90 | 2.3× |
| medical college of wisconsin | 3 | 5 | $227.33 | $525.70 | $525.70 | 2.3× |
| mercy care | 1 | 5 | $64.40 | $161.35 | $363.80 | 5.6× |
| oan llc | 3 | 5 | $259.80 | $600.80 | $600.80 | 2.3× |
| advocate aurora healthcare | 3 | 5 | $250.06 | $563.25 | $563.25 | 2.3× |
| amish/mennonite | 1 | 4 | $84.15 | $206.80 | $329.45 | 3.9× |
| icare | 4 | 4 | $131.97 | $131.97 | $167.73 | 1.3× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $390.00 | $195.00 | $65.00 | $93.00 | $331.50 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $425.00 | $212.50 | $65.00 | $93.00 | $361.25 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $475.00 | $237.50 | $65.00 | $93.00 | $403.75 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $680.00 | $340.00 | $65.00 | $93.00 | $578.00 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $665.00 | $332.50 | $65.00 | $93.00 | $565.25 |
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $435.00 | $217.50 | $65.00 | $93.00 | $369.75 |
| West Allis Memorial Hospital | West Allis | WI | 18 | $525.00 | $262.50 | $65.00 | $93.00 | $446.25 |
| Memorial Hospital Of Burlington | Burlington | WI | 18 | $390.00 | $195.00 | $65.00 | $93.00 | $331.50 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $730.00 | $365.00 | $65.00 | $90.00 | $617.58 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 32 | $751.00 | $413.05 | $119.97 | $600.80 | $713.45 |
| Ssh - Fox Valley | Oshkosh | WI | 32 | $751.00 | $413.05 | $119.97 | $600.80 | $713.45 |
| Childrens Wisconsin | Milwaukee | WI | 37 | $751.00 | $413.05 | $98.00 | $499.03 | $713.45 |
| All Saints - St. Luke S Hospital | Racine | WI | 1 | $659.00 | $349.27 | $385.16 | $385.16 | $385.16 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 1 | $659.00 | $349.27 | $385.16 | $385.16 | $385.16 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 1 | $646.00 | $342.38 | $385.16 | $385.16 | $385.16 |
| Wheaton Franciscan - Franklin | Franklin | WI | 1 | $646.00 | $342.38 | $385.16 | $385.16 | $385.16 |
| Mosh | Franklin | WI | 1 | $646.00 | $342.38 | $385.16 | $385.16 | $385.16 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 1 | $659.00 | $349.27 | $385.16 | $385.16 | $385.16 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 1 | $659.00 | $349.27 | $385.16 | $385.16 | $385.16 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 4 | $1,261.00 | $668.33 | $232.24 | $348.89 | $373.92 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 4 | $1,261.00 | $668.33 | $232.24 | $348.89 | $373.92 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | — | — | $232.24 | $348.89 | $373.92 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 17 | $599.00 | $569.05 | $77.69 | $307.77 | $796.00 |
| Westfields Hospital | New Richmond | WI | 8 | $654.00 | $344.00 | $105.78 | $278.61 | $654.00 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $690.00 | $345.00 | $65.00 | $273.00 | $586.50 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $1,450.00 | $725.00 | $65.00 | $267.00 | $1,232.50 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $1,450.00 | $725.00 | $65.00 | $267.00 | $1,232.50 |
| Holy Family Memorial Inc | Manitowoc | WI | 23 | $324.00 | $178.20 | $162.00 | $213.84 | $285.12 |
| Hudson Hospital | Hudson | WI | 8 | $550.00 | $248.10 | $67.69 | $172.61 | $688.80 |
| Meriter Hospital Inc. | Madison | WI | 13 | $1,039.42 | $831.54 | $42.32 | $161.74 | $987.45 |
| Mercy Medical Center | Oshkosh | WI | 4 | $469.00 | $267.33 | $152.42 | $152.42 | $319.23 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 4 | $469.00 | $267.33 | $152.42 | $152.42 | $319.23 |
| Amery Regional Medical Center | Amery | WI | 8 | $324.00 | $168.93 | $26.94 | $147.52 | $375.88 |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $676.00 | $405.60 | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $676.00 | $405.60 | — | — | — |
| River Falls Area Hospital | River Falls | WI | 0 | $209.80 | $117.49 | — | — | — |
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.