▸ Compare · PriceTransparency
Office visit, established patient, 40-54 min
CPT 99215 · negotiated-rate distribution across hospitals in WI
Hospitals
36
Min
$90
Median
$267
Max
$600.8
Range multiplier
6.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 105 | $82 | $119.97 | $1,220.9 | 14.9× |
| Anthem BCBS | 20 | 91 | $66 | $292.28 | $1,232.5 | 18.7× |
| Cigna | 18 | 57 | $51.52 | $368.01 | $1,226.7 | 23.8× |
| Aetna | 15 | 55 | $78 | $367.57 | $1,197.7 | 15.4× |
| healthpartners | 12 | 54 | $74 | $292.5 | $1,087.5 | 14.7× |
| wisconsin physician service | 12 | 36 | $90 | $95 | $95 | 1.1× |
| common ground | 12 | 36 | $65 | $65 | $65 | 1.0× |
| health eos plus | 12 | 30 | $234 | $285 | $870 | 3.7× |
| health eos | 12 | 30 | $312 | $380 | $1,160 | 3.7× |
| First Health | 8 | 23 | $66.6 | $437.88 | $713.45 | 10.7× |
| health payment systems | 17 | 22 | $106.49 | $115 | $635.35 | 6.0× |
| trilogy | 14 | 22 | $116 | $116 | $539.1 | 4.6× |
| Molina | 17 | 21 | $74 | $74 | $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 | $76 | $548.23 | 7.2× |
| health partners | 5 | 16 | $145.35 | $569.05 | $660.88 | 4.5× |
| froedtert health | 3 | 15 | $227.33 | $600.8 | $675.9 | 3.0× |
| network health plan | 8 | 14 | $127.75 | $349.57 | $637.6 | 5.0× |
| security health plan | 5 | 13 | $55.2 | $259.2 | $623.33 | 11.3× |
| aspirus | 2 | 13 | $42.32 | $132.85 | $363.8 | 8.6× |
| hs technology | 12 | 12 | $90 | $90 | $90 | 1.0× |
| Medicare | 3 | 12 | $27.71 | $148.81 | $279.91 | 10.1× |
| aurora caregiver | 12 | 12 | $80 | $80 | $80 | 1.0× |
| Blue Cross Blue Shield | 4 | 12 | $26.94 | $111.44 | $421.74 | 15.7× |
| quartz one | 12 | 12 | $70 | $70 | $70 | 1.0× |
| everpointe elite | 12 | 12 | $75 | $75 | $75 | 1.0× |
| quartz group | 12 | 12 | $80 | $80 | $80 | 1.0× |
| dean health plan | 4 | 11 | $162 | $600.8 | $600.8 | 3.7× |
| Medicaid | 3 | 11 | $109.1 | $202.4 | $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 | $600.8 | 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 | $536.5 | $654 | 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 | $675.9 | $675.9 | 2.3× |
| medical college of wisconsin | 3 | 5 | $227.33 | $525.7 | $525.7 | 2.3× |
| mercy care | 1 | 5 | $64.4 | $161.35 | $363.8 | 5.6× |
| oan llc | 3 | 5 | $259.8 | $600.8 | $600.8 | 2.3× |
| advocate aurora healthcare | 3 | 5 | $250.06 | $563.25 | $563.25 | 2.3× |
| amish/mennonite | 1 | 4 | $84.15 | $206.8 | $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 | $195 | $65 | $93 | $331.5 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 18 | $425 | $212.5 | $65 | $93 | $361.25 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 18 | $475 | $237.5 | $65 | $93 | $403.75 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 18 | $680 | $340 | $65 | $93 | $578 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 18 | $665 | $332.5 | $65 | $93 | $565.25 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 18 | $435 | $217.5 | $65 | $93 | $369.75 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 18 | $525 | $262.5 | $65 | $93 | $446.25 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 18 | $390 | $195 | $65 | $93 | $331.5 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 18 | $730 | $365 | $65 | $90 | $617.58 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 32 | $751 | $413.05 | $119.97 | $600.8 | $713.45 |
| SSH - FOX VALLEY | OSHKOSH | WI | 32 | $751 | $413.05 | $119.97 | $600.8 | $713.45 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 37 | $751 | $413.05 | $98 | $499.03 | $713.45 |
| ALL SAINTS - ST. LUKE S HOSPITAL | RACINE | WI | 1 | $659 | $349.27 | $385.16 | $385.16 | $385.16 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 1 | $659 | $349.27 | $385.16 | $385.16 | $385.16 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 1 | $646 | $342.38 | $385.16 | $385.16 | $385.16 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 1 | $646 | $342.38 | $385.16 | $385.16 | $385.16 |
| MOSH | FRANKLIN | WI | 1 | $646 | $342.38 | $385.16 | $385.16 | $385.16 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 1 | $659 | $349.27 | $385.16 | $385.16 | $385.16 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 1 | $659 | $349.27 | $385.16 | $385.16 | $385.16 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 4 | $1,261 | $668.33 | $232.24 | $348.89 | $373.92 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 4 | $1,261 | $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 | $569.05 | $77.69 | $307.77 | $796 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $654 | $344 | $105.78 | $278.61 | $654 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 18 | $690 | $345 | $65 | $273 | $586.5 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 18 | $1,450 | $725 | $65 | $267 | $1,232.5 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 18 | $1,450 | $725 | $65 | $267 | $1,232.5 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 23 | $324 | $178.2 | $162 | $213.84 | $285.12 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $550 | $248.1 | $67.69 | $172.61 | $688.8 |
| MERITER HOSPITAL INC. | MADISON | WI | 13 | $1,039.42 | $831.54 | $42.32 | $161.74 | $987.45 |
| MERCY MEDICAL CENTER | OSHKOSH | WI | 4 | $469 | $267.33 | $152.42 | $152.42 | $319.23 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 4 | $469 | $267.33 | $152.42 | $152.42 | $319.23 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 8 | $324 | $168.93 | $26.94 | $147.52 | $375.88 |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $676 | $405.6 | — | — | — |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $676 | $405.6 | — | — | — |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 0 | $209.8 | $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.