▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in WI
Hospitals
17
Min
$74.98
Median
$241.74
Max
$269.34
Range multiplier
3.6×
By payer (30 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 4 | 15 | $74.98 | $86.18 | $892.94 | 11.9× |
| UnitedHealthcare | 8 | 14 | $74.98 | $153.49 | $317.22 | 4.2× |
| Humana | 5 | 11 | $74.98 | $241.74 | $241.74 | 3.2× |
| Blue Cross Blue Shield | 4 | 8 | $59.76 | $79.66 | $289.08 | 4.8× |
| wps | 7 | 7 | $269.34 | $269.34 | $269.34 | 1.0× |
| Medicare | 3 | 6 | $78.17 | $81.60 | $93.84 | 1.2× |
| aspirus | 1 | 5 | $74.98 | $130.20 | $328.98 | 4.4× |
| Medicaid | 3 | 5 | $30.29 | $127.14 | $138.74 | 4.6× |
| network health plan | 4 | 4 | $74.98 | $132.74 | $132.74 | 1.8× |
| alliance | 3 | 3 | $261.48 | $261.48 | $261.48 | 1.0× |
| First Health | 3 | 3 | $295.20 | $302.58 | $339.30 | 1.1× |
| healthpartners [900713] | 3 | 3 | $155.10 | $214.53 | $303.69 | 2.0× |
| ma wisconsin replacement [950271] | 3 | 3 | $80.84 | $369.00 | $377.00 | 4.7× |
| medica [900156] | 3 | 3 | $141.08 | $141.08 | $188.37 | 1.3× |
| prevea 360 | 1 | 3 | $74.98 | $316.20 | $798.95 | 10.7× |
| security health plan | 2 | 3 | $74.98 | $111.60 | $281.98 | 3.8× |
| Molina | 1 | 2 | $74.98 | $77.98 | $80.97 | 1.1× |
| cchp | 2 | 2 | $184.85 | $184.85 | $184.85 | 1.0× |
| centivo nw3 | 2 | 2 | $221.19 | $221.19 | $221.19 | 1.0× |
| centivo nw1 | 2 | 2 | $221.19 | $221.19 | $221.19 | 1.0× |
| mercy care | 1 | 2 | $130.20 | $229.59 | $328.98 | 2.5× |
| Cigna | 1 | 2 | $104.16 | $183.67 | $263.18 | 2.5× |
| community care incorporated | 1 | 1 | $74.98 | $74.98 | $74.98 | 1.0× |
| illinicare | 1 | 1 | $74.98 | $74.98 | $74.98 | 1.0× |
| icare | 1 | 1 | $74.98 | $74.98 | $74.98 | 1.0× |
| allwell | 1 | 1 | $76.48 | $76.48 | $76.48 | 1.0× |
| medical associates health plan | 1 | 1 | $161.21 | $161.21 | $161.21 | 1.0× |
| meridiancare | 1 | 1 | $78.73 | $78.73 | $78.73 | 1.0× |
| health partners | 1 | 1 | $74.98 | $74.98 | $74.98 | 1.0× |
| health partners open network | 1 | 1 | $167.73 | $167.73 | $167.73 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mercy Medical Center | Oshkosh | WI | 4 | — | — | $86.18 | $86.18 | $221.19 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 4 | $361.00 | $205.77 | $86.18 | $86.18 | $221.19 |
| Westfields Hospital | New Richmond | WI | 8 | $369.00 | $194.09 | $30.29 | $85.76 | $369.00 |
| Amery Regional Medical Center | Amery | WI | 8 | $328.00 | $171.02 | $59.76 | $81.22 | $295.20 |
| Holy Family Memorial Inc | Manitowoc | WI | 10 | — | — | $74.98 | $74.98 | $80.97 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 1 | — | — | $269.34 | $269.34 | $269.34 |
| All Saints - St. Luke S Hospital | Racine | WI | 1 | — | — | $269.34 | $269.34 | $269.34 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 1 | — | — | $269.34 | $269.34 | $269.34 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 1 | — | — | $269.34 | $269.34 | $269.34 |
| Wheaton Franciscan - Franklin | Franklin | WI | 1 | — | — | $269.34 | $269.34 | $269.34 |
| Mosh | Franklin | WI | 1 | — | — | $269.34 | $269.34 | $269.34 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 1 | — | — | $269.34 | $269.34 | $269.34 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | — | — | $132.74 | $241.74 | $261.48 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 4 | — | — | $132.74 | $241.74 | $261.48 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 4 | — | — | $132.74 | $241.74 | $261.48 |
| Meriter Hospital Inc. | Madison | WI | 13 | $939.94 | $751.96 | $74.98 | $164.47 | $892.94 |
| Hudson Hospital | Hudson | WI | 8 | $377.00 | $170.06 | $80.00 | $138.74 | $377.00 |
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.