▸ 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 | $81.6 | $93.84 | 1.2× |
| aspirus | 1 | 5 | $74.98 | $130.2 | $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 | $295.2 | $302.58 | $339.3 | 1.1× |
| healthpartners [900713] | 3 | 3 | $155.1 | $214.53 | $303.69 | 2.0× |
| ma wisconsin replacement [950271] | 3 | 3 | $80.84 | $369 | $377 | 4.7× |
| medica [900156] | 3 | 3 | $141.08 | $141.08 | $188.37 | 1.3× |
| prevea 360 | 1 | 3 | $74.98 | $316.2 | $798.95 | 10.7× |
| security health plan | 2 | 3 | $74.98 | $111.6 | $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 | $130.2 | $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 | $205.77 | $86.18 | $86.18 | $221.19 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $369 | $194.09 | $30.29 | $85.76 | $369 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 8 | $328 | $171.02 | $59.76 | $81.22 | $295.2 |
| 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 | $170.06 | $80 | $138.74 | $377 |
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.