▸ Compare · PriceTransparency
Initial hospital care, high complexity
CPT 99223 · negotiated-rate distribution across hospitals in WI
Hospitals
16
Min
$159.24
Median
$484.94
Max
$540.36
Range multiplier
3.4×
By payer (30 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 4 | 15 | $159.24 | $182.93 | $1,663.17 | 10.4× |
| UnitedHealthcare | 8 | 13 | $101.95 | $424.3 | $651.58 | 6.4× |
| Humana | 5 | 11 | $159.24 | $484.94 | $484.94 | 3.0× |
| Blue Cross Blue Shield | 4 | 8 | $126.89 | $193.78 | $572.03 | 4.5× |
| wps | 6 | 6 | $540.36 | $540.36 | $540.36 | 1.0× |
| Medicare | 3 | 6 | $166.07 | $190.98 | $199.37 | 1.2× |
| Medicaid | 3 | 6 | $205.57 | $271.98 | $490.52 | 2.4× |
| aspirus | 1 | 5 | $159.24 | $259 | $612.75 | 3.8× |
| network health plan | 4 | 4 | $159.24 | $281.32 | $281.32 | 1.8× |
| alliance | 3 | 3 | $524.58 | $524.58 | $524.58 | 1.0× |
| First Health | 3 | 3 | $588.6 | $602.7 | $671.4 | 1.1× |
| healthpartners [900713] | 3 | 3 | $329.34 | $490.52 | $644.86 | 2.0× |
| ma wisconsin replacement [950271] | 3 | 3 | $101.95 | $735 | $746 | 7.3× |
| medica [900156] | 3 | 3 | $299.74 | $299.74 | $599.03 | 2.0× |
| prevea 360 | 1 | 3 | $159.24 | $629 | $1,488.1 | 9.3× |
| security health plan | 2 | 3 | $159.24 | $222 | $525.21 | 3.3× |
| Molina | 1 | 2 | $159.24 | $165.61 | $171.98 | 1.1× |
| cchp | 2 | 2 | $370.38 | $370.38 | $370.38 | 1.0× |
| centivo nw3 | 2 | 2 | $443.71 | $443.71 | $443.71 | 1.0× |
| centivo nw1 | 2 | 2 | $443.71 | $443.71 | $443.71 | 1.0× |
| mercy care | 1 | 2 | $259 | $435.88 | $612.75 | 2.4× |
| Cigna | 1 | 2 | $207.2 | $348.7 | $490.2 | 2.4× |
| community care incorporated | 1 | 1 | $159.24 | $159.24 | $159.24 | 1.0× |
| illinicare | 1 | 1 | $159.24 | $159.24 | $159.24 | 1.0× |
| icare | 1 | 1 | $159.24 | $159.24 | $159.24 | 1.0× |
| allwell | 1 | 1 | $162.42 | $162.42 | $162.42 | 1.0× |
| medical associates health plan | 1 | 1 | $342.37 | $342.37 | $342.37 | 1.0× |
| meridiancare | 1 | 1 | $167.2 | $167.2 | $167.2 | 1.0× |
| health partners | 1 | 1 | $159.24 | $159.24 | $159.24 | 1.0× |
| health partners open network | 1 | 1 | $336.33 | $336.33 | $336.33 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 1 | — | — | $540.36 | $540.36 | $540.36 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 1 | — | — | $540.36 | $540.36 | $540.36 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 1 | — | — | $540.36 | $540.36 | $540.36 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 1 | — | — | $540.36 | $540.36 | $540.36 |
| MOSH | FRANKLIN | WI | 1 | — | — | $540.36 | $540.36 | $540.36 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 1 | — | — | $540.36 | $540.36 | $540.36 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | — | — | $281.32 | $484.94 | $524.58 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 4 | — | — | $281.32 | $484.94 | $524.58 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 4 | — | — | $281.32 | $484.94 | $524.58 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $735 | $386.61 | $190.98 | $401.78 | $735 |
| MERITER HOSPITAL INC. | MADISON | WI | 13 | $1,750.7 | $1,400.56 | $159.24 | $339.35 | $1,663.17 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $746 | $336.52 | $126.89 | $287.14 | $746 |
| ASCENSION NE WISC. - MERCY HOSPITAL | OSHKOSH | WI | 4 | — | — | $182.93 | $182.93 | $443.71 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 4 | $717 | $408.69 | $182.93 | $182.93 | $443.71 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 8 | $654 | $341 | $101.95 | $172.55 | $588.6 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 10 | — | — | $159.24 | $159.24 | $171.98 |
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.