▸ Compare · PriceTransparency

ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in WI

← Back to search results↓ Download CSV
Hospitals
35
Min
$52.25
Median
$300
Max
$352.5
Range multiplier
6.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS26211$10.27$321$1,619157.6×
UnitedHealthcare31200$10.27$336.8$2,180212.3×
Cigna18139$16.5$317.25$2,200133.3×
Aetna15136$12.89$326.27$14,8501152.1×
healthpartners12136$93.75$300$723.757.7×
health eos plus12112$75$231$5797.7×
health eos12112$100$308$7727.7×
wisconsin physician service1236$429$452$4521.1×
common ground1236$368$368$3681.0×
Medicare1332$12.22$85.5$130.1110.6×
Molina2128$24.01$246.86$40316.8×
health payment systems2326$71.91$450$6178.6×
aspirus222$10.27$59.45$30029.2×
VA Health1020$84.65$85.5$89.481.1×
centivo1620$62.05$383$3836.2×
trilogy1420$138.6$526$5263.8×
First Health818$78.3$240.67$344.644.4×
Blue Cross Blue Shield418$12.4$62.76$1,619130.6×
Humana617$10.78$53.52$319.5129.6×
Multiplan516$77.35$208.1$341.054.4×
security health plan516$17.05$77.15$30017.6×
network health plan1015$18.41$83.93$299.7616.3×
health partners513$66.3$83.74$341.055.1×
quartz one1212$350$350$3501.0×
quartz group1212$410$410$4101.0×
froedtert health312$68$74.38$231.843.4×
aurora caregiver1212$350$350$3501.0×
smart health612$119.7$119.7$125.271.0×
everpointe elite1212$382$382$3821.0×
hs technology1212$450$450$4501.0×
dean health plan410$68$68$218.23.2×
prevea 36019$10.27$85.05$398.8838.8×
cchp88$38.32$634$63416.5×
sehn88$431$478.29$478.291.1×
wps health plan48$59.5$181.35$277.54.7×
Medicaid28$13.16$104.02$224.9917.1×
mercy care17$18.26$42.7$155.88.5×
medica [900156]36$19.18$193.02$30616.0×
medical college of wisconsin46$59.5$64.4$190.933.2×
group health cooperative of eau claire26$88.97$294.38$341.053.8×
network health66$323$323$3231.0×
wps66$56.72$56.72$56.721.0×
quartz health solutions36$72.25$72.25$72.251.0×
common ground healthcare cooperative35$61.2$61.2$231.843.8×
alliance55$55.06$55.06$3426.2×
trilogy health solutions35$68$68$231.843.4×
security health plan (shp)15$83.93$186.61$207.362.5×
icare55$24.68$24.68$89.813.6×
chorus community health plan45$23.79$23.79$241.1310.1×
ma wisconsin replacement [950271]24$170$288$3041.8×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HUDSON HOSPITALHUDSONWI8$293$132.17$12.22$99.8$583
ASCENSION NE WISC. - MERCY HOSPITALOSHKOSHWI14$462$263.34$11.83$86.77$444
ASCENSION NE WISCONSIN-ST. ELIZABETHAPPLETONWI14$462$263.34$11.83$86.77$444
ASCENSION COLUMBIA ST MARYS OZAUKEEMEQUONWI7$493$261.29$18.41$70.39$188.56
ASCENSION COLUMBIA ST MARYS MILWAUKEMILWAUKEEWI7$493$261.29$18.41$70.39$188.56
CHILDRENS HOSPITAL OF WI-FOX VALLEYNEENAHWI32$85$46.75$12.89$68$107
SSH - FOX VALLEYOSHKOSHWI32$85$46.75$12.89$68$107
AMERY REGIONAL MEDICAL CENTERAMERYWI6$174$90.72$12.22$64.55$251.12
ASCENSION SACRED HEART REHABILITATIOMILWAUKEEWI4$18.41$53.52$55.06
MERITER HOSPITAL INC.MADISONWI14$469.27$375.42$10.27$52.25$1,619
AURORA MEDICAL CENTER - SUMMITSUMMITWI18$670$335$75$352.5$2,200
AURORA MEDICAL CENTER KENOSHAKENOSHAWI18$840$420$75$352.5$2,200
AURORA LAKELAND MEDICAL CENTERELKHORNWI18$840$420$75$352.5$2,200
SHEBOYGAN MEMORIAL HOSPITALSHEBOYGANWI18$470$235$75$341.25$2,200
MEMORIAL HOSPITAL OF BURLINGTONBURLINGTONWI18$470$235$75$338.4$2,200
WEST ALLIS MEMORIAL HOSPITALWEST ALLISWI18$965$482.5$75$338.4$14,850
AURORA MEDICAL CENTER - HARTFORDHARTFORDWI18$470$235$75$338.4$2,200
AURORA MEDICAL CENTER GRAFTONGRAFTONWI18$400$200$75$326.27$2,200
AURORA HEALTH CARE METRO INC.MILWAUKEEWI18$400$200$75$326.27$2,200
WHEATON FRANCISCAN - FRANKLINFRANKLINWI10$493$261.29$56.72$321$634
ASCENSION WISCONSIN EMERUS MENOMONEEMENOMONEE FALLSWI10$493$261.29$56.72$321$634
WFHC - ELMBROOK MEMORIALBROOKFIELDWI10$493$261.29$56.72$321$634
WHEATON FRANCISCAN HEALTHCARE - ALLRACINEWI10$493$261.29$56.72$321$634
ASCENSION SE WISCONSIN HOSPITAL INCMILWAUKEEWI10$493$261.29$56.72$321$634
AURORA MED CTR OF MANITOWOC COUNTYTWO RIVERSWI18$470$235$75$300$2,200
AURORA MEDICAL CENTER OF OSHKOSHOSHKOSHWI18$470$235$75$300$2,200
AURORA MEDICAL CENTER - BAY AREAMARINETTEWI18$400$200$75$300$2,200
BEAVER DAM COMMUNITY HOSPITALSBEAVER DAMWI20$359$341.05$83.93$294.38$796
MOSHFRANKLINWI10$56.72$266$634
CHILDRENS WISCONSINMILWAUKEEWI37$272.75$150.01$12.89$200.47$868
HOLY FAMILY MEMORIAL INCMANITOWOCWI25$375$206.25$69.3$171.15$943
WESTFIELDS HOSPITALNEW RICHMONDWI8$304$159.9$12.22$129.79$304
RIVER FALLS AREA HOSPITALRIVER FALLSWI0$259.5$145.32
UW HEALTH REHABILITATION HOSPITALMADISONWI0$458$274.8
UNIVERSITY OF WI HOSPITALS & CLINICSMADISONWI0$458$274.8

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.