▸ Compare · PriceTransparency
ED visit level 1
CPT 99281 · negotiated-rate distribution across hospitals in WI
Hospitals
36
Min
$52.25
Median
$300.00
Max
$352.50
Range multiplier
6.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 27 | 216 | $10.27 | $323.50 | $1,619.00 | 157.6× |
| UnitedHealthcare | 32 | 201 | $10.27 | $336.80 | $2,180.00 | 212.3× |
| Cigna | 18 | 139 | $16.50 | $317.25 | $2,200.00 | 133.3× |
| Aetna | 15 | 136 | $12.89 | $326.27 | $14,850 | 1152.1× |
| healthpartners | 12 | 136 | $93.75 | $300.00 | $723.75 | 7.7× |
| health eos plus | 12 | 112 | $75.00 | $231.00 | $579.00 | 7.7× |
| health eos | 12 | 112 | $100.00 | $308.00 | $772.00 | 7.7× |
| wisconsin physician service | 12 | 36 | $429.00 | $452.00 | $452.00 | 1.1× |
| common ground | 12 | 36 | $368.00 | $368.00 | $368.00 | 1.0× |
| Medicare | 14 | 34 | $12.22 | $85.50 | $130.11 | 10.6× |
| Molina | 21 | 28 | $24.01 | $246.86 | $403.00 | 16.8× |
| health payment systems | 24 | 27 | $71.91 | $450.00 | $617.00 | 8.6× |
| aspirus | 2 | 22 | $10.27 | $59.45 | $300.00 | 29.2× |
| VA Health | 11 | 22 | $84.65 | $85.50 | $89.48 | 1.1× |
| centivo | 16 | 20 | $62.05 | $383.00 | $383.00 | 6.2× |
| trilogy | 14 | 20 | $138.60 | $526.00 | $526.00 | 3.8× |
| First Health | 8 | 18 | $78.30 | $240.67 | $344.64 | 4.4× |
| Blue Cross Blue Shield | 4 | 18 | $12.40 | $62.76 | $1,619.00 | 130.6× |
| Humana | 6 | 17 | $10.78 | $53.52 | $319.51 | 29.6× |
| Multiplan | 5 | 16 | $77.35 | $208.10 | $341.05 | 4.4× |
| security health plan | 5 | 16 | $17.05 | $77.15 | $300.00 | 17.6× |
| network health plan | 10 | 15 | $18.41 | $83.93 | $299.76 | 16.3× |
| smart health | 7 | 14 | $119.70 | $119.70 | $125.27 | 1.0× |
| health partners | 5 | 13 | $66.30 | $83.74 | $341.05 | 5.1× |
| quartz one | 12 | 12 | $350.00 | $350.00 | $350.00 | 1.0× |
| quartz group | 12 | 12 | $410.00 | $410.00 | $410.00 | 1.0× |
| froedtert health | 3 | 12 | $68.00 | $74.38 | $231.84 | 3.4× |
| aurora caregiver | 12 | 12 | $350.00 | $350.00 | $350.00 | 1.0× |
| everpointe elite | 12 | 12 | $382.00 | $382.00 | $382.00 | 1.0× |
| hs technology | 12 | 12 | $450.00 | $450.00 | $450.00 | 1.0× |
| dean health plan | 4 | 10 | $68.00 | $68.00 | $218.20 | 3.2× |
| cchp | 9 | 9 | $38.32 | $634.00 | $634.00 | 16.5× |
| sehn | 9 | 9 | $431.00 | $478.29 | $478.29 | 1.1× |
| prevea 360 | 1 | 9 | $10.27 | $85.05 | $398.88 | 38.8× |
| wps health plan | 4 | 8 | $59.50 | $181.35 | $277.50 | 4.7× |
| Medicaid | 2 | 8 | $13.16 | $104.02 | $224.99 | 17.1× |
| mercy care | 1 | 7 | $18.26 | $42.70 | $155.80 | 8.5× |
| network health | 7 | 7 | $323.00 | $323.00 | $323.00 | 1.0× |
| wps | 7 | 7 | $56.72 | $56.72 | $56.72 | 1.0× |
| quartz health solutions | 3 | 6 | $72.25 | $72.25 | $72.25 | 1.0× |
| group health cooperative of eau claire | 2 | 6 | $88.97 | $294.38 | $341.05 | 3.8× |
| medical college of wisconsin | 4 | 6 | $59.50 | $64.40 | $190.93 | 3.2× |
| medica [900156] | 3 | 6 | $19.18 | $193.02 | $306.00 | 16.0× |
| common ground healthcare cooperative | 3 | 5 | $61.20 | $61.20 | $231.84 | 3.8× |
| alliance | 5 | 5 | $55.06 | $55.06 | $342.00 | 6.2× |
| trilogy health solutions | 3 | 5 | $68.00 | $68.00 | $231.84 | 3.4× |
| security health plan (shp) | 1 | 5 | $83.93 | $186.61 | $207.36 | 2.5× |
| icare | 5 | 5 | $24.68 | $24.68 | $89.81 | 3.6× |
| chorus community health plan | 4 | 5 | $23.79 | $23.79 | $241.13 | 10.1× |
| ma wisconsin replacement [950271] | 2 | 4 | $170.00 | $288.00 | $304.00 | 1.8× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Hudson Hospital | Hudson | WI | 8 | $293.00 | $132.17 | $12.22 | $99.80 | $583.00 |
| Mercy Medical Center | Oshkosh | WI | 14 | $462.00 | $263.34 | $11.83 | $86.77 | $444.00 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 14 | $462.00 | $263.34 | $11.83 | $86.77 | $444.00 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 7 | $493.00 | $261.29 | $18.41 | $70.39 | $188.56 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 7 | $493.00 | $261.29 | $18.41 | $70.39 | $188.56 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 32 | $85.00 | $46.75 | $12.89 | $68.00 | $107.00 |
| Ssh - Fox Valley | Oshkosh | WI | 32 | $85.00 | $46.75 | $12.89 | $68.00 | $107.00 |
| Amery Regional Medical Center | Amery | WI | 6 | $174.00 | $90.72 | $12.22 | $64.55 | $251.12 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | — | — | $18.41 | $53.52 | $55.06 |
| Meriter Hospital Inc. | Madison | WI | 14 | $469.27 | $375.42 | $10.27 | $52.25 | $1,619.00 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $840.00 | $420.00 | $75.00 | $352.50 | $2,200.00 |
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $840.00 | $420.00 | $75.00 | $352.50 | $2,200.00 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $670.00 | $335.00 | $75.00 | $352.50 | $2,200.00 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $470.00 | $235.00 | $75.00 | $341.25 | $2,200.00 |
| Memorial Hospital Of Burlington | Burlington | WI | 18 | $470.00 | $235.00 | $75.00 | $338.40 | $2,200.00 |
| West Allis Memorial Hospital | West Allis | WI | 18 | $965.00 | $482.50 | $75.00 | $338.40 | $14,850 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $470.00 | $235.00 | $75.00 | $338.40 | $2,200.00 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $400.00 | $200.00 | $75.00 | $326.27 | $2,200.00 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $400.00 | $200.00 | $75.00 | $326.27 | $2,200.00 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 10 | $493.00 | $261.29 | $56.72 | $321.00 | $634.00 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 10 | $493.00 | $261.29 | $56.72 | $321.00 | $634.00 |
| Wheaton Franciscan - Franklin | Franklin | WI | 10 | $493.00 | $261.29 | $56.72 | $321.00 | $634.00 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 10 | $493.00 | $261.29 | $56.72 | $321.00 | $634.00 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 10 | $493.00 | $261.29 | $56.72 | $321.00 | $634.00 |
| All Saints - St. Luke S Hospital | Racine | WI | 10 | $493.00 | $261.29 | $56.72 | $321.00 | $634.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $400.00 | $200.00 | $75.00 | $300.00 | $2,200.00 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $470.00 | $235.00 | $75.00 | $300.00 | $2,200.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $470.00 | $235.00 | $75.00 | $300.00 | $2,200.00 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 20 | $359.00 | $341.05 | $83.93 | $294.38 | $796.00 |
| Mosh | Franklin | WI | 10 | — | — | $56.72 | $266.00 | $634.00 |
| Childrens Wisconsin | Milwaukee | WI | 37 | $272.75 | $150.01 | $12.89 | $200.47 | $868.00 |
| Holy Family Memorial Inc | Manitowoc | WI | 25 | $375.00 | $206.25 | $69.30 | $171.15 | $943.00 |
| Westfields Hospital | New Richmond | WI | 8 | $304.00 | $159.90 | $12.22 | $129.79 | $304.00 |
| River Falls Area Hospital | River Falls | WI | 0 | $259.50 | $145.32 | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $458.00 | $274.80 | — | — | — |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $458.00 | $274.80 | — | — | — |
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.