▸ Compare · PriceTransparency
ED visit level 5
CPT 99285 · negotiated-rate distribution across hospitals in WI
Hospitals
36
Min
$317.45
Median
$1,887.00
Max
$2,987.00
Range multiplier
9.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 27 | 156 | $23.29 | $2,106.00 | $5,714.00 | 245.3× |
| UnitedHealthcare | 32 | 141 | $158.44 | $1,985.00 | $6,052.00 | 38.2× |
| Cigna | 18 | 70 | $16.50 | $1,598.94 | $2,901.78 | 175.9× |
| healthpartners | 12 | 68 | $502.50 | $1,886.25 | $2,642.00 | 5.3× |
| Aetna | 15 | 63 | $553.42 | $1,602.44 | $103,397 | 186.8× |
| Medicare | 14 | 46 | $188.31 | $595.33 | $1,402.13 | 7.4× |
| health eos | 12 | 44 | $536.00 | $1,472.00 | $2,744.00 | 5.1× |
| health eos plus | 12 | 44 | $402.00 | $1,104.00 | $2,058.00 | 5.1× |
| common ground | 12 | 36 | $2,543.00 | $2,543.00 | $2,543.00 | 1.0× |
| wisconsin physician service | 12 | 36 | $2,883.00 | $3,035.00 | $3,035.00 | 1.1× |
| Blue Cross Blue Shield | 4 | 30 | $31.75 | $463.16 | $4,234.00 | 133.4× |
| health payment systems | 24 | 26 | $631.68 | $3,400.00 | $3,979.00 | 6.3× |
| Molina | 18 | 25 | $583.12 | $2,334.95 | $2,344.00 | 4.0× |
| First Health | 8 | 23 | $646.20 | $1,567.02 | $3,685.50 | 5.7× |
| VA Health | 11 | 22 | $589.41 | $595.33 | $623.03 | 1.1× |
| aspirus | 2 | 22 | $12.65 | $263.03 | $2,250.82 | 177.9× |
| trilogy | 14 | 20 | $739.20 | $3,627.00 | $3,627.00 | 4.9× |
| centivo | 16 | 19 | $470.40 | $2,513.00 | $2,513.00 | 5.3× |
| Humana | 6 | 17 | $166.36 | $410.29 | $2,444.83 | 14.7× |
| security health plan | 5 | 15 | $17.05 | $896.00 | $2,000.00 | 117.3× |
| Medicaid | 2 | 14 | $202.69 | $790.78 | $1,566.56 | 7.7× |
| smart health | 7 | 14 | $833.46 | $833.46 | $872.24 | 1.0× |
| network health plan | 10 | 14 | $281.26 | $1,226.87 | $3,871.00 | 13.8× |
| Multiplan | 5 | 14 | $896.00 | $1,704.00 | $2,609.65 | 2.9× |
| hs technology | 12 | 12 | $2,701.00 | $2,701.00 | $2,701.00 | 1.0× |
| quartz group | 12 | 12 | $2,740.00 | $3,420.00 | $3,420.00 | 1.2× |
| quartz one | 12 | 12 | $2,340.00 | $2,920.00 | $2,920.00 | 1.2× |
| aurora caregiver | 12 | 12 | $2,400.00 | $2,400.00 | $2,400.00 | 1.0× |
| everpointe elite | 12 | 12 | $2,409.00 | $2,409.00 | $2,409.00 | 1.0× |
| wps health plan | 4 | 11 | $828.80 | $1,392.51 | $1,850.00 | 2.2× |
| health partners | 5 | 11 | $583.12 | $1,420.32 | $2,609.65 | 4.5× |
| medica [900156] | 3 | 10 | $295.54 | $996.66 | $2,974.00 | 10.1× |
| froedtert health | 3 | 9 | $1,129.80 | $1,291.20 | $1,557.41 | 1.4× |
| sehn | 9 | 9 | $3,030.44 | $3,030.44 | $3,383.00 | 1.1× |
| prevea 360 | 1 | 9 | $46.75 | $462.40 | $3,188.66 | 68.2× |
| cchp | 9 | 9 | $313.66 | $4,522.00 | $4,522.00 | 14.4× |
| quartz health insurance | 3 | 9 | $1,371.90 | $1,371.90 | $1,557.41 | 1.1× |
| ma wisconsin replacement [950271] | 2 | 8 | $867.00 | $1,412.50 | $4,095.00 | 4.7× |
| dean health plan | 4 | 8 | $560.00 | $1,291.20 | $1,465.80 | 2.6× |
| group health cooperative of eau claire | 4 | 8 | $619.47 | $1,859.17 | $2,609.65 | 4.2× |
| mercy care | 1 | 7 | $18.26 | $190.40 | $1,245.45 | 68.2× |
| wps | 7 | 7 | $462.81 | $462.81 | $462.81 | 1.0× |
| network health | 7 | 7 | $3,220.00 | $3,220.00 | $3,220.00 | 1.0× |
| common ground healthcare cooperative | 3 | 6 | $1,210.50 | $1,371.90 | $1,557.41 | 1.3× |
| healthsmart | 3 | 6 | $929.60 | $1,452.60 | $2,075.00 | 2.2× |
| trilogy health solutions | 3 | 6 | $1,210.50 | $1,371.90 | $1,557.41 | 1.3× |
| security health plan (shp) | 1 | 5 | $584.41 | $1,427.89 | $1,586.67 | 2.7× |
| alliance | 5 | 5 | $449.30 | $449.30 | $3,138.00 | 7.0× |
| medical college of wisconsin | 4 | 5 | $369.60 | $1,129.80 | $1,282.58 | 3.5× |
| smarthealth | 2 | 4 | $825.17 | $825.17 | $825.17 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Holy Family Memorial Inc | Manitowoc | WI | 25 | $2,500.00 | $1,375.00 | $369.60 | $929.60 | $6,052.00 |
| Hudson Hospital | Hudson | WI | 8 | $4,095.00 | $1,847.25 | $183.98 | $811.54 | $5,191.00 |
| Westfields Hospital | New Richmond | WI | 8 | $2,249.00 | $1,182.97 | $188.31 | $810.26 | $2,249.00 |
| Amery Regional Medical Center | Amery | WI | 6 | $2,438.00 | $1,271.17 | $188.31 | $646.20 | $2,363.88 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 14 | $3,434.00 | $1,957.38 | $182.14 | $604.15 | $3,383.00 |
| Mercy Medical Center | Oshkosh | WI | 14 | $3,434.00 | $1,957.38 | $182.14 | $604.15 | $3,383.00 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 7 | $3,434.00 | $1,820.02 | $281.26 | $523.07 | $1,313.05 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 7 | $3,434.00 | $1,820.02 | $281.26 | $523.07 | $1,313.05 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | — | — | $281.26 | $410.29 | $449.30 |
| Meriter Hospital Inc. | Madison | WI | 14 | $3,751.36 | $3,001.09 | $12.65 | $317.45 | $3,880.00 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 10 | $3,434.00 | $1,820.02 | $462.81 | $2,987.00 | $4,880.00 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 10 | $3,434.00 | $1,820.02 | $462.81 | $2,987.00 | $4,880.00 |
| All Saints - St. Luke S Hospital | Racine | WI | 10 | $3,434.00 | $1,820.02 | $462.81 | $2,987.00 | $4,880.00 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 10 | $3,434.00 | $1,820.02 | $462.81 | $2,987.00 | $4,880.00 |
| Wheaton Franciscan - Franklin | Franklin | WI | 10 | $3,434.00 | $1,820.02 | $462.81 | $2,987.00 | $4,880.00 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 10 | $3,434.00 | $1,820.02 | $462.81 | $2,987.00 | $4,880.00 |
| Mosh | Franklin | WI | 10 | — | — | $462.81 | $2,546.50 | $4,880.00 |
| West Allis Memorial Hospital | West Allis | WI | 18 | $3,430.00 | $1,715.00 | $876.00 | $2,528.00 | $103,397 |
| Aurora Medical Center - Hartford | Hartford | WI | 18 | $2,870.00 | $1,435.00 | $1,722.00 | $2,416.54 | $3,627.00 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 18 | $2,970.00 | $1,485.00 | $573.00 | $2,376.00 | $3,627.00 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 18 | $2,930.00 | $1,465.00 | $402.00 | $2,344.00 | $3,627.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 18 | $2,810.00 | $1,405.00 | $414.00 | $2,248.00 | $3,627.00 |
| Memorial Hospital Of Burlington | Burlington | WI | 18 | $1,840.00 | $920.00 | $1,104.00 | $2,180.00 | $3,627.00 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 20 | $2,747.00 | $2,609.65 | $530.00 | $2,059.00 | $3,894.14 |
| Aurora Medical Center - Summit | Summit | WI | 18 | $2,270.00 | $1,135.00 | $702.00 | $1,929.50 | $3,627.00 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 18 | $2,220.00 | $1,110.00 | $543.00 | $1,887.00 | $3,627.00 |
| Aurora Medical Center Grafton | Grafton | WI | 18 | $2,220.00 | $1,110.00 | $543.00 | $1,887.00 | $3,627.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 18 | $1,940.00 | $970.00 | $534.00 | $1,795.62 | $3,627.00 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 18 | $1,840.00 | $920.00 | $810.00 | $1,564.00 | $3,627.00 |
| Aurora Medical Center Kenosha | Kenosha | WI | 18 | $1,840.00 | $920.00 | $810.00 | $1,564.00 | $3,627.00 |
| Childrens Wisconsin | Milwaukee | WI | 29 | $1,832.25 | $1,007.74 | $1,282.58 | $1,557.41 | $4,005.00 |
| Ssh - Fox Valley | Oshkosh | WI | 30 | $1,614.00 | $887.70 | $1,129.80 | $1,371.90 | $4,005.00 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 30 | $1,614.00 | $887.70 | $1,129.80 | $1,371.90 | $4,005.00 |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $10,543 | $6,325.80 | — | — | — |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $10,543 | $6,325.80 | — | — | — |
| River Falls Area Hospital | River Falls | WI | 0 | $1,818.50 | $1,018.36 | — | — | — |
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.