▸ Compare · PriceTransparency
ED visit level 5
CPT 99285 · negotiated-rate distribution across hospitals in WI
Hospitals
35
Min
$317.45
Median
$1,887
Max
$2,987
Range multiplier
9.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 26 | 151 | $23.29 | $2,106 | $5,714 | 245.3× |
| UnitedHealthcare | 31 | 140 | $158.44 | $1,985 | $6,052 | 38.2× |
| Cigna | 18 | 70 | $16.5 | $1,598.94 | $2,901.78 | 175.9× |
| healthpartners | 12 | 68 | $502.5 | $1,886.25 | $2,642 | 5.3× |
| Aetna | 15 | 63 | $553.42 | $1,602.44 | $103,397 | 186.8× |
| health eos plus | 12 | 44 | $402 | $1,104 | $2,058 | 5.1× |
| Medicare | 13 | 44 | $188.31 | $595.33 | $1,402.13 | 7.4× |
| health eos | 12 | 44 | $536 | $1,472 | $2,744 | 5.1× |
| common ground | 12 | 36 | $2,543 | $2,543 | $2,543 | 1.0× |
| wisconsin physician service | 12 | 36 | $2,883 | $3,035 | $3,035 | 1.1× |
| Blue Cross Blue Shield | 4 | 30 | $31.75 | $463.16 | $4,234 | 133.4× |
| health payment systems | 23 | 25 | $631.68 | $3,400 | $3,979 | 6.3× |
| Molina | 18 | 25 | $583.12 | $2,334.95 | $2,344 | 4.0× |
| First Health | 8 | 23 | $646.2 | $1,567.02 | $3,685.5 | 5.7× |
| aspirus | 2 | 22 | $12.65 | $263.03 | $2,250.82 | 177.9× |
| VA Health | 10 | 20 | $589.41 | $595.33 | $623.03 | 1.1× |
| trilogy | 14 | 20 | $739.2 | $3,627 | $3,627 | 4.9× |
| centivo | 16 | 19 | $470.4 | $2,513 | $2,513 | 5.3× |
| Humana | 6 | 17 | $166.36 | $410.29 | $2,444.83 | 14.7× |
| security health plan | 5 | 15 | $17.05 | $896 | $2,000 | 117.3× |
| Medicaid | 2 | 14 | $202.69 | $790.78 | $1,566.56 | 7.7× |
| network health plan | 10 | 14 | $281.26 | $1,226.87 | $3,871 | 13.8× |
| Multiplan | 5 | 14 | $896 | $1,704 | $2,609.65 | 2.9× |
| aurora caregiver | 12 | 12 | $2,400 | $2,400 | $2,400 | 1.0× |
| everpointe elite | 12 | 12 | $2,409 | $2,409 | $2,409 | 1.0× |
| quartz group | 12 | 12 | $2,740 | $3,420 | $3,420 | 1.2× |
| hs technology | 12 | 12 | $2,701 | $2,701 | $2,701 | 1.0× |
| smart health | 6 | 12 | $833.46 | $833.46 | $872.24 | 1.0× |
| quartz one | 12 | 12 | $2,340 | $2,920 | $2,920 | 1.2× |
| wps health plan | 4 | 11 | $828.8 | $1,392.51 | $1,850 | 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 | 10.1× |
| quartz health insurance | 3 | 9 | $1,371.9 | $1,371.9 | $1,557.41 | 1.1× |
| froedtert health | 3 | 9 | $1,129.8 | $1,291.2 | $1,557.41 | 1.4× |
| prevea 360 | 1 | 9 | $46.75 | $462.4 | $3,188.66 | 68.2× |
| ma wisconsin replacement [950271] | 2 | 8 | $867 | $1,412.5 | $4,095 | 4.7× |
| cchp | 8 | 8 | $313.66 | $4,522 | $4,522 | 14.4× |
| dean health plan | 4 | 8 | $560 | $1,291.2 | $1,465.8 | 2.6× |
| group health cooperative of eau claire | 4 | 8 | $619.47 | $1,859.17 | $2,609.65 | 4.2× |
| sehn | 8 | 8 | $3,030.44 | $3,030.44 | $3,383 | 1.1× |
| mercy care | 1 | 7 | $18.26 | $190.4 | $1,245.45 | 68.2× |
| wps | 6 | 6 | $462.81 | $462.81 | $462.81 | 1.0× |
| trilogy health solutions | 3 | 6 | $1,210.5 | $1,371.9 | $1,557.41 | 1.3× |
| network health | 6 | 6 | $3,220 | $3,220 | $3,220 | 1.0× |
| common ground healthcare cooperative | 3 | 6 | $1,210.5 | $1,371.9 | $1,557.41 | 1.3× |
| healthsmart | 3 | 6 | $929.6 | $1,452.6 | $2,075 | 2.2× |
| security health plan (shp) | 1 | 5 | $584.41 | $1,427.89 | $1,586.67 | 2.7× |
| medical college of wisconsin | 4 | 5 | $369.6 | $1,129.8 | $1,282.58 | 3.5× |
| alliance | 5 | 5 | $449.3 | $449.3 | $3,138 | 7.0× |
| quartz | 2 | 4 | $17.16 | $877.42 | $3,894.14 | 226.9× |
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 | $1,375 | $369.6 | $929.6 | $6,052 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $4,095 | $1,847.25 | $183.98 | $811.54 | $5,191 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $2,249 | $1,182.97 | $188.31 | $810.26 | $2,249 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 6 | $2,438 | $1,271.17 | $188.31 | $646.2 | $2,363.88 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 14 | $3,434 | $1,957.38 | $182.14 | $604.15 | $3,383 |
| ASCENSION NE WISC. - MERCY HOSPITAL | OSHKOSH | WI | 14 | $3,434 | $1,957.38 | $182.14 | $604.15 | $3,383 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 7 | $3,434 | $1,820.02 | $281.26 | $523.07 | $1,313.05 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 7 | $3,434 | $1,820.02 | $281.26 | $523.07 | $1,313.05 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | — | — | $281.26 | $410.29 | $449.3 |
| MERITER HOSPITAL INC. | MADISON | WI | 14 | $3,751.36 | $3,001.09 | $12.65 | $317.45 | $3,880 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 10 | $3,434 | $1,820.02 | $462.81 | $2,987 | $4,880 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 10 | $3,434 | $1,820.02 | $462.81 | $2,987 | $4,880 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 10 | $3,434 | $1,820.02 | $462.81 | $2,987 | $4,880 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 10 | $3,434 | $1,820.02 | $462.81 | $2,987 | $4,880 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 10 | $3,434 | $1,820.02 | $462.81 | $2,987 | $4,880 |
| MOSH | FRANKLIN | WI | 10 | — | — | $462.81 | $2,546.5 | $4,880 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 18 | $3,430 | $1,715 | $876 | $2,528 | $103,397 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 18 | $2,870 | $1,435 | $1,722 | $2,416.54 | $3,627 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 18 | $2,970 | $1,485 | $573 | $2,376 | $3,627 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 18 | $2,930 | $1,465 | $402 | $2,344 | $3,627 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 18 | $2,810 | $1,405 | $414 | $2,248 | $3,627 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 18 | $1,840 | $920 | $1,104 | $2,180 | $3,627 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 20 | $2,747 | $2,609.65 | $530 | $2,059 | $3,894.14 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 18 | $2,270 | $1,135 | $702 | $1,929.5 | $3,627 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 18 | $2,220 | $1,110 | $543 | $1,887 | $3,627 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 18 | $2,220 | $1,110 | $543 | $1,887 | $3,627 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 18 | $1,940 | $970 | $534 | $1,795.62 | $3,627 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 18 | $1,840 | $920 | $810 | $1,564 | $3,627 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 18 | $1,840 | $920 | $810 | $1,564 | $3,627 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 29 | $1,832.25 | $1,007.74 | $1,282.58 | $1,557.41 | $4,005 |
| SSH - FOX VALLEY | OSHKOSH | WI | 30 | $1,614 | $887.7 | $1,129.8 | $1,371.9 | $4,005 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 30 | $1,614 | $887.7 | $1,129.8 | $1,371.9 | $4,005 |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $10,543 | $6,325.8 | — | — | — |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $10,543 | $6,325.8 | — | — | — |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 0 | $1,818.5 | $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.