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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$89.05 – $1,331.65

Negotiated median

$227.51

CPT 99222 Initial hospital care, moderate complexity · Showing 170 of 170 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
MERITER HOSPITAL INC.	WI	Chargemaster	N/A	both	gross	$1,401.74
MERITER HOSPITAL INC.	WI	Chargemaster	N/A	both	gross	$507
HUDSON HOSPITAL	WI	Chargemaster	N/A	both	gross	$506
WESTFIELDS HOSPITAL	WI	Chargemaster	N/A	both	gross	$497
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Chargemaster	N/A	outpatient	gross	$487
AMERY REGIONAL MEDICAL CENTER	WI	Chargemaster	N/A	both	gross	$444
MERITER HOSPITAL INC.	WI	Cash pay	N/A	both	cash	$1,121.4
MERITER HOSPITAL INC.	WI	Cash pay	N/A	both	cash	$405.6
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Cash pay	N/A	outpatient	cash	$277.59
WESTFIELDS HOSPITAL	WI	Cash pay	N/A	both	cash	$261.42
AMERY REGIONAL MEDICAL CENTER	WI	Cash pay	N/A	both	cash	$231.5
HUDSON HOSPITAL	WI	Cash pay	N/A	both	cash	$228.26
ALL SAINTS - ST. LUKE S HOSPITAL	WI	[De-identified Min]	—	outpatient	min	$365.38
WHEATON FRANCISCAN - FRANKLIN	WI	[De-identified Min]	—	outpatient	min	$365.38
WFHC - ELMBROOK MEMORIAL	WI	[De-identified Min]	—	outpatient	min	$365.38
MOSH	WI	[De-identified Min]	—	outpatient	min	$365.38
ASCENSION SE WISCONSIN HOSPITAL INC	WI	[De-identified Min]	—	outpatient	min	$365.38
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	[De-identified Min]	—	outpatient	min	$365.38
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	[De-identified Min]	—	outpatient	min	$365.38
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Min]	—	outpatient	min	$210.14
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Min]	—	outpatient	min	$210.14
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Min]	—	both	min	$210.14
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Min]	—	outpatient	min	$210.14
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Min]	—	both	min	$210.14
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Min]	—	both	min	$210.14
WESTFIELDS HOSPITAL	WI	[De-identified Min]	—	both	min	$143.08
MERCY MEDICAL CENTER	WI	[De-identified Min]	—	outpatient	min	$137.23
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	[De-identified Min]	—	outpatient	min	$137.23
MERITER HOSPITAL INC.	WI	[De-identified Min]	—	both	min	$119.27
HOLY FAMILY MEMORIAL INC	WI	[De-identified Min]	—	outpatient	min	$119.27
MERITER HOSPITAL INC.	WI	[De-identified Min]	—	both	min	$116.61
HUDSON HOSPITAL	WI	[De-identified Min]	—	both	min	$95.1
AMERY REGIONAL MEDICAL CENTER	WI	[De-identified Min]	—	both	min	$89.05
MERITER HOSPITAL INC.	WI	Anthem BCBS	Traditional	both	negotiated	$1,331.65
MERITER HOSPITAL INC.	WI	prevea 360	Commercial	both	negotiated	$1,191.48
HUDSON HOSPITAL	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$506
WESTFIELDS HOSPITAL	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$497
MERITER HOSPITAL INC.	WI	mercy care	HMO/POS	both	negotiated	$490.61
MERITER HOSPITAL INC.	WI	aspirus	HMO/POS	both	negotiated	$490.61
HUDSON HOSPITAL	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$484.61
MERITER HOSPITAL INC.	WI	Anthem BCBS	Traditional	both	negotiated	$481.65
HUDSON HOSPITAL	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$455.4
WESTFIELDS HOSPITAL	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$440.59
MERITER HOSPITAL INC.	WI	prevea 360	Commercial	both	negotiated	$430.95
HUDSON HOSPITAL	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$428.47
MERITER HOSPITAL INC.	WI	security health plan	HMO/POS/SAS	both	negotiated	$420.52
WESTFIELDS HOSPITAL	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$407.54
WESTFIELDS HOSPITAL	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$405.06
AMERY REGIONAL MEDICAL CENTER	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$399.6
MERITER HOSPITAL INC.	WI	Cigna	Commercial	both	negotiated	$392.49
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS OUT OF STATE [91008]	both	negotiated	$388
WESTFIELDS HOSPITAL	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$368.63
WESTFIELDS HOSPITAL	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$368.63
ALL SAINTS - ST. LUKE S HOSPITAL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$365.38
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$365.38
MOSH	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$365.38
WHEATON FRANCISCAN - FRANKLIN	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$365.38
WFHC - ELMBROOK MEMORIAL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$365.38
ASCENSION SE WISCONSIN HOSPITAL INC	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$365.38
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$365.38
ASCENSION SACRED HEART REHABILITATIO	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$354.71
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$354.71
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$354.71
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$328.63
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$328.63
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$328.63
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$328.63
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$328.63
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$328.63
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$328.63
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$328.63
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$328.63
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$328.63
ASCENSION SACRED HEART REHABILITATIO	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$328.63
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$328.63
MERITER HOSPITAL INC.	WI	aspirus	PPO	both	negotiated	$322.4
MERITER HOSPITAL INC.	WI	Anthem BCBS	PPO	both	negotiated	$312.49
MERITER HOSPITAL INC.	WI	Blue Cross Blue Shield	Commercial	both	negotiated	$312.49
MERITER HOSPITAL INC.	WI	UnitedHealthcare	Commercial	both	negotiated	$306.81
MERCY MEDICAL CENTER	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$300.69
MERCY MEDICAL CENTER	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$300.69
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$300.69
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$300.69
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$289.06
MERITER HOSPITAL INC.	WI	Anthem BCBS	HMO/POS	both	negotiated	$276.71
HUDSON HOSPITAL	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$275.77
MERITER HOSPITAL INC.	WI	medical associates health plan	HMO/POS/PPO	both	negotiated	$256.43
MERCY MEDICAL CENTER	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$251.34
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$251.34
AMERY REGIONAL MEDICAL CENTER	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$247.5
MERITER HOSPITAL INC.	WI	health partners open network	Commercial	both	negotiated	$227.51
HUDSON HOSPITAL	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$224.55
AMERY REGIONAL MEDICAL CENTER	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$224.55
MERITER HOSPITAL INC.	WI	Anthem BCBS	Blue Priority/Pathway	both	negotiated	$221.84
WESTFIELDS HOSPITAL	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$211.67
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$210.14
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$210.14
ASCENSION SACRED HEART REHABILITATIO	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$210.14
AMERY REGIONAL MEDICAL CENTER	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$201.25
HUDSON HOSPITAL	WI	Medicaid	MEDICA CHOICE CARE PMAP [50314]	both	negotiated	$186.21
MERITER HOSPITAL INC.	WI	mercy care	HMO/POS	both	negotiated	$177.45
MERITER HOSPITAL INC.	WI	aspirus	HMO/POS	both	negotiated	$177.45
WESTFIELDS HOSPITAL	WI	Medicaid	UCARE PMAP [50283]	both	negotiated	$154.01
HUDSON HOSPITAL	WI	Medicaid	UCARE PMAP [50283]	both	negotiated	$154.01
MERITER HOSPITAL INC.	WI	security health plan	HMO/POS/SAS	both	negotiated	$152.1
HUDSON HOSPITAL	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$149.36
WESTFIELDS HOSPITAL	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$149.36
WESTFIELDS HOSPITAL	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$147.96
HUDSON HOSPITAL	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$147.96
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$145.17
WESTFIELDS HOSPITAL	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$145.17
WESTFIELDS HOSPITAL	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$143.08
HUDSON HOSPITAL	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$143.08
MERITER HOSPITAL INC.	WI	Cigna	Commercial	both	negotiated	$141.96
MERCY MEDICAL CENTER	WI	Anthem BCBS	946_ANTHEM PATHWAYS MEWI SEWI 20230101	outpatient	negotiated	$137.23
MERCY MEDICAL CENTER	WI	Anthem BCBS	1001_ANTHEM PPO MEWI SEWI 20230401	outpatient	negotiated	$137.23
MERCY MEDICAL CENTER	WI	Anthem BCBS	1000_ANTHEM HMO POS MEWI SEWI 20230401	outpatient	negotiated	$137.23
MERCY MEDICAL CENTER	WI	Anthem BCBS	999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401	outpatient	negotiated	$137.23
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	946_ANTHEM PATHWAYS MEWI SEWI 20230101	outpatient	negotiated	$137.23
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401	outpatient	negotiated	$137.23
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	1001_ANTHEM PPO MEWI SEWI 20230401	outpatient	negotiated	$137.23
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	1000_ANTHEM HMO POS MEWI SEWI 20230401	outpatient	negotiated	$137.23
AMERY REGIONAL MEDICAL CENTER	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$129.88
HOLY FAMILY MEMORIAL INC	WI	Molina	Marketplace Plans	outpatient	negotiated	$128.81
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$128.66
AMERY REGIONAL MEDICAL CENTER	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$126.24
MERITER HOSPITAL INC.	WI	Humana	Medicare Advantage	both	negotiated	$125.23
MERITER HOSPITAL INC.	WI	meridiancare	Medicare Advantage	both	negotiated	$125.23
AMERY REGIONAL MEDICAL CENTER	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$124.41
HOLY FAMILY MEMORIAL INC	WI	allwell	Medicare Advantage	outpatient	negotiated	$121.65
HOLY FAMILY MEMORIAL INC	WI	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$119.27
MERITER HOSPITAL INC.	WI	Anthem BCBS	Medicare Advantage	both	negotiated	$119.27
MERITER HOSPITAL INC.	WI	aspirus	Medicare Advantage	both	negotiated	$119.27
MERITER HOSPITAL INC.	WI	illinicare	Medicare Advantage	both	negotiated	$119.27
MERITER HOSPITAL INC.	WI	prevea 360	Medicare Advantage	both	negotiated	$119.27
MERITER HOSPITAL INC.	WI	UnitedHealthcare	Medicare Advantage	both	negotiated	$119.27
HOLY FAMILY MEMORIAL INC	WI	community care incorporated	Medicare Advantage	outpatient	negotiated	$119.27
HOLY FAMILY MEMORIAL INC	WI	health partners	Medicare Advantage	outpatient	negotiated	$119.27
HOLY FAMILY MEMORIAL INC	WI	Humana	Medicare Advantage	outpatient	negotiated	$119.27
HOLY FAMILY MEMORIAL INC	WI	icare	Medicare Advantage	outpatient	negotiated	$119.27
HOLY FAMILY MEMORIAL INC	WI	Molina	Medicare Advantage	outpatient	negotiated	$119.27
HOLY FAMILY MEMORIAL INC	WI	network health plan	Medicare Advantage	outpatient	negotiated	$119.27
HOLY FAMILY MEMORIAL INC	WI	security health plan	Medicare Advantage	outpatient	negotiated	$119.27
HOLY FAMILY MEMORIAL INC	WI	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$119.27
MERITER HOSPITAL INC.	WI	aspirus	PPO	both	negotiated	$116.61
AMERY REGIONAL MEDICAL CENTER	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$95.1
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$95.1
AMERY REGIONAL MEDICAL CENTER	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$89.05
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC WI COMMUNITY PLAN [50274]	both	negotiated	$89.05
MERITER HOSPITAL INC.	WI	[De-identified Max]	—	both	max	$1,331.65
HUDSON HOSPITAL	WI	[De-identified Max]	—	both	max	$506
WESTFIELDS HOSPITAL	WI	[De-identified Max]	—	both	max	$497
MERITER HOSPITAL INC.	WI	[De-identified Max]	—	both	max	$481.65
AMERY REGIONAL MEDICAL CENTER	WI	[De-identified Max]	—	both	max	$399.6
WHEATON FRANCISCAN - FRANKLIN	WI	[De-identified Max]	—	outpatient	max	$365.38
WFHC - ELMBROOK MEMORIAL	WI	[De-identified Max]	—	outpatient	max	$365.38
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	[De-identified Max]	—	outpatient	max	$365.38
ALL SAINTS - ST. LUKE S HOSPITAL	WI	[De-identified Max]	—	outpatient	max	$365.38
MOSH	WI	[De-identified Max]	—	outpatient	max	$365.38
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	[De-identified Max]	—	outpatient	max	$365.38
ASCENSION SE WISCONSIN HOSPITAL INC	WI	[De-identified Max]	—	outpatient	max	$365.38
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Max]	—	outpatient	max	$354.71
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Max]	—	both	max	$354.71
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Max]	—	both	max	$354.71
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Max]	—	outpatient	max	$354.71
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Max]	—	outpatient	max	$354.71
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Max]	—	both	max	$354.71
MERCY MEDICAL CENTER	WI	[De-identified Max]	—	outpatient	max	$300.69
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	[De-identified Max]	—	outpatient	max	$300.69
HOLY FAMILY MEMORIAL INC	WI	[De-identified Max]	—	outpatient	max	$128.81

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).