Search hospital rates

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

$101.95 – $1,488.1

Negotiated median

$299.74

CPT 99223 Initial hospital care, high complexity · Showing 153 of 169 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
MERITER HOSPITAL INC.	WI	Chargemaster	N/A	both	gross	$1,750.7
HUDSON HOSPITAL	WI	Chargemaster	N/A	both	gross	$746
WESTFIELDS HOSPITAL	WI	Chargemaster	N/A	both	gross	$735
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Chargemaster	N/A	outpatient	gross	$717
AMERY REGIONAL MEDICAL CENTER	WI	Chargemaster	N/A	both	gross	$654
MERITER HOSPITAL INC.	WI	Cash pay	N/A	both	cash	$1,400.56
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Cash pay	N/A	outpatient	cash	$408.69
WESTFIELDS HOSPITAL	WI	Cash pay	N/A	both	cash	$386.61
AMERY REGIONAL MEDICAL CENTER	WI	Cash pay	N/A	both	cash	$341
HUDSON HOSPITAL	WI	Cash pay	N/A	both	cash	$336.52
ASCENSION SE WISCONSIN HOSPITAL INC	WI	[De-identified Min]	—	outpatient	min	$540.36
WFHC - ELMBROOK MEMORIAL	WI	[De-identified Min]	—	outpatient	min	$540.36
WHEATON FRANCISCAN - FRANKLIN	WI	[De-identified Min]	—	outpatient	min	$540.36
MOSH	WI	[De-identified Min]	—	outpatient	min	$540.36
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	[De-identified Min]	—	outpatient	min	$540.36
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	[De-identified Min]	—	outpatient	min	$540.36
ALL SAINTS - ST. LUKE S HOSPITAL	WI	[De-identified Min]	—	outpatient	min	$540.36
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Min]	—	outpatient	min	$281.32
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Min]	—	both	min	$281.32
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Min]	—	both	min	$281.32
WESTFIELDS HOSPITAL	WI	[De-identified Min]	—	both	min	$190.98
MERCY MEDICAL CENTER	WI	[De-identified Min]	—	outpatient	min	$182.93
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	[De-identified Min]	—	outpatient	min	$182.93
MERITER HOSPITAL INC.	WI	[De-identified Min]	—	both	min	$159.24
HOLY FAMILY MEMORIAL INC	WI	[De-identified Min]	—	outpatient	min	$159.24
HUDSON HOSPITAL	WI	[De-identified Min]	—	both	min	$126.89
AMERY REGIONAL MEDICAL CENTER	WI	[De-identified Min]	—	both	min	$101.95
MERITER HOSPITAL INC.	WI	prevea 360	Commercial	both	negotiated	$1,488.1
HUDSON HOSPITAL	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$746
WESTFIELDS HOSPITAL	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$735
MERITER HOSPITAL INC.	WI	Anthem BCBS	Traditional	both	negotiated	$703
HUDSON HOSPITAL	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$671.4
WESTFIELDS HOSPITAL	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$651.58
HUDSON HOSPITAL	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$644.86
HUDSON HOSPITAL	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$628.93
MERITER HOSPITAL INC.	WI	aspirus	HMO/POS	both	negotiated	$612.75
WESTFIELDS HOSPITAL	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$602.7
WESTFIELDS HOSPITAL	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$599.03
AMERY REGIONAL MEDICAL CENTER	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$588.6
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS OUT OF STATE [91008]	both	negotiated	$572.03
WHEATON FRANCISCAN - FRANKLIN	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$540.36
WFHC - ELMBROOK MEMORIAL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$540.36
ASCENSION SE WISCONSIN HOSPITAL INC	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$540.36
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$540.36
ALL SAINTS - ST. LUKE S HOSPITAL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$540.36
MOSH	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$540.36
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$540.36
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$524.58
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$524.58
ASCENSION SACRED HEART REHABILITATIO	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$524.58
WESTFIELDS HOSPITAL	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$490.52
WESTFIELDS HOSPITAL	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$490.52
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$484.94
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$484.94
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$484.94
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$484.94
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$484.94
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$484.94
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$484.94
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$484.94
ASCENSION SACRED HEART REHABILITATIO	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$484.94
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$484.94
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$484.94
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$484.94
MERITER HOSPITAL INC.	WI	UnitedHealthcare	Commercial	both	negotiated	$452.74
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$443.71
MERCY MEDICAL CENTER	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$443.71
MERCY MEDICAL CENTER	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$443.71
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$443.71
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$424.3
MERITER HOSPITAL INC.	WI	Blue Cross Blue Shield	Commercial	both	negotiated	$417.21
MERITER HOSPITAL INC.	WI	Anthem BCBS	PPO	both	negotiated	$417.21
HUDSON HOSPITAL	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$406.57
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$370.38
MERCY MEDICAL CENTER	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$370.38
MERITER HOSPITAL INC.	WI	Anthem BCBS	HMO/POS	both	negotiated	$369.44
MERITER HOSPITAL INC.	WI	medical associates health plan	HMO/POS/PPO	both	negotiated	$342.37
MERITER HOSPITAL INC.	WI	health partners open network	Commercial	both	negotiated	$336.33
AMERY REGIONAL MEDICAL CENTER	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$329.34
WESTFIELDS HOSPITAL	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$313.04
HUDSON HOSPITAL	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$299.74
AMERY REGIONAL MEDICAL CENTER	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$299.74
MERITER HOSPITAL INC.	WI	Anthem BCBS	Blue Priority/Pathway	both	negotiated	$296.19
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$281.32
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$281.32
ASCENSION SACRED HEART REHABILITATIO	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$281.32
HUDSON HOSPITAL	WI	Medicaid	MEDICA CHOICE CARE PMAP [50314]	both	negotiated	$274.53
AMERY REGIONAL MEDICAL CENTER	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$269.42
MERITER HOSPITAL INC.	WI	mercy care	HMO/POS	both	negotiated	$259
MERITER HOSPITAL INC.	WI	security health plan	HMO/POS/SAS	both	negotiated	$222
MERITER HOSPITAL INC.	WI	Cigna	Commercial	both	negotiated	$207.2
WESTFIELDS HOSPITAL	WI	Medicaid	UCARE PMAP [50283]	both	negotiated	$205.57
HUDSON HOSPITAL	WI	Medicaid	UCARE PMAP [50283]	both	negotiated	$205.57
WESTFIELDS HOSPITAL	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$199.37
HUDSON HOSPITAL	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$199.37
HUDSON HOSPITAL	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$197.5
WESTFIELDS HOSPITAL	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$197.5
WESTFIELDS HOSPITAL	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$193.78
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$193.78
WESTFIELDS HOSPITAL	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$190.98
HUDSON HOSPITAL	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$190.98
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	1000_ANTHEM HMO POS MEWI SEWI 20230401	outpatient	negotiated	$182.93
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	1001_ANTHEM PPO MEWI SEWI 20230401	outpatient	negotiated	$182.93
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	946_ANTHEM PATHWAYS MEWI SEWI 20230101	outpatient	negotiated	$182.93
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401	outpatient	negotiated	$182.93
MERCY MEDICAL CENTER	WI	Anthem BCBS	1000_ANTHEM HMO POS MEWI SEWI 20230401	outpatient	negotiated	$182.93
MERCY MEDICAL CENTER	WI	Anthem BCBS	1001_ANTHEM PPO MEWI SEWI 20230401	outpatient	negotiated	$182.93
MERCY MEDICAL CENTER	WI	Anthem BCBS	946_ANTHEM PATHWAYS MEWI SEWI 20230101	outpatient	negotiated	$182.93
MERCY MEDICAL CENTER	WI	Anthem BCBS	999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401	outpatient	negotiated	$182.93
AMERY REGIONAL MEDICAL CENTER	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$173.36
HOLY FAMILY MEMORIAL INC	WI	Molina	Marketplace Plans	outpatient	negotiated	$171.98
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$171.74
MERITER HOSPITAL INC.	WI	aspirus	PPO	both	negotiated	$170.2
AMERY REGIONAL MEDICAL CENTER	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$168.5
MERITER HOSPITAL INC.	WI	Humana	Medicare Advantage	both	negotiated	$167.2
MERITER HOSPITAL INC.	WI	meridiancare	Medicare Advantage	both	negotiated	$167.2
AMERY REGIONAL MEDICAL CENTER	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$166.07
HOLY FAMILY MEMORIAL INC	WI	allwell	Medicare Advantage	outpatient	negotiated	$162.42
HOLY FAMILY MEMORIAL INC	WI	community care incorporated	Medicare Advantage	outpatient	negotiated	$159.24
HOLY FAMILY MEMORIAL INC	WI	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$159.24
MERITER HOSPITAL INC.	WI	aspirus	Medicare Advantage	both	negotiated	$159.24
HOLY FAMILY MEMORIAL INC	WI	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$159.24
MERITER HOSPITAL INC.	WI	illinicare	Medicare Advantage	both	negotiated	$159.24
MERITER HOSPITAL INC.	WI	Anthem BCBS	Medicare Advantage	both	negotiated	$159.24
HOLY FAMILY MEMORIAL INC	WI	security health plan	Medicare Advantage	outpatient	negotiated	$159.24
HOLY FAMILY MEMORIAL INC	WI	network health plan	Medicare Advantage	outpatient	negotiated	$159.24
HOLY FAMILY MEMORIAL INC	WI	Molina	Medicare Advantage	outpatient	negotiated	$159.24
HOLY FAMILY MEMORIAL INC	WI	icare	Medicare Advantage	outpatient	negotiated	$159.24
MERITER HOSPITAL INC.	WI	prevea 360	Medicare Advantage	both	negotiated	$159.24
MERITER HOSPITAL INC.	WI	UnitedHealthcare	Medicare Advantage	both	negotiated	$159.24
HOLY FAMILY MEMORIAL INC	WI	Humana	Medicare Advantage	outpatient	negotiated	$159.24
HOLY FAMILY MEMORIAL INC	WI	health partners	Medicare Advantage	outpatient	negotiated	$159.24
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$126.89
AMERY REGIONAL MEDICAL CENTER	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$126.89
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC WI COMMUNITY PLAN [50274]	both	negotiated	$101.95
AMERY REGIONAL MEDICAL CENTER	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$101.95
MERITER HOSPITAL INC.	WI	[De-identified Max]	—	both	max	$1,663.17
HUDSON HOSPITAL	WI	[De-identified Max]	—	both	max	$746
WESTFIELDS HOSPITAL	WI	[De-identified Max]	—	both	max	$735
AMERY REGIONAL MEDICAL CENTER	WI	[De-identified Max]	—	both	max	$588.6
WFHC - ELMBROOK MEMORIAL	WI	[De-identified Max]	—	outpatient	max	$540.36
ASCENSION SE WISCONSIN HOSPITAL INC	WI	[De-identified Max]	—	outpatient	max	$540.36
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	[De-identified Max]	—	outpatient	max	$540.36
MOSH	WI	[De-identified Max]	—	outpatient	max	$540.36
WHEATON FRANCISCAN - FRANKLIN	WI	[De-identified Max]	—	outpatient	max	$540.36
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	[De-identified Max]	—	outpatient	max	$540.36
ALL SAINTS - ST. LUKE S HOSPITAL	WI	[De-identified Max]	—	outpatient	max	$540.36
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Max]	—	both	max	$524.58
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Max]	—	both	max	$524.58
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Max]	—	outpatient	max	$524.58
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	[De-identified Max]	—	outpatient	max	$443.71
MERCY MEDICAL CENTER	WI	[De-identified Max]	—	outpatient	max	$443.71
HOLY FAMILY MEMORIAL INC	WI	[De-identified Max]	—	outpatient	max	$171.98

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).