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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

$26.06 – $380.87

Negotiated median

$131.09

CPT 99238 Hospital discharge, <30 min · Showing 169 of 169 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
MERITER HOSPITAL INC.	WI	Chargemaster	N/A	both	gross	$400.92
MERITER HOSPITAL INC.	WI	Chargemaster	N/A	both	gross	$334
HUDSON HOSPITAL	WI	Chargemaster	N/A	both	gross	$269
WESTFIELDS HOSPITAL	WI	Chargemaster	N/A	both	gross	$266
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Chargemaster	N/A	outpatient	gross	$258
AMERY REGIONAL MEDICAL CENTER	WI	Chargemaster	N/A	both	gross	$232
MERITER HOSPITAL INC.	WI	Cash pay	N/A	both	cash	$320.74
MERITER HOSPITAL INC.	WI	Cash pay	N/A	both	cash	$267.2
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Cash pay	N/A	outpatient	cash	$147.06
WESTFIELDS HOSPITAL	WI	Cash pay	N/A	both	cash	$139.92
HUDSON HOSPITAL	WI	Cash pay	N/A	both	cash	$121.35
AMERY REGIONAL MEDICAL CENTER	WI	Cash pay	N/A	both	cash	$120.96
ALL SAINTS - ST. LUKE S HOSPITAL	WI	[De-identified Min]	—	outpatient	min	$193.86
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	[De-identified Min]	—	outpatient	min	$193.86
MOSH	WI	[De-identified Min]	—	outpatient	min	$193.86
WHEATON FRANCISCAN - FRANKLIN	WI	[De-identified Min]	—	outpatient	min	$193.86
WFHC - ELMBROOK MEMORIAL	WI	[De-identified Min]	—	outpatient	min	$193.86
ASCENSION SE WISCONSIN HOSPITAL INC	WI	[De-identified Min]	—	outpatient	min	$193.86
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	[De-identified Min]	—	outpatient	min	$193.86
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Min]	—	both	min	$131.09
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Min]	—	both	min	$131.09
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Min]	—	outpatient	min	$131.09
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Min]	—	outpatient	min	$131.09
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Min]	—	both	min	$131.09
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Min]	—	outpatient	min	$131.09
WESTFIELDS HOSPITAL	WI	[De-identified Min]	—	both	min	$89.83
MERCY MEDICAL CENTER	WI	[De-identified Min]	—	outpatient	min	$85.82
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	[De-identified Min]	—	outpatient	min	$85.82
HOLY FAMILY MEMORIAL INC	WI	[De-identified Min]	—	outpatient	min	$74.57
MERITER HOSPITAL INC.	WI	[De-identified Min]	—	both	min	$74.57
AMERY REGIONAL MEDICAL CENTER	WI	[De-identified Min]	—	both	min	$50.63
HUDSON HOSPITAL	WI	[De-identified Min]	—	both	min	$26.06
MERITER HOSPITAL INC.	WI	Anthem BCBS	Traditional	both	negotiated	$380.87
MERITER HOSPITAL INC.	WI	prevea 360	Commercial	both	negotiated	$340.78
MERITER HOSPITAL INC.	WI	Anthem BCBS	Traditional	both	negotiated	$317.3
HUDSON HOSPITAL	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$303.69
MERITER HOSPITAL INC.	WI	prevea 360	Commercial	both	negotiated	$283.9
HUDSON HOSPITAL	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$269
WESTFIELDS HOSPITAL	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$266
HUDSON HOSPITAL	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$242.1
WESTFIELDS HOSPITAL	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$235.81
WESTFIELDS HOSPITAL	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$231.01
WESTFIELDS HOSPITAL	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$231.01
HUDSON HOSPITAL	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$226.89
WESTFIELDS HOSPITAL	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$218.12
WESTFIELDS HOSPITAL	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$216.79
AMERY REGIONAL MEDICAL CENTER	WI	First Health	FIRST HEALTH NETWORK [95334]	both	negotiated	$208.8
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS OUT OF STATE [91008]	both	negotiated	$206.27
MERITER HOSPITAL INC.	WI	Anthem BCBS	PPO	both	negotiated	$195.37
MERITER HOSPITAL INC.	WI	Blue Cross Blue Shield	Commercial	both	negotiated	$195.37
WFHC - ELMBROOK MEMORIAL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$193.86
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$193.86
ASCENSION SE WISCONSIN HOSPITAL INC	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$193.86
MOSH	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$193.86
WHEATON FRANCISCAN - FRANKLIN	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$193.86
ALL SAINTS - ST. LUKE S HOSPITAL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$193.86
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	wps	1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701	outpatient	negotiated	$193.86
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$188.2
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$188.2
ASCENSION SACRED HEART REHABILITATIO	WI	alliance	1066_ALLIANCE 20220101	outpatient	negotiated	$188.2
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$175.05
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$175.05
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$175.05
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$175.05
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$175.05
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$175.05
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$175.05
ASCENSION SACRED HEART REHABILITATIO	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$175.05
ASCENSION SACRED HEART REHABILITATIO	WI	UnitedHealthcare	1130_UNITED HEALTH CARE NONOPTIONS 20221001	outpatient	negotiated	$175.05
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1127_HUMANA 20221001	outpatient	negotiated	$175.05
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1133_HUMANA PPO 20221001	outpatient	negotiated	$175.05
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	Humana	1134_HUMANA PREFERRED 20221001	outpatient	negotiated	$175.05
MERITER HOSPITAL INC.	WI	Anthem BCBS	HMO/POS	both	negotiated	$173
MERITER HOSPITAL INC.	WI	UnitedHealthcare	Commercial	both	negotiated	$163.43
MERITER HOSPITAL INC.	WI	medical associates health plan	HMO/POS/PPO	both	negotiated	$160.33
MERCY MEDICAL CENTER	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$160.17
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	centivo nw1	892_CENTIVO NW1 MEWI SEWI 20221001	outpatient	negotiated	$160.17
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$160.17
MERCY MEDICAL CENTER	WI	centivo nw3	1013_CENTIVO NW3 MEWI SEWI 20221001	outpatient	negotiated	$160.17
AMERY REGIONAL MEDICAL CENTER	WI	healthpartners [900713]	HP SELF INSURED [91021]	both	negotiated	$155.1
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC [50131]	both	negotiated	$153.07
HUDSON HOSPITAL	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$146.61
HUDSON HOSPITAL	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$140.99
AMERY REGIONAL MEDICAL CENTER	WI	medica [900156]	MEDICA CHOICE [90156]	both	negotiated	$140.99
MERITER HOSPITAL INC.	WI	aspirus	HMO/POS	both	negotiated	$140.32
MERITER HOSPITAL INC.	WI	mercy care	HMO/POS	both	negotiated	$140.32
MERITER HOSPITAL INC.	WI	Anthem BCBS	Blue Priority/Pathway	both	negotiated	$138.7
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$133.03
MERCY MEDICAL CENTER	WI	cchp	931_CCHP MEWI SEWI 20230101	outpatient	negotiated	$133.03
ASCENSION SACRED HEART REHABILITATIO	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$131.09
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$131.09
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	network health plan	1136_NETWORK HEALTH PLAN 20221001	both	negotiated	$131.09
AMERY REGIONAL MEDICAL CENTER	WI	Medicaid	HP CARE PMAP [50327]	both	negotiated	$126.05
MERITER HOSPITAL INC.	WI	health partners open network	Commercial	both	negotiated	$122.48
MERITER HOSPITAL INC.	WI	security health plan	HMO/POS/SAS	both	negotiated	$120.28
MERITER HOSPITAL INC.	WI	mercy care	HMO/POS	both	negotiated	$116.9
MERITER HOSPITAL INC.	WI	aspirus	HMO/POS	both	negotiated	$116.9
WESTFIELDS HOSPITAL	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$113.29
MERITER HOSPITAL INC.	WI	Cigna	Commercial	both	negotiated	$112.26
MERITER HOSPITAL INC.	WI	security health plan	HMO/POS/SAS	both	negotiated	$100.2
WESTFIELDS HOSPITAL	WI	Medicaid	UCARE PMAP [50283]	both	negotiated	$96.7
HUDSON HOSPITAL	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$93.78
WESTFIELDS HOSPITAL	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$93.78
MERITER HOSPITAL INC.	WI	Cigna	Commercial	both	negotiated	$93.52
HUDSON HOSPITAL	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$92.9
WESTFIELDS HOSPITAL	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$92.9
MERITER HOSPITAL INC.	WI	aspirus	PPO	both	negotiated	$92.21
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$91.15
WESTFIELDS HOSPITAL	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$91.15
WESTFIELDS HOSPITAL	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$89.83
HUDSON HOSPITAL	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$89.83
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	1001_ANTHEM PPO MEWI SEWI 20230401	outpatient	negotiated	$85.82
MERCY MEDICAL CENTER	WI	Anthem BCBS	999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401	outpatient	negotiated	$85.82
MERCY MEDICAL CENTER	WI	Anthem BCBS	946_ANTHEM PATHWAYS MEWI SEWI 20230101	outpatient	negotiated	$85.82
MERCY MEDICAL CENTER	WI	Anthem BCBS	1001_ANTHEM PPO MEWI SEWI 20230401	outpatient	negotiated	$85.82
MERCY MEDICAL CENTER	WI	Anthem BCBS	1000_ANTHEM HMO POS MEWI SEWI 20230401	outpatient	negotiated	$85.82
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	1000_ANTHEM HMO POS MEWI SEWI 20230401	outpatient	negotiated	$85.82
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	946_ANTHEM PATHWAYS MEWI SEWI 20230101	outpatient	negotiated	$85.82
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	Anthem BCBS	999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401	outpatient	negotiated	$85.82
AMERY REGIONAL MEDICAL CENTER	WI	Medicare	MEDICA GOVERNMENT ADVANTAGE [50316]	both	negotiated	$81.54
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC MEDICARE ADVANTAGE PPO [50275]	both	negotiated	$80.78
HOLY FAMILY MEMORIAL INC	WI	Molina	Marketplace Plans	outpatient	negotiated	$80.53
AMERY REGIONAL MEDICAL CENTER	WI	Blue Cross Blue Shield	BCBS MEDICARE ADVANTAGE [50299]	both	negotiated	$79.26
MERITER HOSPITAL INC.	WI	meridiancare	Medicare Advantage	both	negotiated	$78.3
MERITER HOSPITAL INC.	WI	Humana	Medicare Advantage	both	negotiated	$78.3
AMERY REGIONAL MEDICAL CENTER	WI	Medicare	HP MEDICARE ADVANTAGE [95307]	both	negotiated	$78.12
MERITER HOSPITAL INC.	WI	aspirus	PPO	both	negotiated	$76.82
HOLY FAMILY MEMORIAL INC	WI	allwell	Medicare Advantage	outpatient	negotiated	$76.06
HOLY FAMILY MEMORIAL INC	WI	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$74.57
MERITER HOSPITAL INC.	WI	Anthem BCBS	Medicare Advantage	both	negotiated	$74.57
MERITER HOSPITAL INC.	WI	aspirus	Medicare Advantage	both	negotiated	$74.57
MERITER HOSPITAL INC.	WI	illinicare	Medicare Advantage	both	negotiated	$74.57
MERITER HOSPITAL INC.	WI	prevea 360	Medicare Advantage	both	negotiated	$74.57
MERITER HOSPITAL INC.	WI	UnitedHealthcare	Medicare Advantage	both	negotiated	$74.57
HOLY FAMILY MEMORIAL INC	WI	community care incorporated	Medicare Advantage	outpatient	negotiated	$74.57
HOLY FAMILY MEMORIAL INC	WI	health partners	Medicare Advantage	outpatient	negotiated	$74.57
HOLY FAMILY MEMORIAL INC	WI	Humana	Medicare Advantage	outpatient	negotiated	$74.57
HOLY FAMILY MEMORIAL INC	WI	icare	Medicare Advantage	outpatient	negotiated	$74.57
HOLY FAMILY MEMORIAL INC	WI	Molina	Medicare Advantage	outpatient	negotiated	$74.57
HOLY FAMILY MEMORIAL INC	WI	network health plan	Medicare Advantage	outpatient	negotiated	$74.57
HOLY FAMILY MEMORIAL INC	WI	security health plan	Medicare Advantage	outpatient	negotiated	$74.57
HOLY FAMILY MEMORIAL INC	WI	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$74.57
HUDSON HOSPITAL	WI	Medicaid	MEDICA CHOICE CARE PMAP [50314]	both	negotiated	$64.41
AMERY REGIONAL MEDICAL CENTER	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$59.76
HUDSON HOSPITAL	WI	Blue Cross Blue Shield	BCBS PMAP [95296]	both	negotiated	$59.76
AMERY REGIONAL MEDICAL CENTER	WI	UnitedHealthcare	UHC WI COMMUNITY PLAN [50274]	both	negotiated	$50.63
AMERY REGIONAL MEDICAL CENTER	WI	ma wisconsin replacement [950271]	GHC OF EAU CLAIRE MA HMO [50261]	both	negotiated	$50.63
HUDSON HOSPITAL	WI	Medicaid	UCARE PMAP [50283]	both	negotiated	$26.06
MERITER HOSPITAL INC.	WI	[De-identified Max]	—	both	max	$380.87
MERITER HOSPITAL INC.	WI	[De-identified Max]	—	both	max	$317.3
HUDSON HOSPITAL	WI	[De-identified Max]	—	both	max	$303.69
WESTFIELDS HOSPITAL	WI	[De-identified Max]	—	both	max	$266
AMERY REGIONAL MEDICAL CENTER	WI	[De-identified Max]	—	both	max	$208.8
MOSH	WI	[De-identified Max]	—	outpatient	max	$193.86
ASCENSION SE WISCONSIN HOSPITAL INC	WI	[De-identified Max]	—	outpatient	max	$193.86
ASCENSION WISCONSIN EMERUS MENOMONEE	WI	[De-identified Max]	—	outpatient	max	$193.86
ALL SAINTS - ST. LUKE S HOSPITAL	WI	[De-identified Max]	—	outpatient	max	$193.86
WHEATON FRANCISCAN - FRANKLIN	WI	[De-identified Max]	—	outpatient	max	$193.86
WFHC - ELMBROOK MEMORIAL	WI	[De-identified Max]	—	outpatient	max	$193.86
WHEATON FRANCISCAN HEALTHCARE - ALL	WI	[De-identified Max]	—	outpatient	max	$193.86
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Max]	—	both	max	$188.2
ASCENSION SACRED HEART REHABILITATIO	WI	[De-identified Max]	—	outpatient	max	$188.2
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Max]	—	outpatient	max	$188.2
ASCENSION COLUMBIA ST MARYS OZAUKEE	WI	[De-identified Max]	—	both	max	$188.2
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Max]	—	both	max	$188.2
ASCENSION COLUMBIA ST MARYS MILWAUKE	WI	[De-identified Max]	—	outpatient	max	$188.2
ASCENSION NE WISCONSIN-ST. ELIZABETH	WI	[De-identified Max]	—	outpatient	max	$160.17
MERCY MEDICAL CENTER	WI	[De-identified Max]	—	outpatient	max	$160.17
HOLY FAMILY MEMORIAL INC	WI	[De-identified Max]	—	outpatient	max	$80.53

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).