Office visit, new patient, 45-59 min in Wisconsin
What Wisconsin hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
33
Rate rows
1,078
Neg. median
$173.69
Min
$28.09
Max
$907
Cash median
$252.5
Across 33 Wisconsin hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $28.09 to $907, with a median of $173.69. The interquartile range is $90 to $437.33. Cash-pay patients typically pay $252.5; gross charges median $505.
By payer in Wisconsin
Top 30 payers for Office visit, new patient, 45-59 min in Wisconsin.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 23 | 98 | $110.94 |
| Anthem BCBS | 20 | 79 | $227.42 |
| Molina | 17 | 21 | $74 |
| Cigna | 17 | 51 | $346.86 |
| health payment systems | 16 | 19 | $115 |
| centivo | 15 | 15 | $76 |
| Aetna | 15 | 51 | $367.57 |
| trilogy | 13 | 20 | $116 |
| wisconsin physician service | 12 | 36 | $95 |
| hs technology | 12 | 12 | $90 |
| quartz group | 12 | 12 | $80 |
| everpointe elite | 12 | 12 | $75 |
| health eos | 12 | 30 | $404 |
| healthpartners | 12 | 54 | $292.5 |
| health eos plus | 12 | 30 | $303 |
| aurora caregiver | 12 | 12 | $80 |
| quartz one | 12 | 12 | $70 |
| common ground | 12 | 36 | $65 |
| network health plan | 8 | 12 | $357.64 |
| wisconsin well woman | 7 | 7 | $158.64 |
| First Health | 7 | 18 | $478.41 |
| wps | 7 | 7 | $437.33 |
| Humana | 6 | 19 | $390.43 |
| health partners | 5 | 11 | $572.52 |
| security health plan | 5 | 7 | $155.08 |
| icare | 4 | 4 | $122.03 |
| Blue Cross Blue Shield | 4 | 8 | $139.26 |
| Multiplan | 4 | 14 | $378.15 |
| group health cooperative of south central wisconsin | 3 | 3 | $660.6 |
| froedtert health | 3 | 9 | $623.9 |
Hospital comparison — Office visit, new patient, 45-59 min in Wisconsin
Sorted by lowest negotiated median rate. Up to 100 hospitals.