Initial hospital care, low complexity in Wisconsin
What Wisconsin hospitals charge for initial hospital care, low complexity (CPT 99221). Rates sourced from federally-mandated machine-readable files.
Hospitals
17
Rate rows
169
Neg. median
$140.27
Min
$30.29
Max
$892.94
Cash median
$199.93
Across 17 Wisconsin hospitals, the negotiated rate for Initial hospital care, low complexity ranges from $30.29 to $892.94, with a median of $140.27. The interquartile range is $80.94 to $241.74. Cash-pay patients typically pay $199.93; gross charges median $370.5.
By payer in Wisconsin
Top 30 payers for Initial hospital care, low complexity in Wisconsin.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 8 | 14 | $153.49 |
| wps | 7 | 7 | $269.34 |
| Humana | 5 | 11 | $241.74 |
| Anthem BCBS | 4 | 15 | $86.18 |
| Blue Cross Blue Shield | 4 | 8 | $79.66 |
| network health plan | 4 | 4 | $132.74 |
| alliance | 3 | 3 | $261.48 |
| First Health | 3 | 3 | $302.58 |
| healthpartners [900713] | 3 | 3 | $214.53 |
| ma wisconsin replacement [950271] | 3 | 3 | $369 |
| medica [900156] | 3 | 3 | $141.08 |
| Medicaid | 3 | 5 | $127.14 |
| Medicare | 3 | 6 | $81.6 |
| centivo nw1 | 2 | 2 | $221.19 |
| centivo nw3 | 2 | 2 | $221.19 |
| security health plan | 2 | 3 | $111.6 |
| cchp | 2 | 2 | $184.85 |
| aspirus | 1 | 5 | $130.2 |
| medical associates health plan | 1 | 1 | $161.21 |
| allwell | 1 | 1 | $76.48 |
| mercy care | 1 | 2 | $229.59 |
| meridiancare | 1 | 1 | $78.73 |
| Cigna | 1 | 2 | $183.67 |
| community care incorporated | 1 | 1 | $74.98 |
| Molina | 1 | 2 | $77.98 |
| health partners | 1 | 1 | $74.98 |
| health partners open network | 1 | 1 | $167.73 |
| icare | 1 | 1 | $74.98 |
| illinicare | 1 | 1 | $74.98 |
| prevea 360 | 1 | 3 | $316.2 |
Hospital comparison — Initial hospital care, low complexity in Wisconsin
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Holy Family Memorial Inc | Manitowoc | $74.98 | — | — |
| Amery Regional Medical Center | Amery | $81.22 | $171.02 | $328 |
| Westfields Hospital | New Richmond | $85.76 | $194.09 | $369 |
| Mercy Medical Center | Oshkosh | $86.18 | — | — |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | $86.18 | $205.77 | $361 |
| Hudson Hospital | Hudson | $138.74 | $170.06 | $377 |
| Meriter Hospital Inc. | Madison | $164.47 | $524.78 | $655.97 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | $241.74 | — | — |
| Ascension Columbia St Marys Ozaukee | Mequon | $241.74 | — | — |
| Ascension Columbia St Marys Milwauke | Milwaukee | $241.74 | — | — |
| Wheaton Franciscan - Franklin | Franklin | $269.34 | — | — |
| Mosh | Franklin | $269.34 | — | — |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | $269.34 | — | — |
| Wfhc - Elmbrook Memorial | Brookfield | $269.34 | — | — |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | $269.34 | — | — |
| Wheaton Franciscan Healthcare - All | Racine | $269.34 | — | — |
| All Saints - St. Luke S Hospital | Racine | $269.34 | — | — |