Initial hospital care, moderate complexity in Wisconsin
What Wisconsin hospitals charge for initial hospital care, moderate complexity (CPT 99222). Rates sourced from federally-mandated machine-readable files.
Hospitals
17
Rate rows
170
Neg. median
$226.03
Min
$89.05
Max
$1,331.65
Cash median
$269.51
Across 17 Wisconsin hospitals, the negotiated rate for Initial hospital care, moderate complexity ranges from $89.05 to $1,331.65, with a median of $226.03. The interquartile range is $137.23 to $354.71. Cash-pay patients typically pay $269.51; gross charges median $501.5.
By payer in Wisconsin
Top 30 payers for Initial hospital care, moderate complexity in Wisconsin.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 8 | 13 | $289.06 |
| wps | 7 | 7 | $365.38 |
| Humana | 5 | 11 | $328.63 |
| Anthem BCBS | 4 | 15 | $137.23 |
| Blue Cross Blue Shield | 4 | 8 | $145.17 |
| network health plan | 4 | 4 | $210.14 |
| alliance | 3 | 3 | $354.71 |
| First Health | 3 | 3 | $407.54 |
| healthpartners [900713] | 3 | 3 | $368.63 |
| ma wisconsin replacement [950271] | 3 | 3 | $497 |
| medica [900156] | 3 | 3 | $224.55 |
| Medicaid | 3 | 6 | $193.73 |
| Medicare | 3 | 6 | $143.08 |
| centivo nw1 | 2 | 2 | $300.69 |
| centivo nw3 | 2 | 2 | $300.69 |
| security health plan | 2 | 3 | $152.1 |
| cchp | 2 | 2 | $251.34 |
| aspirus | 1 | 5 | $177.45 |
| medical associates health plan | 1 | 1 | $256.43 |
| allwell | 1 | 1 | $121.65 |
| mercy care | 1 | 2 | $334.03 |
| meridiancare | 1 | 1 | $125.23 |
| Cigna | 1 | 2 | $267.23 |
| community care incorporated | 1 | 1 | $119.27 |
| Molina | 1 | 2 | $124.04 |
| health partners | 1 | 1 | $119.27 |
| health partners open network | 1 | 1 | $227.51 |
| icare | 1 | 1 | $119.27 |
| illinicare | 1 | 1 | $119.27 |
| prevea 360 | 1 | 3 | $430.95 |
Hospital comparison — Initial hospital care, moderate 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 | $119.27 | — | — |
| Amery Regional Medical Center | Amery | $129.27 | $231.5 | $444 |
| Mercy Medical Center | Oshkosh | $137.23 | — | — |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | $137.23 | $277.59 | $487 |
| Hudson Hospital | Hudson | $205.38 | $228.26 | $506 |
| Meriter Hospital Inc. | Madison | $241.97 | $763.5 | $954.37 |
| Westfields Hospital | New Richmond | $290.15 | $261.42 | $497 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | $328.63 | — | — |
| Ascension Columbia St Marys Ozaukee | Mequon | $328.63 | — | — |
| Ascension Columbia St Marys Milwauke | Milwaukee | $328.63 | — | — |
| Wheaton Franciscan - Franklin | Franklin | $365.38 | — | — |
| Mosh | Franklin | $365.38 | — | — |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | $365.38 | — | — |
| Wfhc - Elmbrook Memorial | Brookfield | $365.38 | — | — |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | $365.38 | — | — |
| Wheaton Franciscan Healthcare - All | Racine | $365.38 | — | — |
| All Saints - St. Luke S Hospital | Racine | $365.38 | — | — |