Initial hospital care, high complexity in Wisconsin
What Wisconsin hospitals charge for initial hospital care, high complexity (CPT 99223). Rates sourced from federally-mandated machine-readable files.
Hospitals
17
Rate rows
169
Neg. median
$321.19
Min
$101.95
Max
$1,663.17
Cash median
$397.65
Across 17 Wisconsin hospitals, the negotiated rate for Initial hospital care, high complexity ranges from $101.95 to $1,663.17, with a median of $321.19. The interquartile range is $182.93 to $490.28. Cash-pay patients typically pay $397.65; gross charges median $737.5.
By payer in Wisconsin
Top 30 payers for Initial hospital care, high complexity in Wisconsin.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 8 | 13 | $424.3 |
| wps | 7 | 7 | $540.36 |
| Humana | 5 | 11 | $484.94 |
| Anthem BCBS | 4 | 15 | $182.93 |
| Blue Cross Blue Shield | 4 | 8 | $193.78 |
| network health plan | 4 | 4 | $281.32 |
| alliance | 3 | 3 | $524.58 |
| First Health | 3 | 3 | $602.7 |
| healthpartners [900713] | 3 | 3 | $490.52 |
| ma wisconsin replacement [950271] | 3 | 3 | $735 |
| medica [900156] | 3 | 3 | $299.74 |
| Medicaid | 3 | 6 | $271.98 |
| Medicare | 3 | 6 | $190.98 |
| centivo nw1 | 2 | 2 | $443.71 |
| centivo nw3 | 2 | 2 | $443.71 |
| security health plan | 2 | 3 | $222 |
| cchp | 2 | 2 | $370.38 |
| aspirus | 1 | 5 | $259 |
| medical associates health plan | 1 | 1 | $342.37 |
| allwell | 1 | 1 | $162.42 |
| mercy care | 1 | 2 | $435.88 |
| meridiancare | 1 | 1 | $167.2 |
| Cigna | 1 | 2 | $348.7 |
| community care incorporated | 1 | 1 | $159.24 |
| Molina | 1 | 2 | $165.61 |
| health partners | 1 | 1 | $159.24 |
| health partners open network | 1 | 1 | $336.33 |
| icare | 1 | 1 | $159.24 |
| illinicare | 1 | 1 | $159.24 |
| prevea 360 | 1 | 3 | $629 |
Hospital comparison — Initial hospital care, high 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 | $159.24 | — | — |
| Amery Regional Medical Center | Amery | $172.55 | $341 | $654 |
| Mercy Medical Center | Oshkosh | $182.93 | — | — |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | $182.93 | $408.69 | $717 |
| Hudson Hospital | Hudson | $287.14 | $336.52 | $746 |
| Meriter Hospital Inc. | Madison | $339.35 | $996.28 | $1,245.35 |
| Westfields Hospital | New Richmond | $401.78 | $386.61 | $735 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | $484.94 | — | — |
| Ascension Columbia St Marys Ozaukee | Mequon | $484.94 | — | — |
| Ascension Columbia St Marys Milwauke | Milwaukee | $484.94 | — | — |
| Wheaton Franciscan - Franklin | Franklin | $540.36 | — | — |
| Mosh | Franklin | $540.36 | — | — |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | $540.36 | — | — |
| Wfhc - Elmbrook Memorial | Brookfield | $540.36 | — | — |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | $540.36 | — | — |
| Wheaton Franciscan Healthcare - All | Racine | $540.36 | — | — |
| All Saints - St. Luke S Hospital | Racine | $540.36 | — | — |