CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Appleton Area Health

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$132
about 1.1× the $118 Medicare rate · typically $80–$228
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $132 Cash price $208 Hospital's list price $245

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $21 - $402 18%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 30 S Behl St, Appleton, MN 56208
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals