CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Ascension Ne Wisconsin - St Elizabeth Campus

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$131
about 1.0× the $136 Medicare rate · typically $86–$249
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
Below the fair price — a good deal
about $28 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $131 This hospital $103 Cash price $215 Hospital's list price $378

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $73 Priciest $103

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $131 (about 1.0× the $136 Medicare rate). Ascension Ne Wisconsin - St Elizabeth Campus charges insurers about $103, or about $215 in cash — below the fair price — a good deal. Located in Appleton, WI.

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 $103 76%
+ 2 smaller / regional plans $237

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Facility Profile & Credentials

  • Address: 1506 S Oneida St, Appleton, WI 54915
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals