New patient office visit (30-44 min)
Facility: St Nicholas Hospital
Billing Code: 99203 (CPT)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.
A fair price for a New patient office visit (30-44 min) is about $114 (about 1.0× the $118 Medicare rate). St Nicholas Hospital charges insurers about $113, or about $252 in cash — about the fair price. Located in Sheboygan, WI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 |
|---|---|---|
| UnitedHealthcaremajor | $90 - $95 | 77% |
| Blue Cross Blue Shieldmajor | $126 - $159 | 107% |
| Aetnamajor | $382 | 325% |
| Cignamajor | $267 | 227% |
| Humanamajor | $113 - $325 | 96% |
| Health Net | $229 | 195% |
| Molina | $191 | 162% |
| Security Health Plan | $244 | 208% |
| + 13 smaller / regional plans | $186 - $382 |
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.
Other Procedures at St Nicholas Hospital
Compare: New patient office visit (30-44 min) at other WI hospitals
- Beloit Health System · Beloit $70
- Black River Memorial Hospital · Black River Falls $71
- Tomah Memorial Hospital · Tomah $74
- Crossing Rivers Health Medical Center · Prairie Du Chien $74
- Richland Hospital · Richland Center $74
- Stoughton Hospital · Stoughton $76
- Vernon Memorial Hospital · Viroqua $79
- Aurora Medical Ctr Manitowoc County · Two Rivers $82
Insurance negotiated median for the same procedure, sorted lowest first.