CMS Price Transparency Data

Diagnostic procedure preparation

Facility: St Josephs Community Hospital West Bend

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$36
about 0.9× the $40 Medicare rate · typically $13–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $40 Fair price $36 This hospital $41

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 $13 Priciest $41

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

A fair price for a Diagnostic procedure preparation is about $36 (about 0.9× the $40 Medicare rate). St Josephs Community Hospital West Bend charges insurers about $41 — about the fair price. Located in West Bend, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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
UnitedHealthcaremajor $41 101%
Blue Cross Blue Shieldmajor $41 101%
Aetnamajor $42 104%
Humanamajor $41 101%
HealthPartners $41 101%
Molina $41 101%
Security Health Plan $41 101%
+ 5 smaller / regional plans $41 - $42

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Facility Profile & Credentials

  • Address: 3200 Pleasant Valley Road, West Bend, WI 53095
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals