CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Ascension St Francis Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$86
about 0.9× the $95 Medicare rate · typically $76–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $95 Fair price $86 This hospital $87 Cash price $230 Hospital's list price $434

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 $60 Priciest $87

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 (20-29 min) is about $86 (about 0.9× the $95 Medicare rate). Ascension St Francis Hospital charges insurers about $87, or about $230 in cash — about the fair price. Located in Milwaukee, WI.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan $87

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Facility Profile & Credentials

  • Address: 3237 S 16Th St, Milwaukee, WI 53215
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals