CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Gundersen Lutheran Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$120
about 0.9× the $136 Medicare rate · typically $75–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
About the fair price
about $10 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $120 This hospital $130 Cash price $49 Hospital's list price $130

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 $130

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 $120 (about 0.9× the $136 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $130, or about $49 in cash — about the fair price. Located in La Crosse, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $106 - $130 78%
Blue Cross Blue Shieldmajor $130 - $172 96%
Aetnamajor $57 - $124 42%
Cignamajor $107 79%
Humanamajor $124 91%
Amerigroup $130 96%
Dean Health Plan $54 40%
HealthPartners $65 - $115 48%
Medica $43 - $100 32%
Molina $130 96%
Quartz $55 41%
UCare $52 - $104 38%
+ 15 smaller / regional plans $91 - $130
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1910 South Ave, La Crosse, WI 54601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals