CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Sauk Prairie Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$97
about 0.8× the $118 Medicare rate · typically $74–$186
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $6 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $97 This hospital $103 Cash price $248 Hospital's list price $453

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 $70 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 New patient office visit (30-44 min) is about $97 (about 0.8× the $118 Medicare rate). Sauk Prairie Hospital charges insurers about $103, or about $248 in cash — about the fair price. Located in Prairie Du Sac, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $75 - $538 64%
Blue Cross Blue Shieldmajor $63 - $521 54%
Humanamajor $75 - $103 64%
Dean Health Plan $38 - $191 32%
Quartz $75 - $340 64%
+ 1 smaller / regional plan $90 - $453

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 260 26Th Street, Prairie Du Sac, WI 53578
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals