CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$98
about 0.8× the $118 Medicare rate · typically $75–$242
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $5 over the fair price · 0.9× Medicare
Medicare pays $118 Fair price $98 This hospital $103

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 $98 (about 0.8× the $118 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $103 — 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.

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 $103 88%
Blue Cross Blue Shieldmajor $103 88%
Aetnamajor $105 89%
Humanamajor $103 88%
HealthPartners $103 88%
Molina $103 88%
Priority Health $103 88%
Quartz $103 88%
Security Health Plan $103 88%
WellCare $105 89%
+ 5 smaller / regional plans $103 - $106

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Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals