CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Marshfield Medical Center - Minocqua

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $156
Cash Discount Price: $178
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Marshfield Medical Center - Minocqua is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.33x the Medicare baseline. Located in 9576 Highway 70, Minocqua, WI.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $178 (151%)

Insurance Median: $156 (133%)

Cash: $178 (151% of Medicare)

Ins. Median: $156 (133% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Family Health Center (Fhc)	$53 - $134	45%
Amish/Mennonite	$58 - $147	49%
Sanford Health Plan	$58 - $147	49%
The Alliance	$82 - $295	70%
Group Health Cooperative Of Eau Claire	$87 - $241	74%
UnitedHealthcare	$87 - $221	74%
Besse Forest Products	$90 - $228	77%
Molina Healthcare Of Wi	$90 - $228	77%
Rice Lake School District	$90 - $228	77%
Wps Health Insurance	$94 - $260	80%
Medica Of Wi	$99 - $255	84%
Cigna	$100 - $252	85%
Healtheos By Multiplan Inc.	$100 - $255	85%
Corvel	$101 - $255	86%
First Health	$101 - $255	86%
Health Partners	$101 - $255	86%
Three Rivers Provider Network (Trpn)	$101 - $255	86%
Trilogy	$101 - $257	86%
Coventry	$102 - $257	87%
Health Smart	$102 - $257	87%
Rising Medical Work Comp	$103 - $260	88%
Security Health Plan (Shp)	$142 - $194	121%
Blue Cross Blue Shield	$312 - $446	265%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $178.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Minocqua is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.