CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Marshfield Medical Center - Minocqua

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$146

about 1.1× the $136 Medicare rate · typically $83–$300

modeled estimate · not a bill or quote

Medicare pays $136 Fair price $146 Cash price $168 Hospital's list price $177

How we calculate the fair BaseRate →

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✓ Cigna HumanaKaiser 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	$82 - $209	60%
Blue Cross Blue Shieldmajor	$312 - $446	230%
Aetnamajor	$96 - $243	71%
Cignamajor	$94 - $238	69%
HealthPartners	$95 - $240	70%
Medica	$93 - $241	69%
Molina	$85 - $215	63%
Sanford Health Plan	$55 - $139	41%
Security Health Plan	$134 - $184	99%
+ 9 smaller / regional plans	$50 - $295

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 168), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Marshfield Medical Center - Minocqua is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Marshfield Medical Center - Minocqua

Compare: Office visit, established patient (30-39 min) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.