Office visit, established patient (20-29 min)
Facility: Gundersen St Josephs Hospital and Clinics
Billing Code: 99213 (CPT)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
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 (20-29 min) is about $110 (about 1.2× the $95 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $117, or about $68 in cash — about the fair price. Located in Hillsboro, 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
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 | $62 - $82 | 65% |
| Blue Cross Blue Shieldmajor | $62 - $117 | 65% |
| Aetnamajor | $111 | 117% |
| Cignamajor | $96 | 101% |
| Humanamajor | $99 | 104% |
| Amerigroup | $117 | 123% |
| Quartz | $64 | 67% |
| Security Health Plan | $23 | 24% |
| UCare | $61 - $94 | 64% |
| + 4 smaller / regional plans | $93 - $117 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Gundersen St Josephs Hospital and Clinics
Compare: Office visit, established patient (20-29 min) at other WI hospitals
- Tomah Memorial Hospital · Tomah $60
- Crossing Rivers Health Medical Center · Prairie Du Chien $60
- Richland Hospital · Richland Center $60
- Beloit Health System · Beloit $63
- Childrens Hospital of Wisconsin · Milwaukee $66
- Childrens Hospital of Wisconsin Fox Valley · Neenah $66
- Vernon Memorial Hospital · Viroqua $68
- Ascension Ne Wisconsin - St Elizabeth Campus · Appleton $70
Insurance negotiated median for the same procedure, sorted lowest first.