CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$142
about 1.0× the $136 Medicare rate · typically $76–$294
modeled estimate · not a bill or quote
What this hospital charges insurers
$180
Above the fair price
about $38 over the fair price · 1.3× Medicare
Medicare pays $136 Fair price $142 This hospital $180 Cash price $92 Hospital's list price $180

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 $73 Priciest $180

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 (30-39 min) is about $142 (about 1.0× the $136 Medicare rate). Gundersen Moundview Hospital and Clinics charges insurers about $180, or about $92 in cash — above the fair price. Located in Friendship, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $142. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $83 - $180 61%
Aetnamajor $171 126%
Humanamajor $153 113%
Amerigroup $180 133%
Dean Health Plan $143 105%
HealthPartners $83 - $159 61%
Quartz $98 72%
Security Health Plan $83 61%
UCare $83 - $144 61%
+ 4 smaller / regional plans $139 - $180
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 402 W Lake St, Friendship, WI 53934
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals