New patient office visit (30-44 min)
Facility: Stoughton Hospital
Billing Code: 99203 (CPT)
A typical price — 3 charge more and 5 charge less, among the 9 WI hospitals compared.
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 $112 (about 0.9× the $118 Medicare rate). Stoughton Hospital charges insurers about $76, or about $189 in cash — below the fair price — a good deal. Located in Stoughton, 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 | $163 - $296 | 139% |
| Blue Cross Blue Shieldmajor | $151 - $321 | 128% |
| Aetnamajor | $111 - $314 | 94% |
| Cignamajor | $254 - $296 | 216% |
| Humanamajor | $84 - $332 | 71% |
| Dean Health Plan | $64 - $277 | 54% |
| GEHA | $238 - $277 | 202% |
| Health Net | $98 | 83% |
| Quartz | $103 - $225 | 88% |
| + 2 smaller / regional plans | $104 - $332 |
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 Stoughton Hospital
Compare: New patient office visit (30-44 min) at other WI hospitals
- Beloit Health System · Beloit $70
- Black River Memorial Hospital · Black River Falls $71
- Tomah Memorial Hospital · Tomah $74
- Crossing Rivers Health Medical Center · Prairie Du Chien $74
- Richland Hospital · Richland Center $74
- Vernon Memorial Hospital · Viroqua $79
- Aurora Medical Ctr Manitowoc County · Two Rivers $82
- Aurora Medical Center Sheboygan County · Sheboygan $82
Insurance negotiated median for the same procedure, sorted lowest first.