Office visit, established patient (30-39 min)
Facility: Stoughton Hospital
Billing Code: 99214 (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 (30-39 min) is about $128 (about 0.9× the $136 Medicare rate). Stoughton Hospital charges insurers about $94, or about $170 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 | $89 - $332 | 66% |
| Blue Cross Blue Shieldmajor | $153 - $177 | 113% |
| Aetnamajor | $61 - $324 | 45% |
| Cignamajor | $162 - $332 | 119% |
| Humanamajor | $57 - $374 | 42% |
| Dean Health Plan | $57 - $152 | 42% |
| GEHA | $152 - $312 | 112% |
| Health Net | $54 | 40% |
| Quartz | $57 - $156 | 42% |
| + 2 smaller / regional plans | $118 - $183 |
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: Office visit, established patient (30-39 min) at other WI hospitals
- Vernon Memorial Hospital · Viroqua $73
- Aurora Medical Ctr Manitowoc County · Two Rivers $82
- Aurora Medical Center Sheboygan County · Sheboygan $82
- Aurora Medical Ctr Washington County · Hartford $82
- Aurora Memorial Hospital Burlington · Burlington $82
- Aurora Lakeland Medical Center · Elkhorn $82
- Aurora St Lukes Medical Center · Milwaukee $82
- West Allis Memorial Hospital · West Allis $82
Insurance negotiated median for the same procedure, sorted lowest first.