CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Gundersen Boscobel Area Hospital and Clinics

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$189

about 1.4× the $136 Medicare rate · typically $110–$283

modeled estimate · not a bill or quote

What this hospital charges insurers

$157

Below the fair price — a good deal

about $32 under the fair price · 1.2× Medicare

Medicare pays $136 Fair price $189 This hospital $157 Cash price $79 Hospital's list price $157

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 $157

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 $189 (about 1.4× the $136 Medicare rate). Gundersen Boscobel Area Hospital and Clinics charges insurers about $157, or about $79 in cash — below the fair price — a good deal. Located in Boscobel, WI.

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✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser 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	$77 - $157	57%
Cignamajor	$129	95%
Humanamajor	$77 - $133	57%
Amerigroup	$157	116%
UCare	$77 - $126	57%
+ 3 smaller / regional plans	$130 - $157

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 79), 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 Gundersen Boscobel Area Hospital and Clinics 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 Gundersen Boscobel Area Hospital and Clinics

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

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