CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Ascension Sacred Heart Rehabilitation Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$95
about 1.0× the $95 Medicare rate · typically $63–$172
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $95 Cash price $58 Hospital's list price $110
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 |
|---|---|---|
| UnitedHealthcaremajor | $178 | 187% |
| Humanamajor | $178 | 187% |
| + 2 smaller / regional plans | $87 - $188 |
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Other Procedures at Ascension Sacred Heart Rehabilitation Hospital
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.