Office visit, established patient (20-29 min)
Facility: Childrens Hospital of Wisconsin
Billing Code: 99213 (CPT)
A typical price — 3 charge more and 4 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 Office visit, established patient (20-29 min) is about $70 (about 0.7× the $95 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $66, or about $63 in cash — about the fair price. Located in Milwaukee, WI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $60 - $334 | 63% |
| Blue Cross Blue Shieldmajor | $66 - $417 | 69% |
| Aetnamajor | $74 - $417 | 78% |
| Cignamajor | $76 - $395 | 80% |
| Dean Health Plan | $67 - $351 | 70% |
| Health Net | $71 - $395 | 75% |
| HealthPartners | $66 - $386 | 69% |
| Molina | $65 | 68% |
| Quartz | $71 - $373 | 75% |
| Security Health Plan | $70 - $364 | 74% |
| + 22 smaller / regional plans | $59 - $395 |
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 Childrens Hospital of Wisconsin
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 Fox Valley · Neenah $66
- Vernon Memorial Hospital · Viroqua $68
- Ascension Ne Wisconsin - St Elizabeth Campus · Appleton $70
- Memorial Hospital of Lafayette County · Darlington $70
Insurance negotiated median for the same procedure, sorted lowest first.