CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Childrens Hospital of Wisconsin

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$115
about 0.8× the $136 Medicare rate · typically $58–$263
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
Below the fair price — a good deal
about $21 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $115 This hospital $94 Cash price $286 Hospital's list price $520

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 $94

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $115 (about 0.8× the $136 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $94, or about $286 in cash — below the fair price — a good deal. 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $86 - $426 63%
Blue Cross Blue Shieldmajor $94 - $532 69%
Aetnamajor $146 - $532 108%
Cignamajor $219 - $504 162%
Dean Health Plan $195 - $448 144%
Health Net $207 - $504 153%
HealthPartners $190 - $493 140%
Molina $92 68%
Quartz $207 - $476 153%
Security Health Plan $202 - $465 149%
+ 22 smaller / regional plans $91 - $504
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens