Office visit, established patient (level 4) cost in Wisconsin

Prices at 83 hospitals in Wisconsin, from their machine-readable files. Here the median cash price is $230 — 18% above the US median ($194), roughly 1.7× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Hudson Hospital Hudson, WI $94 $122 ★ 5/5 117 min 14.3%
River Falls Area Hospital River Falls, WI $96 $143 ★ 5/5 96 min 14.0%
Unitypoint Health-Meriter Madison, WI $106 $116 ★ 5/5 150 min 15.8%
Ascension Calumet Hospital Chilton, WI $120 $103 83 min
Holy Family Memorial Manitowoc, WI $129 $154 ★ 3/5 143 min 14.6%
Childrens Hospital of Wisconsin Milwaukee, WI $134 $232
Tamarack Health Hayward Medical Center Hayward, WI $140 $103 ★ 4/5 148 min 14.4%
St Marys Hospital Superior Superior, WI $151 $110 118 min 14.8%
Memorial Hospital of Lafayette County Darlington, WI $152 $104 103 min 14.9%
Tamarack Health Ashland Medical Center Ashland, WI $161 $103 ★ 3/5 122 min 14.9%
University of Wi Hospitals & Clinics Authority Madison, WI $163 $170 ★ 5/5 216 min 14.2%
Aurora Memorial Hospital Burlington Burlington, WI $170 $93 ★ 4/5 186 min 15.2%
Aurora Lakeland Medical Center Elkhorn, WI $170 $93 ★ 5/5 150 min 14.9%
Thedacare Regional Med Ctr-Neenah Neenah, WI $182 $297 ★ 4/5 142 min 14.8%
Thedacare Regional Medical Center-Appleton Inc Appleton, WI $182 $218 ★ 4/5 147 min 13.1%
Thedacare Medical Center-Shawano Shawano, WI $182 $250 ★ 4/5 110 min 14.8%
Thedacare Medical Center-Berlin Inc Berlin, WI $182 $286 ★ 3/5 110 min 14.7%
St Josephs Community Hospital West Bend West Bend, WI $183 $190 ★ 4/5 201 min 14.1%
Froedtert South Inc. Kenosha, WI $185 $156 ★ 2/5 154 min 15.3%
Community Memorial Hospital Menomonee Falls, WI $185 $156 ★ 4/5 217 min 14.6%
Froedtert Memorial Lutheran Hospital Milwaukee, WI $185 $156 ★ 3/5 275 min 15.4%
Froedtert Community Hospital New Berlin, WI $185 $156 124 min 14.8%
Edgerton Hospital and Health Services Edgerton, WI $185 $88 69 min 14.8%
Aurora Medical Center Kenosha Kenosha, WI $185 $93 ★ 4/5 177 min 14.4%
Marshfield Medical Center-Rice Lake Rice Lake, WI $190 $110 ★ 2/5 167 min 14.7%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$354
Cash / self-pay
$230
Insurer-negotiated
$117
Medicare pays
$136
$151$326
Median cash $230  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $230 — about 1.7× the Medicare rate ($136). Reasonable. A fair cash price is usually within ~2× Medicare ($271).

💡 Asking for the cash price instead of the $354 list price could save about $124 (35%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

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