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

Prices at 92 hospitals in Wisconsin, from their machine-readable files. Here the median cash price is $225 — 15% above the US median ($194), roughly 1.7× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Gundersen Lutheran Medical Center La Crosse, WI $55 $107 ★ 4/5 167 min —
Gundersen Boscobel Area Hospital and Clinics Boscobel, WI $84 $98 — 116 min —
Fort Memorial Hospital Fort Atkinson, WI $87 $234 ★ 4/5 171 min —
Hudson Hospital Hudson, WI $94 $122 ★ 5/5 117 min —
Gundersen St Josephs Hospital and Clinics Hillsboro, WI $95 $110 — 121 min —
Gundersen Moundview Hospital and Clinics Friendship, WI $95 $110 — 73 min —
Gundersen Tri-County Hospital & Clinics Whitehall, WI $95 $110 — 120 min —
River Falls Area Hospital River Falls, WI $96 $143 ★ 5/5 96 min —
Unitypoint Health-Meriter Madison, WI $106 $116 ★ 5/5 142 min —
Ascension Calumet Hospital Chilton, WI $120 $103 — 86 min —
Holy Family Memorial Manitowoc, WI $129 $154 ★ 3/5 138 min —
Childrens Hospital of Wisconsin Milwaukee, WI $134 $232 — — —
Tamarack Health Hayward Medical Center Hayward, WI $140 $103 ★ 4/5 152 min —
St Marys Hospital Superior Superior, WI $151 $110 — 124 min —
Memorial Hospital of Lafayette County Darlington, WI $152 $104 — 106 min —
Tamarack Health Ashland Medical Center Ashland, WI $161 $103 ★ 3/5 124 min —
University of Wi Hospitals & Clinics Authority Madison, WI $163 $170 ★ 5/5 214 min —
Aurora Memorial Hospital Burlington Burlington, WI $170 $93 ★ 4/5 182 min —
Aurora Lakeland Medical Center Elkhorn, WI $170 $93 ★ 5/5 145 min —
Thedacare Regional Med Ctr-Neenah Neenah, WI $182 $297 ★ 4/5 142 min —
Thedacare Regional Medical Center-Appleton Inc Appleton, WI $182 $218 ★ 4/5 147 min —
Thedacare Medical Center-Shawano Shawano, WI $182 $250 ★ 4/5 108 min —
Thedacare Medical Center-Berlin Inc Berlin, WI $182 $286 ★ 3/5 110 min —
St Josephs Community Hospital West Bend West Bend, WI $183 $190 ★ 4/5 211 min —
Froedtert South Inc. Kenosha, WI $185 $156 ★ 2/5 157 min —

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 October 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
$225
Insurer-negotiated
$116
Medicare pays
$136
$105$328
Median cash $225  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $225 — 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 $129 (37%).

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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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