Visit established high 40-54 minutes/level 5 cost in Wisconsin
HC Visit Established High 40-54 Minutes/Level 5 · HCPCS G0463
$113.30
lowest in Wisconsin
$173.25
state median
$1,283.37
highest in Wisconsin
$227.50
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Monroe Hospital | Monroe | $113.30 | $129.32 – $129.32 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $173.25 | $98.76 – $254.15 | 4 |
| SSM Health Waupun Memorial Hospital | Waupun | $173.25 | not published | 0 |
| SSM Health Ripon Community Hospital | Ripon | $173.25 | not published | 0 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $245.52 | $52.08 – $292.95 | 9 |
| HSHS St. Vincent Hospital | Green Bay | $245.52 | $51.73 – $290.97 | 9 |
| UnityPoint Health - Meriter Hospital | Madison | $1,283.37 | $28.75 – $124.48 | 14 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | not published | not published | 0 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $96.99 – $129.32 | 2 |