Outpatient office visit, established patient at Aspirus Wausau Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Office/outpatient visit est

Wausau, WI

See all hospitals reporting CPT 99213 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Aspirus Wausau Hospital’s median price of $132 is 6% above the median hospital's median price ($124), higher than 53% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at Aspirus Wausau Hospital

Negotiated rates from the hospital’s own file: 9 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare united behavioral health wisconsin medcaid plans fee schedule · both	$48.34	$48.34	$48.34 – $48.34
2	UnitedHealthcare united healthcare wisconsin medicaid plans fee schedule · both	$60.42	$60.42	$60.42 – $60.42
3	Anthem anthem wisconsin medicaid plans fee schedule · both	$61.63	$61.63	$61.63 – $61.63
4	Anthem anthem mediblue access ppo fee schedule · both	$66.57	$66.57	$66.57 – $66.57
5	Aetna medicare advantage esa fee schedule · both	$68.04	$68.04	$68.04 – $68.04
6	UnitedHealthcare united healthcare medicare advantage plans fee schedule · both	$69.29	$69.29	$69.29 – $69.29
7	Humana humana medicare ppo/pos/hmo network plans fee schedule · both	$70.21	$70.21	$70.21 – $70.21
8	Anthem anthem medicare advantage plans fee schedule · both	$72.15	$72.15	$72.15 – $72.15
9	UnitedHealthcare va community care network fee schedule · both	$72.17	$72.17	$72.17 – $72.17
10	Anthem anthem mediblue dual hmo snp fee schedule · both	$73.70	$73.70	$73.70 – $73.70
11	Tricare tricare plans fee schedule · both	$73.73	$73.73	$73.73 – $73.73
12	Anthem anthem mediblue plus hmo fee schedule · both	$80.11	$80.11	$80.11 – $80.11
13	Anthem anthem blue preferred hmo fee schedule · both	$171.38	$171.38	$171.38 – $171.38
14	Anthem anthem blue preferred pos fee schedule · both	$171.38	$171.38	$171.38 – $171.38
15	UnitedHealthcare united healthcare hmo/ppo/pos/epo networks fee schedule · both	$173.78	$173.78	$173.78 – $173.78
16	Anthem anthem blue access ppo fee schedule · both	$179.95	$179.95	$179.95 – $179.95
17	Anthem anthem blue traditional network fee schedule · both	$179.95	$179.95	$179.95 – $179.95
18	Anthem anthem federal employee program fee schedule · both	$179.95	$179.95	$179.95 – $179.95
19	MultiPlan health eos ppos network plans fee schedule · both	$194.40	$194.40	$194.40 – $194.40
20	First Health first health national rental ppo network fee schedule · both	$198.90	$198.90	$198.90 – $198.90
21	MultiPlan phcs ppo networks fee schedule · both	$198.90	$198.90	$198.90 – $198.90
22	Cigna cigna ppo and open access plus benefit plans fee schedule · both	$205.53	$205.53	$205.53 – $205.53
23	Healthpartners health partners commercial ppo fee schedule · both	$205.53	$205.53	$205.53 – $205.53
24	MultiPlan multiplan ppo network plans fee schedule · both	$205.53	$205.53	$205.53 – $205.53
25	MultiPlan aetna health plan ppo networks fee schedule · both	$212.16	$212.16	$212.16 – $212.16

Last updated: Apr 1, 2026

Compare to other hospitals

See Outpatient office visit, established patient pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.