Doctor visits and therapy CPT 99195 Outpatient

Therapeutic phlebotomy cost in Madison, WI

In Madison, WI, 2 hospitals list a cash price for therapeutic phlebotomy (removing blood as treatment): from $225.60 to $258.70, with a median of $242.15. The lowest listed price is at UnityPoint Health - Meriter — $16.55 less than the median here. Across Wisconsin, the median is $194.66 at 78 hospitals.

Cash prices at 2 facilities across 2 cities for code 99195, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Apr 1, 2026.

Lowest$225.60UnityPoint Health - Meriter
Median$242.15half pay less
Highest$258.70in this market
Difference1.1×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Madison, WI.

median
Lowest $225.60Highest $342.31

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UnityPoint Health - Meriter lowest Madison, WI · (608) 417-6210 PR PHLEBOTOMY $225.60 $282.00 $64.86–$353.75 20% Jan 28, 2026
source file
Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE $258.70 $398.00 — 35% Apr 1, 2026
source file
Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 Fac Phlebotomy $258.70 $398.00 — 35% Apr 1, 2026
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UnityPoint Health - Meriter Madison, WI · (608) 417-6210 HC PHLEBOTOMY, THERAPEUTIC $342.31 $427.88 $98.41–$406.49 20% Jan 28, 2026
source file

Outpatient: lowest $225.60, median $242.15, highest $258.70 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $242.15. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

Therapeutic phlebotomy removes a unit of blood to treat conditions with too much iron or too many red blood cells, such as hemochromatosis and polycythemia vera.

What the price covers

The price is for one session.