Returning patient visit, 20 min cost in Madison, WI
In Madison, WI, 2 hospitals list a cash price for returning patient office visit, low complexity or 20+ minutes: from $157.95 to $191.20, with a median of $174.58. The lowest listed price is at Aspirus Divine Savior Hospital — $16.63 less than the median here. Across Wisconsin, the median is $157.95 at 81 hospitals.
Cash prices at 2 facilities across 2 cities for code 99213, 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.
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.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Aspirus Divine Savior Hospital lowest Portage, WI · (608) 742-4131 OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $157.95 | $243.00 | — | 35% | Apr 1, 2026 source file |
| Aspirus Divine Savior Hospital lowest Portage, WI · (608) 742-4131 Pro Office/Outpatient Established Low Mdm 20-29 Min | $157.95 | $243.00 | — | 35% | Apr 1, 2026 source file |
| Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 Fac Office/Outpatient Established Low Mdm | $174.20 | $268.00 | — | 35% | Apr 1, 2026 source file |
| UnityPoint Health - Meriter Madison, WI · (608) 417-6210 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $191.20 | $239.00 | $54.97–$227.05 | 20% | Jan 28, 2026 source file |
| UnityPoint Health - Meriter Madison, WI · (608) 417-6210 PR OP VISIT EST PT LEVEL 3 | $274.41 | $343.01 | $60.77–$325.86 | 20% | Jan 28, 2026 source file |
| UnityPoint Health - Meriter Madison, WI · (608) 417-6210 PR OFFICE CONSULT LVL 3 | $513.17 | $641.46 | $60.77–$609.39 | 20% | Jan 28, 2026 source file |
Outpatient: lowest $157.95, median $174.58, highest $191.20 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $174.58. 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
This is an office or outpatient visit for a returning patient with low complexity decision making, or at least 20 minutes of total clinician time on the visit date. It is one of the most common visit codes, used for things like a stable chronic condition or an acute problem such as an infection.
What the price covers
The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.