What common medical visits cost in Wisconsin - and how they compare to nearby states

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October 15, 2021
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What common medical visits cost in Wisconsin - and how they compare to nearby states

In the patchwork of health care providers in the United States, determining what a medical visit might cost can be confusing at best and life-altering at worst. The vast majority of patients who arrive at the hospital for a service recommended by their doctor do so without knowing the cost of that treatment. The price tag on most medical visits is so high for the uninsured, a full one-third of all money raised on GoFundMe is for health care costs.

A raft of legislation in nearly every state is set on tackling some of these endemic issues, with energy aimed squarely at lowering costs and expanding access. Some of this legislation is grand in scope, notably in states like New York where legislators are looking to put a public option on the table for residents there. Other states are taking a narrower approach, requiring providers to release price lists so patients are aware of what their care will cost.

Stacker analyzed cost data released on June 8, 2021, from the Centers for Medicare & Medicaid Services, common provider data from Verywell Health, and state zip codes from Simplemaps to find the average out-of-pocket cost for three typical medical visits in each state.

Wisconsin

- Most common family practice visit costs
--- Medicare recipients: $99.46 for established patients ($85.61 for new patients)
--- Other insurance holders: $24.86 for established patients ($21.40 for new patients)
- Most common internal medicine visit costs
--- Medicare recipients: $99.46 for established patients ($128.12 for new patients)
--- Other insurance holders: $24.86 for established patients ($32.03 for new patients)
- Most common pediatric medicine visit costs
--- Medicare recipients: $99.46 for established patients ($85.61 for new patients)
--- Other insurance holders: $24.86 for established patients ($21.40 for new patients)

In 2021, Republicans in Wisconsin blocked the state from accepting $1 billion in federal funds to expand Medicaid. Legislators could have appropriated that money from the federal Coronavirus Aid, Relief, and Economic Security Act, but declined, concerned that money would dry up and require the state to spend more to keep people insured via the public option.

Some trends held steady across most states. For family practice and pediatric visits, new patients often pay less than established patients. For internal medicine visits, new patients frequently pay more than established patients. Both of these trends exist regardless of insurance type.

Transparency is increasingly paramount in American health care. Keep reading for a look at what common medical visits cost in neighboring states and the state-level factors that may influence these costs.

Michigan

- Most common family practice visit costs
--- Medicare recipients: $100.66 for established patients ($87.16 for new patients)
--- Other insurance holders: $25.16 for established patients ($21.79 for new patients)
- Most common internal medicine visit costs
--- Medicare recipients: $100.66 for established patients ($130.74 for new patients)
--- Other insurance holders: $25.16 for established patients ($32.69 for new patients)
- Most common pediatric medicine visit costs
--- Medicare recipients: $100.66 for established patients ($87.16 for new patients)
--- Other insurance holders: $25.16 for established patients ($21.79 for new patients)

In 2021, Michigan unveiled a bipartisan health care bill intended to lower costs and expand access to care. A significant change proposed in the bill would limit the ability of drug companies to influence doctors through expensive gifts and sponsored trips to prescribe their medications to patients.

Minnesota

- Most common family practice visit costs
--- Medicare recipients: $103.05 for established patients ($88.84 for new patients)
--- Other insurance holders: $25.76 for established patients ($22.21 for new patients)
- Most common internal medicine visit costs
--- Medicare recipients: $103.05 for established patients ($132.53 for new patients)
--- Other insurance holders: $25.76 for established patients ($33.13 for new patients)
- Most common pediatric medicine visit costs
--- Medicare recipients: $103.05 for established patients ($88.84 for new patients)
--- Other insurance holders: $25.76 for established patients ($22.21 for new patients)

In 2021, Minnesota passed several reforms aiming to lower health care costs. One such measure is the expansion of telehealth, which, along with continuing the state’s reinsurance policy, has enabled Minnesotans to enjoy some of the lowest health care costs in the country.

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