Making informed health care decisions
When you need medical care there is a lot to consider. Before you select your provider and schedule services, be sure to consider the key factors, including insurance coverage, patient reviews, personal preferences and pricing information.
ProHealth Care makes its standard hospital charges available for viewing in accordance with the Centers for Medicare and Medicaid Services’ Transparency Final Rule. The file downloaded at the link below is the most current and accurate file available.
Download standard charges
ProHealth Care also partners with the Wisconsin Hospital Association to share price information for common hospitalizations and outpatient procedures on the PricePoint website. Price reports show median charges and estimated insurance or Medicare payments for cases without complications.
We also publish lists of our standard rates, including standard charges for diagnosis-related groups (DRGs). DRGs group together all charges from a hospitalization. The amount you are billed will vary based on the specific care you need, your health insurance, and your out-of-pocket costs like deductibles, copays or coinsurance.
See pricing information for common hospitalizations and outpatient procedures at:
Or, download spreadsheets showing:
Standard rates spreadsheets are published in accordance with CMS-1694-F, IPPS FY 2019 Final Rule. Rates are current as of Oct. 1, 2020 and are subject to change.
Estimate your health care costs
ProHealth Care’s price estimation tool makes it easier for you to determine your out-of-pocket costs for a number of common health care services. If you receive care from a ProHealth Medical Group provider or a ProHealth physical therapist, occupational therapist or speech pathologist, you can find estimates for a number of common appointment types. You can also find estimates for common lab and imaging tests and services at ProHealth’s hospitals in Oconomowoc and Waukesha.
To obtain the most accurate estimate, you will need information found on your insurance card. Your actual charges may be lower or higher depending on many factors including, but not limited to, your insurance plan’s network requirements, your medical condition, your health care provider’s treatment choices and the actual services received.
If you do not find the information you need using our price estimation tool, call 866-432-7855 and our Customer Relations team can assist you. You can also request an estimate by email.
Estimate your cost now