HCHG PT EVAL MOD COMPLEXITY in Wisconsin
Below is what hospitals in Wisconsin charge if you pay cash, and the typical rate insurers negotiated.
Cash prices at 23 hospitals in Wisconsin run from $153 to $397. The typical hospital charges $240. Where a hospital sits on this scale matters more than the number alone:
typical: $240
Cheaper than most hospitalsPricier than most hospitals
29 hospitals. Sort by: Cash price ▲ · Negotiated median · Gross charge · Negotiated low
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
| Hospital | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Ascension Columbia St. Mary's Hospital Milwaukee (incl Columbia St. Mary's Women's Hosp.) WI | $153Insurance typically pays $105Sticker price $288 | Lowest price of any hospital | $105 | $288 |
| Ascension Columbia St. Mary's Hospital Ozaukee WI | $153Insurance typically pays $105Sticker price $288 | Lowest price of any hospital | $105 | $288 |
| Ascension NE Wisconsin - St. Elizabeth Campus WI | $184Insurance typically pays $109Sticker price $323 | Cheaper than 91% of hospitals | $109 | $323 |
| Ascension NE Wisconsin - Mercy Campus WI | $184Insurance typically pays $109Sticker price $323 | Cheaper than 91% of hospitals | $109 | $323 |
| Unitypoint Health - Meriter WI · Price file November 4, 2026 | $187Insurance typically pays $111Sticker price $234 | Cheaper than 82% of hospitals | $111 | $234 |
| Grant Regional Health Center WI · Price file September 18, 2026 | $204Insurance typically pays $188Sticker price $314 | Cheaper than 77% of hospitals | $188 | $314 |
| Aurora Medical Center WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora St Lukes Medical Center WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Psychiatric Hospital WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Lakeland Medical Center WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Medical Center Bay Area WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Medical Center Sheboygan County WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Medical Ctr Kenosha WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Medical Ctr Manitowoc County WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Medical Ctr Oshkosh WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Medical Ctr Washington County WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Medical Center Burlington WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora Medical Center Summit WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| Aurora West Allis Medical Center WI · Price file November 4, 2026 | $240Insurance typically pays $320Sticker price $480 | Cheaper than 73% of hospitals | $320 | $480 |
| River Falls Area Hospital WI · Price file June 16, 2026 | $240Insurance typically pays —Sticker price $429 | Pricier than 86% of hospitals | — | $429 |
| Ascension Calumet Hospital WI | $269Insurance typically pays $109Sticker price $472 | Pricier than 91% of hospitals | $109 | $472 |
| Stoughton Hospital WI · Price file June 11, 2026 | $274Insurance typically pays $297Sticker price $499 | Pricier than 95% of hospitals | $297 | $499 |
| Crossing Rivers Health Medical Center WI · Price file October 22, 2026 | $397Insurance typically pays $381Sticker price $397 | Highest price of any hospital | $381 | $397 |
| Ascension Sacred Heart Rehabilitation Hospital WI | —Insurance typically pays $105Sticker price — | — | $105 | — |
| Ascension SE Wisconsin Hospital - Elmbrook Campus WI | —Insurance typically pays $95Sticker price — | — | $95 | — |
| Ascension SE Wisconsin Hospital - St. Joseph Campus WI | —Insurance typically pays $95Sticker price — | — | $95 | — |
| Ascension SE Wisconsin Hospital - Franklin Campus WI | —Insurance typically pays $95Sticker price — | — | $95 | — |
| Midwest Orthopedic Specialty Hospital WI | —Insurance typically pays $95Sticker price — | — | $95 | — |
| Ascension St. Francis Hospital WI | —Insurance typically pays $95Sticker price — | — | $95 | — |
Procedure code 97162. Prices are from each hospital's own published price file — see methodology.