Occupational therapy evaluation (high complexity) cost in Wisconsin

Prices at 79 hospitals in Wisconsin, from their machine-readable files. Here the median cash price is $294 — 10% above the US median ($268), roughly 2.9× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
St Nicholas Hospital Sheboygan, WI $98 $122 ★ 3/5 122 min 14.8%
St Vincent Hospital Green Bay, WI $98 $125 ★ 4/5 128 min 14.0%
HSHS St Clare Memorial Hospital Oconto Falls, WI $98 $137 98 min
Amery Hospital & Clinic Amery, WI $142 $102 ★ 2/5 116 min 14.5%
Thedacare Regional Med Ctr-Neenah Neenah, WI $171 $96 ★ 4/5 142 min 14.8%
Thedacare Regional Medical Center-Appleton Inc Appleton, WI $171 $96 ★ 4/5 147 min 13.1%
Thedacare Medical Center-Wild Rose Wild Rose, WI $171 $122 122 min
Thedacare Medical Center-New London New London, WI $171 $97 83 min 14.9%
Thedacare Medical Center-Waupaca Waupaca, WI $171 $82 ★ 3/5 116 min 14.5%
Thedacare Medical Center-Shawano Shawano, WI $171 $88 ★ 4/5 110 min 14.8%
Thedacare Medical Center-Berlin Inc Berlin, WI $171 $101 ★ 3/5 110 min 14.7%
St Marys Hospital Superior Superior, WI $200 $181 118 min 14.8%
Ascension Columbia St Marys Hospital Milwaukee Milwaukee, WI $209 $110 ★ 3/5 165 min 13.7%
Ascension Ne Wisconsin-St Elizabeth Campus Appleton, WI $230 $110 ★ 4/5 148 min 14.8%
River Falls Area Hospital River Falls, WI $240 $286 ★ 5/5 96 min 14.0%
Beloit Health System Beloit, WI $245 $651 ★ 3/5 122 min 15.5%
Burnett Medical Center Grantsburg, WI $251 15.3%
Aspirus Stevens Point Hospital & Clinics, Inc. Stevens Point, WI $280 ★ 4/5 145 min 15.4%
Aspirus Rhinelander Hospital Rhinelander, WI $280 ★ 3/5 161 min 14.4%
Aspirus Wausau Hospital Wausau, WI $280 ★ 4/5 156 min 14.1%
Aspirus Divine Savior Hospital Portage, WI $280 ★ 3/5 151 min 14.6%
Howard Young Medical Center Woodruff, WI $280 ★ 4/5 164 min 14.6%
Aspirus Eagle River Hospital Eagle River, WI $280 87 min 15.5%
Aspirus Stanley Hospital Stanley, WI $280 158 min 14.8%
Aspirus Tomahawk Hospital Tomahawk, WI $280 121 min 14.1%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$439
Cash / self-pay
$294
Insurer-negotiated
$259
Medicare pays
$101
$171$638
Median cash $294  ·  Medicare $101  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $294 — about 2.9× the Medicare rate ($101). On the higher side. A fair cash price is usually within ~2× Medicare ($201).

💡 Asking for the cash price instead of the $439 list price could save about $145 (33%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

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