Occupational therapy evaluation (low complexity) cost in Wisconsin

Prices at 89 hospitals in Wisconsin, from their machine-readable files. Here the median cash price is $185 — 14% below the US median ($214), roughly 1.8× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Gundersen St Josephs Hospital and Clinics Hillsboro, WI $58 $123 116 min 14.8%
Gundersen Moundview Hospital and Clinics Friendship, WI $58 $123 69 min 14.9%
Gundersen Tri-County Hospital & Clinics Whitehall, WI $58 $123 124 min 14.6%
St Nicholas Hospital Sheboygan, WI $98 $121 ★ 3/5 122 min 14.8%
St Vincent Hospital Green Bay, WI $98 $124 ★ 4/5 128 min 14.0%
HSHS St Clare Memorial Hospital Oconto Falls, WI $99 $136 98 min
Bellin Memorial Hospital Green Bay, WI $104 $190 ★ 4/5 151 min 14.2%
Bellin Health Oconto Hospital Oconto, WI $104 $190 86 min
Amery Hospital & Clinic Amery, WI $107 $78 ★ 2/5 116 min 14.5%
Beloit Health System Beloit, WI $125 $283 ★ 3/5 122 min 15.5%
Ascension Columbia St Marys Hospital Milwaukee Milwaukee, WI $128 $111 ★ 3/5 165 min 13.7%
Thedacare Regional Med Ctr-Neenah Neenah, WI $140 $105 ★ 4/5 142 min 14.8%
Thedacare Regional Medical Center-Appleton Inc Appleton, WI $140 $97 ★ 4/5 147 min 13.1%
Thedacare Medical Center-Wild Rose Wild Rose, WI $140 $113 122 min
Thedacare Medical Center-New London New London, WI $140 $85 83 min 14.9%
Thedacare Medical Center-Waupaca Waupaca, WI $140 $68 ★ 3/5 116 min 14.5%
Thedacare Medical Center-Shawano Shawano, WI $140 $68 ★ 4/5 110 min 14.8%
Thedacare Medical Center-Berlin Inc Berlin, WI $140 $91 ★ 3/5 110 min 14.7%
Ascension Ne Wisconsin-St Elizabeth Campus Appleton, WI $153 $110 ★ 4/5 148 min 14.8%
Oakleaf Surgical Hospital Altoona, WI $157 $98 14.1%
Memorial Hospital of Lafayette County Darlington, WI $160 $130 103 min 14.9%
St Marys Hospital Superior Superior, WI $169 $153 118 min 14.8%
Childrens Hospital of Wisconsin Milwaukee, WI $171 $248
Froedtert South Inc. Kenosha, WI $177 $229 ★ 2/5 154 min 15.3%
Community Memorial Hospital Menomonee Falls, WI $177 $229 ★ 4/5 217 min 14.6%

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 August 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)
$323
Cash / self-pay
$185
Insurer-negotiated
$201
Medicare pays
$101
$107$328
Median cash $185  ·  Medicare $101  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $185 — about 1.8× the Medicare rate ($101). Reasonable. A fair cash price is usually within ~2× Medicare ($201).

💡 Asking for the cash price instead of the $323 list price could save about $138 (43%).

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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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