Occupational therapy evaluation (high complexity) cost in Wisconsin

Prices at 88 hospitals in Wisconsin, from their machine-readable files. Here the median cash price is $292 — 9% 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 —
St Vincent Hospital Green Bay, WI $98 $125 ★ 4/5 133 min —
HSHS St Clare Memorial Hospital Oconto Falls, WI $98 $137 — 97 min —
Amery Hospital & Clinic Amery, WI $142 $102 ★ 2/5 120 min —
Fort Memorial Hospital Fort Atkinson, WI $160 $300 ★ 4/5 171 min —
Thedacare Regional Med Ctr-Neenah Neenah, WI $171 $96 ★ 4/5 142 min —
Thedacare Regional Medical Center-Appleton Inc Appleton, WI $171 $96 ★ 4/5 147 min —
Thedacare Medical Center-Wild Rose Wild Rose, WI $171 $122 — 121 min —
Thedacare Medical Center-New London New London, WI $171 $97 — 83 min —
Thedacare Medical Center-Waupaca Waupaca, WI $171 $82 ★ 3/5 120 min —
Thedacare Medical Center-Shawano Shawano, WI $171 $88 ★ 4/5 108 min —
Thedacare Medical Center-Berlin Inc Berlin, WI $171 $101 ★ 3/5 110 min —
St Marys Hospital Superior Superior, WI $200 $181 — 124 min —
Gundersen St Josephs Hospital and Clinics Hillsboro, WI $205 $242 — 121 min —
Gundersen Moundview Hospital and Clinics Friendship, WI $205 $242 — 73 min —
Gundersen Tri-County Hospital & Clinics Whitehall, WI $205 $242 — 120 min —
Bellin Memorial Hospital Green Bay, WI $208 $210 ★ 4/5 151 min —
Bellin Health Oconto Hospital Oconto, WI $208 $210 — 87 min —
Ascension Columbia St Marys Hospital Milwaukee Milwaukee, WI $209 $110 ★ 3/5 167 min —
Ascension Ne Wisconsin-St Elizabeth Campus Appleton, WI $230 $110 ★ 4/5 143 min —
River Falls Area Hospital River Falls, WI $240 $286 ★ 5/5 96 min —
Beloit Health System Beloit, WI $245 $651 ★ 3/5 129 min —
Burnett Medical Center Grantsburg, WI $251 — — — —
Gundersen Boscobel Area Hospital and Clinics Boscobel, WI $252 $320 — 116 min —
Aspirus Stevens Point Hospital & Clinics, Inc. Stevens Point, WI $280 — ★ 4/5 148 min —

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 October 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
$292
Insurer-negotiated
$242
Medicare pays
$101
$171$568
Median cash $292  ·  Medicare $101  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $292 — 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 $148 (34%).

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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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