Occupational therapy evaluation (moderate complexity) cost in Wisconsin

Prices at 90 hospitals in Wisconsin, from their machine-readable files. Here the median cash price is $242 — about the US median ($242), roughly 2.4× 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 $124 $89 ★ 2/5 120 min —
Fort Memorial Hospital Fort Atkinson, WI $136 $275 ★ 4/5 171 min —
Oakleaf Surgical Hospital Altoona, WI $157 $98 — — —
Thedacare Regional Med Ctr-Neenah Neenah, WI $158 $99 ★ 4/5 142 min —
Thedacare Regional Medical Center-Appleton Inc Appleton, WI $158 $111 ★ 4/5 147 min —
Thedacare Medical Center-Wild Rose Wild Rose, WI $158 $114 — 121 min —
Thedacare Medical Center-New London New London, WI $158 $90 — 83 min —
Thedacare Medical Center-Waupaca Waupaca, WI $158 $86 ★ 3/5 120 min —
Thedacare Medical Center-Shawano Shawano, WI $158 $76 ★ 4/5 108 min —
Thedacare Medical Center-Berlin Inc Berlin, WI $158 $109 ★ 3/5 110 min —
Ascension Ne Wisconsin-St Elizabeth Campus Appleton, WI $185 $110 ★ 4/5 143 min —
St Marys Hospital Superior Superior, WI $185 $167 — 124 min —
Gundersen St Josephs Hospital and Clinics Hillsboro, WI $190 $224 — 121 min —
Gundersen Moundview Hospital and Clinics Friendship, WI $190 $224 — 73 min —
Gundersen Tri-County Hospital & Clinics Whitehall, WI $190 $224 — 120 min —
Ascension Columbia St Marys Hospital Milwaukee Milwaukee, WI $191 $110 ★ 3/5 167 min —
Beloit Health System Beloit, WI $197 $478 ★ 3/5 129 min —
Holy Family Memorial Manitowoc, WI $199 $243 ★ 3/5 138 min —
Bellin Memorial Hospital Green Bay, WI $208 $210 ★ 4/5 151 min —
Bellin Health Oconto Hospital Oconto, WI $208 $210 — 87 min —
Froedtert South Inc. Kenosha, WI $213 $268 ★ 2/5 157 min —
Community Memorial Hospital Menomonee Falls, WI $213 $268 ★ 4/5 219 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)
$377
Cash / self-pay
$242
Insurer-negotiated
$221
Medicare pays
$101
$158$343
Median cash $242  ·  Medicare $101  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $242 — about 2.4× 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 $377 list price could save about $135 (36%).

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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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Occupational therapy evaluation (moderate complexity) cost in other states

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