Our Price Transparency Resources
We want you to have information that will help you make good health care choices and are committed to being transparent about the cost of your care. Here we provide some resources to help you make a more informed decision about your care and to help you better understand any out-of-pocket costs you may incur.
Health Care Cost Estimation Service
Customers can receive an individualized estimate for services provided by the Froedtert & the Medical College of Wisconsin health network, detailing how much the patient will owe after copayments, deductible and coinsurance. The estimate will include both the cost of the hospital and professional fees.
Financial Assistance Program
Financial counselors are available to answer your questions regarding programs for which you may qualify if you are uninsured or underinsured. They can help you determine if you are eligible for financial assistance programs and will provide you with the necessary information to apply for those programs.
Other Pricing Resources
Wisconsin Act 146 (2009) tells health care providers in our state how to give you price and quality information. The PricePoint links below give information about what we charge for the care given most often in Wisconsin. The data are averages and do not represent the actual charges you may be billed or your out-of-pocket costs.
- PricePoint information for Froedtert Hospital
- PricePoint information for Community Memorial Hospital
- PricePoint information for St. Joseph's Hospital
Note: The data may not include all the charges you need. For example, this information does not include fees for physician services or anesthesia administration. Those charges are billed separately by the physician.
The federal government requires each hospital to post on its website a list of its standard charges for each inpatient and outpatient service and item provided by the hospital. The list is available in a machine-readable format for each facility:
A list of our median inpatient charges per Diagnosis Related Grouping (DRG) is available for each facility as well:
Chargemaster FAQ: What Do These Charges Mean?
WHAT IS A CHARGEMASTER?
A chargemaster is a comprehensive list of charges for each inpatient and outpatient service or item provided by a hospital – each test, exam, surgical procedure, room charge, etc. Given the many services provided by hospitals 24 hours a day, seven days a week, a chargemaster contains thousands of services and related charges.
The chargemaster amounts are billed to an insurance company, Medicare, or Medicaid, and those insurers then apply their contracted rates to the services that are billed. In situations where a patient does not have insurance, a hospital has financial assistance policies that apply appropriate discounts to the amounts charged. Learn more about our financial assistance policies.
ARE CHARGES THE SAME FOR EVERY PATIENT?
The list of charges is the same for all patients. However, the total charges for an individual patient often vary from one patient to another for a number of reasons, including:
- How long it takes to perform the service or how long it takes the patient to recover in the hospital
- Whether the service or procedure the patient receives is more or less difficult than expected
- What kinds of medication the patient requires
- Whether the patient experiences complications and needs additional treatment
- Other health conditions the patient may have that may affect the patient’s care
IS THE CHARGE THE SAME AS WHAT A PATIENT PAYS?
No, chargemaster information is not particularly helpful for patients to estimate what health care services are going to cost them out of their own pocket.
If a patient has health insurance, the amount the patient will be billed and expected to pay for the patient’s services depends on the patient’s specific health insurance coverage and the patient’s insurance company’s contract with the hospital.
If the patient does not have health insurance, the patient may be eligible for reduced costs under the hospital’s financial assistance policy, self-pay discount policy or the patient may be eligible for Medicaid coverage.
WHAT IS NOT INCLUDED IN THE CHARGEMASTER LIST?
The hospital’s chargemaster does not include charges for services provided by the doctor (or doctors) who treat the patient while the patient is at the hospital. The patient may receive separate bills from the hospital and the doctors involved in providing the care. Here is a partial list of health care providers who may bill the patient separately:
- The patient’s personal doctor, if he/she sees the patient in the hospital
- The surgeon who performs the patient’s procedure
- The anesthesiologist who works with the surgeon
- The radiologist who reads x-rays or other imaging
- Other doctors who may be consulted by the patient’s doctor during the patient’s time in the hospital
WHERE CAN I FIND MORE INFORMATION ABOUT HOSPITAL COSTS?
The best way to get an estimate of out-of-pocket costs for an upcoming service is to contact our Health Care Cost Estimators.
- For pricing questions or cost estimations if you do not have insurance, please call 800-466-9670.
- For pricing questions or cost estimations if you do have insurance, please call 414-777-0530 or visit our Health Care Cost Estimator.
While our teams are able to provide you with one estimate which includes the hospital and professional charges. You may still receive separate bills for physician and hospital services. The billing office phone numbers can be found on the back of your billing statement.
- If a patient would like more information about the chargemaster, what the patient’s care will cost or the hospitals’ financial assistance policy, a patient can contact Patient Financial Services.
- A patient can also use the PricePoint website.
- A patient can consult with his or her insurance provider to understand the patient’s insurance coverage, which charges will be covered, how much will be billed, information on deductibles and expected out-of-pocket responsibility.