County Price & Affordability Audit
4 of 8 Hospitals Priced
Pop. 409,040
$104,100 Median Income
Waukesha County, WI Hospital Rates
Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 8 mapped hospitals in Waukesha County.
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.36×vs. Fair Market Price
Position vs. 1.00× Fair Price+36% Above Fair Price
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
Typical commercial prices here are +36% above the fair benchmark (1.36×) even after accounting for local nurse/doctor wages and patient complexity.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Waukesha County Affordability & CoverageSummarizes local hospital price disclosure compliance in Waukesha County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.4 of 8 Hospitals Priced
Hospitals Priced4 of 8Number of CMS-certified hospitals located inside Waukesha County that have published machine-readable price files out of all 8 local facilities.
Median Income$104.1k / yrU.S. Census ACS median annual household income in Waukesha County ($104,100/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate3.0%Percentage of Waukesha County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.
Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.
County Hospital Pricing & Affordability Audit4 of 8 Local Hospitals Priced
Waukesha County, WI Hospital Price & Affordability Summary
Waukesha County, Wisconsin (pop. 409,040) has 8 CMS-certified hospitals (4 publishing verified machine-readable price files) with a local price index of 1.36× the U.S. fair price benchmark and a $104,100 median household income.
County Price Index: 1.36× Fair MarketMedian Income: $104,100/yr
Advantage
Best Value & Patient Protections in Waukesha County
- 4 of 8 hospitals in Waukesha County publish verified 45 CFR § 180 price files (Froedtert Community Hospital, Community Memorial Hospital, Aurora Medical Center - Summit).
- High-rated local clinical care: Oconomowoc Memorial Hospital (5/5 CMS Stars) and Aurora Medical Center - Summit (5/5 CMS Stars).
- Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for Waukesha County families earning up to $128,600/yr (400% FPL).
Watchout
Where Waukesha County Patients Get Burned (Billing Watchouts)
- 4 facilities in Waukesha County (Waukesha Memorial Hospital, Oconomowoc Memorial Hospital) lack an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
- With a 3.0% local uninsured rate and $104,100 median household income, an unnegotiated $5,000 hospital bill equals 2.5 weeks of typical Waukesha County family take-home pay.
- Emergency department and inpatient ancillary charges vary significantly across Wisconsin counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage50% Published
4 of 8 Hospitals
Includes Froedtert Community Hospital & Community Memorial Hospital.
Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300
Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.
Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr
4-person household income cap qualifying for statutory AGB billing limits in Waukesha County.
Wisconsin County Price & Affordability Heatmap
53 of 72 Counties with MRF Hospital Data
Wisconsin County-Level Hospital Price & Affordability Heatmap
Hospital price index, Medicare markup, and household affordability burden across 72 counties in Wisconsin
<0.94× Affordable
0.94–1.06× Near Avg
1.06–1.20× Elevated
>1.20× High-Markup
Milwaukee County11hosps
1.39× Fair
Income $62k
Brown County5hosps
1.31× Fair
Income $77k
Waukesha County4hosps
1.36× Fair
Income $104k
Dane County4hosps
1.42× Fair
Income $88k
Rock County3hosps
1.34× Fair
Income $74k
Dodge County3hosps
1.34× Fair
Income $74k
Wood County3hosps
1.43× Fair
Income $66k
Outagamie County3hosps
1.54× Fair
Income $83k
Winnebago County3hosps
1.76× Fair
Income $73k
Marathon County3hosps
1.90× Fair
Income $76k
Grant County3hosps
1.99× Fair
Income $64k
Oneida County3hosps
2.04× Fair
Income $70k
Sauk County2hosps
1.25× Fair
Income $78k
Fond du Lac County2hosps
1.33× Fair
Income $73k
Oconto County2hosps
1.33× Fair
Income $76k
Eau Claire County2hosps
1.47× Fair
Income $72k
Columbia County2hosps
1.56× Fair
Income $83k
Washington County2hosps
1.62× Fair
Income $96k
Manitowoc County2hosps
1.77× Fair
Income $69k
Vernon County2hosps
1.77× Fair
Income $70k
Sheboygan County2hosps
1.84× Fair
Income $72k
Lincoln County2hosps
2.07× Fair
Income $68k
Racine County2hosps
2.91× Fair
Income $75k
Lafayette County1hosp
0.64× Fair
Income $72k
Showing top 24 counties with hospital price filings of 72 total in Wisconsin
All Hospitals in Waukesha County (8)
Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.
- Waukesha Memorial Hospital · Waukesha CMS CCN 520008 · 24/7 Emergency Services4/5 CMS Stars No MRF Indexed
- Oconomowoc Memorial Hospital · Oconomowoc CMS CCN 520062 · 24/7 Emergency Services5/5 CMS Stars No MRF Indexed
- Waukesha County Mental Health Ctr · Waukesha CMS CCN 524026 · Specialty / Outpatient CareNot Rated No MRF Indexed
- Rogers Memorial Hospital · Oconomowoc CMS CCN 524018 · Specialty / Outpatient CareNot Rated No MRF Indexed
- Froedtert Community Hospital · New Berlin CMS CCN 520213 · 24/7 Emergency Services
- Community Memorial Hospital · Menomonee Falls CMS CCN 520103 · 24/7 Emergency Services
- Aurora Medical Center - Summit · Summit CMS CCN 520206 · 24/7 Emergency Services
- Ascension Wisconsin Hosp Menomonee Falls Campus · Menomonee Falls CMS CCN 520214 · 24/7 Emergency ServicesNot Rated MRF Published
Compare Procedure Prices Across All Wisconsin Hospitals
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