CMS Price Transparency Data

Behavioral health day program

Facility: Fort Memorial Hospital

Billing Code: H2012 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$66
modeled fair price · typically $21–$199
modeled estimate · not a bill or quote
What this hospital charges insurers
$198
Well above the fair price
about $132 over the fair price
Fair price $66 This hospital $198

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

Cheapest $77 Priciest $1,479

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Behavioral health day program is about $66. Fort Memorial Hospital charges insurers about $198 — well above the fair price. Located in Fort Atkinson, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $66. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $202 —
Blue Cross Blue Shieldmajor $198 —
Humanamajor $42 —
Dean Health Plan $198 —
Molina $18 —
Quartz $198 —
+ 2 smaller / regional plans $216 - $442
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 611 Sherman Ave E, Fort Atkinson, WI 53538
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals