CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Childrens Hospital of Wisconsin

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$14,278
about 2.5× the $5,676 Medicare rate · typically $5,512–$27,206
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,678
Above the fair price
about $9,400 over the fair price · 4.2× Medicare
Medicare pays $5,676 Fair price $14,278 This hospital $23,678

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $5,090 Priciest $23,678

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $14,278 (about 2.5× the $5,676 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $23,678 — above the fair price. Located in Milwaukee, 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 $14,278. 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.

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $23,678 417%

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.

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Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens