Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

Fort Memorial Hospital

611 SHERMAN AVE E, Fort Atkinson, WI 53538

CMS Overall Rating ★★★★☆

How this hospital's prices compare 142 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 142 shoppable procedures, Fort Memorial Hospital typically charges about the fair BaseRate for the procedures it prices. 14 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Behavioral health day program fair $66 → $198 3.0×
Office visit, established patient (30-39 min) fair $103 → $234 2.3×
Office visit, established patient (20-29 min) fair $77 → $152 2.0×

How we calculate the BaseRate →

Fort Memorial Hospital publishes prices for 141 shoppable procedures in Fort Atkinson, WI. It's classified by CMS as Acute Care Hospitals (Voluntary non-profit - Private). CMS rates it 4/5 stars, and 68% of patients would recommend it.

Facility Overview

Setting: rural Bed Count: 49 Beds Teaching Status: Non-Teaching Annual Discharges: 1,278

Patient Experience

Recommendation Rate: 68% High Patient Rating: 73% ER Wait Time (Med): 165 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 141 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Fort Memorial Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Behavioral health day program HCPCS Code: `H2012`	—	$198	$66	3.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$140	$234	$103	2.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$108	$152	$77	2.0×
Behavioral health living support HCPCS Code: `H2019`	—	$54	$27	2.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$20	$59	$37	1.6×
Psychological testing evaluation CPT Code: `96136`	—	$124	$83	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$107	$126	$86	1.5×
X-ray, chest (two views) CPT Code: `71046`	$89	$84	$59	1.4×
Neurobehavioral status check CPT Code: `96116`	$139	$282	$198	1.4×
Group therapy session CPT Code: `90853`	—	$89	$63	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$73	$57	$41	1.4×
Speech therapy (group session) CPT Code: `92508`	$47	$38	$28	1.4×
Psychological testing by technician CPT Code: `96138`	—	$377	$281	1.3×
Drug screening test HCPCS Code: `G0480`	$57	$143	$113	1.3×
C-section delivery (full package) CPT Code: `59510`	—	$5,113	$4,133	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$54	$53	$44	1.2×
Orthotic fitting and training CPT Code: `97760`	$76	$61	$51	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$38	$18	$15	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$55	$42	$36	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,621	$3,955	1.2×
Prosthetic fitting and training CPT Code: `97761`	$73	$53	$46	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$51	$147	$127	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$118	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$53	$47	$43	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$155	$144	1.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$28	$26	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$239	$93	$87	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$51	$14	$13	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$52	$41	$39	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$39	$37	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$670	$196	$186	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$59	$42	$40	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$42	$10	$10	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$56	$15	$14	1.0×
Blood test, magnesium CPT Code: `83735`	$28	$7	$7	1.0×
Physical therapy (gait training) CPT Code: `97116`	$54	$37	$35	1.0×
Ultrasound, pelvis CPT Code: `76856`	$225	$102	$98	1.0×
Culture, bacterial CPT Code: `87070`	$54	$9	$9	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$364	$102	$98	1.0×
Blood test, lipase CPT Code: `83690`	$26	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$22	$5	$5	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,045	$980	$945	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$80	$11	$11	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$586	$150	$145	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$43	$8	$8	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$201	$81	$79	1.0×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$220	$214	1.0×
Blood antibody screen CPT Code: `86850`	$50	$26	$25	1.0×
CT scan, sinuses CPT Code: `70486`	$430	$102	$100	1.0×
Blood test, sodium CPT Code: `84295`	$34	$5	$5	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$108	$106	$104	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$58	$19	$19	1.0×
Blood test, vitamin D CPT Code: `82306`	$96	$30	$30	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$87	$81	$80	1.0×
Family therapy session CPT Code: `90847`	—	$155	$153	1.0×
CT scan, pelvis CPT Code: `72192`	$468	$102	$101	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,277	$879	$868	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$45	$34	$34	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$31	$31	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$162	$71	$70	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$64	$17	$17	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$499	$141	$140	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,440	$173	$172	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$554	$428	$425	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$66	$18	$18	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,125	$904	$900	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$152	$151	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$44	$44	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$491	$102	$102	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$155	$155	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$17	$44	$44	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$66	$13	$13	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$306	$307	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,829	$16,864	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$34	$34	1.0×
Culture, blood CPT Code: `87040`	$68	$10	$10	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,124	$240	$241	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,344	$173	$174	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$540	$102	$103	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,440	$184	$185	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$32	$6	$6	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$768	$102	$103	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$28	$5	$5	1.0×
Breast lump removal CPT Code: `19120`	$1,888	$3,690	$3,761	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$4	$4	1.0×
Blood test, calcium CPT Code: `82310`	$26	$5	$5	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,628	$272	$279	1.0×
Typhoid vaccine HCPCS Code: `90675`	—	$301	$309	1.0×
Hepatitis C antibody test CPT Code: `86803`	$48	$14	$14	1.0×
Care planning with family CPT Code: `90887`	—	$76	$78	1.0×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$222	$229	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,440	$3,127	$3,232	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$155	$160	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$1,275	$1,319	1.0×
Blood test, liver function panel CPT Code: `80076`	$40	$8	$8	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,251	$18,949	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,295	$7,582	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,404	$1,136	$1,188	1.0×
Inguinal hernia repair CPT Code: `49505`	$4,790	$3,401	$3,575	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$40	$8	$8	0.9×
Mental health services (assessment) HCPCS Code: `H0031`	—	$100	$106	0.9×
Bunion correction surgery CPT Code: `28296`	$2,294	$3,127	$3,374	0.9×
Blood test, amylase CPT Code: `82150`	$27	$6	$6	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$2,690	$2,198	$2,376	0.9×
Blood transfusion CPT Code: `36430`	$146	$409	$447	0.9×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$55	$60	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,940	$5,623	$6,200	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	$3	$3	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,539	$19,399	0.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$26,138	$29,083	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$4	$4	0.9×
Behavioral health day treatment HCPCS Code: `H0010`	—	$220	$250	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$667	$769	0.9×
Total knee replacement CPT Code: `27447`	$4,979	$12,185	$14,549	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$127	$83	$100	0.8×
Mental health services (therapy) HCPCS Code: `H0032`	—	$42	$51	0.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$101	$128	0.8×
Blood test, hemoglobin CPT Code: `85018`	$14	$2	$3	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$17	$32	$42	0.8×
X-ray, hip CPT Code: `73502`	$77	$33	$45	0.7×
Behavioral health residential care HCPCS Code: `H0011`	—	$222	$307	0.7×
Residential mental health treatment HCPCS Code: `H2036`	—	$218	$310	0.7×
X-ray, lower back CPT Code: `72110`	$158	$37	$55	0.7×
Review of medical records for care CPT Code: `90889`	—	$42	$64	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$83	$28	$43	0.6×
X-ray, shoulder CPT Code: `73030`	$128	$26	$42	0.6×
X-ray, hand CPT Code: `73130`	$77	$26	$42	0.6×
X-ray, chest (single view) CPT Code: `71045`	$74	$25	$41	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$13	$22	0.6×
X-ray, ankle CPT Code: `73610`	$70	$26	$44	0.6×
X-ray, foot CPT Code: `73630`	$70	$24	$45	0.5×
X-ray, pelvis CPT Code: `72170`	$65	$25	$48	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$339	$83	$163	0.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$11	$28	0.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$55	$159	0.3×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$7	$23	0.3×
Community mental health services HCPCS Code: `H0038`	—	$2	$14	0.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$97	—	$55	—
Total hip replacement CPT Code: `27130`	$2,933	—	$14,877	—