Rehabilitation Hospital of Wisconsin
1625 Coldwater Creek Dr, Waukesha, WI 53188 · 65 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Rehabilitation Hospital of Wisconsin concentrates commercial margin in outpatient surgical suites (1.5× Medicare) and specialty drug infusions (10.2× Medicare) relative to routine diagnostics (1.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Captive ER (1.5×) & laboratory (1.6×) services average 1.25× higher multiples than routine shoppable care (8.9×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 8.8× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Rehabilitation Hospital of Wisconsin
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 65 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,881 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,809 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $2,443 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,192 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,199 | unverified |
| Blood transfusion CPT Code: 36430 | $834 | 1.7× |
| X-ray, lower back CPT Code: 72110 | $715 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $681 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $642 | unverified |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $514 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $481 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $363 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $373 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $365 | unverified |
| X-ray, pelvis CPT Code: 72170 | $366 | unverified |
| X-ray, hip CPT Code: 73502 | $365 | unverified |
| X-ray, shoulder CPT Code: 73030 | $332 | unverified |
| X-ray, ankle CPT Code: 73610 | $347 | unverified |
| X-ray, foot CPT Code: 73630 | $330 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $332 | unverified |
| X-ray, hand CPT Code: 73130 | $301 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $305 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $211 | 1.7× |
| Speech therapy (group session) CPT Code: 92508 | $192 | unverified |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $157 | unverified |
Audit a Bill or Quote at Rehabilitation Hospital of Wisconsin (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Rehabilitation Hospital of Wisconsin's published 45 CFR § 180 self-pay cash rate is $3,881 (vs. $3,881 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $511 Fair BaseRate ($356 Medicare)
Your bill ($3,881) is $3,370 above the denoised Fair BaseRate ($511) and 10.9× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Rehabilitation Hospital of Wisconsin as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rehabilitation Hospital of Wisconsin.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.