Does Childrens Hospital Of Wisconsin Fox Valley publish its standard charges and chargemaster?

Yes. Childrens Hospital Of Wisconsin Fox Valley publishes a machine-readable file with 15,843 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Childrens Hospital Of Wisconsin Fox Valley charge for procedures?

Childrens Hospital Of Wisconsin Fox Valley (Neenah, WI) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · WI · CCN 523302

Childrens Hospital Of Wisconsin Fox Valley

Neenah, WI, 54956

42 bedsChildrens2

Compliance grade

100/100

Rates published

15,843

last crawl 2026-05-24

Procedures tracked

149

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All WI hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://7pgcgohua4yc5gik.public.blob.vercel-storage.com/390812532-1881780302_Childrens-Hospital-of-Wisconsin_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	1	—	—	$42,386	$42,386	3.3×	$42,386
emergency
ED visit level 1	CPT	99281	32	$85	$46.75	$12.89	$68	0.49×	$107
ED visit level 2	CPT	99282	30	$180.5	$99.28	$126.35	$153.43	0.65×	$868
ED visit level 3	CPT	99283	30	$332.25	$182.74	$232.58	$282.41	0.70×	$1,905
ED visit level 4	CPT	99284	30	$565.25	$310.89	$395.68	$480.46	0.72×	$4,005
ED visit level 5	CPT	99285	30	$1,614	$887.7	$1,129.8	$1,371.9	1.3×	$4,005
Critical care, first hour	CPT	99291	30	$1,860.75	$1,023.41	$1,302.53	$1,581.64	1.5×	$5,870
imaging
CT head without contrast	CPT	70450	30	$1,127	$619.85	$788.9	$955.7	4.6×	$1,070.65
CT head with contrast	CPT	70460	30	$2,157	$1,186.35	$1,509.9	$1,829.14	7.8×	$2,049.15
CT neck with contrast	CPT	70491	30	$1,749.25	$962.09	$1,224.48	$1,483.37	5.4×	$1,661.79
MRI brain without contrast	CPT	70551	30	$4,220.25	$2,321.14	$2,954.18	$3,587.21	8.9×	$4,009.24
MRI brain with and without contrast	CPT	70553	30	$3,544	$1,949.2	$2,480.8	$3,012.4	5.1×	$3,366.8
Chest X-ray single view	CPT	71045	30	$171	$94.05	$119.7	$145.01	1.5×	$162.45
Chest X-ray 2 views	CPT	71046	30	$248.25	$136.54	$173.78	$210.52	2.1×	$235.84
CT chest without contrast	CPT	71250	30	$2,326.5	$1,279.58	$1,628.55	$1,972.88	9.2×	$2,210.18
CT chest with contrast	CPT	71260	30	$2,744.25	$1,509.34	$1,920.98	$2,327.13	8.3×	$2,607.04
CT cervical spine without contrast	CPT	72125	30	$1,394.75	$767.11	$976.33	$1,182.75	5.9×	$1,325.01
MRI cervical spine without contrast	CPT	72141	30	$3,622.5	$1,992.38	$2,535.75	$3,079.13	7.8×	$3,441.38
CT pelvis with contrast	CPT	72193	30	$2,130.75	$1,171.91	$1,491.53	$1,806.88	6.4×	$2,024.21
Humerus X-ray	CPT	73060	1	$243	$133.65	$184.92	$184.92	2.1×	$184.92
Hand X-ray 3 views	CPT	73130	30	$435.5	$239.53	$304.85	$369.31	4.0×	$413.73
Knee X-ray 1-2 views	CPT	73560	1	$320.25	$176.14	$243.71	$243.71	2.6×	$243.71
MRI lower extremity joint with and without contrast	CPT	73723	30	$5,212	$2,866.6	$3,648.4	$4,430.2	7.0×	$4,951.4
CT abdomen with contrast	CPT	74160	1	$2,713.75	$1,492.56	$2,065.16	$2,065.16	7.2×	$2,065.16
CT abdomen and pelvis without contrast	CPT	74176	30	$1,432.75	$788.01	$1,002.93	$1,214.98	3.3×	$1,361.11
CT abdomen and pelvis with contrast	CPT	74177	30	$3,648.75	$2,006.81	$2,554.13	$3,094.14	5.6×	$3,466.31
Abdominal ultrasound complete	CPT	76700	30	$722.5	$397.38	$505.75	$614.13	4.1×	$686.38
Abdominal ultrasound limited	CPT	76705	30	$786.75	$432.71	$550.73	$668.74	4.6×	$747.41
Retroperitoneal ultrasound complete	CPT	76770	30	$649.5	$357.23	$454.65	$552.08	3.8×	$617.03
Pelvic ultrasound complete	CPT	76856	30	$666.75	$366.71	$466.73	$566.74	4.0×	$633.41
Scrotal ultrasound	CPT	76870	30	$649.5	$357.23	$454.65	$552.08	4.2×	$617.03
EKG tracing only	CPT	93005	30	$267.75	$147.26	$135.8	$185.87	1.6×	$254.36
Transthoracic echocardiogram complete	CPT	93306	30	$2,110.75	$1,160.91	$1,477.53	$1,794.14	3.0×	$2,005.21
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	1	—	—	$61,024	$61,024	3.0×	$61,024
Intracranial hemorrhage/CVA w CC	MS-DRG	065	1	—	—	$30,658	$30,658	2.9×	$30,658
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	1	—	—	$20,768	$20,768	2.7×	$20,768
Respiratory infections & inflammations w MCC	MS-DRG	177	1	—	—	$47,420	$47,420	3.1×	$47,420
COPD w MCC	MS-DRG	190	1	—	—	$33,613	$33,613	3.0×	$33,613
COPD w CC	MS-DRG	191	1	—	—	$25,581	$25,581	2.9×	$25,581
COPD w/o CC/MCC	MS-DRG	192	1	—	—	$19,481	$19,481	2.8×	$19,481
Simple pneumonia & pleurisy w CC	MS-DRG	194	1	—	—	$24,455	$24,455	2.9×	$24,455
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	1	—	—	$19,072	$19,072	2.9×	$19,072
AMI discharged alive w MCC	MS-DRG	280	1	—	—	$48,676	$48,676	3.1×	$48,676
AMI discharged alive w CC	MS-DRG	281	1	—	—	$27,890	$27,890	2.9×	$27,890
AMI discharged alive w/o CC/MCC	MS-DRG	282	1	—	—	$21,942	$21,942	2.8×	$21,942
Heart failure & shock w MCC	MS-DRG	291	1	—	—	$38,957	$38,957	3.0×	$38,957
Heart failure & shock w CC	MS-DRG	292	1	—	—	$25,763	$25,763	2.9×	$25,763
Heart failure & shock w/o CC/MCC	MS-DRG	293	1	—	—	$17,175	$17,175	2.8×	$17,175
Cardiac arrhythmia w MCC	MS-DRG	308	1	—	—	$36,535	$36,535	3.0×	$36,535
Cardiac arrhythmia w CC	MS-DRG	309	1	—	—	$22,325	$22,325	2.9×	$22,325
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	1	—	—	$17,178	$17,178	2.8×	$17,178
GI hemorrhage w CC	MS-DRG	378	1	—	—	$29,759	$29,759	3.0×	$29,759
GI hemorrhage w/o CC/MCC	MS-DRG	379	1	—	—	$19,129	$19,129	2.8×	$19,129
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	1	—	—	$23,657	$23,657	2.9×	$23,657
Fractures of femur w/o MCC	MS-DRG	533	1	—	—	$47,572	$47,572	3.1×	$47,572
Kidney/UTI w MCC	MS-DRG	689	1	—	—	$35,209	$35,209	3.0×	$35,209
Kidney/UTI w/o MCC	MS-DRG	690	1	—	—	$24,564	$24,564	3.0×	$24,564
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	1	—	—	$58,945	$58,945	3.2×	$58,945
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	1	—	—	$31,052	$31,052	3.0×	$31,052
lab
Basic metabolic panel (BMP)	CPT	80048	35	$284.5	$156.48	$8.46	$227.6	7.0×	$270.28
General health panel	CPT	80050	7	—	—	$51.44	$56.07	0.52×	$64.3
Electrolyte panel	CPT	80051	35	$142	$78.1	$7.01	$113.6	4.8×	$134.9
Comprehensive metabolic panel	CPT	80053	35	$95.25	$52.39	$10.56	$76.2	1.7×	$90.49
Lipid panel	CPT	80061	35	$201.75	$110.96	$13.39	$161.4	4.2×	$191.66
Renal function panel	CPT	80069	7	—	—	$8.68	$9.46	0.35×	$10.85
Hepatic function panel	CPT	80076	35	$212.5	$116.88	$8.17	$170	6.4×	$201.88
Urinalysis non-automated	CPT	81002	38	$42	$23.1	$3.48	$15.51	2.2×	$39.9
Urinalysis automated	CPT	81003	35	$18	$9.9	$2.25	$14.4	1.0×	$17.1
Glucose quantitative	CPT	82947	35	$35.25	$19.39	$3.93	$19.91	1.1×	$33.49
Hemoglobin A1c	CPT	83036	35	$109	$59.95	$9.71	$87.2	3.2×	$103.55
Thyroid stimulating hormone (TSH)	CPT	84443	35	$190.75	$104.91	$16.8	$152.6	3.2×	$181.21
Complete blood count with automated differential	CPT	85025	35	$103.5	$56.93	$7.77	$82.8	3.1×	$98.33
Complete blood count without differential	CPT	85027	35	$87.25	$47.99	$6.47	$69.8	3.2×	$82.89
Urine culture bacterial	CPT	87086	35	$95	$52.25	$8.07	$76	3.3×	$90.25
Urine culture identification	CPT	87088	35	$45.75	$25.16	$8.09	$36.6	1.6×	$43.46
Tissue exam by pathologist level IV	CPT	88305	35	$229.75	$126.36	$65.52	$183.8	1.8×	$218.26
maternity
Fetal non-stress test	CPT	59025	1	—	—	$3,990	$3,990	21.2×	$3,990
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$8,006	$8,450	3.7×	$8,894
Vaginal delivery only	CPT	59409	2	—	—	$6,842	$7,870	3.6×	$10,500
Vaginal delivery with postpartum	CPT	59410	1	—	—	$8,006	$8,450	8.0×	$8,894
Routine obstetric care with C-section	CPT	59510	1	—	—	$8,006	$8,450	3.4×	$8,894
C-section delivery only	CPT	59514	2	—	—	$6,842	$7,870	8.2×	$8,085
C-section with postpartum	CPT	59515	2	—	—	$8,006	$8,085	6.4×	$8,894
office
Office visit, new patient, 15-29 min	CPT	99202	32	$400	$220	$48.35	$320	3.7×	$380
Office visit, new patient, 30-44 minutes	CPT	99203	32	$490	$269.5	$74.38	$392	3.2×	$465.5
Office visit, new patient, 45-59 min	CPT	99204	32	$734	$403.7	$110.94	$587.2	3.4×	$697.3
Office visit, new patient, 60-74 min	CPT	99205	32	$970	$533.5	$146.41	$776	3.5×	$921.5
Office visit, established patient, 5 min	CPT	99211	32	$216	$118.8	$15.61	$172.8	2.7×	$205.2
Office visit, established patient, 10-19 min	CPT	99212	32	$307	$168.85	$37.79	$245.6	3.1×	$291.65
Office visit, established patient, 20-29 minutes	CPT	99213	32	$387	$212.85	$60.42	$309.6	2.7×	$367.65
Office visit, established patient, 30-39 minutes	CPT	99214	32	$520	$286	$85.58	$416	2.7×	$494
Office visit, established patient, 40-54 min	CPT	99215	32	$751	$413.05	$119.97	$600.8	3.2×	$713.45
preventive
Upper GI endoscopy diagnostic	CPT	43235	2	—	—	$5,749	$6,159	6.7×	$8,190
Upper GI endoscopy with biopsy	CPT	43239	2	—	—	$5,749	$6,159	6.4×	$8,190
Sigmoidoscopy diagnostic	CPT	45330	2	—	—	$5,749	$6,159	7.3×	$7,350
Sigmoidoscopy with biopsy	CPT	45331	2	—	—	$5,749	$6,159	6.9×	$7,350
Colonoscopy diagnostic	CPT	45378	2	—	—	$5,749	$6,159	7.0×	$8,190
Colonoscopy with biopsy	CPT	45380	2	—	—	$6,842	$7,870	6.5×	$8,190
Colonoscopy with polyp removal	CPT	45385	2	—	—	$6,842	$7,870	6.5×	$8,190
surgery
Total shoulder arthroplasty	CPT	23472	2	—	—	$13,774	$13,958	3.4×	$25,306
Hip hemiarthroplasty	CPT	27125	2	—	—	$8,006	$8,894	7.1×	$18,060
Total hip replacement	CPT	27130	2	—	—	$13,774	$13,958	3.2×	$25,306
Total knee replacement	CPT	27447	2	—	—	$14,056	$15,055	3.6×	$25,306
Knee revision arthroplasty single component	CPT	27486	2	—	—	$13,774	$13,958	8.3×	$25,306
Knee revision arthroplasty all components	CPT	27487	2	—	—	$13,774	$13,958	7.0×	$25,306
Shoulder arthroscopy with decompression	CPT	29826	2	—	—	$3,990	$5,749	17.6×	$6,159
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	—	—	$13,774	$13,958	4.2×	$18,060
Knee arthroscopy with meniscectomy	CPT	29881	2	—	—	$8,006	$8,894	4.3×	$11,655
ACL reconstruction	CPT	29888	2	—	—	$13,774	$13,958	4.2×	$18,060
Major small/large bowel procedures w MCC	MS-DRG	329	1	—	—	$139,481	$139,481	3.2×	$139,481
Major small/large bowel procedures w CC	MS-DRG	330	1	—	—	$72,743	$72,743	3.1×	$72,743
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	1	—	—	$51,068	$51,068	3.1×	$51,068
CABG single arterial graft	CPT	33533	2	—	—	$8,085	$14,056	7.5×	$15,055
CABG 2 arterial grafts	CPT	33534	2	—	—	$8,085	$14,056	6.6×	$15,055
CABG 3 arterial grafts	CPT	33535	2	—	—	$8,085	$14,056	6.2×	$15,055
CABG 4+ arterial grafts	CPT	33536	2	—	—	$8,085	$14,056	5.7×	$15,055
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	1	—	—	$51,332	$51,332	3.1×	$51,332
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	1	—	—	$41,445	$41,445	3.1×	$41,445
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	1	—	—	$103,388	$103,388	3.2×	$103,388
Open appendectomy	CPT	44950	2	—	—	$8,006	$8,894	7.8×	$11,655
Laparoscopic appendectomy	CPT	44970	2	$8,211.5	$4,516.33	$6,248.95	$11,564	7.4×	$18,060
Major joint replacement w MCC	MS-DRG	469	1	—	—	$92,042	$92,042	3.1×	$92,042
Major joint replacement w/o MCC	MS-DRG	470	1	—	—	$58,532	$58,532	3.1×	$58,532
Laparoscopic cholecystectomy	CPT	47562	2	—	—	$11,290	$11,838	6.7×	$18,060
Lap cholecystectomy with cholangiography	CPT	47563	2	—	—	$11,290	$11,838	6.3×	$18,060
Hip & femur procedures except major joint w MCC	MS-DRG	480	1	—	—	$88,374	$88,374	3.2×	$88,374
Hip & femur procedures except major joint w CC	MS-DRG	481	1	—	—	$63,558	$63,558	3.1×	$63,558
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	1	—	—	$49,493	$49,493	3.1×	$49,493
Lap inguinal hernia repair	CPT	49650	2	—	—	$11,290	$11,838	10.5×	$18,060
Total abdominal hysterectomy	CPT	58150	2	—	—	$11,290	$11,655	12.0×	$11,838
Vaginal hysterectomy	CPT	58260	2	—	—	$10,196	$10,948	6.0×	$11,655
Lap-assisted vaginal hysterectomy	CPT	58550	2	—	—	$11,290	$11,838	8.0×	$18,060
Lap-assisted vaginal hysterectomy >250g	CPT	58552	2	—	—	$14,056	$15,055	6.8×	$18,060
Lap salpingo-oophorectomy	CPT	58661	2	—	—	$11,290	$11,838	5.8×	$18,060
OR procedure for obesity w MCC	MS-DRG	619	1	—	—	$87,618	$87,618	3.2×	$87,618
OR procedure for obesity w CC	MS-DRG	620	1	—	—	$48,561	$48,561	3.0×	$48,561
OR procedure for obesity w/o CC/MCC	MS-DRG	621	1	—	—	$45,772	$45,772	3.0×	$45,772
Complex cataract surgery	CPT	66982	2	—	—	$6,842	$7,870	3.5×	$10,500
Cataract surgery with lens implant	CPT	66984	2	—	—	$6,842	$7,870	3.6×	$10,500
Intravitreal injection	CPT	67028	2	—	—	$3,990	$5,749	16.8×	$6,159
Vitrectomy mechanical	CPT	67042	2	—	—	$10,196	$10,948	4.3×	$13,913
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	1	—	—	$37,649	$37,649	3.1×	$37,649
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	1	—	—	$62,180	$62,180	3.3×	$62,180
PCI single major coronary artery	CPT	92920	1	—	—	$18,060	$18,060	3.2×	$18,060
PCI with drug-eluting stent	CPT	92928	1	—	—	$18,060	$18,060	1.8×	$18,060
PCI bypass graft	CPT	92937	1	—	—	$18,060	$18,060	1.7×	$18,060
Left heart catheterization	CPT	93452	1	—	—	$13,913	$13,913	4.5×	$13,913
Coronary angiography with cath	CPT	93455	1	—	—	$13,913	$13,913	4.4×	$13,913
Coronary angiography with bypass cath	CPT	93458	1	—	—	$13,913	$13,913	4.5×	$13,913

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 30)

Payer	Codes covered	Median rate
UnitedHealthcare	146	$1,675.73
Anthem BCBS	96	$613.67
america's ppo	53	$363.45
aspirus health plan	53	$307.32
centivo	53	$315.85
advocate aurora healthcare	53	$317.67
Aetna	53	$292.38
employer health care alliance cooperative	53	$241.59
First Health	53	$396.87
froedtert health	53	$348.35
group health cooperative of south central wisconsin	53	$375.98
health partners	53	$346.28
health payment systems	53	$353.42
medical college of wisconsin	53	$292.43
Multiplan	53	$274.83
network health plan	53	$292.64
oan llc	53	$334.2
security health plan	53	$346.74
sheboygan employer's health network	53	$355.09
trilogy health solutions	53	$326.63
wps health plan	53	$336.99
Cigna	53	$375.98
common ground healthcare cooperative	53	$326.63
dean health plan	53	$334.2
prevea health network	43	$391.95
group health cooperative of eau claire	43	$348.4
healthsmart	43	$391.95
bellin thedacare	43	$391.95
praire states	43	$370.18
quartz health insurance	43	$370.18

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