UW Health can provide a price estimate of what a procedure or treatment will cost, based on total charges for the same services, and how much you may be responsible for paying based on your insurance coverage. Please note that final charges may be different based on the actual services received and supplies used.
An estimate is the predicted amount your medical services will cost you. This includes information on what total charges have been in the past for this same service, as well as, what your personal out of pocket costs could be based on your insurance benefits.
Create your own estimate
You can create your own price estimate for common procedures and services. This feature is available for both MyChart and non-MyChart users.
Create an estimate through MyChart
MyChart users can create their own estimate for many common services. This will be linked to your patient record. To create an estimate:
Log into your MyChart account
Click on Billing
Create a guest estimate
If you do not have a MyChart account, you can request an estimate for common procedures and services on as a guest. This estimate will not be linked to your patient record.
Make a guest estimate: Wisconsin | Illinois
UW Health proactively provides some estimates prior to services. You may receive this estimate via MyChart or in the US mail.
Other pricing options
For services in Wisconsin, if you are unable to create your own estimate via MyChart or Guest Estimate, you may call UW Health's Priceline team at (608) 263-1507 for assistance.
You will be given a price estimate or range, rather than a specific quote, as the final charges are based on a variety of factors related to the clinical service provided, the diagnoses associated with those services and supplies used. While it is possible to estimate these, it is not possible to precisely define these until after the service has been provided.
Beginning in 2022, health care providers were required to disclose, upon request, certain charge and payment information for health care services, tests and procedures.
For information on the quality of care at UW Hospitals and Clinics, please see the Wisconsin Collaborative for Healthcare Quality's website
For information on the quality of care at UW Health SwedishAmerican Hospital and Clinics, please see the Health Transformation Collaborative website
For information on the pricing of care at UW Hospitals and Clinics, please see the WHA For Transparency website
For information on the pricing of care at UW Health SwedishAmerican Hospital and Clinics, please see the Illinois Hospital Report Card website
About pricing transparency
UW Health believes generating an estimate will provide a better value in understanding your potential out-of-pocket expenses.
The Centers for Medicare and Medicaid Services (CMS) requires each hospital to post a list of their standard charges — a Charge Description Master (CDM) — in a machine-readable format and update the data at least annually. A standard charge means the regular rate established by the hospital for an item or service provided to a specific group of paying patients.
For purposes of complying with the Hospital Price Transparency Final Rule, this includes five types of standard charges: gross charge, discounted cash price, payor-specific negotiated charge, de-identified minimum negotiated charge, and de-identified maximum negotiated charge. CMS intended that this information would help patients with improved information regarding price transparency.
The CDM and the corresponding standard charges themselves may not provide the appropriate price transparency for the patient as a patient’s out-of-pocket cost is not determined by the standard charges of a hospital alone. The out-of-pocket cost is driven primarily by:
Any copay, deductible, and/or coinsurance required by the patient’s benefit plan; and
The negotiated charge that the patient’s insurance carrier will pay the hospital, which is generally less than the standard charges.
Any patient that is uninsured will pay the discounted cash price.
If you still wish to review the CDM, please understand the following:
The descriptions in the CDM may not be understandable to the layperson.
The inpatient total charge amount and reimbursement rates for many procedures is made up of many individual charge items from the CDM.
Due to variations in individual physician practice patterns, as well as individual patient differences and the potential for unforeseen complications, charges may vary based on the patient’s situation. Payer specific negotiated charges are sometimes not at the charge master item level and therefore we are unable to provide these amounts at this level of detail.
Note: When you click the links below for standard charges, the file(s) will download to your computer or mobile device.
View the standard charge listing for UW Health University Hospital, American Family Children’s Hospital and UW Health East Madison Hospital: Standard charges (xlsx)
View the standard charge listing for UW Health SwedishAmerican Hospital: Standard charges (xlsx)
HealthCare Financial Management Consumer Guide