ROGERS MEMORIAL HOSPITAL (Oconomowoc, WI) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
124	Inpatient mental health	$3,615	$1,560	—	—	45
126	Inpatient addiction	$3,615	$1,560	—	—	43
128	Inpatient rehab	$3,615	$1,560	—	—	22
134	Inpatient eating disorder	$3,615	$1,560	—	—	12
99236	Same Day Admit/Discharge - High Severity - 85 min	$598	$180	—	—	26
90792	Psychiatric Diagnostic Eval for Physician, APNP, PA	$570	$205	—	—	50
90791	Psychiatric Diagnostic Evaluation for Psychologists	$511	$175	—	—	74
99223	Inpatient Hospital Care - New Patient - High Severity	$496	$145	—	—	33
99235	Same Day Admit/Discharge - Moderate Severity - 70 min	$456	$170	—	—	27
90837	Psychotherapy (over 53 minutes)	$431	$170	—	—	74
99255	Inpatient Consultation - High Severity	$407	$100	—	—	21
99222	Inpatient Hospital Care - New Patient - Moderate Severity	$371	$105	—	—	33
99233	Inpatient Hospital Care - Established Patient - High Severity	$341	$85	—	—	32
90838	Add-on Psychotherapy to EM visit (over 53 minutes)	$338	$145	—	—	49
99239	Inpatient Hospital Discharge ( over 30 minutes )	$327	$105	—	—	32
99254	Inpatient Consultation - Moderate Severity	$309	$80	—	—	25
90834	Psychotherapy (38-52 minutes)	$292	$115	—	—	74
90847	Family Psychotherapy with Patient (over 26 minutes)	$292	$130	—	—	74
99234	Same Day Admit/Discharge - Low Severity - 45 min	$281	$130	—	—	27
90846	Family Psychotherapy without Patient (over 26 minutes)	$280	$120	—	—	74
90836	Add-on Psychotherapy to EM visit (38-52 minutes)	$256	$115	—	—	49
99221	Inpatient Hospital Care - New Patient - Low Severity	$234	$80	—	—	33
99253	Inpatient Consultation - Low Severity	$234	$75	—	—	25
99238	Inpatient Hospital Discharge ( less than 30 minutes)	$231	$75	—	—	32
99232	Inpatient Hospital Care - Established Patient - Moderate Severity	$226	$60	—	—	32
90832	Psychotherapy (16-37 minutes)	$221	$75	—	—	74
99252	Inpatient Consultation - Straightforward	$221	$45	—	—	25
90833	Add-on Psychotherapy to EM visit (16-37 minutes)	$202	$65	—	—	49
99251	Inpatient Consultation - less than 20 minutes	$156	$45	—	—	25
99359	Prolonged Service w/out Direct Patient Contact (30 min)	$153	$105	—	—	12
99231	Inpatient Hospital Care - Established Patient - Low Severity	$141	$35	—	—	32
99358	Prolonged Servs without direct patient contact	$139	$75	—	—	14
90849	Multiple Family - Group Psychotherapy	$108	$50	—	—	74
99407	Smoking and Tobacco use cessation counseling (greater than 10 minutes)	$79	$60	—	—	20
90853	Group Psychotherapy (45-60 minutes)	$78	$120	—	—	74
99418	Prolonged Service INPT each add'l 15 min (add on) (commercial payers)	$59	$40	—	—	5
90785	Interactive Complexity for 90792/90832-90838/90853	$44	$15	—	—	34
99406	Smoking and Tobacco use cessation counseling (greater than 3 minutes up to 10 minutes)	$42	$30	—	—	20
93010	Electrocardiogram (EKG) - Interpretation & Report	$24	$10	—	—	24

Showing top 39 of 39 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.