Price request

Submit this form to get an estimated prices for common tests and procedures at Children's Hospital of Wisconsin.

We want you to have information that will help you make good health care choices. Wisconsin Act 146 (2009) tells health care providers in our state how to give you price and quality information.

You can find pricing information for the care given most often in Wisconsin on the PricePoint site. In addition, median charge information for any specific health service, test or procedure is available upon request by using the form below. The data are averages and do not represent the actual charge you may be billed. The data may not include all the care you need. For example, you may need more tests or extra care. You also may get a bill from your doctor or other care providers for their care.

Price Request

Children's Hospital of Wisconsin price request
*
*
*
*
*
*
*
*
*
*
New or existing patient?
Has the patient been seen here before?


*
Describe the services needed. Provide Current Procedural Terminology (CPT) code or Current Dental Treatment (CDT) code (if known).
*
If you need a response by a particular day, we'll do our best to meet your request.