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Urgent Care & ER

Price request

We want you to have information that will help you make good health care choices.

Section 2718 (e) of the Public Health Service Act directs hospitals to list their standard charges for items and services provided to the public. These Microsoft Excel files (Children's Hospital of Wisconsin and Children's Hospital of Wisconsin - Fox Valley) contain our charges as of January 1, 2020.

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 website.

Median charge information for any specific health service, test or procedure is available upon request 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.

You can submit this form to get estimated prices for an upcoming test or procedure at Children’s Hospital of Wisconsin. For assistance, you can call our financial counselors at (414) 266-5700 or

Children's Hospital of Wisconsin price request
New or existing patient?
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.

Click the "submit" button below and we'll get back to you as soon as we can.

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