Know your health care costs
One of the biggest questions you might have when seeking medical care is, “How much is this going to cost?”


To find out what your medical care might cost, request an estimate before your appointment. There are three ways to do that.
- MyPrevea offers estimates for new and existing patients, and you can request one here. Be prepared to select which location you would want to visit and if you have insurance.
- Complete this form. We aim to have a financial services representative contact you with an estimate within two hours.
- If you prefer to call and set up an appointment, you can ask for an estimate at that time. You’ll be asked if you have insurance and if you are a new or existing patient, as both come with different costs.
Under federal law, health care providers are required to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. Learn more.
Factors that impact your costs
There are several factors that can impact what you’ll pay.
- First and foremost, the symptoms you have. A person coming in with a sore throat will likely have different examinations and tests than someone coming in with chest pain or shortness of breath. As a result, different costs can occur.
- Each patient who comes into the doctor is assigned a “level” based on how many symptoms they have, the severity of the symptoms and their health history. If a patient has chronic health issues, that will likely add to the complexity of the treatment, which can impact the cost of care.
- In some cases, in addition to seeing your physician or provider, it will also be recommended that you have lab work, an X-ray or other imaging done. X-rays can cost a few hundred dollars each.
What about insurance?
Insurance can help reduce the cost of receiving care. If you have insurance, contact your insurance company to learn more about which clinics or hospitals are in network.
What if I have to go to the emergency room?
If you need to go directly to the emergency room, the Wisconsin Hospital Association (WHA) has a website dedicated to helping you find an estimate of what medical treatment may cost you. Like setting up an appointment at a clinic, you will be designated to a certain “level” based on your symptoms and health history. Find an estimate.
Why did I get more than one bill?
When your bill arrives, you may receive more than one bill from different organizations. For example, if you are treated at a Prevea health center, you will receive a bill from Prevea. If labs are drawn, you may receive a bill from the company that processed the labs. The same goes for X-rays or other imaging. Learn more.
Good faith estimate
Under federal law, patients who don’t have insurance or choose not to use insurance, have the right to receive a “Good Faith Estimate” from their health care provider.
- A Good Faith Estimate provides the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- Make sure to save a copy or picture of your Good Faith Estimate. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call (888) 277-3832. To request your estimate, click here.
Getting care
Now it’s time to get care, and you may have more questions. For instance, what type of care is available? Do I need to physically go in and see a doctor? Thankfully, Prevea Health has options to help you navigate your care and get you the care you need, when you need it.