« Patients & Caregivers

Know your healthcare costs

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

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Price estimates and price transparency

If you want an estimate of how much your medical care might cost before your appointment, Prevea offers the following tools.

Find out what your medical care might cost after claims are processed by insurance. Learn more.
Under federal law, patients who do not have insurance or choose not to use insurance, and patients with services that are scheduled at least 3 days in advance, have the right to receive a Good Faith Estimate from their health care provider. This estimate shows the total expected cost of any non-emergency items or services, including related costs such as medical tests, prescription drugs, equipment, and hospital fees.

You have the right to receive a Good Faith Estimate in writing at least one business day before your service. You can also request an estimate from any provider you choose before scheduling a service or item.

If you receive a bill that is $400 or more higher than your Good Faith Estimate, you may dispute the bill. Be sure to save a copy or picture of your estimate for reference.

For more information about Good Faith Estimates:
If you need to go 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.

Factors that impact your costs

There are several factors that can impact what you’ll pay for medical care. 

  • First and foremost are 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.

Why did I get more than one bill?

When your billing statement 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 another company that processed the labs. The same goes for X-rays or other imaging services. Learn more.

Get 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. 

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